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HomeMy WebLinkAbout065-020-02165-02=21 :ROBERT W. JOHNSON + 15732 Coutolenc Rd, Magalia + Permit##4690-80P,E (ele for pump & + future lot, leve =pment ) 4 65-02-21pe,,, Permit#3002-89B,P,E,M(new s'Rf fir ' 65-02-21a Permit#3.5_ 4�jB(retaining wall) �' J ,- 9 Permit#3328-90B 65-02- 1 (1st renewal/3002-g9)„ �I�,R� { � v 'oa � �I � ��.j .� ., �� t `-,� • ' X228 ' �� ' 1 F 65-02-11 3002-89B,P E M t - p JOHNSON Robert � ' Magalia 15732`Coutolenc Rd, c (new single family) C _ ASSESSOR PARCEL J LOCATION 1; '� I S 7 of �' Ca..+- t •. -35`11 F 1 s f . r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature ��. = OK " 0 = Not OK ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'n Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements , 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance - rtf 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector N 4. Electricity; MH Test-Crossovers-Breakers:Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15.v-olts-GFI • ` 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -61 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval " C 10, Plumb.;.Cir. Zest -Water Supply Test Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date t t, O= IOt OK - = Noi Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s tg ain; Soils -Ste -Elec. Ftg. Depth g., G ge; Soils -Steel-/ P' Ftg. Depth 4. F ., Por es & Decks; Soils -Steel-/ /"Ftg. Depth t alis, Main; Steel- Bloc kouts-Wrapped temwalIs.Garage; Steel-Blockouts-Wrapped 71 SI feel -Wrapped 6-7-9O 1t Ge'D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test UL aac ape; Size -Anchors V!SGater Pipe; Test -Anchors -Regulator -Service Test lectric; Undergmmryd Plenums & Ducts; Clearance-Material-Supprt-Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -61 (�' Date,S )-gA Card -81 (7G Date Card -81 Dates 7 -ft Card -81 Date Date PI1,UMBING (Permit) OK except #'s ater Ht. Ve ccess-Combustion Air -Baffle ater Pi & Anchors -Nail Protection -Fttngs & Anchors -Nail Protection hower Pan- es , First Floor -Tub Access Test` Tvb & Shdwer, n loor-Tu Access 21. Gas Pipe; Size & Anchors Card -B1 C,SJ Date / y, Card -B1 Date Card -B1 Date &g/or, Card -B1 ' Date Date ELECTRICAL (Permit) OK except #'s 2 . Ixture & Transformer Clearance -Ins. Protection 2 . Elec. Receptacles Spacing -Lights & Switches at Doors 2 . 5Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 2VEquip. Ground made up w/Mech. Fasteners -Bond Gas & Water 24!2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 20- Subfeed Wire Size / / ga. Cu odPA.C. Wire Size /ga. Cu oral 2g!Range Circ. / Q / ga. Cu or Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31, Equip. Clearances Panels-Motors-Mech. Equip. 90!Clothes Closet Lioht-Shower Liaht-Spa Liaht Card -61 GG Date _S_`j-gppard-B1 Date Card -131 C-5-1 Date y' Card -B1 Date Date MECHANICAL (Permit) OK except #'s <9 A.C. Ducts Insulation &p r -06 -Vent Fan; Exhaust above insulation 1,i&Condensate Drain & Overflow; Size & Grade -9?- Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 30fAttic Access & Platform if Furnace in Attic Card -B Date f y Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39/Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size Apeqm Date FRAMING (Continued) H gers-Post Caps -Anchors -Connect rs - Cing. Joist-Rftr. Ties-Purlin-Roof Brac. Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4 . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4VBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 . Garage Fire Protection Framing 51 roperty Line Firewall & Openings SfVxt. Doors -One 3'-C ck Garage -3rd story, 2 exits tairs; Width-Headr om-Rise-Run-Landing-Fire Protection Plywood on Roof 0 erhang-Attic Vents -Rafter Outriggers 5. Siding -Nailing Veneer 56. S cco Mesh -Drip Scree -Fd. Vents-Underflr. Access 57. lazing Area -Glass Protection -Skylights -Plastic 58 Shear Walls; Nailing -Bolts Insulation-Walls-Clg. 60. Infiltration -Wal is-Wndws Card -B1 -j Date `/ /0 Card -131 OJ Date Card-B1/O.S'-Gate Card -131 Date Date F AL (PI ) OK except #'s 44�14Ext.(St -Door & Sidelight Protection -Landings moke Detector 63)Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64/Bedroom Exiting 6".F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Fireplace or ; Clearances -Hearth `F!Elec. Outlets at Wood Panel; Int. & Ext. 70 -Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. lec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper dm 7 . Wtr. Htr.; Vents -Clearance -Comb. Air-Connecto R. In Garage; Above Floor-Mech. Protection S 75. Plb., Elec. & Mech. Equip. Listed for Location 76. F90. Receptacles in Garage; (G.F.I.)-Ro x Protec. 7 . Insulation -Foam -Looked in Attic 04es wrIf -s 78. Guard Rails & Deck Construction -Post Caps 7 . 'G. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Flgor ❑ Yes Following instld.;Drive Yes ❑ No; Walks ❑ Yes o; Planters ❑ Yes ❑40' 8f. Stucco; Brown Finish 8 C. Unit; DiscQpnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86-4entilation throughout House .Mass Protection . Corrections from Previous Inpections st-Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Roofing Certificate Card -61 aZate z- Card -81 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Comments at Final: - C. owner: •� /� . cJ� /-�I�J�S U .J -- - -- --- -- 11ermil: 15732 Coutolence, Magalia, Ca LOCATION imscR1ntoN OF INSIIIATION ROOF Materiel _ ._ — T11�cknees(Incl�ee)—_-- — BXT9RI6R WALL Materiat Flt,U-oto �al�ls Tilicknese(lnclies) 3 tall CEILING Batt or Blanket 1'yl,e_.11Ls-fu1as.5..Lall.s. Tblckneas(Inchea)-- I.00ee Fill Tyre--- — -- ---- — — N1uiaNlm 1'blcknee@(Ynches)--___� Area covered (f t . 7 FLOOR.• ELEVATED Material Fiberglass Batts Tit Ickness(I.ncl�es)_jr 1.00R , 81.AB -- Tblcknees(Inchea) —_ WIdtII(ttocIIee)_ FoU"TION WALL. Material � _� .— Thiakneae(incl�ee)_ Brand Name_ _ Therm t Resistance (R Value) Brand Name— C1a_S:(1TR1W Thermal Resistallce(R Value) R13 Brand Neme___]WEIIS�.11it11J10 Thermal Reslstance(R Value) R38 Brand Mania -- _ tfuunbe: of Rags-- 1!t . par beg 'Thermal. Itealstance(R Value) Brand Nenie_ Owens-Corning Thermal ReststatiCe(R Value) R19'T� Brand Name _ 1'liermal Realst:ance(R Value) Brand Name " '1'llermat Reelstance(R value)___,_�� i llereby certify. chat 1:116 above insole tton was metalled in the above building !n conformance wltl, 1.1,e State of (:allforl, energy Reyuiremente. Loerke Insulat.tus_s Co. — — _— _— 499150 FINN NAME/OWNER -- STATE cour croR18 LICENSE NO. October 3, 1990 8I0 TIIRR OP INSTAI.I.ATION API'IACA'1'(►R DATE I hereby certify the above lneulat:lorl and all re4lotred items as shown on 1:119 Building Department approved plane and attacldneute have been installed as required by the State of (:allforuls Energy Requtremesits. All equipment, devices and materials are of the ytialtty prescribed or are epeoifically approved Ijy t.11e State of Call.fornia. FIRM NAME/OWNER (Please print) — STATE COHfRACTORIS 1.TCF.NSX NO. g QNATU OP FI 11ACOirl-RACTOR TII18 CERTIFICATE tws'r HE ON FILE 111111 THE BUILDING DEPAR11ENf PRIOR TO FINAL. I"BrICTION APPROVAL. AUD A COPY SIIA1.1. HE I'119TED 141.•1'11114 '1111 BUILDING, .January 19811 I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �0oZ -445 SoN,�s 3z2 -e-4;>0 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, oo eed additional explanation, please contact this office immediately. 1 // ©d�v� �G s'r�_e.r sus- ax,�•.► � ..�., .o _ er.� . _ - VIJC- tfQ 3'%' 1,�sft,. /I Litre � I,r•�oo d s/-e.� �� tJ►�� t V¢M,o ,401.,��' ✓,e L&le- , . s✓ a A -- Date Inspector _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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. �te Inspector UUU/// t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 `CORRECTION NOTICE OWNER PERMIT N0. 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, r need additional explanation, please contact this office immediately. 7-0/-0 1rdre_s 4f- ora p S u +,74 ^J� 4L, -JA 1,-4 5VL 4 (- (.- IR 54� /J7T%6 4A /;X10/47. �le.✓� w pr ti M i d - ��,a , � 2L -I b SU L../J Cre - p r Q✓��wl Gi�l7l C. � ' AXC"k l/ 0-19/` 74 / / ./-/, ' d/+ I W I l E'" Ca W c 1 Date -1 Inspector Robert Johnson 14120 Wingate Cir. Magalia, CA 95954 -- •l`. untie. vunt T LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 September 5, 1990 RONALD D. McELROY Deputy Director RE: Building Permit No. 3002-89 Expiration Date 9-26-90 (A.P. No. 65-02-21 ) With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for ,2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. 1 If your construction is completed or should you have any questions concerning this matter, please contact the P&RADIEE office. For your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aam, Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works F. Glander ief Building Inspector MT 'Y4F 11Sc„y t•;• 0 ° nom' '� �� ��• �.f'i �'� �� �.� F-? ' }S l 1. A 1 � y ash.- t will, y}, F.' i ryi 4 x .. it 1!, Y] y MT 'Y4F 11Sc„y t•;• 0 ° nom' '� �� ��• �.f'i �'� �� �.� F-? ' }S A 1 � y ash.- t will, y}, t i ryi 4 .. 1!, y r• �' g . - 51 s'S rr . S•• .C1 P�YY4 ! f �f' p r a' vcl a� gipp_ r t YF N ��2y�•Y' U.(fi7 1 eiA ti... d`I•:. Fk< fr fir:_. :. I i MAI lip Awn - r of 2 -:r F P � n •f ���r All 0 y 2aw•-f, � t '� f x 4•: � 5 Y �- � - z�1'a 4� ' ?t. :0'' x }rr COUNTY OF BUTTE - DEPARTMENT OF Pec WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT T: PERMIT NO. A ZI ASSESSOR PARCEL NUMBER 65-02-21 ZONING TMS i BUILDING PERMIT OWNE:t: Robert Johnson TELEPHONE 873-1462 SO. FT. OCC. BUILDING VALUATION st renewal OWNER'S MAILING ADDRESS 14120 Wingate Cir. Magalia 95954 CONTRACTOR'SNAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCT,ON LENDER none UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ z FEE $ 203.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15732 Coutolenc Rd. Permit fee $ 213.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ma alia Solar or heat pump water heater 20.00 LOT NO. 11 SUBDIVISION NAME PARCEL MAP 68-60 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New kR Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st renewal of BP#3002-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100v OR LESS 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADONS. ACC. BLOGS. h¢sgft NEW CONSTR.MULTI-OUTLET NON ES BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 0 50 BAL@30 FIXED APPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in co eque, a of the granting of this permit. X ��/ Date Signature of Applicant — Owner LXl Contractor ❑ Agent ❑ An OSHA permit is required For exc�a7va�tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 213.00 HAZ CUA PARK SCHL ILD 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 9 Zr_1ft PERJA EXPIRES Date6-91 Receipt No. ?03V -, WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT '''�,"':�"C1�4����'��,'.'�.`�11= �{�f'�^^'�+R�,i���riF. s""�,y,w�.�.,� WS.iii-•;2:,�!;r'ti!'t='k'�'"5T. ,..rr,` ,�,�,�,i��C''+�"h'ti`'`�•�w . �w.�^Y.f COUNTY OF BUTTE - DEPART,ENT:.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O'tO_ tLj CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / �. Permit No. j OWNER /�oC�22tr' 6Hlysa,/ A. P. No. c� Proposed Building Use �4- A/' &vf�(44;Building Inspector Date s At ti71. permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Y 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner.,' Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date ?-21-f6 Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ____Health Dept. Fire Dept. Other Date- ate By- By The 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_Jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder 4,a �s-tea-a� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1 OtMER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2., (have have not) � l/� signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work S ig ried : GiL/ Property Owner Social Seluri �yNu�n�r �� Date 2-%`T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS�'IORI$AHQEL NUMBER �Nj JJ14.1LG�. ll... gaff LUNI, [S •%P,t"� BUILDING PERMIT D'"t}ifbert Johnson MPZT 62 SO. FT. OCC. BUILDING VALUATION OWN14rZ"J'IF#Tfi9ff4EMr, Magalie 95954 C O gJ1gjA1&.O R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO1+URLL,C TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee L' $ • ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$ $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI'LOtNGr�A pD.REE��S5s 'q{ ,C.,i Y JL t.U•'CY l.IL11t~Sit~ ifL • Permit tee $ •� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a� �.ci Solar or heat pump water heater 20.00 LO1'NO. 11 SUBDIVISION NAME PAR��1E5M/1�i,�P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FIG I W I h0 -00e4 TYPE OF WORK v -t Nevi'Q Addition Remodel Utilities installation El Describe work: int renetJa Of NP63002-89 2-89 Other ❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. w"I T E -O. P. W.. YELLOW- ASSI!$SOP, PINK -INSPECTOR. GOLDENROD -APPLICANT Permit Fee Contractor ELECTRICAL PERMIT Main service 1111 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST.( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET I (POWER APPARATUS .&) (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee OCC I CONST TYPE Filing Fee 10.00 10.00 2.50 21/z¢sgft 2.50 ea TOTAL FEE $ 21 0O HA2 I CUA I PARK I SCHL I FLD I PAR I PD I HD I ISSUE This permit is nereby 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 _26;..jDate PERMIT EXPIRES Date COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. e ASSESSOR PAR EL NUMBER .— C) Z — ZONING BUILDING PERMI OWNER ol6 .f f 411L%50 TELEPHONE ��3-1Y62- S0. FT. OCC. BUILDING A UATION �J //^� / V 00 OWNER'S MAILI G ADDRESS / 11/Zv �l1 (� C. a 6 �- 6 CONTRACTOR'S NAME otJ IA o TELEPHONE / O S66b CONTRACTOR'S MAILING ADDRESS Fireplace Grp 1 1,906 CONSTRUCTION LENDER UNKNOWN Total Valuation $ D 'z Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1 04. ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ -D 0'D tea./�✓ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 /_l 73 Z c,(—c.I D 4G 1,1 G C Permit fee $ ;7, -q -q. W PLUMBING PERMIT Filing Fee 10.00 Each Trap 11 2.00 /$, OL Solar or heat pump water heater 20.00 LOT NO. it 1(�'b SUBDIVISION NAME CE�L1�MMAP Water piping 5.00 77 U✓ Each pas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5—.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:n` = _ Permit Fee $ pO Contractor ELECTRICAL PERMIT Filing Fee 18.00 Main service 1000 AMP SV OR ORS LESS 10.00 �6. d0 Main service EA. ADD'L 100 AMP 2.50 2 - CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license is in full force and effect. 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- El 1, ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.te� 2y22sgft ��(, J OR ADDNS. 1 ACC. BLDGS. D NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. 2 EX. OCCU 30 p OUTLETS OR FIXTURES eAL@AL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. No Ice 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 6.00 Cooling Hood 3.00 3. 0 U Ventilation permit Fee $ cJ, va Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, costs, and expenses which may in any way accrue again i County 'n conseque ce of the granting of this permit. X Date Signature of Applican — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structureCs'oveer 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0, 06 cc COVK N qTTYPE V TOTAL FEE $ 0 • ori HAz CUA PARK scyt Lo P Po HD ISSUE Y 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. DIRECTO OF PUBLIC WORKS .9 By Date'^.� Z�r� PER166 EXPIRES Date Receipt No. 7 V 1I WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT rr ' F. ... y,•..� -c.ry..i�;r,Y,t ss*jF,y,r;. wy�^Mi•rnnr"M,� ���•`•��y�Mi'��,,•1,i1}hr�,,�°%x'R:M''cw��ia*►k � , 7r�,,.� -�- COUNTY OF BUTTE - DEPARTME•NT,_9F PUBLIC WORKS - BUILDING DIVISION f i� ;r. !w 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET A Permit No. ' OWNER fes'—l�f�s�={�. S,�v� A. P. No. S • C� Proposed Building Use Bui Idi.ng Inspector. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed b e arer of plans ....... . . Complete plans in duplicate/triplicate signed b preparer of plans .. 77V ZR ` 4. Complete engineered .plans and calcs, wet signature on plans ... 5. Hazardous Material Form .............,, ............................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings . ............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation +. instructions........................................................ 10. Fees of $ ".................. 11. Chico Urban Area fees paid .................. :.............. 2. Park fees paid ........................................ ........ 13.�-- chool District fees paid .............. a 14. Sanitation approval from Health Department 1 . City of Chico plumbing permit. r< 16. Plot plan and business license approval from City of '3 (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ' 8. Improvements may be required. Contact Land Development Section DPW 9. Drivewayconstruction permit p ( approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspe°. raga t to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... - X22. Certificate of Workmans Compensation Insurance .................. ,lOwner-Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When y u issue the permit, process as follows: Mail 'o owner. Mail to contractor. Telephone /16 hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept.,_ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date. Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by� Date Sets of plans on hold in File cabinet AP folder Copy—DPW Jil TO 1 A�2 7 "' ' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Location AP# Plan Approved for: Sewage Disposal Vol/ Water -Supply Hold final for: Final.clearance O.K. for: Clearance for -!i— bedroom wab"e home. x NOTE 4sni-tt-ja�rian�lz—x-/Y� Water Supply Water Supply Other Date e TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Z- Ztl owner location AP # Driveway permit 3 !�/ y _ has been issued for the above property. n b -Za-V sign re date RESIDENTIAL PLAN -CHECKING GUIDE (S.F." •DUPLEX & MISC. ONLY) 7/85 �^ Bldg. Permit # �' g9 OWNER ERT A.P. # �r->'3 2 GENERAL Zoning requirements: (sideyards j Valuation. i3" Plans signed by designer. Energy Design and Compliance. Existing violations on property. PLOT PLAN and number of permitted living units). Complete parcel size and dimensions. etbacks, sideyards, easements, etc. ther buildings or structures. GGrading, fills, drainage. Flood hazard. ,Special conditions on creation map or compliance document. FLOOR PLAN /Z! omplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). K- Required windows for second exit (Sec. 1204). (Skylights (Chapter 34 & Sec. 5207). t Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). J&! 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. 1 <-0- Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS oundation plan complete enough:to construct building. 1.�5rloor construction details complete enough:to construct building. 3'' --'Elevations and wall construction details complete enough to construct building. /Roof construction details complete enough to construct building. 5. Fireplace. construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR - Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). /3 Guardrail details (Sec. 1711 & 3306(j)). - Brick or stone veneer (Chapter 30). __ Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) rage door or porch header sizes. �._Adequate bracing. iving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). -Attic access and ventilation (Sec. 3205). erfloor access and ventilation (Sec. 2516). �+ ood stoves, clearances, alcoves & 1 -hour shafts. �bustion air for fuel burning appliances. ise requirements on duplexes. -W- Adobe soils - special foundation design. taining walls requiring design. Unusual shape, size or split level house requiring lateral design. COUNTY OF BUTTE'- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �7�Y s signed an application for a building permit for the proposed work. 3. have contracted with the following person (firm) to provide the proposed C Name Address City Phone Contractors License No. 4. plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: /, 1 Property Owner (/(/ Social Sec uMg�_ Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT r:• Section 26-8.1 of the Butte County CodePARED WAS requires this acknowledgement be recorded P� � U `uocut N prior to issuance of a building permit. pR�G�NA The property described' herein is adjacent to land or included within an area zoned for agricultural purposes, and residents SEP 19 1989 of this property may be subject to incon- veniences or discomfort arising from the 59_035776 use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit ' of agricultural operations including, ` but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. 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: AN &-_7L) C, Date: 9-16-89 6/, 'Z 14 i 7 � PROPERTY OWNERS: a State of California ) On this the 16th_ day of SPpi-amhar 19_g before me, SS. the undersigned.Notary Public, personally appeared County of Butte ) Robert W Johnson & Betty J. Johnson Personally known to me. a Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and officiai___seal. ------------------ -............................. 11.E OFFICIAL S,kAL `/ i a MARIE J. MCCONNELL cj ` NOTARY PUBLIC - LIFO A / COUNTY OF BUTTE Present A.P. No. m•. o otary Public Comm. Exp. April 23, 1990 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number 4,-- 0 Z - '�'� Building Department No. School District- ,,,,, City County �, Jurisdiction Property Owner ��, -�- J, 4 ,, e k -.- Project Location/Address Subdivision /C/ lzny' 6:1 11OR66i Lot Number. Residential Development: a Sq. Footage /9.Zs' # of Living MHI Addition (Group R)' - Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building De"par,,tment Representative / /Date" ******************************************************************* (Floor Plans reviewed by School District Personnel) District -Id No. School District certifies that (Applicant Name) (Phone Number) (Street Address) (City) Il (State) (Zip Code) has complied with the requirements of Resolution,No. by the payment of $ representing / j square feet. School District Reprdseritative Date' PAID BY CHECK NO. ( � REMARKS: BANK NO - /&6 9 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8_/88) r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541. 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER (/ I- Na/ =RMIT 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. Inspector /Z Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE \",sa"j 3 00;z - 87 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. '00, a /"VS yn eC7j 1. C I Pro -{a c4e V— -Vless %oecA4-e 1n-kj . Inspector Date 41- 10-94) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -E? MIT P A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. PW',j /,C/ 't°i v I I 3002-89 PERMIT NO. -35kjZ8 9B PkqMIT EXPIRES -4-04 01UNFIR ROB RT_jQ ON CONTR. Owner ASSESSOR PARCEL 65-02-21 LOCATION 15732 n fi --Magal 1'a - Temp. Power Pole - Called PG&E— 'romp. Fizc. Service CaltePG4 Temp. Gas Seri Called M JOB FINALED Signature . w,• =OK 0 = Not OK a Not ReadyMOBILE®EXILE 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/0 -Concrete 3 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -61 Date Card -131 Date Card -B1 Date. Date M0BILEHOME INSTALLATION (Plans) OK except #'s � v9• MISCELLANEOUS Date DEC KS,COVERS,CARPORTS,GARAGES, (Plans)OK except 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-Bracirig-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Coluf•nns-Connections-Splice-Decal-Enclosure 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Eiec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Date Card -131 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -81 Date Card -131 Date Card -131 Date- = VK O=Not OK - = Not Ap o:icable =''Jot Ready,' Date UNDERFL OOP (Plans) OK_exce 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main;'Soils-StebI-Elec. Grnd.-/ P' Ft 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth . 4. Ftg., Porches & Decks; Soils -Steel-/ P'Ftc i RESIDEN i 1,g�.4�_SMg1e and Duplex) p� s �� { Date FRAMING (Conti h 5. Stemwalls, Main; Steel-Blockouts-Wrapped -- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. U.W.V.; Fall -Fittings -Test -2 way C/O-.S,Test 10. Gas Pipe; Size -Anchors _ I 11. Water Pipe; Test -Anchors -Regulator -Service Test _ 12. Electric; Underground _ _ 13. Plenums & Ducts; Clearance=Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -81 Date Card -81 Date Card -B1 Date Date _ - PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle -•�_ - 17. Water Pipe; Test &_Anchors -Nail Protection t _ 18. D.W.V.; Test-Fttngs nchors- ail Protection 19. Shower Fan; Test, First oor ub Access _ 20. Test Tub & Shower, or -Tub Access 2� Gad Pip'k; Size & Anchors. r Card -B1 _ Da\e Card -64,/ Date Card -B1 D• . Card- i Date . Date EL_ ..i CAL (Permit) OK 22. Fi, fore ° Transformer Clea ran -,ns. Protection 23. Ele Rec pta es Spacing -Lights "witches at Doors -b 24. Size Ns & N . of Conduct rsped _ _ '2.5. Rcmex Inst Qd ,lose to of St c s & C. J. 26. Equip. Ground made up w/ ec_h Fasten s -Bond Gas Water27. 2 Appli nce Circuts in Kitcl\ ondu for Size/G.F.I.-Zi' 28. Subfee W',e S' e / / ga. Cu � . Wire Size / /ga. Cu or A c 29. Range CVr�. / / . Cu or AI -Oven Circ. / / ga. C.j.or Al. Insulated Neutral Yes No c 30. Service -Riser Conductors & Ground -Main Disconnect _- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - - 33. Smoke Detector Card -81 Date Card -61 Date j Card -B1 Date Card -61 Date Date MECHANICAL (Permit) OK except 'I's--�-�� 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 'I 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card --B1 Date Card -B1 Date Card -81 Date Card -61 Date Date - FRAMING (Plans) OK except "'s _ 39. Si!Is, Proper Material & Anchors _ 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound _ 41. Bearing Wails over Girders & Floor Nailing _ _42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Cei!ings-Stairs-Chases-Tub _ 44. Header & Beam -Size & Bearing - need) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Ong. Joist-Rftr. Ties-Purlin-Roof Brac'-Truss-Shthng.-Rff"ng 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffle 49. Bdrrn. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52.. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 53. Stairs; Width-Headroom-Rise--Run-Landing-Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clq. ^ 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B! Date Dale FINAL (Plans) OK except #'s �- nExt. Steps -Door & Sidelight Protection -Landings �- _ 62_. Smoke Detector �- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection -- -- 64. Bedroom Exiting - - 65. G.F.I. & Bath Fixtures & Tub Access -Spa . E;ec. Trim & Subpanel; Breaker Sizes -Labels __- 67. Stairs & Rails__ Fireplace or Stove; Clearances -Hearth _ _ 69. Elec. Outlets at Wood Panel; In'.. & Ext. -_ -i0.'Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter _ - 72. garage Fire Door; Swing -Landing -Closer _ 73, A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 75. P!b., Elec. & Mech. Equip. Listed for Location OE!ec. Receptacles in Garage; (G.F.I.)=Romex Prote.c_- 77 Insulation -Foam -Looked in Attic C Yes _ 78. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 80. Following instld.; Drive ❑ Yes C No; WaIKs ❑ Yes ❑ N Planters C Yes ❑ No 81. Stucco; Brown -Finish _ 82. A.C. Unit; Disconnect, Electrical, Plumbing _ 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. _ 83. Water Well; Disconnect, Electrical, Plumbing -__- _8_5. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House _ _ 87. Glass Protection E8. Corrections from Previous Inpections - 89. Gas Test -Meters Tagged; Gas -Electric_ 90. Water & SPwer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate _ Card -81 Date Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date Card -81 Date Comments: at Final: ---- - COUNTY OF BUTTE - D,EPAPTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill„ California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .1 t 3 PERMITN0. !v�Ir: 17 ASSESSOR ARCEL NUMBER ZO ING �.- �.. BUILDING PERMIT OWNER - LE i4� +O SQ. FT. OCC. BUILDING UATI N jl WNEQ�.M A_IL,J,NG ADD ES � � CONTTRACT, P E TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ a� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE 1705. Plan Checking Fee $ -..r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ��'✓zK— Pc�^ PARCEL MAP C�X�/ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURRE' SF ❑ Duplex❑ Mobilehome❑ Other &J- YF�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New Addition [:J Remodel❑ Utilities❑ Installation[] Other Describe work: 4TC W6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 oR LESS 100 AMP OR LESS 10.00 r Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Busines$ 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 NEW CONST. I DWELLING oCCUP..1) OR ACDNS. 1 ACC, BLDGS. '/20sgft NEW CONSTR. RANCH TLETCIRCUITS) NON.RESID BRANCH CIRC ITS 2,50 ea PO ER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ALe SALP 30 FIXED APPOR \ Ex. Occup. OUTLETS (REST LNS. D.) EA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. XI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against d County in c sequ ce of the granting of this permit. f A X Date%�/ 9-�✓ ✓ Signature of Applicant O-ne'rX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sto ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ Q HAZ _ CUA PARK SCHL ____ FLD PAR ,_. PD H I This permit is hereby issued under siois or the Butte County. Code and/or work indicated above for which fees D TO OF UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /.�A/��" 2,2 �--� Receipt No. �i WHITE-D.P. W., YELLOW -AS SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -. ...-....,r...rc..-..►--� •a... Av. •, ..-•+-�-�-.�.n..•« � � ww..w'fe'�l�wrv�-.iw4R�F�x, j (ice+^'• �� � r-�. r .. � ` • .t- • � 4 � _ .�„ Y • •, �, � _. -,COUNTY OF`BUTTE - DEPARTMENVOF' PUBLIC WORKS - BUILDING DIVISION V, r 7 COUNTY CENTER DRIVE - OR0Vu,,L6EAL1fORNIA 95965 - TELEPHONE: 916/538-7541 � r• "A,PERMIT APPLICATION DATA SHEET ( Permit No OWNER A. 7PNo. �1C—�_ Proposed Building Use _�i(�,Gll�r',4 t Uitlding Inspector Date �— oil At time of drmit 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. Mobilehbme- installation data including manufacturer's installation instructions ................. .... . . 10. Fees of $ r : ,I :..:..................... 11. Chico Urban Area fees paid .. .......................................... 12. Park fees paid ......�+...........i.............i.:.................. 13. School, District fees paid .............. 14. Sanitation approval from t -• J 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 ................................... 1 r 26. 27. When you issue the permit, process as follows: Mail to owner., Mail to contractor. Telephone9'X1 —f4�and hold for pickup at office. Deliver w/inspector. Other Applicant i. Date Copy of plans sent Health Dept., Fire Dept.,, Other Date ,a 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: i Contractor, designer, owner, was advised of above required data by_phone_Jnall_counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center• Dr'iv*e, Oroville, CA 95965 Phone: 916 -538 -7541 - OWER -BUILDER VERIFICATION Attention Property Owner: r An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement yes'" r no) 2. Ihave/ ave not) _(V signed an application for a building permit fo proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following _ persons to, provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Sec urityber Date l/` NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office -before we:are per- mitted to issue the permit. P.O. Box 1216 410 Pine Street Red Bluff, CA 96080 (916) 529-3560 FAX 529-0953 #3 Governors Lane Suite B Chico, CA 95926 (916) 894-3500 Joe Dominick Land Surveyor Eric Robertson Civil Engineer ROBERTSON AND DOMINICK Civil Engineers & Surveyors amrTaL r I` E17oIL1IKIG WALL ES1Gk/ r �o T24l,Iced/ er� leoB JoPik (5oti( /S73z Coofo OWTTE COUNTY SMG DEPARTMENT APPPOVED o Q?OFESS/p/y qE o. 7105 z LrJ CV o, OF CA��F Malcolm Macdonald ROBERTSON AND DOMINICK take responsibility for only those structural components specifically addressed in these calculations. . �o� Jvrr• r�5vu tl hd. # "A Spy 1 120 Pc - Z I To PC 3 6t, -C. (r 6. - 12rS CasrZ.f°= 1l�6 � N n Z Y _ I 2000)= lea 2 .L F V A, C1z S I (f-( .l (,s 3 '2 Z4 o 72�o�i �yla7�l�y 4, F' 'i 4 60 6 Jock 5� ;4 + 4 All, Y+L,/ xz 57 , v,,,, s1 1 At,, 940 9Z0 11 - Y t o 71 (lkOT- zoo (Z i Z qo o 3 5-( -19 0) 72- Sir :: 4004 972 7 /ro ✓ v �.P,r�yY � ✓c� �-�� -� 507 ( P,�-e s s ztie 1-5 Z,qyo01 + 400(Zj�) I► 33 I, (oaf Z, 2, 7 . Z 2 3q•2 7LI4, Ted �� Jr------------ oAot.��..�tw�C� 4 -- 1 V�-+.Lb A I lq/(O �;.�.... r....�, ?�� � �IJ�� .� , �5°' � 1�►} `� -� (sol � t Z C� VVI. = I,.a' ��-� -2 Ll �e u1 vim\ ;r t 'u T" 4 + (gypl (J( ieL® I C� VVI. = I,.a' ��-� -2 Ll Jazi % ac,. P.O. Box 1216 410 Pine Street Red Bluff, CA 96080 (916) 529-3560 FAX 529-0953 #3 Governors Lane Suite B Chico, CA 95926 (916) 894-3500 FX 3q2- 6540 . 111-e 6t�TE�CAUNIV SULDING DEPARTM APPROVEI do 10�1167 Joe Dominick Land Surveyor Eric Robertson Civil Engineer Malcolm Macdonald X' ROBERTSON AND DOMINICK Civil Engineers & Surveyors -n s �IE.�E Gf�fi'G�S �E Gl2osStf`' o�pFESSIpNq` N . 105 z C l V \ \, qTF OF CAS\F�P� ROBERTSON AND DOMINICK take responsibility for only those structural components specifically addressed in these calculations. 130b Wall do k,; 5 am Id -0, --------------- 1'0 T a vi-ov: 61 k4 (ft -f b� I (Isc, z 300 0.0 20 37 J �/J 5-00 fL -�- P�� o.25-(26 7'9 4- 736 n� rr = 76 2 117 /77 Z go 2 C g o 72 = H / oy--c ✓ -1' v Y"t, oar 3�8� • a� c. Lit.111, - �� 3= coslz•Sv' 7/8� 1�NZ.33 FI-��c v 1•�c.. ieV tj _._ �_It- te I = Zoo 6� f Vv ILt ,4S 14 ek fMi tti t vvn,c plc O. 1 2 -py 8 0. M(�t n ter16a 4 /2 O. C ... A,= o.2 d d gOR1707A-- - ' St -GG = O.Op25- (il = O. o 2S /%��o l37 Clv S� �..a✓� � I (F -YOM 3' 49S Z 160) l 9 WK LL Q 5 -cA I s , 1" 5, I T5 10 zx� [ko 'tL \ o'tcA O�ji L ole— �`OrC_e ��!'� �► I: 5 '\to't l7t,oVACA a �. bu-p— 0 61 IG L"f j ay A Gkk lV\K 0 Q le -1 �- Qj V, Z" lur .d ISa��� C�1+'' i.� V I 1 �1��' � Z�S� � Z'�r� II 1 q� LA ilii d��-e %L df Fxe s -e �co uC. ydYC1��.P wC J z 30- 3 1LL.,J l LA �4=3.0 m f b(l i As �_ (7Z Ft C �� C v..5 - -�' Q tv kt tA-c> -0vA'cA I J COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATIM, ANQ PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING lii'"'�_i BUILDING PERMIT OWNERQ! f �a /„L�rEPHO NE S0. FT. OCC. BUILDING VALUATION OW2OMAILING 41 CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER � Ad UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE o&1AA&'- NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee hof)• Each Trap 2.00 Repair drainage or vent piping 2.00 f�Iq /qtr /-i Water piping :"/r 5,r LOT NO.SUBDIVISION NAME / PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ff SF [IDuplex❑ Mobilehome❑ Other TVA' O✓ /(%f~� SPECIFY Building sewer Building Lawn sprinkler system 2.00 TYPE OF WORK �; New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other.®, Ke .-1WTd Describe work: — Oat 10a,7113 li,tl/ Permit Fee $ Contractor .n ELECTRICAL PERMIT Filing Fee r " - Main service OR 100 AMP ORSLESS 5.00 Main service EA 1. ADD•L too AMP 2.50 NEW CONST. DWELLING OCCUP.&1 OR AODNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. � Business and Professions Code for this reason NEW CONSTR. MULTI -OUT LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &\ NON-RESID. SINGLE OUTLET CIR. Ex. Occu 50@� P�o OR FIXTURES gqL �n t� FIXED A FIXED APPLNS. OR \ EX. Occup.(OUTLETS (RESID.) EA./ 2.00 : Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ,. Permit Fee $!"� Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100:00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 4k of Consent to,Self-Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to,APplicant: If after making this statement, should you become subject to the W!C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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. 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 .�,c�r"�i/ '.�J "~"- Date Signature of Applicant — Owner Contractor ❑ Agent ❑� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $�(,� OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR)OF PUBLIC WORKS By x - Date fit' PERMIT EXPIRES Date Receipt No. / WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION„ ARID PERMIT PER IT N0. ASSESSOR PARCEL NUMBER z4ruV BUILDING PER -IT OWNER4 l7 LE HONE l0 S0. FT. OCC. BUILDI LUATION OWNER'S MAILING ADDRESS 2RrAIIA5,- C I,,eeBe- CONTRACTOR'S NAME TELEPHONE CONTRACTOR'SMAILING ADDRESS CONSTRUCTION LENDER �� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER a&1A-'4QZ_ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING A RES S 57.12. PLUMBING PERMIT Filing Fee Each Trap 2.00 Repair drainage or vent piping 2.00 MIS} Water piping LOT NO. SUBDIVISION NAME W60�`� P cE } AP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ' SF ❑ Duplex ❑ Mobilehome ❑ Other vt�/ AK (L "SPECIFY Building sewer Lawn sprinkler system 2.00 d I TYPE OF WORK New ❑ Add iti ❑ Remodel❑ Utilities ❑ Installation❑ OtheNZ Describe work:! �Zz-/irL�IE�%1lC.Ol _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee Main service 100V OR LESS 100 AMP OR LESS •00 Main service EA. ADD'L 100 AMP !2.50 NEW OR ADDNST ( ACC`BLDGS.CCUP.&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@250 BAL@10¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring —4 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 cr this permit shall be deemed revoked. Heating Cooling Hood 2.00 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. 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 saA County in consequ nce f the granting of this permit. r, � X Date Signature of Applicant — n.X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over I stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC7 OF PUBLIC By / PE T EXPIR S Date the applicable provi- resolutions to do fees have been paid. WORKS Date `�� r�� Receipt No. Z 2— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1. Ceiling Insulation 2. Wall Insulation Insulation In Floor Number of stories Number of stories R -value One Two Three R-0 -103 -49 -32. R-19 -8 4 -2 R-30 .2 -1 -1 R-38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 -54 0.30 -102 49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 -4 O.C4 4 .2 -1 4 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Insulation In Floor 3 -1 Number of stories Single- Single - 'One R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 46 r 0.80 -153 -114 -76 0.50 -91 -68 46 0.30 .-47 -36 -24 0.10- 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Controlled Ventilation Crawlspace Insulation In Floor 3 -1 Number of stories -1 Number of stories 'One R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -- Number of Stories -14 -0.60 -144 -70 46 0.50 -120 -58 38 0.40 -95 46 30 0.30 -69 34 -22 0.20 43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawlspace • 3 -1 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 •i. Slab Edge Insulation 40 -90 -- Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 040 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total Single- Slab Floor Raised Floor . U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 .24 .10 4 40 -90 '37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 .13 .4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13. 27 -52 -17 -9 -2 6 13 26 49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 40 -11 4 2 8 15 22 -37 -9 -3 3 9 15 21 34 -7 -2 4 10 15 20 31 5 0, 5 10 16 19 -29 4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Percent clue (percent Stas x SC) Effective Single- Slab Floor Raised Floor Effective Percent Glass %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5. 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2' 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 1 -1 2 0 -1 .2 4 -2 0 na = not allowed -8 -7 .23 3 �!. Shading (Shade Closed)_ Single- Slab Floor Raised Floor Effective Percent Glass . Stories _ Multi (Percent ittass x SC) Stories Effective /CFA One Two Three One %Glair Nom East South West Skyepht 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 ria 10 -6 -23 -31 -29 -74 9 -5 . -20 -27 -25 b5 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 -6 -8 -7 .23 3 0 4 -5 4 -16 2 1 -1 .2 -1 -9 1 1 1 1 1 4 0 2 3 4 3 0 no . not allowed 8 10 11 11 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass. Family Stories _ Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 4 -2 -1 -1 0.1 -8 -5 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 S 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4- 7 9 ii 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single- - Wall Family Family . _ 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 2.00 10 11 13 11. Heating System SE or 13SPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume: ducts In attic) Stm of 7-10 -25 or -24-b -14 to -4 b Sum of 1.6 16 or SEER less -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 9 6 ElTective SE or HSPF ERective SEER 0 (SE or HSPF x duct eMciency) (SEER Effective -25 or -24 to -14 b 4 to +6 to 16 or SE HSPF less -15 .5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 .-26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume: ducts In attic) Stm of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 To Cooling System Installed Stories One -5 4. - 4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24-b -14 to -4 b +6 to 16 or SEER less -15- 5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 .4 4 -3 -2 -2 9.0 4 .3 1, .3 2 -2 -1 9.5 0 07 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4' 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -i ERective SEER 0 25% HWR (SEER xduct of iclency) -9 -7 -6 Stsn of 7-10 WSB -25 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 -6 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 Zonal Control Adjustment 10 8 7 6 4 3 To Cooling System Installed Stories One -5 4. - 4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD Unit Size (sQ Water 1199 12W 1700 2200 2700 Heater Credit or in to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 15 -12 Solar -1 -1 -i 0 0 25% HWR -18 -12 -9 -7 -6 60% WSB -25 -16 -12 -10 -8 '95% POU_ -18 -12 -9 -7 -6 IG None -5 .3 -2 -2 -2 Z3 So!ar 7 5 4 3 2 3.8 POU 3 2 1 1 -1 IE None -28. -19 -14 -11 -9 1.2 Solar 81 5 4 3 3 2.7 POU -t0 -6 -5 4 -3 4.2 Multi -Family (Individual 4.8 units) 52 54 20% 0.3 Unit Size (sQ 0.8 Water 1.2 699 700 1200 1700 2200 Heater Credit ' or b to to or Type Type lass 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.3 WS8 9' 4 3 2 2 58 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 3.2 Solar 2 1 1 0 0 4.7 HWR -23 -12 -8 .6 .5 W. WSB -25 -13 -8 -6 -5 Zt POU -23 ^12_8 3 -6 -5 IG None -8 4 -3 .2 1 .2 5.1 Solar 6 3 2 1 1 0.9 POU 1_ 0 0 0 0 IE None 30 -15 -10 -8 -6 3.9 Solar 18 9 6 4 4 53 POU -8 -4 -3 -2 .2 Point System Summary: Climate Zone 11 SCORE CARD Measures _ __. _.. _.._ _. _ _ --- _---.,_-..- Point Scores 1. Ceiling Insulation Interior MasslCFA - R -value [38] U -value [0.030] 2. . r7.e 2 M55 or O R -value [I1] U -value [0.098] 3. Raised Floor Insulation R41 or (� R -value (19] U -value [0.037] 4. Slab Edge Insulation •- or R -value [0] 41.7.utK•4.21 5. Infiltration Standard 0 6. Glass Heat Loss t TYPE 1 1tA55 (VI1M 6 4.2, Se: exposed alab) Type [double] U -value 10.651 % Total Glass 1161 Sum 15 0% 5% 1011. 15% 207: 25% 30% 35%1 40% 45Y. 50% 55% 60% 65'it. 70% 75% 80% 85% 90% '95% 100% 1057 110% 115% 120% 125- 011. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 2.1 Z3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 44 4.6 4.8 5 53 1011. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 ZS 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 46 4.8 S 52 54 20% 0.3 06 0.8 1 1.2 1.4 1.6 1.8 2 2.2 Z4 Z7 Z9 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 S 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 Z4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 Z4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 57 59 W. 0.9 1.1 1.3 1.5 1.7 1.9 Zt Z3 Z5 Z7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 Z! 2.6 Z8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 S8 6 62 60% 11.2 1.4 1.7 1.9 Z1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 35 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 Z2 2.5 Z7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 Z1 23 ZS 2.7 3 3.2 9.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 6.7 5.9 6.1 • 6.3 6.5 8011. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 58 6 62 64 66 85'7. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 56 59 6.1 63 6S 67 90% 1.5 1.7 2 2.2 2.4 Z6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 59 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5Z7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 56 5.8 6 6.2 6.4 '67 69 100% 1.7 1.9 21 2.3 2.5' Z8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4/'S 6 5.8 6 6.2 6.4 66 6 8 7 1M. 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 2.4 2.6 2.8 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.46.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5'6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures _ __. _.. _.._ _. _ _ --- _---.,_-..- Point Scores 1. Ceiling Insulation or - R -value [38] U -value [0.030] 2. Wall Insulation or O R -value [I1] U -value [0.098] 3. Raised Floor Insulation R41 or (� R -value (19] U -value [0.037] 4. Slab Edge Insulation •- or R -value [0] F2 factor 10.771 5. Infiltration Standard 0 6. Glass Heat Loss 'M.L_ O.g - 47 Type [double] U -value 10.651 % Total Glass 1161 Sum 15 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight S. Shading (Shade Closed) % Glass SC Eff. % Glass I.� x ,77 1t3� X • X = 169 X = 3,15 O X -%- = 0 % Glass SC Eff. % Glass a. North x .(0& = 1 t 1 PS b. East _ x = 2.70 c. South x = .5 9� d. West x e. Skylight © x t ? 7 9. Interior Thermal Mass O TYPE 1 MASS AREA = O 8 'InteriorW-ss/CFA COND. FLOOR AREA 10. Exterior Wall MassTYPE 2 MASS AREA Exterior Wall Mass ffOND. FL OR AR 11. Heating System G • (O x Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72/6.6] HSPF [0.5615.15] 12. Cooling System �w� _ X .06(a = %. 65 Duct Efficiency (0.74) Effective SEER [7.03] 13. S� wmmk PZCW&_ ,y, (SG] Credit [none] it 0 Point Total: Certificate of Compliance: Residential Project Title thor Climate Zone 11 3cno2 - 811} Ejjtiding Permit # tJG dl Checked By / Date Fnforcernent Agency Use Only BUILDING DATA * h North Glass AreaArea`�) Gig Condi ' Floor Area t �2 5 Number of Stories �- East = 4-1 Slab s oor Number of Units _1 South West 17 �_ )<Single Family Detached (SFD) [ ] Addition Alone D [ ] Single Family Attached (SFA) [ ] Existing Building Skylight Total 20 0e [ J Multi -Family (NM r [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Locafion/Comments Type R -Value (attic, to garage, rRicr_. etc.) Slab Edge ..... GLAZING - (I aNCT. WOtLL.S _3(3 CEIi— ��j s� FL.ocIZ Shading Devices Glazing Area Glass Type Interior Exterior Orientation (sf) (single, double)(holler blind, etc.) (shadescreen, etc.) Overhang Framing Type North (kl� 3_4 1>1 L A. Al North ( ) East ( P East ( ) South ( er South, ( ) West (✓�� West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed tile, etc.) (so (inches) Locatior1/Description (kitchen, bath, etc.) .11111111110 mom HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner heat pump) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) I OEM FUeK P 6-G reAm it 5.7 3 68 C.. 5�— U'id Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessar, 1 ?Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must cornain these mesaues regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by mac stringent compliance rcgwremenu listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features rioted shat' be considered by all parties as binding minimum component performance speetfre,.auons for the Mwidatay mcnsures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCFJ !fJ Building Envelope Measures • §2.5352(a): Minimum ceding insulation R-19 weighted avenge. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in fumed walls R -I 1 weighted average (does not apply to exterior mass walls). 62.5352(1): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed mocts California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. e. Doors and windows weatherstripped: all joints and peneaations caulked and seakd §2-5352(,): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback awirnostat on all applicable heating systems. • 12-5316(a): Dues constructed. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damps controls. §2.5314(,): Gas-fired space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heater. showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/extesior insulation (R-16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccption 1): Pipe insulation on steam and steam condensate return 6t recirculating piping. §2-531R(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(,): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists tlr bolding features and puformance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. (_ImptiN 2. Subchtptu 4. Article 1 of the California Administrative code- This cerdfiicate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purc3taser of the building. Designer Name_ Tltk/FMM Addreu: Tekpihorsc Lic. N: (signature) (date) Documentation Author Nairne: T113CIFtrm: A_1- Building Owner Name_ - i"itk/Fum: Address: Telephone /, ) signature) (dart) Enforcement Agency Nairne: Agcwy: 'r.T.vJ..,.,.- GENERAL NOTES: INSTALLATION INSTRUCTIONS REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1991 EDITION 1. MARK CHASSIS BEAM ACCORDING TO REQUIRED SPACING 1. DESIGN LOADS 2. FOUNDATION FOR CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND VERTICAL ROOF LIVE LOAD - 30 PSF, FLOOR LIVE LOAD - 40 PSF SIZED FOR THE LOADS AS SHOWN IN THE MOBILE HOME INSTALLATION I LATERAL: WIND LOAD - BO MPH EXP. 'C', SEISMIC ZONE 4 INSTRUCTIONS EQIII 0 1 y ----T { `- ---- - - 2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD, AND 3. LEVEL THE SOIL AND PLACE PRE -CAST CONCRETE PAD BELOW MARKING o SEISMIC ZONE AS ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIC LOCAL AS PER LAYOUT THIS SHEET z -- - APEA 4. ASSEMBLE SEISMIC PIER TO ITS LOWEST SETTING, PLACE IT ON BE CONCRETE PAD AND ATTACH IT TO PAD WITH 2 - 1 2 DW BOLTS w,¢ �' 3. ALL FOOTINGS ARE TO B_ SUPPORTED BY FIRM, UNDISTURBED SOIL, F00T)rVGS ARE / a _j z `- - 1 b I DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COMPATIBLE a_� N v"` `-+-J '�T� o' �I I I I CONDITIONS ` 5. RAISE TOP SECTION OF SEISMIC PIER UNTIL IT TOUCHES BOTTOM OF WITH LOCAL SOIL O m Z r Io P � o� 2 �� _ CHASSIS BEAM BY TURNING PIE (FOUR TURNS EQUALS ONE INCH W W ' I a W l -;__J 4. CONCRETE: 3000 PSI AT 28 DAYS AS TESTED AND MANUFACTURED BY STIARLITE CHANGE IN ,HEIGHT) TIGHTEN FOUR CLAMP BOLTS FIRMLY - a w a N I o i } { WEIGHT CONCRETE � , z w I I 6. CLAMP UPPER PLATE TO 80T'fOM OF .CHASSIS BEAM AS PER DETAIL ��v F- ¢� _ —._ice +— o_ _ 2: 1I-� , THIS SHEET I 1 f j Q Q _. I I 5. STRUCTURAL STEEL: SHALL CONFORM TO ASTM A36 F 36 KSI MW oI y RIDGE SUPPORT, I i v, V)--- FABRICATE ACCORDING TO AISC SPECIFICATIONS, WELD 1.. t d I PIER k PAD J, I o r ACCORDING TO AWS SPECIFICATION 1?p� �nthe ta{3 St P»IC 1 ` i7 SPACING PER EXISTING - 1 ELECTRODES: E70 co ra�urirrs V_ake &_ -.9 or altorPthior.-x, can i { _ _MOBILEHOME i MOBILE \ � 0 rr y, PLATES: ASTM A36 �/rl�urs rm at written permission from the Dl�prfi ": �- _�,�� IMANUFACTURER�.-,� COACH I 1 / ► r Kly� t , 13 AMs ANCHOR BOLTS: ASTM a3o7 a' COACH LENGTH NOTESwarks, Countyy ofEutta. j ;`_i'INSTALLATION I f MANUAL"' I -- -- - 001 BOLTS: SAE GR5 = ASTM A449 = ASTM A325 THREADED ROD: COLD DRAWN LOW CARBON WELDABLE 48' OR LESS COACHES MAY REQUIRE FEWER PIERS AND PADS j j I j a a j PER BEAM, THE SPACING WILL GOVERN TOTAL NUMBER REQUIRED { I I c" Ln j 6. THE PIER AND RIDGE BEAM SUPPORT ASSEMBLIES SHALL BE COATED WITH SHERMAN H-1 _L�_]I } ' j WILLIAMS E61 -RC2 ENAMEL OR APPROVED EQUAL AND SHALL BE LISTED AND LABELED FOR COACHES 48' TO 60' USE NUMBER OF PIERS AND PADS AS SHOWN PY INDUSTRIAL TESTING INTERNATIONAL FOR 7HE FOLLOWING LOADS 1 `---' COACHES OVER 60' MAY REQUIRE 1 OR MORE EXTRA PIERS AND PADS ! 1. b o I MAJOR AXIS. 1400 MAX o MINOR AXIS 900 MAX PER BEAM, THE SPACING WILL GOVERN TOTAL NUMBER REQUIRED i i i I I o CL to cv > VERTICAL: 8000 MAX I � --is - _ '� oo V) 3 3 { 7. THIS FOUNDATION IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED KVITF! BSM SIZE NOTES o i EXISTING j I EXISTING �'• ! `` aW- w cn vI I i o LONGITUDINAL OR CROSS JOISTS' CL,a MOBILE �{ MOBILE b i b o I I w w I o ! ►- SPACINGS SHOWN ON THIS PLAN ARE FOR COACHES WITH 10" k 12" BEAMS W� , r rZv� COACH j COACH I I I I �, 1 a a o ! !, 8. THIS FOUNDATION PLAN IS DESIGNED TO ` BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH BEAMS -- - BEAMS v, �z I __ N� e o NO EXISTING SOIL PROBLEMS, IF SETTLEMENT OCCURS DUE TO POOR SOILL SEE NOTE 11 ANY 8" BEAM IS NOT TO CANTILEVERMORETHAN 6.0' ON EACH END OF UNIT o ``' o t- AND SPACING OF SEISMIC PIERS CAN NOT EXCEED 13.5' '� ---- - a- + - 4 - -_-- _ - N v ha.Z_ _ I- �, ! I j W o + 9. 'PRECAST CONCRETE PADS SHALL BE PLACED ON LEVEL UNDISTURBED SOIL t-- t= .� i l I I 4 I 1 CHASSIS BEAMSUPPORTS SHALL BE LOCATED AND SIZED: 0 THE 10. .:FOUNDATION' AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTIONS Q W t I 11. TIN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTLURED HOME 2 3/8'x1 BOLTS i ! `� ! I SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4", OR WHEN R WILL ADVEERSELY AFFECT FIELD DRILL HOLES , COACH C OR r --I--, a'. I THE USE OF THE MANUFACTURED HOME ' • � � .-_.� _- - �• �—, � o ! I � r " J BEAM I f 12. DEFINATION OF LEVEL FOR PRE -CAST *FOUNDATION' PAD ON EXISTING ASPRXT AND CONCRETE 3'xT T I � 2"x2"x3%16" - � � ' PLATE IS THAT THE GRADE CANVARY 3R IN EITHERDIMENSION OF THE CONCRETE PAD ANGLE 3' LONG I j� 13.`THIS SYSTEM IS ADAPTABLE TO STANDARD HOLLOW MASONARY BLOCK PIERS I i I { w 4 FOUNDATION AD ORIENTAIION SEISMIC 4 1 /r - �- PIER COACH ! BEAM ' w , SINGLE WIDE .UNITS: - I BOLTS I { c 3">x3 PLATE PREFERRED PAD ORIENTATION WHERE °EVER POSSIBLE IS F L, THAT THE LONG DIMENSION OF THE PAD BE IN THE COACH C OR TRANSVERSE DIRECTION - r--- , t I . ,, I, J BEAM z ie m� I �' I WHERE PREFERRED ORIENTATION CAUSES THE FOUNDATION _ 1- L r _ j o z --� 11 2 3 8" BOLTS o I I Io PADS TO EXTEND PAST THE SKIRTING THE PADS MAY BE MAX TiUBE HEIGHT '4 318' FIELD DRILL HOLES 6x3' ROTATED SO THAT THE LONG DIMENSION IS PARALLEL E' SHCDRT TUBE �� BOLTS PLATE 11" LC)NG TURF 1 r TO THE BEAMS SUPPORTING THE UNITS I e I - - �__.__ __.� DOUBLE TRIPLE OR MULTIPLE W;DE UNITS: 2 DIA l SEISMIC SINGLE WIDE TYPICAL STD PIPE SE S �____.----- _- PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS 4 3/8 PIER I 12 OR 14 BOLTS THAT THE LONG DIMENSION OF THE PAD BE IN THE TIGHTEN TRANSVERSE DIRECTION' 3,/16" PLATE DOUBLE WIDE TYPICAL TO 180 " t-•- --- ---- - _ IN -POUNDS 1 I CLAM 20' OR 24' OR 28 WHERE FIELD CONDITIONS OR SKIRTING REQUIRE PAD 1 . TORQUE TYPICAL BEAM.: ROTATION, NO MORE THAN HALF OF THE PADS IN A r TRANSVERSE LINE CAN BE ROTATED SO THAT THE LONG CONNECTIONS _ _ " f" L.1�N 3/16" - .'-G" DIMENSION OF THE PADS ARE PARALLEL TO THE BE�ati! PLAN 3/16 C - ' -----__-- SUPPORIINO THE UNITS 3/4' 7HRFAi;,EC ROD r` 3/16 PLATE to - - Lf GS TYP OF 4 NOTE' 12 SQ IN OVERSIZE FOR CHIPPING �OFES�/ FOR DOUBLE, TRIPLE OR MULTIPLE WIDE UNITS / INSERT FGR, - --� � _ , � � qy 0 D t- AND OR CORNER BREAKAGE- / FOLLOW SAME PLACEMENT PATTERN IN EACH1/4 ADDITIONAL MODULE 5/8"x1 1 /'4" M.B. g" bD \ �- WITH 2"xZx1/4" -- _ Po. 15,18 A HARDENED WASHER — �' . � �_ � � , i�� - 5116- PLATE 8'x8' j . COACH SUPPORT GIRDER iYF i- S/8"xl 1�2 BOLT > I I b v WITH Yxz"x1/4" fOf CALI(0�` / c4 HARDENED W4Sr1ER '!� �) 17 .�. V FRE LOOP FOR ROUND ANCHOR - ------tom_}-------_ � C'� n � I .. IT=, : A�] Materials & V4 or'_���r�hip �h�]I I�3 ffACH_� T PA INF MESH SEISMIC PIER 3" _ „� ,amp&" .Sft�. 4. _ ..z_ -- A.oea^dr ce c ath Recognized Good Praatiofis M! PIER ANC I - �'� e _ LIP � �T of a ej",Tit�" pre,$ '1b€ � fOT thL Qu??ECifl�td U 36 112" =—wc�n� ,No vrm cooe. umw nay _CAS: CONCRETE PA� C✓ — SEISMIC PIER 1 A► RR O VE D ill the Uniform Builldin.g,PluTnbun* b' A'�echaorto ro coRactnNs vette e and the National iectrio l Code. NGE - �8 5l8" x 1 3/8" FLA / ^. „� n.. ,.a;.....�., a �C.er. s... a.. as � :':...:...:.. - STAINLESS STEEL ,_ , _ 1 r - ANCHOR INSERT RLGE SUPPOR � PIEK k PA. /ZG17 - PER M 1-EHOME MANJFACTURER �-- �� — _ .r ___ , ., , , T � „ � " Cr TYPE z OB � ` INS A_�A,ION MANUAL euTTF- COUNTY omsro., eons�st 4x4 -4x4 WWF - NOTE• _ P =^ THE FOUNDATION SYSTEM !S SAFE FOR INSTALLATION IN FLOOD PLAIN C��iILIDING pEPA RTMEN T SIA N0..1U_, AREAS . WHER't DEPTH OF FLOODING DOES NOT EXCEED THE f1 \ E CAST FOUNDATION N DATION P,AD ` ELEVATION 3 j�~ _ o HEIGHT OF -.3' 4- _ c" A x � ., .A� z/4 -y - - _APPROVED ItEvIll LI i j I O:T t laxIffb7i to na without nt f Fub1:9.P W n ,n f �= F_ '° x I a T Q I � z I J W W N Y N 400, , I W z e, i l W oC W W z I N Of a< so CA zLJ! F— I 0 I CL vi f W I z W , U i A i d• ' I�l a TVI {w U) �(Ai T Z! i 10, �Z! Oj I� I I z r, Cp m LTJ r,,) N Zcy) 00 � O LLJ; LL.J I { I �; Q Q I a- i 00101 < O N Q i I I I W � ,I Z Z ^j Jr. CO C!m iZ �t C W,00 ft U, N LL 10/20/94 swr NOTED ~j ST - --�-a 94-045 swrW_ 1 _-i___ �i�"Ifl�Sor�,f' � s�'- � � J �� � �. � I _� . I . I � . I . . - _N� I I I I , I . I I �,­ -� ,; ­�!��F;N 74- "PI, a �l?ffAtV,­,m_ ZAVi;, � � I I , , , tw, � I I . � t � I � � I I I I , , I z I � � . "T, "' "' , . � I ; � I I � I I I , , , , � . I , I I 1. W14 I I I . I )w I W"M_ . WrIM I :1 I . . I I � i I . . . 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