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065-190-067
65-19-67 JACI ER F 6557 Vine- alfa, x+ t Contr: Haley Cus omes t PErmit#2565-87B,. E,M( single family " V 65-•19-67 s Contr: _M'Aleq�' 'i PErm ' s, 08-87B(conv garage, to living kar '19-0`067 _ 065 u - ' o A, f x99 0365 `P,M KLEISERJoln,�hN`'"C 3 �a 6567 �V nAN eu, �Magalia � (free standin.a*_ ' ! �g g ssto`ve) .Tri�F1_ame { • o t c1n+:dix,"'a'.• t00F,! IES R` ,. �•�,�� ^� :6o7xVINE A 5 2812 i ° C nt ' A?AG AL °"3w. , . �SC KEN gLAN,l,O � �z4 „ VQ�l i • t S Butte County Department 6f Development Services. N T E J 7 County Center Drive, Oroville, CA 95965 (530)538-7601 wWW.buttecountyneVdds •ece°N�y• RESIDENTIAL ten, r 1 APN: ," « P-ermit_No.� 065-190-067 05-2812 1 Owner. KLIESER,,JOHN 6557 VINE, MAGALIA Site Address: Cont: KEN BLANTON CAI I AJ C / Contractor.SCREEN ROOM - _f Type of Permit: �7�i' Iz d� -- Oc.a� r- S� 5 ca✓eYc� �twc�, I IS riot q o ti;15 SPECIAL CONDITIONS CHECKED BY Q SRA 1 FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER 0 ENCROACHMENT PERMIT Q REINSPECTION FEE PAID y� 0 ENV HLTH CLEARANCE t` DATE JOB FINALED: SIGNATURE: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #; (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052812 P r. P.01,1in Po 4oi.lri.nt nn 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/02/2005 APN: 065-190-067-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. 2 License Number: `�v Liceni��& Site Address: 6557 VINE ST MAG Map Ma Index: Date: /� I�S �� Description: SCREEN ROOM(372)COV(261) OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KLEISER JOHN A & SHIRLEY E permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 117 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's State License Law (Chapter 9 commencing with Section 95954 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt lherefrom�and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: KB CONSTRUCTION pp Code: The Contractors' State License Law does not.apply to an PO BOX 117 owner of property who builds or improves thereon, and who does PARADISE, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95969 sale. If however, the building or improvements are sold within one 530-872-9006 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and PrQfessions Code. The Contractors' State License Law does Contractor: KB CONSTRUCTION not apply to an owner of property who builds or Improves thereon, PO BOX 117 and who contracts for such projects with a contractor(s) licensed PARADISE, CA pursuant to the Contractors' State License Law.). 95969 - ❑ 1 am Exempt under Article 3 of the Business and Professions Code 595969 -9006 Date: Owner: License #: 707423 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by. Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier aantd- policy number are: Carrier: `, T� l e6M'n Total Square Ft: 633 S.F. t7t�' � �� � Valuation: $10,128.00 Policy #: � L� J Census Code: O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: C Applicant: WARNING: Failure to secute workers' compensation coverage is unlawful, and shall subject a( employer to criminal penalties and one �Yp( / ('C� hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her by issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ResolN to work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Il Name: By:_' y: Date: n / Address: PERMIT EX E ON: fate) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docume t of Butte County. I hereby authorize representatives of Butte County to enter, upon the above mentioned property for inspection purpose 41 Print Name: /� fO 11) Yy, f -T- Vf Signature: Date: Lf /U�/ 6 :--7 `❑ Owner ❑ Contractor ❑ Agent for Owner '4gent for Contractor P r. P.01,1in Po 4oi.lri.nt nn 1 +=OK 0 = Not OK MANUFACTURED HOMES " PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed-Redulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q FoundationEl 14 Exits 15 Cert of O MISCELLANEOUS DECKS`C0VERS`CARP0RTS'GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-Dpth-Spacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls ccupan.y mo' 41. 16 HUD Label/Insignia Numbers Serial Numbers le X Drawing 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bo.xes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide m�41 h mac` a 09 Drawing 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bo.xes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide m�41 h PF_ =OK 0 = Nol 'RESIDENTIAL (Single & Duplex) DATE JUNPen F' OOR DATE IPLUMBING o ' gSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle g Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel-Elec Grnd' Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Ste alts Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 mwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test o° �1 s 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts -Cripples 62 Vent Fan, Exhaust abv Insultn _ 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insula " n 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet s 65 Attic Acc & Pltfrm if Furnace in attic .� O' 09 4` V DATE F I N G 1 it roper Materials & Anchrs DATE F I N A L 66 Ext Steps -Door & SideLt Prtctn-Landings Is Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 QF�iwd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 3 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazi g Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn ar Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn EE]race Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 8 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration- IIs-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters ❑Yes QNo 87 Stucco Brown -Finish o' o` o' o' 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ Cu or QAL 99 Fire Sprinkler 48 Range Circ Ba ❑ CU or El AL Oven Circ ga 0 CU or 0 AL Insulated Neutral ❑Yes QNo o` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector s- 09° ;7 PERMIT NO. PERMIT EXPIRES OWNER JACK KLEISSER C ONTR. HAley Custom Homes ASSESSOR PARCEL 65-19-67 LOCATION 61557 Vine St.j Magalia /m, tv 0 C 4A 0 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 97 ,j Signature lxk' 1 owner: G_ /G �/ £ �`S�+* E/NERGY •/YI /� £� 6//1��1 CER'TIF I('ATION J/ LOCAT10, Q�;+ A. P. No. IDBS U l h S �9 "ION DESCR OF INSULATION ROOF ' Material Brand Name_ Thickness(inches)_ Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglasss Brand Name CertainTeed Thickness(inche' 1 Thermal Resistance(R Value) CEILING { Batt or Blanket Type -.Fiberglass Brand Name CertainTeed Thickness(inches)_- N,/40 ?'4 Thermal Resistance(R Value) 3ej Loose Fill Type Fiberglass Brand Name CertainTeed Plinimum ThickneTInches)_ !/ 1' Number of 13ags__,,q..j Wt. per bag 25 lb. Area covered(ft. ) !/fin Thermal Resistance(R Value)__ FLOOR, El -EVATED Material Fiber lass Brand Name CertainTeed Thick-iess(inches)� Thermal Resistance(R Value) FLOUR, SLAB Material Brand Name Thickness (inches) = Thenunl Resistance(R Value) Width(inches) FOUNDATION WALL t i Material Brand Name Thickness (inches) _ Thermal Reaistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Hawkins Insulation Co.', Inc. 378407 F:lithfNAME/OWPJ_ER STATE CO1I.1'RAC'lOR'S LICENSE NO. SICNA'1'UR1.Ar�-INSTAI,LATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are'of the quality prescribed or are specifically app oved by tire. State of California. 4n iYI �5, 60 IU U:/UWNIiR (P1a print) STATE CONCRAC'fUR'S LICENSE PIU. P1G'XA'j':UiJE OF L L CONTR!rOWNCIR air DATP, TIIIS CERTIFICA'T'E MUST BE ON FILE WITII TILE BUILDING DEPARThIIsNl' PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE :POSTED WITIIIN TILL' BUILDING. , ! January 1984 1 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 �- 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 J atter, or need additional explanation, please contact this office immediately. F/'�_ _ -/ ./ _ . i - -r l D ,v 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 CORRECTIO14 NOTICE e !AA- S7 JVyk ,�7 7 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 %atter, or need additional explanation, please contact this office immediately. 7" a` MON /� l •/L Inspector Date r COUNTY OF BUTTE s•' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2761 �yd 7 County Center Drive, Orovi Ile — Phone: .538-7541 Z 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correc ' n of work is completed. if you have any question pertaining to this matter, need additional explanation, please contact this office immediately. t' G �f r cf7 /rI Fit /1i1 i 7� r 1/ dr C� I/ 0' Iv Syiti /4906rA Inspector Date PVW'57 I 15 t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Z 196 Memorial Way, Chico — Phone: 891-2751 // 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VNER PERMIT -IN 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 matterr needadditionalexplanation, please contact this office immediately. rr.0 AJ 4CZ it f U bx/c C/ Inspector 04 X Date 7 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE )WNER 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 ped additional explanation, please contact this office immediately. r j� Inspector Date—i 6A; 'z ' COUNTY OF BUTTE v BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES J 7 County Center Drive - Oroville, CA - (530) 538-7541 s CORRECTION NOTICE ` _�esr o5-- czg/"-> } OWNER PERMIT NO. A�routine inspection indicates that the following violations of Butte County Ordinances exist at r the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. =" ZIV /' /�/ //-✓d% GAJ , =f' •All rS Date f G� Inspector REV 4/05 Phone #_�O FOR RE -INSPECTION CALL:. 538-7636 OR 891-2834 �M1� = OK 0 = Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES• (Plans)'OK except #'s 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/O -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: / PV ft. _ . _ - / /"Nat. or/ PVft./ P'L'PG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date - Card -61 Date 11. Ext:; Steps -Doors -Landings Date MOBI.LEHOME INSTALLATION (Plans) OK except #'s' ' 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line tCard-Ell Date Card -81 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/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining - 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - - 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval - 10. Plumb.; Cir.. Test -Water Supply Test -.Card-Bl Date Card -B1 Date Card -B1 Date Card -B1 Date N OK Aw 0 = Not OIL Nit -Applicable = Npt Ready RESIDENTIAL (Single and Duplex) Date fm UNDE OOR (PApsf OK exce t #'s Date FRAMPH31-Continued) ng requirements -Se s -Ea ent4%ngers-Post Caps -Anchors -Connectors lettg., Main; ' -Stet -Elec nd.-/ /' Ftg. Depth -.-P-irlin;Roof Brac. Tr S, .-flag- g., Garage; '-Steep/ L/" Ftg. Depth. i r Typ lue-Fiwplace_Tlwpat 4 tg., Porches & Decks; Soils -Steel-. /"Ftg. Depth. Atty,Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6,3te walls, Main; Steel- Blo ts- rapped 48-16drm. Windows or Exiting Doors -Sill Hgt. & Dimensions e walls, Garage; eteet BI out ed '� Iab;SWehlNfapped 9R:!!�ro y Line Firewall & Openings rs-Fisaplase-Ftc,}-8tet31 xt. Doors -One T -Check Garage-9rd-,2-, 2-exths W.W.V.; Fall -Fittings -Test -2 wayO- er Test - on od on Roof Overhang -Attic Vents -Rafter Outriggers ater Pipe; Test -Anchors -R ator-Se est King -Nailing Itepeer St - en ` nd . Acct I `rims & Ducts; Clearance-Material-Supprt-Ins. lazing Area -Glass Protection -Sky ts-Plastic it s -Sills -Anchor Bolts -Joists -Vents -Cripples sulation .�Cg nsulation-Walls-Clg. filtration -Wal Is-Wndws Card -B1 Dat /� Card -B1 ft Date Card -B1 Date 7 Card -81 Date Card -B1 Dat .b Card -B1 Date Card -B Da 6 y Card -81 Date Date PLUBI (Permit) OK except #'s M Ht.,Vewt-A-_G&mbastian- Date FINAL Plans) OK except #'s Q qJer Pipe-. & Anchors- ail Wei c n xt. Steps -Door & Sidelight Protection -Landings / V.; - ttngs &Anchors Nail ecti moke Detector - In - s s e om Exiting .F.I. & ath Fixtures & T.ug-4eees9-SPe_- c. Trim & Subpanel; Breaker Sizes -Labels Card -131 t - Daand-61 Date Card -B1 Day%j_,,' 1f 7 Card -B1 Date re lace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. Ext. Date ELECTRICAL (Permit) OK except #'s 2"xture & ciion ixt. &Qoic G . -A' p-Cooki rance Elec. Receptacl�ing-Lights ches at Doors lec. Outlets &Receptacles at Kit. Counter i oxes & No. of Conductors -Stapled 7A. omex Installed Close to Edge of Studs & C.J. In r. Htr.; Vectis-Cle e-Cc�+b-Air-C3o�irt8CTtir-P. .- 2 . ip. Ground ma�vPMech. Fasteners -B6 V0Mte 2 Appliance Circuits in Kitchen & Conductor Size Elec. &Mech. Equip. Listed for Location 28?`�ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / flga. _ / wh ange Circ. / / ga. Cu or AI -Oven Circ. / ga. Insulated Neutral Yes No nsula ion -Foam -Looked in Attic o Yes Deck uction-Post-eMn 30. Service -Riser Conductors & Gr -Main Disconnect A n s & r Door-Draidage-&-W-ood-Ewttr Cearance Looked under Floor o Yess(/�/r pay 3 qu' . Clearances Panels-Motors-Mech. Equip. 32r—Clothes Closet Light-Sht 79-fV owing instid.; Drive 0 Yes q�le;-VVSI cis 0 Yes Ne Planters 0 Yes 0449- - ims Card -81 Dat and -B1 oip Date 7 X l�nA-Disconnect,a is PJuagwuj- ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Card-131 DatZo & 1?7Card-B1 Date Date MECHANICAL (Permit) OK except #'s 3 .C. Ducts Insulation & Supportxterior Elec. Trim; G.F.I. Receptacle-LMVffrjronnd haust above insulation ilation throughout House & Overflow; Size & Gre s Pfetectron 0i urnace-Ve*; Aegis-Ger:J"ir etur en 115 outlet Y Corrections from Previous Inpections - agg Platform if Furnace in Attic Meters ed; Ges-E&otrii a' & Sewer-eartfected-C/O to Grade -HD Approval fGotnergy Compliance Certificate -Other Certificates Card -B1 Date 6- ,7 Card -B1 Date Card-81Date/Q_"7 Card -B1 Date Card -B1 DatV/_/947 Date Date FRA G (Plans) OK except #'s Card -B1 Card -B1 Da(prJx,9 and -B1 Date Dat ,j' )Card -B1 Date S' Proper Material & Anchors 3 . aIWStuds-Nailing, Spacing & Bracing—Plates-Sewer Comments at Final: 4 eari g Walls over Girders & Floor Nailing ra op in Walls (rat proof) Oka ire tops; Furred ( &H11_9s-Staifs he T Bader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) > . • • :COUNTY OF BUTTE.- Rim UTTE:Rim nmr., nIVIC mj DEPARTMENT OF DEVELOPMENT SERVICES -7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE z� OWNER PERMIT NO..:- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of;-. work is completed. If you have any questions pertaining to this matter, or need additional. �. explanation, please contact the Building Inspector as indicated below.` �KJ Aa J i/ Ins Date Inspector p REV 4/05 Phone # � 5- -3 5- e' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.Cali.tornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT rwv o/ ASSES OR PARCEL NUMBER ZONING 17C�/ BUILDING PERMIT Ow R eC r TELEPHONE S0. FT. OCC. BUILDING VALU' ION OWN E.' MAIL G ADDRESS `gid. / 3 a "I wzo. 0 v CO RACTOO 'S NA ` TELEPHONE O oV, 7 CONT CTO AILIN ADD SS Fireplace b " O v COJrC�)5`/` UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN ER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ , ARCHI C OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 0 Solar or heat pump water heater 20.00 -IT N0. L �� SUBDIVISION NAME `V q ARCEL MAP Water piping 5.00 0 Each qas water heater or vent 5,00 USE OF STRUCTURE SFJ2'*'/Duplex❑ Mob IIehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 00 Mobile Home I S I G I W 10.00 Pa TYPE OF WORK New Addition❑ Remodel [_1 Utilities ❑ installation[] Other ❑ Describe work: _ Permit Fee $ o p Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service B00V OR LESS 100 AMP OR LESS 10.00 Qa Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW' 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f ce and effect. n G - License No. 67 b 1� 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. DWELLINGCC. la3 , A qt ) h2sgft (� New o CONSTR.( ULTI T ET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS& (SINGLE OUTLET CIR. 20050C Ex. Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. our OUTLETS (RESIO IRE A.) 2.00 Temporary service A10,61Z— 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 g Permit Fee $ 0p 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating OLD ��r Cooling m 4,1 D c7 Hood 3.00 Ventilation. permit Fee $ O 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 • ilities, judgments, cosits, and expenses which may in any way accrue a said County i c nseq ence of the granting of this permit. . ?Jl �� Date Signature of Applicant — Owner ❑ Co troator ❑ Agen An OSHA permit is required for excavations over 5'0" deep and emolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q TOTAL PERMIT FEE $ O CUP, CONST)TYPE N/ lFrIPA;71'PYJ HYJ ISSU This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� Receipt No. WHITE-O.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT IOF.,PUBLfC WORKS - BUILDING DIV SI ION 7 COUNTY CENTER DRIVE - OROVILLH AL—I!Fa RINIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER I il/ r'.1/ /C zt IfiC A. P. No. Proposed Building Use 5/.� Building InspectorZ 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 by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and caics, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan .... . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorizati,dn. . . . . . . . . . X�"' Sanitation approval from ���. Health Dept. S 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.), —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 1.7. Pre -Inspection for Pre-Inspec. request to (Dote) Required. Building Inspector 18. /�� 20. 22. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of r4 When you issue the permit, process as follows: Mail to owner, Mail to contractor. , �lephone f17�— /3�� _ and hold for pickup 4el:L_ j 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--mail—„�Foury(�f by date Contractor, designer, owner, was advised of above required data by_phone_mail er by date Plans checked ` f Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date — Hours: 10:00 a.m. - 3:00 p.m. \. Clearance. for Z bedrooe home. Other Clearance for addition ofNo te*_x Q, DATE a ' TO: f Building Department �' `► FROM: Environmental Health e SUBJECT: SANITATION CLEARANCE OWNER LOCATION # AP 4d Plans approved for: Sewage Disposal I �Q� Water Supply Hold final for: Water Supply '_final Clearance O.K. for:. Water Supply Clearance. for Z bedrooe home. Other Clearance for addition ofNo te*_x Q, DATE a ' Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED BUTTE COUNTY FOR RESIDENTIAL DEVELOPMENT UFFlCIAL RECORDS ('Y Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.PARTeSHOWN 87-28273 1 AUG The property described herein is adjacent to land or included -S PM 12: 08 within an area zoned for agricultural purposes, and residents of this CANDACE J,(iiUBBS _ property maybe subject to inconveniences or discomfort arising from CC the use of agricultural chemicals, including, but not limited to herbici�esK, pea�tdid8-,-5- and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dus =, smoke, noise, and odor. Butte County has established agricultural zones which have as a t 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: SCiII:L?ti . 1I; C The laiid referred to herein .i.s cicscribcd as f.o].lo�:s: ?11.1 th,nt r:`�rLo.in i -cal property 1 P- y siluz+te in .the County o£- Filtte, ::tate of as fol.l.o%as : South 1/2 of Lot /177, as shown on that cer. t:a'in Record of Survey Maps, en - i i t.l.ed, "FIR 1lrll7l?N SUBDIV.I:S:I ON" , ",Mich A1t:Ip W<'s recorded in the office of the Rc�r..rarclnr ot., the County Of- DuLt-.o, St:tlte of California, f4ay 12, 1961 in Bc)ok 25 of I•t,71ps, at pages 42, 43. -and- 44 and recorded mal:ch 1.6, 1962 2.7 of I1�ps, at pages 8, .9 aged 7.0. EXC.i,PTING all ' minera 1 s, as excepted of record. Date: 8�31187 PROPERTY OWNERS: r State of ___California_ • ) Ss County of _. -g, ) �+nunnnnrnnmm�mnnrmnnnonnummnunnumwnnnmr MARILYN JEANNE KUMLI G NOTARY PUBLIC—CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY My Commission Expires March 10, 1969 �uuwaruuuuwnuunnnunnuuuuuauuuuuunnuunuutmunuuut 0 On this the 3rd day of July 19 87 , before me, the undersigned Notary Public, personally appeared John A. Kleiser and Shirley E Kleiser / Personally.' known to me. fix/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) are 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 official seal. Present A.P. No . �/ ,j%/ G r •(� otary Public 1 FORM RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY :Owner _;Lt /C!�£'j' 1 Climate Zone / Permit No / Flooe Area Compliance path: :... Package ❑ A ❑ B ❑ C ' oint System ❑ Budget Other.A 61&3 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: 0. Roof/Ceiling 0 Wall ® Slab Floor Perimeter ❑. Raised Floorj r (2) INFILTRATION• o ❑ (A) A vapor barrier is required in -climate zones, 1, 14 & 16. ' (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified,and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. BUTTE Cou" Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier BU DEPARTm ❑ (E) Electrical outlet plate gasket Vwr ❑ (F) Air-to-air heat exchanger' �� �] d /� (3) GLAZING: r�L//�/((�Z (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg North East ® South ® West ❑ Skylights - (B) Shading Shading Coefficient Description ❑ East ® 'South am € !, .�=Z- qra//N/Zc. 1 T' West 7b �/ fi ❑ Skylights 1; '(C) South Overhang Length of projection Q ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ® TypeA ;Z- Are �j� Ft .2 HC= R=17? MC=_LZ4 Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area -Ft.2 HC= R= MC= Location ❑ Type - Area Ft.. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location 7/83 7/83. 2 ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening ' of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside .of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A):. -Heating ❑ Central Gas Furnace % (brand and model number). SE Btu/hr (heating capacity) El Heat Pump. Cl,' (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar :;type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slop � Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand. and model number) '. (seasonal EER) Btu/hr. (cooling capacity at.95°F) Electric Heat.Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) ® (C) A TWO-STAGE THERMOSTAT, which .controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas -filed fan type central furnaces, gas-fired fan type wall furnaces and - gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting, air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83. 2 *1 Submit documentation of sizing heating and cooling equipment by.Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature �°1 °, elevation ', heating loadlk,9 BTU elevation factor 1,D 9 x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature f1l °, cooling load / 33 BTU. (USE ONLY AS'A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of. solar, panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements. of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 -G 'OFB II±TN-GIDESICNER OR PPLICANT 3 FORM 1 (6) DOMESTIC WATER SYSTEM " ❑ .(A). Gas Only Gallons (brand and model number), (tank size) ❑ . Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) - (rated slope) (solar fraction) • ft :(backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Pane ® Other �j�-n �-,•� Lilo c.is �,a:�'� (Describe) �. :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bahhrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by.Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature �°1 °, elevation ', heating loadlk,9 BTU elevation factor 1,D 9 x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature f1l °, cooling load / 33 BTU. (USE ONLY AS'A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of. solar, panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements. of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 -G 'OFB II±TN-GIDESICNER OR PPLICANT 3 ZONE 11 LZT�/ PQj.1 - Tom_ Table 3-6. POINTS OWNER Table 3-3a. Ceiling Insulation PERMIT NO. - ASSIGNED ACTUAL Points T ( o! I -3 I -2 I -1 l 0 I I I Glazing Type I R -Value of Insulation I Points I 1. SLAB - INSULATIONI -able 3-1. Slab FIoor Points 1 I Inc•tla- I R -Value of Insulation I I I I 2. RAISED FLOOR - R-19 ' - I 19 I -4 I 3. CEILING - R-30• /� '8- ,/ I 30 I 0 i . WALL - ft`-lA- - , �_� 49 1 +4 I i. NORTH GLAZING Ola 0/0 2.4-3.6%� ( .43-.66 I1 I -2 I a2 I -3 I .67 up ' 1 0 1 ' -2 I -4 ( -4 I -6 i. EAST GLAZING -0 '0 2.5-3.6( fi I to I to I to I to I up 41 7. SOUTH GLAZING57 �YQ 1.6-3.6% 1.5i 6.3 i 7.9 Table 3-4a. Wall Insulation Points 0 3. WEST GLAZING 2.9-3.6% I/ 0 1 +1 I +3 1 +6 I +7 1 R -Value of Insulation I I Points I ). SKYLIGHT - 0-1.37 .58-.82 I -1 I -3 1 .-6 1 -12 1 -15 I I -2 I -4 1 -8 1 -16 1 -70 Skylight 1 .1 I .8 1 1.6 1 3.2 1 4.0 ). SHADINC`� (Exclude Overhang) 19 I j 0 � EAST - .66 .13-.36 i 30 i +3 SOUTH - .19-.42 .58-.82 1 -1 i -3 I -6 1 -12 I -. .83 up 1 -2 I -4 I -8 1 -16 1 -20 WEST - .13-.36 l Table 3-5. North -Facing Glazing Pts .SKYLIGHT - .37-.57 Glazing Type i HORIZONTAL SOUTH OVERHANG 2' Total I 1 I Z of Sngl, I Dbl, Trpl, MOVABLE INSULATION - NONE I Floor I U- I U- I U- 1 I Ates 1 0.66 10.42- 1 0.41 I 1. r INFILTRATION (Standard=0)(Tight=+12) I 11.10 10.65 1 down I `THERitAL MASS 'L&S-SF o +4 +q 1 0.1- 1.2 1 +4 ! +4 +4 1 +4 I f I 1.3- 2.3 1 +1 I +2 1 +2 I GAS FURNACE (SE) 71-76% 1 2.4- 3.6 1 -2 I 0 1 3.7- 4.8 1 -4 I -2 1 +1 l 1 -1 1 r , PUI(P (EER) 7.5-7.9% j. Z I 4 -7 `-3SEAT 1 6.2- 1 -6 a-. - -9 1 7.4- 8.2 1 -12 I -8 II -53•CCO'P 1 -7 I DUAL PACK (SE, SEER) 8,0-8.3/71-76% 1 8.3- 9.7 1 -14 I -10 1 -8 I WOOD STOVE 1 Z L 1 9.8-10.8 1 -17 1 -12 110.9-12.0 1 -19 I -14 1 -lo I I -12 I 10C-' -HEATERC�oys�v-r-) -- �(� ( 12.1-13.2 I -22 I -16 I -13 I 1 13.3-14.5 I -24 I -13 I -15 I �W�.A+TER ATTIC /� %i 14.6-15.3 i -27 i =20 i -17 OTHER -2 �- Table 3-7. South -Facing Glazing Pee I I Glazing Type I I • Total I 1 I Z of I Sngl, I Dbl,Trpl, I Floor 1 (U - 1 (U - 1 (U - 1 I Area 1 1.10) 1 0.65) 1 0.41)1 I (points IDoints IDointsl 1 0 1 +3 1 +3 _ 1 -a 3� I up to 1.5 1 +2 1 +2 1 +2 1 ( 1.6-3.6 1 -1 1 0 I 0 1 I (3�7- s7z31 -4 I I -2 I I 6.6- 7.7 I -9 1 -6 I -5 I I 7.8- 8.9 I -11 1 -8 ( -7 1 I 9.0-10.0 1 -13 1 -10. .I -9 1 1 10.1-11.5 1 -17 1 -13 I -11 1 i 11.6-13.0 1 -21 1 =16 I -14 I i 13.1-14.5 1 -25 1 -19 I -16 I 114.6-16.0 1 -23 1 -22 1 -19 I I I I I Table 3-8. West-Facln4 Clazlng Pts. I I Glazing Type I I Total I 1 1 Z of I Sngl, Dbl, Trpl, I Floor 1 (U - I (U - I (U - I I Area 1 1.10) 10.65) 10.41)1 I IPoints I oints I ointsl o +6 +6 +6 1 up to 1.3 1 +5 1 +6 1 +6 1 1 1.4- 2.2 1 +3 1 +4 1 +5 1 I 2..1-_2_8 1 0 1 +2 1 +3 1 I i�7 ' `i I -5 I 2 i +0 I 1 4.3- 5.0 1 -8 I -4 I -2 I 5.1- 5.6 1 -10 I -6 I -4 1 5.7- 6.2 1 -13 1 -8 i -6 I i 6.3- 6.9 1 -15 1 -10 1 -7 I I 7.0-'7.6 1 -18 1 -12 1 -9 •I I 7.7- 8.2 1 •-20 1 -14 1 -11 I 8.3- 3.8 1 -22 1 -16 1 -13 I I 8.9- 9.5 1 -25 I -18 1 -15 1 I 9.6-10.t 1 -27 1 -20 1 -16 I 1 10.2-11.0 1 -29 I -23 1 -17 I 1 11,1-11.8 1 -35 1 -26 1 -21 I 1 11.9-12.7 1 -33 1 -29 1 -I4' 1 112.8-13.5 1 -42 1 -32 1 -27 1 1 13.5-14.3 1 -46 1 -35 1 -29 I 1 14.4-15.2 1 -50 1 -33 1 -32 I I I I I I I , `�TOT�j Aj, PQj.1 - Tom_ Table 3-6. east -Facto Glazing Pts. Table 3-9. Skylfoht Points 1 7+ 1 I I ! T ( o! I -3 I -2 I -1 l 0 I I I Glazing Type I 1 I Total I Glazing Type 1 i I -able 3-1. Slab FIoor Points 1 I Inc•tla- I R -Value of Insulation I Table 3-2. Raised T I R -Value of Floor Points I I Total I -of ( Floor I Area 1 II 1 Sngl, Dbl, Trpl,I I (U - I (U - I (U - I 11.10) 10.65).1 0.41)1 I oints (poi is I ointsl Z of I Floor I Area 1 T Sngl, Dbl, 1 U- 1 U - I 1 0.66- 1 0.42- 1 11.10 1 0.65 1 Trpl, U- 1 0.41 I down I I ttun I l Depth, 1 -12 I i 3- 4 I --7 1 inches 1 0-2 I I 1 3-4 I 1 5-6 1 1 7+ 1 I I 1 0- 11 ( -S I 12 - 15 1 -5 1 16 - 19 I -5 I 20 + I -5 la I l -5 1 -3 j -2 I -1 I I -3 I -2 I -1 l 0 I 1 -5 I 1 -1 I 1 0 1 1 +1 I I I 0 -.19 1 0 1 +1 ( +2 I .20-.36 I 0 I 0 I ♦1 Insulation I Points I below 3 1 -12 I i 3- 4 I -8 1 I 5-7 I -6 i I 8- 12 I -4' I I 13 - 18 I 72 I I 19+ I 0 I 0 -.19 1 0 1 +1 ( +2 C7/7/83VAC I C�-f' + 7 �7 ♦4 1 1 up to 1.3 I -1 1 0 1 0 1 1 up to 1.3 1 +3 I 44 1 +4 1 1 1.4- 2.2 I -3 1 -2 1 -1 1 I 1.4- 2.4 I +1 1 +2 1 +2 1 1 2.3- 2.8 1 -6 1 ' -4 ( -3 I I 2.5- 3.6 1 -2 1 0 1 0 1 1 2.9- 3.6 I -9 1 -6 I -5 1 I 3.7- 4.6 1 -5 1 -2 1 -1 1 1 3.7- 4.2 1 -11 1 -8 1 -6 I i 4.7- 5.6 1 -8 1 -4 1 -3 1 1 4.3- 5.0 1 -14 1- -10 I -8 I 5.7- 6.7 1 -10 1 -6 1 -5 1 1 5.1- 5.6 1 -16 1 -12 ( -10 I I 6.8- 7.7 1 -13 1 -8 1 -7 1 1 5.7- 6.2 1 -19 1 -14 1 -12 I I 7.8- 8.7 1 -15 1 -10 1 -8 1 1 6.3- 6.9 1 -21 1 -16 1 -13 I 1 8.8- 9.7 1 -1.7 1 -12 1 -10 1 1 7.0- 7.6 1 -24 1 -13 1 -15 I I 9.8-11.2 1 -21 1 -15 1 -13 1 1 7.7- 8.2 1 -26 1 -20 1 -17 I 111.3-12.7 1 -25 1 -18 •1 -15 1 1 8.3- 8.8 1 -28 1 -22 1 -19 I 112.8-14.0 I -23 I -21 1 -18 1 1 8.9- 9.5 1 -31 1 -24 1 -21 I 14.1-15.3 I -32 I -24 1 -20 1 I 9.6-10.1 1 -33 1 -26 1 -22 I 1 SC by I I Orten- I : Floor Area tatlon i east I I 3.2 I 1 1 0-3.1 I to i 6.4 up 6.3 0 -.19 1 0 1 +1 ( +2 I .20-.36 I 0 I 0 I ♦1 ( .37-.66 I 0 1 0 I 0 1 .67-.82 1 0 I 0 I -1 j .83 up i 0 i -1 I -2 I I South 1 0 1 3.2 1 6.4 1 8.0 1 9.6 I 1 to I to, 1' to I to I up 1 3.1 1/6:3)1 7.9 19.5 I I 0 -.18 1 0 1 +1 1 +2 I +2 I +3 I .19-.42 1 0 1 o 1 0 1 0 1 0 _F0 ( .43-.66 I1 I -2 I a2 I -3 I .67 up ' 1 0 1 ' -2 I -4 ( -4 I -6 West I .1 1 1.6 1 3.2 1 6.4 1 9.0 I to I to I to I to I up 1.5i 6.3 i 7.9 0-.12 I/ 0 1 +1 I +3 1 +6 I +7 .13-.36 0 1 o f O I 0 1 0 .37-.57 I 0 1 -1 l -3 I -6 I -7 .58-.82 I -1 I -3 1 .-6 1 -12 1 -15 .82 up I -2 I -4 1 -8 1 -16 1 -70 Skylight 1 .1 I .8 1 1.6 1 3.2 1 4.0 I to I to I to I to 1 to 1 7 1.5 1 3.1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 I -6 l .58-.82 1 -1 i -3 I -6 1 -12 I -. .83 up 1 -2 I -4 I -8 1 -16 1 -20 Table 3-11. Horizontal South Overhano. Points South Glazing Length Out I Area, Z of Floor I from wall I i ft T- I 0-6.3 I 6.4 up I I I I 0 - 0.5 -2 -4 0.6 - 1.0 1 -2 1 -3 I 1.1 - 1.9 1 -1 I -2 I 2.0 up I 0 1 0 I I I I 'able 3-12. Movable Insulation Points Moveable Insulation'l I Area, Z of Floor I Points I I 0 - 5.5 I 0 I 5.6 - 11.5 I +2 1 11.6 - 17.5 1 +4 1 17.6 - 23.5 1 +6 1 _23.6+ +8 1 Table 3-1.3. Infiltration Control Ftervres Points T-�- -- j Coctrol Features 1 Points 1 I I 1 I Standard 1 0 ! I I 1 0.9 air changes per hr I I T_ I I. I Tight 1 +12 I I I I I 0•6 air changes per hr I 1 I I I Table 3-15. Gas Furnace Githout Refrieeratlon Cool!n.e Points I Points j Seasonal Efficiency 1 Points I i (SE), X I I I 71 - 76 I 0 I I 77 - 82 I +2 1 I 83 - 88 1 +4 1 I 89 - 94 I +6 . 1 1 95 up I I I +8 1 I I 9.7 - 10.2 1 +18 Table 3-16. Feat Pumo Points r 2 I Energy Effic!ency I Points 1 I Ratio (EER) ; 1 I 7.5 - 7.9 I +3 1 I S.0 - 8.3 1 +6 1 I s.' - _7> 1 8 - 9,11 I +9 I I +12i 1 I .6 I +15 I I 9.7 - 10.2 1 +18 I 10,3 - 10.8 1 +21 1 I 10.9 - 11.5 I +24 I 11.5 - 12.3 1 +27 I I 12.4 - 13.2 I I +30 I I 1 c o Table 3-17. Gas Furnace Vith Refriveration Coolint Points !Refrigeraclod Gas Furnace I 1 Cooling 1 SE ; 1 I171 -177-i83-139-195 I 1 761 821 881 941 up I 1 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +51 +91+10 1 I 8.8 - 9.2 1 +41 +61 +91+101+12 1 I 9.3 - 9.7 1 +61 +81+101+121+1'+ 1 1 9.8 - 10.3 1 +811-101+121+141+16 1 110.4 - 10.9 1+lGt+L2i+l-1+161+lS I 1 11.0 - 11.5 1+121+141+1614.181+20 1 t I I t 1 1 1 7/7/83 ZONE 11 TALE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DUELLING AREA SQUARE FOOT I _ AREA 1,000 I 1,500 I 2,000 I 2,500 3,000 I 3,500 ( 4,000 I 4,SGO 5_,000 1 Sn. FT. , A 8 C D A 8 C D A 6 C D A 8 C D A 8 C D 1 A 8 C' 0 A 6 C D I A 6 C G :+ 8 C 50 i00. 150 200 250 307 350 400 503 600 700 230 900 1.000 1,100 1,200 1.100 1,400 1,ioo 2,001 2,SDO J,CO1 3,500 1,000 4,500 2 2 2 2 2 0 i 2 2 2 0 1 0 0 0 0 0 0 0 0 o c o D o 0 0 0 o c o c' 0 0 0 0! 4 t 4 2 2 17� 2 2 2 2 2 2 12 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 D 0. 0 0 0 O 6 6 6 4 +4 4 4 2 2 '2 2 2 2 2 2 2 2 7 2 2 2 2 2 2 2 2 2 0 2-Z +5 2 0 2 2 2 0 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 z 7 s 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 21. 2 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 7 2 2 2 2 2 2 2 2 2' 2. 7 2 2 14 14 12 8 IO IG 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2I 2 2 2 2 14 14 12 8 1010 8 6 8 8 6 4 6 6 4 4 6.6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 3 4 Z 2 18 18 16 10 1212 10 6 10 10 8 6 R . 8 6 4 6 6 6 4 6 6 6 2 6 5 4 2 4 4 4 114 4 4 j 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 5 < 2 1. 6 6 4 2' 24 24 20 14 18 16 110 10 14 14 12 B 10 10 10 6 10 10 8 6 8 8G 4 8 6. 6 4 I 6 6 5 41 6 6 F P. 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 R 8 4 - I 6 6 4 I 9 6 6 28 28 74 16 22 20 18 12 16 15 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I a 8 '8 4 e B 5 4 1 8 8 6 c i 30 70 25 18 i22 20 20 14 18 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 8 8 C 4 I .", a 6 4 i .12 32 28 20 124 24 22 14 20 20 18 10 16 76 14 8 14 114 14 12 8 12 12 10 6 10 10 10 6 111 10 8 6 1 !J e I, 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 12 8 '12 12 10 6 1a 10 B 6 i 1!1 10 8 6 37 34 32 22 28 26 24 16 22 22 20 12 18 19 1 10 lu 14 14 8 14 12 12 8 12 12 10 6 11Z 10 10 i LI 10 ;0 E u 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 1' '.G L. 10 10 13 4 1 36 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 16 1E 14 8 14 14 12 L, 117 12 10 1,1 12 12 1;. o i 34 34 32 22 30 30 26 i8 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 i 16 16 it L� 14 14 12 9 j 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22. 14 22 22 i3 :2 i20 20 18 !: 1 ly 1: 34 32 30 22 JO 30 26 18 28 26 24 16 124 24 22 14 122 22 20 14 :: 13 • 32 32 30 20 30 30 26 ld 28 28 24 16 26 24 •22 14 i ?4 ;4 201 14 I 32 32 30 20 30 30 26 18' 79 28 24 if 5 2:• if 32 32 28 -0 30 3o i6 IL' j iN 1r. ?= if - -..-'------1-- -------------.._., zi 0 Ij A) 1. 3'S• Concrete Slab: NC+8.93; R•.29; Factor -7.3 2. 3 3/4- Thick Common Brick: IIC=7.125: R-.13; Factor -7.3 • 8) 1. Sk' Concrete Slab: NC -14.106; d•.458; F'actor•7.1 C 1. B" Solid Filled Block: HC -20.63; R-1.91; Factor -6.1 2. 8. Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal Hass Area: IiC•10.164; R-.96:; Factor•6.1 D) 1- Thick Concrete/Ti-le: NC -2.55; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Reststanee Space Heating Points ' r I Pointe for this measure w!11 i Table 3-2n. Solar Water Heating With Cas Bsck:l Points 1 be completed after the CEC 1 I has approved an Alternative I Component Package for Resistance '1 I Beat. 1 Table 3-18. Active Solar Space Heatinii with Gas Points I Net Solar Fraction I Points I I (NSF), Z I I I I I I 0-6 I 0 I I 7 - 14 I +2 I I 15 - 23 j +4 I I 24 - 30 1 +6 I 1 31 - 39 I +8 I 40 - 47 I : +10 I 48 - 55 I 4-12 I I 56 - 63 I +14 I I 64 - 71 I +18 . i 72 up I • +20 I wood stove #33 points -(no back up) Casablanca fan + 1 point Multifamily (per unitpoints) Floor Area Net Solar Fraction (NSF), X per unit, ft2 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +IO +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 n00 and up 1 0 1 +l 1 +2 1 +4 1 +5 1 +5 +7 1 +9 All others (pe building points) 800-899 0 +5 +10 +14 +19 +24 +29 +34 900-999 0 +4 +9 +13 +17 +i1 +26 +30 1,000-•1,199 0 +4 •1.7 +I1 +15 +•19 +22 +26 1,200,1.499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +1 1 +9 +12 +14 +16 2,1)00-:,999 0 +2 +3 +5 +7 +8 +10 +I1 3,000 i,.d uo -0 +1 +3 +4 +5 +7- +9 +10 t ! Table 3-21. Other Vater Heating Pts. 1 System Type 1 Points I I 1 Cas Only 1 0 I Beat Pump 1 0 I Solar with Electric 1 I Reilstaace Backup I I I Meetlnv the Require- ) I menti is Part 2 I 0 i I I I Electric Resistance ` I Only �i -40 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature cd 7C ffK/ ro G BGG � 2565-87B 37 r ' PERMIT NO.. 3208-87B PERMIT EXPIRES OWNER JACK Kleiser. CONTR. Mike Haley ASSESSOR PARCEL 65-19-67 _ LOCATION 6557 Vine St. Magalia OFFICE COPY � Address s GAS Meter By Date_ ELECTRIC t Q { Meter By Date �_ I - - AA Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature cd 7C ffK/ ro G J. v = OK 0 = Not OK = Not Read�yable MOBILE HOMES' MISCELLANEOUS Date 'MOBILE HOME -UTILITIES (Plans) OX except #'s'. 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/O -Concrete , 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed, (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ` 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV'ft. / /"Nat. or/ . PV'ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses - 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME 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 -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_ Ease ments 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval, 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged " 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI -+ 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval ' 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -B1 Date Card -81 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready 0 Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwails, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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 -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rht proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers c, 54. Siding -Nailing Veneer\ 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts Q 58. Insulation-Walls-Cig. y� 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector l�.. 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails jy`\ 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearan 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection �ry 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic o Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive o Yes o No; Walks 0 Yes O No; Planters o Yes 17 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive - Oroville, Califoria 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �PEaMIT�.� ASSESSOR PARCE NU�.4BER - S I/ ZONING �� BUILDING PERMIT OWNER T,ELEPH NE SO. FT. OCC. BUILDING VALUATION OWN MAILING D RESS� , CONTRACT'OR'S NA TELEPHONE CONTRARS P1 LIN ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �:o ARCHITECT OR ENGINEER LICENSE NO.r Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF% Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 0.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uttiilities 1❑a /Installation❑ Other Describe work: l�O / _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 411'n (/V Main service e0ov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl re 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 ll force and effect. License No. Ze --2> 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 .p! CONST. DWELLING OCCUPI/2¢sgft New DDNS. A ULTB LOGJ OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS (SINGLE OUTLET C Ex. OCcup(OUTLETS OR FI ORES 20®50Q BALO 30 \\ Ex. Occup. OUTLETS FIXED P(R SID,)REA.1 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against iiities, judgments, cost , and expenses which m y in any way accrue against aid County in consequ nce of the granting of thi permit. - - Date S Signature of Applicant wner Can roctorIQ Ag.n,Ul An OSHA permit is .required for excavations over 5'0".deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $IOU TOTAL PERMIT FEE $ .GU• oc co �/Ool PARCEL PD D 0 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR 0A PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date low Si� �o % Receipt No. �% WHITE-D.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER Proposed 4 COUNTY,OF BUTTE - DEPARTMENT.OF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE., CAL 'ORR'fIA 95965 - TELEPHONE: 916/534 541 PERMIT APPLICATION DATA SHEET Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED J 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ • • • • • • • • 9. Letter of signature authorization. . . . . . . . • • • 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . • 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), —15. Improvements may be required. . . . ... . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Prednspec. request to (Date) Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. e' 19. Driveway Permit. ' 20. Plot plan approval from city of 21. a 22. Wh n you issue the permit, process as follows: Mail to owner, —Mail to contractor. r Telephone __% 15a;2df and hold for pickup aoffice, 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_mail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mail_counter by ' date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. 12 ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS 20$- PERMIT NO — PACKAGE "A" (Additions) FORM 7 - NAME SQUARE FOOTAGE JOB ADDRESS 0i4/c Existing' Residence TYPE OF WORK a 6;417New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions,.converti'ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO AREA ILI 121-30 R-30 R-38 R- R-11 R-19 FLOOR R-11 R-11 R-19 SLAB R- 7 R-11 R- 7 GLAZING 65 .65 .65 SHADING ` SOUTH - OPTIMUM OVERHANG or .36 S.C.' , WEST - .36 S.C. LOOSE FILL INSULATION (Density) NFILTRATION CONT L (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) UC�SP�RU �C- 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand .and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) _ ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM. ❑ (A) Gas Only Gallons (brand and model number) - (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load =-maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU t2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of theis Administr ation nCode. SIGNAT BUI OF LDIN 'D SIG OR A PLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS►ON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax•(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /) I )S ��� ��rJ ASSESSOR PARCEL NUMBER Proposed Building Use: _S�(nan ICGGi'�'1 3 4��r -ax Permit Technician Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No'faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 125. 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other !ining items needed to issue the permit. (May require additional plan re -view upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in [>lii�q Oro I , as a plicable ❑ 16. Fire Sprinklers............................................................................................. l .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: © f-- (B)Parking: (C) Parcel Check:........ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................\.. ❑.. 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner)..............Q�. ❑ 31. Letter of Signature authorization......................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ............. U ❑ 33. Existing violations and/or expired permits .................................................. .... ❑ 34. Deed Restriction. ................................................................... �.................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO..' ...................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 2_2 - and hold for pickup. I have been informed of the above items and. requirements for obtaining a building permit. Applicant: V _VDate: �� Q 1. Index lz�permi applicati r'the above -I ems numbered: -Plan Check L tier 2. Additionallitems required _.,._ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, O counter, by��' €i" `Mate: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter; by f• ! J_ It Date--.. . Plans reviewed by: Date: Plans approved by: Structural reviewed Date: Structural approved by: Date: Ifl Note transfer by: Dater Yellow: Building Divian b 4 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE OIL Y Plot Pian AtUchad Floor Plan Attactead Sent to G.D. Owner Location AP# Plan Approved for: Sewage Disposal _j/ Water Supply: Public rivate Well Clearance for dwelling. Other �C2.Cw� e- J 1�,e Hold final for: Final cl nce O.K. for: NOTE: .15� Cj Environmental He altfi'9Wcialist Date 8/96 Depart ment . . . C- 'n It n' t v J. Michael Crump, Director AC'0 L YJOF� of Public forks o f B u t t e. LAND DEVELOPMENT DIVISION Storm Water Management Progr-am 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 . National Pollutant Discharge Elimination System (i`dP®ES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (sWPPP) Acknowledgement LLESS THAN 1 ACR EJ Project Description: Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Stone Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain. multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board I am aware -that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of 'California Regional Water Quality Control Board for a project' that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 0 COUNTY OF BUTTE 0 �Z DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds �1j/ / OWNER /� 1 CS G ( ��: %') A.P. # V(mss PROPROSED BUILDING USE DATE ! �l RECEIPT # DATER . 1.:'BUILDING PERMIT FEES �y -- Balance Due ..................... $ �( --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. DRAINAGE FEE 11, iL6'� 10. 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d i g the plan checking process. APPLICANT DATE Pursuant to Governmen ode Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on y ur project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Butte County Department of-Dev-dopinent services 0 "I Tr ° u: •:> ° 7 County Center Drive Oroville, CA 95965 °°•-� o (530) 538-7601 Telephone cOUVal -� (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Buildin7, Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. , Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: Building site address: Permit No.: �'� �j2 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: 10e S •GNATURE OF APPLICA DATE KB Construction Post Office Box 117 Paradise, California 95967 (530) 872-9006 To Whom It May Concern, License # 707423 10/28/2005 I, Ken Blanton, give permission for Aaron Smith to act on behalf of KB Construction. Ken Blanton 065-19-0-067 x'99-0365 P,ML'r ; KLEISER,' `John rs r 6567 Vin6, Magalia (freef tandinggays'fstov.).'.-T.ri ,,Flame;. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Ord`ville, -f—Dalifornia 95965 - Telephone (916) 538-7541 , PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Y r. 3 (''s: ,L�ESSpq CE U. Ems_ ZONING BUILDINGPERMIT O.W1ViiN RLF.ISffit TELEPHONE SO. FT. OCC. BUILDING VALUATION Gw^r VT Arils'.ttAG1LIA CA 95954 c 1 JCTtWA PROPANE TELEPHONE 873-4101 C to T fAI lJ 3411EIMAGALIA CA 95954 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 6UILDING ADDRESS 6567 VINE, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fein "20.00 USEOFSTRUCTURE SKX(] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 e Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b Describe Work: FRRR STANDING CTAS STOVE Gas piping system 1 -5 outlets 15.001500 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. ,i-, _My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. so OR ADDNS. ( a ACC. BIDS. 3.50FT. T. INjON-RESID. M.MULT1;CIRCUTITS 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 1.50 Ex. Occup. ourEL aE'S .1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S 0.001 MECHANICAL PERMIT Filing Fee 20.06- Heating Z 30.00 Cooling Hood 6.50 Ventilation PERMIT FEE S, Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X h//•/Ps Ef �� Date _;?,/Z-�/_ Signatu"re of Applicant - 12 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction Qf structures over 3 stories in height. Receipir._ � Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 80.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL 71 HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. T 5 j WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California_ -g5965 - Telephone (916) 538-7541 PERM T N (Rev. 12/96) APPLICATION AND PERMIT —�-- A gifRTWE16UT%� 2ON1NO BUILDING PERMIT °JUt1N KKLEUI�SJER TELEPHONE SO. FT. OCC. BUILDING VALUATION ADDRESS DS�X MAGALIA CA 95954 C CTOR'S NAME RSI FLAME PROPANE TELEPHONE ' 873-4101 P 0 TBOX I113�+,ESMAGALIA CA 95954 CONSTRUCTION LENDER EFireplace LENDER'S MAIUNG ADDRESS otal Valuation $ ARCHITECT OR ENGINEER LICENSE NO. ilin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6567 VINE, MAGALIA Energy Plan Checking Fee $ PERMIT FEE 3 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00" USEOFSTRUCTURE SR)p Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: FREE. STANNILNG r,AC 4T VQ F Gas piping system 1 - 5 outlets 15-0015.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Feel 20.00 V OR UES9 Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Ias owner of the property, am exclusively contracting with licensed contractors io construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO tOooA 6.00 WEE200A NEW CONST. DWELLING UP. OR ADDNS. ( 8 Acc. BLDS. S° 50so 3.52 FT. N µRE D. ��LEr 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 ® 1.00 BAL p .50 Ex. Occup. ouTLEEDTAPP AUSo°ERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.o6' Heating 2 1 30.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ c;n nn Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) . � I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi com ly with those provisions. X Date`t[�'� n kOwner ❑Contractor ❑Age e of poli OXSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 8S.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD IS' E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EX IRES ON Z the applicable provisions Resolutions to do work been, paid. Date .4,12-41J417 Zc�e�J Receipt No. ZS g3y-� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTI(Date) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. .y (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 66 " a _ 04 ZONING BUILDING PERMIT OWNER L TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MKESS M CONTRACTOR'S NAME - ✓0 TELEPHONE 6/ CONTRACTORS MAILING ADDRESS !2,5 - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUIL.DINGADDRESSl��� " Energy Plan Checking Fee $ 4 PERMIT FEE $ LAT NO. SUBON610N5 NAME PARCEL MAP - PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel [3Udlities ❑ Installation 13 Other ❑ Describe Work: ► ,?- t� LS A ., �,\ � caj Qct � Gas piping system 1 - 5 outlets 15.00 S C•c7 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t jljg� o U ELECTRICAL PERMIT Fling Fee 20.00 aoov OR LESS Main Service Yo."O.LESS 23.00 ' ' I Main Service YOGA TO 1000A 46.00 NEW CONST. DWELLINGSO. OCCUP. OR ADONS. ( 8 ACC. BLDS. 3,5QFT. NEW CONS MULTI.OUTLET NON-R.ID. @7.50 POWER APPARATUS 6 SINGLE OUTLET CI R. 20 . EX. Occup. OUTLET OR FocTUREs Q 1 00 SAL @ :50 Ex. Occup. oF1'Lu E, RE�sID.oFR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 0 Cooling Hood 6.50 Ventilation PERMIT FEt S `SCS . ov Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ �� HAZ. I D. FEES IMP I FL000 I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON to Receipt No. 2S 93 qT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #; (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52812 R r` P. -. -ii ii- P.—if n1-1R.n4 nn 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/02/2005 APN:.065-190-067-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. aci,'7q License Class License Number: l Site Address: 6557 VINE ST MAG Date: f%✓ Contractor. {� t�iN Map Index: Description: SCREEN ROOM(372)COV(261) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the, following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KLEISER JOHN A & SHIRLEY E permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 117 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA the Contractor's Stale License Law (Chapter 9 commencing with Section 95954 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom -and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: KB CONSTRUCTION pp Code: The Contractors' State License Law does not.apply to an PO BOX 117 owner of property who builds or improves thereon, and who does PARADISE, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95969 sale. If however, the building or improvements are sold within one 530_$72_9006 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: KB CONSTRUCTION not apply to an owner of property who builds or Improves thereon, PO BOX 117 and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). PARADISE, CA 95969 - ❑ I am Exempt under Article 3 of the Business and Professions Code 595969 -9006 Dale: Owner: License #: 707423 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by. Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier: STA ` C— (Gm`e Total Square Ft: 633 S.F. Valuation: $10,128.00 9�� (l / (' �" 3 �Z S Policy #:- - L L) C� Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject a( employer to criminal penalties and one G hundred. thousand dollars $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. G CONSTRUCTION LENDING AGENCY This permit is her by issued under the applicable provisions of the Butte County Code and/or I I hereby affirm that there is a construction lending agency for the Resolutro-ngr JoIAwork indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY: �) Name: Date: 1n� / PERMIT XP. G Address: E E ON: ll) (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docume t of Butte County. I hereby authorize representatives of Butte County to enter, upon the above mentioned property for inspection purpose Print Name: �R0 0) :5 M IT - Vf Signature: Date: ❑ Owner ❑ Contractor O Agent for Ownergent for Contractor R r` P. -. -ii ii- P.—if n1-1R.n4 nn 1 W.111090 NI/ , F12 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONP: OROVILLE: (530) 538-7636 • CHICO: (530) 89172834, OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICA TION **PLEASE PRINT CLEARLY** OWNER Fimt Nama Address ( V;11%1 e City .J Phone 0 ^ v/7' OD E-mail '7 N' PERMIT NO. BIIN # n APPLICANT SIGNATURE X For o ice use only: APPLICANT NAME Name /, Address `Q ` o / City raJt Stat Zp Phone / w Fax E-mail Lot # APPLICANT SIGNATURE X For o ice use only: Zoning /, Flood Zone SRA No Occ. Type Const. V Subdivision Name Map Book Page Lot # Planner Date Approved: ' r,%ico CnD c1 112nn17rA1 RFnI IIRFMFNTf; LENDING AGENCY Name Address cription or Scope of Work: Sq. Footage �! ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 0113 .auoO �Q �y3� SS9 EXPIRATIr3, 4 OF.' 7Pl.MCATI(t4O rJ` Application-,, f• > -� s jcrnt,_ +► -4XN,cfix pire one year after tht d �' :.y!., ''.. It. i, i -.,,:w action on an application aft . ,,, _:., s `''c'* on plans and fee will be required. REQUEST F0.1 L AZ Q, _-3 Refunds can onl)'! ..made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ReceivedA Amount ` V Lv Bldg SRA Receipt #:%V V u % Sheriff SMIP ' Other Date: / . Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site.plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed. by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit " Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION v FMING s C=e - �1111C�R 34!^35 The A35 ahchor,; -elusive bending slot allows instant, accurate field bonds for all two- and three -Way ties. F p• Y g permits i Y 1" 7„ .. of connections16 '� °m lelel reversible design the A35 to secure a great v2net � ¢ _.. MAT, `'tit, Id ,auge steel pl, °.:rt: Galvanized ' srtA" I� i' INSTALLATION: ■ A54—Use-5dX1�/n" . A35 --USO 12--8d x 11/4" ` "�� , ■ Use all specified fasteners:. See General 'Note ?, parJe 2, BO accepted; secs Evaluation Report No. 1211. CADE ACCEPTANCE, IC P p „ A35 FRAMING ANCHOR...,-_ 1 >Ir A34 FRAMING ANCHOR - A34: + �16 ib •, ,,. ' .. .�......_.. �. .. ALLOWABLE' ALLOWABLE TYPE OF DIRECTION LOAD T'IfPE OF pIRECYION LOAD .Speed ' ray �, CONNECTION OF LOAD ON' OF LOAD CONNECTION Pror)g c o Nonni MAX NORM MAX Atlded o2y for Easier sol t A�msT At O , , F, 235 290 and Faster ' � � ` � r � , tr,'. `a .� installation �� � 31a 390 E y. V``�Rrlf �f {b. F2 Ct 170 170 F O IiNE Fe . HEADER �`- HEADER JOISIT •` "^p '` e w 3 Ax _ 300 370 Ai' l C� 3bb bt5. b k 200 200 till .—s'� f9 ••R 6 !P $dj,x;a. vii - A35 a k /1 �' }�' HEADER f JOiSr 1F p. I " ',r r ;A Jois►S to plate Leg Inside F 450 450 Chimney' Framing �nQ ttuds to PIatP, ' � 4 _ Ii { HEAD.R B" Leg Outside ar 2 i, Allowabio lowir; M 100"o An"llor Q i ;•L $j1S'�A� '� i . ileama to Pasts 6N# ,i uiside and F3' Logs O Joists to 0oamg Crlitng Joists to 136601 Lao " • t Genera anility rein)f'�►JT ei n,gl,any Lis t>Mrith Jmrrl'ttipBe uses 0 L50 ;.,ta rp tSINpsOM u .+ , The curved mesal speed prah� reduces iabUr anti overail cohstrucilan cost, The S16000001 rlailihj pattbrn redua0s If of lontial for 'splittina and.allows Installation on both lidos of a member, M&115WALc 16 gducda steel FtNIsN, Onivahitod IN T LLATIONt " Use all specified Carttenors. See Geheral Note 1, {yoga 2, L76 v � ��.rSarluN IDMS w� �* , 4 1`211 1 BO ticCti tddl Sob EValUatloh 1100ort No CODE ACCEpTANc� lO � _ a x1 ALLOWAO #_-LOADS • ,,, ,DIY, � ODEL ° b ,a, a n,`;,r LENGTH P�18TENERS M NORMAX_ No, �-�- Lao . 3 a=tod � 2ta leo . 1 t.dIdY�lu�s�reidr g a o _ G Od 3 b 39q . '00 Mott F bt . k fin" L5a 5 g ad 420. 520 Js shDWn I�f Lia a r �t .�5� m 3lurrartL 7 t, t`4 , �ltrieNb a`1' x '� ' dtii iOra 11UVC y(ytak ,"; t'w �„G • `" :�"�Y`F ' •�,. ;r.�" �� i;e�yrlgfti 1�0� 51�1pSpN STHbNd�Tt� �tirApANY, Ids, '' 14 '