HomeMy WebLinkAbout065-440-010Lr
789-84B P E M
PERMIT NO.
PERMIT EXPIRES 21(Q A5
OWNER
RANDALL GERHARDT
CONTR. nwnpr
65-44-10
ASSESSOR PARCEL' -
%
LOCATION 24" Jack Pine Way,lot 183,,PP#3
Lz
OFFICE C
Address -105
GAS
Meter,B Date
T IC
ELEC
'Meter, Date
A d d r e s's,
zLf
Meter B Date
ELECT
Meter B! t e 7�4-n/
All
Temp. Power Po le
Called -Ci
OFFIC�E COP
Temp. Elec -Address
y
----------
Called
—Ioil
Met
"Y gtz—
Temp.Gas �"E'
C RIC
Met�eF y
Date.5
Called
JOB FUNAIL�D (Date).
Signature' r 0
-7
OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size-Depth-Spacing-Conneclors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-ReCils
4. Water; Local i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: /"L ft./ P'Nat. or/ L"ft./
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card- B I Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ i reme nts-Setbac ks- Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH,Test-Demand-Valve-Connector
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Te St7Crossovers- Breakers -C I eara nces
4. Elec.; Receptacles and Lighting. Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test- Regu lator-Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.: Enclosures: Conduit Entries-Terminals-Lisied
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.,' Grounding; Equip. w/5'-Circulaiing Equip. -Pool Lghig.
Boxes� Enc I osures- Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -61
Date Card -BI Date
V = OK IN,
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (SinGrIe and Duplex)
Date ui� �,Loog (plans) OK except #'s
Date FRAMING (Continued)
Z ng eq, ments-Setbacks-Ep-eKents
A -Property Line Firewqll & Openings
2e-Ftg., Main; Soils-Steel-Elec*trnd.- I Ftg. Depth
4A,.ETr-Doors-One 3' -Check Garage -3rd story, 2 exits
3_.PtT,Garage; Soils -Steel- I I J"'T" Ftg. Depth
5d,-5Tartrs; Width -Headroom -R ise-Run-Landing-F ire Protection
4. F-I'g,Porches Decks; Soils -Ste - I Ftg. epth
oo on oo ver ang- It c ents- a ter utriggers
—5. �.kfrowalls, Main; Steel-Blockouts-Wrapped-Slab
ggQWiding-Nailing-Veneer
6_-f5kriwalls, Garage; Steel -B lockouts -Wrapped -S lab
5 3. SWco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
_1_4Piers-FirepIaceFtg.-S1gAL
4SMOZlazing Area -Glass Protect i on -Sky I i ghts-P las�i��___
W.V.: F -Fit T t way C/0 -Sewer Test
55. She7ar Walls; Nailing -Bolts
G Pipe; Size n5D�t=
fp_4Water Pipe( Wtor-Service Test
11. Electric; Un(Te-rground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
Ve';C,rders-ZS*ff Fs---An-ch-or-Bolts-Joists-Vents-Cripples
Card -Bl Dat2:::7,/- F_bO:�f C.rd-B I Date
Card -B kDat Card -BI Date
§d
Card2-61 Date Card -BI Date
Card -B I DateNa F Card -BI Date
Date FaAk.,kMans) OK except #'s
Card -BI Date Card -BI Date
Date PLUMBING (Permit) _94-rexcept #'s
L��xt. Steps -Door & Sidelight Prolection-Landings
431' Smoke Detector
58. Furnace; Vent s -C I eara nce-Comb. Air -Connector-
In Garage; Above Floor-Ducts-Mech. Protection
1 -Access-Conibustion Air
1& Water Pip� Te Anchors -Nail Protection
, F;�
Fttng & Anchors -Nail Protection
-B edroom Exiting
Shower Pan; Test, First Floor -Tub Access
dQr F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub. Access 1164tXf fb�F-
/'60 ElecTrim & Subpanel; Breaker Sizes -Labels
Jd;;RsFPipe, Size & Anchors coiiU lie enzvc-�'Okv
(y 4E!!!LaiL" Rails
7QZ1rirqpIace or Stove; Clearances -Hearth
ec..Outl is at Wood Panel; Int. & Ext.
Card -BI Date 5ac-ard-BI Date
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI ate WCard-BI Date
lec. Outlets & Receptacles at Kit. Counter
Date ELE�TRICAL (Permit) OK except #'s
22--darage rire Door; Swing-Landi ng -C loser
Garage -Damper
20. Fixture & Transformer Clearance -Ins. Protection
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
IriGarage; Above Floor-Mech. Protection
?�-Iec. Receptacles Spacing -Lights & Switches at Doors
b., Elec. & Mech. Equip. Listed for Location
e Boxes & No. of Conductors -Stapled
lec . Receptacles in Garage; (G.F.I.)-Romex Protec.
mex Installed Close to Edge of Studs & G.J.
4!!!!�Equip. Ground made up w4pet7lrastenenk-Bond G'9_s & Wate��S
I n,-Aeat ion- Foam- Looked in Attic C3 Yes
-IM 22,-'�rard Rails & Deck Construct ior-Post Caps
*._2.Aj�pliance Circuits in Kitchen & Conductor Size
Z�Fdn. Vents & Crawl H I D r -Drainage & Wood -Earth Clearance
Looked under Floor SP.so
ije I I ga. 5M,,gr Al-A.C. Wire Size I I ga. Cu or At
irc. If
W. Rad C�i e) ga. Cu 6(,Ll�kven Circ. I I ga. Cu or At,
I late Neutral ',--!Yes 0
- Yes '- P
Ilowing instid.: Drive '!:TYes E) No; Walks K -Yes C1 No;
25--n
Planters E]Yes
76. Stucco; Brown -Finish
Se Lyice-Riser r-ri-t- _ rround-Main Disconnect
19 --,-Equip. Clearances; Pane I s-Molors-Mec h. Equip.
-JZ--&X!P �lisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
closet Light -Shower Light
36_,Y-ents Above Root; Plbg.-Appliance-Firepi.-Clearance to Opngs.
Card B-1 Dat ard-BI Date
c
Card B -I Date --jed d -BI Date
Car
-+9r--Wctur*eIl; Disconnect, Electrical, Plumbing
4;; �xtenor EElec. Trim; G.F.I. Receptacle -Underground
JJU,�Ventilation throughout House
J122--15-lass Protection
Date MErANICAL (Permit) OK except #*s
31. A.C..Ducts; Insulation & Support
�_i t:Fan; Exhaust above Insulation
33. Condensate Drain & Overilow; Size & Grade
- o rectiorwTr—om Previous Inspections
/e5r-f7_.L_ _
Ga§�t-Meters Tagged; Gas -Electric
Wat��& Sewer Connected -C/0 to Grade -HD Approval
Certificate -Other Certificates
-Vt�t; ccess-Comb. Air -Return Air Vent -115V outlet
A,A41ic! Access & Platform if Furnace in Attic,
Card-131-1,cf, J/ Datetg::�/�WT Card -BI Date
13 rd-�Il Date (C d -Bl Date
Card -BI Date _EarT-B_1__ - —Date
Card -BI Date Card -BI Date
Card -RI Date Card -BI Date
Date FRAMING(Plans) OK except #'s
Comments at Final:
Proeer Material & Anchors
ir-Walls; Studs -Na i ling, Spacing & Bracing -Plates -Sound
1�"Eearing Walls over Girders & Floor Nailing
Ora in qaljs 4
r -'--SCFure'j
r
i r ef t SS toopp - r 0 "�es-Tub
C, �!i I fin%__ Chas
I , -
ader & Beam---S—ize& Bearing—
Ha ers-Post Caps-Anchois-Conneclors
Ing. Joist-Rf
Ing. tr. Ties-Purlin-Aoof Brac KshI%41rQ'-Rfn
44 Fireplace Ties or T y04'X-_Fl ue- F i replace 40a
A-cc'Jss:_S_ize*'&_Romex Protect i on-Dra It Stop -Ins. Baffles
r
8r in��ov�'s —or Ex-i-t-ing'Doors-Sill Hgt. & Dimensions
Wd
I ara6ge Fire Piolection Framing
ZZ
(NOTE: An entry must be made each I i me you visit jobs ite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC W013KS
196 Memorial Way, Chico — Phone: 891-2,751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone� 872-2961, Ext. 57
CORRECTION NOTICE
E
A routine inspection indicateg 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. It you have any question. pertaining to this
matter, or need additional explanation, please contact this office immediately.
A
E��/ /1--) e
I "
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LA117
Inspector
Date—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION. NOTICE
V2 W7- y -
OWNER PERMITNO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be.corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
lnspector.� Date ---
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi I le — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
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
atter, or need additional explanation, please contact this office immediately.
1'. Ll
I
�j
4,
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
/A
Inspector Date
COUNTY OF BUTTE'
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
9 /C-
IT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
61
f2. , 11111�1 l;�
lnspector,��,^ Date
.— ) p
Owner:'
/ 176F 9/-.,
LOCATION
Permit No. N16
ENERGY C"ERT IfICAT IION
r
-w-411 11114kl, x
DESCRIPTION OF INSULATION
A..P. No.
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material AexeA �lAxs Brand Name (gr-�,q 1,4tk)1rX-el
..Thickness(inches-) Thermal Resistance(R Value)
CEILING
B
6-atit) or Blanket Type&4gCg1kSS rand Name (15-,tl.41,�Weetl
Nickness (inches), AQ" Thermal Resistance(R Value) 30
Loose Fill Type Brand Name
Minimum Thickness(Inches) Number of Bags_ Wt. per bag _.,_Ib.
Area covered(ft.2 Thermal Resistance(R Value)
FLOOR, ELEVATE
Material ? j
Thickness(inch
FLOOR, SLAB -
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name (4dA&W Ae�PV
Thermal Re8istance(R Value) 7�'9--
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
.I hereby certify that -the above insulation was installed in the above building
in conformance with.the State of Califorrila Energy, Requirements.
Z� � - OWUKK
FIRM NAME/OWNER STATE' CONTRACTOR'S LICENSE NO.
op F
14, z7k4,,� 1�2 - If9
SIGNATURE 0
,PINSTALIATION 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 hpproved by the State of California.
f?, 4 / Va4
FIRM NAME`/0WNER (P ease print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE W GMTAL CO14TRACTOR/0WVER DATE
THIS CERTIFICATE MUST BE ON FILEWITH T14E BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. '
January 1984
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4%)T E. M
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CER I F], GAT E
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-7 1 -VIES
UNL)ER,SIOIVtD'.,MANUF,A'CT-URER.;
rimarked
that the products identified -below and on attached �sheets Nos'. —a
with the Collectiv7e Mark of the AME:RI*CAN INSTITUTE OF-JIMBER-:1- TIO.N".(AITC)
and were manufa'ct6red,,ih' 6onforman6e *ith -applicable provisions of Arhe0ib NatiBMIStandard
pn:.. ,
mber,;z- and-' tihijjrjjj6�6i,,--marvu ackure, as
ANSI/AITC A190.1 -1983,, fura - I 0luedL'amiriked T -i f- 'h
Struc
ft
GFJ ,b:QREG� wh icK plant,ha( - a;q
been at Our pli6t iril-a - -SPRIN )N co�httoVsystem
approved by the Ins'p'_e'*c'tion Bureau: of the AM E A I CAWI-INISTITUTEDRI-I M-StO.I.b'ONSTRUCT ION
and inspected periodically by such Buregui
1�;Z [A
f
--com 1311 man I `%brkietft�, 0. Vigidns -.-0
-6 memW`rs` ' "" i i6s,,Wi,14��t, ',
j f a c iU;� 4 f g, t h4s rov
The �mam
Chapter 2'5 of th'-e*'.Uiiifort;b:BUildifig.C6.d.e.,.�,
ex
LLER L
JOB N'ME':`
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JOB LOCATION: -Y�'RENDINO -C
A' . ....
�43
CUSTOMER'S OR R NO.,��'- /1 1,84' 4"
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SIGNATURE COM'PA Y - P
SG�,22N
EET. 5
T LE DDRESS-
IT' QUALIY
t'fiat`-th� i6i66orrippriy ii"W&,j 'I
AITC HEREB Y -,,'CER TIFIE5' Aoiitji titepW bV.the
AMERICAN INSTITUTE,OF TIMBER. CONSTRUCTioN t6,usethe:AlTC.Q
fh
-Standard, thatthe.kad' tjUality
of products whith comply with applica�blc provi—ons of -said _e.qq6cV:.0 1
ipft,�6n%'6reau of
contrbl sysie'm in eff ect at said plant is periodically inspected and'verif.
the AMERICAN -INSTITUTE OF TIMBER`%_CQNSTRUCTtON-:1and t6it�,in!�thiitidgtne"ntof.AITC,.,:
'd' rovisibris-of -said
said company is ca'able of cF6mplying twith, applimbI6 mAn6facturing an festingp
11 p
Standard in respect of products manufactured at
sa Conformance'with, the Standgid�in respect
�,r � i - v., :
of any specific or P�articular:product is the sole res onsibility. of the man6f�CtUrdr-l--,AITCi-ti6arantee'
p
hereunder being tha 'the' -*Iified-.to,*,oduce a produc, .,,,.,.Ig;.tqi�i.4ict.,Standard
t iaidrCompany is qu.a
and that its plant is periodically, inspected and yerif iid by the A , ITC Inspe6tion,'BuIreau. 7
j
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AITC Cerhfl6ate No.. - 00
C%jrr
AMERICAW. INSTITUTE -OF TIMBER,�.QQNAPUCTION
ale
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'4 '1 1983 A�MEfUCAMIINSTITUTIE_OF WOill dON*RLICTION
AITC FORM IBCA
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC_WORKS
7 County Center Drive - Oroville, Gali-fornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P Er� NO;.2
ASSESSOR PARCEL NUMI�5R Z 0 N Lt�r.,
- �0'3-- ZA/-/0 K1,-(
BUILDING PERMIT
OWNER�� TELEPHONE
*23 Ob F?Q
SQ.FT. OCC. BUILE )N
OWNER'S MAILING ADDRESS
q -1-7 q 6-0& 1> e- 2
Pro &A—,
CONTRACTOR'S NAME
TEL2EPHONE
leao
CONTRACTOR'S MAILING ADDRESS
Fireplace i f 5L
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADORE S
Permit Fee $ -7-eo -��
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ too
perfflitr f�7� , PC. $
ARCHITECT OR ENGINEER'SAAILING ADDRESS
f
Permit fee .�a e $
BUILDING���
PLUMBING PERMIT FilingFee 10.00
��70771- j!5�7"b SACV- PIN&- W1W
Trap 2.00
-Each -
Solar Water Heater 20-00
M A 6 A It" I
Water piping --5.00
LOT NO. SUBDIVISION NAME
IK3 1 3
ARCEL MAP
1P
Each qas water. heater or vent -P - 5.00 6-
Gas piping system 1 - 5 outlets 5. 0 0 <-Clew
USE OF STRUCTURE
SF Itl"'eDuplex F] Mobi I ehome F-1 Other ' SPECIFY
Building sewer 5.00
Mobile Home T _ST_GT_W-T_ 10-00ea
11�_, TYPE OF WORK
New & Addition Remodel[:] Utilities[] Installation El Other E]
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Fi'lingFee 10.00
600V OR
Main service M P LESS
100 A OR LESS 10.00
Main service EA. ADD'L 100 AMP 2.50 2,
NEW CONST. DWELLING OC
OR ADDNS. ACC.BLDG S./ 21/20sqft 41�"Z
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
M I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e fect.
f
License No. Classification
Fl 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
t ale. (Sec. 7044)
2-_�I,as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW C0N,ST11_ MULTI -OUTLET
NO .RES D. . RANCH CIRCUITO 2.50 ea I
NEW.CONSTFL POWER APPARATUS &')
NON-RESID. SINGLE OUTLET CIR.
20@50t
Ex. Occup(OUTLETS OR FIXTURES 1BAL0300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 1 2.00
Temporary service 10.00 /0-
Mobile Home Facilities 15.00
Misc. Wiring 15.00
-
Permit Fee $
Contractor
MECHANICAL PERMIT Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
E]. 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-In1ure.
�shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee !t
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 C
'ounty ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, C�q�ts, and expenses which may in any way accrue
against said Cou ce of �he granting of this permit.
X A� Date Y441
Signature of App Owner �ontractorE] Agent F1
An OSHA permit,00 —
.is ryuired for excavations over 5'0" deep and demolition or construct-
ion of structures ver stories in height.
Mobile Home InstaJjAtIon Fee $
TOTAL f3fRMIT F�E $
OcCuP. C..111
R -a
I TYPE: .1 CONST.
ARZ�
This permit is hereby issued under the applicable provi.
sions of the Butte County Code and/or resolutions to dO
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By. Date 3 2--7 -2!f
f —
Date
PEPj!��4 E'XPI RES 7 -1-1
Receipt NO. lyJI(e
-..T.-..P.W.. YF1 -..S.1�'SOR. P11111-114SPIECT0.1, .0L...R0.-APP1ICA.T
JLO�
To: Building Department
From: ..Environmental Health
Subject: -Sanitation Clearance
lop
V_Q_ (A 6LC'IL
—�4,4 —to
Uwner.
!Location(
�AP#
'Plans approved for: 71
.,Sewage Disposal
Y—_ Water
Supply��
Hold final for;'
Water
Supply
.1inal Clearance 0-.K. for:
Water
Supplyp
Clearance for bedroom dA**
home*
Other (A C��
q42 PVA
Clearance for addition of
Note**
IT,41 Ctt
L
f-�(
Sanitarian
Date
COUNTY OF BUTTE DE PARTMENT–O!Rj� PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE -�.OROVILLE, CALIFORNIA 95965 TELEPHONE: 916/534-4541
PERMITAPPLICATION'DATA SHEET
Permit No;—
OWNER - 11oVjf 'A", A. P. No. -
Proposed Building Use
Permit Fee Based Upon: _______..Complete Contract Price DPW Valuation
Other, (Explain)
Buildiiib Inspector Date
At time ot 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 6een submitted:1 . . . . . . . .
2. Plot Olans in dup'licate/triplicate.
3.. Complete plans in duplicate/triplicate..
4. Complete engin�'ered plans and,calc's . . . . . . .
5.-* Plans with Energy Design,Compliake Statement . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
�8. -Fees of $
, tj
9. Letter of signature authorizatioln.
10. Sanitation approval from —Health Dept. -
11. Planning approval for (A)_Use: (B) Parking:
12. Certificate of Woekmen's Compensation Insurance.
—13. Contractor's License Informat-i6n (no., name style, class'if.)
- -14. OWner-Bui Ider Verification' (Given to owner[], Mai I to ownerE])
15. Improvements may be required. 1.
16. Mobilehome Installation Data.
Pre-Inspec. request to
-17 Pre -Inspection for Required'. Building Inspector JPVte)
Other A��',, —Jo -i 4-24
M17
J
W you i ssue the e mit process as follows �e Mail to contractor.
a Cl L
1�< Telephonef"73-0480' Id f* r i% Cat
.,and ho 0 P Deliver w/inspector.
Other
Applican Date
her Date
-a—pt:�
Copy of plans sent F,'�e e p _�t
During the plan checking process, the following dala must�b�e submitted -prior to permit issuance;
(For required items not checked ab"I
f application, circle item.)
Index permit for abo�e Items No .
2. Additional items.required:
(Contractor, 6es'16ner 6_w�ner �was a�dvised�,ove required data' y Telephone mail
(0� ab�
A7 -y—
Other%"
A -v
Date
Plans checked by
Plans approved b,,
Oth6r: ' J_ J
Copy—DPW
i
19
(4,
IFWO
ot ef
OL
%%tw*
400hncov
(4)
OWNER jk�41* L
A. GENLAAL I
#VO"' -Zoning requirements
luation..
Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,.,& MISC.. ONLY)
VL . Bldg. Permit A
#
A.P.' # 44CZ49%-10
(sideyards and parking).
or Architect (if'required).
B.* PLOT PLAN
ok"' Complete parcel size and dimensions.
Setbai--k.5, sideyards, easements, etc.
3o." ther buildings� or s I tructures..
4.� Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with d,.imensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per State law).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210�8).
#00' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical eauj=Pnt-,
Location of water hea e eating & cooling equipment, other electrical or gas
quipment� an7 plumbiFg fixtures.
Garage firewall, door size, and closer (Sec.. 503(d)(4)).
3'0" exterior exit door (Sec. 3303d).
Fireplace location.
S Su
moke detectors (Sec. 1413).',
D. STERCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
��levations and wall construction details complete enough to construct building.
e_toof construction details complete enough to construct building.
;-.--"Fireplace construction details and calcs if over one-story in height.
kl'�Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
ir CX plywood on exposed locations and overhangs.-
�Stairway details (Sec. 3305).
0.01
3*0'oGuardrail details (Sec. 1716).
4,.-*' Brick or stone veneer (Chapter 30).
50SXxterior plaster - weep screeds (Sec. 4706 & 4708).
oper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
§oeoe, Ga'rage door or porch header sizes.
;0.00, Adequate bracing.
1.601" Living area over garage - complete 1 -hour separation
_,,-Valls and posts, etc. %
1-r. Two (2) exits on three-story dwellings (Sec. 3302).
required including supporting
83'_�3
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGM. r
FOR'RESIDENTIAL DEVELOPMENT
)b
Sect 'J14TTF COUNTY- (-;A!.,:
ion 26-8.1of the Butte County Code requires this acknowledgement .07Q_1Zf.-)
0-A -IF
1, ft - P� T r!"
e recorded prior to issuance of a building permit. ow:
PA N
MAR 1? 2 26
The property described herein is adjacent to land or included
within an area zoned for agricultural'purposes, and residents of ELFAtifl�m
this property may be subject to' inconveniences or discomfort arising
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
.but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows: . W
/8 3, )'ghavn or 0-i eu �aL 2�-Z lu,-
tkA?
Az). t 6, 0-
Ataz,�,� Or
. 26e<
tr 4)1 -17 IA2
tkU_^_6_ ad
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th 6�� t
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deed
4 N117 0.
423 4-1
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AV CPZ,�t,
0 "a e
PROPERTY OWNERS:
State of Cc -it �n�- On this the _;�� day of 19 y:,
SS. before me, the undersigned Notary Public, personally
appeared I
County of -�� 6 ,_rkcr-dT-
C�_ G -7, k� T,
A AL A, A A A &--A
..... OPFICIAL SEAL
CATHY LOWELL
NOTARY PUBLIC -CALIFORNIA
P=! Office in BUTTE County
PAY ission Expires July 9, 1984
known to me to be the person(s) whose name(s) C-,XF_
subscribed to the within instrument and acknowledged
that �r�__ executed the'same�for the purposes
therein 4ontained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
ary Public
Present A.P. NO., - 4�ZL _44-16?
RESI�DE;IAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
lowner "7 Ze'.
Z/ Climate'Zoine Peimit No. 799,
Floor Area
I patfi- 'Package- 0 A 11 B 11 C oint System 0 Budget Oother
,,Compliance
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED JTEMS (1) INSULATION:
Roof/Ceiling CZ-3to &LW MAW--ff
Wall ft of
Slab Floor Perimeter
Raised Floor SLAG
.(2) INFILTRATION:
(A) A vapor.barrier is required in climate zones, 1, 14 & 16.
Jr (B) All Mianufactured 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 weatherstripppd.
Tight - the above standard features plus:
(D) Continuous infiltration barrier
(E) Electrical outlet plate gasket
13 (F) Air-to-air heat exchanger
(3) GLAZING.;
(A) Location
Area G azing %Floor Area Single Double Triple
Total Bldg. )e
North
East 3L (P7 2-00
South 4r, (a 7 1, Ir
West
13 Skylights
(B) Shading.
Shading
Coefficient Description
East V%lb Ot
South
-West
Skylights
(C) South.overhang
Length of projection ft., Description
(D) Moveable insulation: Area ft Description
(E) Thermal mass
.13 Type- Area Ft.2 HC=- R=
MC= Location
Type. Area Ft.Z HC=- R=
MC=- Location
Type: Area Ft.2 HC=- R=
MC= Location
Type' Area Ft.Z HC= R=
13
MC= Location M1 ITT; nal IhITY
13 Type Area R=
MC= Location 111ANNS DEPARTKAFNI,
Type,. Area Ft./- HC= fR=
MC= Location,
7/83
FORM I
(4)'MASONRY AND FACTORY -BUILT FIREPIACES'shall be equipped with tight,
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air 'intake equipoed with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the bui,lding; and a tight,fitting flue damper with a
readily accessible.-contro.l.
*1(5)
HEATING, VENTIIATING. AIR CONDITIONING SYSTEM
A '-Heating
)''.
Centrai Gas Furnace %
(brand and model number). SE
Btu/hr
-(heating capacity)
13
Heat Pump.
(brand and model number) ACOP
B'tu/hr
capacity
(heating a� 47-F)
13
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)
(B) Cooling
13
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at
13
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95'F)
13
other
(describe)
13
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
;13
(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-fired
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 inio"nomwM to
the provisions of Section 1005 of the UMC, di.Cion.
BUILDING DEPARTMENT
7/83
2
APPROVED
JV
2/7
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:1W 0
WK Sr
.1k
Heating: Winter design temperature elevation 41000 .', heating load BTU
elevation factor x heating load = maximum outlet canac#.y,,WdEurnace
BTU -USE ONLY AS _ lulut, - .
Q. P MAY BE INADEQUATC-
0
Cooling: -Summer design temperature lit , cooling load BTU
*2 Submit T.I.P.S.E. chart or'other approved system (form #5) to docum 'r'V
solar panels.
DEPARTMSW
DESIGN COMPLIANCE STATEMENT: The above building design meets t e equirements of
Title 24, Part 2, Chapter 2-53 of the California'Administration Co
-7 (OPROVED
7/83
IGNER OR APPLICANT
-T/7
FORK I
(6)
DOMESTIC WATER SYSTEM
00ke
(A) Gas Only Gallons
(brand and model number) (tank sli.ze"
C3
Heat Pump w/ElectricBackup
(brand and model number)
Gallons
(tank size)
2
13
Active Solar
(collector brand and model number)
(rated y -intercept)- (ra ted slope) (solar fraction)
ft 2
"(ba7ckup heater type, brand and model number) _�c_ollector area)
(collectorlorientation)' (collector tilt)
C3
Location of Solar Panels
13
other
(Describe)
24
'(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 INSUIATION. 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 cer�ified to the Energy Commission.
(7)
LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall'have an efficacy of not less than 25 lumens per
watt (usually florescent).
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:1W 0
WK Sr
.1k
Heating: Winter design temperature elevation 41000 .', heating load BTU
elevation factor x heating load = maximum outlet canac#.y,,WdEurnace
BTU -USE ONLY AS _ lulut, - .
Q. P MAY BE INADEQUATC-
0
Cooling: -Summer design temperature lit , cooling load BTU
*2 Submit T.I.P.S.E. chart or'other approved system (form #5) to docum 'r'V
solar panels.
DEPARTMSW
DESIGN COMPLIANCE STATEMENT: The above building design meets t e equirements of
Title 24, Part 2, Chapter 2-53 of the California'Administration Co
-7 (OPROVED
7/83
IGNER OR APPLICANT
-T/7