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065-450-012
r. t Poo65-45-12 Jo L Barnes, Jr. • 70 Spa Way, lot 195, PP#3,.Maga1'a Permit ,5 garage ' hobby room) 6 5-4 -91.2 Permi�t##1-�.6-, —8.1B (1st renewal/2058 y. 79)rage &hobby room bS '450-012 04;0389 t,. Q i `sBLOOD, DAVID:.;Y �:6309'SPAR' WAY' MAGA" Cont: DAVID'BLOOD a :. — '� *' k£ 'GARAGE CONVERSION � '' �"k r y._ 7:�L .r'.,h'. r..' ,r i �.�!•� �<;Txr �s�y,.F � mss. �:� ... rr, `!. r I P v ` i f 1 I*k^ T NO. > , E PERMIT EXPIRES t N. ) John L. 'Barnes Jr. ) owner ION (A.P. 65-45-12 ) 70 Spar Way, lot 195;`PP#3, M.Wlia, Y Temp. Power Pole Called PG&E _ Temp. Elec. Sery Called PG&�E� Temp. GasdS rv. _ Called PG&E _ it I I ( r t} ; (NALED Its l Y( (Date) • (Signatur ) d"/ scralcn Heatino Service Jollrio, Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent ly 107 Door Closer rr t- Final Final W MOBILEHOME UTILITIES ------- ----- Elec. Service Elec. Pede al Water Piping Sewer Gas Piping 1"1101 ALLA I PVIM - - - - - - - - - - - - - support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0i e64�01 4ff,40�4 �Wz te r° U& zee ©,C: %D &W>�. C y y (NOTE: An entry must be made on this form each time you visit the job site.) , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING/ -).BUILDING (Cont'd) PLUMBING Setback. ` Z.% f7r Forms 5_- A /- % Firewall 31"W— Parapets Soil Pipin 1st Floor ZZ Main Bldg. Restroom Finish--- 2nd Floor Footings - 2/ 7 Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin4 4 Water Piping /� 1�) 4 Piers Roofing 3 r t� Sewer Garage Fdn. Vents Fixtures Footings Stemwall 'ZI" Garage Vents t Insulation ttr r Water Htr: Heaters 3 Iti - Slab Carport Po Footings Prov. for physically handica e. -- Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final fit ( L Footings Footina ELECTRICAL Masonry Walls Throat Rou h I i l 1fri, 7� Reinf. Steel Final Fixtures Bond Beam FIB& SPRINKLERS Motors Framing Test Water Htr. it t/ 't Stucco Final Subpanels r / U Mesh MECHANICAL Grd. Fault Protl ,t G•l -m scralcn Heatino Service Jollrio, Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent ly 107 Door Closer rr t- Final Final W MOBILEHOME UTILITIES ------- ----- Elec. Service Elec. Pede al Water Piping Sewer Gas Piping 1"1101 ALLA I PVIM - - - - - - - - - - - - - support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0i e64�01 4ff,40�4 �Wz te r° U& zee ©,C: %D &W>�. C y y (NOTE: An entry must be made on this form each time you visit the job site.) , 4 Z February 17, •1981 To Whom it may Concern: Re m Insull.ation installed a P.P. 3, Lot 195, (70 Spar Way, Magali.a, CA.) I certify that instillation installed in building being constructed at 70Spar Way is as follows:. 1. All outside and inside walls surounding the hobbie room and bathroom are insullated with R-11 _.fiberglass instillation. 2. The ceilings of these same.rooms are.insullated with R-19 ..fiberglass insullation. 3. All windows are double pane. .r Signed Gam' John Barnes owner { COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 H CORRECTION' NOTICE BUILDirfdOR PROPERTY ADDRESS 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. RM A a 2 NALV Inspector Date C; L • —msµ^ y COUNTY OF ¢UTTE - DEPARTMENT OF PUBLIC WOR/-45 T MIT NO. 7 County Center Drive - Or6ville, California 95965 - Telephone 916/534 APPLICATION AND PERMIT f , . ASSE ;OR PARCEL NUMBER S•- z ZONING i BUILDING.PER ' IT QRS � T LEPHONE _ SQ. FT. OCC,, BUILDING VALUATION OWNER'S MAILING -ADDRESS DRESS oo ♦ A (^ _ CONTRACTOR'S NAME- TT .�LSU� ELEPHONE - -' CO NTRACTO MAILING ADDRESS Fireplace CONSTRUCTION LENDER- •' .UNKNOWN �" Total Valuation $' - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _ Permit Fee II`/U $` ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ AR CHITEC OR ENGINEER'S MAILING ADDRESS Permit fee $ -- BUILDING ADDRESS w PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtherQdJ14-r &Tf� SPECIFY Building sewer. Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal,lation❑ Other Describe work: ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LESS Main service 1 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.01 OR ADDNS. ACC. BLDGS. / 2� sq ft _ CONTRACTORS LICENSE LAW ` I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec„�7044) ❑ I, as the owner, am exclusively contracting' with licensed contract- ors. (Sec. 7044) ❑ I 'am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR I.Ou LET NON .RESID BRANCH CIRC ITS 2,50 ea r NEW C.ONSTR./ POWER APPARATUS .& NON.RESID. `SINGLE OUTLET CIR. / Ex. OCCup OUTLETS OR FIXTURES 50@250 BAL@1 EX. Occup.OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring- 7.50 ' ' Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE . I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance'or a Certificate of Consent to Self -Insure. XI shall not employ any person in any manner so as to become subject , to the W. C. laws of California. Notice.to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation c 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 all liabilities, judgments co % and expenses which may in any way accrue against -said ount con nce of the granting of this permit. X Date Signature of Applicant— Owner ❑ Contractor ❑ Agent An OSHA permit -is required for excavations over 5'0" deep an demolition or construct' ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL -0 ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees T F P DIRECUBLIC PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date '3 'Z—/By Receipt No. �� p . WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . - -COUNTY OF BUTTE — DEPM MENT OF PUBLIC WORKS 7 County Center Drive =. (Droville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner J o kn L, 13. )( Mailing Address /) 2 1FJ,r1V sawn? C—(2142 CI+J-; , x X Mailing Address T Building Address 76) CoA JI.Telephone No. �Svl�61 fW 8)x¢38 867 RL4i " tn.B Telephone No. -9 73 ®2 5 i 5'Gi.S"4% A. P. N0. (' `j 15'— 2o ing & tanning F Sa i Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovem nts Plans Declaration P P Bldg. Pons Recd Parcel Aeeloval Plans Aproval NEW t9 ADDITION ❑ UTILITIES ❑ OTHER ED Single Family ❑ Duplex ❑ Mobil Home ❑ Others CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ BUILDING SQ. FT. I OCC. I BUILDING VALU TION X Fireplace Total Valuation a No. @ r Permit Fee PERMIT FILING FEE $3.00 -• Plan Checking Fee &/or Penalty Main service 6111 OR LESS 100 AMP OR LESS Permit Fee Main service PLUMBING No. @ FEE PERMIT FILING FEE $3.00 25.00 Each Trap 1.50 EA. ADD'L 100 AMP Repair drainage or vent piping 1.50 NEW OR ADDNST ( Water piping 1.50 Each gas water heater or vent 1.50 2.50ea Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL No. @ r FEE PERMIT FILING FEE $3.00 -• i(1C Main service 6111 OR LESS 100 AMP OR LESS S.00 Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLB LSJ�UP 4) 20sgft NEW CONSTR.( NON.RESID. .OUTL T ( BRANCH CIRCUITS) 2.50ea NON.RESID. ISINGLE OUTLET CIR. Ex. OCcuv(OUTLETS OR FIXTIIRE Ex. Occup ( FIXED APPLNS. OR OUTLETS (RESID.) EP Temporary service Mobile Home Facilities Misc. Wiring License No. Classification r LI am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the'California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I certif that in the erformance of the work f wh' h th' 2.00 10.00 15.00 6.25 $3.00 Y p or Ic Is Ventilation RQ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 2.00 California. Permit Fee $ $ 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. Dated 7-7 Signature of Permitee or Agent�j ceipt No. I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ 37 VC) 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. -'� DIREC F PUBLIC WORKS BY Date �//ildinq permit expires Date �— 3 0 ",JCb Layman & Son Construction ljc.1 713984 14745 Nimshe v Rd. -Magalia-Ca-95954 - -(530)-873-4-389. November 30, 2003 . J 'COUNTY -OF BUTTE -BUILDING DIVISION 7 County Center Drive ' -Oroville; California -95965 .(530) 538-7541 Re: Blood Residence :Remodel -Conversion, Work -Description. This letter is it description of work to be performed at 6309 Spar Way Magalia, California 95954, APN # 065-450-012-000, Zoning RT -1, Tract: PP3 Lot 195. 'Buildin$ requesting -authorization -for conversion -is an, existing • 22' -x 4T-1.1" Studio and a 22' x 22' 1" attached garage/laundry roam: Existing studio to remain as is. Aetached garage to -be converted into two bedrooms, -hail entry, and laundry area (all plumbing existing). Existing garage door to be filled- in as per frame e• plan with a 4'x 4' egress window in each bedroom, 44" max sill height; existing header to remain as is. Interior -nonbearing walls to be installed -per frame plan and covered with '1/Z" drywall on walls and 5/8" on ceiling. Water supplied by Del Oro water of Magalia, existing septic to 'remain as is. Area -to be converted is 486.2 sq.' of conditioned area. Please see,permit # 169-81B .for more inbrmation on existing structure completed on 3-11-1981. Please see attached plans, energy calcs, and-Environmernat-Heahh Department -approval. If any further questions please contact Gary D. Layman (Layman & Son Construction) (530) 873-1389 or (530) 520-0169, or contact David Mcm Blood at (530) 873-9014. 4vgeoe Sincerely, ' 'Gary D. Laynian Layman & Son Construction (Owner) 5J_3S'gl-q6 Id WdbE:60 000E LI 'adbON Xd_d T �r . � W021d pan, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP040389 LICENSED CONTRACTORS 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 Issued Date' 04/09/2004 APN' 065-450-012-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 6309 SPAR WAY MAG Date: Contractor. Map Index: Description: convert garage to living ((484 SQ. FT.) 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BLOOD DAVID E & JANIE H to its issuance, also requires the applicant for such permit to file a 6299 SPAR WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95954-9318 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 Code: The Contractors' State License Law does not apply to an Applicant: BLOOD DAVID E &JANIE H pp owner of property who builds or improves thereon, and who does 6299 SPAR WAY such work himself or herself or through his or her own employees, MAGALIA, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95954-9318 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 I not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 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 Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 W I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, el # "! 'l c' and agree that if I should become subject to the workers' compensation of Section 3700 the Labor Code, I e p+ provisions of shall �B`°et / forthwith comply with those provisions. ,�/'y1Di/✓i7 Date: O �CJC°EI Pt 3 r'1�6�, 5W ii Applicant: �► /� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one -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 hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ResoI do work indicateV above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: d Name: Date: Address: PERMIT EXPIRES ON: Iq O Date ❑ I 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. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substancey official form or document of. Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos S. Print Name::111 U �' oo J J Signature: (�iji Date: ��_%()� i y ` XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 1 c BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING !PERMIT APPLICATION v 24 HOUR INSPECTION #: (530) 538-7636 (OROVILL 530) 891-2834 (CHICO) OFFICE #: (530) 538-7 PERMIT NO. DATE: APN: ZONING _.I NEAREST DROSSSTREET: , TRACT/LOT#: SITE ADDRESS: (030 3S-78 8`Z C&59 Ll G VWNER NA :PHONE: -� oo 530-873-201qSTREET ADDRESS: FAX: CITY, ZIP: EIL: 2S 2 2z `` O ! a APPLICANT NA _ o ©cQ PHONE: 3— crOIU STREET ADDRESS: S C. FAX CITY, ZIP: �� E-MAIL: CONTRACTOR NA PHONE: STREET ADDRESS: FAX. CITY, ZIP: E -MAIL - LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: C � 0- . 1389 STREET ADDRESS: CITY, ZIP: fyla!�a LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ® Proposed Change of Occupancy (note previous use) ,r, Or W >_.0 , rZq *0 3 ®-ems , EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be 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. For office use only: r Notes: 6 V �� a 1 Cl r V Application Received by: Date: Receipt number: � � ` , Amount Received: B. C. Building Permit 01-23-04 pg 2 IA- E.H. USE ONLY -� 'riot Man Attechod Real Man A nact Sona 8:D^ . la �b -o3 TO: Building Department �rn W/ wee, KG FROM: Environmental Health SUBJECT: Sanitation Clearance ��Ovc� 3D9 S vU �5- 45b—G�z Owner loca.tionAP#" Plan Approved for: Sewage Disposal. >"-' Water Supply: Public X Private Well Clearance for •dwefliny: Other -� Hold final for: Final clearance O.K.* for: NOTE: 176 'It -III /%i/YCs- //JS� td G,d✓n /S/la/J or�Y ��d-c orJ 5 G /.3o c✓/ /N l Sf/-�S /L -/D ` Environmental Health Specialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ` rY 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: '16 `-) v _ASSE 9 R PARCEL NUMBER G US. � • /� Proposed Building Use: Y ) d I L-1�1 0 1 jr Counter Technician: Date: v Items required in order to apply for a permit. All bo -6 MUST be checked OR marked NA in orde f to .apply. .- / _ 1. Site plans, 3 or 4 sets, signed by the prepaFedof the plans.. �7 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 faxes! ❑ 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."r ❑ 8. Manufactured. homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down 9&0 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings 0 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form .-K 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. r -e 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 41 20. 21. Erosion Control Plan Required........................................................................ ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ ❑ 23. 24. California Department of Forestry plan approval ❑ paid. Sent by: ............. Planning approval (A) Use: Q+'_ (B)Parking: (C) Parcel Check: 2 -2.b -d y ❑ 25. Contact Land Development about _+Improvements, -Drainage ......................... ❑ 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept .... :...................... _ ❑ 28. Pre -Inspection for required....... _ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... "` ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... / _ ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... _ ❑ 36. Deed Restriction......................................................................................... _ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, CYLetter from Legal Owner, ❑'Check to H.C.D. $ ❑ 38. Other: 09 _ El39. Other: _ When issued Telephone t and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �Q 161 o C�Q Date: u 0 1. Index permit application for the above items numbered: Plan Check L tter 1 2. Additional items required 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 Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewey' Date: Structural approved by: Date: � Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING. DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES d ��•� OWNER 66 A.P. #�- PROP OSED BUILDING USE 1! 6 LV, DATE �' G RECEIPT # DATE REC. 1. BUILDING PERMI ES ---Balance Due ..................... $ 8- /Yvct--01�, --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ I 2. SCHOOL DISTRICT FEES T�`LISP/j? (paid at School District Office) (form available after Plan CheckptVn'C3 --A 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... ' X $0.03 = $ Sq.Ftg. i 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... . X = $ Sq. Ftg. Amt. 10. 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 uring the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your 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. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ► a ra (! t5 !` In � � tp' A -S P hr, () L Z i s 4- , Building Department No. A.P. Number L/S0 '0/ ] Jurisdiction: City ©County Property Owner TCi l/1 / i' n () r I Property Location/Address Subdivision r Lot No. Residential Development /� Q 0' Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ..................................................................................................... . Deed Restricted Sq. Footage (Attach a_signed,copy.of.,Deed Restriction and Notice.of,Umited,Use.Fecility,document) Commercial/Industrial Q Q New Addition Building Department Representative Sq. Footage Date District Identscation No. t / J J6 r chool District certifies that (Applicant) (Street Address) _ (Phone Number) (City) U (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. r i School District Representative Paid by Check # -' Remarks: by payment of $ 2926 S FULL MRIGATMN = Date (Including Exterior Roofed Areas) Notle : You may protest the Imposition of the fess IdenUHed above by submitting a wAttsn protest to the District, In compliance wlth Government Code Section 66020(a), wfthln 90 days from the data fees are paid. Failure to submit a timely written protest wlll'prohfblt you hom challenging the Imposition of the hes In any court adkwL K, subsegment to the School District Representative signing this Butte County Schools Impact Fee CertI atlon Form, to School District le rhotlled by the applicable Local Planning Agency that this project le being rwlewsd under the California Environmental Quality Amt (CEQAh this project may be subod to additional school hes to hdiy mlegste Ms Impact on the school dlatrlers schools. White (applicant), Yellow (building department), Pink (school district) feefomm-As (10/03)dmm O.B.-1 . OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES M. NO ❑ I HAVE J1 HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with -the following person (firm) to provide the proposed construction: NAME: ,ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, upervise, and provide the major work: AME: ADDRESS: CITY: PHONE: CONTRACT'OR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS - PHONE TYPE OF WORK L NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda Thu verification must be completed and returned to our office before we are permitted to issue the permit OVER OUR. - I I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as `owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work Cmcluding materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tat withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner guilder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. reIY, Mic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. Yhis Owner-BuUderinformadon is required by Section 19830 of the California Health and Safely Code OVER NOTES Y` RESIDE OIAL ' I �� z PERMIT NO. 0_65-450-012�,���—. �_� 04-, 389 __ _ ,. -,,... . - -- 1 BLOOD, DAVID • r Av `ti, ` 6309 SPAR.WAY, MAGALIA - - r Cont: DAVID BLOOD GARAGE: CONVERSION l Y } SPECIAL CONDITIONS.., CHECKED BY SRA FLOOD CERTIFICATE REQ. E FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS 'r VERIFY r USE PERMIT CONDITIONS ' SUB -STANDARD HOUSING LETTER 0 ` ,;' JOB FINALED (Dat �- Signature > '� Gam. 4 O 0 = Not OK NolApplic. = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1- Date Card B-1 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch 2. Footings; Size -Spacing -Marriage Line 3. Sewer; Location -Test -Fall -C/O -Concrete 8. 4. Water; Location -Test -Easement Needed (Sketch) 5. Drain; MH Test -Fall -Flex Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6.' Gas; Location -Test -Wrap;-/ /" L'ft. / /' Nat. or / /" L "ft./ P LPG 8. Gas and Electricity Tagged 7. Well Clearance & Disconnect Date 8. Utility Clearance 11.- Cert. of Occupancy Date Card B-1. Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Date Card B-1 Date Card B-1 Date Card B-1- Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements , 6. 2. Footings; Size -Spacing -Marriage Line 7. 3. Gas; MH Test -Demand -Valve -Connector 8. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9. 5. Drain; MH Test -Fall -Flex Connector 10. 6. Water; MH Test -Regulator -Connector .. 11. 7. Water and Sewer Connected -C/O to Grade -HD Approval 11. 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11.- Cert. of Occupancy Date Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. - Water; MH Test 7. Water and Sewer Connected 8. -Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1- Date Card B-1 V Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elect; Enclosures; Conduit Entries -Terminals -Listed 7. Elect; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3, Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10.: Roof; Shthg-Roofing , 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elect; Enclosures; Conduit Entries -Terminals -Listed 7. Elect; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotOK Applicable ' =Not Applicable RESIDENTIAL . = Not Ready - Date UNDERFLOOR (Plans) OK except #'s Card B-1 'Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth PLUMBING (Permit) OK except #'s 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 17. Water Htc; Vent -Access -Combustion Air Baffle _ ti 4. Ftg., Porches & Decks; Soils -Steel-/ /° Ftg. Depth 18. Water Pipe; Test & Anchor -Nail Protection 5. Stemwalls, Main-, Steel- Bloc kouts-Wrapped r19. D.W.V.; Test Fittings & Anchor -Nail Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 20. Shower Pan; Test, First Floor -Tub Access 6a. Hold Downs and Special Anchors 21. Test Tub & Shower, Second Floor -Tub Access 7. Slab, Steel -Wrapped 22. Gas Pipe; Sixe & Anchors 8. Piers -Fireplace Ftg.-Steel 23. Fire Sprinkler; Test . 9. D.W.V.; Fall -Fitting -Test -2 Way C/O-Seyier Test 0 10. UF, Gas Pipe; Size Anchors -Yard Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground ELECTRICAL (Permit) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. t24 i ure & Transformer Clearance -Ins. Protection 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies ec. Receptacles Spacing -Lights & Switches at Doors 9K Size Boxes & No. of Conductors Stapled 15. Access & Ventilation 27. Romex Installed Close. to Edge of Studs & C.J. 16. Insulation (Single & Duplex) - • 41- Date 1- I T. Date FRAMING (Continued) ' 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors=Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer. = 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts - 61. Brace Interior/Exterior Wall Panels � - -'+••t 6 ulation-W�'ii i s� 63. Infiltration -Walls -Windows Date Card B-1' t Date Card B-1 Date Card B-1 x Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ex eps-Door & Sidelight Protection -Landings 45r'Smoke Detector 1 ` . 66. Furnace V nts-clearance-Comb; Air -Connector - I aqe; Above Floor-Ducts-Mech. Protection 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpenel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood..Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. O tlets & Receptacles at Kit. Counter 75. Garfitfe Fire Door; Swing -Landing -Closure C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connec P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protq5Ajon I 91. Cor ions from PreviousjAslp-ections 9@ -'Gas Tqst-Meters Turfed, Gas -Electric 93. W r Sewer Connected -C/O to Grade -HD Approval 9- gy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date _, Card B-1 Date Card B-1 Date _ rd-' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 'Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htc; Vent -Access -Combustion Air Baffle _ ti 18. Water Pipe; Test & Anchor -Nail Protection r19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s t24 i ure & Transformer Clearance -Ins. Protection (^ ec. Receptacles Spacing -Lights & Switches at Doors 9K Size Boxes & No. of Conductors Stapled 27. Romex Installed Close. to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3,0A.C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 3.. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -,Chasers -Tubs 46. Headers & Beams -Size & Bearing I T. Date FRAMING (Continued) ' 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors=Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer. = 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts - 61. Brace Interior/Exterior Wall Panels � - -'+••t 6 ulation-W�'ii i s� 63. Infiltration -Walls -Windows Date Card B-1' t Date Card B-1 Date Card B-1 x Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ex eps-Door & Sidelight Protection -Landings 45r'Smoke Detector 1 ` . 66. Furnace V nts-clearance-Comb; Air -Connector - I aqe; Above Floor-Ducts-Mech. Protection 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpenel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood..Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. O tlets & Receptacles at Kit. Counter 75. Garfitfe Fire Door; Swing -Landing -Closure C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connec P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protq5Ajon I 91. Cor ions from PreviousjAslp-ections 9@ -'Gas Tqst-Meters Turfed, Gas -Electric 93. W r Sewer Connected -C/O to Grade -HD Approval 9- gy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date _, Card B-1 Date Card B-1 Date _ rd-' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate n _ .0 A. BUILDING PMMT RrTTT DING OWNER: BUILDING LOCATION: Description of Installation ROOF ` Sraran3 ame � Material = C� Thermal Resistance (R -Value) — Thickness (inches) CEILING Batt or Blanket Type 'r'Brand Name Thickness (inches) ThermalResistance_(R-Value) Loose Fill Type Brand Name inches Contractor's minimuinstalled weighWft lb Minimum thickness m Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material —►J �i tJ i� Brand Name - Thickness (inches) �Z- l� Thermal Resistance (R Valu . RAISED FLOOR Material Thickness (inches) Brand Name Thermal Resistance (R -Value) SLAB FLOOR Material y� c�--��� Brand Name Thermal Resistance (R -Value) Thickness (inches) Width (inches) FOUNDATION WALL Material Brand Name � -- .anal Resistance (R -Value) Thickness (inches). - Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Cali rnia Administrative Code. �eneralContractor (Builder) License Number Sub -Contractor (Insulation InstaUer) Signature and Title License Number Date THIS CERTIFICATE Ml1ST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTE JAWITHIY THE BUILDING.