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HomeMy WebLinkAbout065-530-005Ric/ard R. Terrano Jr. W/S North,Lake Rd., app.l--') i:S.0 .(0outolenc Rd., Magalia P rmit #1629 78B,P,E;M(new single f�ily) 1 w J"CIE _CABARRU Ol. UU C IE B 15204 North -Lake Rd., Magalia.} P ermit#2948-81B ( type, r ontr: Luke Beuselinck Permit#2903-83B,P,E,M(addition/SF) Permit#49-84A(A ricultural Bldg Exempt Permit) firewood stg, too s, etc . 0657530 005otrtPERN1IT 6 #90818; VILL'ACARA,,';Rick„�� 15204` Nortlilake,� Ma ali _Cont-�Jeffords Electric�i;, _aTransfer.FS' ,tch A or°�Generator/SF 065,-530'005. :� 05-31'89 'SHADWEL;L, MARGARET 15204'NORTHLAKE RD; MAGAUA ., ' - Cont: GREENS & SON ROOF ING',,,t RE ROOF I - - t F a 0 0 � r y 1 4 � a 0 0 � r y 1 LM T LAMD � CV02, 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. 5P053189 PERMITS BECOME NULL AND VOID.1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 12/05/2005 APN: 065-530-005-000 the Business and Professions Code, and my license is in full force and eHect.%� ,75P-,5 License Class : L - License Number: Site Address: 15204 NORTHLAKE RD MAG ,- Dale: 22-311LIfContractor: 21iP Map Index: . DeSCFIptIOn: f8 roof, 34 squares 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: SHADWELL MARGARET permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 15204 NORTHLAKE RD 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 95954-9734 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: GREENE & SON ROOFING Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 2467 provided that such improvements are not intended or offered for PARADISE, CA 95967-2467 sale. If however, the building or improvements are sold within one 530-873-3940 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: GREENE & SON ROOFING not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). PO BOX 2467 O PARADISE, CA 95967-2467 I am Exempt under Article 3 of the Business and Professions Code 530-873-3940 Date: Owner: License #: 275057 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. 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 and policy number are: �uti'ct Carrier:�y1���Q Total Square Ft: 0 S. F. Policy #: / �c'�} Valuation: $0.00 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' I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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' hereby iss du er thea licable ovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutio to do wor ndic ted above f r whi fees have been paid. �� �'- performance permit Bv: Date: Name: - �y r—� —y Address: PERMIT EXP RES ON: Date ❑ 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 state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives/of Butte County to enter upon the above mentioned property for inspection purposes. z •t e Print Name: -L Yq .,V Signature: Date: 0 -owner /contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" PERMIT NO. BP 05-3 BIN tt APPLICANT SIGNATURE X 2��a4 Z4_L�� I For office use only: CONTRACTOR Name Q Address Q ` 2 b City CL,`5 2. Stat S J% Phone 3� Fax E-mail Planner ucZ,�n� C0s� APPLICANT SIGNATURE X 2��a4 Z4_L�� I For office use only: ARCHITECT/ENGINEER Name I Flood Zone Address SRA City State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X 2��a4 Z4_L�� I For office use only: APPLICANT NAME Name I Flood Zone Address SRA city City I No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X 2��a4 Z4_L�� I For office use only: Zoning I Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LENDING AGENCY Name Address Description or Sc pe of W k: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 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 fee will be 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. Receeiiv�eddjby�j Amount V // Receipt #: /D Date* �r 15 Bldg SRA Sheriff SMIP Other ITotal SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. 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 GRAPH PAPER! 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 KAFORMBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 •<065 530" 005k''w ,y; r' ', PERMIT06'-0818','F 15204 Northlake,kMagatlia` }4.y�r 'Cont T'effbrds ET'ectric, �f,Tr`ansfer Switch fo.rF Genera or F;af a OF PCE COPY Address .� GAS r: }� Dater ti ELECTRIC , Da. Meter By , r• r, s COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI°BION 7 .County Center Drive - Oroville;" California 95965 = Telephone (916)538- 15'41,/ MPk 0. APPLICATION AND PERMIT (p S ASSESSOR PARCEL NUMBER 065-530-0()5 ZONING B ILDING PERMIT - OWNER _ VILLACARA, RICK TELEPHONE 873-6448 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15204 N RTSLAKE RD CONTRACTOR'S NAME AFFORD ELECTRIC TELEPHONE 877-5319 CONTRACTORS MAILING ADDRESS PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S KWUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 15204 NORTHLAKE MACALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SOM Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: EMERGENCY GENERATOR TRANSFER SWIM Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IDDDA ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 NEW CONST. DWELLING OCCUR SO. OR ADONs. ( a ) 3.5Q Fr. LTI-ACCUTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAL 0 .50 Ex. Occup. ( OFIXED UTLETS (RESID.)OeA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 25,00 PERMITFEE S 4 Contractor 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 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 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 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 _ 1 Signature of Applicant -,KOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 4S:00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD I HD I 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. B �,(,(�.{�n+� Date y' / �• Jlr, y PERMITEXPIRESON �- /5-97 (Date) Receipt No. gI5otj0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ION 7 .County Center Drive - Oroville, California' 95965 - Telephone (916) 538- 41 /0 �� +% �f1O• APPLICATION AND PERMIT (( (J�j 1 ASSESSOR PARCEL NUMBER 065-530-005 ZONING EdILDING PERMIT OWNER VILLACARA RICK TELEPHONE 873-6448 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 15204 IR H AKE RD CONTRACTOR'S NAME JEFFORD ELECTRIC TELEPHONE 877-5319 CONTRACTORS MAILING ADDRESS PARADISE Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 15204 NORTHLAKE MAGALIA PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF}ij[ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K3 Describe Work: FMFRGFNCY GFNERATOR TRANSFER SWITCH Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 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 NEW CONST. DWELLING OCCUR OR ) ( 8 ACC.ONST. SO. 3.5Q FT. CNS. NEW CT MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 Ex. Occup. FIXED a sE .OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00�s.00 PERMITFEE $ 45-.00 Contractor 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 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 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. f __ Date _ �.1 11 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ . 00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By �iL (r�ie'W, PERMITEXPIRESON �— ��'-9 I the applicable provisions Resolutions to do work been paid. Date 7 (Date) Receipt No. Iq5010 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OFD LOPMENTSERVICES - BUILDIN,GDDII/VISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965- TELEPHONE (916)53/8-754VtC� ` Df PERMIT APPLICATION DATA SHEET OWNER V ( t- A. P. No. &S_ Sao - 00E Proposed Building Use S. F. 116 tilFc Lr.rG �� Building Inspector Ge,196gws Date 'Y -45-6C, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets -,signed by preparer of plans . ......................... . 3. Complete plans; 3/4'sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .......... request 20. 20. Pre -inspection for required. .toBuild;n9Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......................... . 23. Owner -Builder Verification (Given to owner , Mail to'owner_)............ 24. Recorded copy of Agricultural Acknowledgement Statemeht. .................. 25. Letter of signature authorization . .................. t ..................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed J and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... .� 33 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation IN1949 Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle,new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works '`•�. O.B.-1 ......:........... Mflw� Y Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ` 1. I personally plan to provide the major labor and `materials for construction of the proposed property improvement: YES [4 NO[ ]. 2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the followine person (firm) to' nrovide the nrnnnv-.d construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'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 SIGNED: PROPERTY OWNER-(L�L SOCIAL SECURITY NUMBER: DATE: 'i `( r� q � NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 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 (including 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 tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 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. 0 For more specific information about your obligations under Federal Law, contract the Internal 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 "ownerbuildet" 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 Builder 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. Sin rel ; Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER f-`•• PERMIT NO. 2948-81B PERMIT EXPIRES 8/5/82 OWNER JACKIE CABBARRUS CONTR. owner ASSESSOR PARCEL 9R -4R-5 LOCATION 15204 N Lake Rd, Maaal� is x i J i 1 Temp. Power Pole Called PG&E _ Temp. Elec. Se vice Called PSG/J&E Temp. Gas Service Calle PG&E JOB /NALED (Date) v �v Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLM4EOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date , _ DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings Size—Depth—Spacing—Connectors 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:/ /"L"ft./ /"Nat.or/ • /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except k's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to.Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. 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 -B1 Date Card -BI Date r a V = OK O = Not OK = Not Applicable RESIDENTIA�LlSingle and Duplex) � Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. epth 49. Ext. Doors -One 3' -Check Garage -3rd story, exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run- Land in Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg Depth 51. Plywood on Roof Overhang -Attic Vents -R fter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-S b 53. Stucco Mesh -Drip Screed-Fdn. Vents -Un erflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O-Sewe Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Servic Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Sup ort -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vent -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protech n -Landings 57. Smoke Detector 14. Water Ht.; Vent-Access-Combusti n Air 58. Furnace; Vents-Clearance-Comb.4r-Connector- In Garage; Above Floor-Ducts-Mec . Protection 15. Water Pipe; Test & Anchors -Nail 4rotection 16. D.W.V.; Test-Fttngs & Anchors- ail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor- T b Access 60. G.F.I. & Bath Fixtures & Tub Acce s, 18. Test Tub & Shower, 2nd Floor- ub Access 61. Elec. Trim & Subpanel; Breaker Si es -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -He rth 64. Elec. Outlets at Wood Panel; Int. Ext. Card -BI Date Card1&I Date 65. Kit. Fixt. & Appliance; Grnd.-Ai Gap -Cooking Clearance Card -BI Date Car BI Date 66. Elec. Outlets & Receptacles at it. Counter Date ELECTRICAL Permit OK a ce t q's 67. Garage Fire Door; Swing-Landi -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer learance-Ins. Protection 69. Wtr. Htr.; Vents -Clearance-C b. Air-Connector-P.R.V.- In Garage; Above Floor-Mech Protection 21. Elec. Receptacles Spa ing-Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. L sted for Location 22. Size Boxes & No. of onductors-Stapled 71. Elec. Receptacles in Garage (G.F.I.)-Romex Protec. 23. Romex Installed Clos to Edge of Studs & C.J. 24. Equip. Ground made p w/Mech. Fasteners -Bond Gas & Water 7 Insulation 733.. Guard Rails &Deck Constr coon -Post Caps 25. 2 Appliance Circuito in Kitchen &Conductor Size _ 26. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole oor-Drainage & Wood -Earth Clearance Looked under Floor ❑ Y s 27. Range Circ. // a. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated NeutralNes El No.. 75, Following instld.: Drive ❑ Yes ❑ No; Walks E) Yes ❑ No; Planters [I Yes ❑ o 28. Service -Riser C nductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearanc s; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet fight -Shower Light 78. Vents Above Roof; PI g.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconne t, Electrical, Plumbing 80. Exterior Elec. Trim/G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throng ut House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's _4.7._,AX-Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Mete Tagged; Gas -Electric 85. Water & Sewer onnected-C/0 to Grade -HD Approval X92 -Vent Fan; Exhaust above Insulation 86. Energy Comp lance Certificate -Other Certificates ndensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI t" _�_ _Date Card -BI Date � Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's, Comments a Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Sping & Bracing -Plates -Sound _ 38. Bearing Walls over Gird s &Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred C lin s -Stairs -Chases -Tub 41. Header & Beam-Siz Bearing _ 42. 43. 44. _& Hangers -Post Cap -Anchors-Connectors Cing. Joist-Rfir. fes-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties r Type A Flue -Fireplace Throat _ 45. Attic Access;, ize &Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Oroville, Califon a 95965 - Telephone 916/534-4 _ APPLICATION AND PERMIT ASSESSOR &P�ARCUNUMBER s ZONING BUILDING PERMIT ' OWTELEPHONE 7(+ C, (+G C� A P eu SO..FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESS 0 2 f -E ' ON ACTOR'S ME T PHO CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ t 0 U1—y— Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEERS MAILING ADDRESS Permit fee $ BUILDING ADDRESS �f M PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDI VISION NAME i PARCEL MAP I Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF X Duplex❑ Mobilehome❑Other ' SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Otherg Describe work: ?1�Q� _Q_ V �T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.DI) OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 NO R BRA CH CIRCT TS 2.50 ea NEw CONSTR POWER APPARATUS \ NON-RESID. ( e SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES_ s �� FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' t said County in consequence of the granting of this permit. Xva�, . Date Sig cure of Applicant – Owner ElContractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Clo Occup. GROYP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CTOR OF PUBLIC By ��" PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WOR;X-4f Da { Receipt No. �r V-Q7k-' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 2903-83B,P,E,M t% /Q� PERMIT EXPIRES— OWNER GEORGE CABBARRUS CONTR.— Luke Beuselinck ASSESSOR PARCEL 58-48-05 LOCATION 15204.N. Lake Rd, Magalia Ali) V Q - I Temp. Power Pole— Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (D Signature J = OK . O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fal[ -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"it./ /"Nat. or/ /"L "ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's - 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in'Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test 9. Exits; Insp.-Sketch 10, Cert. of Occupancy Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r J 2 rc'l 0 = Not OK - = Not Applicable * = Not Ready , r RESIDENTIAL (Single and Duplex) Date UN FLOOR Plans OK except H's Date FRAMING (Continued) zon requirements -Setbacks -Easements 48_ PrIIpecty-L-htie Firewall & Openings 2. g., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. F ., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwatls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7 -Fi g. -Steel .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts -` 9. gas Pipe; Size -Anchors Water Pipe; Test -Anchors -Regulator -Service Test 11. Plems Underground. P enunums &Ducts; Clearance -Material -Support -Ins. 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date ate rd -BI Date All Card -8I Dat Card -BI Date Card -BI ev7pate Card -BI Date Date FINAL ns) OK except H's Card -81 to IV4p 2�5 Card -BI Date Date PLUMBING (Permit) OK except q's . Steps -Door & Sidelight Protection -Landings . Smoke Detector en s- earance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection _ 14. Water Ht.; Vent -Access -Combustion Air 15. W r Pipe; Test & Anchors -Nail Protection 1 _W.V.; Test-Fttngs & Anchors -Nail Protection _C'a-p 17. Shower Pan; Test, First Floor -Tub Access . G. .•I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access . Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 6 airs & Rails -' "" 6 ire face or Stove; Clearguces-HeB -"-94--'Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date r(J Card -BI Datepp lance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 aI TEG at Kit. Counter Date EL AL Permit OK except q's 67, age ing-Closer 68. A. G.- 20. Fi&lw,- & Transformer Clearance -Ins. Protection 21. le eceptacles Spacing -Lights &Switches at Doors 6 ., v ell Lb - e -Comb. Inararge; Above Floor-Mech. Protection Air-Connector-P.R.V.- 7 Plb., Elec. & Mech. Equip. Listed for Location _ 22 iz axes & No. of Conductors -Stapled eceptacles in Garage; (G.F.I.)-Romex Protec. - - 23-L<0avw Installed Close to Edge of Studs & C.J. nsula 'on -Foam -Looked in Attic ❑ Yes - 24 quip. Ground made up w/Mech. Fasteners -Bond Gas &Water �uard ails &Deck Construction -Post Caps _ ance Circuits in Kitchen &Conductor Size 7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor es eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ?. Range_C4;e- -- / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral DYes ❑No _ 75. Following instld.: Drive Yes o; Walks ❑ Yes [j�.Nbo; Planters ❑Yes o Service -Riser Conductors & Ground -Main Disconnect 76 _ i __- 29. uip. Clearances; Panels-Motors-Mech. Equip. 7 . . Unit, Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ____ 30. Cloths Closet Light -Shower Light _ 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Electrical, Plumbing Card B -I --_-__._- e1V-_Date14M9 Card -BI _ Date 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House lass Protection _ Corrections from Previous Inspections Card B -I Date Date Card -BI Date EC NICAL (Permit) OK except N's - ersTagged; Gas -Electric onnected-C/O to Grade -HD Approval _ A_C. Ducts: Insulation & Supporter _ 32. Vent Exhaust above Insulation _ _ 33. Condensate Drain _& Overilow; Size & Grade �mpliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. Attic Access & Platform if Furnace in Attic Date�o/ V Card -BI Date -- - Dater Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card BI Date Card -BI 1,11 Date Card -BI 'Date Date FRA G(Plans) OK except q's Comments at Final: 1 _ _. Si roper Material & Anchors -3 - IIs; tuds-Nailing, Spacing & Bracing -Plates -Sou 3, B in Walls over Girders & Floor Nailing rat top in Walls (rat proof) 0. F 1 Stops; Furred Ceilings -Stairs -Chase eader & Beam -Size & Bearing_ H els-Post Caps -Anchors -Connectors Ing. Joist-Rfir. Ties -P n - Roof Brac.-Truss-Shlhnq.-Rfnq. 44. Fireplace Ties or Type FFireplace Throat cSs: Size &_ Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ -_ q7 ( ire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) 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 CORRECTION NOTICE BUILDING OR 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. f.� IIX-td fes X__ Inspector COUNTY OF BUTTE`- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C,alifornia,9,5965 - Telephone 916/534-4541 APPLICATION ANb PERMIT r fr PERMIT NO. ASSESSOR PARCEL N MBER 6-s- ZONING BUILDING PERMIT 01 OWNER � TELEPHONE SO. FT, OCC. BUILDING VALUATCOIV O OWNNEERR'' ^MAILING ADDRESSO /57 4V i— /// ✓ CONTRACTOR'S NAME LEPHONE /_(/ 7 /3_0 CONTRACTOR'S (LING ADDR S 7�� FireplaceAb on CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHIT CT OR ENGINEER LICENSE NO. Plan Fee $ �Checking ""ff $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ©� / PLUMBING- PERMIT Filin Fee 10.00 9 Each Trap 2.00 20.00 2Q� Water piping 5.00 j QQ LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF), Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Molii le Home S G W 10-00e TYPE OF WORK New ❑ Addition'p Remodel❑ Utilities ❑ installation[] Other ❑ Describe work: Awav Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O UP OR ADDNS. ACC. BLDG 1 2�20Sgft _ CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p y (Check One): 0 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ''''��--�� U License No.=L b (i 0l Classification R A ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -.11T 2.50 ea '^ NON.RESID BRANCH CIRC ITs. NEW CONSTFL POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. Occu Ex. OR FIXTURES 20®s0C SALO 300 P�o XED A FIXED PPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ �a Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse uence of the granting of this permit. "' X �,�...�� Date -- Signature of Applicant — Owner ❑ Contractor 41 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ &�:WCrI p,00 TOTAL PERMIT FEE�;7 OCCUP. GROUP I TYPE OF CONST. ARCEL PD HD SSOE, 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. DIR TOR PUBLIC WORKS BY Date v - _ PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW P K -INSPECTOR, GOLDENROD -APPLICANT -A S ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO -.� 3 PACKAGE "A" (Additions) FORM '7 NAME SQUARE FOOTAGE JOB ADDRESS Existing Residence TYPE OF WORK -�dk New Addition zllyo New Total ".fid 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. WEST - .36 S.C. LOOSE FILL INSULATION (Density) 'INFILTRATION CONTROL (Weatherstrip doors, VAPOR BARRIER (Zone 16) ZONE 16 R-38 R-19 R-19 R- 7 .65 certified windows, caulking) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH OT LESS THAN 25 LUMENS/WATT —_— _ MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING (tt- _ NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 ZONE 1 ZONE 12 INSTALLED APPLIES TO NEW AREA tX CEILING R-30 R-30 jQ WALL R-11 R-11 J(j FLOOR R-11, R-11 SLAB R- 7 R-11 GLAZING > 65 (q'pp/ .65 SHADING SOUTH - OPTIMUM OVERHANG or .36 S.C. - WEST - .36 S.C. LOOSE FILL INSULATION (Density) 'INFILTRATION CONTROL (Weatherstrip doors, VAPOR BARRIER (Zone 16) ZONE 16 R-38 R-19 R-19 R- 7 .65 certified windows, caulking) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH OT LESS THAN 25 LUMENS/WATT —_— _ MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING (tt- _ 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,) ! 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ti 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 #45 or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation heating load BTL' elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature `, cooling load BTU *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. SIGNATURE OF BUILDING DESIGNER OR APPLICANT w y . rT. COMPLIANCE CHECKLIST FORM 2 For Low -Rise Residential Buildings (except hotels and motels) Step 1: enter on the form the values for each measure from your building plan and'specifications sheet. Step 2: Enter points on this page while working through the point system in Part 3. Building Shell Measure Points' *Total Floor Area . . . .• . . . . 7 S Q ft2 1. Slab -on -Ground Perimeter 66,,, •ft; Depth in R- V'A • C 2. Raised Floor R -Value . . . . . . . . . . . . . . R-_�_ 0 3. Ceiling Insulation or Construction Assembly, R -Value . . . . . . . . . .. . R- 530O . 4. Will Insulation or Construction Assembly,R-Value R- (q Glazing.Total % Floor, Area Single Double Triple 5. North -Facing . . . �, 1 X f t2 Z--4 f t2 ft 2 - 1O 6. 7. East -Facing .; LZ Z —f South -Facing . % t22 —ft2 -ft ft ft2 ft2 -10 -g. 8. West -Facing ZAK ft 2 rf -57 0ft2 —f j2 1-Y. 90 Skylight . . . . . 2. 1 ��—�% !-- t2 �,. _ f t2 — 10. Shading Coefficient (exclude overhang) a. East . . . . b. South SC . SC . . -Z ✓ c. Jest • d. Skylight0:3 �. �. sC SC .s;LA4. aRE -4 O 11. Horizontal South Overhang Length . . . . Z ft . . . . . . . O 12. Movable Insulation, % Floor Area. O 13. Infiltration. (indicate Standard or Tight)iT6.nlr�L� /: �7 O 14. Thermal Mass Exterior Wall Thermal Mass `J Ar6a, Heat Capacity, R -Value . . ft2, HC, R- Interior Thermal Mass ) Area, Heat Capacity, R -Value . . ft2, HC, R- 'I C� HVAC System** 15. Gas Furnace Without Refrigeration Cooling ./ Y .�. SE (Seasonal Efficiency) 16. ?seat Pump.(Energy Efficiency Ratio) EER 17. Gas Furnace with Refrigeration Cooling SE SEER � [Seasonal Efficiency -(SE), Seasonal Energy Efficiency Ratio -(SEER)) 18. Active Solar (Net Solar Fraction, 7.) . . . . . . . X NSF 19. Zonally Controlled Electric Resistance Space Heating . . . . . . . . (Yes/No) Domestic Water Heating** 20. Solar With Gas Backup (Net Solar Fraction, X) ��� X NSF 21. Other Water Heating (Describe type) Point System Compliance Total (must be -greater than or equal to 0) jog 7C neCK :stitems; not a point system measure. **Attach Oocumentation for efficiencies and NSF. } O k 't'b X%%j1-Mi'E �1FA�-'PH1rhP r= �, F� GE�t,► r c ►.�, f:0,2- rMX%ST1U(k-_ ELM. MUICTUAW W TOCclshlIL, ,� w .p �=U=moi. V.'� > : _r OWNER THERMAL MASS: -TAKEOFF SHEET FORM I PERMIT NO. Thermal mass: Materials which have the ability to store heat (typical types are masonry, brick and ceramic tile). Thermal mass cannot be insulated from the interior of the building. (If covered by car- pet, cabinets, or enclosed in closets the mass is considered insulated). Thermal mass floors must have an exposed and textured surface or design so that carpeting will not occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA Entry Floor ' xSQ.FT. Bath #1 Floor ' x ' a SQ.FT. Bath #2 Floor ' x ' SQ.FT. Bath #3 Floor ' x ' a SQ. FT. Kitchen Floor ' x ' SQ.FT. Floor x ' _ SQ.FT. F lo� ��� ` ,�4/,� Firerac`e ' ' x x ' ' o _ S �i" SQ.FT. i Fireplace ' x SQ.FT. Bath #1 Counters ° x 939E� Counters ' x ' n _SQ.FT. �A SQ.FT. Bath #3 Counters ' x ' _ Kitchen Counters ' x ' _SQ.FT. SQ.FT. Wall Shield ' x ' � � e SQ�FT� Walls ' x ' _ _6?� SQ.FT. Walls ' x ' _ _ _SQ.FT. Walls ' x ' _ SQ.FT x SQ.FT. x a SQ.FT. x a SQ.FT. If compliance method proposed is other than the point system (where thermal mass point charts are available), use calculation methods on reverse of this form to show thermal mass compliance. A z 7/83 CALCULATION WORKSHEET 9 Thermal Mass for Chanter 4 Static Heat Capacity (HC) of Material, Btu/(°F • ft2) Mass Capacity (MC) of Building, Btu/°F — ft2 Btu • in ft2 X BtuX Ib •-F density 1- Ib FtT X thickness 1 in in - 12 ft _ HC of 1 sOeCific Neat 1 Btu thermal mass area for 2 area of mass 2 MC factor 2 °F • It2 Btu • in ft2 X density 2 Ib i'F lb f 3 X thickness 2 In - 12 ft HC or 2 specific teat 2 ft2 XBtu rW ft= area of type 4 area of mass 4 Btu • in MC'of mass 4 Btu Ib •°F X denslty 3 lb f 3 X thickness 3 In Ln- _ 12 ft _ HC of 3 specific jteat 3 factor of 5 Total MC = Justified Area* Btu • in Btu Ib •°F X density 4 lb ft3 X thickness 4 In In — 12 fL HC of 4 Specific AW 4 (k) of 4 Btu X lb _ X UMC in Btu • in specific ,,,tat 5 Ib •°F density 5 1 thickness 5 In — 12 ft _ HC of 5 Resistance (R) of Material, (hr • ft= -°F)/Btu 1/83 • 420 • CEC ' page 2 of 2 Thermal Mass for Chapter 3 Proposed South Glazing Area '= ft2 area from plans Minimum South Glazing Area ft2 X 0.64 = ft' total floor minimum area allowed South Glazing Area Justified by Mass Mass Capacity (MC) of Building, Btu/°F — ft2 Btu • in ft2 X thickness 1 in — conductivity = hr • ft'.cF R of 1 MC of mass 1 — ftZ (k) of 1 Btu thermal mass area for 2 area of mass 2 MC factor 2 °F • It2 Btu • in ft2 thickness 2 in _ conductivity hr • ft2.-F R of 2 MC factor 3 °F • ft MC of mass 3 (k) of 2 ft2 XBtu rW ft= area of type 4 area of mass 4 Btu • in MC'of mass 4 thickness 3 in— conductivity = hr • ft2•°F R of 3 area of mass 5 MC factor 5 OF • ft (k) Of 3 factor of 5 Total MC = Justified Area* Btu • in thickness 4 in i conductivity o hr • ft2•°F Rot 4 Btu than or equal to both .the (k) of 4 0 1 total MC F ft2 total floor area UMC minimum allowed areas. Btu • in thickness S In _ conductivity hr • ft' -'F R of 5 (k) of 5 1/83 • 420 • CEC ' page 2 of 2 Thermal Mass for Chapter 3 Proposed South Glazing Area '= ft2 area from plans Minimum South Glazing Area ft2 X 0.64 = ft' total floor minimum area allowed South Glazing Area Justified by Mass Mass Capacity (MC) of Building, Btu/°F — ft2 ' ft2 X Btu area of mass 1 MC factor 1 °F • ft2 MC of mass 1 — ftZ area of me ft2 X Btu thermal mass area for 2 area of mass 2 MC factor 2 °F • It2 MC of mass 2 ft2 ft2 X Btu thermal mass area for 3 area of mass 3 MC factor 3 °F • ft MC of mass 3 ft2 XBtu rW ft= area of type 4 area of mass 4 MC tactor 4 °F • ft2 MC'of mass 4 factor of 4 ft2 X Btu a — a ft2 area of type 5 area of mass 5 MC factor 5 OF • ft MC of mass 5 factor of 5 Total MC = Justified Area* 1*2*3.4.5 Unit Mass Capacity (UMC)., Btu/ (OF •. ft2) *This area must be greater Btu than or equal to both .the 0 1 total MC F ft2 total floor area UMC 1/83 • 420 • CEC ' page 2 of 2 Thermal Mass for Chapter 3 Proposed South Glazing Area '= ft2 area from plans Minimum South Glazing Area ft2 X 0.64 = ft' total floor minimum area allowed South Glazing Area Justified by Mass ftZ — ft2 area of type 1 thermal mast area for 1 factor of 1 ft2 — ftZ area of type 2 thermal mass area for 2 factor of 2 ft2 — 9 h: area of typo 3 thermal mass area for 3 factor of 3 ft' rW ft= area of type 4 thermal mass area for 4 factor of 4 ftZ — a ft2 area of type 5 thermal mass area for 5 factor of 5 Justified Area* 1*Z*® _. *This area must be greater than or equal to both .the above proposed design and minimum allowed areas. Other GLAZING„ 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) (a)_ x /.,y C/o (b) x _ !10 (c) x = (d) x = (e) x = Total North Glazing =_ (SQ.FT.) (a+b+c+d+e) ' TOTAL NORTH TOTAL BLDG GLAZING FLOOR AREA �,v : 7.2D x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR NORTH GLAZING 100 = 0/ f % 3-7 South Glazing ,/ QUANTITY S�Iz�,,-FvrL- AREA (SQ.FT.) (a) �_ x ®Sv Al= (b) x �it73� _ (o (d) x = (e) x = ':Total South Glazing = (SQ.FT.) (a+b+c+d+e) TOTAL SOUTH TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR SOUTH GLAZING ,7,90 x 100 = d % SQ'.FT. SQ.FT. 3-9 Skylights QUANTITY SIZE AREA (SQ.FT.) (a) — x (b) x = (c) x = Total Skylights = /r^ (SQ.FT.) (a+b+c) TOTAL SKYLIGHT TOTAL BLDG GLAZING FLOOR AREA —� : � x SQ.FT. SQ.FT. ..TAKEOFF SHEET CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING /v OWNER PERMIT NO. fB '- 7/83 100 = 4 ,,2 t % FOR P4 8 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) �_ x ,/ga s -D - �O (b) x = (c) x = (d) x = (e) x = Total East Glazing = 410 (SQ.FT.) (a+b+c+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING �o D x 100 SQ.FT. SQ.FT. 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) _ x .CSy YO = An (b) x = (c) x = (d) x = (e) x = Total West Glazing = -9b (SQ.FT.) (a+b+c+d+e) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING ' FLOOR AREA FACTOR WEST sGLLAZING ;Otl%fid x 100 = o�i `� % 0 SQ.FT. SQ.FT. Ids o2%2t d.. �-are GLAZING DIRECTION LOCATER Draw locater line perpendicular to plane of glazing. Overlay intersection point with center point of circle.' Turn circle so North arrows are parellel with plan North arrow. Locater line then indicates facing direction. e yy-4. FORIM oma RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner CClimate Zone �' Permit No. Zgb3-8'3 Floor. Area Z2go AV%.A% a�Tlotn i3o SFr, Compliance path: Package U A ❑ B .❑ C Point System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ ' D INSTALLED ITEMS (1) INSULATION: - Area Roof/CeilingR-30 L"�AZT USV1< Mto Wall ❑ Slab Floor Perimeter -$- Raised Floor R- �,g �• W ❑ (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the MC= Location 1972 ANSI Air Infiltration Standards and shall be certified and labeled. ❑ (C) All swinging doors and windows leading to unconditioned areas - Area shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger - Area (3) GLAZING: (A) Location MC= Location Area Glazing %Floor Area Single Double Triple Total Bldg 1q (0 'Z.`laz ❑: North (o q , g_ - Area East X South 3(e 5.0 MC= Location West 20 Skylights 1(0 11 (B) Shading - Area Shading Coefficient Description MC= Location East o,81r mmo - Co<Ai*D any - au n,t.NG DEPARTMENT South 0,111 K • r -N=o West Skylights 0-14 sMW, IR,oa%E ❑ (C) South Overhang Length of projection 2.. ft. Description ❑ (D) Moveable insulation: Area ft2 Description 7/83 (E) Thermal mass ❑ Type U - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location [j Type - Area Ft.Z HC= R= MC= Location ❑: Type - Area Ft.2 HC= R= MC= Location 11 Type - Area = R= MC= Location eU - au n,t.NG DEPARTMENT -N=o tJ 2��d APPROVED '/-7 7, FORM 1 ❑ (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 ���� 13 Central Gas Furnace '/, (brand an oriel numbe SE Btu/hr (heating capacity) ❑ Heat Pump. LEI (brand and model number) ACOP, Btu/hr (heating capacity at 47°F) Active Solar .type (liquid or air) model number solar fraction Collector brand and ft2 collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other *1 (describ GG (B) Cooling L�.1S���� ❑ 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-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 insulated to conform to the provisions of Section 1005 of thei Cn 36150Fd-Wion. 7/83 2 BUILDING D'EPA'VRTM,EW APPROVED � 7 (6) DOMESTIC WATER SYSTEM ® -(-A) Gas Only FORK Gallons Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13 (collector brand and model number) OWI M- to%%,L V%900-2 %I AMO C, ELE C --T. 'R.Es�s ac.E "NpE LOW%% 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. im 0 (rated y -intercept) (rated slope) (solar fraction) (backup heater type, brand and .model number) (collector orientation) Location of Solar Panels Other (collector tilt) (collector area) ft (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 bathroomsshall 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 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to docume Iml 2t4b)ml solar panels. BUILDING DEPARTMENT' 0 DESIGN COMPLIANCE STATEMENT: The above building design meets the r r t Qf Title 24; Part 2, Chapter 2-53 of the California Administration Code PROVED • ZZ �> 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 // UM PERMIT 1.529-Bs,P ERMIT NO. PERMIT EXPIRES OWNER Richard R. Tenano Jr. CONTR. nwnPr ,LOCATION (A.P. 58-48-5EA.IS North Lake,Rd., appo.5 mi. S.of -Coutolenc Rd., Magalia �f-66?. ao Y. -t Lyi it. L' Yrs, LLt?fl . (yy1AA� 1, Temp. Power Pole o i� Called PG&E .Temp.Elec. Serv. r. Called PG&E Temp. Gas Serv. u` Called PG&E U rr JOB (l 3 FINALE. - (Date) i (Signature/ VV i' ) ao � - k DATE REMARKS OR CORRECTIONS � Ae4 < CJ, \Jet -f�4 al - 7_ 24-29 -CW" S z ` ( iJ ®wc- 'Tn 0¢ Cow PL��e aC (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 RECDRD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping - 7 T Forms Parapets 1st Floor Main Bldg. Restroom Finis 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water PI Piers Roofing Sewer Garage k Fdn. Vents Fixtures Footings Stemwal I J Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for phsically handica ed Conformance of ex. structure X61 Appliances./ Gas Piping & TesT—"— Temp. Gas Slab Final Sanitation Patio FIREPLACE Final I Footings Footing ELECT ICAL Masonr Walls Throat !� �� Rou h Reinf. Steel Final Fixtures Bond Beam FIRE PRINKLERS Motors Framing _ - Test - Water Htr. Stucco Final Subpanels Mesh ? MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath L/ % Ventilation Permanent Door Closer Final t Final 2' 2 Q -Q MOBILEHOME UTILITI S Elec_ Service Elec. Pedestal Water Piping V Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping ` y Drainage - Gas Piping DATE REMARKS OR CORRECTIONS � Ae4 < CJ, \Jet -f�4 al - 7_ 24-29 -CW" S z ` ( iJ ®wc- 'Tn 0¢ Cow PL��e aC (NOTE: An entry must be made on this form each time you visit the job site.) ^ COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel eghone: 5�4-4541 APPLICATION AND PERMIT IGQ IUVICACIRaU VCA UI llle V unty UI mention pro for ins ction od Signature of Permni`tea�or Agent Receipt No. 1 -7 White-D.P.W. - Yello tit: to enter upun ine (Date '4 -78 ssessor - Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF -.PUBLIC WORKS BY Dater/_E 7F ;�,lding permit expires Date BUILDING Owner �,� �►LjZl�V1 J SQ. FT. OCC. BUILDING VALUATION �O ( Mailing Address p9 ^� -�Z, elep one Contractor, 0UNI 7 Qom% Mailing Address Fireplace 200 Total Valuation 3 -7n Z Telephone No. Permit Fee - Building Address% Plan Checking Fee Vor Penalty Permit Fee W- I�a r��ChGd PLUMBING No. @ FEE d �LJa 4 PERMIT FILING FEE $3.00 7 Each Trap 1.50 Z,— Repair drainage or vent piping 1.50 A. P. NO. /Zonin'5 Planni?(g Water piping 1.50 Each gas water heater or vent 1.50 / Fes C. Sa on' Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking ParcelEach Plans Declaration I PaV fJla? � 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 � Bldg.an ns Recd (ParcApproval Plan Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ f 1 1$ ED ELECTRICAL No.1 @ FEE PERMaT FILING FEE $3.00 j Main service 800V OR LESS 100 AMP OR LESS 5•Q� Single Family19 Duplex Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS ' a Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OC gyp OR ADDNS. ( ACC. BLDG v 2�3q ft 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: NEW RESID,CONSTBRAN I_O L NON•RESID (BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occut)(OUTLETs OR FIXTURES g L-01 Ex. QCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ C WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor 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 Wo.kmen's Compensation Insurance. ;;ertify 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 Workmen's Compensation Laws of 'California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ r I certify that I have read this 'appl ication tate that the above information is correct. I agree to compjelo ay County Ordinances and State Laws relating to build' g con ruction, and hereby Land "Development Fee $ z , TOTAL PERMIT FEE $ iQ ^' IGQ IUVICACIRaU VCA UI llle V unty UI mention pro for ins ction od Signature of Permni`tea�or Agent Receipt No. 1 -7 White-D.P.W. - Yello tit: to enter upun ine (Date '4 -78 ssessor - Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF -.PUBLIC WORKS BY Dater/_E 7F ;�,lding permit expires Date CERTIFICATIONS As required by the State regulations,-both'the builder and the insulation applicator must sign a card certifying that the proper "R" values for all insulation locations have been,installed. An example of a certification card, which is furnished by the.builder or insulation applicator is shown i in Fig. 13. ' i {y , :IIdIj •� ;ii�!ryl t 'k 77 I ti.F}.. THIS IS Ti CBRTIFT TPAT IMIATION HAS BEEN INSTALLED IM CONFORMANCE VM THE CURRENT, ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: 'ZSFr�iLot NuaaF Iract No. �IXTERIOR HALLS b� %�� Thfeknese/Type31/Z',� 40G/ru'S' R Value t ManuhcWrer. �- f�+U�il�• /l {. EI Battst Minufacturor ' -Thickness R Value r " Blaws ManufacturerThickness Ho. Bags' 3- . - Mt./Bag _46. Sq. Ft. Covered %S DO R Value 1 FLOORS 1 1 ManufactureotjoijNy/ha4)0;I/' Thickness /Typ.3%2n4epwG, O R Value /Z'// SLAB ON GRADE I Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS � Manufacturer j?hlas/Type R Value GENERAL CC TRACTOR CEASE IIUIV3ER I BY TITLE - DATE TION CONTRACTOR LICENSE NOHRER BY Au/'U TITLE 0t.J9JeA DATE r Fig. 13 8-14 ' t i • RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPL,EX,-,&`MISC. ONLY) �I . Bldg. Permit # � �O ;L5 - -7p OWNER r 1 (/l •T e L- nate- o 3 1,,- A.P. # S?- 0,\,— A. J, A. GENERAL ✓I. Zoning requirements (sideyards and parking). f-, Valuation. clr ignature by R.C.E. or Architect (if required). 90—�FLOT PLAN Complete parcel size and dimensions. ".Setback*, sideyards, easements, etc. �ther buildings or structures. � Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. . .?'-- Required windows for light and ventilation (Sec. 1405). `3—. -Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). r-5' Human impact glass (Sec. 5406). ! c.6Required room sizes, ceiling heights (Sec. 1407). ,-7 G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). L-8-' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. L2.—Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. L.•0' Garage firewall, door size, and closer (Sec. 503(d)(4)). cls 1 - 3'0" exterior exit door (Sec. 3303d). �2! Fireplace location. .dam Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS .-r.- Foundation plan complete enough to'construct building. --Z�- Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. fir. Roof construction details complete enough to construct building. a5 -.---Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). ,4r.' Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). ✓6: Proper roof pitch for roof covering (Chapter 32). ,71." Rafter ties or bearing ridge beam. Garage door or porch header sizes. ,,�,< dequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOREL�O� �� //�p ZONING_ OWNER eor PHONE NO. 873 -�� e C�4 c� ru OWNER'S ADDRESS LOCATION OF. BUILDING e feqN �n 1. t - USE OF BUILDING �r w i" o� •>� � SIZE OF STRUCTURE C� X = SO. FT. TYPE OF CONSTRUCON: o1215 -A) WOOD FRAME �_// STEEL CONCRETE OTHER (Specify) , TYPE OF SIDING &io ROOF COVERING Co f FLOOR TYPE ti e .os. e ESTIMATED COST OF CONSTRUCTION. $ J e'o . . AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as fol to r ' FRONT Q Q__'A SIDES 146 REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings. less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any ne permits, inspections, and approvals to comply with the requirements in effect at that time and bef re occu ancy. Date Signature of Owner Permit Fee - $25.00 The above descri /dAG Building Is exempt from a building permit. Receipt No. Z8 � 9- Director of Public Works . By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMEN,T. OF-PUBLIQ,��A`ORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFOR)VIAJS?65 TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �'le rQfF/���r� A. P. No. v - Proposed Building Uses C . Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector_ �`i� 9 1,.,(,.eoi2 Date .q 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. . . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , , . , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 1.1. 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. . . . . . . .. •Pre-Inspec. request to r 17. Pre -Inspection for Required. Building Inspector (Date.) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Dated -A9 -.S'-'j;" Copy of plans sent Health Dept., Fire Depth Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Date Plans approved by Date Other: Copy—DPW Date Other Butte County Department of Development Services. eurrF ^R E^ � .cam N O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vAIv.buttecounty neudds ' RESIDENTIAL . AP N: Permit No. � Owner. 065-530-005 OS -3189 { SHADWELL, MARGARET Site Address 15204 NORTHLAKE RD, MAGALIA Cont: GREENE & SON ROOFING Contractor. RE ROOF Type of Permi, - o(�' SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARAmrF C DATE JOS FINALED: l VIA 1�� . = OK o = Not OK MAN UFACTURED.HOMES . MISCELLANEOUS DATE j LiPERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S`C O V E R S -C A R P O R T S GARAGES 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing . 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn- Posts-Beams-Rftrs-Cnnctrs-Shthg . j 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enctsrs 7 Blckng; Sz-Spacing-Marriage Line ,' 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs O Foundation O 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers 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 Enctsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enctsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Endsr; Fencing Alarms 13 Bonding, Diving board or Slide =I = OK = Not OK RESIDENTIAL (Single & Duplex) UAIt JUNDERFLOOR DATE 1PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Opth 56 Shwr Pan; Tess, First fir -Tub Acc 5 Stemwalls Main; Stee l-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockotits-Wrapped• 58 Gas Pipe; Sz & Anchrs 69 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 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rglti-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic O` O DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-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-Spat 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, Cimc-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 Clmc 30 Ext Doors -One T -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 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cimc•Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass P rtctn -SkyLts -Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters Dyes E-1 No ya a 87 Stucco Brown -Finish o'er o'er c? 88 AC Unit Dscnnc% Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frpic-Clmc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 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 qa ❑ CU or ❑ AL 98 Address Posted AC Wire Sz ga ❑CU or [:JAL 99 Fire Sprinkler 48 Range Circ Era ❑CU or F-1 AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No o` 4"c o'er 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 IIt1I10 r ip i1ttIth V4 .0 pro Tooe, pocifie& usa ha Mm k Buildir MU$T t1 A, � 1: I I I I 1. � I � I 9, . 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