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066-070-005
66-07-05 D� `� %� Oo s j TOM GAGNE - ,n„ /% ��/�3/�� 6471 Shaw Circle, Magalia PErmit#148-88B,P,E,M(new single family) 4, r6"07' 05 �91 46 io ®r fi 4,CAR1CS0N,,'�ftTr-'F 4.�. .'6 4 7 1 h 6 w �, C i r c a T d6or'/sf 1114 66 07-405?,r,,ji 9 10541�,i4--v ';.Florence w-164-71 'Sh "I r c I e Const, h..., %,agalia�.,, C -ix t'�frw cOnt:iNH" c�/ DP�n Sf CA 066 6 R -7 ._64 op� L 0 S K' 6 e h N N '.'w 'R H c5 k w tt 0 02-1418 YKIP ip 'I 16471 SHAW CIRCLE, MAGALIA RE -ROOF 2-29 066 070-005 "V 'o 06 ILIFt*lp 6471 SHAW CIRCLE MAGALIMA, COVER-(2)EkDE(tkS, 60 • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER fL TELEPHONE ' SO. FT. OCC. BUILDING VALUATION 408 Cov 5304.00 OWNERS MAILING RESS `• ..+ t, CUZ=p MIAGALTAP CA 95954 CONTRACTOR'S NAME TELEPHONE owm CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER k Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 5.3 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 52.65 BUILDING ADDRESS 6471 SHAM CIRCLE MAGAT JA Energy Plan Checking Fee $ $ PERMIT FEE $ 5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 1 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (�'}f ����EX DE (C 17' X 10, 1 i, X 74, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE 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. 0".0 1, 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 Main Service z To tO 46.00so Eo NEW CONST. DWEWNG OCCUP. CU OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. NON-REOSID.' MULTI -OUTLET 97,50 6 C OUTFR.OWER APPARATULETS Ex. Occup. OUTLET OR FIXTURES BA0 0 1:00 Ex. Occup. ourie.AP RES D.) LNS k 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 Cdde, 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.) 0 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. i L 2S 7i1 X ZZ.�, i %^ 1 -�� Date Signature of Applicant - Q'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 153. G5 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By �Vr' PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Data Receipt No. ';" 1_t=iA ! 153. 5 WHITE-D.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 706 (Rev. 12/96) APPLICATION AND PERMIT '" 1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER J TELEPHONE 873-9073 SO. FT. OCC. BUILDING VALUATION 408 Cov 5304.00 — OWNERS MAILING RESS CONrrRACTOR'S NAME % 9 TELEPHONE OWNM CONTRACTORS MAILINIO ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 5304.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 52.' BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (QJa (2) EX DECKS 19, x 10'./19' x 24' Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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. 111-1, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONIS.( 8 ACC. S.3.5¢FT. NEW CONST. muLTI•0uTLEr 97,50 APPARATUS a SINGLE OLm , CIR. 200 1.00 Ex. Occup.OUTLET OR FDRURES �L @ ,SO Ex. Occup. OUTLETS P.M.DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S 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 w s' compensation provisions of section 3700 of the Labor Code, I shall ortt Ith comp) w t those provisions. to/ /of X Date �' ""� Signature of Ap Own 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TAL FEE $ 3 .65 HHAZ.J��L FLOOD CDF PARCEL HD IS This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / �Z By PER EXPIRES ON ��%J Del Receipt No. ih41 h41 5 FS WHITE W' CA�IAW SS§iSSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�+Y�«„��c+a,s�.a"•.��Ay�.w�ewW'•�1�+--...mow--•�•v�www•�� _ r�'rhRfe�+�;�p . ;'LI"r':G1.r�: Yx:,,1 '.�•q 1, r;H. ,.yrzr��� i �••�E�` ; rr� i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION t 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ( .I ' ASSESSOR PARCEL Nj". v l (/ Cf� V 0 OzEtc �A � Proposed Building Use: S ounter Technicl�l Date: tems required in order to apply for a permit. All boxes MUST be checkmarked NA in order to apply. Plot plans, 3 or 4 sets, signedty the preparer of the plans. omplete 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the a engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 1 . Statement of Intent for Non -heated and A/C Buildings ............................................. r,. �6. Sanitation and plot plan approval from the Environmental Health Department in y 411 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: �_(B)Parking: . (C) Parcel Check: 9 �� 1.1.--42) 2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................` ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 24. Worker's Compensation Carrier and Policy Number.... 5! Owner -Builder Verification (❑ Given to owner, 11Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephon and hold for >cku 1 7G XM, -0/ n� I have been infor e a ove ems and re firemen s am g a building permit. Applicant. Date. / 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re d Contractor, designer owne , as advised cf the above data by f�hone, ❑Imail, ❑ counter, by Date: L Otr ontrac ,designer, owner, as advised of the abo e d to by fryphone, ❑ mail, ❑counter, by Date: /D ans reviewed by: Date: 51_�- Plans approved. by: PX Date: j Structural reviewed by: Date: V Structural app?y' ed by: Date: Note transfer by: Date:'' n..} . Yellow Ruildine nivicinn O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing yet , Please complete and return this information at your earliest opportunity to avoid nmeoesaa�. in processing and issuing your building permit. No building permit will be id nit itis verification is received. personally plan to provide the major labor and materials for construction of the' proposed property improvement: YES �' NO 0 I HAVER HAVE NOT 0 signed an -application for a building permit for the; m; ased VM& ,. I have contracted with the following person (firm) to provide the proposed oonstrnctioo: NAME: 4 ADDRESS: PHONE: COIN-MkCTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: N?►1�IE: ' but I have hired the following person to coordinate, ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORIK SIG P RO PE RTYOWNER: ...... _�� �--ter 01, mpg IM I i NOTE: This Owner -Builder Verification is required by Section 19831 wd 19831 dv*t California Health and Safety Code. This verification must be coni I&W and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORINIATION I Ani application for a building permit has beta submitted in your name listing yourself as the builder of props ty improvements specified For your protection. you should be aware that as "owner -builder" you are the responsible prsrty Ofc¢eOt G aanch a permit. Building permits are not required to be signed by property owners unless they are personally pasoe:nia� t5eir own work. If your work is being performed by someone other than yourself, you may protect yourself from podsible 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 ihould be aware of the following information foryouur benefit and protection: • if you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcorc-actors. then you may be an employer. ♦ I f 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. ♦ There may be Financial risks for you if'you do not cary out these obligations, and these risks are especially serious with resoect to worker's compensation insurance. ♦ For more scecitic information about your obligations under Federal Law, contract the Intemal Revenue Service (and, i i You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, cer.cact the Department of Benefit Payments and the Division of Industrial Accidents. 1. ;he strucn:re 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 equent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building fr 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 er at 10.0 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. I rely, Ntic el C. Vi ira, C.B.O. h1 ger, Building Inspection NOTE: Tit :r 0 w rr er- B u ilder Info rmatioa is required by Settlors 19810 Of the Cvlijornia flealrlt acrd Sajdy CO& OVER ,Sae the Btt6ch6d Fps_ sidentI I COnstruct'n i Reguirernents __.Pages ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A _ a SE ACK OF � FT. FROM THE SIDE .ANr' . FT. FROM THE REAR PROPERTY LINT -r AND FT. FROM THE ROAD CENTERLWE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT _ A 2 FT. EAVE OVERHANG. U d 1 . J�d \• ,mac' IOET i .4�4-eA t -d ut1 o covey rc. ago 4,5 d�,'r x�'-�j X2'6 , d,., o, 'ea cA �'' y � °s �s oma,-, �L► b a/d�' , v ✓b' D1 t '� !^'r Ver Sli �H9 I14 4'"'d 6^y 1 Qi1,3w*� 7/ S �, J q ee Alva o d. 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OWNER'S MAW DRJS� (� '• �r CONTRACTOR'S NAME V I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Al. 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3 Energy Plan Checking Fee $ $ ,{ PERMIT FEE $ UU LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ,k( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: S0 st?— 1��"i�"P/i_ " Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N and my license is inifull force and effect.FOWEPPARATUS LIC. NO . License Class f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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 Main Service 200A TO /000A 46.00 NEW CONST. DWELLING OCCUP. SD OR ADDNS. ( 8 ACC..S. 3.5¢FT. Rt°S,oT MULTI -OUTLET 97,50 8 SINGLER AOUTLET CIR. 20 @ 1,00 EX. OCCU OUTLET OR FIXTURES 20 @ .50 FIXED APPLNS. OR 5.00 Ex. Occup.ourLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 Pe-rformance of the work for which this permit is issued. I 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 I / —P MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number I c '`^ (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. G __z_ X _ I / f ,�i' >1 Date • l _ Signature of Applicant - O Owner `s 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 $ Energy Inspection Fee $ Oc coNST.TYPE - TOTAL FEE $ HAZ. D. FE IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By /} Date EXPIRES ON _3_�i Date ReceiptNo.9PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y-�� _ / gift, IT„O• (Rev. 12/96) APPLICATION AND PERMIT (2.[// ASSESSOR PARCEL NUMBER ©� �o o� ZONING BUILDING PERMIT OWNER TELEPHONE SO.FT. OCC. BUILDING VALUATION Q OWNERS MAIUDSS 1177Q. CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS I aUJ Energy Plan Checking Fee $ $ Q PERMIT FEE $ , CO LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)i( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �(� S�- CtO Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full orce and effect. License Class Lic. No. G `�G r G OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages astheir 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. OR ADDNS. ( a ACC. BLD S. so 3.5¢FT, No ES'.. T. MULTI -OUTLET UI IS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FDRURES Ex. Occup.BAL 20 Q 1.00 p .so Ex. Occup. OuriETs R..6) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 erformance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 110 3700 of the Labor Code, r the pe rmance of work for which this permit is issued. My workers' n in ce carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number y [, (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 law f Cal'rfornia, and agree that if I should become subject to the work rs' compe s ion provisions of section 3700 of the Labor Code, I shall fortith co p ith rovisions. U/_ 7 — & Z X Date Signat re of Applicant - 0 Owner 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 $ Energy Inspection Fee $ rO ( �� TOTAL FEE $ Qp HAZ. D FE IMP ROOD CDF PARCELI PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. /_ _ ? By Date C6 J�� PERMIT EXPIRES ON (// e _3 �3 I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL �66-07-05 i 9 CARLSON, Florence 6471 Shaw Circle, Magalia cont: NH Const i open deck/sf JOBTINALE Signature J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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 ning Requirements -Setbacks -Easements t' gs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Cvr-Ext.; Steps -Doors -Landings Date G Card B - Date Card B-1 Date ^ Card B-1 Date Card B-1 s 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL(f = Date UNDERFLOOR (Plans) 04< except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except it's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- -- ------------------------ 17. Water Pipe; Test & Anchor -Nail Protection --------- ------ ----------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- - ----------------- 19. Shower Pan; Test. First Floor -Tub Access ----------- - ------ ---------------- 20. Test Tub & Shower. Second Floor -Tub Access - - - 21. Gas Pipe: Size & Anchors --------- -------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------ - ---- - - - --------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---- -------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------- - ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------ --- ----------------------------------- 28. --------------------- 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------ - - ---------- 33. -------- -------------------------------33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------- -------------------------------------- 35. Vent Fan: Exhaust above insulation --- ------------ ---------------------- ---- ----- -- ---- ---- --- 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------------ 38 Attic Access & Platform it Furnance in Attic -------------------------------- --- - --- ---------------------------- ---- ------ -- - Date Card _B- 1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ----- ---------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------------ _41.. ---------------------- 41. Bearing Walls over Girders & Floor Nailing - ---------------------------------------------- 42. Draft Stop in Walls (rat proof) -- --------------------- -------------------------------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) " Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rl in -roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom-Rise-Run- Land in Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bobs 59. Insulation -Walls -Ceilings -------------------------- 60. Infiltration -Walls -Windows ------------------------ Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings --- --------------------- 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------- --------------------- 64. Bedroom Exiting 65. G F. I. & Bath Fixtures & Tub Access -Spa ---------- - ----------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------ 67. Stairs & Rai ls 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel. Int. & Ext. ------------------------------- ------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ ------------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter -- ---------------- --------------------------- 72. - Garage - -Door: Door; Swing -Landing -Closer ------------------------ - 73. A.C. Duct in Garage -Damper --------------------------------------- ----- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Const ruction- Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- 80. ---...--------------------------------80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------- --------- -- 81. Stucco: Brown -Finish ---------------------------------- --- 82. A.C. Unit: Disconnect, Electrical, Plumbing 83 Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing --------------------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- --- ---..-.....-- --------------------------------- 87. Glass Protection -. --------------------------------- 88. - -------------- --- 88. Corrections from Previous Inspections . --- ------------------------ 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected /O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- ---- Date Card B-1 Date Card B-1 -------------------------------------------- -- -- Date Card B-1 Date Card B-1 ------------------------------------------- Date Card B-1 Date Card B-1 Comments at Final: 73, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone: 916,'538-7541 ,_/'��•1�'�'�-� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 66-07-09 ZONING RT1 BUILDING PERMIT OWNER TELEPHONE 73-6130547 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6471 Shaw Circle, Magalia 95954 3,829 CONTRACTOR'S NAME N-14- Cnngtrurtion ITELEPHONE 873-3211 CONTRACTOR'S MAILING ADDRESS 13713 N Park Dr, Q lia Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 5471 Shaw Circle, i`4agalia Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF []J Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: deck Permit Fee $ Contractor ELECTRICAL PERMIT Fi(IngFee 15.00 Main service 200A OR OR LESS 18.50 Main service 200ATO1000A) 37.50 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 'Jo. S/ y/o7 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.al 3.6Q sq.ft. OR ADDNS. ( ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 PO APPARATUS (t\ (SINGLE OUTLET CIR. / Ex. OCCup(OUTLETS OR FIXTURES AO 76d EX. Occup. OUTLETS (RESID )REA.I I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. (pI I have placed on file with the County of Butte Building Department �l 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ounty in con ence of the granting of this permit. X �� Date 41_ F^ %2 Signature of Applicant — Owner❑ Contractor Agent ❑ � An OSHA permit is required for excavations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FES 93,475 FEES IMP FLOG C PARCEL PO D ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR F PUBLIC WORKS Date �/ P RMIT E PIKES Date Receipt No. Q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 3 ,,,� � "�"'�'ti1... �:�• . � �s:: � . _ ter. L , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CEt L R E -OV L41 , CAwIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APP`LICA 10N DATA SHEET f Permit No.— OWNER. o.OWNER ' /��OReniCG Cgtq�,-"J A. P. No.4& (_,>,> o� �SZProposed ;Building Use p�c� ��c�f Ste/'' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ... i ................................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. t. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation �. instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13 School District fees paid .............. 4. Sanitation approval from ������`'� Health Department - 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: . 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...... ... ./. r 26. r 14 27. ,o� . When you issue the permit, process as follows: Mai �1 owner. Mail to contractor. Telephone and hold for pickup at - office Deliver w/inspector. .� Other Applicant Date G v Copy of Hdz-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--nail—counter by .date Contractor, designer, owner, was advised of above requires data by—phone —ma ll—counter by date Plans checked by Date, Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewace Disposal Water Supply Water Supply Hold final for: 7inal clearance O.K. for: Water Supply clearance for —kt7�r �m-oljlle--N-Ome. other '-N-A A-) NOTE DA-te Sanitarian Owner Location Plan Approved for: Sewace Disposal Water Supply Water Supply Hold final for: 7inal clearance O.K. for: Water Supply clearance for —kt7�r �m-oljlle--N-Ome. other '-N-A A-) NOTE DA-te Sanitarian ?0 SE? C) C 4�1 (Zf Location Of structures & equipment shall be as shown' & clear all easements. e� lay A,4+f 66 07 OS ,f 6,,rner; Florence carolson .6471 Shaw Cir. Magalia CA. AP#. 66-07-05 Project; deck This set"of plans and specifications MUST be -kept on the job at all times and it is unlawful ta - make any chal"Iges"or alterations on same with,,,, out written permission from the Department'6f Public Works, County of Butte. NOTIE--.)kfl Moterlafs & woikmomilip Shoo Be -in .Accordance with Recognized Good Practices arA.'.-: of a qualify. prescribed for the Specified use in 46'.. Uniform Building, Plumbing & Mechanical "es ana the Notional Electrical Code. BUTTE COUNTY BUILDING DEPARTMENT P PRO V��D APPRU%.TD Butte County ifironmental Health D to te — —— — - — — - Signature --- Owner; Florence Carlson Butte County 6471 Shaw Cir. EnvirOnmenta► Ap#; 66-07-05 Health Dat 2x6Redwood Decking 2x6 Blocks 2x6 F. 24" O.C. Max -span 8101, /2x4. Bracing 4x4 Posts yl� Side view tvp Framing Scale 1/2"=1' Footings 201- 13' �— 12' 6"x14" 2x6 24"O.C. Max. Span? %61;_7 4x6 Max. Span 8, 0 "\/� PERMIT NO. PERMIT EXPIRES OWNER _.r� C AjZ1.4 0 r J CONTR. J. ASSESSOR PARCEL~ 0 J LOCATION % S A1,V &,✓. Cr n C I. /%45 f� i j f 'r 7_ j Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E J06 FINALED (Date) i Signature r, ' 3 7 =OK 0 = NoVOK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Zon 'Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils e -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Gi ers and/or J s 6,ecking-Bracing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-_Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 4 Carports; Windows -Doors 7. Utility Clearance Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -81 Date 10. Roof; Shthg-Roofing Card -61 Date Card -131' Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp:-Sketch 10. Cert. of Occupancy Card -81 Date Card -81 Date Card -131 Date Card -81 Date Card -B1 Dat Card -810-J Date Card-8Dat and -B1 Date Date POOLS (Plans) OK except #'s _ 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability r� 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -81 Date Card -B1 Date Card -131 Date OK Not Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDERFLOOR (Plans) OK except #'s Date " FRAMING (Continued) 1. Zoning -Setbacks; -casements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 3. Fig., Garage; Soils -Steel-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Fig., Porches & Decks; Soils -Steel-/ /"Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht'. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -81 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -81 Date Card -B1 Date Card -81 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date_ Card -B1 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date - Card -81 Date Card -B1 Date - Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting - _ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl:-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -81 Date Card -81 Date Card -131 Date Card -81 Date Card -B1 Date Comments at Final: l�l(1Tc• 4.. n •-., ..�nM �+n maltn ca,. F, •,...o •inn Vicj} iryll ci}o\ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, �Chico --Phone:,891'-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 . ? CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinanc�e 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. Date— Inspector- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone' 891-2791 7 Qounty-.Cqnt.er Drive, Oroville — Phone: 538-7541* 747 Elliott Road, Paradise— Phone: 872-6307 - ...CORRECTION NOTICE 6"� 3 —Y PERMIT NO. A routine inspection indicates that the following violations.of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. b -1 1, 6p�"64 — I C!S:> 0 Date I n s pe c; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT._ PER/MIT NO. ASSESSOR PARCEL NUMBER 066-070-05 _J I'NG• RTI BUILDING PERMIT OWNER Florence M. Carlson TELEPHONE 873-6130 SQ. FT. OCC. BUILDING VALUATION 1500 OWNER'S MAILING ADDRESS 6471 Shaw Circle CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 26.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 36.50 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF P Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel a Utilities ❑ Installation❑ Other ❑ Describe work: Rempya axi Gt- - window, re 1 are with sliding door -same width, same header -deck -using standard Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 handout as plans Main service 8001 OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification El 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 -14 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST, DWELLING OCCUP.N NEW CONSTR.( A OUTLET 2�zQsgft ULT' NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 00502ALO3C SLO 30 Ex. Occup. OUTLETS PIRESID .)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 19 on Permit Fee $ 95 ol) 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai d County in conse ence f the granting of this permit. �� j %� Date fo Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ FEE 61.50 HAz CUA ��FLDALE I PAR I PO I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date C.f Z.-9 d G- ! z— Q Receipt No. WHITE-D.P.W.. FELLOW-ASSCS90R, PINK -IN PECTOR. GOLDENROD -APPLICANT TO BUil�ana'Devartment FROM: Environmental Health SuBJECT: Sanitation Clearance rroelr-� 4!�ar /,-� d1\ owner F � llw Location AP# 9 Plan Approved for: Sewage Disposal Water Supply Hold final for: Water supply Final clearance O.K. for: Water Supply clearance for bedroom mobile home. other CX/5 � NOTE Date S rian •''j Ll til h2.r �'�."i'c.'.. a ..�:.,r.+..n+.. � `�' l�•7`"j'.��T'�1.sn � tri 81 t ( r N, NAMET CT A -4x i (&Dew PPR"'VED BY P t A .i c° P��M a VVqo ID x`3'90 i • t:!;��:.; ;:41::1?.. >_': : %��;'�� �+S? f�� ��.('.'i`. qtr'.: i � ," >.yr. ,. t�;•--`' � 1 ® -. • ' 1'1•',.,1 P..' �}. � , r f '�• • rt�TT�� S •}.l�!. r.�. 1 '-'Fj;t��P a�l:'•.��rl,.• �! ;' r.-1�;,.i;,#,��f" i.. � .rte 7 . • f!'•�, : P V$. d Iii',, �' : it is •4�1�'gY,r��"/:" 1 ���-0p`•:±, . • I1�li z}:'tip c,;l§� l„r�i=p'ri }y • K a . 'amu, Yd{�,�,r�icy .,�.;:. l i{'� ��•e' �'�a :�}jf°'�! r k '•"`�nf f•�r�ltt � ! i I •. � � \����.0 {y {v 4 \ , 6�Sr9 X11} � i:� �. 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Eyq `x Ra � �yy a: t L I i• 66-p�c�-ods Fa a PERMIT NO. — f PERMIT EXPIRES 0, OWNER T -WN GAGNE y r CONTR. 4 ASSESSOR PARCEL 66-07-05 LOCATION���#�a,�G A a / OFFICE COPY Address I,1 l S- Ok d YES �h P � s►•J.h2- . GAS Meter By Date ' ELECTRIC ��{( Meter By 1d Date . b . i Temp. Power Pole Called PG&E / Temp. Elec. Service Called PG&E Temp. Gas Service Celled PG&E ' '-� JOB FINALED (Date) LS (3, -- i Si = OK 0= Not OK- = Not Readyiable MOBILE HOMES' t MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s . Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK ex6eptf#'s ' 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete i 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts_Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV'ft, / /"Nat. or/ /"L"ft./ /"LPG r 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance, 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -81. Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements.. Card -B1 Date Card -131 Date ' 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s . 5. Drain; MH Test -Fall -Flex Connector , 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils;. Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test • Card -B1 Date Card -B1 Date Card -B1 Date Card -1211 Date t t, i o=NoAp RESIDENTIAL (Single and Duplex) = NOK /' =Not Ready - Dale UND OOR ( ns) OK except #'s a5EL ®ate FRAMING (Continued) A-foning requirements- acks- is G -L &4& . H gars -Post Caps -Anchors -Connectors g., Main; Soils-Steer-Elec. d.-/ ,d1" Ftg. Depth -li CIng. Joist-Rftr. Ties-Purl'n-Roof Brac.-Tr " -Shthng.-Rfng. g. arage; Soils-Ste6f-/ C' Ftg. Depth WimpUwaTles or Typ Flu - oat tg., Porches & Decks; Soils- / /"Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles A emwalls, Main; SteeVBIo kottts-Wrapped . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions mwalls, Garage; Steetf-bWeKouts-Wrapped . Carage Fire Protection Framing Slab; Sid ye'Property Line Firewall & Openings ger F' I Ext. Doors -One T -Check Garage -3rd story, 2 exits �AIAVXV.; - it ' gs--M/O-Se s 2. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10 as Pipe; Size -An hor I wood on Roof Overhang -Attic Vents -Rafter Outriggers Pipe; ice- ors _egulato Serv' est . Siding -Nailing Veneer 55-9taczy-Mesh-Drip Screed -Fd. Vents-Underflr. Access Btle!- 56.. ZtTf§ilrea-Glass Protection -Skylights -Plastic ers- W- co, 8 6 fis-J s- n r' e S— a s; Nailing -Bolts Agnsulation-Walls-Clg. nfiltration-Walls-Wndws ]� 1 . sulation Card -131 Da- y Card -B1 Date Card -131 Date.. Card -B1 Date Card -131C., -r, Dated A Card -B1 00 Dated,d _;?S Card -B1 Dates'i3.$ Card -B1 Date Date PLUMBING ( emit) OK except #'s GG S Water Ht. Vent -Access -Combustion Air Date FIN (Plans) OK except #'s 44"Water Pipe; Test & Anchors -Nail Protection W. Ext. Steps -Door & Sidelight Protection-Landifigs D.W.V.; Test-Fttngs & Anchors -Nail Protection AL.Sm6rce Detector 19. Shower PeRi Toot, First Floor -Tub Access urnace; Vewts-CI ce-Comb. Air-6anneetor- In 20., 2nd Floor -Tub Access Q41Gas Pipe; Size & Anchors 6A%-B�ro m Exiting .I. & Bath Fixtures & Tub Access -Spa - Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Q�&$r�ard-B1 Dated & ail ce or Stove; Clearances -Hearth Card -B1 CjG Date �.3.,$$Card-B1 Date - Date ELECTRICAL (Permit) OK except #'s c. Outlets at Wood Panel; Int. & 22. Fixture & Transformer Clearance -Ins. Protection 6 it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Receptacles Spacing -Lights & Switches at Doors g,Outlets &Receptacles at Kit. Counter ,?!8'Elec. Size Boxes & No. of Conductors -Stapled 7 arage Fire Door; Swing-LaV4Mg-C 5. Romex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water r. Htr.; s le ce-Com ir-Conte-f�V.- In Garage, ov��lh1-Much-Wotection 17. 2 Appliance Circuits in Kitchen &Conductor Size 7 ., Elec. & Mech. Equip. Listed for Location 19. Su Wire Size / / ga. Cu or I A.C. Wire Size/ /ga. or Cu or AlAl C. acles in Garage; (6Frt' Rotnel5rotec. 2 1-Renge eirc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No nsWatiqLookad-ftfAttic u ils Deck Con ion-PoViriMaps Service -Riser Conductors & Ground -Main Disconnect dn. Vents & Crawl Hole Door -Drainage Wood -Earth Clearance Looked under Floor Eb 31-Equtp-0earances Panels-Motors-Mech. Equip. 32vQothcs-Qeset Light -Shower Light -Spa Light ollowing instld.* Drive o No; Walks 0Yes ERR- Planters 0 Yes _ 8" W6LB9QWQ_F":R9h Card -131 . G Date q $$Card -B1 Date nit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s aT A.C. Doets Insulation & Supportxterior' c. Tri , Cx . eceptacle-UrMergronnd•- f e an; Exhaust above insulation nde to Drain & Ov low; Size & Grade ce-actions Fu yam; A s-Cen+b-*r-Retu it Vent -11 let 8&-VepJiJat4on throughout 'House Ia@S.prat-e�tion 0 -Co- . actio from Previou ttic Access & Platform if Furnace in Attic as T . -Meters ed; Gas-Ela%trid- ater & Sewer Connected -C/O to Grade -HD Approval ��Energy Compliance Certificate -Other Certificates Card -B1 <AC, Date 9 and -B1 Date // Card -131 G,,(79 Date i;' .,8$ Card -81 Date Card -81 Date /M Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Card -B1 Dato?-./4.& Card -B1 Date 0,, C, Date)(),144$ Card -Bt Date M, Proper Material & Anchors alls Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Gam` (NOTE: An entry must be made each time you visit job site) JI COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7.County Center Drive. Oroville — Phone: 538-7541 747 E I I iott Road, 'P'arad i se — Phone: 872-6307 CORRECTION NOTICE UWNtpr PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. X At - sa) - + Inspecto Date �n_ COUNTY OF BUTTE 4k . . . DEPARTMENT OF PUBLIC WORKS 196 Memorial Way.'Chico — Phone: 891-2751 k 7 County Center Drive. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6367 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte,r, or need additional explanation, please contact this office immediately. fW) L' I ox ex I n spector Ack� Date Cl— 6 - R A INSNeff-Os Tziog- 'T-0 w� ri !:,p fW) L' I ox ex I n spector Ack� Date Cl— 6 - R A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 El I iott Road, Paradise — Phone: 872-63'07 CORRECTION NOTICE �' �11 ,-- 4 -, 0 V, -.7 - IVY- I-fS- OWNER/ PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office lmmediat�ly- -5z -C) /' '-- r gj-r �: �/ row j / r, jQ�c Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Oroville Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6367 CORRECTION NOTICE aAam -0 -0 N OWNER ft FAIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is comple�pd. If you have any question pertaining to this matter, or need additional expoation, please qontact this office Immediately. 0, 0, rL I': i A "o li5 INC e—.;� A k N . Inspector f Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-607 CORRECTION NOTICE kq"?- 8,9 OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. X-IA,41-14 () Q NN LIX� '� I t f A C, A/r.�A�=.k - ,�-AL6 ax& srtx I., C;,4,2Qa& 1,vmGr;�6 512 1��iZnjreg_ 'rlqA.,V aqlt n1r, I - 'I V C- (3NS A,\j'i,, Cqr-Cc-02 i - 'A''Zr I V (='A (IL'Al- �kO." (eOIS 712-1,2- TI) ("-1WGgI'JG C' r Rc=r v i_:Car_ . . - - - I - = 66 4_1 N6T MAT -CH e N C 0 C, CS 111 3_1 I IIJ C, QA 1, L r-1 Inspector D ate..-.,< _2 COUNTY OF BUTTE DEPARTHENT'OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 7 County Center Drive. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER/ 'PF=PKA 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, eed additional explanation, please contact this office immediately. 4, _�' , . X !N C'J/ 'fzr�'W' " Z---, '* C7 -- Inspector Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville„Califorrt,Ia 95965 -Telephone: 916/538-7 APPLICATION AND PERMIT ASSESSOR00 P RCIL NUMBER _ NING i - 15 BUILDI G PERMIT OWNER - Om 1PEO °.q SO. FT. OCC. BUILDING VALU ION OWNER'S MAILING ADORES N //�/40 D �/ 44 CONT ACTOR'S NAME TELEP E it (/ ,f� V (J10 CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRES Permit Fee - $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ vvvv Energy Plan Checking Fee A• ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee .$ tv„.610 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 % Solar or heat pump water heater 20.00 LO ]SUBDIVISION A RC NE P G� MAP Water piping 5.00 Each qas water heater or vent 5.00 _ QQ ,/ USE OF STRUCTURE , SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 00 Building sewer 5.00 .co Mobile Home S G W 0.00 ea TYPE OF WORK New AdditionFj Remodel Utilities Installation❑ Other[] Describe work: oZbeG{ i Permit Fee 19 $ F. Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Q a' Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): _ I ,am ensed under provisions of Chapt. 9, Div. 3 of the Business an rofessions Code and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC UP OR ADDN5. ACC. S. '/Z¢sga -.0U NEW RESCOND, C8 CIRET NO N.R ESID .BRA C CIRC 1 S 2,50 ea POWER APPARATUS e SINGLE OUTLET cIR. Ex. Occup OUTLETS OR FIXTURES nw ®90 FIXED PR Ex. Occup. OUT LETS (RESID )EA.I 2.00 Temporary service 10.00 �- Mobile Home Facilities. 15.00 Misc. Wiring 9 15.00 ! Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o nsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g ac Hood 3.00 rr Ventilation - Q QQ Permit Fee _ (J 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 against1D all liabiI • dgments, costs, and expenses which may in any way accrue a set Cou t i onseque f the granting of this permit. Date Signature A is t — Owner ontrocror ❑ Agent ❑ An OSHA ermit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height.. Mobile Home Installation Fee $ Energy Inspection Fee $ Q TOTAL PERMIT FEE CONST. Pt SCHOOL FLo ARCEL PO D 1 NS This permit is'hereby issued under sion f the Butte County Code and/or w0 i dica d ove for which fees 1 CTOR OF PUBLIC BY PERMIT EXPIRES Date• the applicable provi- resolutions to do have been paid. WORKS Date 7i9r 2 Receipt No. doC ��� WNIT[-O.P.W., TZLLOW-ASar33 R. PINK-INSPCCTOR, COLD CNROD-APPLICANT �t.s if►t_...e.}$,.��k.. $:a.tt'r`+v r'.;� .-Z..,;'���,Je:. JG _, �.�.. \�d;�,�� � �.;-`�,,�-.`���Y.{ 5 r»tiud i.;.v, �-by^ �, .� ev _9.e.y .-- p _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVI&EE�CALWFFGRNIA+95965 - TELEPHONE: 916/538-7541 i PERMIT APPLICAT bh DATA SHEET s Permit No. OWNER 645F A. P. No. Proposed Building Use .SF Building Inspector Date i-- At time of permit application, I was advised the following data ust be submitted prior to permit processing and/or issuance: DATE RECEIVED 'APPROVED 1. All items have been submitted. . 't.. . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 5 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. Z 12-Zh`J�f_ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) __._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . W8. Pre-Inspec. request to (Date) . Pre -Inspection for_______ _ _Required. Building Inspecto-r/ Recorded copy of Agricultural Acknowledgment Statement.. Driveway Permit. 20. Plot plan approval from city of _ 21. - - 22• — — -- When, you issue the permit, process as follows: LZMail to owner, Mail to contractor_ Telephone and hold for pickup at office, Deliver w/'inspector. Other 1 � k t APPlicnt �,� CGi Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—mail counter by date — Contractor, designer, owner, was advised c? 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 -DPW To- Building Department i -'ROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LOCATION AP # Plans approved for:' Sewage Disposal Water supply Hold final for: Water Supply Final.Clearance O.K. for: Water Supply ..,learance for -2—bedroom raa=Fe home. Other Clearance for addition o f N`o te*ft rARIAN DATE TO: Building Department 7:, , �- z 4 - FROM: Encroachment Permit Section RE: 'Dftueway Clearance -fox-? 610�Al& &,V-71 c-lAcz,5 owner location - 7 - AP # Driveway permit 0 0 00 has been issued for the above property. n b sign/ure date 1'V1\ RL'J1.L1'.I\11HL 11L,VLL.V1'1'11%1V1 Section 26-8.1 of the Butte County Code reyui.res this Acknowledgement be recorded; prior to .issuance of a building permit. The property described herein is adjacent Lo land or included within an area zoned for agricultural purposes, and residents o(' Lhi.s property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals including OTC but not limited to herbicides, pesticides, 0R/G0114?�� and fertilizers; and from the pursuit r�ocu 1.1mi of agricultural operations including, �E/Vt but not limited to cultivation, plowing, spraying, pruning, and harvesting which •RECORDED BUTTE COUNTY OFFICIAL -RECORDS �,P , PARTY S14OWN 1968 JAN 21 PM 2: 02 CANDACL J. GRUBBS �. CLARK--RECORDER'FEE ��- 1967 occasionally generate dust, smoke, noise, and odor. Butte County has esLab.l.ished agr i cu I - Lura.l zones which have as a priority use for productive agricultural purposes, and residow S wi Lhin said zones and on adjacent property should be prepared to accept such i.ncoim,11i dice or disconform from normal, necessary farm operations. ALl that real property situate in the County of Butte, State of Calif.orni.A, dL�ticribed ;is fo.t]ows: Lot 83, as shown on that certain Yap entitled,, "PARADISE PINES" COUNTRY CLUB ESTATES UNIT NO. 1", which Map was filed in the Office of the Recorder of the County of Butte, State of California, September 14, 1971 in Book 38 of biaps, at pages 57, 58. 59, and 60. EXCEPEPTING THEREFROM all minerals, oils, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land herein described, and that.no damages shall be done to the -surface of said land. Date: 1 —\q g2 SLaLe of. SS. County of) PROPERT WNERS: C4 On this the l°k__�AN day of .1988 , heforc ine, the undersigned Notary Public, personal appeared J E) Personally known to me.f9Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ou-\_Q_ subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. .LN WI" :tib WHEREOF, I hereunto set my hand and official sea]. BONNIE ANDERSON NOTARY PUNJC-CALIFORNIA Present A.P. No. 'ButtoCounty ■ Notary Public. le ^ '-7—MY OomrtdtelpnbptresAug,Qt08t1 INNaOMMONNOV JO INNUVIS u21u7nin9v Mcl(I ()I tuniam SU;S M 19 NLI t— COUNTY OF BUTTE - Department, of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916®538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity.to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ]Cf LS 2. I (have/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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person .to coordinate,.supervise, and provide the major work: Name -' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work t Signed:(:/3 Property Owner 4. Social SecurityNumber- Date j NOTE: This Owner -Builder Verification is sent to you as required by Sect ons 198311 -and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 14% At' 6�} OWNER 6UE A.P. # %%-07.0 GENE fpling requirements- (sideyards uation.ns signed by designer. 4l/Eaergy Design and Compliance. 5.--E%TstTng violations on property. PLOT PLAN and number of permitted living units). l.V1C'omplete parcel size and dimensions. 24/Setbacks, sideyards, easements, etc.,.r 3–r Qt4er buildings or structures:' ' 4�r ading, fills, drainage. 5. ✓Flood hazard. 6-r-9'ptrrial conditions on creation map ox compliance document. FLOOR PLAN 10 Complete to scale',plan„with dimensions. t. 2.kXequired windows for light and ventilation (Sec•.`1205). 3 .,�Xequired windows for second exit (Sec. 104). fights (Chapter 34 & Sec. 5207). 5E/Human impact glass (Sec. 5406) . ' ' - 1. ' 6� quired room sizes, ceiling heights (Sec. 1207). 7. G F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 8.�ght fixtures, switches, receptacles, and exterior receptacles for m •'hanical equipment. 7/85 L maintenance of 9. cations of water heater, heating and cooling equipment, other electrical or gas quipment, and plumbing fixtures. 1 �arage firewall, door size, and closer (Sec. 503(d)(3)). 11 3'0” exterior exit door (Sec. 3304(e)). 12. $ace and wood stove location. 13 oke detectors (Sec. 1210). STRUC ORAL DETAILS 1. undation plan complete enough. -.to construct building. A� w%t-e i S 2f F "oor construction'details complete enough:to construct building. 3. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. glace construction details and calcs if necessary. 61/ Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 1A Exposure I plywood on exposed locations and overhangs. �Sec. 2✓-•tairway details: .landings, rise and run, head Lea nc h d a 3306). uardrail details (Sec. 1711 & 3306(j)). .4,– Ick or stone veneer (Chapter 30). -�---;prior plaster - weep screeds (Sec. 4706). 6. Proper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam.(/s.S!S C746 N 5 - RESIDENTIAL PLAN CHECKING GUIDE (CONY D) MISCELIAN�EOUS ITEMS TO LOOK OUT FOR (CONT -D) 8. G _Age door' or pore �sie,, 9 .!/Adequate bracing. 1Q_ i.iving area over garage - complete 1 -hour separation required on garage side includ��insupporting walls and posts,,etc. 1_1---_TVio exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 12 ��lttic access and ventilation (Sec. 3205). 13�.x///Underfloor access and ventilation (Sec. 2516). 14!!,4Jood stoves, clearances, alcoves & 1 -hour shafts. 15✓✓✓ Combustion air for fuel burning appliances. 16-r-795requirements on duplexes. 17,--*drrb-e soils - special foundation design. 1f&—Retaining walls requiring design. !9. -ftV% al shape, size or split level house.requiring lateral design. RTT►4c R'*'SLOP-C FDU - i t . ",H I & F!' NA zAc'.V 7.otk%.r X73_ 033 2• Z 3S f $ci�so� S 7/85 FORM 0 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY ✓ Owner 646A16- Climate Zone _ 1 r Permit No. Floor Area 7 Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System []Budget 'Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling 30 Wall ❑ Slab Floor Perimeter Raised Floor_ (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. `P1 (B) All. manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. j� (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier [a (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg ZO(rs_ S l Z., 73 North Z 3.7 ® —-- East 1.7._ (� South 44- 2f(c_ West 72.5' ¢, Skylights O O (B) Shading Shading Coefficient Description East (oL Dural. C 1-4ZI W ® South « '� ® West << !I ® Skylights D ® (C) South Overhang Length of projection _ ft. Description CAy� ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area —Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location 7/83 ►: B (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar model number orientation P,% SE ACOP type (liquid or air) Collector brand and ft2 solar fraction collector area collector collector tilt rated y -intercept rated slope Other CA/00 b STO V IF- (describe) _(describe) *1 (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump $,0 (seasonal EER) 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. f� (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 T fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 r VRM (6) DOMESTIC WATER SYSTEM (A) ea my Gallons G61 (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) (� (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (� (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature N elevation ZO OO ', heating load f 79%7 BTU elevation factor /- a 9 x heating load = maximum outlet capacity gas furnace (3/95" BTU Cooling: Summer design temperature 4,4- °, cooling load /9f3 3� BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) * Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGN A T U R E B INGy6ESIGNK OR APPLICANT 3 7ab:e 3-13. Izf't_rat:on Control Fentvres Points ! Control Features 1 Points I I I I Standard I 0 I I 1.9 sir changes per hr I I I I I .r_ I Tight i +12 I i I i I X1.6 air changes per hr 1 I i I i Table 3-15. Cas Fcr^.ece Without Refr!oer;t!on Cc3lfr.q Points _ 1 I ! Seasonal Efficl+ncy I Points I I (SE), I Ratio 71 - 76 I 0 1 I 77 - 82 I +2 I I 83 - 88 i +4 I I a9 - 94 ! +6 I ( 95 up 1 +8 ) Table 3-16. Heat P•,_o Points 2 2 2 2 1 Energy Effic!eney I Ports I I Ratio (EER) I I 7.5 - 7.9 I +3 I S.0 - 9.3 i +6 I I 8.4 - 8.7 i +9 I I 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +13 I I 9.7 - 10.2 1 +18 I 10,3 - 10.9 I +21 I I 10.9 - 11.5 1 +24 1 I 11.5 - 12.3 I +27 I I 12.4 - 13.2 I +30 I Table 3-17. Cas Furnace With Refriveration Coollne Points .Refrieeracion) Gas Furnace 1 ! Cooling I SE % I I 1- 77-163- 59-75-5-T I 1 761 821 891 941 on I i ! 8.0 - 8.3 1 01 +21 +41 +61 +8 I 1 8.4 - 8.7 1 +21 441 +61 +91+10 1 ! 9.9 - 9.2 1441 +:l +;14101+12 1 1 9.3 - 9.7 I +9,I +!1+101121+14 1 ! 9.8 - 10.3 1 +121 +141+16 1 i 1C.4 - 14).9 I+1 Ci+12i•1 :1+1.5i+!9 1 i 11.0 - :1.5 1+12i+i=14161+191+a0 i t t I i 4 7i7i 83 TALE 3-14 (ADAPTED) !LASS DWELLING ARFA SQUARE A?EA 1,000I 1,500 I 2,000 SO. FT. � A 8 C D f A 8 C D it A 6 C r0 150 2e0 253 309 351 490 SO) 071 793 Z30 SCJ 1.oQo I,; Ou 1,200 1, 31^0 1,400 I,i^o 2,000 2,500 1,000 3,500 •1,700 4,500 _ 5-01)0 2 2 2 2 2 2 2 0 4 4 4 2 2 2 2 2 6 6 6 4 4 4 4 2 e 8 6 4 6 6 ! 2 10 10 8 6 6 6 6 4 12 12 10 6 4 8 8 6 4 14 14 12 6 17 10 8 6 14 14 12 8 1J 10 8 6 18 18 16 10 12 12 10 6 22 20 18 12 14 14 12 8 24 24 20 14 (18 16 It 10 26 24 22 16 `I 70 16 16 10 28 28 74 16 122 20 18 12 30 30 25 18 20 20 14 32 37. 28 (22 20 24 24 22 14 3432 10 30 22 '26 26 22 16 34 34 32 22 26 24 16 34 . 34 32 428 24 28 28 26 18 36 34 31 2430 30 26 18 18 12 24 434 34 32 22 ZONE 11 INTEND ON THERMAL MASS POINTS 2,500 j 3,000 1 3,500 A 8 C 0 1 A 8 C D 1 A -St 2 2 2 2 2 2 0 2 1 0 0 I 2 2 0 2 0 0 2 2 2 2 2 2 2 2 4 4! 2 2 4 4 2 2 6 6 4 2 4 4 4 2 6 6 6 4 6 6 4 2 6 6 6 4 6 6 6 2 8 8 6 4 6 6 4 4 10 10 8 6 R 8 6 4 12 12 10 G 10 10 8 6 14 14 12 0 10 10 10 6 14 14 12 8 12 10 10 6 16 15 14 10 14 14 12 8 18 16 16 10 14 14 12 8 20 20 18 10 16 16 14 8 22 20 18 12 18 18 14 10 22 22 20 12 18 19 1L 10 24 24 20 14 20 20 18 12 24 24 22 14 122 20 16 12 30 30 26 i8 26 26 22 16 34 34 30 22 430 134 30 32 26 30 18 22 0 0 0 0 0 0 0 0 2 2 2 0 2 1 0 0 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 4 2 2 2 2 2 2 4 4 4 2• 4 4 2 2 6 4 4 �2 4 4 4 2 6 - 6 4 2 4 4 4 2 6 6 6 4 6 6 6 2 8 8 6 4 8 G 6 4 10 10 8 6 I 8 8 6 4 10 10 B E j 10 A B 4 12 12 10 6 110 2 i 10 J 6 �12 12 10 6 12 10 10 6 14 14 12 8 12 12 10 6 14 14 12 8 14 12 12 8 1;, 14 14 8 14 12 12 6 18 16 14 10 14 14 12 8 18 18 16 10 116 2 16 14 8 22 22 20 14 20 20 18 12 26 26 24 16 i 24 24 22. 14 30 30 2618 B 28 26 14 16 32 32 30 20 130 10 30 26 18 0, 4 28 L 32 32 30 20 A) 1. 3•s` Concrete Slab: P.C•8.93; R•.29; Factor -7.3 2. 3 3/4` Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 81. Sh` Concrete Slab: HC•14.101; i'•.458; 1';,c!or•7.1 C 1. 8" Solid Filled Block: HC•20.63; R-1.90; Factor -6.1 2. 8` Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. NOTE: use all square footage directly exposed to conditioned air for Thermal Mass Area: HC�10.164; R-.965; Factor -6.1 D) i' Thick Concrete/Tile: MC -2.5S; R•.083; Facto r.3.7 Table 3-19. Zorslly Controlled Electric Resistance Space Heating Points Points for this measure w!I1 ( 'able 3-2(1, Solar Hater Heating With Cas Backup Paints I be completed after the CEC I i has approved an Alternative 1 Component Package for Resistance 'I I Beat. Table 3-19. Active Solar Space Heating with Cas Points I Xet Solar Fraction I Points I I (NSF), z I I I I I I 0-6 i 0 I I 7 - 14 I +2 1 I 15 - 23 j +4 1 I 24 - 30 I +6 I I 31 - 39 1 +8 I I 40-47 1 +10 I I 48 - 55 I 4-12 ) 56 - 63 1 +14 I I 64 - 71 I +18 i I 72 up ( +20 I wood stove #33 points(no back up) casablanca fan + 1 point Multlfaoil (per unitpoints) - Net Solar Fraction (NSF), Z per unit, Heating Pts. ft2 I System Type I I Z• �_ l,000 I I,Si3O 0,9 10-19 S,OC9 • . A 6 C D I A 6 C 6 +10 +14 r- 800-999 0 +3 +5 +8 +11 +14 +16 +l9 1,000-1,499 1 4 0 0 0 D 0 C 0 Ci 0 J 4 J 2 2 0 0 2 2 0 0 1 0 J 0 Di 2 2 2 0 2 ? 2 012 +29 1 2 61 2 2 2 2 2 ? 2 2 2 +11 7 +22 2 2 z 2 i 2 2 2 2I 2 2 2 2 2 2 ? 7 1 2 1 2 2 i 2 2 2 2 4 4 2 2' 4 4 2 7 i 2 2 2 2 4 1 t 2 I 4 4 2 2 I 4 4 2 2 i 6 S 4 2 4 4 ! 2 ! a 4 6 6 6 4I 6 S 4 2I 6 6 4 2 8 6. 6 a l f, 6 5 41 6 6 F 2 i e 6 6 4 1 8 6 6 4 G 6 6 s 8 B 4 fI 8 B 5 4 i 8 6 t i 10 10 8 6 I 8 a 0, 4 28 L d i 10 1J 10 6 1 11 10 8 C j !0 e f , ! •11 12 10 L i 10 1 10 8 E! 15 in 8 L i 12 12 IJ 6 1 12 !0 10 L I 10 `C t, o i 14 14 12 8 '2 12 :G t ;0 10 I; 14 14 12 t' IT 1: 10 G I ;2 17 IC o i 18 18 16 10 1G 16 is L 14 14 12 4 I 22 22 13 .2 i 10 20 I8 24 24 22 14 122 22 20 i4 :: Z3 ,'c 12 1 26 28 24 16 26 24 27 1: 1 7a ;4 , 20 14 ' 30 30 16 1a 29 28 24 1f ::5 2i. 2: 1F I 32 32 28 20 130 30 if ?E' j :a ,.- 32 t7 to 20 1 1 ;6 .tl?. wood stove #33 points(no back up) casablanca fan + 1 point Multlfaoil (per unitpoints) Floor Area Net Solar Fraction (NSF), Z per unit, Heating Pts. ft2 I System Type I I Points I I I 0,9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +l9 1,000-1,499 0 42 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +11) 2 Cf30 and u 0 +1 +2 +4 +5 f +5 1 +7 +9 All others (per bull_+ing points) eu0-899 0 +5T +10 +14 +19 +2' +29 +34 900-999 I 0 +4 +S +13 +17 +tl +26 1 +)J I, 000-1,199 0 +4 +7 +11 +15 419 +22 r26 1,2Or-!,499 0 +3 +6 +9 +12 +15 I +18 +21+U1,500-1,999 0 +2 +5 +7 +9 +12 +14 + 2,1)4)0-_,9:9 I 0 42 I +3 +5 47 + +10 +Il 3,01:0 a;.d un 0 +; +3 +4 I +5 •.7- 49 +10 ! Table 3-21. Other Later Heating Pts. I System Type I I Points I I I I Gas Only I I I Beat P..mp I I 0 i I I I Solar with Electric 1 I I ( Reiiscance Backup I t I He�ting the Require- I i I ar;nti in Part 2 I I I 0 i I Electric Resistance I I -41) ; 10. SHADING (Exclude Overhang) EAST - ZONE 11 t 10` O 0 R ( C �_�� '-' POINTS O PERMIT NO. .13-.36 ASSIGNED ACTUAL 1. SLAB - INSULATION I' 0 I 2. A P.AISED FLOOR - R-19 R• LCI a 3. CEILING - R-30 -7- 4. WALL - .R-19 -- 5. NORTH GLAZING (OZ 2.4-3.6% 'j--'1 -Z 6. EAST GLAZING 409- 2.5-3. 6! i • I Jr Z 7. SOUTH GLAZINIG 44-- 1.6-3.6% Z• 6 8. WEST GLAZING ?Z'y' 2.9-3.67 4,34 A0 - - 9. SKYLIGHT O - 0-1.37 0 O 10. SHADING (Exclude Overhang) EAST - .66 t 10` O SOUTH - .19-.42 1 -2 O i.TEST - .13-.36 1 -1 1 0 1 SKYLIGHT - •37-•57 I' 0 I 11. HORIZONTAL SOUTH OVERHANG 2' 71 O 12. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) 14. THERMAL MASS SF 15. `GASI FURNACE (SE) 71-767 16. HEAT Pbl[P (EER) 7.5-7.97 17. DUAL PACK (SE, SEER) 8.0-8.3/71-767 5.0 UP WOOD STOVE VES (,9(7 WATER -HEATER ATTIC D '% OTHER . 'able 3-1. Slab Floor Point n t ZU O +-3 TOTAL POINTS = 'l4t_7 1 Tn=•jla- I R -Value of Insulsttan f I tlun I 1 ( Derth, I inches 1 0-2 13-4 ! 5-6 I 7+ I 1 0- 11 1 -5 I -5 1 -5 1 -5 I 1 12 - 15 1 -5 I -3 1 -2 1 -1 I f 16 - 19 1 -5 1 -2 1 -1 1 0 1 1 20 + I -5 1 I 1 -1 I I' 0 I 1 +1 1 I 1 7/7/83 Table 3-2. Raised Floor Points I R -Value of I 1 Insulation I I I 1 Points I 1 I below 3 I -12 I 3-4 I -8 I I 5-7 I -6 I I 8 - 12 I -4' I I 13 - 18 1 e2 I I 19+ I I I 0 I I Table 3-3a. Ceiling Insulation Points R -Value of Insulation 1 Points I I I I I 19 I -4 1 1 22 I -2 I I 30 I 0 I I 38 I +2 i I 09 I +b Table 3-4a. Wall Insulation Points ! R -Value of Insulation I Points I I I I I 19 I 0 I I 24 I +2 I 30 i +3 Horth -Facing Glazing Pts I I Glazing Type I I Total I I I Z of Sngl, Dbl, Trpl, I Floor I U- I U- I U- I Axes 10.66 10.42- 10.41 I I 11.10 10.65 I down I I 0.1- .2 I ++4 ! a+4 I + I i 1.3- 2.3 I +1 I +2 I +2 I I 2.4- 3.6 l -2 I 0 1 +1 I I 3.7- 4.8 I -4 I -2 I -1 I I 4.9- 6.1 1 -7 1 ----7 I -3 I I 6.2- 7.3 I -9 I -6 1 -5 I 1 7.4- 8.2 I -12 I -8 i -7 1 1 8.3- 9.7 i -14 I -10 I -8 1 1 9.8-10.8 I -17 I -12 I -10 I 110.9-12.0 I -19 1 -14 I -12 I 1 12.1-13.2 I -22 I -16 I -13 I 113.3-14.5 I -24 I -18 I -15 I 114.6-15.3 I -27 I -20 1 -17 I Table 3-6. East-Facin¢ Glazing Pts. I I Glazing Type I - --I Total I 1 1 Z of I Sngl, I Dbl, I Trpl, I Floor I (U - 1 (U - I (U - I I Area 1 1.10) 1 0.65).1 0.41)1 ippints Ipolnts I ointsl 1 up to 1.3 I +3 I +4 1 +4 I I 1.4- 2.4 I +1 i +22 1 +2 I I 2.5- 3.6 I -2 I 0 1 0 I I 3.1- 4.6 I -5 I -2 I -1 I I 4.7- 5.5 I -8 I -4 I -3 I I 5.7- 6.7 1 -10 1 -6 I -5 I I 6.8- 7.7 1 -13 I -8 I -7 I 1 7.8- 8.7 I -15 ( -10 I -8 I 1 8.8- 9.7 i -17 I -12 I -10 I I 9.8-11.2 I -21 I -15 I -13 ; 111.3-12.7 I -25 1 -18 -15 I 112.8-14.0 I -28 I -21 i -18 1 114.1-15.3 I -32 I -24 I -20 I 4__ --� --� Table 3-7. Sour--ti-Facing ClazinR Pts YeblT a 3-10. Shading Coefficient Pot=ts Glazing :ype I I SC by I I Total I I I Orten- 1 2 Floor Area I Z of I Smgl, I Dbl, Trl� 1 tatlon I I Floor I (t - I (U - 1 (, - I I I I Area 11-10)10.65) 10.41)1 I I �tr.ta I oints I ointsl I East 1 1 3.2 1 O 1 1! 1 +3 1 #3 TI 1 0-3.1 1 to 1 6.4 up I up to 1.5 I +2 i +2 I +2 1 1 I I 6.3 I I 1.6- 3.6 I -1 I �0 I 0 1 I I I I I 3.7•- 5.2 I -4 1 -2 1 -2 I I T- I 5.3- 6.5 I -6 1 -4 I -3 1 1 0 -.19 I 0 ! +1 I +2 I 6.6- 7.7 I -9 I -6 1 -5 I I .20-.36 i 0 I 0 I ♦1 I 7.8- 8.9 1 -31 I -8 1 -7 I f .37-.66 1 0 1 0 i 0 1 9.0-10.0 I -13 I -10 .I -9 1 1 .67-.82 1 0 I 0 -1 ( 10.1-11.5 I =17 I -13 1 -11 1 ( .83 up f 0 I -1 I -2 111.6-13.0 I -:1 I -16 I -14 I I I 1 I 113.1-14.5 I 5 I -19 1 -16 1 1 14.6-16.0 I-_"8 I -22 i -19 I I South 1 0 1 3.2 1 6.4 19.0 1 9.! I I I I 1 1 I to I to I' to I to I up I 13.1 1 6.3 1 7.9 1 9.5 1 Table 3-8. West --Facing Clazfnq Pts. 1 �--� 1 I blazing type 1 1 0 -•I8 .I 0 1 +1 i +2 1 +2 1 +3 I Total I 1 I 19-•42 1 0 1 0 1 0 1 0 1 0 i .43-.66 I 0_1 -1 f -2 I -2 i -3 1 Z of I Smgl, I Dbl, I Trpl, 1 .67 up 1 0 1 -2 i -4 1 -4 I -6 I Floor I (L•' - I (U - I (U - I I Area 11.:D) 1 0.65) 1 0.41)1 II oL-T--s I otnts I ointsl West I .1 1 1.6 13.2 1 6.4 1 9.0 o +f +6 +6 I to I to I to I to I p i up to 1.3 I -5 I +6 I +6 I i 1.5 13.1 1 6.3 1 7.9 I I 1.4- 2.2 I -3 I +4 I +5 I I I I I t 1 2.J- IIIII 2. D +2 1 +3 2.9- 3.6 -3 0+1 I 0-12 0 +1 `+3 +6 +7 3.7- 4.2 - -2 0 .13-36 0 0 0 0 0 4.3- 5. -B -4 -2 37-57 0 -1 -3 -6 1 5.1- 5.6 1D -3 .58-92 -1 -3 6 1 5.7- 6.2 -:3 -8 -6 .83 up -2 -4 -81 -16 1 -70 I I I I 6.3- 6.9 I -L5 I -10 I -7 I I I i i - I 7.0- 7.6 1 -tB I -12 I -9 I I 7.7- 8.2 1 -�J 1 -14 1 -11 I Skylight I .1 I .8 11.6 1 3.2 I �•� I 8.3- 8.8 I I -16 I -13 I I to I to I to i to I t� I 8.9- 9.5 I 15 I -18 I -15 I 1 7 1_5 13.1 13.9 1` 1 9.6-10.E I -20 I -16 ! ` 110.2-11.0 I -11 I -23 i -17 I 0-.12 t 0 1 +1 1 +3 1 +6 1 -7 111.1-11.8 I -3Z I -26 I -21 I •13-•36 1 0 1 0 1 0 1 0 1 0 111.9-12.7 i -'f i -29 I -24' 1 .37-.57 l 0 1 -1 l -3 I -6 ! -- 112.8-13.5 I -42 I -32 I -27 I .58-.82 1 -1 ( -3 1 -6 1 -12 1 113.5-14.3 I -ori I -35 1 -29 I .83 up I -2 I -4 I -8 1 -16 1 114.4-15.2 I I -38 1 -32 I I I I I 1 Table 3-9. Skyli -ht Points I I Glazing Type I I Total I 1 I Z of T Sr.&: Dbl, I Trpl, I Floor I U- I U- l U- I I Area 10.6-- 10.42- 10.41 I 11.IC 10.65 I down I Iupto1.3l -L I 0 I 01 I 1.4- 2.2 11 -2 1 -I 1 I 1.3- 2.8 I -1 I -4 I -3 I 1 2.9- 3.6 1 I -6 I -5 1 I 3.7- 4.2 1 -1: I -8 I -6 I I 4.3- 5.0 I -1+ I' -10 1 -8 1 I 5.1- 5.6 I -Li I -12 I -10 i 5.7- 6.2 1 -IT ! -14 I -12 I I 6.3- 6.9 I -Zr- I -16 i -13 I I 7.0- 7.6 I -2- I -13 1 -15 I I 7.7- 8.2 I -2i I -20 1 -17 I 1 8.3- 8.8 I -::i i -22 I -19 I I 8.9- 9.5.1 -31 -24 I -21 I 1 9.6-10.1 I -33 1 -26 1 -22 I Table 3-11. Horizontal South Overhang Points South Glazing Length Out I Area, I of Floor I 1 from Wall I I I ft 1~ 1 1 0-6.3 1 6.4 up I I I I I 0 - 0.5 1 -2 1 - 10.6 - 1.0 1 -2 I -3 I 11.1 - 1.9 I -1 I -2 I 2.0 up I 0 ( 0 I Table 3-12. Movable Insulation Points 1 Moveable Ir.sulatioo I I Area, Z of Floor 1 Points I I i I I 0- 5.5 I 0 I I 5.6 - 11.5 f +2 1 1 11.6 - 17.5 I +4 I I 17.6 - 23.5 I +6 I I .23.6+ I +8 I ENERGY RT IFICA•TION A _ LOCAT ROOF Material -- Thickness (inches) aterialThickness(inches) DESCRIPTION OF INSULATION EXTERIOR WALL Raterial Fibe.rglasss Thickilo ss(inc 11ee) CEILING Batt or Blanket Tyke Fiberqlass Thickness (inclie s)—= -- Loose Fill Type_ Fiberglass Minimum TliicknesQ(Inches) Arca covcred(ft. FLUOR, t.M-VATEr) Material _Fiberglass Thi.ckci�ss(inches) FLOUR, SIA13 1kiterial 'l'I�icknrvs (inches)_ _ Widtli(lnchcs)____— _,--- FOUNDAT'JoN 14ALL flater1ai 'I'llick,iess(inclics) A. P. No. Brand Name_ Thermal Resistance (R Value) Brand Name Certain'I`eed ' Thermal Resistance(R Value), Z1 Braid Name CertainTeed Therinal Resistance(R Value)_ Brand Name CertainTeed Number of Bags Wt. per bag 25 lb. Thennal itesistance(R Value) Brand Name CertainTeed 1'tiennal Res istance(R Value) Z Brand Nnme Theripal Resistance(R Val.ue) Brand Name_ Thermal Resistntice(R Value) —_ I hereby certify that the ill contonnrince with the above insula tion was installed in the above bi.ii.lding St:tte of Califor1'in I:ttergy Requtremento. I•iawkins Insulation Co., Inc.• 378407 I':LItFi NAIIG/OWiII;R STATE C011TRAC' ORIS LICENSE PIU. S1( PI<1'l'Ulti. )t' 1NSTAI1ATION AL'!'I,ICA'i'Ult 1)A'I'fi u 1 hereby certify the above insulation and All required items as shown on the Building Department approved plans and Attachments havo been inotalled as reqiiired by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically Approved by the State of Califor•-ka. NI.R (I' care print) STATE CUPt1'ItAC'i'Ult'S LICENSE' IlU S (;'URE F 11E i L GODf�(;'l'Ult UIltJa'.R 1) l'I. THIS CERTIF'I.CATE 1.111S7' BE Oil FILE WITH THE DU7:LllIPIG DEPARTMEJ14 PRIOR TO FIIli1L 1NSl'1a�:'l'1•JN APPROVAL AND A COPY SHALL BE POSTED WITHIN' TIE BUILDING . JZIuuzry 1984 Gp! t l,G-o7- 00 5" owl ,' ... .-.:,.T t:' C--WMCTQRS- TC BGTff-FPZ S A S C .AIN AND- Luch-M to NL4 -eaq ..W.Y[Q7iaR C 4 h" flh t FSS''OTHEINISE SFMg Irr" i}?CB LX { i FL.�tC %F..a7HING� EOiTEn iFJ7R Vrm _RFGl9 CILu r�z' ��-35 Q -_ 0-- — - p Oi 5IGN, STFAMRM CJr VIM WLIGF§3LE@fiOdiSSON''S 6'F *tom Fti] aTPI irGFl - WN ilk IHiS �� zrv�Lr �A,LF BMM i I7F tc 1,_i� r Il. a L C _ - YLTH FIFE #?EiRfiOAXF FR�J3TFD LU"S Lit c TPz_ IPli3s r'idT`c fN5FI[T7iE'.. tiG9 ?ti'elCttc�L DMG,4 HI�'e[YE E67i[liN1 fGR MDQ CONST p a iY Call-- Z59 JB 1) PSF PSF 2R x -,-Ri n -Div ins sr--s,,x o - L. Com" STfjpc Z59 JB 1) PSF PSF 2R x -,-Ri n __ -. 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