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HomeMy WebLinkAbout066-300-03966-30-39 SKIP FLORADAY� 13756 Heller Ct, Magalia o Q/ Contr: Mathew Thompson /` �i 0 1 Permit #1286-87B,P.E,M(npw single famil __ 66-30-39 a* -.1147-9.1B FLORADAY;'Hugh 13756 Heller'Ct, Magalia (repair sheetrock/sf) 66=30-39' , ,r 3278=91B,P,E r FLORADAY,.Hugh, 13756 Heller Ct, Magalia (SSU f cont: Don Bantum. (garage -addition) I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r' 7 County Center Drive - Oroyille, California 95965 - Telephone: 916/538-7541 APPLICATION ASND PERMIT ASSESSOR PARCEL NUMBER 66-30-39 ZONING RT1 BUILDING PERMIT OWNER HUGH FLORADAY TELEPHONE ,SQA FT. OCC. BUILDING VALUATION 352 M 6336 OWNER'S MAILING ADDRESS . 13756 HELLER CT MAGALIA 95954 CONTRACTOR'S NAME DON BANTUM CONST. TELEPHONE 877-6886 CONTRACTOR'S MAILING ADDRESS PO BOX 1251 PARADISE 95967-1251 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ ' FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 62.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 5 , Ener Plan Checking Fee 9y g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD 13'NG ADDRESS HELLCT MAGALIA Permit fee $ 4-'L — PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home I S I G JW 1 10.00ea TYPE OF WORK New ❑ Addition ffk Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ADD TO EXISTING GARAGE Permit Fee $ 24.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): • I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. 7768&:3 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.S OR ADDNS. ACC. BLDGS. , /z¢sgft 8,80 NEW CONSTR. U TI.OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES .2000FIXED 30 Ex. Occup. OUTLETS 1PRESIO.)REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 18.80 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 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" again�!County in con queice of the granting of this permit.X��' cam` Date / —� Z — Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations ov r S'I�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 $ HAz cu PAR scH r,%'' F /� c PA I HD. 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 100845" G`s WHITE-D.P.W., YELLOW-ASS[350R. PINK -INSPECT . GOLDENROD -APPLICANT �.,rr " - "• "'`--r"RwRPtM �^.s.y'!'�{'far*�gFityip"'�vfy�,;'r',�"ipr;�x7'.'¢'�`iar�`y9�,�.'C1't�` -��-' ^4 COUNTY OF BUTTE - DEPARTMfN. '-,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -. OROL�" ,IFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use t, , PERMIT APPLICATION DATA SHEET , 1 / Permit No. �.. i _ 3--� Date % /Z y P. No. _ Building Inspector N At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete, plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered', plans -and calcs, with wet signature on plans .. 5. Hazardous Material Form ....... .. ....... , , , 6. Energy Design Compliance"'and�pporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . Fees of $ 3/0 �5 dor Pl/(N CLIPc%Gild........................ 11. Chico Urban Area fees paid ......................................... 12. Park fees paid .................................................... 13.School District fees paid .............. 4! Sanitation approval from iA Vi 5� 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 ❑) ..... "' r 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone &77—� and hold for pickup at _office.. Deliver w/inspector. Other .Z Applicant � �'/ �G, �l�` cam_ .Date 2 AZA Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p�riorpegqji,t�suance: (Circle new item not checked above). 1. Index permit for above items No./o,)4 ti 2. Additional items required: Contractor, designer, owner, was advised of above required data by_Z/phone_rnail—counter by_>/• - ..date Contractor, designer, owner, was advised of above required data by_phone_mail_pounter by date Plans checked by Date Plaps approved by —Date Sets of plans on hold in File cabinet ZAP folder Copy—DPW y im Skip & Pam FIoraday 13756 Holler Court Magal ia, Ca. 95954 22'-1 r E Scale: 1/4" = 1' Date: Sept. 10, 1991 16'-0' . �r. R sit► r� ''Provide YV x 10" anchor bolts 6" 6' O.C. max. and within 12" of loi.nfs. 12 ., Fon belt. 1;12 ° refier Uncii sturbe� ,�c_ 12-- 4 s�� r ©corm Co o enuatrarm C@[m-R. Coo P.O. Box 1251, Paradise, Ca. 95967 (916)877-5836 Thr n t, 22'-0" 161-011 W/2)yD,F HX, PEP, 60,V T . �9 7?��PS�.'9 x6/ 11 r4yC ��f r498f C> r�fAs3f Cf tel" \ bf 6 Proposed Garage 16'X 22' Existing Garage 1,171111V c` 1181, use e.x/isr Mg si ogle N \ �jglaae ini�datn'. � y/C aura close i / A// deader: 41 i 0 he 4".1' 12 LA 71-011 1 /2 Bath, 210"X 6'8" H/C mEcN• f Orr tri Roar Man Skip & Pam Floraday Scale 1/4" = 1' 13756 He I I er Court Maga Iia, Ca. 95954 Date: Sept. 10, 1991 DO 0(M Ca oda=um 000 P.O. Box 1251, Paradise, Ca. 95967 (916) 877-6886 � i Skip & Pam Fioraday Scale 1/4" = 1' 13756 Heller Court Magalia, Ca. 95954 Date: Sept. 10, 1991 tt J 1E M Owfflekop =) - - TRUSS ROOF 24" ON CENTER -See- A*,Cc%ed "J06 But ItTrvs.-S 15# felt /�/-VWood S/?eat/11n177 16" 22'--0" Into wow and vmuiauon per Cb. 8iie,'DJ1�. Fiberglass comp 0 ng/eas- q 12 i I tX VERING FMILI AM / I i PtMde °ee.�` �� at au ��ioaj i Boo go Go o almlum Coo P.O. Box 1251, Paradise, Ca. 95967 (916) 677-6666 Existing A cam'-% �'' ' • J� '111,7 �. r %- se4,) u S � 19. �L s/�D TC.3o. APPt6uE� Q�L 30T HJT 5 � F � . �aTts `30 o 0 r7 OM C'r�/a�� = 2 k G �t/o; 2 �•.�- Cin S r 2x G 2-4 � 6TTaM CSI o IZ D = Z XSt' AU' s �4, s��,1 a S i �z" •� EV -T r= 7- JOB FINAL'ED-lJaw) Signature , r :A %I z OK 0 = Not 011e :i - = NotsApphcyhle 4. s Ndl Read s. Date 4NDERF ,OOR RESIDENTIAL (Singlo• and Duplex) I -__,0-Fig. Main; Soils eSI14l-Ele rnd.- F1( Garage;z$oNs-$ed1= �tg, Depth ' Porches 8 Decks; Soils -Steel- / / Fig. - malls, Main_ -Bl s -W _ - -Pie-Fire�lasp_Etg....Stee1 V.: Fj42Fi s-T_w /0 werLTe 2_.Aas Pipe; Size -A ors i 1 a -An rs egulator-S Test 11-YElectric; Underground I. --'-------- '--•--------eeF ---- -- Card•BI Oate(���'� 7 Card -BI Date Card -BI Date Card -BI Date Date P UMBING (Permit) OK exco 4 W rHt.: a t -Ac s -Com n Air lass Protectiong 1 a r Pipe- To s & Anchors -Nail Protection MECH AL (Pcrmlt) OK except .7's-- a Flings & Anchors -Nall Protection .__ .. 1Str�wer Pan: Test, Floor -Tu ccess�, Ga es Meters Ta d: Gas -Electric First test Tub b 21a0.Glow-T4b 'Atcn _Shower 19. as Pipo: Sizo b Anchors - pe. - FRAUING Continued _ _ _ reyE•etra-F'rrg Ext. Doors -One 3' SYS ding -Nailing_' Glazing Area -Gla( I , QpaRltf�° - rape-- s or liaa_a'-,in )- At11C'lfls-R 9 t 3'9lrits Vara -til Date Card -BI Date Card -BI Date Date FINA ans) OK except p'S Steps -Door b Sidelight Protection -Lan, Smeke Oetecta . - ara-6omp,�.ir=Gertner ! or- uc - o ec edroom Exiting J. 6_041th Fixture <-b Tub Access _�-. _Outlets a Oat ct Card -BI Kit. Fixt. & Appliance: Grnd.-Ati. r bGPapi-!.C o Card -81 Date ? Card -BI, Date . Outlets & Receptacles at Kit. Count( _ Garage ir - : Swin -Landin Date ELECT AL Permit OK except p'S Ftx e & Translormcc Clearance -Ins. Protection Wtr. Htr.;916-Clearas(e�Combe" Receptacles Spacing -Lights & Switches at Doors In Garage: bove.�F ch:W ect 2 lz oxes b No. 01 Co_nducwrs-Stapled 74--P`1b.. Elec. &.Meth. Equip. Listed for __ mex Instilled Closo to Edge Studs & C.J. Elec. Receptacles in Garage: (G.F.I.). E Ground made u61- - -_c h-. —Fa slone.s-Bo as b r nsula!ion-Feam-Looked in Attic _.... _ T X5!P . 2 A ante Circuits in Kitchen & Conductor Size . -P eed Wire Size ',Z / ga. Cu;_. _C Wire Size / F%Pe Door a 7, ion to tion ion tion s L dam, c, Yes of lowing insttd.: Drive );!Yes _-iNo: Walks Gam, e [ No: Planters -[:;Yes ZLhkv- _ 28. Servi ,ser Conductors & Gpodr(d-Main Disconnect — u1D• earances: Panels -Motors -Neto. Equip. A.0 Unit: Disconnect -C res-8rkr. & Cond. Size -115V Outlet othes Closet Li SAbvver-tigR C _— _ ems Above Root: P .-Ap ce-F' pl.-Cle�p(st� Opngs. Card B_•I �;, Dat��fCartl_BI iter' c. Trim: .F.I. c eindergredad -- Card B -I _ Dirlo Card -BI Date throughout House - -- - lass Protectiong Oal(o MECH AL (Pcrmlt) OK except .7's-- from Previous InspectionsY-/0 �C. Ducts. Insulation 6 Support ent fan. s � ve nsu a -. ' ....--. . _ . __ _ __ ..- Ga es Meters Ta d: Gas -Electric _ __ tqr & Sewer C cO�de-HD Approval - 3 Overflow. Size & Grade -- Energy Compliance Certificate -Other Certificates _ " - cress- omb. Air -Return Air Vent -115V outlet - __.-._.._____.. .__-_�..____-.-____.---.,_•--___-___._ ,5- ._..__. Platform It Furnace in Attic -------- -- a-- -- - --- --- Card- •BI Dat Date.....__ ���% Caltl-BI Card•BI, Oa: 7 Card -BI Date --- -- Cartl�Bt Oat Caro-01 - Card -BI Date - - - _ �Card_BI __Date_ _--_-- -- card I31 Oate Card -BI Date Date FRAMING If'Lu1Sl OK except p's Comn•ews .11 F,nal- PIUP,1r MaI(!1 I,11 & Anchors Walls. StmIn-N.ullnd, Spacmj & Btacr119-I'lales-Srnuld •• -.. - --. .._ -.. .- ---- ----_-..__ _.._._ .101) m IY.III;: (Ial I {'nu Stnl,. Ful n•d- /, uiye-.S4(.I++s-C�r.RLs_1� ��(�' Q`. It.u,UriS-f'util (;.1!,-;--nn�hrn,_l;nmlrctu, - - -' -- --• •- i" J-�-e+-Fr-r*r 1 t p.� Gr+' if n• - �--.�.�..•�•.s.+�•.�.�..,,, t _ -'--------- ._. _ ._ -- K Hone•. fhulCClne,-. D,.111 StVD-illy. H.1tHr� ,,.. lt, 1, m, t rlir.x> w l •+Imy Ilea.-S,!I Ityl. K Dma•uy,uus f ' V m w. C) Not (' K Py = Not Applicable MOBILEHOM ES 4t a Not Ready - 3 MISCEIIAREOUS Date MOBILEHOME UTILITIES (Plans) OK except if's Date Jam" DECKS, COVERS, CARPORTS, ETC. (Plane) OK except P's 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Selbecke—Eaeomenls 2. Soils; Special MH Support—Sketch 2. Footings: Size—Depth—Spacing—Conneclore 3. Sewer; Location—Test—Fell-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs— Rails 4. Water; Location—Test—Easement Needed (Sketch) _ 4, Wood Awn.; Posts—Beems—Rftrs.—Conner.—Shthg.—Rfg.—Bracing 5, Electricity; Location—Clearancee—Grnd.—/ / Amp—Concrete S. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 8. Gas; Location-Teat—Wrap:/ /"L"ft./ P'Nat.or/ /"L"Il./ /"LPG 8. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -81 Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except Ws 1, Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas: MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Toot—Croseovers—Breakors—Clearances 4. Elec.; Receptacles and Lighting: Distances—GFI S. Drain: MH Test—Fell—Flex Connector 5. Else.: Pool Lighting; 15 volts—GFI 8. Water; MH Test—Regulator—Connector 8. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip. —Pool.Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Inep.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -81 Date Card -BI Date Card -BI Date Card B -I Dale Card -81 Date Card -BI Date Card -BI Date a Owner • e54a Permit ENERGY CERTIF ICAT // ION Heller Ct. & West Park Dr. -7 LOCATION A.P. No. ROOF Material M Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Batts Brand.Name Manville Thickness(inches) 3 5/8" Thermal Resistance(R Value) R13 CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Fiberglass Brand Name Manville Minimum ThicknesWnches) 10" Number of Bags 37 Wt. per bag 4n lb. Area covered(ft. ) 1828 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL .Brand Name Thermal Resistance(R Value) - Brand Name Thermal Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R.Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insulation Co. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S'LICENSE NO. Vnti, a r) L.6 -eh August 25, 1987 SIGI�TURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIJ& NAME/OWNER ( eas print) STATE CONTRACTOR'S LICENSE NO. S'jGkATURE OF GENE tONT TOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 'COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 Gy 1� 7 County Center Drive, Oroville — Phone: 538-75411 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE ER 4� -,F -� PERMIT NO. s 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 I rrection of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. WKWA Inspector Date Cz�y COUNTY OF BUTTE/ z DEPARTMENT OF PUBLIC WORKS /, , L / 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE MIT 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, os need additional e I nation, please contact this office immediately. 0,,_0 ;:;Z 116�� ,A- W ise--,;;' 4' /,"' P/I - G1/N ./ /-' ,P/ - V Inspector Date ? - —714-7 -7 + C,OUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 �. Skyway and Elliott Road, Paradise — Phone: 872-2961 Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routin inspection indicates that the following violations of County Ordinance exist 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 mat r, or need additional explanation, please contact this office immediately. I'4 19G;• �i L' G / / /OS7� il/iC�� s G aor a Dui 7 /:") 1rf G , 1 7�1 i CSG I k 7 1-106k J U/ �11; 21lr,�. Inspector_ Date�'�� _—___ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS y' 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE T NO. A routine ins ction indicates that the following violations of County Ordinance exist at t above address and should be corrected. Please notify this office when cor ection of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �r Inspector'/G /�`'�r�1 Date__ �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville, Californi6 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM T NO. ASSES O PARCEL NUMBER ZONIN�i7 BUILDING PERMIT OWN'KR TELEPHONE SQ. FT. OCC. BUILDING VALUATION ! e7 OWNER'S MAOrLING ADDRESS `` G CO CT R 'NAMy� (./ TELEPHONE Lo� CONTRACTOR'S MAILING ADDRESS Fireplace X ,� f9eP 457 CONSTRUCTION LEN ER uYkNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ s O v ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 O0 Solar or heat pump water heater 20.00 LOT /NO. (y'® SUBDIVISION ��++ Ci �✓ t P NCEL MAP - 7g Water piping 5,00 (� Each qas water heater or vent ` 5.00� USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 (J 0 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New �ddition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ ` Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professo s Code and my license is in full orce and effect. License 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLIN 7a OR ADDNS. ACC. BP.e L �2Q:Sgft NEW CONSTR. MULTI -OUTLET' NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 61 SINGLE OUTLET CIR. / / EX. OCCUpt OUTLETS OR FIXTURES 20 0 ALO 30 DAL03O D APLNS. Ex. Occup. our ETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 p 4 C Coolin 9 O Hood 3,00 v Vent ilationOU 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 building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse ence of the granting of this permit. X �' Date Sign ure Of Applicant — Owner Contractor ��Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-f6R ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $C20to TOTAL PERMIT FEE �� 0 O I P, �f^/, CON ST.T ,PE FLOOD C/I. ARCE / PD ND 159U This rmit is hereby issued under sio o the Butte ounty Code and/or ve for which OF PUBLIC WBv PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � Receipt No. z— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. . .. _ -. -' _tir .. .. � Sw .s7_L_. �;,.x .A '7.�.. �ti1�w�.;r �", a•�"xf :z l")��",�%?A17irfv'*+ld't.•� �'.....ti g; a.��y.� COUNTY OF BUTTE ,DEPARTMENT,OF .PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 +, 'I:, -'PERMIT APPLICATION DATA SHEET -/ Permit No. OWNER '0 G GIG A. P. No. 016— ?"o Proposed Building Use SIC 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. . . . . . . . . 2. Plot plans in duplicate./triplicate, sighed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . , . . , . Letter of signature authorization. • . 10. Sanitation approval from &G ? a — . Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre -Ins ec. request to 7. Pre -Inspection for Required. Building Inspect r (Dote) F-8-:—Recorded copy of Agricultural Acknowledgment Statement. $,l/�7 9W tkc�19. Driveway Permit. 20. Plot plan approval from city of 21. 22. U When you issue the permit, process as follows: Mail t owner, Mail to contractor. Telephone-� ► �%Z7,� and hold for pickup p/l6__office, Deliver w/inspector. Other Applicant / �G��� Date_ 22.'-.� / Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prip to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: .a Contractor, designer, owner, was advised of above required data by_phone---jnall—counter by date , Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date A +t " Plans checked by Date Plans approved by gi`Date zr�- �Sets of plans on hold inFile cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. 0 Copy—DPW TO..s Building Department f FROM: Environmental Health ' SUBJECT: SANITATION CLEARANCE ` i OWNER LOCATION P Plans approved for: Sewage Disposal Water Supplyo<, Hold final for: Water Supply .F Final Clearance O.K. for: Water Supply Clearance for bedroom-w&Ag*L- home. Other p 6 Clearance for addition of No t e'Y/* 4 / TARIAN DATE TO: Building Department 3 FROM: Encroachment Permit Section RE: Driveway Clearance S��r �lo�aGt'rz /3 7 5W h`,' l/�v Cf ��- ?o - 3 y owner location AP # Drivewaypermit p � � / � — � has been issued for the above property. signature t._ date TO: Building Department FROM: Encroachment Permit Section RE:---, `Dilueway;,'Clearance S�,' Flo�^o' /37- Yee //ems owner location AP # Driveway permit 1 number si ature has been issued for the above property. -5--- % •- 8 7 date t:.:.. 81 jQ:. {`- RECORDSp Bl3TT'E GC1ll�tT3 : �.;; . OFFICIAL RFCORRS:$Y.: CANOAG J GRUBBS` 87:45033 Return to DPW AGRICULTURAL STATEMENT OFACKNOWLEDGEMENT c. FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from Pages the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as -follows: —Lot 60,..as.shown.on.that_certain Map entitled, "PARADISE PINES COUNTRY # CLUB ESTATES UNIT NO. 4", which Map was recorded in the -.office -of -the Recorder of the County of Butte, State of California, on October 27, 1971 in Book 38 of Maps, at pages 69, 70, 71, 72 and 73. N i EXCEPTING THEREFROM all minerals, oil, 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 described herein and that no damage shall be done to the surface of said land. Date: PROPERTY OWNERS: State ofo_09L}FO A) 114 ) On this the ct' R,�__ day of A ) SS. me, the undersigned Notary Publ e ' 199�, before' nally appeared L� County of , Hugh S. Floraday and Pam Floraday----------------------- 4.1( �ow ®®ass®■��eome®®ie■®®t®m®sPersonally known to me:�t/' / Proved to me on the basis v ® •� VS91 LUCERO ® :,of' satisfactory evidence. e NOTARY PU3LIGCAiIFORNIA ®to be the person(s) whose iiame(s) fS subscribed to eLaeCounty "the within instrument and acknowledged that ® My CommissionExPiresDec.2G,?987 mexecuted the same for the purposes therein contain d. 0IN WITNESS WHEREOF, I hereunto set my hand and official seal. j/ Notary Public Present A.P. No. G/ /2rGo xcz END OF DOCUMENT C QFpT ",v'y cvl�pop, yet%w ���5 J p 198 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner" (E) Thermal mass Climate Zone � / Permit No. lZU 4 -Flooii Area 17,91 = .. Compliance path: Package ❑ A ❑ B ❑ C ❑vPoint System ❑ Budget Other I 1(,S Ft.2 MIN R= R -VALUE DESCRIPTION MC= REQ'D INSTALLED ITEMS (1) INSULATION: �j Ft. Roof/Ceiling •30 R= MC= Wall ❑ Slab Floor Perimeter ❑ ❑ Raised Floor Ft.2 HC= (2) INFILTRATION• MC= ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® ❑ (B) All manufactured windows and sliding glass doors shall meet the - Area Ft.Z 1972 ANSI Air Infiltration Standards and shall be certified and R= MC= labeled. (C) All swinging doors and windows leading to unconditioned areas ❑ Type shall be fully weatherstripped. Ft.2 HC= R= MC= Location Tight - the above standard features plus: ❑ ❑ (D) Continuous infiltration barrier ❑ Ft.Z (E) Electrical outlet plate gasket R= ❑ MC= (F) Air-to-air heat exchanger (3) GLAZING: 7/83 (A) Location Area Glazing %,Floor Area Single Double Triple ® Total Bldg Z4G• 5 _(X North S/ Z. F X East IIZ.S fo•3 y ® South ¢(v L• (o —i_ West 82 4-11 ❑ �J Skylights p (B) Shading , Shading j Coefficient Description R East •!0 7yAl, GL0,24wrx ® South West (i V t/. Skylights r IV (C) South Overhang Length of projection Z ft. Description d'i ,4Utr_ ❑ (D) Moveable insulation: Area ft Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area. Ft.Z HC= R= MC= Location 7/83 - _ FDR M (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..VENTIIATING; AIR CONDITIONING SYSTEM (A)':;Heating PFJ Central Gas Furnace C *1 . E3 C K 7/83 (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar :type (liquid or air) model number solar fraction orientation collector tilt I( % SE ACOP Collector brand and ft2 collector area collector rated y -intercept rated slope Other k(%Op S-ro' vt (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu /hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other ,?', a (seasonal EER) EER (describe) (C) A TWO-STAGE THERMOSTAT, which .controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be .provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 2 _._ FORM 1 ., (6) DOMESTIC WATER SYSTEM { -0) Gas Only Gallons (brand and model number) (tank size) ❑ . Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 13 Active Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) C3 13 :(backup heater type, brand and model number) (collector orientation) (collector tilt) Location of Solar Panels Other ft2 (collector area) (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. I� (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 W (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 24-. elevation �', heating load �27 BTU elevation factor ,O x heaing load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load 7 ,;4Z -BTU ---. .. (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit.T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar. panels. ® DESIGN COMPLIANCE STATEMENT:' The above building design meets the requirements of Title 24, Part 2,.Chapter 2-53 of the California Administration Code. 7/83 SI ATURE OF B ING 6ESIGNER OR APPLICANT 3 Tabla 3-13- Iatflttation Control FeAtares Points T- .-_ I Control Features I Points 1 I I I Standard I 0 1.9 air changes per hr Tight ; +12 10.6 air changes per hr (' Table 3-15. Cas Furnace Withouc RefrlReratlon Cool!r.e Points I Seasonal Efficiency .1 Points I (SE), I (EER) 1- I 71 - 76 I 0 1 I 77 - 82 I +2 I 1 83 - 88 I +4 I I 89 - 94 I +6 I 95 up i +8 1 8.8 = 9.1 1 Table 3-16. Heat Puma Points 1 Energy Hffic!eney I Points I I Ratio (EER) 1 I I 7.5 - 7.9 1 +3 i i 9.0 - 8.3 1 +6 1 I 3.4 - 3.7 ! +9 I 1 8.8 = 9.1 1 +12 I I 9.2 - 9.6 I +15 I 1 9.7 - 10.2 1 +18 I I 10.3 - 10.8 1 +21 1 I 10.9 - 11.5 I +24 I I 11.6 - 12.3 I +27 I I 12.4 - I 13.2 1 I +30 1 I 50-59 2 2 Table 3-17. Cas Furnace With Refriveration Coollne Points 'Refrigerationl Cas Furnace 1 I Cooling I S£ % 1 ( 71-117-i a3- 89- 95 I 1 761 821 881 941 - I 1 8.0, - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 1 4.3 - 9.2 1 x41 +61 +81+101+12 1 1 9.3 - 9.7 1 +61 +81+101+121+1r 1 I 9.8 - 10.3 1 +31+101+121+141+16 1 110.4 - 10.9 1+101+121+141+16!+18 I 1 11.0 - 11.6 1+121+i:1+161+•181+20 1 I 1 ! I I- I 7/7/83 ZONE 11 THELE 3-11 (ADAPTED) INTER,ION THERMAL MASS POINTS MASS DWELltno AREA SgUARE FOOT _ AREA 1,000 1,500 2,000I 2,500 I 3,000 3,S00 4,000 I 4. Soo 5,000 I SQ; FT. A B C D A 8 C 0 A B C D A B C D I A 8 C D A B C 0 A 8 C D A B C� A Sn 100. ISO 200 iS8 307 350 400 500 600 703 230 900 1,0.0 1,:00 1,200 1.700 1,400 1 , i0o 2,300 2,500 3,000 3,500 4.930 4,503 _ 5_o n c r 2. 3 3/4- Thick Common Brick: �11C-7.125: R•.13; Factor -7.3 B 1. SSS' Concrete Slab: HC -14.106; P-.458; Factor -7.1 C 1. 8- Sol1d Filled Block: HC -20.63; R-1.93; Factor -6.1 2. 8' Solid Filled Bloci 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) 1' Thick Concrete/Tile: MC -2.55; R-.083; Factor2-3.7 Table 3-19. Zonally Controlled Lleetrte Reslstanee Space Heating Points ' Points for thin measure v!11 I able 3-20. Solar Nater Heating With Cas Back -an Paints be completed after the CE'C I 1 has approved an Alternative I Component Package for Resistance •I I Beat. Table 3-19. Active Solar Space Heatlnq vita was Points I Net Solar Fraction I Points 1 (NSF), Z I I ! I points) I 0- 6 I 0 1 I 7- 14 I +2 1 I 15 - 23 1 +4 I I 24 - 30 I +6 1 I 31 - 39 1 +8 1 40 - 47 I ; +10 I ( 48 - 55 I +12 ! 56 - 63 I +14 I ( 64 - 71 ( +18 I I 72 up ( +20 1 0 iv -i9 6 3Cr39 02 50-59 2 2 2 2 2 2 0 1 2 2 2 010 800-999 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0. 0 0 0 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2-0 2 2 0'0 2 2 0 0 2 2 0 O I o' 0 0 O 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 ? 2 2 2 2,2 2 2 2 2 • 0 2'1.' +10 +11 2 0 2 2 2 0#1 8 8 6 4 6 6 4 2 4 4 4 2 4.4 2.2 2 2 .2 2 2 .2 :2 2 2 2 2 2 2 2 2 2 2' . 2 ! 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 '2 2 2 '2 2 2 ? 2 2 2 2-2 2 2 2 2 1 12 12 10 6 8 B 6 46 6 6 4 6 6 4 2 4 4 4.-2 4 4� 2-2 2 2 2 7 2 2 2 2 2. ? 2 2 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4- 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2 2 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6-6 42 4 4 4 2 4 1 4 2 4 4 2 2 4 4 2 2 18 18 10 12 12 10 6 10 10 8 6 R 6 4 .16 - •8 6 6 6,. 4 6 6 ;6: 2 6 6 4 2 4 4 4 2 4 1 4 j 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 6 6 4 6 6 6 4 6 6. 4 2 6 6 1 2! 24 24 20 14 18 16 11f 10 14 14 12 9 10 10 10 6 10 10 B 6 8 6 6 4 8 6. 6 4 6 A 6 41 6 6 , 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10' 6 10 10 8 6 ID 8 8 4 ? 6 6 4 8 6 6 4I 6. 6 G 28 28 74 16 22 ,20 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6'I O 8 '8 4 8 8 6 1 1 E 8 6 t j 30 70 26 18 I?2 '10 14 18 18 16 10 14 14 12 8 12 17 10 6 12 10 10•. 6 10 TO 8 6 8 8 0 4 .1? 37. 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 10 10 8 61 1J e E 34 32 30 22 26 26 22 16 22 20 16 12 18 18 14 10 14 14 12 8 14 12 12 8 112 12 10 6 10 10 6 6 10 In 8 6 34 34 32 22 28 26 24 16 22 22 20 12 IB 19 16 10 lu 14 11 6 14 12 12 8 12 12 10 6 12 10 10 6� 10 10 F. 6 34 '34 32 24 28 28 26 18 24 24 20 It 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 1? :0 t, 10 13 10 4 36 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 1 16 It 14 - 8 14 14 12 a 17 12 10 (.1 ;? 12 1: 1 e ! 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 1C• 16 i4 LI 14 14 12 E ! 34 34 30 22 (30 30 26 18 26 26 24 16 24 24 22. 14 22 22 i9 :2 20 20 18 !; ! Is !: 16 •V, 74 32 30 22 30 30 26 18 28 :6 T4 li 124 24 22 14 22 27 20 14 ! :2 23 := li _ 32 32 30 20 30 30 26 ld 28 ?4 "26 2+ 22 14 ? `4 24 20 14 _ 32 32 I29 30 20 ` 30 30 26 11 ' 79 28 24 16 26 2•i 22 It s I32 72 ?8 20 lU 70 26 a'j is :9 ?a -:C i 32 T? 2t 23j IJ r, .6 1= i A) 1 3'3' Concrete $1 b: HC -8 93• R• 29• Fe to -7 3 c r 2. 3 3/4- Thick Common Brick: �11C-7.125: R•.13; Factor -7.3 B 1. SSS' Concrete Slab: HC -14.106; P-.458; Factor -7.1 C 1. 8- Sol1d Filled Block: HC -20.63; R-1.93; Factor -6.1 2. 8' Solid Filled Bloci 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) 1' Thick Concrete/Tile: MC -2.55; R-.083; Factor2-3.7 Table 3-19. Zonally Controlled Lleetrte Reslstanee Space Heating Points ' Points for thin measure v!11 I able 3-20. Solar Nater Heating With Cas Back -an Paints be completed after the CE'C I 1 has approved an Alternative I Component Package for Resistance •I I Beat. Table 3-19. Active Solar Space Heatlnq vita was Points I Net Solar Fraction I Points 1 (NSF), Z I I ! I wood stove #33 poines-(no back up) casablanca fan + l.point Multifamily (per unit points) I 0- 6 I 0 1 I 7- 14 I +2 1 I 15 - 23 1 +4 I I 24 - 30 I +6 1 I 31 - 39 1 +8 1 40 - 47 I ; +10 I ( 48 - 55 I +12 ! 56 - 63 I +14 I ( 64 - 71 ( +18 I I 72 up ( +20 1 wood stove #33 poines-(no back up) casablanca fan + l.point Multifamily (per unit points) I 1 ! Cas Only I I Floor Area I I Beat P.,mp ( I I 0 I Net Soler Fraction (NSF), Z I I per unAE, i I Meeting the Require- i I I Bent+ la Part 2 1 I 0 i I I Eleccrtt Resistance I I I fc2. -40 ! 0.9 iv -i9 ZC-29 3Cr39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14+16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2X00 and up 0' +l +2 +4 +5 1 +6 +7 +9 All others (Pe building points) _ 800-8.99 0 +5 +10 +14 +19 +24 +29 � +34 900-999 0 +4 +9 +13 +17 +il +26 +30 1,000-1,199 0 +4 +7 +Il +15 +•19 +22 +26 1,20Fr1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,9990 +2 +5 +7 +9 +12. +14 +U2,000-3,999 0 +2 +3 +5 +7 +8! +10 +11 3,06:0 ar.d uo 0 +I +3 +A +5 4.7 +9 +10 1 Table 3-21. Other Water Ceatinq Pts. 1 1 System Tjpa, I Points 1 I 1 ! Cas Only I I 0 I I I Beat P.,mp ( I I 0 I I I Solar with Electric ( I I ( Reitstance Backup ! i I Meeting the Require- i I I Bent+ la Part 2 1 I 0 i I I Eleccrtt Resistance I I I 1 oaly -40 ! ZONE 11 Shading Coefficient Points R -Value of Insulation I I I OWNER POINTS I : Floor Area P$RMIT NO, __ ASSIGNED ACTUAL 1. SLAB - INSULATION 38 i +2 I I 2.1 P.AISED FLOOR - R-19 +4 I Table 3-4a. Wall Insulation Points R -Value of Insulation 1 I I Points I I I 0 I 0 1 It 3. CEILING - R-30 I 19 I 4. WALL - R -19p3 +2 I -� 5. NORTH GLAZING - 2.413.6% Z• 1 �_ ' 6. EAST GLAZING - 2.5-3.6% ti 0 1 +1 I +2 I +2 I +3 7. SOUTH GLAZING - 1.6-3.6% Za� 1 .43-.66 I 0 _) -1 I -2 1 e2 -3 S. WEST GLAZING - 2.9-3.6% 14- Went 1 9. SKYLIGHT - 0-1.3% to I to I to I to I up 10. SHADING (Exclude Overhang) 0-.12 I 0 1 +1 I +3 1 +6 I +7 EAST - .66 •GS - .37-.57 I SOUTH - .19-.42 It,%-- Q WEST - .13-.36 �- .SKYLIGHT - .37-.57 to 1 to I to l• to I to 11. HORIZONTAL SOUTH OVERHANG 2' 0 1 +1 I +3 I +6 I +7 12. MOVABLE INSULATION - NONE 0 1 0 1 0 1 0 1 0 .37-.57 1 13. INFILTRATION (Standard=0)(Tight=+12) .58-.82 I 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PUR1P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% WOOD STOVE -� X . G R7 WATER 4HEATER ATTIC OTHER . TOTAL POINTS = Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points I rn�ui a- I R -Value of Insulation I I 1 -Value of I I tiun I i ! Insulation I Points I Dtpth, I I II I I inches 1 0-2 1 3-4 1 5-6 1 7+ I i I 1 I I I I below 3 I -12 I 3-4 t -6 1 0- I1 I -5 I -5 I -5 I -5 I ( S- 7 I -6 I 12 - 15 I -5 1 -3 I -2 I -1 I I 8- 12 I -4' 1 16 - 19 I -5 1 -2 I -1 I 0 ( I 13 - 18 I T2 I 20 + 1 -5 I -1 1 0 1 +1 I 1 •19+ 1 0 7/7/83 Table 3-3a. Ceiling Insulation Points Shading Coefficient Points R -Value of Insulation I I I Points 1 I I Orten- I : Floor Area 1 22 1 I -230 I East 0 38 i +2 I 49 I +4 I Table 3-4a. Wall Insulation Points R -Value of Insulation 1 I I Points I I I 0 I 0 1 It I .37-.66 I 19 I 0 I I 24 I +2 I I 30 I +3 I I I Glazing Type I Total I I 2 of Sngl, Db1, I Trpl, I Floor I U l U- l U- I Area ( 0.66 ! 0.42- 1 0.41 I I ! 1.10 10.65 I down I 0 a4 1 44 +4 I 0.1- 1.2 I +4 ! +4 I +4 I 1 1.3- 2.3 I +1 ( +2 1 +2 1 I 2.4- 3.6 I -2'j +1 I 3.7- 4.8 I -4 I -2 I -1 I I 4.9- 6.1 I -7 1 -4 -3 I 1 6.2- 7.3 I -9 I -6 1 -5 ! 1 7.4- 8.2 I -12 I -8 I -7 1 8.3- 9.7 1 -14 I -10 I -8 I I 9.8-10.8 1 -17 I -12 I -10 I 110.9-12.0 1 -19 I -14 I -12 I 1 12.1-13.2 I -22 I -16 i -13 1 ( 13.3-14.5 I -24 I -18 I -15 I 114.6-15.3 I -27 I -20 1 -17 I Table 3-7. South -Facing Clazin Pte T- 1 I Glazing Type I I • Total I I 1 2 of I Sngl, I Dbl, Trpl, I Floor I (V - I (U - I (U - I I Area 11.10) 1 0.65) 10.41)1 I I Lints I ointsI ointsl 0 t3 +3 +3 I up to 1.5 1 +2 1 +2 I +2 1 I 1.6- 3.6 1 -1 1 0 1 0 1 I 3.7- 5.2 1 -4 Imo? -1 -2 1 5.3- 6.5 1 -6 1 -4 I -3 1 I 6.6- 7.7 1 -9 1 -6 1 =5 I I 7.8- 8.9 1 -11 1 -8 1 -7 1 I 9.0-10.0 1 -13 1 -10 .I -9 1 i 10.1-11.5 I -17 I -13 I -11 1 111.6-13.0 I -21 I =16 I -14 !' 1 13.1-14.5 i -25 1 -19 I -16 I, 1 14.6-16.0 I -28 I -22 1 -19 I Table 3-8. West -Facing Clazin Pts. I I Glazing Type I I Total I I 1 % of I Sngl, I Dbl, r Trpl, I Floor I (U - I (U - I (U - I I Area 1 1.10) 10.65) 1 0.41)1 ILints I Lints I ointsl o •i •i +i 1 up to 1.3 I +5 I +6 1 +6 I 1 1.4- 2.2 1 +3 I +4 I +5 I 1 2.3- 2.8 1 0 1 +2 I +3 I 1 2.9- 3.6 I -3 I 0 1 +1 I 3.7- 4.2 I -5 I -2 I 0 1 I 4.3- 5.0 i -a I mo_ I -2 1 I 5.1- 5.6 I -10 1 -6 I -4 I 5.7- 6.2 I -13 1 -8 I -6 I 1 6.3- 6.9 I -15 I -10 i -7 I 1 7.0- 7.6 I -18 i -12 I -9 I 1 7.7- 8.2 1 -20 1 -14 I -11 1 1 8.3- 8.8 i -22 I -16 I -13 I 1 8.9- 9.5 I -25 I -18 I -15 I 9.6-10.1 I -27 I -20 ! -16 I 10.2-11.0 I -29 I -23 I -17 I 11.1-11.8 I -35 1 -26 1 -21 ! 11.9-12.7 I -38 I -29 I -24' ! 12.8-13.5 1 -42 I -32 I -21 I 13.6-14.3 i -46 1 -35 1 -29 I 14.4-15.2 1 -50 1 -38 1 -32 i Table 3-9. Sk lloht Points Table 3-6. East -Facing Glazing Pts. 1 I Glazing Type 1 I Glazing Type I I Total I I - - I Total 1 I I 2 of T Sngl, Dbl, Trpl, 1 2 of I Sngl, Dbl, Trpl, I Floor I U- I U- I U- I I Floor 1 (U - I (U - I (U - I I Area 1 0.66- 10.42- 1 0.41 1 1 Area 1 1.10) 1 0.65).1 0.41)1 1 I .10 1 0.65 1 down I I IIpLints i oints I ointsl I t) + 7 +.41 r4 1 I up to 1.3 I - I 0 1 0 1 I up to 1.3 I +3 1 +4 1 +4 1 I 1.4- 2.2 I -3 I -2 I -1 1 1 1.4- 2.4 I +1 I +2 I +2 1 I 2.3- 2.8 I -6 -4 I -3 1 I 2.5- 3.6 I -2 I 0! 0 I I 2.9- 3.6 I -9 -6 ( -5 1 I 3.7- 4.6 ( -5 I -2 1 -1 I I 3.7- 4.2 I -11 ( -8 I -6 I I 4.7- 5.6 I -8 1 -4 ! -3 1 I 4.3- 5.0 I -14 I -10 I -8 I I 5.7- 6.7 1 -10 I _6 1 -5 I I 5.1- 5.6 I -16 I -12 I -10 I 6.8- 7,7 1 -13 I 8 1 -7 I I 5.7- 6.2 ! -19 I -14 I -12 I I 7.8- 8.7 I -15 1 -10 1 -4 I 1 6.3- 6.9 I -21 I -16 I -13 I 1 8.8- 9.7 I -1.7 1 -12 ( -10 I 1 7.0- 7.6 I -24 I -18 1 -15 I I 9.8-11.2 1 -21 1 .-15 I -13 I 7.7- 8.2 I -26 I -20 1 -17 I 111.3-12.7 I -25 1 -18 I -15 I 1 8.3- 8.8 I -28 I -22 1 -19 I i 12.8-14.0 ( -28 1 -21 1 -18 I I 8.9- 9.5 1 -31 I -24 1 -21 1 1 14.1-15.3 I -32 1 -24 1 -20 I I 9.6-10.1 1 -33 I -26 1 -22 I Table 3 -LO. Shading Coefficient Points I SC by I I Orten- I : Floor Area tation I East I 1 3.2 I 0-3.1 to 6.4 up 6. I 0 -.19 I 0 1 +1 I +2 I .20-.36 I 0 I 0 1 It I .37-.66 1 0 I 0 I 0 .67-.82 .83 up i 0 i -1 i -2 I south 1 0 1 3.2 1 6.4 18.0 l 9.6 I I to ( to I' to I to 1 up j1 3.1 16.3 17.9 19.5 I 0 -,18 1 0 1 +1 I +2 I +2 I +3 1 .19-.42 1 0 1 0 1 0 1 0 1 0 1 .43-.66 I 0 _) -1 I -2 1 e2 -3 ( .67 up 1 ' _I 0 1 -2 I -4 t -4 I -6 Went 1 .1 ( 1.6 13.2 1 6.4 1 8.0 I to I to I to I to I up 11.5 1 3.1 1 6.3 17.9 I I I I I I 0-.12 I 0 1 +1 I +3 1 +6 I +7 .13-.36 I 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 I -7 .58-.82 I -1 1 -3 1 -6]1 -12 1 -15 .83 up 1 I -2 1 -4T -8-1 -16 1 -20 I I I I Skylight I .1 1 .8 1 1.6 1 3.2 14.0 I to 1 to I to l• to I to II 7 1_5 13.1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 I -6 1- .58-.82 I -1 I -3 I -6 I -12 I -a .83 up I -2 1 -4 I -8 I -16 1 -20 I I I I I Table 3-11. Horizontal South Overhane Points South Glazing I Length Out I Area, x of Floor 1 I from Wall ! I I ft r 0-6.3 ; 6.4 up 1 0 - 0.5 1 -2 - ( 0.6 - 1.0 1 -2 I -3 1 11.1 - 1.9 i -1 I -2 I I 2.0 up 1 0 I 0 I' Table 3-12. Movable Insulation Moveable Insulatioo'l Area, S of Floor I Points 0 - 5.5 I 0 I 5.6 - 11.5 I +2 I 11.6 - 17.5 I +4 1 17.6 - 23.5 I . +6 I _23.6+ 1 +8 ! . I Pals -R -Us 137.56 Heller Court Magalia, CA 95954 Attn: Pam Floraday August 19, 1991 RE: Day Care Fire Inspection (A.P. 66-30-39) G The Department of ,Social Services Community Care Licensing in Chico has made a request, to this office for a fire safety inspection of your proposed day care facility (maximum capacity, 12) at 13756 Heller Court in Magalia. Your property is located within an RT -1 zone which requires a use permit from the Butte County Planning Department prior to business operation. Please contact them at (916)538-7601 between 10:00a.m. and 3:p.m. for information on how to proceed. When you have made the application for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will not notify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning and Building Department requirements. Should you have any questions concerning this matter, please contact this office. JFG:dms cc:. Department of Social Services Planning Department Yours very truly, William Cheff Director of Public Works 0*0C" M� &F.0 0 J.F. Glander Manager, Building Inspection I File No. BUTTE COUNTY Public Works Dept Director Dep. Dir. Sec. rL & Br. Mtce. Shop , Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps' Permits Addr. (For Action 1, 2, 31 (For Information if S IL STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION r111G %7mrG 1 i 2 -FIRE AUTHORITY 1. REQUEST DATE PROGRAM STD 850 (REV. 8/86) 4 -5 --LICENSING AGENCY $/7/91 I2. 3. AGENCY CONTACT 4. TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARE LICENSING (916) 895-5033 (__7�, 0105/P. SEXTON 6. SFM REGION 7. SFM I.D. NO. S. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373298 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE F DEPARTMENT OF SOCIAL SERVICES 4. OWNERSHIP CHANGE 10. AGENCY COMMUNITY CARE LICENSING S. ADDRESS CHANGE NAME 520 COHASETT ROAD, SUITE 6 6. NAME CHANGE AND PREVIOUS NAME CHICO, CA 95926 HEIRUS ADDRESS L J 7. ' DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO 16 16 TO 16S AND CAPACITY TO 16 1B TO 65 AND CAPACITY 19. FACILITY 12 X 65 ' OVER 1 0 65 OVER 12 CODE 13/FDC 12. FACILITY NAME 13. NO. BLDGS CODES PALS -R -US 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) - P.O. BOX 15. RESTRAINT 13756 HELLER COURT NONE 3. SH 9. ADHC 4. APH 10. CLINIC ' CITY ZIP CODE 16. HOURS MAGALIA, CA 95954 6:30-5:30 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL PAM FLORADAY (916) 873-0379 13. OTHER - TO BE COMPLETED BY ATT • JACK PIRISKY INSPECTING AUTHORITY 26. CLEARANCE CODE , STATE FIRE 18. FIRE -MARSHALL AUTHOR CL CODES - -. NAME 4 WILLIAMSBURG LANE, -SUITE A 1. FIRE CLEAR, GRANTED AND _ CHICO, CA 2. FIRE CLEAR, DENIED - ADDRESS .95926 I J 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS 2. CONSTRUCTION Of/// 24. INSP. DATE 25. INSPECTOR'S SIGNATURE _ � � _ e"-.1 � S 3. FIRE ALARM ` 4. SPRINKLERS 26. EXPLAIN DENIAL OR L15T SPECIAL CONDITIONS r I 20. REGION. DEPARTMENT OF SOCIAL SERVICES OFFICE COMMUNITY CARC�LICENSING AND 520 COHASSET ROAD, SUITE 6 ADDRESS L CHICO, CA 95926 5. HOUSEKEEPING 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY lb STATE FIRE MARSHAL ' ! ,t COPY,DISTRIBUTION: , SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION r111G �7NrG 1 T IIr�7rGtr 1_I,VI\. IICV�JG�71. _ �• �--"'^.'�:^."'� ^'^"""^� _ 2--fIRE AUTHORITY 1. REQUEST DATE 2. PROGRAM STD 850 (REV. 8 / 86) .. �• .r 4 -5 -=LICENSING AGENCY $/7/91 3. AGENCY CONTACT ,✓� 4�TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARE LICENSING (916) 895=5033 F--�> 0105/P. SEXTON 6. SFM REGION 7. SFM I.D. NO. '` 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373298 3/A • CODES 1. ORIGINAL A. FIRE CLEARANCE ` 2. RENEWAL B. LIFE SAFETY F 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE DEPARTMENT OF SOCIAL, SERVICES 10. AGENCY .. COl'll"IUlVITY CARE LICENSING 5. ADDRESS CHANGE NAME - -�' y � 520 COHASETT,ROAD, SUITE 6 6. NAME CHANGE - AND CHICO, CA 95926 NAME 7: a ADDRESS L I J HERDS 4 -�- DATE OF ORIGINAL REO. DATE OF LAST' FIRE CLEARANCE 11. AMBULATORY NONAMBULATORY TOTAL CAP. ' `19.1FACILITC CAPACITY AGE RANGE IYEARSI PREVIOUS CAPACITY ACE RANGE (YEARS) +" -_ ' PREVIOUS: TO 18 18 TO 65 AND CAPACITY TO 18 1B TO 165 AND CAPACITYg EE 12 X 65 OVER I 0 65 OVER w 12 CODE'. l Z_3/FDC 12. FACILITY NAME 13. NO. BLDGS - tCODES r PALS -R -US 1. GACH SLI 7. ICF/OT p• GACH/R B..ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT -13756 HELLER COURT NONE 3. SH 9. ADHC 4. APH 10. CLINIC CITY MAGALIA CA ZIP CODE1.6. 95969) HOURS 6:3A05:30 , 5.' PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL PAM FLORADAY "` (91Q 873=0379 13. OTHER TO BE COMPLETED BY T ATT • JACKP��ISKY INSPECTING AUTHORITY 26 CODERANCE 18. FIRE F- STATE FIRE_M.ARSHALL AUTHOR CODES NAME ._ 4 LdILLIAMSBURG LANE; SUITE A - 1. FIRE CLEAR, GRANTED AND i CHICO, CA 95926 I 2. FIRE CLEAR, DENIED ADDRESS J 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE 'r 'TO•BE COMPLETED BY INSPECTING-'AUTHORITY"c•f�• '` '' "` CODES ' 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS ...- 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S•SIGNATURE s 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL. CONDITIONS 6. SPECIAL HAZARD 7. OTHER 4 rf STATE FIRE MARSHAL USE ONLY t c... r 20. DEPARTMENT OF SOCIAL SERVICES REGION. OFFICE C914MUNITY CARFrj ICENSING _ 520 COHASSET ROAD, SUITE 6 AND ADDRESS CHICO, CA 95926 �� INSTRUCTIOR$ This form is designed for use with a window envelope,.TO yse, fold at marks indiclated in the left margin. -. Licensing or Requesting Agencies -Complete the following 20 sections on this form before submitting It to the State -Fire Marshal 1. REQUEST DATE. Enter the dat 0 request was prepared. 2. PROGRAMA. Licensing agency use. 3. AGENCY .CONTACT, 4. TELEPHONE NO., 5. EVALUATOR. Enter the name and telephone number of agency contact person. 6. SFM REGION. Insert one of the following 3 numbers for the SFM Regional Office in whose area the facility is located: 350 Coastal, 330 Northern, 370 Southern. 7. SFM ID NO. This is the SFM Identification Number and initially will be assigned by the State Fire Marshal. Licensing Agency -Insert this number on all clearance requests subsequent to the initial request. 8. REQUESTING AGENCY FACILITY NO. This is the file number assigned by the licensing agency. 9. REOUEST CODE. Use the seven codes shown and insert the appropriate number in the box following "Re9tiest Code If NAME CHANGE, please list previous name. Insert date of original request when request is_other than an original: 10. AGENCY NAME AND ADDRESS. Enter the name and address of the licensing facility requesting the inspection. 11. AMBULATORY -NON -A' MBULATORY: Capacity: Insert, in the apprWiate s ori,- the - capacity of licensed ambulatory or non- ambulatory occupants covered by this request. Age Indicate` the age rat ge of the licensed Range:. _ _occupants Previous If request is for renewal or capacity Capacity: - change, insert capacity of previous _ ''_clearance. , Total ' Show total licensed capacity. If the facili- Capacity- ' ty Id -intended to house part ambulatory and part non-ambulatory, show the total of the two types of occupants. w r 12. FACILITY NAME.. Insert the name of the facility, as it will appear on the license. List identifying sub name if known (i.e., Hacienda Corp/Medina Lodge). 13. NO. BLDGS. Insert the total -number of buildings to be used for housing of the occupants covered by the license. 14. ADDRESS. Insert street address and city only. A post office box is not acceptable as only location. 15. 'RESTRAINT.' Indicate if physical restraint (locked in a rgorn,-or the building is to be used in the housing of the occupants. 16. HOURS Indicate the number of hours the occupants are housed at the facility (less than 24 or 24+), ,-:zz;>o 16a. SPECIAL. Use to designate persons who are ' determined to be'non-ambulatory for reasons -other than a Physical handicap.. 17. FACILITY CONTACT PERSON -TELEPHONE NO. Indicate the name and telephone number of -the responsible .individual .at the facility to be contacted by the fire authority. 18. FIRE AUTHOR, NAME AND ADDRESS.- Insert the name and address of the fire authority where the facility is located. 19. FACILITY CODE. (1) General. Acute -Care -Hospital 1GACK .(2Y General- Acute. Care Hospital,/ Rehab (GACH/R), (3) Special Hospital (SH), (4) Acute Psychiatric Hospital (APH), (5) Psychiatric Health Facility (PHF), (6) Skilled Nursing Facility (SNF), (7) Intermediate Care Facility/Other (ICF/OT), (8) Ince &Zahitc, Care- - Facility/Developmentally Disabled: _ Nabi i ative - (ICF/DDH), (3) Adult Day Health- Care -(ARRC), (10), Clinic, (11) Jail, (12) Intermediate Care Facility/Developtndiitally --DlssbleoNursind(ICF/DDN�,:o'r(13) Other. 20. REGIONS OFFICE AND ADDRESS. Insertthe name and address of the State 'Fire Marshal Regional Office in whose area the facility is located. FIRE AUTHORITY CONDUCTING THE INSPECTION -COMPLETE THE FOLLO*IW 21. INSPECTOR'S NAME. Print the initial of the in- spector's first name and. full last name,. insert .the telephone number where the inspector may be con- tacted. 22. CFIRS ID. NO. Insert the fire department's number -..assigned by CFIRS. 23. TITLE 19 OCC. CLASS. Use Title- 19 occupancy classifications and insert the occupancy determined by the inspector. 24. INSP. DATE. Enter the actual date. of the in- spection. 25. INSPECTOR'S SIGNATURE. To be signed by inspector conducting the inspection. . 26. CLEARANCE CODE. Use the three codes •shown and insert the-appropriatestltmber in the box follow- ing "Clearance Code". NOTE: If Code2 (Denied) or Code 3 (Withheld) is used, explain. - 27. DENIAL CODE. Use only the seven codes shown and insert the appropriate number in the bozTolTow- ing "Denial Code". If No. 7 "Other" is used, explain at Item 28. NOTE: Fire Clearance cannot be denied for other than lack of confor- mance with the provisions of Title 19. 28. EXPLAINfDEN1AL. If Clearance Code No. 2 or,3-is . used, briefly explain reason. This space is also to be used to explain Denial Code item noted. &6 96650 :I- STATE FIRE MARSHAL COPY DISTRIBUTION: FIRF SAFFTY INSPFCTIAN RFAIIFCT 1=3 -STATE' -FIRE MARSHAL SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION e 2=FIRE?AUTHORITY 1. REQUEST DATE 2. PROGRAM STD 850 (REV. 8/86) 1 4 -52 ---'LICENSING AGENCY 8/7/91 r 3. AGENCY CONTACT 4�TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARE LICENSING (916) 895-5033 0105/P. SEXTON 6. SFM REGION 7. SFM I.D. NO. 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE ' 041373298 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE DEPARTMENT OF SOCIAL SERVICES 10. AGENCY �COMANNITY CARE LICENSING S. ADDRESS CHANGE NAME � , -'`! 520CCOHASETT ROAD, SUITE 6 S. NAME CHANGE . AND CHICO, CA 95926 PREVIOUS NAME ADDRESS L f J a Y 7. OTHER , DATE OF ORIGINAL REO. ' - 11.AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE - CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY ACE RANGE (YEARS) PREVIOUS ' CAPACITY CAPACITY1 - > 19. FACILITY, TO 18 18 TO 65 AND TO 18 18 TO165AND 12 X 65 OVER 0 65 OVER J 12 CODE a 13/FDC 12. FACILITY NAME 13. NO. BLDGS CODES ' PALS -R -US .. + 1 1. GACH 7. ICF/OT p, GACH/R- 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) - P.O. BOX 15. RESTRAINT 13756 HELLER COURT NONE • 3. SH 9. ADHC 4. APH 10. CLINIC CITY MAGALIA, CA ZIP CODE 9590 16. HOURS 6.3 %-10 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL PAM FLORADAY (916) 873-0379 13. OTHER TO BE COMPLETED BY ATT:, JACK i"MSK - INSPECTING AUTHORITY 26. CLEARANCE CODE 18. FIRE F -STA .FIRE MARSHALL AUTHOR CODES -•"i NAME _ - ,� 4 WILLIAMSBURG LANE, SUITE A 1. FIRE CLEAR, GRANTED AND I CHICO, CA 95926 2. FIRE CLEAR, DENIED ADDRESS L- 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY 1 CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. 1 ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S SIGNATURE - -" 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY DEPARTMENT OF SOCIAL SERVICES 20. REGION. OFFICE COIF MUNITY CAR ICENSING 5V20- COHASSET ROAD, SUITE 6 AND ADDRESS CHICO, CA .95926 . '.� . :'� r"•i`.+�T. H— v"i.a' t?1 rr +•}ai .�, � yam' iT•. Y;"1 .FLs�r'•-cam d.. +.•:� n+� .. �q _ .. s �, Y•.y. ,i w` ,�' ! '4 r-�. L ..�• � '!- :'t„�.r;'s�-.,-y�C'�i�•.•:'� 5 . � � �• � • 1q, 6r I COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS .E MIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER "' 60 -30-39 ZONING RT --1 BUILDING PERMIT OWNER Hugh Florada ,TELEPHONE 873-0379 SQ. FT. OCC, BUILDING VALUATION C repair 500 OWNER'S MAILING ADDRESS 13756 Heller Court, Ma alis 95954 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is 500 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 10,00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee $ 9y g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13756 Heller Court, Ma alis Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 60 SUBDIVISION NAME PPCC Unit #4 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ❑ Utilities ❑ InstallationOther Describe work: sheetrock repair Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW y of perjury (Check One): I declare under penalty ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 19 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.ad yZQSgft OR ACDNS. 1 ACC. BLDGS. NEW CONST R. MULTI.OUTLET NON.R ESI D, BRANCH CIE C ITS 2.50 ea POWER APPARATUS 6 - (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200500 20050 ,'-' FIXED APP LNS. OR EX. Occup. OUTLETS (REST D.) EA.11 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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, judgm nt , costs, and expenses'Which may in any way accrue against, aid County n nsequence of the granting of this permit. - /8���` 9� X `' i Date Signature of Applicant — Owner Contractor ❑ El An OSHA permit is required for exca ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ iTOTAL CONST TYPE FEE HAL I CUA I PARK I SCHL I FLD I CDF I PAR Po I Ho. ISS , 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. A DIRaEL'T OF PUBLIC"WORKS �t %p gC.. O �%/ri�iF'.f Date%/�%9 PERMIT EXPIRES Date Receipt No. I �- WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS =' 7 County Center Drive - Oroville, Cal;fornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT KENN ASSESSOR PARCEL NUMBER 66-30-39 ZONING RT -1 BUILDING PERMIT OW7N�ER --�� ,7 ugh ADDRESS TELEPHONE 873-0379 S0. FT. OCC. BUILDING VALUATION repair 500 OWNER'S MAILING 13756 Heller Court, Ma alfa 95954 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 500 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13756 Heller Court Ma glia Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump watMoutlets 20.00 LOT NO. 60 SUBDIVISION NAME PPCC Unit #4 PARCEL MAP Water piping 5.00 Each qas water heater 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5.00 Building sewer5.00 Mobile Home S10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other J2 Describe work: -,hpptrnrk ranai r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 DOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 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,a (Sete owner, am exclusively contracting with licensed contract- 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ei OR ACDNS. (ACC, SLOGS. , �z2sgft NEW FSIU TI.OUTLET _NON, RESIDD* BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL0 eLe303o FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 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. ❑ 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 FiIingFee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm t costs, and expenses which may in any way accrue against IdZC unty ence of the granting of this permit. X Date �,C/ 9/ Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For exc ations over 5'Q" deep and demolition or construct- ion of structures over 3 stories in hei t.Q Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST TYPE - TOTAL FEE $ HAz. CUA PARK SCHL I FLD I CDF I PAR PD 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. 42 OI OFZPIORKS B tet/1 l 6 QReceipt PERMIT EXPIRES Date No. 31 WHITE-D.P.W.. YELLOW-ASSF3e0R, PINK -INSPECTOR, GOLDENROD -APPLICANT .,�-.,.�,�.T.,..,�,.r�,.,�,.•�,,,,f,.,:r+,,:.>�m�,.a«^�i;>3�9�`3� � r�,�gwsr���x..�;�'''�w,+t`aa��acwGf`l` �«-irs COUNTY OF BUTTE - DEPARTME,NT,;' 3F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV.ILLE, .CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ? PERMIT APPLICATION DATA SHEET t •i,; �; Permit No. FL -3�' 3 C/ OWNER 0/qA0&1 A. P. No. Proposed Building Use �/dm�9�fL S�Ir Building Inspector Date ' $'g 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 submitted1 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineeredlp1ans and calcs 4ith 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 ............... 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 ..... ..... . 14. 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 apteproval'f&'(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 21. Contractor's license information (No., Name Style, Classification)lding Inspector (Date) d - 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... . t'y24. Recorded copy of Agricultural Acknowledgment Statement ......... `_` 1 ', `2�5.. Letter of signature authorization ............. ................... . �=x;26. - 27. r . When you issue the permit, process as follows: MaiI to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant Date�Ui`"'�2`�'9� Copy of Haz-Mat form sent` Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: `S. Contractor, designer, owner, was advised of above required data by_phone_—nai\ counter by ..date r Contractor, designer, owner, was advised of above required data.,by—phone _maII counter by date Plans checked by Date Plans approved by \ Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov.111ia, Cafifornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAR L NUMBEZONING - j a _ 3 9 - BUILDING PERMIT OWNER - j� vk1L t7 R TELEPHONE 037 .S t7. FT. OCC. BUILDING VALUATION Re OWNER'S MAILING ADDRESS /3 75�6 1-1,ffZ L�£re 6r. /1114,qQ1- /,9 G9 Y5 - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 5-Qij�$ - LENDER'S MAILING ADDRESS Filing Fee $,. 10.00 Permit Fee $ /0 .— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 'Z p 1-11L «x Cr PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 y� L/9N Solar or heat pump water heater 20.00 LQT NO.SUBDIVISION NAME !-� PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer #5.00 Mobile Home S G W0ea TYPE OF WORK New ❑ -Addition[:] Remodel❑ Utilities ❑ Installation❑ Other o' Describe work:& Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR LE Main service 6100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 No. Classification. IT 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , -Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ei , OR ACDNS. ACC. BLDGS. h2sgft NEW COSID. U TI.OUTLET 2,50 ea NON.RESIO BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET cIR. Ex.OcCu o z0®a0a p UTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 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. ❑ 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgme is osts, and expenses which may in any way accrue agains Id County i c equence of the granting of this permit. Date �j�/� 9� Signature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excovati ns 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 $ 2,0 "Az. CUA PARK SCHL FLD CDF PAR PD I HD. ISSUE This permit is hereby issued under the applicable provl- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. Qe J J 1 ?s WHITE-D.P.W., YELLOW-ASSE990R, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION OWNER: 1-f L/6 1- L 6 le, d D d I DATE �LL��I LOCATION: "/ 3 % S-6 H !2%` A. P. # CONTRACTOR: ZONING ` /eT ----------------- PRE-INSPECTION FOR: _r/4E� DATE TO INSPECTOR PERMIT HISTORY: NONE[�AS FO. LOWS: S TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT : Pl*CUPIED - E�f HAS ELECTRIC ZHAS GAS Ea<S SANITATION FACILITIES [HEATED -COOLED E,-: ERSON CONTACTED ,5k OTHER COMMENTS: Smoke. d A�� a c� - 5Tl.) co- 044, e O � /N,5uz, rh of o k o !� LR ► a /ueeJ, .9.0 CLoso�. Ute._ /�71y Ldozk ACTION RECOMMENDED: ,ISSUEHOLD' FOR OTHER: BY DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ' OWNER-BUTLDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor a d materials for construction of the proposed property improvement (yes or no) GS 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 Signed: ' Prope r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 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'. DON C. RAMRM CMf. Co. GeneM Building G4=acw 7510 SCO . ,j oF� Nilmna5TI8ffi Gfj 70 P.O. Baa 1251, Par disc, CA 95967 . PQoae (916) 871-886 ♦ / `• 7 % `+!1 Ul1dRnr -asp s++ww.rii.n`j; i �} � � � ► , - i� JJ a� !lIFFF ifh so of _phos awd t� MUST ba pt on se*a job at ell tlrnaa and 'it k unfawfw ' to maka► any chanes or eltq*rationa on sante witlpw wfttae� permisson hiDin the Depart�aw of ftwh COMW Of &W416 rlri NOTE: -.All Materials & Workmanship Shoo 8® in Accordance iii h P,ecnarized �<<od Practices 'Df d and q++oli ty prescriou #or it:e`Scified use in the Uniform Building, Plumbing & Mec anical Codes and Na Natienail Electrical Code. . 1 , _ � 5e �- �= ' A setback of 5 ft, tr om the Xproperty �r� ` ' tines and a setback of 50ft. from the road 1 ; i*' ► centerline shall be clear of strWures or equipment ' - l 7, / 2,. Pr op except e45e,e.>tS ` s DON C. RAMRM CMf. Co. GeneM Building G4=acw 7510 SCO . ,j oF� Nilmna5TI8ffi Gfj 70 P.O. Baa 1251, Par disc, CA 95967 . PQoae (916) 871-886 ♦ / `• 7 % `+!1 Ul1dRnr -asp s++ww.rii.n`j; wil -r O wil 1 f� v��t =M vl7Yt .�"'l.. ' tea•+ C`�' _.• .�"'l. ..f D _ Q- _- ..HsA� T��i18�. SLB, can ^ <. x -� .F s _ Ii. SEE, �1{rc FOR QC I ca G7 C7 „A } 77 . } - AND-OR?ENTATION ON 'TYPICAL P Q fiBOlST ATTtaTO � i �ii�, . LOCATE TOP C1JD�iD IZcTBR-FAN$i. BFI,IZ;S WITHIN S"`; Df :PANEL ,414 -POINT. 7X6 4e 1^ FIV INE ENGINEERED PRii UGTBj1NG.. P,O. BOA{ 2225 t XRT s 0:r Y �, - I .; P; ? 30" �' R 1 -:#q.1 ��tt` L� ��.a�[it W,�� zi'�r,.•ur•t-^ca�sJ. a-�.i+•�:t t:.Kssi�':,+yr , cx .•�` �:_ -^'� y, ,p •a`` �...- S i sy, � -z• - _ - -. t ,.� 2r �• � � � -. t ;s�% a.; {f+- �� a ;� _. '� ..a d.. i •+`•`' _ tea. _ � _ k k - - - .XX. 1' ... sem- ` « t •-•_ ' -.. . - - .t � ` L ~ ¢, t.a a � � +.. !. 3. r.. C.. Y. z K: y _ •,.,. -:s '+ss iz t -�,i e� t £ .L'� �'f.ia. k �. ' - z:. _ tet..,. ri1p-CIN - ,Kt}. 1:' IJe d n : k - x et«"ytwSrYY+�k. 5i.j.'ak���ztaG�tif�✓:t-.- - FIR Ln CN _ �` '""---......-•�! 2X6: TC 2?�4 13G u ' - 24<T.eF 2.0E 48' 7.. 48' 7.. 2758F -1.9E '481 7" 4'8; 7" 4 Ei1.: Ti; P 'SIE218OF-1.8E 48' 7" 4:$" 7'' _ 4 EQ< BC P]i 195,8£-1.7E 48' 7" 411 9" j 1..5X4 4 i 7" MEASURED FRQ t7 ' `X 48-' ?" 1ti5X3 4'2` $'" 3X6- i8` 7"' INSIDESCARFS 1Q4I1Ji'-i.SE 4$' 7" 45' 3" 3X5 40' 7"165kJF-t.SE !8' 7•, '42' 16" 3X4: 32:'' 7„ 145Af-1.3E 48' 7" 39' 1•1 - 33 8' " 8' 6 5X7 4.2`" M11 BRG SPAN 1 MG -15 48'' 7" 46' 2 4,4APP,t'rs� 1 4H' 7- 44- 1" 1 �,�4 `�GTNEF two' 4�2 MC -'15 48' 1." 41' 2,t f 111 39. 6<,, - s 918? c' ' WILDING M� ARTMEWr L %INC SPACING ¢i4X6.'$' 7"� n $GTTOi3 CIIQI2II y - - 3X6 3�8 r fl". P -- - CHu4..KED:. ili YZ2. � Gt. V ■DI c P5F _ Mfl� 'sVE LO,'rllr PLRTE TYPE- RLPINE 2X6d2Xq PITC nNLESS TFtME SPECIFICRTIGN5 FDR LUr>6c"R f1 TRt15'ES REtlitltiE EXTRESE ERRE IrITl�Nfk CHG} r ; 3c#It PORTIN RCPIkNE CVticcrTsRS ME FGLLOVED *Q Igi :��T�RI�ING EREcrlflrr ardl �HHCING, SEL -tyE�: 7L ` �- 1 4'ii�BS xQ � -0/12 TRUSSES BUILT Its" 1;WF7RiifKE YITTZ -DiA1 ETl CUNTf4fJL tti¢9Cir�` 8Y ifi�T� IBgXIW, YDIXa TRU55EU; CutYtENTRRY f1ttl RECDmENMI ONS- fit THERE SE 9LL BE K5 9MRRIfIE i M THIS DESMW, EXPRESS IK It1'LIE5' 41FI1- SEE IRIS BE�31CrE FOR PZBITIDML SPECIRL fi tT1CIt ? r{ �c TKPIrJE Ct3PitECTfk? Aii£ IiiirXIFPCIUiF1 fRU Y 2II [a�'SlGE ZiP1 YIi-3I2EiF STEEL REII11;RtTHT3. UHLE55 QlliftiflSE RED`Q, lap; CtiURil yklRLi �' �, y� T 4LESS QIHERRISE SNOUN; MEfM :YEI:sIR t1rS DF fmn f44+Tfr f# OE 1I'. EE LRTERRLLY RRRCEI` KITTf fRDPERLY A1TRLNEU PLY6fUI741. , �? rf SP6�l6 TO � PF'2a-.Y UNNECr:�fiS; TU 85Th: FACES R'I €f f;Hr JIDIRT W& LUEAfE R3 Sr3hirITTIIING, BDIID►t LIDRU YIFH, RIGID CEILIW, OR HFtcING 8E'%rNfi !!nBI145 WE IIET-'IGN aT 4tRX1tE4n GF 10 FEET Q. C. DO NOT USE 1,415 OLSIT:'v "' ` COPYRIGHT 1.981 6iff0'ar544 S'.Mfi4=.CGNFW*t' VIIH RPPLIC419L€ PFc1vt551= OF atDS•77 fta aIPI-ra VITH FIRE RETMRNT IREiiTED 1UIIBER_ 1:--4PI - IfivaPESTE PrVITME, mss` W111201 DEM GN SPECIFICRTIBNFDR YDDU CONSFRUCTIDN UFi:;k.t 7/21./81 DRAW# A490,894 FURNISH A COPY OF THIS DESIGN- TCi'-ERECTION CONTRACTOR A-M6-COHN- 35/1..15-20+1f1+ 5- 24 • ti4 k —wf., c a� • r s . • a_t. z I J08�: 113528 THISDESIGN HAS BEEN PREPAREDFROM COMPUTER INPUT' SUBMITTED BY TRUSS FABRT`CA1'OR_ [AA ORD 2X6 FIR—LARCH SS TC X -LOC L—R: 9.29 8.34 16.;OrQ 23-.66 31.7 ORD 2X4 FIR—LARCH X11 EDS X4 FIR—LARCH STANDARD BC X—'LOC L—Rs 9.29 8.3416.0rk23.66 31.71 TOR PLATES.MUST BE INSTALLED IN ACCORDANCE WITH; TRUSSSESIGNED WITH EOUAL PANELS BETWEEN INSIDE ENDS EMENTS OF I.C.B.0. RESEARCH REPORT 022949 OF SCARF CUTS UNLESS OTHERWISE NOTED. ATE$ ARE TO PF CENTERED ON THE JOINT, LEFT TO RIGHT ANDBOTTOM, EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSIONAWING 130 FOR "PLATE LOCATIONS ON TYPICAL JOINTS. IT IS TlitR-ESPONSIB LITY OF T14F BUILDING DESIGNER .AND TRUSSFABRICATOR TO REVIEW THIS DRAw.4G PRIOR TO CUTTING LUMBER TO SHOWN ARE CONTROLLED BY TRUSS FABRICATOR PLATE VERIFY THAT ALL "DATA. INCLUDING DIMENSIONS AND LOADS, CONFORM ORY TO THE ARCHITECTURAL PLANSISPECIFICATIONS AND FABRICATOR"S TRUSS LAYOUT, TO DRAWINGS A193 AND A1II4R FOR OVERHANG :DETAILS. Bottom chord` checked dor 10 E'St 1iVe load,. - O G B,L�iJ,%�,/ 7X ..i�., 2.5Xq , sum R-11DD# W-2,50 DE 1G -D D it' 0-0 A TRI -0 OVER ? SUPPOR1 S PLRTE TYPF - -RLPINE SEDN-- 93473 FURNISH A CDPY OF THIS DESIGN TD _ERECTION 'CONTRACTOR LF ALPINE ENUM-fr"Q PRWUCTS, THC. TRUSSES MUIRE UMEM CARE' oFESSt DESIGN CRIT REF �} — �� � v� >=x L� c'' *k1MP0RTRNT*-t sltnlL NOT OF REIFONSIftF FOR RNY WARNING Ik MNMItx;, ERITUFAI HND Qin h _ - - Lam _ tx ca c Q�VJATI(M F06 Ttk% �rCIFICnrlar DR Iry DEVIaMN FRan Vfdd ,- sE� RxI 1v,1eRMM WrW TRUSScS: �R t Fmk 7G LL M. D PSE DRTE OSt`00/$7 `k Tota MRIC,N.OR ANY MORE TO BUILO TILL MS5 IN V114ORMNLE COntif7�TRRC FND }iET tRTnENUNtIDFJz-■Ti�TT} SLE I : c C _t UTIH s}r- "IWLITY tCMRaL MINURL" V( T[FI. RLPINE CGNNELTOR$ TEIt5 rLSIGN FPR T %i1T,1nNM SPECIIiL f1Lw__n z, m TC - DL 10.0 PSF DRWG &RuSR427 9718011 C� Mr hAN1)FFiGfIlFE0 FRO11 20 PULE VR1VAN{TID SEkEL MUSS W111OR1C1,"TGM2Etilill�?ENiS UttEStsiTHEkvrc 4� � r' rN s}THERut;,t. sgOiN, t7L iii REi7JIAEttmu lu Tnitt ovis una A. SItov% up `a e W- L at lAttRt"J 80c"LID CDL x .0 PSF CR -ENG LPIN =tPPLI Ts1Ni+FCMRS 141 MYTH FRMS At 01111 _DINT rare IOEEt=I Te, 91114 PROPLrf rtnTr.IaruT�YurrOD SE+TATlttNG,' �,. TO'f.LD.�++��CC PSF iI/R ;LEN � —0-0 n A ;t3CVH. IiVMINr YItITW ARC 9` NOriINFL UNLESS DTHEIEti 5i 541WN, RDtIt�tl CHORD V11h RIGID MIT M DtT TIRAETNC > it F+ - 352 i /R �+ 32 }�iJ �+� t TRUSS_ JE5IGN STANDf#IDS 51w ORr, PITH frPLlt li6LF 'PRLYISIOH5 UE` R5 StFIFIEl3 4IN J}E2> N. ? NOT USw TilIS -l. ��,Q- DLitZ. FRC.: . 1,5 PITCH i `la 6.U1'C _l l , .NO -02 AND 4111I 1H M pct -w, iif.3" WITH FIRE RI ViRDANT TKAIM luras . dif rIn cn L=Cyi `r'a s_ -TPI a TRUSS PLATE INSTITUTE, NDS • MIT10fin1.'DESInN 5PtrIFIt:I„1014 FOR UNSTRUCI1rat SPACING 24,. D "�+_ TYPE 1+O r 1 - ELATE COOS 8- 5000 o0 SPAC[NO X5.00-� iI DATE I f 2Z?f 88 :W ,-, R. - �, +.. SYSTEMS - i: TRUINAL YSTERS tORPORATI7N A'SMO0.°iCORPANT IT: IS IRE FSS►ONSIRILITT OF -OTHERS -70 ASCERTAIN 'THAT IRE, LORDS UTIL'7ZED 0114I5 DESIGN ='KEETMR -EXCEED THE 1. 4C?IRR DEAD AD LORD;IMPDREZ BY THE SIRUCTUR£ 'AND THE LIVE LORDS lilt IT. "THE 'LDCAL IUILOIMG CODE 6R. IB 6 ICRL . Ct TIC ECORDS- NO '-RESPONSIBILITY IS RSSAMEO FOA OIRENSIONAL ACCURACI. "YERIfT 'ALL DIMNSIONS fRIOR 10 FABRICATION, 'LONNECIOA PLATES bMOWN ARE TRUSNRL 75, 3B. DR 20 GAGE AS SPECIFIED+ FABRICATION SHALL COMPLY WITH THE-DURLITT CDNTRDL`MAAUAL'OF THE TRUSS ►LUTE 1NSTI-TUTE ATI21 AnOah# TRUSHAL IRUSCOM 71ANUAL, ALL PANELS NOV' SPECIFICRLLI OESJGN37E0 ARE TO BF EDURLLT'OIVIDMO i DENDTEa SPECIAL CUTTING. - O11LT LRTERAL BRACING, REQUIRED DF ,INDIVIDUAL TRUSS MENDERS ;.IS, TMOTEISE bTTHIS DRAk1RC­.! ThIC GESIGtl ASSURES IRE TOP CHORD 10 BE WITISUDUSLT . BRACED BT SNE97MING UNLESS O, ED 1tHEE_ NO RIGID CEILING 16 APPLIED DIRECTLY 10 'MC,BOTTOR'CHORD, 37:SNALL-BE BRRCED:RT INTERVALS NOT,EICEEDlkt- 10'-0`.-PERSD9$-fRECIIRG_TRUSSES-ONE CRUTION£D TO -SEEK PROFESSIONAL -ADVICE _REGARDINT-- TEMPORARY ' ERECTIM BRACING WRICH IS`AWATS:REQUIRED ID'_ PREVENT TOPPLING RN0'-DOMINO.IaG', :-REFER. IG BRACING �+BDOIRUSSE.; COMNENIART AND AECOMIENDATIONS` t1P1#. .$MERE CONFUSION HRT_ EXIST'CDNC£RNING PROPER S1ELO' TRE=110! CLEARLY .HARK INTERIOR BEARING LOCA710N5. CRWIILEVERS, NO IHE CHORDS::. OF 1HE'_,TRUSS :TO. PREYfif_ 'WiGiff. ` INS1ALtAT1ON, IRUSSES SHRL,, 131 'BE 1'LACED:7N RNT_':ENVIROMMENT THAT-NILLCRUSE.:THE11OlSIURE �t0kliWT DF 714 NOOV ID EXCEED ISZ AND/OR Li+.lk EONNECTOR PL IE CORROSiO$, CI�nBFR..;NHEN NECESSARY. IS'BEST .DE7gAnINED Bt. FU01T109S,APFLItRJION _6F, tiXPERTENCE AND IHEREFQRE':IS'OUTSIDE THF"SCDrt OF REEPONS BILiT1 SG`.'I 141>^ _ qQ�� .. N A D .� 1 1 I� c D E � f IL[,- SL,-Y2-Bf1,£S-?SR ' // RffP. A-58242 t0rFELL69 LUMSE 4221I7> ': m