Loading...
HomeMy WebLinkAbout066-410-001+'667`41701': 92-2151 ' BPEM r +:ELLIOTT, Harry .& Carol_: "' xx 16749 Eley . Dr, Magalia. • _ � Y ; f +{. . 'fV new sf: 066-410-001 PERMIT#96- 828 0 ELLIOTT, Harry D. 6749 Ley' :Dr. , Magalia Cont;.Morehouse Air Conditioning New AC/SF 066-410-001 01-0529 ELLIOTT FAMILY TRUST 6749 ELEY DR. MAGALIA CONT: OWNER AUX GENERATOR coi' cfli �� y. •ivy'a'- mg _ e -r . . o `�.e,�.;.- :.�.[ iycvw ' ` �' ..r. .F -c .- i .. :a.:.. i'� ..�.� ..: . �; 066-410-001 01-0529 ELLIOTT FAMILY TRUST 6749 ELEY DR. MAGALIA CONT: OWNER AUX GENERATOR COUNTY Of BUTTE - DEPARTMENT OF•OEVELOPMENT•S@RVICES - 7 County Center Drive • Oroville, California 95965 • Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION (530) 538-7541"s 38-7541 / - (� PI No. ASSE"ARCQ_ NUMBER 'iltVL'.IYWM.E ZONING BUILDING PERMIT OWNER .TOT£ FARIM I= TELEPHONE �72�3290 S0. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6749 ELEY M.. wrALM CA 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6749 Y DR, . NOW$ Energy Plan Checking Fee $ 1 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT • Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O. 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 9 Installation ❑ Other 13 Describe Work: INSTAL= ALM GENERM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDA 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.PSIN License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 (rhe above sections need not be completed if the permit is for work of a valuation R f of one hundred dollars ($100) or less.) - , m 1 certify that in the performance of the work for which this permit is issued, I shall -IN not employ any person in•any-manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section -3700 of the Labor Code, I shall forthwith comply with those provisions. %� - yL,of-the X l ,�. � /��ll � -Date o m�oo I _ IMAJ Signature of Applicant -+� Owner ❑Contractor ❑ Agents An OSHA permit is re required for excavations-over,5'0" dee and demolition or construction . P q ,,,� _ P of structures over 3 stories in height. _ Main Service TO 1 46.00so NEW CONST. OWEWNG OCCUP. SO W:o U OR ADDNS. ( a ACC. BLDS. 3.5¢FT. NEW pale, T. MULTI.OUTLET @7.50 GLE OWER AOUTLPPARAT TUCIRS . a E 20 1.00 Ex. Occup. OUTLET ORFDRURES SAL .50 Ex. Occup. DuMTLrs AE�sID °eA 5.00 aJ• Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ - ►W MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 000 TOTAL FEE $&J HAZ. - D. FEES ,P .. 'IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby Issued under the applicable provisions Butte County Code and/or Resolutions to do work indicated Stove f r which fees have been paid. %J�y h �� By _ Date ! (G� ERMIT EXPIRES ON /I / f_./ Receipt No 251 :._50 WHITE-D.D.S.-B.D. CANARY=ASSESS 1/ =� COUNTY OF BUTTE - DEPARTMENTiOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) - APPLICATION ANDPERMIT - �.,�i ASSESSOR PARCEL NUMBER 066-410-001 ZONING BUILDING PERMIT OWNER =I= FAMILY TRUST TELEPHONE 872-3290 SO, Fr, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 6749 ELSEY DR. MAGALIA CA 95954 CONTRACTORS NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6749 DR., MAGALTA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CC 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 N Installation O Other O Describe Work: INSTALLING AUX, GENERATOR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Tfl G W �E n@20.00 - - PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � Date � LQi Signature of plicant - Own r O Contractor ❑ Agen An OSHA perm) is required for excavatio 5'0" deep and demolition or construction of structures over 3 stories in he- . Main Service TO 48. 00 CCU000A NEW CONST. DWNST EWNG OCCUP. SO W so OR ( b ACC. BLDS. 3.5Q FT. EW CNS. NON -REBID. MULTI.OUTLETurs @7.50 APPARATUS b SINGLE OtmFr CR. OUTLET OR FD(TURES 20 @ 1.00 Ex. Occup.L� o .so FIXED APPLNS. OR Ex. Occup. oUnETs RESIo. EA 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $25.00 HAZ. I D FEES IMP I FLOOD I COF I PARCEL Po HD ISSUE This permit is hereby Issued under ol e Butte County Code and/or indica d ve f r whi h fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do been paid. Date / &0 to work / Receipt NO. — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS PfiCTOR GOLDENROD -APPLICANT 4 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing .your signature. Please complete and return this information at your earliest . opportunity to avoid , unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the P—PIroposed property improvement: YES NO[ I 2. HAVE HAVE NOT si an application for a building - permit for the , [`�I [ J gn PP g P .. , . )roposed work. 3. I have contracted with the following person (firm) to provide., the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ' 4. I plan to provide portions of this work, but I have hired the following person! to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following-pecsons to provide the work indicated: NAME ADDRESS PHONE TYPE OF'W01M - PROPERTY DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks*for*you if you do not carry out these obligations,"and.these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ' If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure in ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retumed. 'Nie ly,l C. Vi ira, C.B.O. r, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Orovil s, California 95965 a Telephone (530) 538-7541 PERMIT NO. Rev.12/96) APPLICATION AND PERMIT Ivan" 0 —�D D0/N0 'BUILDING PERMIT ioWNN —a fQ ,34 % SQ. FT. OCC. BUILDING VALUATION ODW"c+on WIM tna"wMs cowrp.wm1 maim X001!» cownwcnar LOOM uDOWS WANG A00405 —Fireplace Total valuation = 000= ORVCPffD1 ucc sI NO. Film Fee i 20.00 Ar4MM 67 OR oroNeus UAAM ADDRESS Permit Fee S Plan Checking Fee i suaosa ADDK1t Energy Plan Checking Fee t i PERMIT FEE S 10TAA. sueon�crriwue. fARca wv PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Mobilehome O Other Water piping 15.00 Each gas water heater at vent 15.00 TYPE OF WORK Gas piping system 1 -5 outlets 15.00 New O Addition O Remodel O Installation O Awa Building sower 15.00 Describe Work: wfi57t4 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT FlUng Fee 20.00 Mein Service 200A OOR Li 23.00 Main Service 2"A To 1~ 46.00 raw COMT. Dweui+o oecvv. OR ADD". 3.Sisa a ACC. elDl. NOK11010. MULTI-01r}LET @7.50 aPOWE71! 0 AMARARAI p0. EX. Occup. ovne OR ncnma 1.10 eAL a .b FOZO AP". OR Ex. Occup. OVrUMMESIO.) to 5.00 S— Tem ore Service 23.00 Moble Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 *PERMIT FEE PAID Heating SRA ' ' $ Coolie SHERIFF $ Hood e.so Vsntiletlon OTHER $ PERMIT FEt S Moble Home Installation Fee $ Energy In3pec5on Fee $ occ TOTAL FEE_ �- NAL D. IEtS W► fUD00 Cpf ►ARCO. /0 � pu< AMOUNT RECEIVED ` \ 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. *RECEIPT NUMBER 'J * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON n 066=410-001 PERMIT#96-0828 ELLIOTT, Harry. D. 6749 Eley Dr., Magalia. Cont; Morehouse Air Conditioning New AC/SF 1 COUNTY OF BUTTE- DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, Italrfornta 95965 - Telephone (916) 538-7541 4 PERMIT O. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 66-41—Ml ZONING PTI BUILDING PERMIT OWNER HARRY D ELLIOTT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - 6749 }"LEY DR MAGALIA CONTRACTOR'S NAMETELEPHONE MOREHOUSE AIR CONDITIONING 865-9100 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6749 FiEY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 MAGAI,IA I Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE ; SF Duplex ❑ Mobilehome {: Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other r7 Describe Work: N51 AIC — ' Mobile Home I S I GI W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT:0 Filin Fee 200 Main Service ( zoon OR LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONOR ' 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 'n full force and effect. 35 / / �y / License Class v Lic. No. "t 1 `� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury tliaLl am exempt from the Contractors License Law for the following reason: -Y', % .- s ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure is -not intended or offered for sale. ❑ I, as owner -of the property, am exclusively contracting,with licensed contractors ' to construct the),project. ❑ 1 am exempt under•Sec. 3 Business and Rrofessions Code for this reason `• NEW CONST. DWELLING OCCUR ADDNS. ( a ACC. BIDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ` (a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 (@ 1.00 �L 50 FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contr-actor �'• 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. (11 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor' COd6, JOr the performance of work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier % TSZ • -PJ - OKI MECHANICAL PERMIT Filing Fee 20.00 Heating -,Cooling Hood 6.50 Ventilation " FERMITFEE $ 3 ,0 Contractor Policy Num er z t`�0 145 —!14:;' (The above sections need)not.be completed if the permit is for work of a valuation of one hundred'd ollars'($T00) 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' comp nsation provisions of section 3700 of the Labor Code, I shall f with co ri • y with- those'provisions. J / X ,� o.._�--' Date _ l/ ( __ Signa re of Applicant - ❑ Owner .Contractor ❑ AgentR An OSHA permit is required for excavations over 5'0" deep and d molition or construction 33 stories in height. of structures over5'd Mobile Home Installation Fee- $ Energy Inspection.Fee r t, $ Occ CONST. TYPE, TOTAL FEE $ HAZ. 0. FEES IMP FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby ;issued under In of the Butte County Code and/or indicated above for which fees have f By e A'- e.oC.� PERMITEXPIRESON� f f ! applicable provisions Resolutions to do work been paid. / / ,/ 6 Date ,`7 (Date) ReceiptNo.l / Jd-7 WHITE-D.O.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE- DEPARTMENT OF;DEVGLOPMENT SERVICES - BUILDING DIVISIO 4 PERMIT N0. 7 County Center Drive - Oroville, C` jfofA 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 66-41-001 2ON1NO RTI BUILDfNGPERMIT OWNER HARRY D ELLIOTT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' 6749 ELEY DR MAGALIA CONTRACTOR'S NAME MOREHOUSE AIR CONDITIONING I TELEPHONE 865 -9100 - CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS -6749 r PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 MAGALIA Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome M Other _ SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: NEW A/C — Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full force and effect. �� // 35gC1z/ License Class Lic. No. `T OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, asownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SD. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 a4L .50 Ex. Occup. ( OUFIXED TLETS(RESD.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 Policy Num er 4T- (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' comp nsation provisions of section 3700 of the Labor Code, I shall f with c y ith those provisions. X __ Date _ Signa a of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and d oli Ion or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling 15.00 Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY Y� Dat PERMITEXPIRESON ( provisions to do work paid. / 6 eJ ReceiptNo.I / �g% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I r RESIDENTIAL r , _� - 92-2x151 BPEM ��� F 66-41-01 I ELLIOTT, Harry &Carol 1 6749 Eley Dr, Magalia new sf p z;, l h . Cq h�if G }L,Q�s o Qc OFFICE COPY I Address � G `F � GAS Meter By Date ELECTRIC Meter By Date y�O[FFICE COPY i Address L A GAS Meter By Date ELECTRIC Meter By y - Signature ` JOB FINALED (Date) �-�' J=OK O = Not OK ' =Not Applicable =Not Ready 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: / /" 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. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; 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 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 i Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 1 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI . Z 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-Panelboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i r. J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except k's Zoning -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. d.-10 Ftg. Depth r'8. Ftg., Garage; Soils-Steel-Elec. Grnd.-//.h Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth OStemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped �. ,rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground �tsTTllms & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 1JAccess & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date 'iL " Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except s's 16. Wale.L Htr.: Vent -Access -Combustion Air -Baffle --------- - -------- -------------------------- ater Pipe: Test & Anchor -Nail Protection ---------- - ----- ----------------------- T8. h W.V.; Test -Fittings & Anchor -Nail Protection ------------------ ------------------ 9.- -------------- 9. Shower Pan: Test. First Floor -Tub Access — 20. Test Tub & Shower, Second Floor -Tub Access ------- ---------------- — 24 ->;as Pipe: Size &- chors --------- -------------- -------------- Date _q_ - Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECPICAL (Permit) OK except ti's icAasformer Clearance -Ins. Protection 2YEle eceptacles Spacing -Lights & Switches at Doors ---------------- --------------- ---- -- - - -- - -- ---- - iz oxes & No. of Conductors -Stapled ------------------ ------ -------------- --------------------------------------- 2 . om nstalled Close to Edge of Studs & C.J. ------------------- ----- -- - -- - - - - -- -- -- . qu' . round made up w/Meth. Fastners-Bond Gas & _Water -- - - - NnceaCircuts in Kitch n & Conductor Size!GFI . Subfeed Wire Size ga 1> r AI-A.C. Wire Sizew-�ga. Cu or At ------------------------------ -------- --- -- ------ - ---------------------------- ange Circ. .�pr ga Cu Oven Circ.J.('/ ga. Cu or Al. Insulated Neutral_ s 0 No ------------------------------ ---------------- - ---- 30. S�e +C'e-Riser Conductors & Ground -Main Disconnect -;-E ---- p. Clearances Panels-Motors-Mech. Equip---- - - -- - - - ClotCloset Light -Shower Light -Spa Light ----------- -- -- - - - - - ------ - moke Detector ___________ Date) Card B 1 Date Ca__rd__B___1 ard B-1 ---------------------------- ------------------------------------------ Date Card B-1 Date Date MEC CAL (Permit) OK except k's ucts Insulation & Support ---- --- ---- -ent F n Exhaust above insulation - - - - - dens ate Drain & Overflow; Size & Grade 3 urnance-Vent: Access -Comb Air -Return Air Vent -115 outlet 8. Access & Platform if Furnance in Attic ----- - _ -- ---- --- - - ----- - -- ------ ---- -- - - ------- --- ---- -- Date 2-�%�j•ljj Card B-1 Date Card B-1 ------------- ----------- - - --------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 3111 ils. Proper Material & Anchors ------- ------- -- -- ------------------------------------ Walls Studs -Nailing Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing - --------------------------------------------------- ------ - -- 42. Draft Stop in Walls (rat proof) ---------- -d3,Fire Stops: Furred Ceilings -Stairs -Chases -Tub _49-44eaders & Beam -Size & Bearing Date F MING (Continued) angers -Post Caps -Anchors -Connectors Rftr. ties-Purlin-roof Brac-Trtlh-SFthng.-Ring. Fireplace Throat clearance 4d. Attic ess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 . drmydindows or Exiting Doors -Sill Hgt. & Dimensions 50-15-araoe Fire Protection Framino tarty Line Firewall & Openings / '. Doors -One 3' -Check Garage -3rd Story, 2 Exits -- -----"--Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection --- - - n Roof Overhang -Attic Vents -Rafter Outriggers 5 iding-Nailing Veneer �sB-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -57-Glazing Area -Glass Protection -Skylights -Plastic -58. hear ailing -Bolts Ar ------------ -- ------ Insul ion J�-Walls-Ceilings 3 J-nfiltration_Walls-Windows Date-Z_�Card B-1 Y.�/ Date _ Card B-1 Card B-1 P1__/y\/V Date Card B-1 Date FIN!(Plans) OK ex pt 4's Ex.!.,Steps-Door & Sidelight Protect 6 urnace; Vents -Clearance -Comb. Air-Connector- arage: Above Floor -Ducts -Meeh. Protection 6,00m Exiting & Bath Fixtures & Tub Access -Spa Erim & Subpanel: Breaker Sizes &Labels ' ------------ - --------- - -- ----- ' Stairs & Rails j ve Clearances -Hearth --------------- i eGlOutlets at Wood Panel; Int. & Ext. , I. & Appliance; Grnd.-Air Gap -Cooking Clearance EI Outlets & Receptacles at Kit. Counter I -- --- -- -- -- - Garage Fire Door Swing -Landing -Closer ._ - m_er -- ----- ��Y'iVtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. _ trove Floor-Mech. Protection 7Elec. & Mech. Equip. Listed for Location Elec Receptacles in Garage; (G.F.I.)-Romex Protection -------------------- - --- nsulation-Foam-Looked in Attic ❑ Yes - uard Rails & Deck Construction -Post Caps - dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor des 80. Following instld. Drive 9,,Yes alks 11Yes o; Planters E)iv Yes �fVo ---------------- Al C'_r_n_Rr _•n -Finish ___. _. _-____ __------- conne _Electrical, Plumbing ----------------- ---.------Openings --- - - Lp ents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Opening s 'nnect, Electrical, Plumbing -------------- :----- ------------ - t nor Elec. Trim; G.F.I. Receptacle -Underground ---- -------------- Ventilation - -Ventilation Throughout House 87. s Protection J � �� 4t KS /00 ---- --- — 88. Correc ns from Previous Inspections r- Ga est Meters Tagged: Gas-Electnc ��Q3 /�yY - - - ---- ----------- �'� E ------ ., fj@�W &Sewer Connected -C/0 to Grade -HD Approval -Energy Compliance Certificate -Other Certificates -- Date If / - 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: h 11AY 18 '92 21: 1'3 PGL ACRAf-IET0 i=:A R�►L91Y133a a 81� M APA7 EI Certificate of Co certlRoate TETE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the *uctural wood products Identifisd Below and marked with a collective mark of American Wood System$ (AWS) were man_ ufactured In accordance with the specllicatloma indicated below V ANSI Standard A190.1-1983; for Structural Glued !.aminated Timber O XTarvPy P1 1 i att Job Name __PALI`iliBS�. L�WI3 a co. Job Lneation SA CRAMENT.O CA CUOOMor'a Order No. — Uate n�«.2st�e6712—C _ M1gr's Order No. .r 619nWwo Thlo QUALITY CONTROL ry ROS60R0 LUMBER CO. Addrass SPRINGFIELD. OREGON 04-30-92 _......--Date IT I$ HEREBY CERTIFIE=D that the structural glued laminated timber production of the above-named manufacturer, Which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Sy9tems, such audit corl9isting of the Inspection with reasonable frequenoy of the manufacturing process, with adequate sampling to verify the quality of giulam constructlon and the adquaclr of glue bond. IHDOp''�Je�y,� SEAL by—� Michael R. O'Halloran Executive Vice President �ASAINGt�� AMERICAN V/COD W8TEM5 — AWL ai Fn CORPORATION OF AMERICAN PcNj600.A3' 3OCIATfoN V MAY 1 -;.8 '92 X21 :_c0 PCL SFICP,AMETQ CA rll -,„. r,. fJ.J,,� f ar• IG 'K�l•QDQM�N7J INVQIQ fER►!S AND CONDITIprys WpIM 4vd4llp,p Mfth &VbW trsIAJN Waa Wen n•o b oh' a„ own% d 9r+d4 wiry Q mama ww. A rwYm MEA iy mad .."i. w'. of lw% P.. na.nr.pbw 4a wmumJ, tC014101710"S M'$ OAOPR is „ o � C�^wwa A. w mnetan. N,rurW q„v a ni. OF 1HE iERY3 Suit.N onsly opvaJO. �pJWteuf.�l,,vw, ^� PoenInemrmSTATEOHERD QJ•n mse•r„I,p rJ,a arch wW W” pleas bl J wN E puntr, pry .n lonw. N ku,q yNwppll oft• J end �t ake{ Jx•eee.,ee;M'!�^�+ waJo,nw aucMJr ., nosnolkci WCON- in0�b. OR 074 PHONE: (603) 7464WIJ ��'IVW.:i r:E:: 6; • FAX; �A9�Y; :: "il•,,:�>C:'s ., . �. ,;'>�3:?�.h;f •.,,—:'`' 1\L1'7lti.)i'i(J �71•,.IJ—� I I �` ... �.i''.:S`fri>•:;i:'7.::.' '•: • ' E�'/i1..11!;::i� G. t..6:V:Ik:: .�i. • ...... •;x;- ;. J�11� i4 C�7'Y2.•.L N "rc:J *SAtIF' �F%lc>q�f%cJyr :yy Irl7 '. .64M Y.;ic:,e sxAc :y� �Y;;<�k� W�q;�ic>Y r<JY f, rlvul rta Il.� !.r.' Hi.' t[f7Y)4 Acxt�'�YSb�KNc�1k As 7k+K�i#c>ks i k>X&:Jk:yJY'kskJXY�4 p .r')'6;!.Ii:;IC t.J'l.''i4!ht C:ht;;;, ):e� t;`;'�•�;^;�� , ORD 5.1)ltlr¢t1Tt)liltislitilltN�tlulutt�rlt:lli►itlitltlivaul4ttltifrtt6144ii4lsiflu �� 01y Yt► Y(DTN DEFch Iltlty�rtt4�ucrt2tcrlti:Ar��,44r4if�t110111 PkL+i 4F( 81 FEET 1N fRA%i . ..,., - 34' a 4 c3-if6 >< 04 -ECT CAE RR 60 02 3t2 !z 1T OI -1/9 M 44 60 02 S09 4 SOS -119 x �9 1' U V4 -1400F; 60 02 . lit Z 8 05-118 E 11 60 02 D Y4 24g0i: 0 V4 240OF 13 1 4 09-;10 t i •112 60 02 - t D V4 2460E t91¢ 0.-118 X 15 50 D -V4 2400F' I6N 4 4 i D 1'4 240OF ' 5 V4 2400r q_ E. v 2400T 1 t V4 2;�Cr 1 0 V4 240F 5R 4 4 o; -ilk a lb-lf1 44 Q? Jfl 44 02 + D V4 240OF s :N° ii21� 6681 � I 'K�l•QDQM�N7J INVQIQ fER►!S AND CONDITIprys WpIM 4vd4llp,p Mfth &VbW trsIAJN Waa Wen n•o b oh' a„ own% d 9r+d4 wiry Q mama ww. A rwYm MEA iy mad .."i. w'. of lw% P.. na.nr.pbw 4a wmumJ, tC014101710"S M'$ OAOPR is „ o � C�^wwa A. w mnetan. N,rurW q„v a ni. OF 1HE iERY3 Suit.N onsly opvaJO. �pJWteuf.�l,,vw, ^� PoenInemrmSTATEOHERD QJ•n mse•r„I,p rJ,a arch wW W” pleas bl J wN E puntr, pry .n lonw. N ku,q yNwppll oft• J end �t ake{ Jx•eee.,ee;M'!�^�+ waJo,nw aucMJr ., Insulation Certificate BUILDING OWNER : M/f 9 Y -1 C/4 RUBUILDING PERMIT BUILDING LOCATION: � 7 y9 /-45 y UR I vE M 119 `7 Description of Installation. ROOF Material Thickness (inches) CEILING Brand Name - Thermal Resistance (R -Value) Batt or Bla:iuket.Type AIA _ I Brand Name _Q I iV E NS - COfd AI I ni G 5's Fp 91 � S Thickness (inches) / Thermal Resistance (R -Value) - 3 S' Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL _ . Material FIA: -'k C, Las • Brand Name ftelyi ` (OkN//J/G Thickness (inches) 1 " Thermal Resistance (R -Value) R- /g/ RAISED FLOOR Material F1,615 &4,aS Brand Name WfA S . --CORN //iV lr Thickness (inches) 6 Thermal Resistance (R -Value) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Ap im 1"2 Genera! Contractor (Builder) License Number o/Z IJE-k 41 1W,3 Sign a Date. Su ntractor (Insulation Installer) License Number Signature and Title Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 INSPECTION COUNTY OF BUTTE DEPAATMENT OF PUBLIC WORKS , x 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Oroville — Phone: 538-7541 j 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE M LC r f5T77- 2f s/- 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 'lmatter, or need additional explanation, please contact this office immediately. goGI:Lyf's LA/ tfA /14 svm- L) d - Ud J Q/1. 3� pn ��� Sal," CIO- S'4eet/-)5 4tr- . e!t-, Il Y Date 9Z( 52 Inspector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ffa! o-7-77 qZ_ ?/S OWNER PERMIT NO. A moutine inspection indicates that the following violations of Butte County Ordinances exist at -the above address and should be corrected. Please notify this office when correction of work is completed. N ou have any questions pertaining to this matter, or need additional explanation, please con94 this office immediately. 9 Date -'I Inspector t REV, aOW COUNTY OF BUTTE BUILDING DIVISION' Y DEPARTMENT OF DEVELOPMENT SERVICES ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 - 747 Sliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE &Z,lo7l— O NER PERMIT N0. Araudoeiinspectiim k4cates that the following violations of Butte County Ordinances exist at the above adAesc and should be corrected. Please notify this office when correction of work 'scaaplelell-lfVouhaire any questions pertaining to this matter, or need additional explanation, please coamct iwn office immediately. to A� Date `2 Inspector REV UM COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT N0. //Aveiinspectionindicates that the following violations of Butte County Ordinances exist at . dhe above adfiress and should be corrected. Please notify this office when correction of work kccn49e2ed_llfyou have any questions pertaining to this matter, or need additional explanation, please pct �s office immediately. Dw*7/ Inspector �— �0/ 1f r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT N0. A rao0ine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is corrpleted. Nyou have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately 1W- -01 W11 �j 1111111 �IIFV 10192 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 92-2151 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066-410-001 ZONING RT I BUILDING PERMIT OWNER & CAROL ELL1011 TELEPHONE 1872-3290 ION SO. FT. OCC. BUILDING VALUHARRY 1448 R 7 192 OWNER'S MAILING ADDRESS 6770 INDIAN DR. MAGALIA 672M 1 096 CONTRACTOR'S NAME OWNER TELEPHONE 75 C 975 CONTRACTOR'S MAILING ADDRESS Fireplace i"Alt 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 92.763 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 566.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 283.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6749 FLEY DRIVE MAGALIA Permit fee $ 884.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 -� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 37-61 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W 01500 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 BDRM Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service SS 200A OR 00V OR LESS 18.50 18.5 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW 1 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 corr,pen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) f] 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 OCCUPM OR ADDNS. l ACC. BLDGS. 3.64 sq.ft. 7[+.00 NEW_CONSTR ULTI-OUTLT NON.RESI BRANCH CIRC ITS 5-00 POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCcup�OUTLETS OR FIXTURES\\ 20 @ 764 Ex. Occup. OUTLETS ED APPIRESID )REA.1 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 . MiscWiring15.00 Permit Fee $ 107.50 - 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. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating 9.00 LPG Cooling g EVAPORATIVE 10 10.00 Hood 6.50 6.50 Ventilation 2 4.50 -9.00- permit Fee $ 49.50 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 againsIs'd County in cons u e of the ranting of this permit. v� X Date of a An OSHA / , Ions over S'0" deep and demolition or construct- ion of structures tover 39stor�esoinehe excavations Mobile Home Installation Fee $ Energy Inspection Fee S 40.00 occ CONST TYPE TOTAL FEE $ 1175.00 HAz I DFEES I IMP 1 FLOOD 1 CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte C unty Code and/or work indicate a e for h fees OR F PU LIC PE ITE PIKE Dae ^ applicable provi- resolutions to do have been paid. WORKS Date L14By Receipt No. / �� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541' APPLICATION AND PERMIT ASSESSOR PARS L NUMBER O / ZONING r BUILDING PERMIT 1;we 66 T LE HONE SO. FT. OCC. BUILDING VALUATION �EyL/0 /� Vf-3290 �� -719 l 9 Z ADD SS 14 1) , G.. 111096 CONTR AC TOR'SN ME ITELEPHC own%r/L, CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER JUNKNOWN ER'S MAILING ADDRESS HITECT OR ENGIN HITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS O T, 7 1-/9 �l ISION NAME USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other 0/_ PARCEL MAP J7. C r PECIFY TYPE OF WORK New i J Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 716A, ❑ Describe work: — 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) ❑ 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 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. 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 B e against all liabilities, judgments, costs, and expenses which may in any Nay accrue against said County in consequence of the granting of this permit ) X Date -7-2 \Signature of Applicant — Owner ElContractor❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct - \of structures over 3 `t No. 1L9Q6 stories in height. -Q �n �- . e .... — ,ncu Rae -APPLICANT Fireplace I A Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G JWT Permit Fee Contractor ELECTRICAL PERMIT Main service 600v OR LESS 200A OR LESS Main service 20CATO 1000AI NEW CONST. DWELLING OCCUP OR ADDNS. (ACC. BLDGS.� ��,j Op 76-3, $ 15.00 $ $ 2 63. $ Z •O < Fi 1 i ng Fee 18.50 37.50 6Q sq.fI @ 5.00 POWER APPARATUS S) 1 SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 754 J AL (@ 460 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA. I 3.00 Temporary service -- 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating t LP6 /� /� e 1 Cooling /V/00 RAA P TIt /Or Hood 6.50 6-5, Ventilation L `f.�� Permit Fee $ 5,c Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ YO "?j `DL, TOTAL FEE $ 76_m HAZ D FEES IMP FLOOD OF PAR PD HD SSUE 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ffOH fLI-1077- A. P. No. D J/ o Proposed Building Use e, 6 L . Building Inspector G Date 4" 2z- At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items haeme been submitted . ....................................... . 2. Plot plans, 4 sets, sWwA by preparer of plans . .......................... 3." Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... 11. Impact fees as shown on attached schedule .............................. 12. California Department of Forestry plan approval/fees. ....................... . 3 Flood elevation letter (100 year flood) lifornia Engineer . ................. . 14. Sanitation and plot plan approval�Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 19. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for t. Buil pea'°" `eq°� required' . . to Building Inspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner _); :........ . 24. Recorded copy of Agricultural Acknowledgement Statement. , . ..........�" 25. Letter of signature authorization ....................... f 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... �. 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the per it, process as follows: _Mail to owner. Mail to contractor. Telephone -3a 9Gnd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant a �` `�"'( Date / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date _ The following data must be submitted prior to permit issuanc; (Cir w item not checked above). 1. Index permit for above items No. 2. Additional items required: By Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by_ phone _mail Counter by _Date Plans checked by o�d- Date Plans approved by <,--5L. Date' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Buildina Department F OM: Environmental Health SUBJECT: Sanitation Clearance COEUU Ti OF IUVE J U L 0 1 1992 Location AP# owner Plan Approved for: Hold final for: Sewage Disposal Water Supply Water Supply Water Supply F nal clearance O.R. for: . ome . Other C earance for ?/bedroom m��ai _ NOTE --------------- D to 1 Sanitarian ' School District BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) p�eRA(//,J�_ Building Department No. A.P. Number, 7 n % Jurisdiction �_ J City County Property Owner — Property Location/Address Q ! J 400 W/r-y /464 L //I , C Subd'ivisbn 3� b Residential Development/. No. of Living Units Commercial/Industrial Building6 p. p-a-rt—n Ant Represe ive N. New Lot No. 0 Sq. Footage Al7 V Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Dist 'ct Identification No. School District certifies that 1 10 -- -- - - --- (Street Address) (City) has complied with the requirements of Resolution No. representing _ square feet. ; 5-4�ftq-- School Di .trict Representative. Date (Including Exterior Roofed Areas) r s' (Applicant) D��l �f � � a n • (Phone Number) (State) (Zip Code) Paid by Check.Number Remarks: Bank Number Paid by Cash by payment of $ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed .under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) Return to DPW AGRICULTURAL STATF�`'M OF ACLIOWLEDGEMENT f FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 92-028 1G9I The property described herein is adjacent to land or included within an area zoned I for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences' or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but ' not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers;- and from the pursuit Recorder i of agricultural operations includin ' 8:28am 25 -Jun -92 I 01 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones'and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee Cash PUBL VS 5.00 5.00: Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that xeal.:property.`situate in the County of Butte, State of California, described as follows: Being a portion of the Southeast Quarter of Section 36, Township 23 North, Range 3 East, M.D.B. & M., and more particularly described as follows: Commencing at the Northeast corner of said Southeast quarter of Section 36; thence along the North line of said Southeast quarter, North 89 381 30" West, 465 feet to the true point of beginning for the parcel herein described; thence from.safd tOue point of beginning, South l 17 1 00" West, 150.00 feet; thence North 89 381 30" West, 193.00 feet; thence North 11 021 12" East, 152.62 feet to the North line of said Southeast quarter of Section 36; thence along said North line, South 89 381 30" East, 167.14 feet to the point of beginning. Date: a � �Z-- PROPE TY OWNERS: Marry D. Elliott Carol A..Elliott OL State of C L1fl) On this thec?3`"l day of �UnLG 19 2,, before me, the SS. undersigned Notary Public, personally appeared County of uTTL ) Personally known to me. E] Proved to me on the basis BARBARA A.COFFMAN of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA to be the person(s) whose name(s) A R c= Butte county subscribed to the within instrument and acknowledged that �7�'4&-V o MyCommissonExpues executed the same for the purposes therein contained.. IN WITNESS oct. 9, .995 P P EREOF, I hereunto set my hand and official seal. Present A.P. No. 066-410-001 Notary Publi ' Commerical(per sq.ft.) X =$ sgAt. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. DATE APPLICANT ���� a %' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 (0�' - % OWNER G.L 7 A.P. NO. 2 '44- 51�5' DATE r PROPOSED BUILDING USE REC. # DATE REC School District Fees (paid at District Office) .......................... 1. Sheriff Feesnn Ci"� 11�. S (paid at Building Department) Residential ......... unit amt. Commercial(per sq.ft.) X -$ sq.ft. amt. 3. Urban. Area Fees (paid at Building Department Residential (per unit)______ X =$ # units amt. Commerical(per sq.ft.) X =$ sgAt. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. DATE APPLICANT ���� a %' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �S 2. I (have/ aet) �A(/j5 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: Property Owner A Social Security Number Date 2 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. RESIDENTIAL'PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER � A.P. # 0G GENERAL Plan Checker ,� S f ning requirements: (sideyards and number of permitted living units). luation. ans signed by designer. oper description of work on application. isting violations on property. ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. VFAi ood hazard. ecial conditions on creation map, (noise, CDF, fire sprinklers, non-comb- tible, and foundations). U & FAS road setback. ldingg or utilities across lot lines (Record form). FLOOR PLAN I Clete to scale plan with dimensions.,' Required.windows for light and ventilation (Sec. 1205). i:�Reauired windows for second exit (Sec. 1204). -" Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Rpquired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. ?!Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). � Fireplace and wood stove location, alcoves, and clearance. 9'. moke detectors (Sec. 1210). !+Numbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. elevations and wall construction details complete enough -to construct building Roof construction details complete enough to construct building. !Fireplace construction details and calcs if necessary. 5 or bearing ridge beam. Q f�arage door porch header sizes. lyaa�v�/?L€e19 ts. O Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails ec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30): Exterior plaster - weep screeds (Sec. 4706). - Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). am insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 . Two exits on three-story dwellings (sec. 3303 & see'Mezannines = 1716).': is access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). 1 mbustion air for fuel burning appliances - L.P.G.-requirements. Noise requirements on duplexes. nergy design. ashing at all exterior openings. . OF responsible area requirements. " f STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DFnTCTDATTTTN f ORI! mnRTI pt4nmF DECALNO. AAR7745 MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFSSPC W Ia EXPIRATION ROLLAWAY/ ROLLAWAY R S 00/00/58 00/00/58 AAN 06/30/92 E G z A RY-58 L xp fF U SERIAL NUMBER LABELMNSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED ISCC E EXEMPT USE TYPE T S8850219104 23344 000000 000600 000120 06/07/91 04 SFD ILT 2 3 TOTAL 4 FEES 5 PAID: 6 $17.00 A ELLIOTT HARRY D/ D CAROL A TENCOM OR D 6710 INDIAN DR R MAGALIA CA 95954-9002 E S S EINN nt gc+<a iti.:.. R ELLIOTT HARRY D/ g:< E CAROL A TENCOH OR A. 6770 INDIAN DR S I >;. L E MAGALIA�YCA 95954-9002 R D 1111 O S 6749 ELEY DRr us z< W Ia �� u7 E U HAGALIA`'' R S L E G z A L xp fF W; D O W ba N, E R J U F N I I R O S R T L I E N S H E O C L O D N E D R DUPLICATE COPY AV �y TO BE FILED WITH THE MOBILEHOME PARK OPE x�>RATOR AS REQUIRED BY LAW f � r tea. V$ t L %, j IMPORTANT 03-155-01145 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0301093 cam„ �,.��a.Oc.�,� c� I9ST /i77o�o�/om. -tucd ENCROACHMENT PERMIT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Phone: (91.6) 538-7681 A P P L I CATION Permit No. I, WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with county ordinances and general A". f� 'f� NAME .....Yl, }� N..:. -L �.. �.1... SIGNATURE .......... ��.... ................... MAILING ADDRESS JIB T,4_1AA*...04.0 v��0Phone t ............................... Date ........U17�.!.. j..l.. ......- ..._.. Location of work to be done I ZY7, TYPE OF WORK 0 BE DONE 1. Curb ........................................ Gutter �. Si ewal..... _...... .................... "Please check'' � 2. Driveway (List type) ---�s,NN .................... ---•-�........................................................................................ 3. Underground Conduit 4. Other .................... /-.........I.Ll;............................. -........................................ ..•---•........... ;: " +1 ERMIT GRANTED In compliance with your ab ve request, and subject to all terms, conditions�ot sge eal conditions written below or printed on the back of this form, per is ion is hereby grant/e�d. t-1 SPECIAL CONDITIONS ..... ! . ' ............................. j ...................................... ............... .................................................. ................................... A.�.. ........................................................................ DIRECTOR OF PUBLIC WORKS Date Issued .............................................. Surety.................................................... PERMIT EXPIRES ...................................... By GENERAL CONDITIONS` 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an accept- ance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done sub'ect to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Vermittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any part of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsi- bility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require, the installation provided for herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the county right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be closed to travel by the general public without special permission, in writing, of the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit. In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim. 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be placed and mechanically com- pacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (5') below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research Department, State of California, Transportation Department, Division of Highways, or other approv- ed test method: b. The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grade shall be no less than ninety-five percent (95%) as determined by the above testing method. Permit- tee shall bear all costs and responsibility for compaction tests. C. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be placed in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall•be restored immediately upon back- filling of the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construc- tion operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2") of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifi- cations. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. ENCROACHMENT PERMIT N'T, Y. OF BUTTE DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Phone (91.6) 536-7681 APPLICATION Permit No . ............... ---------------- I, ------- I, WE, the undersigned, hereby apply to the County of Bdtte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with county ordinances and general NAME .... IIAW41 ....... I..D ...... E i ..... ..... . .. I . . a.... .. ............................. SIGNATURE ........... ......... . ............... MAILING ADDRESS .... 070 ...... 1-.'�IAkV ....&.1 V ........ ..................................... 7 ---- ...... ...... .Phone ....... 0 ... ........................... Date ........ �v&,E ... ...... 0 ........................................ ....... E....................•-•-•-•------•---- 1. ............... 0.0 ................. Location of work to be done ...... F—Y ...... DR -61 ................................ 0 ................ . 1. Curb 2. Driveway,(List type) 3. Underground Conduit 4. Othir' /TY Pr OF WORK 0 BE DONE Gutter ................ Sidewalk VN. . ......................... . ..... "Please check" ...................... ..................................................... I . ---------------------- ... ........................... ............ i ........... .................................................... ERMIT GRANTED a. In compliance with your a e request, and subjec all terms, conditions, or e ;R55/11 conditions written below or printed on b v \er request, ion A the back of this form, permis ion is hereby granted. to 0 SPECIAL CONDITIONS ..... ............. ................. ............................................................. it ........ .................................... ................. ...... Z4 ............. ................................... r s p �Sq �q .................................... . .......:.........:. ....................................................... ......................... ... . . ......... ............................. .................................. .............................................. ......................................... Date Issued ............... ................ Surety...................... I ................................ PERMIT EXPIRES ....................................... DIRECTOR OF PUBLIC WOR -KS By... .................... ..................................................................... GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an accept- ance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done sub'ect to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. . The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any part of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsi- bility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require, the installation provided for herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the county right of.way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open. for travel by the general public at all times. No public road under the jurisdiction of the Board shall be closed to travel by the general public without special permission, in writing, of the -Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit. In the event any claim of such liability is made against the County of .Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim. 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be placed and mechanically com- pacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours `before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (5')•below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research Department, State of California, Transportation Department, Division of Highways, or other approv- ed test method. b. The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grade shall be no less than ninety-five percent (9570 as determined by the above 'testing method. Permit- tee shall bear all costs and responsibility for compaction tests. C. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be placed in 8" lifts, and be compacted to a relative compaction of not less than 95570. Material for use as backfill in roadside gutter excavations shall be the native material.and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon back- filling of the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construc- tion operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2") of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifi- cations. 9. Whenever necessary to secure permission from abutting property owners, such .authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11'. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as -to the special conditions and requirements contained herein. F • ENCROACHMENT PERMIT , J a� C,O.UNTY,,OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, Cal i forni a 95965 Phone:(91.6) 536-7681 i APPLI CATI.ON Permit No. ..'. I, WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with county ordinances and general l NAME --- ......... Y-.:...... E J f Q ............................. SIGNATURE ........... wvl!!_...11.-------------- - .._-.-.......--- -- MAILING ADDRESS 07(.2 TNAIAl....v� �( `% i� h/ 9 r� Phone S�, ./ / D .... Date �!l!� � ��/ G ..._.._.......... _. : ............... . j ............... " r 1 /1. I-- I h Location of work to be done -------------------•-----•--•............... ............................................. 1. Curb .............................. 2. Driveway (List type) .. 3. Underground Conduit .. r ' 4. Ocher ` ................•-y- ...... /TYPE -OF WORK 0 BE DONE Gutter ::.....�N,. Si ewal._.._. "Please check" �. . . ............................ .................................. .------------------- ....._................. ........................._.....-.- ...... :..-.............-_.... ERMIT GRANTED In compliance withyour abve reque'+st, and subjec`o all terms, conditionsoF s I conditions written below or printed on, the back of -this form, permis ion is hereby granted. 1-F I SPECIAL CONDITIONS ................................. f .........f ..£........................:...................... { ay.... ....................................... ........ . j .� ......................................... . ............................ ...... ............ ,..... , .. ............ ................ ✓ `4 Date Issued .............................................. Surety....................................................... PERMIT EXPIRES ...................................... By DIRECTOR OF PUBLIC WORKS r. N GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is fuFth,er understood and agreed by the Permittee that the doing of any work under this permit shall constitute an accept- ance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done sub]'ect to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any part of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsi- bility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require, the installation provided for herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the county right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall he kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be closed to travel by the general public without special permission, in writing, of the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit. In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim. 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be placed and mechanically com- pacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (5') below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-C of the Materials and Research Department, State of California, Transportation Department, Division of Highways, or other approv- ed test method. b. The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grade shall be no less than ninety-five percent (9557o) as determined by the above testing method. Permit- tee shall bear all costs and responsibility for compaction tests. C. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be placed in 8" lifts, and be compacted to a relative compaction of not less than 957.. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon back- filling of the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construc- tion operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2") of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifi- cations. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades', signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Return to DPW AGRICULTURAL STATEMM OF ACUIOWLEDGEMENT 9 2- 2 8 1 2 9 { 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 ." 92-0281291 Rec Fee 5..00' to land or included within an area zoned I Cash 5.00 for agricultural purposes, .and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers;- and from the pursuit Recorder I of agricultural operations including, 8:28am 25 -Jun -92 I PUBL VS 1 but not_ limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All thAt real.:property..'situate in the County of Butte, State of California, described as follows: Being a portion of the Southeast Quarter of Section 36, Township 23 - North, Range 3 East, M.D.B. & M., and more particularly described as follows: Commencing at the Northeast corner of said Southeast quarter of Section 36; thence along the North line of said Southeast quarter, North 89 38' 30" West, 465 feet to the true point of beginning for the parcel'herein'described; thence ram';asaid ftOUe point of beginning, South l 171 00" West, 150 r00 feet; thence North 89 38' 30" West, 193.00 feet; thence North 11 '021 12" East, 152.62 feet to the North line of said Southeast quarter of Section 36; thence along said North line, South 89 381 30" East, 167.14 feet to the point of beginning. Date: a� Tiarry D. Elliott Carol A..Elliott State of ) SS. County of bUTTE ) On this the a3j'ct undersigned Notary PROP TY OWNERS: M '6' day of�)Ut"Le- 19 q;7,, before me, the Public, personally appeared �—�- A gR `( , • � �.�- i p—rT c� Rte. A R o c._ t -k ► 0 1T ,ddb Personally known to me. 1:1 Proved to me on the basis BARBARA A. COFFNiAN of satisfactory evidence. I NOTARY PUBLIC -CALIFORNIA to be the person(s ) whose _ name(s ) A R Bursa County subscribed to the within instrument and acknowledged that My Commission Expires executed the same for the purposes therein contained.. IN WITNESS Oct. 9,1995 P P WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 066-410-001 -1 Notary Publi END OF DOCUMENT cA ir- Cn r F ' r r r 9 r r r r _ _ 1. Ceiling Insulation Climate Zone 11 . - - --- --•-.. - S.Iftfiliration (Air Leakage) .... ' ..- . MeasuresPoint 9. Interior Thermal Mass (&=met ducts In attic) �' 3 or Number of s= ries 4_( S�Y�f1 Points or Interior Slab Floor Raised Floor.-..' R-vAue one Two Three -5 .4 3 8.9 -5 -A -4 3 -2 -2 Mass Stories Sbries -1 R-0 •1133 -19 32 2 2. Standard 10.5 7 6 5 0 - 2 r-Fr1 One Two Twee One •Two Three R-19 -8 -4 9 7 5 12 _ 9 6 : F_ffeedve SEER 0.0 -8 -5 .4 -2 -1 4 PG -31' Sun of 7-10 SC 0 -410 +6 b 16 or SEAR fess -15 -5 +5 +1S mors 5.0 30 -25 -21 -2 -1 0 R38 0 0 6.6 -5 -4 _1 6. GIass Heat Loss -2 :. -- 0.8.0 9 8 -41-6 . � 4 0-3 -7 -3 -2 1 1 1 1 0.50 •175 84 -54 ToalU-value 15 12 8 12.0 ;A 26 22 18 14 0.7 0a -5 -2 .1 1 -5 •1 0 2 2 2 3 3 0.20 -1132 -49 32 Percent .51 b Alto .31 to 0.30 or 1.1 -4 .1 1 31.9 4 4 010 -25 -13 8 Glass Single Double .60 SO 40 less 1 -3 0 2 3 4 5 US -18 -9 -6 SO -121 -S3 -39 -24 -10 4 1.5 -3 1 2 4 5 5 Us -11 2199 25W 1 40 -90 37 •26 -14 3 8 20 -1 2 .4 5 6 7 O•� wsa 5 3 -2 1 35 •75 •29 -19 -9, 1 10 25 - 0 3 S 7 7 8 0.C2 4 2 5 3 .30 31 •21 -13 .4' 4 12 3.0 1 4 6 8 8 9 O.CO 11 4 3 2 29 -58 -20 -12 3• S. 12 3.5 2 5 7 9 9 10 3 PCU .0 3 •5 -1 _ •3 28 -55 •18 -10 -2 5 13 4.0 3 6 8 9 10 10 to b or Type Type less.. _1199 1699. 2199 .more 27 •51 -17 -9 -2 6 13 4.5 3 7 8 10 11 11 2. Wall Insulation 3.3 1S 26 -49 -15 .-a -1 7 14 5.0 4 7 9 11 12 12 0 Single- Single- S ZS 24 t6 -14 -7 -43 -12 -5 0 1 7 8 14 14 5.5 6.0 5 8 9 11. 5 8 10 12 12 12 13 13 _-5 i 2 Famt'ry Family Multi- 23 .40 •11 .4 2 8 15 6S 6 9 10 12 13 13 R -value Detae:^.ed Atlacled Fami'ry - 22 37 -9 3 3 9 15 7.0 6 9 11 13 13 14 R-0 3a -51 -34 21 34 -7 -2 4 10 15 7.5 6 10 11 13 14 14 R-11 0 0 0 20 31 3 0 5 10 16 8.0 7 10 11 13 14 14 R-13 2 2 1 19 •29 -4 1 6 11 16 8S 7 10 12 13 - 14 15 --� R- i 9 8 6 4 18 -26 3 2 7 12 16 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 -23 -1 3 8 12 17 28 3 32 1.1 -value 3.7 12 4.1 16 16 -20 0 4 9 13 17 53 56 56 0.80 -153 -114 •io 15 -17 1 6 10 14 17 10. Exterior Wall Thermal Mass 0.50 -91 -68 -i6 14 .14 3 7 10 14 18 4.5 4.8 S 0.20 '7 • ' v""o .24 13 -12 4 8 11 15 18 Exterior &Mie- Simle- 1.5 0.10 0 0 0 12 -9 6 9 12 15 19 wall Farn4 Family $.lino Us 4 3 2 11 3 7 10 13 16 19 Mass Demawd Attac)ed Fam4 O.C6 9 7 5 10 3 9 11 14 ' 17 19 0.00 0 0 0 O.C4 14 11 7 9 -1 10 13 15 17 20 0.20 3 2 3 0.02 19 14 10 8 2 12 14 16 18 20 0.40 5 4 0.00 24 18 12 -•-- - _ 4.5 l6 0.60 8 6 4 5.7 5.9 6.1 6.3 65 60% 1.4 1.6 1.8 0.80 10 8 5 15 2.8 3 3.3 1S 1T 19 4.1 4.3 4.5 12 4.0 3. Raised Floor Insulation 5.4 7.(Shade Open) • 6 1 0 13 13 e - 9 _ ... _ Insulation In Floor 13 .Shading ---• Efletiive Fes c nt Clan 2.3 2.5 i.40 1.8800 12 13 100 12 i1... 12 3.3 3.5 Number of stories 4 (Pervent YLass x SC) 4.4 200 10 11 13 52 R -value One Two Three 63 6S 67 Sox 15 1.7 2 .1 R-0 R-11 -17 3 -8 .2 5 .1 EFe^re :Glass North East South west Skylight 11. Heating System ' 16 ---� R-19 0 0 0 18 5 1 4 1 na S.9 " 64 R-30 3 1 1 16 4 2 5 1 na 29 SE or HSPF 33 U-vaiue 3.7 11 4.1 14 4 2 5 1 2 na (assumes ducts In attle) •, 5.6 6 6.2 6.4 12 3 3 5 11 na 2_t' 2.3 2S --0.60 -tet -70 -I6 it 3 3 5 2 na 4.6 Sum of1.6.. 5.1 0.50 -1.20 -58 38 10 2 3 5 5 2 2 1o� 2 105% -24 L3 .141a t0 +o to �5 or 0.40 -95 _6 30 9 2 3 2 3 S 2 Z SF_ less -15 •5 . +5 +15 mors 0.30 0-20 •63 3d -21 -22 -14 8 7 1 3 4 2 2 0.72 6.60 0 0 0 0 0 0 0.10 -17 -8 •5 6 1 3 4 2 3 0.75 .6.88 3 3 3 2 2 1 3 0.02 -0.06 •11 -6 -6 -3 _4 •2 5 4 1 2 0 2 4 3 2 1 3 3 0.B0. 0.85 7.33 8 - 7 6 S 7.79 13 11 - 10 fl 4 7 5 O.C4 -1 0 0 "' 3 0 1 2 1 3 0.90 8.25 17 15 13 11 9 7 0.02 4 2 1 2 0 0 1 0 3 0_g 8.71 20 18 '' 15 13 11 8 . O.CO 10 5 3 1 -1 -1 -i -1 2 z3 Effective SE or HSPF 2.7 2.9 ' 3.1 3.3 3.5 0 -1 -2 -4 .2 0 4.8 (SE or HSPF x duct eMciencT) ' Controlled Ventilation Crawtspace na = not allowed 58 6 6.2 Effective -25 or -24 to •14 to -4 to +6 b 16 or 6.9 7.1 73 125% 2.1 2.3 2S 2.8 3 SE HSPF less -15 -6 +5 +15 more R -value One Number of stories Two Three 4.2 a_4 4.8 4.9 5.1 030 275 -73 -6d56 47 38 30 5.9 6.1 6.3 6.5 6.7 7 7.2 1.. tm 3.41 -45 -39 -34 -29 -24 -18 R-0 -11 -7 -S $. Shading (Shade Closed) 0.40 3.67 -34 -30 . -26 -22 -18 -14 R-5 -4 -4 3 0.50 4.58 -10 -9'• -8 -7 -5 •4 R-11 R-19 -2 •1 -2 .2 -2 -2 E feedve peremt Crass (peseent8lamXsq OreSS 0.56 5.13.-y0..p^; 0, -. 0 0 :ff60? ss0 :Si 5 S:°-�`r-4� �: 0 0 ; z 1 SATS M 6.42 17 15 13 1,9 7 4. Slab Edge Insulation __- Edec@ve %Gf6ss NoM Est Scuth West Skyfiou 180 0.90 7.33 25 22 19 16 825 32 28 24 20 13 10 . 1.7 13 r Ntunber of Stories•14 9.17 37 32 28 24 19 15 R -value One Two Three 18 -s2 -59 •55 na na ' R-0 0 0 0 14 -16 SO ::5 -50 -46 na Zonal Control Adjustment ' R -S R-7 8 8 5 6 9 12 11 3 -29 -7 -26 -40 36 37 na m System Ys Type N. •r.. 1 F2 fac_r 10 -6 •23. 31 -29 -74 ' Resistance 80 9 7 6 4 3 9 •5 -20 -27 •25 -65 Other 6 5 4 3 2 2 X0.90 3 _t g -5 -17 23 -21.'. -56 0.80 -1 4 0 7 l -14 -19 •18 .47 0.70 2 2 1 6 3 -11 -15 -14 .38' 0.60 6 4 2 •-8 -j7 0.50 9 6 3 4 -1 3 •23 .. 0.40 12 8 4 .'3 0 -5 -i -16 = - -- ? i -1 -1 .9 12. Cooling System- _ Climate Zone 11 . - - --- --•-.. - SEER ' ..- . MeasuresPoint _.... ._ . Scores (&=met ducts In attic) �' 3 or Stm of 7-10 4_( R-vaiue (381 U-vaiue [0.030) t25 or •24 to _t4 in •4 In +6 b 16 or SEER less -i5 -6 : +5 +15 mors 8.0 -14 -12 -10 -8 3 .4 . ILS -9 -7 -6 -5 .4 3 8.9 -5 -A -4 3 -2 -2 . 9.0 -4 3 .3 .2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2. 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 12.0 15 13 11 9 7 5 13.0 23 17 _ 14 - 12 _ 9 6 : F_ffeedve SEER , (SEER xduct cMcfene7) PG -31' Sun of 7-10 SC Effec-re-25 or -24 to -1410 -410 +6 b 16 or SEAR fess -15 -5 +5 +1S mors 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11. •9 -7 -6 -4 : 6.6 -5 -4 _1 3 ._2 -2 :. -- 0.8.0 9 8 -41-6 . � 4 3! 9.0 16 14 12 9 7 5 ' 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 ;A 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal C2ntrei Adjustment p WG r efF + A 1 F/CM ! 10 8 7 6 4 3 \o Cooling System Installed Zonal Control? ( Y / N) SE - HS?F 10.77)6.61 Dua Effuicacy [0.781 = _.Stories �12. Cooling System 'X one -5 -1 3 •2 •2' Two + 3 3 2 2 2 1 2S% 3o% 35% 4o% As% 50% •:. Single -Family Detached and Attached i - i Unit Size (sq 6St Water 1139 1200 1700 22M 2700 Heater Dredd . or • j b b to or Type Type less :1699 2199 25W more ,moi None 0 ' ° 0 0 '115 _ 0 or Soiar 12 " 8 0.6 4 - HP HWR 8 5 4 3 3 wsa 5 3 3 2 2 POU _8 5 4 3 3 SE None 37 -24 -18 -15 -12 �. Solar -1 .1 -1 0 0 HWR -18 -12 .9 •7 3 WSa.. -25 -16 -12 -10' -8 - ' - • FO_U_ -18 --12. -9 -7 -6 n None 'S .3 -2 -2 -2 Sciar 7' S - 4 3 2 PCU 3. 2 1 1 1 lE None -28 -19 -ti -11 -9 Solar 8 5 4 3 3 PCU .0 3 •5 -1 _ •3 Multi-Famity (Individual units) AS 1 Unit Size (6 5 Water 699 - 700 1200 1700 '2200 Healer Q'eEd or b to b or Type Type less.. _1199 1699. 2199 .more SG None -7 1.6 or Sonar 14 5 4 3 ' 3 Z- 2 WSi3 9 ' 4 3.3 1S POU 9 5 3 2 Z SE None -455 -23 -15 •11 -9 Solar 2 1. 1 0 0 HwR '-23' -12 -8 -6 S dl 0.9 1.1 -12 -8 -6 1.6 . None --d -• -3 -2 _-5 i 2 _. Solar ' 6- 3 2 1- f- 1 POU 1 o •- 0 0 0 None --.30 • -i 4.1 43 _ �.. : sciar ',,s _. 9 6 4 4 Point System Summary: Climate Zone 11 . - - --- --•-.. - SCORE CARD ' ..- . MeasuresPoint _.... ._ . Scores 4-S 1. Ceiling Insulation �' 3 or 5. Infiltration 4_( R-vaiue (381 U-vaiue [0.030) 0 % 4 .. 2. Wall Insulation Interior MasVCFA 8 R-vaiue [ 11) U-vaiue (0.0981 Type (doublet - 3. Raised Floor Insulation 2- / '7 or O me 2 .wit rJS�p o.vE20.St1. vN�c� o.s- t a. North % -Glass o 97 x SC 0.77 .. b. East 4.41 x = 3 3 + I c. South 4.01 x = 3.0 $ 3 + 2- d. West d. O x = =.- e. Skylight x 8. Shading (Shade Closed) , PG -31' li.7ro2.C•.•21 SC FUL % Glass •3 O T_ I;_ -7 .. a. North 4. 9 I x 0.66 = ,3.2 4 _ b. East 4.41 x t -t•r1: 1 AASS (et>1C a 4.2. !u ex�osed tt__b) = 2. 64 3 d. West x = e. Skylight - = TYPE 1 I.1ASS AREA ll 9. , Interior Thermal Mass t Interior i uss,,UA `- GOND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 B1A8s ND. r: vOa A2Z:.n S.n 140 Ezmrior Wall :mass �x p WG r efF + A 1 F/CM S �3 11. Heating System 0. 8 , 08S6$ Zonal Control? ( Y / N) SE - HS?F 10.77)6.61 Dua Effuicacy [0.781 Effecuve SE or HS?F (036/5.151, �12. Cooling System 'X 0% 5% '10% 15% 20% 2S% 3o% 35% 4o% As% 50% 5S% 67% 6St 10% 75% 80% 85% 90% 95% 100% 10S% 110% its% 12CX 125` Ox 0 02 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 It 23 25 27 2.9 32 3.4 18 3.8 4 4.2 4.4 4.8 4.8 5 53 107: 02 0.4 0.6 0.6 1 1.2 1.4. 1.5 1.9 2.1 : 2.2 2S 17 2A 3.1 13 3.S 17 4 4.2 4.4 AS 4.8 5 5 2 S4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.6 2 22 24 U 29 11 3.3 1S 17 i9 4.1 4.3' 4.5 4.8 5 52 5.4 56 30x. 0.5 dl 0.9 1.1 1.4 1.6 1.6 2 22 2.4 26 26 3 32 3.5 3.7 33 4.1 43 4.5 4.7 4.9 S.1 5.3 5.6 5 8 407. 0.7 U 1.1 11 1.5 1.7 1.9 2.2 24 2.5 2.6 3 12 3.4 16 18 4 4.3 4.5 4.7 4.9 5.1 5.3 S.5 S:7 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 i1 23 25 2.7 3 32 14 16 18 4 42 4.4 4.5 4.8 5.1 5.3 S.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 12 14 2.6 28 3 32 3.S 3.7 12 4.1 4.3 4.5 4.7 4.9 5.1 53 56 56 6 62, 601. 1 12 1.4 1.7 1.9 2.1 23 2S 2.7 2.9 it 13 3.S 3.8 4 4.2 4.4 4.5 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 U 1.5 1.7 1.9 2.2 24 26 28 3 3.2 14 36 3.8 4 4.3 4.5 4.7 4.9 S.1 53 SS 5.7 5.9 6.1 64 707: 1.2 1.4 1.6 1.8 2 2.2 2S 27 29 11 13 35 17 3.9 4.1 4.3 4.6 4.8 5 52 5.4 S.6 58 6 6 2 64 75% 1.3 15 1.7 19: 21 23 25 27 3 3.2 14 36 18 4 42 a.4 4.5 l6 5.1 S.3 S.5 5.7 5.9 6.1 6.3 65 60% 1.4 1.6 1.8 2 22 2.4 15 2.8 3 3.3 1S 1T 19 4.1 4.3 4.5 41 4.0 5.1 5.4 5.6 5.8 6 6.2 64 96 65% 1.4 13 1.9 2.1 2.3 2.5 2.7 2.9 11 3.3 3.5 11 4 4.2 4.4 4.6 •4.6 S 52 S4- 56 59 6.1 63 6S 67 Sox 15 1.7 2 22 2.4 26 2.8 3 3.2 14 16 16 4.1 41 4.5 4.7 4.9 5.1 53 SS 5.7 S.9 6.2 64 as 68 95% 1.5 11 2 ,22 2.5 27 29 11 33 15 3.7 11 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 67 6.9 100T. 11 U 2_t' 2.3 2S 2.6 3 3.2 3.4 18 li 4 42 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 65 6.7 7 105% 1.8 2 22 2.4 2.6 2.8 3 13 3.S 3.7 19 4.1 4.3 45 4.7 4.9 5.1 5.4 58 5.8 6 6.2 6.4 66 68 7 Ito% 1.9 21 Ill 25 -27 29 11 13 36 3.8 4 42 4.4 4.5 4.8 S 5.2 5.4 5.7 S.9 6.1 8.3 LS 6.7 69 7.1 115%. 2 22 24 28 28 3 32 3.4 3.8 3.8 4.1 4.3 4.S 4.7 4.9 S.1 5.3 SS 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 z3 IS 2.7 2.9 ' 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 S.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 73 125% 2.1 2.3 2S 2.8 3 32 14 3.6 18 4 4.2 a_4 4.8 4.9 5.1 5.3 5.3 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 1.. Point System Summary: Climate Zone 11 . - - --- --•-.. - SCORE CARD ' ..- . MeasuresPoint _.... ._ . Scores 4-S 1. Ceiling Insulation �' 3 or 5. Infiltration 4_( R-vaiue (381 U-vaiue [0.030) 0 % 4 .. 2. Wall Insulation /2 - / 9 or 8 R-vaiue [ 11) U-vaiue (0.0981 Type (doublet - 3. Raised Floor Insulation 2- / '7 or O R -value [ 191 U -value [0.71 rJS�p o.vE20.St1. vN�c� o.s- t 4. SIab Edge Insulation or R -value (0) F2 factor [0.; 7J 5. Infiltration Standard ex -6S 0 % 4 .. 6. Glass Heat Loss �- 6s +7 . Type (doublet U-vaiue (0.651 90 Total Glass (161 Sum 1-6 7. Shading (Shade Open) rJS�p o.vE20.St1. vN�c� o.s- t a. North % -Glass o 97 x SC 0.77 Elf. "o GI3ss b. East 4.41 x = 3 3 + I c. South 4.01 x = 3.0 $ 3 + 2- d. West d. O x = =.- e. Skylight x 8. Shading (Shade Closed) PG -31' .. % Glass SC FUL % Glass •3 O T_ I;_ -7 .. a. North 4. 9 I x 0.66 = ,3.2 4 _ b. East 4.41 x = 2 0 91 - -4 ` c. South 4-01 x = 2. 64 3 d. West x = e. Skylight x-1 = TYPE 1 I.1ASS AREA ll 9. , Interior Thermal Mass t Interior i uss,,UA `- GOND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 B1A8s ND. r: vOa A2Z:.n S.n 140 Ezmrior Wall :mass �x p WG r efF + A 1 F/CM S �3 11. Heating System 0. 8 , 08S6$ Zonal Control? ( Y / N) SE - HS?F 10.77)6.61 Dua Effuicacy [0.781 Effecuve SE or HS?F (036/5.151, �12. Cooling System 'X : Zonal Control? ( Y / N) SEF -1 (9.51 Dun Efficiency [0.741 FSfeeiva SEE (7.031 13. Water Heating .5•G. �- Crodit[oenel O - --- l�0!'Mf ♦ Z-0 _... P- 9-69 _ -- - Tylx(sGI TOTAL �rti�c3te of Compliance: - Climate Zone 11 RFS/DE�s/CE Fay HA22Y � CARo4. 6-z /_ ln1T zo jet: Title 6770 /No/A/J O R , MAGAL /A CA BuildiagPemitit Project Address A ND,. 377-3 20 O ©e�ea aye a,e Documentation Author TeLepboae Fstforeetneru Agency Use Only BLO-DING DATA Conditioned Floor Area 1448-. Slab �.ised Floor Single Family Detached (SFD) ? Single Family Attached (SFA) [ l Multi -Family (NT) Number of Stories Number of .Units [ J Addition -Alone [ l Eidsting Building X N F -xis BUILDLeiG SHELLI\SLZATION Component Insulation Locaiion/Commer= ,rvr�,- R -Value (crit, :a ranee. ^r•i^-�' etc.) Wall .............. Wall .............. Roof ............ F,00f ............. Foo r ............. Slab Edge ..... GLAZENG Gl=i n g Orientation 'I/¢ _ /3.3 9 /o SA7' i4% /9.48 7-,-p, rrpe V_Aj LJOOD FRAME COAISTRI/CT/O" JR -38 UJOO D T2 USS ty ON S*rR 4cTlO�/ RAlt �� FG O O i2 Area Glass Interior (roller blind, etc.) Exte_-ior (Sh-4:[c=7ee^4 etc.) Overhang yes%no) F.-atning, Type Norz 72 Glass Area % Glass North 72 4.97 East 64 4-41 South 58 .OI West a West ( ) Skylight U 12-5352(c): Spomal inrdaation barrirf insralkd to camply with12-5351 meeu CC quality standullL Total YES Type,/Coveting 'I/¢ _ /3.3 9 /o SA7' i4% /9.48 7-,-p, rrpe V_Aj LJOOD FRAME COAISTRI/CT/O" JR -38 UJOO D T2 USS ty ON S*rR 4cTlO�/ RAlt �� FG O O i2 Area Glass Interior (roller blind, etc.) Exte_-ior (Sh-4:[c=7ee^4 etc.) Overhang yes%no) F.-atning, Type Norz 72 t4,Sf-W<(1TE NO.vE DOUBLE DRAPES ASfUMEO CAI- C'D No rL`i C ) East 64 A 1 East ) • 12.5352(c)- Minunum `•311 insulation in framed walla R-11 weighted average (does not apply to eatcrwr mass walls). Sout_`i (F) s8 12.5352(k): Slab edge insulation - .nuct absorytion rate no greater than 03%. water vapor transnusaon rate no greater tttart LO pern+rtnctt. Sou�`t ( ) 42.5311: Insulation specified or installed moots Glifornia Er+cgy CAmmisaon (C= quality suna3rdL Indicate type and form 1.GCA West (�) 12.5352(f): vapor barriers mandatory in climate Zones 14 and 16 only. West ( ) 12-5317. Inrdtra6on/Eardtr2ti0n Controls A. Doors and wu+aows bawmn conditioned and ur+eonditiorxd spaces designed to limit au leakage- eakageb. Doors and windows certified. b. c Doors and windows wczV crsxx pp ,& aA joints and pencxrwons c•••IkrA and s=6 Skylight....... 12-5352(c): Spomal inrdaation barrirf insralkd to camply with12-5351 meeu CC quality standullL THERyiAL MASS YES Type,/Coveting Area Thickness (-tab/ex-+oscy-4 1fIe. etc.) (Sf) (inches) Location/Deseriocion (kitchen, bath. etc.) AJ o AJ C HVAC SYSTEMS Mi:.imum Duct Type UFamacz. air Elfi ncy Location Duct Output Manufacturer / Model-# cenditione hell Dumb) (SE. E R SP'r� ((esti etc.) R -Value (Btuh) (or aooroved ern3al) 1.' FURMACE IRU(.) 1) 172 ATrj c_ "1 ' _ 8/000 RU616-4/6L6-/00B r T 2 Maximum Furnace Heating Output: G 4800 Btuh 5:z HOT WATER SYSTEMS Tank Manufacturer/Model# Svste-n Tvve (storaee gas etc) Cacacity (or aooroved eoual) Soecial Feature(s) . 7 SPECIAL FEATL-RES/REIMARKS (Add extra sheets if necessary) ->t Mandatory Measures Checklist: Residential NIF-1R NOTE. Low=mzb& taal buildings subi= tD the Standards must corttaia these me�trra rcgar3kts of the compliant apprtracn -1 Items martin .nta an •-•--•-- (I may be aapaaedcd by mart anngett COMPliarrt regU"u- -lltr fisted on the Cerurteam c(eomdian= Wbcn thu c.'xekius u w wincorporated into e permit documents. the femurea noted stub be eoderrA by all parses as binding muumum eomponici t pertonnutcc sDoarrsuau for nese mandatory measures wrsarsc they are shown cisc-here in the documents or on this c-=Uisa only. DFSCRIPnoN DESIGNER 11 ENFORC73tt?r17 Building Envelope Measures wippi /C 52.5352(a): Minimum ceiling tnsulauon R•19.eithted s _nge. 42.5352(br l oase rill insuluion manufacturer's labeled R-V&Iuc- A 1 • 12.5352(c)- Minunum `•311 insulation in framed walla R-11 weighted average (does not apply to eatcrwr mass walls). AI/A I 12.5352(k): Slab edge insulation - .nuct absorytion rate no greater than 03%. water vapor transnusaon rate no greater tttart LO pern+rtnctt. GEL CS 42.5311: Insulation specified or installed moots Glifornia Er+cgy CAmmisaon (C= quality suna3rdL Indicate type and form 1.GCA AVA 12.5352(f): vapor barriers mandatory in climate Zones 14 and 16 only. PER V AAE• 12-5317. Inrdtra6on/Eardtr2ti0n Controls A. Doors and wu+aows bawmn conditioned and ur+eonditiorxd spaces designed to limit au leakage- eakageb. Doors and windows certified. b. c Doors and windows wczV crsxx pp ,& aA joints and pencxrwons c•••IkrA and s=6 N/A I 12-5352(c): Spomal inrdaation barrirf insralkd to camply with12-5351 meeu CC quality standullL 12.5352(0 lm=Aation of i=vea)aces 1. Masoruy and facory.built fuepl3cs Save YES a Tight Guing. closable mcnl or gi= door It. outside air intake with damper and control e Flue damper and cions of ? No conunuous bur=& ps pilots allowed. HVAC and Plumbing System Measures N/A §2-535" kg) and 2-5303: Space conditioning egWpmau sizing: a,ach cLk=t.,t.,.. YES 12-5352(h) and2-5315: Setback Uxrrros=do all appliable heating ermine. YES 1 32.5316(3): Duces eonstn+eted. ins,afkd and insulated Per Chapter 10. 1976 UMC YE S §2-5 1' Exhaust sr.=ns have; damper controls. ES 1 §2•rala(c,.. Gas -first spars heting equipment has intermitseast ipitiou devices YES 1 12-5314: HVAC equipment. water heaters. showett+cads 3rd faw-1 certified by the CEC. y/ES 12-5352(n: Walz hearer insulation blanks (R.12 or greater) or combined interwnxLerior insuiauon (R=16 or gr-�ncrr fuer 5 feet of pipes closes, to tank im.Wated tR-3 or greater). N/A 12.531:(-csegtion I): Pipe insulation on steam and stem conoensate rrttrn h rccireuladng piping. 12.5318(d)- Swimming Pool Hcuing 1. System has: x Orvb(f switch on hater. Is. Wcathcproof instruction plate on hare. C. Plumbed to allow for solar. 2 75 percent thermal efrteiettcy. 3. Pool cover. ' 4. Ttme clock. 5. Directional water inlet Lighting and Appliance Measures - LCs r - 12.535207: Lighting - 25 lumens/watt or grana for general Lighting is kilchuu and bathrooms. YS S 12-5314(c): Gas rued appliances equipped with imerminast ignition devices. Yes• 12.5314(3): RchiScramrs. refrigcator-(rce=rs. freecns and fluon=cn& lamp ballasu certified by the CEC. Indtate make and model numoet. . COMPLIANCE STAMM= This mrdfic= of compliar= lice the building features seal peeformam-sq=fications needed to comply with Title 24, Chapter 2-53 and Title 20, amvc. 2. Subtr ate: 4. Article I of tic C: Ionia Admiristradve code- This certificate has be= signed by rise individual with overall design respersibiliry and the building owner, who shall re,.ain i copy of it and transmit tee =rdfic`ID to my subsc;,,•1c= purd=r of the building. Designer ANDY WIPPLERS CONSTRUCTION.. Building Owner N DEVELOPMENT SERVICE ` N TuSelFs:lrL -rsnn nnnrnry r rare TitlerFirrs .,.. •,••vvv •fc)epttone tx �: (signamm) (aat:J (signaaae) (date) AN.',)Y LVisC,;1LCi!01� Documentation At3gTrOPM ENT SERVICE Enforcement Agency ✓t_Y a.: Name A- t •,r Name Titk�Fim� r Accor ow 5 Z Z) 0co tu noL ow 5 Z Z) 0co