HomeMy WebLinkAbout066-440-01366-44-13
Robert Green6�•e%>'
SW corner of 109ei Dr & Washo Ct., lot
70, I.M.0 , Magalia
Permit 2 11-77P,E(util.,MH).
ELEC.
GAS �
SUPP RT STRUCTURE REQ. A/ -'D _
COMPACTION TEST REQ. fj,O
+� 66-44-13
contr:,'S,O.S Mobile Home S'erv., Paradi92
Permit #2626-77MHI.-
Issued
66-44-13 172-91B,P,E M-
GREEN,Bob,.;& Edna
6684` Ishi ;Dr; Magalia <•. - ����
Conti: G1enn;Mock Const
(new 60/640)' -
+ -- 66-44- ,4
Permit#330-91B_, y r
(deck'"& awning)
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PERMIT NO. 2311-77P,E
_ Y
PERMIT EXPIRES
i Robert Green
OWNER
CONTR. owner
LOCATION (A.P. 66-44-13
SW cor:of`Ishi Dr & Washo Ct., lot 70, I.M.#3,Mqp
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Temp. ;Power Pole
Called PG&E
Temp. Elea Serv. a
Called PG&EVy
Temp. Gas Serv.
Called PG&E
B
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�F,'NALED (Date) rr'
(Signat
9. Electrical'
A. Is service large eno„glk to provide adequate amperage to mubilcliome (must equal rating; of
mobi.lelioine (eith a :::in.Ltum of 1p -'amp) and other facilities on lot, i.e. , water pumps,
aaraUe, cabana, etc.? Yep No_
B. Is they. proper clearances around panels? Yes_ No_
C. Is power supply cord or feeder assembly -properly, fused? Yes_ No
D. Is continuity test satisfactory as per the following procedure? Yes' -No
1.
1. De -energize electrical x•riring system of the mobilehome at the pedestal__
2. Make sure that rhe power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lo, -id of a test instrument to the mobilehome grounding; conductor 'and
GpYiy the other i:u caC,l ni�i�l.�cuu,ue SUPPLY conductor,
ligcluuli[g neULrdi,.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding; gas line,
witer.line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the-sitd service equipment. A further continuity
te.;t shall then be made. between L.he grounding electrode and the chassis of the
riobileliome.. UpOII satisfactory completion of the cl.ectrical tests, the lot or site
service equipment may be approved for energizing.
Is'job card si-ned by health Department for water and sanitation?
everything okay, sign off card and tag, services.
l `"iOBILE.10t4L DATA �f
Manufacturernd/or Namestyle
1:ength Width ,
Vehicle Serial No.
State Identification -No.
1.detm
tional Inforat..-jon or Comments:
r .
2i0t3Ii,T?1tOiiG INS`IALLA't'1ON INSPECTION CHECK LIST'
1. Is the. mobilehome 1oc;gtcd wi.i_1 cquired separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Dees the mobilehome have required clearances above ground? (Sec.5085) Yes
3. Are footin,s and supports properly sized, spaced, and braced asper�pproved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_�_/1Qo
4. Is the mobilehome level.? (Sec. 5088)• Yes _01 No
5. If more nan a single unit, are crossover connections properly installed? (Sec. 5088)
Yes , No
5. Water
A. Is f1<11,le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No
C. Backflow - If coach _t Staf California approved, does station have backflow device
and pressure -relic v ve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B: Does it have minimum per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehh e gas line inlet without reductions other than the mobilehome
connector. Yes �/No
B. !est OK as per following procedure? Yes - No
_
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz'.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect: gas meter to m(-)bilehorne with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? YesyNo
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
aeWaCK
F ewaII
Soli Piping
FoAp
Pa ets
1k Floor
Maht Bldg-
Rest om Finish
2n loor
Fo tins
Windo
3rd F\-oor
Ste all
'Sidin
To out
Slab
Roof Sheallbing
Water Pipl)19
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaII
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sical
handica ed
Conformance of ex.
structure
Appliances
Gas Pining & Test
Temp. as
Slab A
Final
Sanitation
Patio
REP ACE
Final
Footings
Footing
E ECTRIC L
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLE
Untnrn
5cra hX Heatljfg ServicA
B n Coo ng T94mo. Pole
F ish D is Jinderground
In rlor Lathentilation Permanent
oor Closer anal /1 anal
MOBILEHOME UTILITIES .... T,:—). ...... Elec. Service - 3 Elec. Pedestal
Water Piping 3v Sewer _ 77 Gas Piping I _ 3 -% 7
., 1A I --'----------- Support - Elec.Continuity
(14z4gf Z-4
Water PipingDrainage Gas Piping
DATE REMARKS OR CORRECTIONS
_7
4 ( �
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center'Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
..N....11 .u- Ui int wuniy ui Quilt to CIILCI upun tileabove-mentioned property for inspection purposes.
X-C.Date
• Signature of Permmiitee ent
Receipt No. 16 /—
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/PUBLIC WORKS
BY
i (ding permit expires Date G '6
BUILDING
Owner )9,olg-er L
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor S O S S -IZ2
Total Valuation
Mai ling Address
Permit Fee
Plan Checking Fee &/orPenalty
on o
Permit Fee $
Building AddressPLUMBING
No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
WaterP� 9 i in 1.50
eg de, ,3 49
Ik Jig A, k1P
Each gas water heater or vent 1.50
A. P. No 3 Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.
on
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
IParking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
A'F
Bldg. Plans Rec'd Parcel oval
Planikoppooroval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
lbstcidg®
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family E] Duplex ❑ Mobil Home Others ❑
Main service OVER
OEAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
•
NEW CONST. DWELING
OR ADONS. ( ACCLBLDGS.CCUP. &) 22sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)��
BAL@t
Ex. Occup. FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._3a4r9del— Classification —4;;12
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
2_� certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
30 UD
TOTAL PERMIT FEE
$
..N....11 .u- Ui int wuniy ui Quilt to CIILCI upun tileabove-mentioned property for inspection purposes.
X-C.Date
• Signature of Permmiitee ent
Receipt No. 16 /—
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/PUBLIC WORKS
BY
i (ding permit expires Date G '6
MOBILEHOME'SUPPORT DATA
Mobilehome Mfr. DAC41192 92 z Setup Model No. Year 3
Width, (ft.) Length (ft.) Expando Size ft.x ft.
(Draw support details below),
On all mobilehomes manufactured after October 7, 1973, -furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte)..
Center Support
Footing Sizes
• (in.)
_3--
V
'iii.) (iri.J
in.) '( in.
QW
(
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S*
n
6
A
*If center piers are other than drawn above,
draw in locations, spacing,"and dimensions.
Footings (check one)
—91. Wood either
pressure treated or
fdn. grade.
�.
2.
Concrete pad.
3.
Other, specify
r
Supports (check one)
1.
Concrete block
2.
Concrete piers
3.
Steel piers
4.
Other, specify
_......_... ----. Typical Support
�l,x Footing Size
1
in.) in.)
i Max. Pier
I Spacing
i
in.
Max.
Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS"
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: r) c 12 e R I p P (�
2. Installer's name: ,.�.� S/�/%fl �� { f
3. Is the site currently under permit? Yes No
-(If yes, furnish permit number .3�� ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes / / No
(--f no, clarify )
5. What is the mobilehome electrical rating? ----------------------- 1 Q O Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit -breaker rating? ------------- ( 0 Amps
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes
(If yes, identify the load and size: (Load)
No
—(Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in.)
10. What is the type of gas service? ----------------------------- Natural / / LPG 7
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
COUNTY OF BUTTE,
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
a3 /-77
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai l Ing Address
rI
Tele hone N i
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address ����� �
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 fzod
E dSu
Each Trap 1.50
��
Repair drainage or vent piping 1.50
Water piping 4.s8 Q 0 O
CJ'/rG�(% n t �t1On OnIX
Each gas water heater or vent 1.50
A. P. No. �6�' y��/�
2T"
Gas piping system 1 - 5 outlets 4-5e, D O
Each additional outlet .30
s
W,45 -S ' ion Fire Dept.
Fire Zone
Use Permit
Building sewer ..i.DfJ-
EQA
Parking
Parcel
Declaration
P cel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
�Plans
0I4I1Qns Recd
arcel Approval
PI-1pproval
Permit Fee $
$ C
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 QCT
Main service 8000V OR LE 0 AMP ORLESS5.00 (J.
Main service EA. ACC'L too AMP 2.50
Main service OVER s O 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
500 SQ_ EL MINIMUM
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 20 sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
FOR MOBILE$
NEWNON.RESID R (POWER SINGLE OUTLET CIR.&
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BA@L0�1
FIXED ALNS.
Ex. Occup. (OUT LETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 5, 6 O
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
D 61lt
TOTAL PEWIT FEE
$ dC
authorize representatives of the County of Butte to enter upon the
above-mentioned pro :z:: n purposes.
XDate � �� %
Signature ofPermiteepor7Agent
Receipt No. / 5 � (f �7 0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF V(OBLIC WORKS
By Dated 2L(_ 77
Z-(--7
BuVding'permit expires Date S�
NOTE:—All Materials & Workmanship Shall Be in This set of plans andens MUST be
Accordance with Recognized Good Practices and kept on the iob at all times and it is unlawfu$ to
_ of a quality prescribed for the Specified use in the me 4e anv changes or alterations on same without
3> —� Uniform Building, Numbing Mechanical Codes and.
9 9 wriften ermission from the Department of Public
the National Electrical Code. Worcs. permission
of Butte.
'-
OsoD
0 00
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The-Bldr. Setback shag 6e 5 ft. fr(i;n the
O s ` -
'� o ' 3oT,, side property line and 50 ft. from the
' CL °, v — cen er f the road, permitting a maxi-
: !^'' H -.1.,t m —intim of a 2 ft. ea z hang but entirely
5- " cut oa a`II oemn
ssents.
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RESIDENTIAL
66-44-13 172-91B,P,E,M
GREEN, Bob & Edna
6684 Ishi Dr, Magalia
Contr: Glenn Mock Const
(new 60/640)
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OFFICE COPY
jAddress
GAS Date
Meter By (L
ELECTRIC Date
Meter By
JOB FINALED.(Date)—
Signature
t=dk
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PU'ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. 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; Site -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.-Coonectors
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
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J=OK
O =,lot OK
- =410t Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNPRFLOOR Plans) OK except #'s
ning-Setbacks-Ease ments-Flood-Slope
4,2'Ftg., Main; Soils-Elec. CAd hZl' Ftg. Depth
-3 -E49„ -Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
/�emwalls, Main; Steel-Blockouts-Wrapped
--6-Stemwaits, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
4A0 iers-Fireplace Ftg.-Steel
9,16.W.V.; Fall-Fi ng -Test -2 Way C/O -Sewer Test
10�'Gas Pipe; Size -Anchors
11 Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
1ZTienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date-1� l Card B-1� Date Card B-1
D tae 'k-/9-51 Card B-1Date Card B-1
Date PLUMBING (Permit) OK except #'s
1 . Water Htr.; Vent -Access -Co stion Air -Baffle
17" Water Pipe; Test & Anchor -Nail Protection
_ L, . O.W.V.; TesiAttings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date 3 91;�, 5 / Card B-1 C,2 -J Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24' Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
2VEquip. Ground made up w/Mech. Fastners-Bond s & Water
271-2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. IA31 ga. Cu ord Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
3p, Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
1�,-Smoke Detector
Date / iG % Card B-1 (-,J-J Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
(. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date 3./13-6) ) Card B-1 <-0-4 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. s, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4y earing Walls over Girders & Floor Nailing
12!b raft Stop in Walls (rat proof)
loy Fire Stops; Furred Ceilings -Stairs -Chase
. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors ` r
46/Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.- flg - 9
41,4ireplace Ties or Type A Flue -Fireplace Throat clearance
48 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-6G-Garage Fire Protection Framing
51. Property Line Firewall & Openings
1073t. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Root Overhang -Attic Vents -Rafter Outriggers
5 . Siding-Nai. ng Veneer 3, % ' 7
56. S cco Mesh -Drip Screed -Fd. Vents-Underfir. Access
5 . Glazing Area -Glass Protection -Skylights -Plastic
58. S eer-F_Walls; Nailing -Bolts
I nsu lation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date ' ,Q 1• Card B-1 C5 / Date Card B-1
Date
Card B-1 Date Card B-1
Date FIN
Plans) OK except #'s
1.
Steps -Door & Sidelight Protection -Landings
ke Detector
Furnace; Vents -Clearance -Comb. Air-Connector-
arage; Above Floor-Ducts-Mech. Protection
oom Exiting
66'q,F1'&
Bath Fixtures & Tub Access -Spa
c. Trim & Subpanel; Breaker Sizes & Labels
firs & Rails
F lace or Stove; Clearances -Hearth
6 .
Ele . Outlets at Wood Panel; Int. & Ext.
7 .
ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 .
EI a Outlets & Receptacles at Kit. Counter
7.
C�ra�ge Fire Door; Swing -Landing -Closer
7 .
A. . Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In arage; Above Floor-Mech. Protection
7
PJla-,�`Elec. & Mech. Equip. Listed for Location
7, .
Ele . Receptacles in Garage; (G.F.I.)-Romex Protection
7 .
Iry nation -Foam -Looked in Attic ❑ Yes _
7
Gu Rails & Deck Construction -Post Caps
74'Fdn.
Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive WIles ❑ No; Walks es ❑ No;
Planters ❑ Yes ❑ No
o; Brown -Finish
J3 . A.C. it; Disconnect, Electrical, Plumbing
ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
pdnings
Witter Well; Disconnect, Electrical, Plumbing
$�EAtefior Elec. Trim; G.F.I. Receptacle -Underground
e'vptitation Throughout House
ss Protection
af cprrections from Previous Inspections
ag'G,ps-re-st-meters Tagged; Gas -Electric
g . W r & Sewer Connected -C/O to Grade -HD Approval
q> -'Energy Compliance Certificate -Other Certificates
Date/"/ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
ENERGY CERTIFICATION
LOCATION VA.P. NO.
ROOF
Material_,_
Thickness_
EXTERIOR WALL
Material FIBERGLASS _
Thickness (Inches) 3- _
CEILING
Brand Name_
Thermal Resistance (R Value)
Brand Name CERTAINTEED
_ Thermal Resistance (R Value)f/-
Batt or Blanket Type FIBERGLASS Brand *lame CERTAINTEED _
Thickness (Inches) Thermal Resistance (R Value)__
Loose Fill Type—FLU GLASS Brand Name CERTAINTEED
Minimum Thickness (Inches) 10 _ No. of Bags 13 Weight/Baq_+2.5_lbs
Area Covered (Sq. Ft.) 633 Thermal Resistance (R Value)3,0
FLOOR,ELEVATED
Material FIBERGLASS
Thickness Inches)
FLOOR, SLAB
Material_
Thickness (Inches)
FOUNDATION WALI,
Material
Thickness (Inches)
Brand Name^ CERTAINTEED _
.Thermal Resistance (R Value)
Brand Name
.Thermal Resistance (R Value)____
Brand Name
.Thermal Resistance (R Value)
—
I HEREBY CERTIFY THAT THE ABOVE, INSULATION WAS INSTALLED IN THE..
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWgjIV$ T.NDUS'I&1Fd_N_�. C --.---..379407.... --___. —, _ ..___... —
Firm Name/Owner State Contractor's License No.
Signature Date
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
Firm Name/Owner
lgnature Geta. Contractor/Owner
/Date
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
�^ 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER' PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date Inspector zz.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil.lE-4 California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
Z
ASSESSOR PAR'l"EL NUMBER
6A144-11
ZONING.
]RTI
BUILDING PERMIT
OWNER
Bob and Edna Green
TELEPHONE
.SQ. FT. OCC. BUILDING VALUATION
6:38 X f
OWNER'S MAILING ADDRESS
6684 Ishi Dr., Magalia, CA 95954
pen 4/0
cDdlennTMockAConst.
872P4551
CONTRACTOR'S MAILING ADDRESS
265 Roe Rd., Paradise, CA 95969
Fireplace
CO STRUCTION LENDER
Ione
UNKNOWN
Total Valuation $ f 990
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
87 50
Ener Plan Checking Fee
Energy ecg
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
6684 Ishi Dr., Magalia
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
51 2.00 10.00
Solar or heat pump water heater
20.00
LOT NQ.
U%t
SUBDIVISION NAME/��
PA CEL MAR
G/J
Water piping
5.00 5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SF [XI Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5.00
Mobile Home S I G
10.00e
TYPE OF WORK
New ba Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 60/640 _
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR L
Main service tOO AMP ORSLESS
10.00 10.00
Main service EA. AOD'L 100 AMP
2.50
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. rG�,%�'aC-�,r'�_ Classification li
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OQ(5G��-p &`
OR ADONS. ( ACC. BLDGS.pJO /
/20sgft 15.95
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
2ALO 30
ALO
FIXED APLINIS
EX. Occup. OUTLETS PIRESID IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
',15.00
Permit Fee
$,35.95
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating gas wall furnace
Cooling
g eva P
0.
Hood
3.00
Ventilation
3-00
permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty inn nsequenr of the granting of this permit.
u``� r�
'^ " �z Date
Signature of Applicant - Owner ��yy��
g pp ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5' deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
orNC
931
CONST TVP
TOTAL E 425.45
HAz
I
cuA
PARK
sc
FL
PA
P
HD Issu
V1
This permit is herebyissued under
.issued
sion of the utte Co Inty Code and/or
w •ndic d abov f which fees
�
DIR CT O� PUBLIC
�J
-'��
PE MIT EXPIRES Date .`
the applicable provi-
resolutions to do
have been aid.
p
WORKS
at ��
.�
Receipt No. 83204
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD -APPLICANT
COUNTY OF BUTTE • DEP:ARENT
7 COUNTY CENTER 1341 oORLIC, VILLE C
PERMIT
OWNER /cJD rC( n Cl / ►��
Proposed Building Use
iF PUBLIC WORKS • BUILDING DIVISION '
61 tQANIA 03966. --TELEPHONE; 010/638.7641
TION `DATA SHEET -
Permlt No.
✓� A. P. N ,
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans,. .
4. Complete engineered plans and calcs, with wet signature on plans'..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fee id ................................................
13. SchI District fees paid ..............
4. Sanitation approval from VG i
r
s
i � �
TO Building Department
FROM: Environmental Health
a Ili
SUBJECT: Sanitation Clearance
4:r,s14 , VftaIIa 0(e-`44'13
-�
Owner Location AP#
•
Plan Approved for: Sewage Disposal V1_ Water Supply.
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other l d 6n^64o�
Pb+ - 2--7K- 'F
NOTE * * *
Date
TO Buildinc Department (i C)
FROM: Environmental Health- ."'
SUBJECT: Sanitation Clearance
IT JS(
Omer Location AP#
Approved for: Sewage Disposal 'dater Supply
Pian App -
Hold final for: Water Supply
^anal clearance O.R. for: Water Supply
Clearance for mo a home. Other
T `
NOTE
_ C� CD (C, L
Dat
Sanitarian
0q3
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drivr - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSYSSYR PARCL UMB R
ZONI
ILD,ING-PERMt-
oW re' ,�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
O ER'S MAI Ll,�I4A DRE55 /�
s rInc? s 0
N ;AC
�R 5 N tAb C06
ONTRACTO MAILING O- ESS /'�rl r9�%
�✓ 12OA 9.
Fireplace 17-7
CONS, RUCTION LENDER
NKNOWN
Total Valuation I $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
Permit Fee
$ p
AR H TECTOR ENGINEER
O/`/'+�
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
B IL ING DDRESS/
/g S f
T
Permit fee
$ e S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 le.0
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping _
5.00 \ 0
Each qas water heater or vent
5.00 S d
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets5.00
Building sewer
5.00
Mobile Home Is G W
0.00 e
TYPE OF WORK
New W Addition❑ Remodel ❑ Util'ties,1❑/"installation❑ Other ❑
Describe work: 60
Permit Fee
S 1�0,00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
001 OR L
Main service j00 AMP ORSLESS
10.00 10'(90
Main service EA. ADD'L too AMP
2.50
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.SINGLE
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
NEWCONST. DWELLING o
OR ADDNS. ACC. BLDG
'h¢Sq ft / .-.
NEW CON5TR ULTI.OUTLET
-NOW-RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUSe
OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
200SOt
eALO 30
Ex. Occup. OUTLETS FIXED (RESID 1REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating 6;05 Wall Fur•Na
w
Cooling fvoo
Q
Hood
3.00 13 � O
Ventilation/
�(, 115,901
Perrnit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the CountyotOCC
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X _ -
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 7 -TO -077
CONST TYPE
_
TOTAL FEE $
HAz
I CUA
PARK
I scHL
FLD
I PAR
PD
Ho
I Issue
This permit is hereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. c
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
All that real property.* "situate in the County of Butte, State of California, described as
follows:
Date: JANUARY 28, 1991
PROP FTY OWNERS:
State of CALIF. ) On this the 28TH day of JANUARY , 19 91 , before me, the
) SS. undersigned Notary Public, personally appeared
County of BUTTE )
EDNA M. GREEN
���■t���■■■■■me■mer■■ 4
■ _ FREED L H=Enr o
■ NOTARY PUBLIGCAUFORWA ■
Butte Coun■
■ #r-' My commissioa expires 1
■ May 20, 1994 ■
Personally known to me. [a Proved to me on the basis
of satisfactory evidence.
to be the person(XI) whose name(N) IS
subscribed to the within instrument and acknowledged that SHE
executed the same for the purposes therein contained. IN 61ITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A. P. No. �� -7, /. &I L �-
Notary Public
r91-0#003
'y Rei urri�4 EVW AGRICULTURAL STATEMENT OF ACIGIOWLEDGEMENT
FQR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County= Code
requires this acknowledgement be recorded
-----r
prior to issuance of • a building permit.
s
91-004003 ; Rec Fee 7..0(?
The property described herein is adjacent
;.. Ch.ec,k•.
to land or included within an area zoned
Recorded • ; ,
for agricultural purposes, and residents
Of f i cla l Records ;
of this property may be subject to incon-
County of ;.
veniences or discomfort arising from the
Butte
use of agricultural chemicals, including,
Candace J. Grubbs ;
but not limited to herbicides, pesticides,
Re.eorder ;
and fertilizers;- and from the pursuit
; 2: 1.Opm 31 -Jan -91' ; XX 2 ..
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established 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:
Date: JANUARY 28, 1991
PROP FTY OWNERS:
State of CALIF. ) On this the 28TH day of JANUARY , 19 91 , before me, the
) SS. undersigned Notary Public, personally appeared
County of BUTTE )
EDNA M. GREEN
���■t���■■■■■me■mer■■ 4
■ _ FREED L H=Enr o
■ NOTARY PUBLIGCAUFORWA ■
Butte Coun■
■ #r-' My commissioa expires 1
■ May 20, 1994 ■
Personally known to me. [a Proved to me on the basis
of satisfactory evidence.
to be the person(XI) whose name(N) IS
subscribed to the within instrument and acknowledged that SHE
executed the same for the purposes therein contained. IN 61ITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A. P. No. �� -7, /. &I L �-
Notary Public
�'�`� ii"�t7t�C'."""�R'''�c•„T"}�="I7rCrru:;"elrfa _,-..-`r.^ w_,,,,,,,�r...,,.,, y„� _-�,��,y,o_..,,.,,�t..-.�..'1"'Tii�"r""s'.`T.r�,..,.r ..-.. ,- ., _._..w T .. r. -...K _.�,,, ..
`+ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
f / (One Form per,Building)
"A..P. Number Buildin De artment, No.
School 'District �� �� Ctl�.�County Jurisdiction
a.
Property Owner Cl -
Project Location/AddressS
1
Subdivision, Lot,Number
Residential Development: /
a Sq: Footage
# of`L
vi MHI "Addition,. (Group R)
i - Units�o �o
Commercial/Industrial: �.: Sq: Footage
New Addition,(Including Exterior
t Roofed )kreas)
Bui dingrDepartment Representative r Date
N (Floor+'Plans reviewed'by School'District Personnel)
Distri94v
I/No
-School District- certifies tha`t
(App icanttNName) '(Phone Number)
( Street Address)
�-
%.,,,*;y„ (City) State) (Zip Code )
has complied with the requirements of Resolution No.
by the payment of $ representing d .square feet.
School District Representative Date.
-
X PAID BY CHECK NO. REMARKS: r�
BANK NO -------
PAID BY CASH
IJ
white -applicant, yellow -building department, pink -school district
,SCHOOL.FEE (8/88)
RESIDENTIAL PLAN CHECKING GUIDE .12/90
(S.F.-, DUPLEX`& MISC. ONLY)
Bldg. Permit #
OWNER ►-ten A.P. # ( (a - IV -
Plan
Plan Checker a
GENERAL
Zoning requirements: (sideyards and number of permitted living units).
�.11-_luation.
V(Tans signed by designer.
Proper description of work on application.
Existing violations on .property.
6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
6V
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation'(Sec.-1205).
Required windows for second exit (Sec. 1204).
'Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec.. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs 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 ea_uipment, other electrical
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
:--Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing 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.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to'construct building.
Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
building.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 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).
Foam insulation - protection.
36" halls and stairways.
- Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
r Two exits on three-story dwellings (sec. 3303 & see Mezannines -
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
- Combustion air for fuel burning appliances - L.P.G. requirements.
--Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
'-CDF responsible area requirements.
1716).
'6 a
I
\? STATE OF CALIFORNIA BUTTE Iss.
COUNTY OF I
r,'OnJANUARY 28, 1991 before me, the undersigned, a Notary. Public in and for
said State, personally appeared EDNA M. GREEN **************************
r proved to me on the basis of satis-
factory evidence) to be the person(Nwhose name) is/Xr$sub-
scribed to the within instrument and acknowledged to me that
Xe/she l executed the same.
WITNESS my hand and official seal.
0
M a�( Signature 2,L�Z Z.
U■••■•■■■■ra■■ta■■et■■■• ■
FREED L. HASKEIi
■ NOTARY PUBLICrCALIFOfiNN •
■ _� Butte Countyq •
■ 4r My Oo aMISSIon Explree i
■ n May 20.1994 •
t•■■■■■■w■names ■■■■u'/
(This area for official notarial seal)
Return to D:P.W. __ __ _ - �} 0
91-004002 f R e c F e e
Check
Recorded
Official Records.;
County of ;
Butte ;
Candace J. Grubbs ;
Recorder ;
2:10pm 31 -Jan -91
NOTICE OF COMPLIANCE
WITH COUNTY CODE SECTION 24-202 (A) (3)
TO BE RECORDED BY OWNER
(ADDITIONAL DWELLING IN SINGLE
FAMILY RESIDENTIAL ZONES)
Applicant ) eln A ( T12 -e_&_ j 'Date:
Zone 2 1 AP# (O(o'�Y 43 Building Permit #
I, J=�{�n �} �' �z P do :declare, that the dwelling
(Building Permit# �`I�e -• ) at address. (present)
on AP # cZ4/ / /f is.
intended for the sole occupancy of one adult or two adult persons who are
60 -years of age or.over, and the area of floor space of the dwelling unit
does not exceed 640 square feet. Said property is more particularly des-
cribed. in _Exhib t:.:'A." attached hereto.
I.also understand that violations of these provisions are subject to the
penalties provided in Section 24-63.1 of the Butte County Code.
Signed,����
Dated
7.00
7.00
XX 2
' l _
L
RESIDENTIAL �
,66-44-13
330-91B
GREEN, Bob & Edna
6684 Ishi Dr, Magalia
Contr: Glenn Mock
(deck & awning/mh)
JOB FINALE
Signature
J=Ok
O = Not OK
Not
= Not Readyabte MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. 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 DECY.15( COVER8, jF RPORTS, GARAGES, (Plans)OK except #'s
g�KZoollg Requi%rrtents-Setbacks-Easements
o 'ngs; Soils-Size,,Depth-Spacing-Connectors-Steel
So'becks; 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. Elect.ic
rmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mash
ltV-Roof; Shthg-Roofing
1 Vfxt.; Steps -Doors -Landings
Date /y- J Card 13-1�j Date Card B-1
Date 'i q -k Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
' = Not Ready RESIDENTIAL (Single
,
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes 0 No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Date Card B-
Card B-1 1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils. Proper Material & Anchors
Date
Card 8-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card 8-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS PERMIT NO.
- .- *7wCauhtyCenter Drive - Oroville, California 95965 - Telephone: 916/538-7541 330-91
APPLICATION AND PERMIT AA
ASSESSOR PARCEL NUMBER
1
ZONING
RT1
BUILDING PERMIT
OWNER
re
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATI
p
485 C ,850
OWN 'S AI IN ADDRESS
CON AC N M
TELEPHONE
872-4351
CO AI DDRESS
p
Fireplace
CONAR UC ION L NDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 50.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 25.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 6684 Ishi Dr,MaDalia
Permit fee
$ 85.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
70
SUBDIVISION NAME
PARCEL MAP
38-99-
Water piping
5.00
Each clas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome X[ k Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00e
TYPE OF WORK
New ❑ Addition QX Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: dPrk (Q Awni no _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10,00
Main service EA. ADD•L 100 AMP
2,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 2,(0 bga 2- Classification 175Ex.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS.
Ya2sgft
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. )
Occup OUTLETS OR FIXTURES
20®60¢
.ALO 30
Ex. Occup. OUT ETS PI RESID.IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection. purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against Id County consequ nce of the granting of this permit.
X N—U, l-�-EIe � Date c, '7— g/
Signature of Applicant — Owner ❑ Contractors Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
AL E
FEE
TOTAL $
85.75
HAz
CUA
PARK
PAR
PD
HD s
si ;n permit is Butte Co issued under
sions of the Butte County Code and/or
work indicated abov for which fees
OI C R O U LIC
BY A4z(D�ate
PERMIT EXPIRES ate _ -ffZ—
the applicable to i-
resolutions to do
have been paid.
WORKS
-//—/Z—g/
(yZ—
Receipt No. 83434
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
v.
�^>�.. - r .� � �-{i=��1 ,:.:i �'drt� . z". r r . ����t!� ..•�� r.. . "r
V/
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLI�, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLI'ATION DATA SHEET
Proposed Building Use
Permit No.
A. -
�6Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance��
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........ I
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans .. �.�
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
1 ^/� 7 District fees paid ..............
C)&14.. Sanitation approval from /� f1' Health Department WE
5. City of Chico plumbing permit..................................I/
16. Plot plan and business license approval from City of war
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................. .
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When yoty issue the permit, process as follows: MArff
r. Mail to contractor.
— Telephone and hold for pickup at ice. Deliver w.
/inspector.
Other
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of planssent ---HealthDept. Fire Dept. Other Date By.
The following data must be sub mitte for to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: -
L i
tJJddlUL r /rLf/�� l tJ/!�Q -
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 —mal l—counter by
Plans checked by Date %'«- 91 Plans approved by &,U
Sets of plans on hold in File cabinet AP folder
Copy—DPW
date
Date 2-13-91
:4
I
t
t - k
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
7!4 l3
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Final clearance O.K. for:
Clearance for 9- bedroom mobile home.
NOTE ***
itarian
Water Supply
Water Supply
s
Other d
ate
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PAR EL NUM
ZONiN
T
BUILDING PERMIT
0 W ER,, 4gDA1Q A
TELEPHONE
SO. FT. OCC. B�L4L21NG V UATION
OWMA LING AD E s
v
CONTRACTOR'S NJ�ME
L
7LEPHOE
7 ���
Cq1 TRACTOR'S MAILING ADDRESS p�
I`/
Fireplace
CONSTFOUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ O�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS O�
G
Permit fee
$ S� r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑
Describe work: W N /N/ 6 :i 064�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR 0 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of
p y perjury iur y (check one):
ElNON.RESID
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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADONS. ACC. BLDGS. I
h2sgft
NEW CONST_ R ULTI.OUTLET
BRANCH CIRC ITS
2.50 ea
- . (POWER APPARATUS &1
SINGLE OUTLET CIR. I
Ex. OCCUp(OUTLETS OR FIXTURES
200500
e AL(730¢
FIXED APLNS.
EX. OCCup. OUTLETS (RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr ;vPe
s� —7
TOTAL FEE $
HAz
CUA I
PARK
I SCHL
FLo
PAR
PD
Ho ISSUE
Th;s permit is nereby Issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
-WORKS
Date
Receipt No.
WHITE-D.P.W.. TELL .ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
4?
Top rail to be 36 in. high witty
Intermediate rails to be not _ �/►�� c; its Y..'., - _ _
over in., apart.. is
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APPROV
-x// `%��4'4�I�• _ _ Butte County
Environmental' eL,,..
-----=----------
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i 4 1 02ilP.2 r�
, Number of scones
R -value . One Two Three
R-0 -1C3 -9 32
R-19 -8 -4 -2
. 3. tnni-Erauon (Air. Leakage),:--.".
Speaficacon Points
Standard 0
R30
.2
i
1
Number of stories
-120
R -value
One Two
Three
R-0
-17 -8
-5
R-1 t
3 -2
-1
R-19
0 0
0
R-30
3 i
1
U -value
-8
-5
0.08
:....., _....0.50 .........
.176- _..._.
a4 :=--:
'-$4 ..
..Total- _._,..._.._.,..._
-3
_
.. __.....
LLvalue_...._...
0
0.30
-102
-49
32
Percent
0.00
.51 b
.41 to
.31 a
r
0.30 or -
0.10
0.10
-26
5
2
Glass Single Double
.60
.50
.40
less
0.08
O.C6
-18
9
3
50 -121
-S3
-39
•24
.10
4
0•�
-4
-2
1
40 -90
37
-26
-t4
3
8
0.02
4
2
5
1
3
35 -75
30 -61
-29
-21
.19
•13
.9
-t
1
4
10
12
l' O.CO
11
4 .0
10
29 -58
-20
-12
-3
5
12
1
2
1
3
28 -55
-18
10
.2
5
13
1
1
i
1
27 -52
-17
•9
-2
6
13
2. Wall Insulation
0
na - not allowed
26 -44s
15 •
8
17
& Shading (Shade Closed)
/3 13
14
Single-
Single-
10
2
-
14
0
7
is
Edectivs
Family
Family
Mui6-
24 -43
23
-12
-5
1
8
14
R value
Detached
Attached
Family
-40
- 22- 37
•11
.9
-4
3
2
3
8
9
15
15
R-0
-68
-51
34.
21 -34
.7
-2
4
10
Is
R-11
0
0
0
20 31
-6
0
5
10
t6
R-13
2
2
1
19 -29
-4
1
6
11
16
R-19
8
6
4
18 -26
3
2
7
12
16
U -value
-14
-19
-18
17 -23
-1
3
8
12
17
y
5
-2
-9
16 -20
0
4
9
13
17
0.80
-153
-114
-76
15 •17
1
6
10
1417
2
0.50
-91,
a8
-46
14 -14
3
7
10
14
18
0.30
-47
36
-24
13. •12
4
8
11
15
18
0.10
0
0
0
12 -9
6
9
12
15
19
0.08
4
3
2
11 -6
7
10
13
16
19
Us
9
7
5
10 3
9.
it
14
17
19
0.04
14
11
7
9 •1
10
13
15
17
20
0.02
19
14
10
8 2
12
14
16-
18
20
i = 0.00
24
18-
12
3.3 IS I7 3.9 4.1
!,4 4.6 4.6
S
5.2
5.4
5.6
S6
6
6.2
6.S 6.7
6.9
7.1
73
125% 21 23 25 26
3
3. Raised
Floor Insulation
4.4 4.6 4.9
5.1
5.3
15
5.7
5.9
0.60.
Insulation in Floor
-70
-46
Number of stories
-120
R -value
One Two
Three
R-0
-17 -8
-5
R-1 t
3 -2
-1
R-19
0 0
0
R-30
3 i
1
U -value
-8
-5
0.60.
-idd
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
-34.
-22
0.20
-uCi
-21
.14
0.10
-17
-8
-5
0.08
-11
-6
-4
O.C6
-6
-3
-2
0.04
-1
0
0
0.02
A.
2
1
0.00
10 .
5
3
Controlled Ventilation Crawlspace
Number of stories
R -value One Two Three
R-0 •ii -7 -5
R-5 -1 -t 3
R-11 -2 -2 -2
R-19 -i •2 .2
4. Slab Edge Insulation
-- Number of Stories
R -value one Two Three
R-0 0 0 0
R-5 8 5 2
R-7 8 6 . 3
F2 facer
0.90
-4
3 -1
0.80
-1
•i 0
0.70
2
2 i
0.60
6
4 2
0.50
9
.6 3
0.40
12
8 4
7..Shading (Shade Open)
Single..
Stab Floor
Raised Floor
---Etrectlre Percent Clam
Family
Sbries
Mule
(percent
glut x SC)
/CFA
Effective
Tno
Three
One Two
Three
0.0
e Glass North
East
South 'West Skylight
18
5.
. _ . 1 .
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na -
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8 •:
2
3
5:
2
2.
7
1
3
4
2
2'
6
1
3
4.
2
3
5
1
2
4
2'
3
4 .0
10
2
3
1
3
3
0
1
2
1
3
2
0
0
.i
0
3
1
1
i
1
1
2
0
•1
-2
-4
•2
0
na - not allowed
13
7.0
6
9
& Shading (Shade Closed)
/3 13
14
7.5
Effective Ptrcmt cuss
10
11
13 14
14
(Percmt
glass x SC)
10
Edectivs
13 14
14
.
7
10
%doses
Nom Eut
Sard1
We6t
%y6ght
18
id
-48
-69
-64 _
na
i6
•12
_t2
-59
-55
na
14
-f0
•35
-50
-46
na
12
-8
•29
-t0
-37
na
it
•7
•26
-36
•33
rta
10
a
-23'
31
-29
-74
9
-5
-20
-27
-25
b5
8
-5
-17
-23 '
-21.
-56
7
.4
-14
-19
-18
•47
6
-3
-11,
-15
-14
-38
5
-2
-9
-11
-10
-30
4
.1
-6
a
-7
-23
3
0
-4
-5
-4
-16
2
1
1
-2
-1
-9
1
1
1
1
1
-4
0 2 3
4
3
0
9- Interior Thermal Mass
interior
Single..
Stab Floor
Raised Floor
Mass
Family
Sbries
Mule
Stories
Detached
/CFA
One
Tno
Three
One Two
Three
0.0
-8
-5
d•
-2 -1
•1
4
3
0.60
8
6 .
--0.5`-'--.6--- .-3--- .yrr:.-1.-: ••1- r-
2• -'
10.
8 -'
5
1.00
--
0.9
-5
•1
0
2 3
3
1.1
-t
-1
1
3 4
4
1.3
-3
0
2
3 4
5
1.5
-3
1
2
d 5
5
20
-1
2
4
5 6
7
25
0
3
5
7 7
8
3.0
1
4
6
8 8
9
3.5
2
s
7
9 9
10
4.0
3
6
8
9 10
10
4.5
3
7
8
10 11
it
S.0
4
7
9
11 12
12
5.5
5
8
9
it 12
12
6.0
S
8
10
12 13
13
6.5
6
9
10
12 13
13
7.0
6
9
11
/3 13
14
7.5
6
10
11
13 14
14
8.0
7
10
it
13 14
14
8.5
7
10
12
13 . 14
15
10. Exterior Wall Thermal Mass
Exterior
Single..
Single.
Sum of 1.6
Wall
Family
Family
Mule
Mass
Detached
Attached
Famillr
0.00
0
0.
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6 .
4
0.80
10.
8 -'
5
1.00
13
10
7
1.20
13
12
8
-1.40.
12
13
9
1.60
10
13
11..
1.80
10
12
12 ;
-2.00
10
11
13 1
11. Heating System
SE or HSPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resis•ance- 10 9 7 6 4 3
Other 6 5 4- 3 2' 2
12. Cooling Syst•!m
-
_
Sum of 1.6
Interior MasslCFA
Water
G•��
(assumet ducts In attic)
-25 or
-24 b
-14 to -4 to
+6 b
16 or
SE
HSPF
less
•15
-5
+5
+15
more
0.72
6.60
0
0
0
0.
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8•
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11'
9
7
0.95
8.71
20
18
i5
13
11
8
6
I
Efrective SE or HSPF
•1
0
0
(SE or HSPF x duct
etTldeney)
EReRtre SEER
.12
Effec'ive -25
or -24 to -14 to
.4 to
+6 b 16 or
SE HSPF
lass
-15
-5
+5
+15 more
0.30
275
-73
-64
-56
-17
' 38
-30
na
3.41
-45
-39
•34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-t
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
1s
13
it
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
Is.
Zonal Control Adjustment
System Type
Resis•ance- 10 9 7 6 4 3
Other 6 5 4- 3 2' 2
12. Cooling Syst•!m
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
-Stories
One • •5 s. -4 3 -2 -2
Two+ 3 3. 2 2. 2 i
Single -Family 6etaehed and Attached
-
SEER
Unit Size (SQ
,1200
Interior MasslCFA
Water
G•��
(assumet ducts In attic)
Eff. % Glass
1700
2200
2700
St a(7-10
.(:redd
-or
`25-or='24 to -�14c!-
.,:,SEEA-.less:--•t5',.t
to
or
Type.
8.0
;4
12 -to a
•6
4
_ 8.5
.9.
7 a -5.
•4
3
8.9
•5
-t -4 3
-2
.2
9.0
-A
-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
-• 120
15
13 it 9
7
5
13.0
23
17 14 12
9
6
I
1
•1
0
0
16
HWR
EReRtre SEER
.12
-9
•7
-6
(SEER x -duct cMciency)
WS8
-25
-16
Suit of 7-10
-10'
-8
Effec7ve•25 or -24to -14 b -41a
+6 b
i6 or
SEER
less -15 5 +5
+15
more
5.0
` 30
•25 -21 -17
-13
-9
6.0
42
-11 -9 -7
a
-4
6.6
•5
.4 -4 3 ..
-2
.2
7.0
0
0 0 0
0
0
8.0
9
8 6 5
4
3
9.0-
i6
14 12 9
7
5
10.0
22
19 i6 13
10
7
11.0
26
23 19 15
12
8
120
30
26 22 18
14
9
13.0
33
29 24 20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
-Stories
One • •5 s. -4 3 -2 -2
Two+ 3 3. 2 2. 2 i
Single -Family 6etaehed and Attached
7. _ Shading (Shade Open)
-
COND. FLOOR AREA Y
Unit Size (SQ
,1200
Interior MasslCFA
Water
G•��
1139
Eff. % Glass
1700
2200
2700
Heater
.(:redd
-or
b
to
to
or
Type.
Type
less
',1699
2199
2699
more
SG
Nana
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
.. -- -
WS8
5
3
3
2
2
30% 0S til 0.9 1.1
POU
8
5
4
3
3
SE
None
37
-24
-18
•15
-12
5.4
56
Solar
I
1
•1
0
0
16
HWR
48
.12
-9
•7
-6
5.1 5.3
WS8
-25
-16
-12
-10'
-8
21 L3 25 27 3
POU_
•18
- -12
-9 '
•7
-6
IG
None
-5
•3
-2
-2
-2
1.6
Solar
7
5
4
3
2
4.5
POU
3
2
1
1
1
IE
None
•28
•19
id
I1
-9
4.2
Solar
8
5
4
3
3
5.9
POU
•10
a
.5
.4
.3
14 363.8
Multl•Famity
4.3
(individual
units)
4.9
5.1
53
55 5.7
Unit Size (SQ
6.1
Water
70% 1.2 1.4 1.6 1.6
699
700
1200
1700
22J0
Heater
Credit
or
to
'.to '
b -
or
Type
Type
less
1199
1699.
2199
more
SG
None
0
0
0
0
0
or
Solar
*14
7
5
4
3
HP
HWR
9
5.
3
2
2
S.1
WS8
9
4
3
2
2
aSY. 1.4 1.7 1.9 21
90Y.' 1.5 1.7 2 22
POU
9
5
3 '
;,2
2
SE
None
-45
-23
-15
11
.9
6 S
Solar
2
1
t
0
0
4.6
HWR
•23
-12
a
-6
-5
5.9 62
6 5.2
WS8
•25
-13
-a
a
•5
3 12. 14 16 3.8
PCU
-23
_12,-
A
-6
-5
IG
None
-8
-4
.3
.2
•2
26
Solar
6
3
2
1
1
5.4
POU
1
0
0
- 0
0
IE
None
30
15
-10
-a
-6
S
Solar
18
9
6
4
4
6.7
PO
a
. -4
-3
-2 :
.2 '
7. _ Shading (Shade Open)
-
COND. FLOOR AREA Y
Interior MasslCFA
Interior.Ise/CFA
G•��
SC::.:, .:_
Eff. % Glass
10. Exterior Wall Mass _-
a. North ... - . - -
x
ttJwnC•�. 77
9
r
1 r"e lMASS W04c 4.2, let
exposed
�ed _
aleb)
.
11. Heating System.
C. South.
_�' rL_ X
=
�-
_
0% 5% 10% is% 20%. 2S% 30% 3S% 0% 457: S0%
55% 60% 641;.
7070
a9-
7S%
607E 657. W% 95x t00Y. 105% 110x I15Y. _120?.:I2S
-
e. Skylight.
- o7._0._..Q2--0.! : 0.6
.: 0.6
1.1. _.1.1-..15
• -1.7-' 1.9 -21 -
2]- 2S - 2T-
V--
(9-5)
_.-
_.-,_ _ _.__ �_..__
_...'
- 10:"::Q2"0.4' -0.6 O.Q_i.
_•1:2"-'f.4
1.2 1.4
_1.6..._,2I__.21'.,25....27...29..11...11...15
1.6 1.6 2 22 24
27 29 3.1
13
SS
-•17.4-.•-4.2x4.4:-4.6•--
.. -- -
•- ..- .._ __
Pnii7tTntr7L• 1
4.1•••S--
x
52--5.4
30% 0S til 0.9 1.1
1.4
1.6
1.6 2 72 24 26
26 3 3.2
3.5
17
17
19
19
4.1
4.1
4.3
4.3
4.5
4.5
4.7
4.6 S
4.9 S.1
52
S.3
5.4
56
S6
S t
407. 47 0.9 1.1 1.3
1.S
1.7
1.9 22 24 26 26
3 12 3.4
16
3.6
4
4.3
4.S
4.7
4.9
5.1 5.3
5.5
5.7
59
10% 49 1.1 1.3 15
1.7
1.9
21 L3 25 27 3
31 14 is
16
4
42
4.4
4.5
4.1
1,1
5.3 S.S
5.7
5.9
6.1
SM 0.9 1.1 1.4 1.6
1.6
2
22 24 26 263
12 IS 3.7
10
4.1
43
4.5
4.7
4.9
5.1
S3 S6
53
6
6 2
60% 1 1.2 1.4 1.7
1.9
2.1
23 21 27 29 1113
1S 11
4
4.2
4.4
4.5
4.1 '
S
5.2
5.4 56
5.9
6.1
63
65% 1.1 1.3 1.5 1.7
1.9
22
24 26 26 3 - 12
14 363.8
4
4.3
4.S
4.7
4.9
5.1
53
55 5.7
5.9
6.1
6 4
70% 1.2 1.4 1.6 1.6
2
22
21 21 29 11 13
15 17 19
4.1
4.3
4.6
4.6
S
52
5.4
56 56
6
62
64
75% 1.3 15 1.7 1.9
21
23
25 27 3 12 14
3.5 11 4
4.2
4.4
lb
4.6.
3.1
5.3
SS
5.7 5.9
6.1
6.3
63
60Y. 1.4 1.6 1.6 2
22
24
.26 26 3 13 15
17 19 4.1
4.3
4.5
4.7
4.9
S.1
54
56
S.6 6
92
6 4
66
aSY. 1.4 1.7 1.9 21
90Y.' 1.5 1.7 2 22
23
24
25
26
27 29 11 3.3 3.5
U. 3 14 16
It 4 4.2
It 4.1 4.3
4.4
4.5
4.6
4.7
4.1
4.9
5
5.1
52
53
54
5.5
5.6
5.7
59 6.1
6 3 .
6 S
6 7
95Y. 1.6 1.6. 2 22
25
27'
.3.2
29-' I1 " 33• 1S 17
I9 It 4.3
4.6
4.6
S
5.2
5.4
5.6
5.6
5.9 62
6 5.2
64
6.4
66
67
6a
69
tom:. t.7 to 21 23
25
26
3 12. 14 16 3.8
%4 42 4.4
4.6
4.9
5.1
5.3
SS
S.7
5.9
6.1 43
105% 1.1 2 22 2.4
26
26
3 13 3.5 17' 19!.1
4.3 4.5
4.7
4.9
S.1
5.4
S6
5.6
6
62 6.4
go
6 6
7
110% 1.9 21 23 25
27
29
it - 13 I6 3.6 4
4.2 4.4 4.6
4.6
S
52
5.4
5.7
5.9
61
6.3 6.5 -
6.7
115Y. 2 22 24 2626
3
I2 3.4 3.6 3.6 4.1
4.3 4.5 4.7
4.9
S.1
5.3
S.5
5.7
S.9
6.2
6.4 6.6
6.6
7•'
7 2
120% 2 23 25 2.7
29
3.1
3.3 IS I7 3.9 4.1
!,4 4.6 4.6
S
5.2
5.4
5.6
S6
6
6.2
6.S 6.7
6.9
7.1
73
125% 21 23 25 26
3
3.2
14 3.6 I1 4 42
4.4 4.6 4.9
5.1
5.3
15
5.7
5.9
6.1
6.3
6.5 6.7
7
7.2
7.4
Point System Summary:
Climate Zone 11
SCORE CARD.
.
Measures ... __
,::w...;;_ -"o ::.
_ .:
_..:
Point Scores
1. Ceiling Insulation
R30. or
-
J
:-R-value (381
U-valuc (0.030]
..
2. Wall Insulation
_
_.`...
'or
C
R -value (11 j :.. "
U -value (0.0981....-
3. Raised Floor Insulation
or,
Q
R -v c( I I
U -value (0.037]
. .
4. Slab Edge Insulation
or '
R -value (01
F2 facto (0.77]
5. Infiltration
=
Standard0
6. Glass Heat Loss
- '�L
T (doublet
U -value 10,651
90 Totd Glass (161
Sum 1-6
7. _ Shading (Shade Open)
-
COND. FLOOR AREA Y
Interior.Ise/CFA
G•��
SC::.:, .:_
Eff. % Glass
10. Exterior Wall Mass _-
a. North ... - . - -
x
%� =
9
r
b. East
t� • x
=
St7r1t 1.10
11. Heating System.
C. South.
_�' rL_ X
=
�-
_
d. West
3-/ x
=
C2. 3 q
e. Skylight.
'Co x
=
-iZ
Q
8. Shading (Shade Closed)
V--
(9-5)
Duct Efficiency (0.74]
Effective SEER (7.03]
13. `Water Heating
a- Notch
% Glass
x
SCEff.
&
% Glass
- 5
` a
b. East
$ ' X
.. -- -
•- ..- .._ __
Pnii7tTntr7L• 1
c. South
x
d. West
3• / x
= ".05
�-
e. Skylight
x
=.
9 I Th-
TYPE 1 ,MASS
AREA
a
nterlO1 ermal i ass _
-
COND. FLOOR AREA Y
Interior.Ise/CFA
10. Exterior Wall Mass _-
": • - -
TYPE 2 t•IASS
AREA 9
�
r
Exterior W&UbUss
ND. r L Oa
AREA
St7r1t 1.10
11. Heating System.
T� x
Zonal Control? (Y / N)
SE --HSPF
Duct Efficiency (0.781
Effective SE or
.. •
(0.7216,6) _
HSPF (056/5.15) /
12. Cooling System
x
S�
_-�f-i-
Zonal Control? ( Y / N)
V--
(9-5)
Duct Efficiency (0.74]
Effective SEER (7.03]
13. `Water Heating
_
Type (SG]
Credo (none]
.. -- -
•- ..- .._ __
Pnii7tTntr7L• 1
Certificate of Compliance: Residential - Climate Zone 11
Project Tlud
n h� YC tr% Building Permit r
-- - �l?rtiJcct Adtireis .._��..-_-- - - -L -_— _.. ,^ '_ - ... _.. —... _ ..
Checked By Data
Documentation
BUILDING DATA
Conditioned Floor Area _
SlabISed Flo
( SIn a Family Detached (SFD)
(] Single Family Attached (SFA)
[ J Multi -Family (KF) .
Number of Stories
Number of .Units
[ J Addition -Alone
[ ] Existing Building
[ ] Existing -Plus -Addition
Enforcement Agency Use Only
Glass Area 4b GIM
North
East
South
West
Skylight 6-2()— 3U
Total
B UELDING SHELL INSULATION-
..,,.GLAZING.
-Component
Insulation Locafiorur-ommer2ts
Type
R -Value (atdc. to aragd, eipi_L, ew—)
Wail ..............
——
Roof.............
Roof ............
-:.:.Floor ............:
:Floor .............
!
- -Slab Edge....-.
dge...:. '
U
.,.GLAZING. Shading Devices
- Glazing' ' Area Glass Type ..; Interior . Exterior Overhang Framing Type -
'' "Orientation (sf) (single, double)' f oller blind, etc.) (shade=een, etc.) (yesMo) (metallwood)
,'.No rah
'East ( ) a
East
South
South ( )
West ( ) C& C1_
West ( )
Skylight....... O
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) LOcacion/Description(kitchen, bath, etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner. heir pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or mor'oved equal)
172
A2 75 9Y
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS
Tank Manufacturer/Model #
Svstem Tvne (storage gas, etc.) Caoacity (or approved equal)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
n
Mandatory Measures Checklist: Residential � MF -IR
NOT)_ Lo.rrisc retidcntisl buildings subject w Unc Stanmrrds muss contsirt tlnest meaoau tegardka of the oompliuet
—appnmch<uso�.lterns malted withae.astcr uk t.•) may be superseded by mace stnngcnt t:omplianoe requornncres fitted
on the Cerufe�ae of Compliance when via theek4st u ;rcorpa meed into the permit documrnts, the features noted a"
tonsi&ercQbr alt parties asbirteimgmincrrwnta component performartoe spedfiations
Lrwr urslw..redxwAere im tlfedo[moeatsQoa Otis cBecttisfonlT•.— ._.�_....... _..._- ...—.. .,-r- .-- ._. _--• -
DESCRIMON DFStCNER Q:FORCE?tF?rT
Building En.rtope Meaaurr% '
12.5352(ay Min imurn ceiling insuluion R-19 wothted averzm
52.5352fb} Loose fill insulation manufacturer's labeled R -value.
12.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (docs not apply to
eaterwe mus walls).
12.5352(k): stab edge insulation - wart absorption rate no Breuer than 0.39:, water vapor
transmtssron me no greater than 2.0 pemJu,ch.
§2.331 t: Insulation spoor" or installed meets California Eraty commission (CEC) Quality
sundardL Indicate type and form.
52.5352(f): vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: InfilawkevEtfiloation Conmots
a Doors and windows between cw4tioncd and unconditioned spaces desiped to limit air
leakage.
b. Doors and windows certified.
c Doors and windows wcathersaipped: au joints and punetruions caulked and scaled
524352(()- Special inftloaLion barrier installed to comply with 12.5351 meets CFC quality
sranduds.
12.5352(d): Installation of Fireplaces
1. Masavy and factory -built fireplatxl have
>. Tight fitting, closeable meal or glass door
b. Outside air intake with damper and coned
e Flue damper and control
2. No continuous burning ger pilots allured.
HVAC and Plumbint System Measures
12.5352(g) and 2.5303: Space conditioning equipment siding: attach calculations. -
52-5352(h) and 2.5315: Setback thermostat on an applicable heating systems.
*42-5316(a)* Ducts constructed. installed and insutated per Chapter 10. 1976 UMC
12.5316(b): Exhaust systems have damper coneols.
12.53 t4(c): Gas-fired space heating equipment has intermittent ignition &-rice&
12-5314: HVAC cquipmun, water heaters, showerheads and faucets cenirted by rhe CEG
52.53520: Water heuer insulation blanket(R-12or greater) or combined intcrior/etteriot
insulation (R-16 or gscasc y fust 5 feet of pipes close% to tank insulated (R-3 or greater).
12.5312(Eacepeion I): Pipe insulation on snare and steam condensate return tit reeieculuing
Piping.
12.531R(d): Swimming Pool Heating
I. System has:
L Orloff switch on hearer..
b. Weatherproof instroetion plate on Anter.
c Plumbed to allow for solar. _
2.75 percent thermal efficiency. -
3. Pool cover.
:..
4. Time clock.
5. Directional wctu inlet
Lithting and Appliance Measures
r 12-S352(j}: Lighting - 25 lumern/watt or greuer for general lighting in kitchens and bathrooms.
12.5314(c): Gas fi cd appliances equipped with intermittent ignition devices.
12.5314(2): Refrigerators. mfrigentor-freezers, freezers and fluorescent lamp ballasts cenified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of cotnpliance lists thy: building feamres and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, 0upttr2, Sllbctupver 4, Article 1 of the Califon)ia Administrative code. lies
certificate has been signed by the individual widhi overall design respcnsibility and the building owner. who shall
detain a copy of it and transmit the certificate to my subsequent purct=r of the building -
Designer Building Owner
Name `Nart>C
7ak/Ftrm: Tttk/Fvm: ,
Addr=s. Address:
Telephone Tckphonc
11; '
(sigrutttte) (dam) ';. :..: (sitnatlsse) . (date)
Documentation Author Enforcement Agency
Nansc Name
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter- 5, under permit
number A-7 r 7 for the following location: � { '�
Owner
Owner's Address
Mobilehome Mfg.Model Year
Insignia No. / '��� Serial No.� /1
It is hereby certified for occupancy at the above described location and
may be occupied.
7 Director of Public Works
Date i.'�• (: / $
y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED