HomeMy WebLinkAbout068-020-010`068=02-0-010 92=2706 BPEM
HARLAN, Ken I
30 Bessie LN, Oroville
-.-� -contr Feather River .Const 2
new sf j -;L -
068-02-0-010 .92-445V"s
HARLAN, Kenneth
30 Bessie Ln, Oroville
contr: Feather River Const
2 oven_deck./_s.f_ -3
068-020-010 99-1896
HARLIN, KENNETH & CLAUDIA
30 BESSIE LANE, OROVH LE / 0/
CONTR: BEN SPARKS `I W 1111 0
REMOVE OLD, AND ADD NEW DECK
CGS -C)2() -4l�
I
rte--�
to
_ ._ `�_ `- -t. _ _.- f -._ ��
NOTES
r
JOB FINALED (Date)
Signature
RESIDENTIAL
068-020-010 99-1896
PERMIT NO. HARLIN, _KEITH & CLAUDIA-
30 BESSIE LANE; OROVILLE
CONTR: _BEN SPARKS
REMOVE OLD, AND ADD NEW DECK
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
✓ = OK
DECKS, COV RS, CARPORTS GARAGES (Plans) OK except #'s
0 = Not OK
3.
- = Not Applicable MOBILE HOMES
* = Not Ready
4.
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
5.
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Carports; Windows -Doors
3. Sewer; Location -Test -Fall -C/O -Concrete
7.
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
7. Well Clearance 8 Discorinect
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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Can. of Occupancy
12. Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COV RS, CARPORTS GARAGES (Plans) OK except #'s
3.
Z ning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Elect
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
11.
12.
Sidin ; iling-Veneer-Stucco-Mesh
oof; Shing -Rooting
Ext.; Steps -Doors -Landings
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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, Distance-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
11. Light Niche
Date Card B-1 c Date Card B-1
Date �_ Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable =Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
2, Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
49.
4.
Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
G.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
1 B.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mach Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
80.
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral C) Yes O No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
MECHANICAL (Permit) OK except #'s
88.
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37.
Condensate Drain & Overflow, Size & Grade
91.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
92.
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
P ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
_
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Mach. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive i] Yes 0 NoMalks ❑ Yes 0 No/Planters 0 Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Y� �E l 0.
(Rev. 12/96) ' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
068-020-010
ZONING
ARI
BUILDING PERMIT
OWNER KENNETH & CLAUDIA HARLIN
TELEPHONE
SO. FT. OCC. BUILDING VALUAT ON
192 OPEN 1344.00
. OWNERS MAIUNG ADDRESS 56 OAKCREST, OROVILLE CA 93966
CONTRACTOR'S NAME BEN SPARKS CONSTRUCTION
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 1,344 00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
33.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDINGADDRESS 30 BESSIE LN
OROVILL
Energy Plan Checking Fee $
$
PERMIT FEE $
.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ff Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REMOVE OLD AND ADD NEW DECK
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home LS I G I W
@20.00
1±
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORlESS
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 fol force and effect. - ��-----
License Class Lic. No. `"'�,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. OW ELUNG OCCUP.
OR ADONS. ( a ACC. S.
SO
3.5¢FT:
NON -..ID T MULTI.OUTLET
97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Fj(, OCCU OUTLET ORFDCTUREs
0''50
BAL
Ex. Occup. oFlx� Ra ) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
L 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 s d policy number are:
Carrier Qs!✓1/a
Policy Number 2-7 !�! dv// —
(The above sections need not be completed if the permit' is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with a proves s.
X _ Date —7— —
Sign a of Applicant4oD Owner BlContractor 13 Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionAVA
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE 7
TOT PL FEE $
HAZ.
—
D. FEES P
- —
FLOOD
!DF
P C
D
S
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
4�
By Daae
PERMIT EXPIRES OWHI.D.S.-B.D.
provisions
to do work
paid.
/� Q
I 7
fe
rRec7eiptNo.
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California -95965 • Telephone (530) 538-7541�� /BPf,R�nIT No
(Rev.12/96) APPLICATION AND PERMIT .
M3I!WORPARCQNUM8ER 09 9 — 61,5 ,� ®
20
BUILDING PERMIT
OWN" �% I
T9L9PHOkZ
SO. FT. OCC. BUILDING VALUATION
OWF"l tAAJUNO AD a
P
J
OONrRACTOR•a 1NLEZ J /��J
e
TU '"ONE
CONTRACTORS MALJNO ADDRESS
CONSTRUCTION LENDER
EFireplace
LENDER'S MAILING ADDRESS
Total Valuation E
ARCHITECT ORENWNEER
UCENSENO.
Filing Fee
S
20.00
Permit Fee
E
3
(iU
ARCWECT OR EJVONEER S MALJNO ADDRESS
Plan Checking Fee
$
�v
auaoNO ADDRESS
Energy Plan Checking Fee
S
S
PERMIT FEE =
Q
LOT NO.
sueavenNSNAMe
PARCE"""°
PLUMBING PERMIT
Fling Fee
20.00
USEOFSTRUCTURE
SF &- Duplex ❑ Mobilehome ❑ Other
sPEcsv
Each Trap
7.00
I
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 61Remodel ❑ Ublities ❑ Installation ❑
�1 /� e1
Describe Work: �.P�yr�r� L,..c� �
Other ❑
a ��/ �
Gas piping system 1 - 5 outlets
15.00
Building sewer 15.00
Mobile Home S G W (§?20.00
i
PERMIT FEE _
ELECTRICAL PERMIT
Filing Fee
20.00
Main Service°2o00oAv on LEss
23.00
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.5Qso
OR ADONS. & AGC. BIDS.
NtW CONS I. MULTI -OUTLET
NON.RESID. 97.50
POWER APPARATW
a S"Ou OVTLEV CIR.
Ex. Occup. ouner OR FuTmEs 20 0 1.00
SAL .SO
Ex. Occup. ovnETsEs�iri.�Ew 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee
20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee b
occ
CONST. TYPE TOTAL FEES 2a
r
HA2.
D. FEES IMP
I FL000
I COF
PARCEL
I ISSUE
273772
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
..10 . k ^�..�„7i }7`'x'+�Y"`'�s'"J•."1i'ii�'n+i�b.h�Gt�`''.>. �h;,�q fs..i►i;"' w�,:.•.•.;r�"^•r�'t'.e�::i,?n.�.-.,'y-•hr;f'J'i„3.[��,.tir. •..- �;�.'. - ., �o' .
_COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
TCOUNTY CENTER DRIVE - OROVILLE, CAtIF(iRNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: /�- g,,o-
L. V% ASSESSOR PARCEL NUMBER: O b - 02-U - D / c)
Proposed Building Use: Building Inspector: C
30 Date:
At time of permit application, I was advised the following data must be submitted prior to permit rocessing nd/or issuance:
Date Received By
❑ 1. All iiems have been submitted ---------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
El8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
El10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. ---------------------
❑ 12. California Department of Forestry plan approval/fees--------------
1113.
------------
❑13. Flood elevation certificate. ---------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
„ ❑ 15. City of Chico plumbing permit. ------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
4,�,,v ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ---
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
020. Pre -inspection for required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------
025.
-------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------
026. Letter of intent on building use. ----------------------------------------------
027. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits. ---------------------------------
0 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
`3d'
(Date)
When you issue the er iit, process as follows ❑ Mail to owner, ❑�n^^,Mail to contractor.
e�elephone g 7 Z 7-�U and hold for pickup at office. ❑ De iv th inspe or.
�Applic Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ollution 'ate: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' Division counter, by Dat
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
RESIDENTIAL
-- ---92-4450 B
068-02-0-010
! HARLAN, Kenneth
3p Bessie Ln, Oroville
contra Feather River Const
2 open deck/sf _ — ----
JOB FINALED (D e)�
Signature
J=OK ,- .
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" 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
_,---M,ISCELLANEOUS
Date -' DEC VERS, CARPORTS, GARAGES, Plans OK exce t #'s
oning R
equirements-Setbacks-Easements
2 s' Soils -Size -Depth -Spacing -Connectors -Steel
. 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
mg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
00
Date/- Card B Date Card B-1
Dateand 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 boards -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-Purlin-roof Bra c-Truss-Shthng.-Rfng.
3. Ftg.. Garage; Soils -Steel -Flet. Grnd. / /" Ftg. Depth 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches &Decks; Soils -Steel-/ /Ftg. Depth ---------
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wra pped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D'.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
-16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- ----- ------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
-------- ------ ----------------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
---- 19. Shower Pan: Test, First Floor -Tub Access -- - --
20. Test Tub & -- Shower, Second Floor -Tub Access
----- ----------------
21. Gas Pipe: Size & Anchors
------------------------------------------------------------------------ -
Date Card B-1 Date Card B-1
-------------------------------------------- ----------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance - Ins. Protection
- ------------------------------
23. E-lec. Receptacles - Spacing -Lights & Switches at Doors
----------- ----------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
--------- -------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-------------------------------------------------------------
-- 26. Equip. Ground made'up w/Meth. Fastners-Bond Gas & Water
-------------------------------------------------------------- -------------------
27.
-------- ---------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
-------------------------------------------------- -----------------------------
28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size / / ga.
or -Al
----Cu.- ----------- ---------------------------------------------
29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------ ------------- ------
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------------------------------------------------------------ --
--------------- 31. Equip. -Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
-----------------------------------------------------------
33. Smoke Detector
-------------------------------------------------------------------------------
Date
--------------------------------
Date Card B-1 Date Card B-1
-------------------- ----------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
----------------------------------------------- ---------------------------------
35. Vent Fan. Exhaust above insulation
--------------------------------------- ---------------
36. Condensate Drain & Overflow: Size & Grade
--------------------------------------------------------------- ............... -
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
------- --- - ---------------------------------------------
-------------- 38.- Attic Access & Platform if Furnance in Attic
------------------------------------------ -------------------
Date
----------------- Date Card B-1 Date Card B-1
1
Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
- --- .--------------------------------------------------------- ----
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------- ---------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop o
------------------------in-Walls------ (rat----pro-----f)------------- -----------------------
------------- 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers &, Beam -Size & Bearing
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
------------------------ ___51. Property Line Firewall & Openings _
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Head room -Rise-Run-Landin Fire Protection
----------- --54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------ ----
55. -Siding -Nailing Veneer
____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
--------------------
58. Shear Walls: -Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date __________ Card B-1 _ Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-----------------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
- - - - -- -- --- - -- ---- --------------
64. Bedroom Exiting
-------------------------
------------- 65
------ --------65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------
-------------
67. Stairs & Rails
------------------------------------
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
--------------------------- _. -
71._ Elec.-Outlets & Receptacles at--- Kit. Counter
----------------- --
72. -Garage -Fire Door: Swing -Landing -Closer
73.-.A.C.-Duct in Gara a -Damper ----------------------------
------------ --
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
-------------------------------------------
7-,. Insulation -Foam -Looked in Attic ❑ Yes
--------------------- ------- --------------- - -
78. Guard Rails & Deck Construction -Post Caps
---------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
--------------------------------------------- ---
81. Stucco: Brown -Finish
----------------------------
82. A.C. Unit Disconnect. Electrical, Plumbing -------
- -- - --- -------------------- ---
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
- - - - - ------------ ----------------
84. Water Well: Disconnect, Electrical, Plumbing
- -- - - - - - - - - -
-------- ------------------ --
85. -Exterior -Elec.-Trim;-G.F.I. Receptacle -Underground
------------------------- ---- -
86. Ventilation Throughout House
-- - - - - - - - - - -- -- - --------------------------------------
87. Glass Protection
-- - - - - . -----------------------------------------------
88. Corrections from Previous Inspections
----- ------------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
--------------------------------- ------- -----------
90. Water & Sewer Connected -C/O to Grade -HD Approval
---------------------------------------- -------
91. Energy Compliance Certificate -Other Certificates
-------------------------------------------- ---
Date Card B-1Date Card B-1
--
------------ -
------------------------------
Date Card -B- 1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Cerlterli4rive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND"PEWIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
068-020-010
ZONING
. AR -1
BUILDING PERMIT
OWNER y, Harlan
KennOWNER'S
TELEPHONE
5(79-1072
,SQA FT. OCC. BUILDING VALUATION
MAILING DDRESS
56 Oakcrest Oroville 95966
64 0 448.00
CONTRACTOR'S NAM ETELEPHONE
Feather River Contracting Co.
534-1324
CONTRACTOR'S MAILING ADDRESS
42 6Olive Hw - Oroville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 448.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 50.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
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
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition [3 Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 2 Open Decks
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p I y (check one):
lyl
i1Ly I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS
ions
and ProfessCode and my license is in full f e and effect.
License No.6% 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.
Main service 200A TO 1000A1
37.50
NEW CONST. ( DWELLING OCCUP.��
OR ADDNS. ACC. BLDGS.
3.6Qsq.f[.
NEWNON•RESID BRANCH CIRCITS CONSTR. ULT' -OUTLET
@ S.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES
0 76
IIA2I
FIXED APPLNS.
Ex. Occup. OUTLETS (RESID )REA.I
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FilirgFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count�_in consequence of the anting of this permit.
X _ C���i/l^�J _ C� Date /2 - 21— C(Z
Signature of Applicant — Owner ❑ Controctor 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES 50.00
HAz
DFEES
IMP
FLOOD
-�
CDF
PAR EL
HD
I
This permit is hereby issued under the
sions of the Butte ou Code and/or
work indic d o e or which fees
R OF PUBLIC
ey �-
P MI EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date 7,
Receipt No. 130379
WNIT!-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 ! /
PERMIT APPLICATION DATASHEET
OWNER 'e")e'i 1�,4 vl.4� ' A. P. No. -O%c4- OZ -O- b ! O
Proposed Building Use �S' Building InspectoW06 Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. ,Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. . .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. -�
st
20. Pre -inspection for to Bui ding I°" `edor
required. . to Building Inspector (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....(,tJ�H�.w�rK.vt4�s
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 . ................... 0 . 0 ................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone ,Tjq- /3Z91 and hold for pickup at office. Deliver with inspector.
Other ,t
Parcel Creation
Acreage Applicant - Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail C unter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
- 1-1i r.isr: O.i.v
sc,�
u QA A2
kFROM:
O: Building Department
Environmental Health
SUBJECT: Sanitation Clearance
IUAfx-dhA IKA &�12 Z,
Owner Location AP#
Plan Approved for: Sewage Disposal Water Suppl Public Private Well
C� ra n i i e. Ot
ar droop her 5 f
Hold final for:
Final clearance O.K. for:
NOTE
LA K�
Environmental Health Specialist
8/92
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541
APPLICATION ARD PERMIT
ASSESSOR PARCEL NUMBER
6iDg" OZp --010
ZONING
,�j2(
BUILDING PERMIT
OWNER �'l�, I
,eNNe'SS �
4, 1
TELEPHONE
072
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
56A K 6reS-f C4 95166
CONTRACTOR'SNAME
4Ver
TELEPHONE
3 — 13 2t
CONTRACTOR'S MAILING ApPRE55
FireplaceTotal
CONSTRUCTION LENDER
UNKNOWN
Valuation Is
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 15,00
Permit Fee
Plan Checking Fee
$ /S..00
$ Z0,O:>
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS ?
e,� 2Ou 1(1
Permit fee
So -or,
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFC�(Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer -
15.00
Mobile Home ISI GI W
.@ 15.00
TYPE OF WORK
New ❑ Additiom`g Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: -2=n cict,i rs,CGe�S
_
Permit Fee
S '
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of
P y perjury Iur y (check one):
I am licensed under P
provisions of Cha t. 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 -
(Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A1
37.50
NEW CONST.( DWELLING OCCUP. e\
OR AODNS. ACC. BLDGS. I
3.66 sq.ft.
NEwCONSTR ULT' -OUTLET
NON•RESIO BRANCH CIRC ITS
^ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESID.1 EA.)
1 3.00
Temporary service
15.00
Mobile Home Facilities
5.00
1ors.
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 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner[IContractor C]Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
CO
TOTAL FEE $
HAz
I DFEES I
IMP
FLOODCDF
�l
PARCEL
PO
Hi
SSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 136
WHITE-O.P.W., YELLOW-ASSE»OR. PINK -INSPECTOR, GOLD ENROO-APPLICANT
I
t RESIDENTIAL
068-02-0-010
9
• . ' HARLAN, Ken • 2-2706 BPEM
30 Bessie LN', Oroville
contr: Feather -River Const "
new sf
i
t
.P
r
P
. f
A' ^!
�eg
OFFICE COPY
Address f
GAS
Meter By
1; ELECTRI
1
Meter By Date
1
i
JOB FINALE
Signature
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDER,FLOOR (Plans) OK except #'s
o'n i2qsetbacks-Easements-Flood-Slope
g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Lj
3. Ftg., Garage; Soils-S*el-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches &.Decks; Soils -Steel-/ /Ftg. Depth
,y6t,rmwalls, Main; Steel-Blockouts-Wrapped
Fi.&ef4iwalls, Garage; Steel-Blockouts-Wrapped
-IT.-Hold Downs and Special Anchors
Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date L�cd B- Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK ext
r Htr.: Vent -Access- ombustion 'r -Baffle
---------------- ------------------------------
DW r Pipe: Test & Anchor -Nail Protection
D.W.V.: Test -Fittings & Anchor -Nail Protection
------- w — -------------------
Shoer Pan: Test. First Floor -Tub Access
Tub & Shower. Second Floor -Tub Access
Gas Pipe: Size & Anchors
--- -- - -------------------------------------
Cat�- !/(/ Gard B_1 ----- Date - Card B-1-- - ------- ------ -------------
Date Card B-1 Date Card -8- 1
Date ELECTRICAL (Permit) OK except ft's
Fixt a &Transformer Clearance -Ins. Protection
-------------- -- - --------------------- --------------
----------
Elec. Receptacles Spacing -Lights -& Switches at Doors
---------- ------
4. Size Boxes & No. of_Conductors-Stapled
-- - Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
---------- -----------------------------------------------------------
"Appliance Circuts in Kitchen & Conductor Size!GFI
------------------ ------------------------------- ---'------------------------
ize / r ga. Cu or AI-A.C. Wire Size / / ga.
Cuor -Al ----------- --------------- -----------------------------
2.9. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--
--------- ------ ------------- -------------------
3.0.
-----------------
30. Service -Riser Conductors & Ground -Main Disconnect
--------------- - -- - - - - ---------------------------
- - -- -- - -
1 Equip. Clearances Panels-Motors-Mech. Equip.
------------ -------------------------------------------
3othes Closet Light -Shower Light -Spa Light
---------- -----------------------------------------------
Smoke Detector
---------------------------44-----------------------------------
---- - - — ------------------
- - -- -- -- - -
Dale - Card B-1 Date Card B-1
- - - ----- ----------
-- ��--��- - - -- ----- - - - -----------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
A.C. Ducts Insulation & Support
-------------- -------------------------------------------------------------------
- 36 -Vent Fan_Exhaust above insulation-- -------- -- -- -------------
36!Condensate Drain & Overflow: Size & Grade
37. urnance-Vent: Access -Comb. Air -Return Air Vent -115 ------outlet
- - - ---
------------------------------ --------------------------
fl- Access & Platform -Fur----- in Attic
---------------------------------------------------------------------
-- ----------- ---- '--- - -----------------------------------
-- --- --- ---
D tr�_ and Date Card -B- --------------------------------------- Card--
--- - -----
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
39_3its. Proper Material & Anchors
---------------------------- ------------------------------------------
46 -'Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-----------------------------------------------------------------------------
----
4t -Bearing Walls over Girders & Floor Nailing
--------------------------
42. raft Stop in Walls (rat proof)
------ - -----------------------------------------------------------------
48 -17 -ire Stops: Furred Ceilings -Stairs -Chases -Tub
------------- -- -- --- -----------------------------------------------
44-headers & Beam -Size & Bearing
'Ingle & Duplex)
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
¢6.►6kr§. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng.
_— replace Ties or Type A Flue -Fireplace Throat clearance
-- — - Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49-96G. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ SA-Gaa�rage Fire Protection Framing
-----------
5; 1 roperty Line Firewall & Openings j
--- ------
xt. Doors -One T -Check Garage -3rd Story, 2 Exits
��airs: Width -Headroom -Rise -Run -Landing -Fire Protection
SA-pf_ood on Roof Overhang -Attic Vents -Rafter Outriggers
-------------------- -----
nq-Nailing Veneer
5&-9taCLa-IVtesh-Drip Screed -Fd. Vents-Underflr. Access
--------------------- -- -
,ST
azing,Area-Glass Protection -Skylights -Plastic ��-
-Walls: Nailing -Bolts
-_ Insulation -Walls -Ceilings -
60. In ' tration-Walls-Windows
------------- �-
Dat tQ-^�- ZCard B- Card B-1
Date/ / ClZ - Card B-1 Date Card B-1
Date FINAL (Plans) OK except fr's
,15'r -Ext. S�-teps-Door & Sidelight Protection -Landings
-- -6 . moke Detector
Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
------------------ ----------- —
Bedroom Exiting
F.I & Bath Fixtures & Tub Access -Spa
----------' ------ ------
615=.1 e im &..Subpanel: Breaker Sizes & Labels
-------------- - ------
tairs ails
ire lace or Stove: Clearances -Hearth
6 Outlets at Wood Panel: Int. & Ext.
- -- - 70_&-Fixt & Appliance: Grnd -Air Gap -Cooking Clearance
71-Eiec:'Outlets & Receptacles at Kit. Counter --
arage Fire Door_Swing-Landing-Closer
a3 A C. Duct in Garage -Damper -- --
7�4-.-1Vt H r Vents -Clearance -Comb. Air-Connector-P.R.V. .
In Garage: Above Floor-Mech. Protection
---------------------- --------------
Elec. & Mech. Equip. Listed for Location
------------------ ---------------------
ec. Receptacles in Garage: (G.F.I.)-Romex Protection
-----------------------------------------
7�lation-Foam-Looked in Attic ❑ Yes
------- - -
-------------—
7 uard Rails & Deck -Construction -Post Caps
------- ---------------- -
7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
- --------------------------
ollowing instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
- .8 . - inish
----- —
----- ---------------------
A C. Unit; Disconnect. - Electrical; Plumbing
encs Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
Rict•nn.-. getsElectrical, Plumbing
8<—Exterior Elec. Trim; G.F.I. Rece--pi cle-Underground --
- ' ----- -
en6lation Throughout Hous
�a,
om Previous Inspections
----- ----- ----------------------------------- ---
a9_Ges1rest-Meters Tagged; Gas -Electric
- 90,-ffla & _S ener Connected -C/O to Grade -HD Approval —
Energy Compliance Certificate -Other Certificates
------------------------
Dat £ and B-1 Date Card B-1
- --- - - - -- - --- -
Dat ^Z 7C2rd B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final
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 6-1
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 1
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connecforr
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 -Co pectors
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-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
Ir"
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
c
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
d-APYA� 4z -,?264
PERMIT NO.
Date/z • ��7 Z Inspector
REV 1OM2
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
- Z7DG
PERMIT NO.
A routine 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. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Az C
�--
W 4A6k--'/7L—:: -76 ccVim
�So7"0 5G4S 14 7`Z—z,- O ,,p 14/ 4—
S
Date / //3/5 ?, Inspector
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
Z Z 7d f.
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances esrst at
the above address and should be corrected. Please notify this office when correction at work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
,17` / J
1
C K 19 t%vT
^-2 — -
a!Z-
Date - Zo ' / Inspector
REV 11/91
'� �_ .^rr`St"v.--+... �:..'�:aMr.�.�,�}.,;J�^�c�^ti,}7+'^'•+;���r�.j—�"'t�.-'.."t-�—,+'.."r!'^-�`.,y.y`..�.+-.�:aK'''1".
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
- Z7o;
PERMIT NO_
A routine 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. If you have any questions pertaining to this matter, or need additional explanation,
please contact his office immediately.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
14g1-,IAI ft -2700
OWNER PERMIT NO_
A routine 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 wort
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
C/ �G'/7_
k
Date �� it �7 Z Inspector
REV 11/91
Own e r: �/�+L —G+/f Sr'f.GJ A11004
EYERCT CERTIFICATION
n
Permit t
LOCAIi`v A. P.0
D%:.CR iPT:O`! OF INSULATIO`
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL Fibzrglass BRAND NAME Certineed
THICKNESS 61o{ THERMAL RES.
CEILING
- - BATT OR BLANKET TYPE -FIBERGLASS BRAND NAME Certineed
THICKNESS %pl It THERMAL RES. 3
LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED
THICKNESS / S �it THERMAL RES.
FLOOR -ELEVATED
MATERIAL Fiberglass BRAND NAME Certineed
THICKNESS " THERMAL RES. /
FLOOR -SLAB
INTERIOR WALL
MATERIAL Fiberglass BRAND NAME Certineed
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
HAWKINS IND. INC /dba-SHASTA INSULATION LICA 6507??
Ihereby certify the above insulation and all required items as shown
on the building department approved -plans and attachments have been
installed as required by :the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif..
--------------------------------- --------------------------------
.FIRM NAME/OWNER (PLEASE PRINT) STATE CONT. LIC/ --
SIGNATURE OF GENERAL CONY OWNER DATE .
This certificate must be on file with 'the Building Dept. prior to Final
and posted within the buildinv_
f
COUNTY OF BUTTE - DEPAATMENT OF PUBLIe16/538-7541
7 County Center Drive - Oroville, California 95965 - Telephone
APPLICATION AND PERMIT
PERMIT NO.
(10 -0-70cD
ASSESSOR PARCEL NUMBER
68-02-0110
ZONING -1
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
1412
OWNER'S MAILING ADDRESS
966
574 M
32.00
CONT T
Ppath,zr Rivpr Contracting Co.
TELEPHONE
104 C 1,352.00
CONTRACTOR'S MAILING ADDRESS
42C)6 Olive Hwy, Oroville, Ca. 95966
Fireplace I "All 1,500.00
CONSTRUCTION LENDER UNKNOWN
Total Valuation 1 $ 89
432.00
Filing Fee
$ 15.00
LENDEaMIZING ADDRESS -
Permit Fee
$ 2.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 276.25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 86-3.75-1
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
8 5.00 40.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
31
NAME
iOrangedale
PARCEL MAP
Water piping
1 7.00 7.00
Each qas water heater or vent
1 7.00 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00 5.00
Building sewer
1 15.00 15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Construct 2 B.R. residence
Permit Fee
$89.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
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 .4o._� �L� Classification (y
❑ 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.� 3.6a
OR ACDNS. ACC. BLDGS. ) X sq.ft. 69.50
NEW CON5TR. ULTI.OUTLET @ 5.00
N O N.R E SID BRANCH CIRC ITS
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES 20 76
FIXED APPLNS.
EX. Occup. OUTLETS ((RESID IKEA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $ 103.00
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
p� 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 Filing Fee 15.00
Heating 9.00 9.00
Dual Pac S lit
Cooling 3 Ton 1 9.00 9.00
Hood 1 6.50 6.50
Ventilation
Permit Fee $ 39.50
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, cost0135-25
s, nd expenses which may in any way accrue
against sai ounty nsequ a of the granting of this permit. A
X Date '' / i--
Signature of Applicant - Owner contractor W Agent F-1sions
An OSHA permit is required for exca a ions 9�j�5'O (deep and demolition or construct-
ion of structures over 3 stories in hei ML (/
Mobile Home Installation Fee $
Energy Inspection Fee $ 40.00
occ
CONST TYPE
TOTAL FEE $
HAz
DFEES
IMP
FLOOD
CDF
PARC L
I PD
I HD
ISSUE I
This permit is hereby issued under
of the Butte County Code
work indicated above for which
CTO OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
and/or resolutions to do
fees have been paid.
WORKS
Date X92
8�p�/��
122411 „20,0
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, IN .INSPECTOR, GOLDENROD -APPLICANT
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Df iveway Clearance
3o
�jess•
AP #
owner location
Driveway permit l has been issued for the above property.
n b
date
4igne
z as• ,'•`"..i `T'""?r=a.1M:2��R�^i..Y'�1����..��..."iii=:�. �'i^•=�:1�.`�.:..��-'ii�.��45�'�'f"�"r�. +�..... F..� r, r-�. ,.
1�
tom.
j
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORK - BUIL ING(9!yISI,9N70(_(-)
" 7 COUNTY CENTER DRIVE - OROVILL-E, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
6 f •+r
PERMIT APPLICATION DATA SHEET
OWNER KQJ f I g C A V A.fP. P.
Proposed Building Use 4r 2 3e-CZZ�YyX, Building Inspector d'X_ Date
At time of permit application,) was acjv'ised the following data must be submitted priorto,permit processing and/or issuance:
�` DATE RECEIVED BY
1. All items h ve been submitted . ................................ \�.�......
2. Plot plan/4 sets, signed by preparer of plans . ..........................
3.. Complete plans, 3/4 sets, signed by preparer of plans . .................. .
4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . .............
5. Hazar ous Material Form . ............................................
6. E gy Design Compliance and supporting documentation . ................. .
7 tatement of Intent for Non -Heated and A/C Buildings . ...................
bptf Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ............
-
0.11Fees of $ . .........................................
11. Impact fees as shown on attached schedule ............................... .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California'Engineer..................
-,Y -
14. Sanitation and plot plan approval Health Department . ............�
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy).
� / Pre-Inspedionrequ�
20. Pre -inspection for required. . . to Building Inspector (Dale)
'•' 21. Contractor's license information. No., Name Style, Classification .
22. Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25.1 Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60right 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.
710a. 29
When you issue the ,Qr 't, rote s as follows: Mai to •wner. Mail to contractor.
Telephone ,.2 and hold for pickup at office. Deliver with inspector.
Other 42
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. �-
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter�(�- Date
Plans checked by i idt, Date Plans approved by /` t- Date ZI
Sets of plans o CRIA-0 -0 _016A i I? AP folder
Copy - Department of P IIc Works
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
- Owner Location AP#
Plan Approved for:
Hold final for:
Sewaqe Disposal x Water Supply �mm
^final clearance O.R. for: .
Clearance for 2 bedroom m e home. Other
Water Supply
Water Supply
NOTE ***
SEA
FS%Z! q z. Date
Sanitarian iz. ---
yo v yo 8
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
z- z-7406
ASSESSOR PARCE " R
ZONI�y G
;Jk _ (
BUILDING PERMIT
OWNER
/-/ /9P L
SLE PHONE
�o/7/z
SO. FT. OCC. BUILDING VALUATION
K- 262-Lfe
O_1;32,
Eg'9�
p%MPI LI N/' ( / l.p/,{r- i ��
CO^TRACTOR'S A
lU
TELEPHONE
S3 3?-`/
n
( C
CONTRACTOR'S MAILING ADDRESS
2�C C.(UC- 14 UJY C& 1 uC-
Fireplace I - t' ts-o0
CONSTRUCTION LENDER
/N O
UNKNOWN
Total Valuation $
FilingFee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ ZW
•
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ '25`
Energy Plan Checking Fee $ Z p- cpo
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS �) r� � / � i
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 251 5.00 Q'
Solar or heat pump water heater 20.00
LOT NO.
//S}BDIVISION NA
PARCEL MAP
Water piping 7.00 OU
,
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPE,CI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S T G W @ 15.00
TYPE OF WORK
New Addition❑ Remodel[] Utilities[] Installation❑ Other
Describe work: __ 2_ �/e�/�
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 16.50 Sip
200A OR LESS
Main service 200ATOI000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
® 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code andel my license is in full force and effect.
License No�L 3 / (o/ Classification
F]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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.al 3.64sq.ft. 9. Sa
OR ACDNS. ACC. BLDGS.
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS I @ 5.00
/POWER APPARATUS e
(POWER
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 X 76d
dAL
FIXED
Ex. OCCUp. OUTLETS (RESID )KEA.) I 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 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 DepartmentU
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
�L
lin
Coog TDA)'
Hood 6.50 6_
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.c
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgmen s, costs, and expenses which may in any way accrue
against id Co y i nseq nce of the granting of this permit. a
X Date % . - �Y
Si nature aF Applicant - owner
Signature pp ❑ Contractor X Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
.�
CO^�NS�17 PE
VAI
2�
TOTAL FEE $ 35,
r+Az
of
IMP PL00o CDF PARCELS PO
I u
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.
DIXC�E OF PUBLIC WORKS
By I'll, • DatepZ'/-?Z,
PE tXPIRES DateI-
Receipt No. Y
WHITE-D.P.W.. YELLOW-^SSEOSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT t_
SSS N r .moi, 'r} .,vF'Y-�,J:'C.W`'li. '?...;..EM,'�.n h's. w..k;eyit ✓4l'. v'.�^":.:yn4 r Y J^_... `, b � . ✓ .. r,.,i.,. , �,..�, ,,
to it ti-✓�:-ri" v�.r..-;�,-r;'�q�.'��`., !` .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District o _ _— _ _ Building Department No.
A.P. Number 68 02 --oto Jurisdiction _� City County
Property Owner--� �`—" --�` Ll✓ v ------
Property Location/Address
Subdivison Lot No.
n------------------ ---------------
Residential Development=
Sq. Footage
No. af-Living MHI .Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New. Addition (Including Exterior
Roofed Areas)
Building Dep ment Reprentative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. �SU�
School District certifies that
-3o a 1 _________________
(Street Address)
(Applicant)
(Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 1 �_ f _ by payment of $
representing _ L �2_, — _ square feet.
School District presentative
Paid by Check Number .� _ Remarks:
Bank Number
Paid by Cash
-tea-9y
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) feeform.wkl (4/92) '
Return to DPW AGRICULTURAL STATEMENT OF AC�i10'rJL.EDGEMENT
I FOR RESIDEMAL 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 92-0343541' Rec Fee 5.00
to land or included within an area zoned I Check 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
use of agricultural chemicals, including, County of I
Butte I.
but not limited to herbicides, pesticides,
Candace J. Grubbs I
and fertilizers; and from the pursuit
of agricultural operations including, Recorder i
2:58om 30 -Jul -92 I PUBL XX 1
out not l3.m3.tea to cuitivation, 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: ALL THAT CERTAIN REAL PROPERTY SITUTATE IN THE STATE OF CALIFORNIA
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
lot 31 AS SHOWN ON THAT CERTAIN MAP ENTITLED "ORANGEDALE SUBDIVISION
NO. 1",-WHICH.MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY'.'OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 19, 1964, IN BOOK
31 OF MAPS, AT PAGE(S) 23 AND 24.
Date: Tti l Y—?(; , 1 g q 2 PROP R OWNERS : /
G LA y D1 N /-t-AZ L• 4:6
State of On this theday of 19�9.L, before me, the
SS. undersigned Notary Public/f pe ovally appeared
County of&�&_) 71
li�i9Y/�/.O ffiS►.�NA�
OFFICIAL SEAL ® Personally known to me. 11 Proved to me on the basis
• VIVIAN L. MATTINGLY of satisfactory evidence.
m NOTARY PUBLIC -CALIFORNIA to be the person(s ) whose name(s ) A,Q�
MONTEREY COUNTY subscribed to the within instrument and acknowledged that
MY COMM. EXP. MAR•31>1995 executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. 68-02-010 .
•No v Pub
EIBD OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION
-7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER K El-) PAgLA U A. P. NO. 65 -0? --0t0
PROPOSED BUILDING USE S - I- _ 2 864 levy► DATE
School Distric Fees
(paid at District Office) .........
2. Sheriff Fees
(paid at Building Department)
0�n ocJ
Residential ......... % _$ :SGQ
unit amt.
Commercial(per sq.ft.) R =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) % =$
# units amt.
Commerical(per sq.f t.) % _$
/ y . sq.ft. amt.
L 4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
REC . - # DATE REC
503 d
-43-04
At time of permit application, I was advised the above fees are required to be paid pr--;O---
to
rix-to issuance of the permit.
:APPLICANT DATE 7-,02f- 9y
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY) C
Bldg. Permit #
OWNER R 4 AM A.P. # lo£3-4::)Z-/�
Plan Checker
GENERAL
1. Zoning requirements: (sideyards and number of permitted living units).
'luation.
Plans signed by designer.
Proper description of work on application.
existing violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
1---Recm-ded notice of violation.
PLOT PLAN
�! plete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
buildings or structures.
�Jaeling, fills, drainage.
5C—'flood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
FAU & FAS road setback. ,
8. Building or utilities across lot lines (Record form).
FLOOR PLAN
1.!��11
plete to scale plan with dimensions.
�equired windows for light and ventilation (Sec. 1205).
3�
Required windows for second exit (Sec. 1204).
lZgt�ts (Chapter 34 & Sec. 5207) .
66-n impact glass (Sec. 5406).
quired room sizes, ceiling heights (Sec. 1207).
Y/. G GIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
1—'ht fixtures, switches, receptacles, and exterior receptacles for main-
enance of mechanical equipment.
Locations of water_ heater,.heating and cooling equipment, other electrical
�,or gas equipment.
1e: Garage firewall, door size, and closer (Sec. 503(d)(3)).
41' 0" exterior exit door (sec. 3304 (f).
1 ace and wood stove location, alcoves, and clearance.
013. S e detectors (Sec. 1210).
1'. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
11/Standard bracing or engineered design (Table 25V)
nu al shape, size, or split level house requiring lateral design.
- erestory requiring balloon framing and/or engineering.
ree story building requiring engineered calculations and plans.
54�Toun ation plan complete enough to construct building.
loor construction details complete enough to construct building.
r. Elevations and wall construction details complete enough to construct building
$!Roof construction details complete enough to construct building.
9. fepl construction details and talcs if necessary.
lea ter ties or bearing ridge beam.
IY- Garage door or porch header sizes.
12!--g-t—ud heights.
1 . Adobe soils - special foundation design.
1 Retaining walls requiring design.
1 Special Inspection required.
_ 8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS'ITEMS'TO LOOK OUT FOR r
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
-2. Guardrail details (Sec. 1711 & 3306(j).
cl:;=�ck-or stone veneer (Chapter 30).
for plaster - weep screeds (Sec. 4706).
5. r roof pitch for roof convering (Chapter 32).
6 VO covering type - (fire hazard).
nsulation - protection.
9-.'-36" halls and stairways.
iving area over garage - complete 1 -hour separation required on garage side
incRu-" supporting walls and posts, etc.
�'x ts on three-story dwellings (sec. 3303 & see Mezannines - 1716).
1 �erfloor
ccess and ventilation (Sec. 3205).
access and ventilation (Sec. 2516).
1 ion air for fuel burning appliances - L.P.G. requirements.
quirements on duplexes.
6. Entergy design.
1 lashing at all exterior openings.
17; OF r-esponsible area requirements.
Ceiling Insulation
:. Wall Insulation
Single-
Number of stones
0.80
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
.54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6.
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
:. Wall Insulation
. Raised Floor Insulation
Single-
Single -
0.80
.1
Family
Family
Multti
Fl -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-10
4
0.60
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
. Raised Floor Insulation
F2 factor
0.90
Insulation in Floor
-3 -1
0.80
.1
Number of stories
0.70
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
-24
-10
4
0.60
-144
-70
-46
0.50
.20
-58
38
0.40
Z.
-46 .
30
0.30
-69
_
.34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
.2
0.04
-1
.0
0
0.02-
4
_" 2
1
0.00
10
5
3
Controlled Ventilation Crawispace
--8.
-1
Number of stories
14
R -value
One
Two
Three
R-0
-11
=7
.5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
- -2
Slab Edge Insulation
22
-37
•-
Number of Stories
3
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3 -1
0.80
.1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Inriltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
-14
-48
-69-
Total
%Glass
North
East South
West
Ll -value
18
Percent
1 4
1
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
3
8
35
-75
-29
-19
.9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
"13
26
-49
-15
--8.
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
10
9
12
15
19
11
-6
9
10
13
16
19
10
3
9
11
14
17
19
9
.1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Fes t Class
(percent Stan x SC)
Effective
-14
-48
-69-
-64
%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��i
4•
2
3
5
1
2 4
2
3
4
0
2 3
1
3
3
0
1 2
i1-
3
2
0
0 1'"
0
3"
1
-i
-1 -1
71
2
0
T
-2 / -4
.-2-
_2-na
0
na = not allowed
5
3
^.4
lB. Shading (Shade Closed)
Effective Percent Class
44mat tLWx SQ
Effecdo
NoM Etat Sotdh West SigTght
18
-14
-48
-69-
-64
ria
16
-12
-42
-59
-55 -
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na-
10
-6
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
'-21.
-56
7
-4
-14
-19
-18
-47
6
.3
-11
-15
-14
-38
5
-2
.1
-11
-10
30
4
-1
6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
.9
4
5
6
7
25
0
0
5
3
^.4
3
0
na - not
allowed
6
8
8
9
9. Interior Thermal Mass
Interior
Exterior
Wall
Slab Floor
Raised Floor
Mass
16 or
Stories
Family
Multi
Stones
Detached
1CFA
One
Two
Three
One
Two
Three
0.0
-8
3
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
1
1
2
2
0.9
-5
.1
0
2
3
3
1.1
-4
.1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
25
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10 - 11
11
5.0
4
7
9
it
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
'13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Wall
Single.
Family
Sbgle-
+6 b
16 or
SEER
Family
Multi
Mass
Detached
Attached
Famly
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 .
200
10
11
13
11. Heating System
SE or HSPF
(assumes ducts In attie)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6. 5 4 3 2" 2
12. Cooling System
SEER
(&:=time; duets In attic)
Sim of 7-10
,25 or -24 tor14
Io
Sum of 1.6
+6 b
16 or
SEER
less
-25 or -24 to -14 to -4 to +6 to
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-
` 15
-13
11
8
6
4
.- Effective SE or HSPF
120
15
(SE or HSPF x duct
etThdency)
9
7
Effective -25 or -24 to -14 to
4 to
4610 16 or
SE HSPF lest
-15
3
+5
+15 more
0.30
275
-73
-64
-56
.47
-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
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
-2
2
0.70
6.42
17
15
13
11
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
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6. 5 4 3 2" 2
12. Cooling System
SEER
(&:=time; duets In attic)
Sim of 7-10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
-Stories
,25 or -24 tor14
Io
-4 b
+6 b
16 or
SEER
less
-15
I.6
+5
+15
more
8.0
-14
-12
-10
-8
-6
-4
8.5
.9
-7
-6
-5
-4
3
8.9
-5
-4
.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
120
15
13
11
9
7
5
13.0
20
17
14
12
9
6
HWR
-18
EReltive SEER
-9
-7
-6-
6_WSB..
(SEER
xduct efficiency)
-16
-12
-10'
S1: -n of 7-10
ROP -U.-
-18
Effective -25 or
-24 to
-1410
-410
46b
16 or
SEER
less
-15
-6
+5
+15
more
5.0
30
-25
-21
-17
-13
.9
6.0
-12
-11
-9
.7
.6
-4
6.6
-5
-4
-4
3
-2
-2
7.0
0
0
-5
0
0
0
8.0
9
8
4
5
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
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
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
One -5
-4
-4
-3
-2
-2
Two +_ 3
3
.; 2-
2
2
1
Single -Family Odsched and
Attached
R -value 11]
Duct Efficiency [0.78] Effective SE or
Unit Size iso
12. Cooling System
Water
1199 UWY
'1700
2200
2700
Heater Credit
or
-1 b
to .
to
or.
Type Type
less.
1699
2199
2699
more -
SG None
0
0
0..
0
0
or Solar
12
'' 8 .
6
5 ..
4
HP ' HWR'
8
5
4
3
-3
WSB
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
-6-
6_WSB..
WSB..
-25
-16
-12
-10'
-8 .
ROP -U.-
-18
12
-9
-7
.6
IG None
---._5
-3
-2
-2
-2
Solar
7.
5
4
3
2
POU
3
2._
1
1
1
IE None
-28
-19
-14
-11
-9
Solar
8
5
- 4
3
3-
POU
-10
` -6
-5
-4
.3
Multi-Famlly (individual units)
-
3S
Unit Size (s
4
4.2
Water
699
700
1200
1700
2200
Heater Ore&
or
to
b
10
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
WSB
9
4
3
2
2
POU
9
'•45
5
3
2
2
SE None
3.7
-23
-15
-11
-9
Solar
2
1
1
0
0
40%
0.7
0.9
1.1
1.3
1.5
WSB
-25
-13
-8
-6
-5
3
3.2
3.4
3.6
3.8
IG None
:. -8
-4
.3
.2
5.1
Solar..-
6
3
2
1
1
POU__..
1_
0
0•
0
0
IE None
.30
-15
_
.10
-8
-6
Solar
18
9
6
4
4
OU
-8
s
-3
-2
-2 -
Point System Summary: Climate Zone 11
SCORE CARD
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
U -value [0.030]
Interior MasslCFA
G 4 _ _2 I 10
or
O x
R -value 11]
Duct Efficiency [0.78] Effective SE or
� r7r� :loss
12. Cooling System
[0.72/6.6]
x
11-vidul
or
U
Q
J 19
Zonal Control? ( Y / N)
-value [0.037)
Due Efficiency [0.74] Effective SEER [7.03]
13. Water Heating
or
R -value 101
Credit [none]
F2 factor [0.77)
Standard
11.7•ultt•..71
Dist -
Type [double]
U
90Total
-value 10.651
I TYPE
1
MASS
(UIKC & 4.2,
le:
eft trod
•1_b)
_075-
O
x
�=
O
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
S0%'55%
% Glass
60%
Oft
70%
7S%
80%
85%
90%
95%
10D% 105% 110% 115% 120% 125•
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
2.3
2S
2.7
29
-32
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
to%
0.2
0.4
0.6
0.8
1
1.2
1A
1.6
1.9
21
23
25
27
2.9
3.1
-3.3
3S
3.7
4
4.2
4.4
4.6
4.6
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
IS
1.6
2
2.2
24
27
29
3.1
3.3
3S
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1,1
1.4
1.6
1.8
2
22
2.4
26
28
3
32
3.5
3.7
39
4.1
4.3
4.S
4.7
4.9
5.1
5.3
5.6
58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
22
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
to
21
23
23
27
3
3.2
3.4
3.6
3.6
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
IS
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
SA
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
6D%
1
12
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4A
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
22
2A
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4A
5.1
5.3
55
5.7
S.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
SS
56
6
6.2
64
75%
1.3
15
1.7
1.9
21
23
25
27
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
SA
6.1
6.3
6.5
60%
1.4
1.6
1.8
2
22
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
29
3.1
3.3
33
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
6.3
65
67
90%'
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.S
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
66
95%
1.6
1.6
2
22
25
27
29
3.1
33
3.5
3.7
32
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
6.8
6
6.2
6.4
6.7
6.9
t00%
1.7
12
21
2.3
25
28
3
3.2
3A
3.6
ab
4
4.2
4.4
4.6
4.9
5.1
5.3
55
S.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
22
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
45
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
42
4.4
4.6
4.8
S
52
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.8
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
62
6.4
"6.6
6.8
7
7.2
120%
2
29
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
6.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3'
125%
2.1
2.3
25
2.8
3
3.2
SA
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
55
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
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7. Shading (Shade Open)
a. - North
b. East
c. South
d. West
e. - Skylight
8: _.Shading (Shade Closed)
Measures
, S- X
Z.,A, e) 1
Z1
Point Scores
_
or
c. South
d
R-valIe 38J
11. Heating System 1
U -value [0.030]
r O x
G 4 _ _2 I 10
or
O x
R -value 11]
Duct Efficiency [0.78] Effective SE or
U -value [0.098)
12. Cooling System
[0.72/6.6]
x
11-vidul
or
U
Q
J 19
Zonal Control? ( Y / N)
-value [0.037)
Due Efficiency [0.74] Effective SEER [7.03]
13. Water Heating
or
R -value 101
Credit [none]
F2 factor [0.77)
Standard
0
Dist -
Type [double]
U
90Total
-value 10.651
Glass [ 16]
% Glass
x
SC
.77 =
Eff. % Glass
0.4
_
_075-
O
x
�=
O
-4-
X
X
r 27 =
�-
X
% Glass
SC
Eff. % Glass
a. North
, S- X
Z.,A, e) 1
Z1
b: East
'i r / x
c. South
O x
p
11. Heating System 1
d. West
r O x
G 4 _ _2 I 10
_ e. Skylight
tr{fL.f• 1,
O x
Zonal Control? ( Y / N)
9. Interior Thermal Mass
Duct Efficiency [0.78] Effective SE or
TYPE 1 MASS AREA a
12. Cooling System
r' g ±r 1 , q - Interior ass/CFA
Mass it
COND. FLOOR AREA
TYPE 2 MASS AREA '�
10. E7tterior`Wall
14 _
Exterior W Mus
ND. L OR AREA
$ten 7.10
11. Heating System 1
i7 ?i x
g3 = D
fl5o
,
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency [0.78] Effective SE or
12. Cooling System
[0.72/6.6]
x
HSPF 10.5615. 151
i
2
Zonal Control? ( Y / N)
SEER 19.51
Due Efficiency [0.74] Effective SEER [7.03]
13. Water Heating
s Gj
Type [SG)
Credit [none]
Point Total:
Certificate of Compliance: Residential Climate Zone 11
KENNETH HART -AN HnMF
Project Title
70 •T-4WSSS1 LC Budd�Pennito Q 12r�1 •QZ
Project Address JC y-- t.7 .
Checked By / Due
Documentation Author Telephone Finf ncanent Agency Use Only
BUILDING DATA
North
Gla!s Area
15
% Glass
til. S
Conditioned Floor Area 7i
Number of Stories J—
Easter
-7,1
Slab/Raised Floor
Number of .Units
South
O
(�]r Single Family Detached (SFD)
[ ] Addition Alone
West
{ j Single Family Attached (SFA)
[ ] Existing Building
Skylight
Total
.O
[) Multi -Family (MF)
[ ] Existing -Plus -Addition
,1 .
BUII,DING SHELL INSULATION
Component Insulation Locanon/Comrnents
Type R -Value (attic, to
garage trpical, etc)
wall ..............
�o/NT a'rp L
Roof .............
'�'
Roof .............
Floor.... .........
--�=�-�—
Slab Edge..... _
GLAZING
Shading Devices
Glaring Area Glass Type
Interior Exterior
Overhang
Framing Type
North ( ) 7,5 D BL, x1T'L
North ( )
East
East ( )
South
Sou th ( )
West
West ( )
Skylight....... –!�' — - Q
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) 00 (inches) Loeatiom0cscription (kitchen, bath, etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic. etc.) R -Value (Btuh) (or approved equal)
v A=ic BUTM COUNTY
Maximum Furnace Heating Output: �� Btuh � P P R O
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) SDecial Feature(s)
SPECIAL FEATUREVREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NOTE: Lownse residential buildings subject to the Standards must contain these meastou regardless of the compliance
approach used. Items marked with an asterisk (•) may be supanded by more minSdU compliance requtrerncrtts listed
on the Certifiwc of Compliance. When this checklist is incorpanted into the Permit documents, the features noted shall
be considered by all parties as binding minimum component performance specifications for Uretinartdarory measurer
whether they are shown elsewhere in the documents or on this checklist only.
DESCRJMON DESIGNER ENFORCEMENT
Building Envelope Measures
• 52.5352(a): Minimum ceiling insulation R-19 weighted avenge.
§2.5352(b): Loose fill insulation manufacturer's labeled R.Value.
• §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to
exterior mass walls).
12-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor
transmission rate no greater than 2.0 pemtfuch.
§2-5311: Insulation specified or installed meets California Energy Commission (CECT Quality
standards. Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Inftltration/ExRltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed.
62-5352(e): Special infiltration barrier installed to comply with 12-5351 mats CEC quality
standards.
§2-5352(d): Installation of Fueplaoes
1. Masonry and factory -built fireplaces have:
L Tight feting, closeable meal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
12-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
§2-5352(h) and 2.5315: Setback thermoux on all applicable heating systems.
•
12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas -feed space heating equipment has intermittent ignition devices.
12-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2.5352(1): Water Awes insulation blanket (R-12 or greater) or combined interiorkxterior
insulation (R-16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or greater).
12.5312(Exception p: Pipe insulation on steam and steam condensate return do recirculating
piping.
§2-5319(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
'
62=5352(j): Lighting - 25 lumeWwatt or graver for general lighting in kitchens and bathrooms.
12-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, refrigerator -freezes. freezer and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compHanee lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chaptrr2. Subchapter4. Article 1 of the Cdifomia Administrative code. This _
certificate has boon signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the Certificate to any subsequent purdfaser of the building.
Designer
Nance,
Titwirm
Address.
Telephones
Lic. M:
(sitnature) (dam)
Documentation Author
Name:
rld,e Fara;
Address:
Building Owner -
Name 'KENNETH HARLAN ---
TitieJFirm: .
Addn=: 96 OAKrRP.gT
OROVILLE, CA. 95966 -
Telephonc 534-1324 (Contractor)
F THER RIVER CONTRACTING
7 -a
(si arae) (date)
Enforcement Agency
Name:
Ataw7--
Telephone