HomeMy WebLinkAbout068-050-054-
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S
k RESIDENTIAL
68-05-54 2138-90B,E
FLOYD' John
21 Lemon Hill Dr, Oroville
(6dditon/sf) - -
JOB FINALE
Signature
J=OK
O= Not OK. -
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UND FLOOR Plans OK except #'s
Zo ' g -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.- " Ftg. Depth
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Mate ' -Support-Ins.
14. Girders -Sills -Anchor Bolts -J s -Vents -Cripples
15. Insulation
Date 7, Card B-1 Date Card 8-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. ter Htr.; Vent -Access -Combustion Air -Baffle
17. Wate ipe; Test & Anchor -Nail Protection
18. D.W.V.; t -Fittings & Anchor -Nail Protection
19. Shower Pan; t, First Floor -Tub Access
20. Test Tub & Showe Second Floor -Tub Access
21. Gas Pipe; Size & Anch s
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22:Tiizta�� Av �rmer Clearance -Ins. Protection
2A.-EIec. eceptacles Spacing -Lights & Switches at Doors
94..Size-9_ox_es S No. of Conductors -Stapled
2 x Installed Close to Ed uds & C.J.
26. Equip up w/Mec �.stners-Bond Gas & Water
2-„L�c'irr• 'Kitchen & Conductor Size/GFI
2 Cu or AI-A.C. Wire Size / / ga.
Cu or Al
e irc. / g u or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
3 ctors & Ground -Main Disconnect
aneIs- Moto rs-Mech. Equip.
t -Shower Light -Spa Light
3'. oke Detector
Date , i i 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. Ftirnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39,Si1s, Proper Material & Anchors
Is Studs -Nailing, Spacing & Bracing -Plates -Sound
Baring Walls over Girders & Floor Nailing
4Z-9rs1T-q1op in Walls (rat proof)
43. Stops; Furred Ceilings -Stairs -Chases -Tub
4. eaders & Beam -Size & Bearing
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
or T pe A Flue -Fireplace Throat clearance
Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
ction Framing
all & Openings
92. Ext. Douts-One heck Garage -3rd Story, 2 Exits
room -Rise-Run-Landing-Fire Protection
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
ing-Nailing Veneer
56et,, xo desh-drip Screed -Fd. Vents-Underflr. Access
Protection-Skyl ig hts-Plastic.
_ 58 -Shea ing-Bolts
49. nsulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date and B-1 Date Card B-1
Date Card B-1 Date Card B-1
Dat FINAL R OK exce t #'s
Ext. Steps-0ttr & Sidelight Protection -Landings
moke Detector
mace; earance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
65 ix ures & Tub Access -Spa
lec. Tri panel; Breaker Sizes & Labels
airs & Rails
learances-Hearth
lec. Outlets at Wood Panel; Int. & Ext.
7 lance; Grnd.-Air Gap -Cooking Clearance
�Receprtacles at Kit. Counter
72 ng -Landing -Closer
.et in Garage -Dander
en s- nce-Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
ec. Equip. Listed for Location
7 - ' Garage; (G.F.I.)-Romex Protection
a io-Poam-6ecked in Attic
74-GM-ard Rails & Deck Construction -Post Caps
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
o wmg m we ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. sh
8 . . nect, Electrical, Plumbing
Root -Appliance -Fireplace. -Clearance to
onnect, Electrical, Plumbing
8 erior Elec. Trim; G.F.I. Receptacle -Underground
entilation Throughout House
ass Protection
QB_GeTTTcTi�on_s from Previous Inspections
89F -Gag T agged; Gas -Electric
9 r e er Connected -C/O to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
of
Dat jCard B-1 Date Card B -1 -
Date Car Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
t/ OK
O = Not OK
- = Not Applicable MOBILE HOMES
' = Not Ready
Date
MOBILE HOME UTILITIES (Plans) OK except #a
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)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except frs
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs :Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
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
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
' 747 Elliott Road, Paradise — Phone: 872-6307
_ CORRECTION NOTICE j�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office .
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
xN /luo ., 14-C C -P, LL t2vr��
�� L7
Date_! �— l Inspector/fSge ry
•
'-Iuilding Owner d
Building Location
`ENERGY INSTALLATION CERTIFICATE
Building Permit # '�L ( ) J- — '�' d
50
/ / 12%Z -
DESCRIPTION OF INSULATION
ROOF '
Material Ljt±4�
Thickness(inch )
EXTERIOR WAL
MaterialO
Thickness(inche
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name t
Thermal Resistance (R Value) C�
Brand Name
Thermal Resistance(R Value)" -
Brand Name
. _.Thermal._ Resistance(.R...Value).. .....
Brand Name ,
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
is -, consistent " with -"approved-building department plans -and attachments and --con- ----
forms with requirements of Chapter 2-53 of State of California Energy Requiremen
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the required features, devices, and equipment, a::i shown on the approved
Building Department plans and attachments have been installed and conform to'the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
v rLdI
Please Print
OWNER
HVAC FIRM NAME/OWNER (Please Print)
STATE CONTRACTOR'S LICENSE NO.
TE
STATE CONTRACTOR'S LICENSE NO.
• SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
:_ vo
ASSVSSOR PARCEL NUMBER
68-05-54
I
ZONING
ARi-
BUILDING PERMIT
OWNER
John FloydH-533-2009
TELEPHONE
W-534-0750
SO. FT. OCC. BUILDING VALUATION
203 R 8120
OWNER'S MAILINGADDRESS
2721 Olive Hwy. 4 Oroville 95966
288 @ 14 4032
CONTRACTOR'S NAME
TELEPHONE
remodel est. 1200
reroof tile 6900
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 20,252
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 146.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 73.25
Energy Plan Checking Fee
_
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
21 Lemon Hill
Permit fee
$ 194.75
PLUMBING' PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ZX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00e
TYPE OF WORK
New❑ Additiong Remodel❑ Utilities Installation❑ Other
Describe work: add solarium, dinin2rm , familV rm _
Misr interior remodel, &glass reP1acement
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR L
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2V20sgft19-95
NEW CONSTR.MULTI-OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES
Ex. Occu
20®50e
eAL®30
FIXED PR
Ex. Occup. OUTLETS (RESID IEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 22.75
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, inde and keep harmless the County of Butte against
all Iia s, os ,and expenses which may in any way accrue
ag r st s id Co y in co equence of the granting of this permit.
�` 6 n j�Q
X Date d� /
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
TOTAL FEE 2 7.00
HAZ cuA
PARK
sc
P
PD
HD
I E
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PE - T EXPIRES Date-
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
^7%
/'� Z�� G
Receipt No. 66A7R
WHITE-D.P.W., YELLOW-A88_SSOR, PINK•INBP -INSPECTOR, GOLDENROD -APPLICANT
1
TO Buildi.no Department;
FROM: Environmental Health
SUBJECT: Sanitation Clearance
L GC4
Omer Location AP#
Plan Approved gore Sewace Disposal dater Supply
Hold final for: --
Water Supply
Final cleerance O.K. for: Way er Supp1Y
Clearance for bedroom mobile hone. Other L
. ......... ..... ...
NOTE
Sanitarian
L
Data ;
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION
- ;� . � �. t .fes -•
7 COUNTY CENTER DNVE - OROVILLE, CALIFORNIA 95965 - TEIPHONE: 916/538-7541
• PERMIT APPLICATION D�A�A SHEET �.-
0 Permit No.
OWNER AMIN
P. n " a
Proposed Building Use..._,dc 4C P ui ding Inspector. Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans inu lic a/triplicate, signed by preparer of plans........ 2-77
3. Complete plans in dIcate triplicate, s gned by preparer. o pans . .
4. Complete engineere plans and calcs, wifff wet signature on s ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees -p id ...................................
13. W) School Distri t fees paid .............. Z
14. Sanitation approval from Q. r�V Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
g2. Certificate of Workmans Compensation Insur nce ..................
-;23. Owner -Builder Verification (Given to owne Mail to owner 0) ..... Z
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.,i,
Telephone X34 - 67c6 and hold for pickup at office. Deliver w./inspector.
Other J
Applicant .Date
I
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 one�nail_counter by date
Contractor, designer, owner, s advised of above re ired data by on e_mall_counte by � date
AW
Plans checked by Date VIV Plans approved by
ASets of plans on hold in
Copy—DPW
File cabinet AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
__
o FLOWNER
I declare under penalty of perjury (check one):
ZONIN
BUILDING PERMIT
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
t_)dhh �IU� ,/
G1 533 -
�''
0
S3�`TELEPo756 HONE
S0. FT. OCC. BUILDING VALUATION
3
20
Ex. Occup(ouT LETS OR FIXTURES
OWNER'S MAILING ADDRESS- I ��O
272/ JI(Khw 4
96-966 =1&4032
Ex. Occup. OUTLETS FIXED PIRESID IREA.)
1 2.00
sation, will do the work,and the structure is not intended or offered
CONTRACTOR'S NAME
10.00
TELEPHONE
I elf
1
15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
Misc. Wiring
15.00
ors. (Sec. 7044)
CONTRACTOR'S MAILING ADDRESS
-F+Fep+eee
CONSTRUCTION LENDER
Permit Fee
UNKNOWN
Total Valuation Is 20 2 2
Contractor
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
I declare under penalty of perjury (check one):
Permit Fee
$
14-6")-6
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
-73.25
Energy Plan Checking Fee
$
C%
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
3.00
BUILDING ADDRESS
2 i/ -
Ventilation
Permit fee
$
1 q¢,75
PLUMBING PERMIT
Filing Fee
10.00
provisions or this permit shall be deemed revoked.
Each Trap
2.00
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
Solar or heat pump water heater
20.00
$ 3or
LOT NO.SUBDIVISION
NAME
CONST TYPE
PARCEL MAP
Water piping
5.00
Each pas water heater or vent 5.00
TOTAL FEE
USE OF STRUCTURE
SF `� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 5.00
Mobile Home S G W 10.00.2
TYPE OF WORK
New ❑ Addition k Remodel ❑ Utilities ❑
Describe work:
GL C SO Q6^i t.(n'1
Installation[] Other d
�-
all liabilities, judgments, costs, and expenses which may in any way accrue
Permit Fee $
I CUA I
Contractor
I SCHL
ELECTRICAL PERMIT Filing Fee
10.00 .
I PO
c{�
Main service 100 AMP OR LESS 001 OR LESS
6
10.00
Main service EA. ADD'@ 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCCUP.&)
yzQsgft ZZJ�
I declare under penalty of perjury (check one):
OR ADONS. ACC, BLDGS.
NEW CONSTR ULTI-OUTLET
2.50 ea
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON.RESID BRANCH CIRC ITS
( POWER APPARATUS 61
and Professions Code and my license is in full force and effect.
SINGLE OUTLET CIR. /
License No. Classification
Ex. Occup(ouT LETS OR FIXTURES
2AL130
.20@530
El I, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUTLETS FIXED PIRESID IREA.)
1 2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
Misc. Wiring
15.00
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$ 22.2
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
❑ I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
Permit Fee
$
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$ 3or
to building construction, and hereby authorize representatives of the Countyot
occ
CONST TYPE
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL FEE
$ 2 +-7, LIZ
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
HAZ
I CUA I
PARK
I SCHL
I FLD
I PAR
I PO
I H11
ISSUE
against said County in consequence of the granting of this permit.
This permit is nereby issued under
the applicable provi-
X Date
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
work indicated above for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
'DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
By
Date
Receipt No.
,, - ,., -.,,e•,_
PERMIT EXPIRES Date
i! acv®sc� 47
203
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95565 Phone: 916-538_7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for i.n your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit'
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) Yes
2. I (have/have not) have signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name Subcontracting pending
Address _ _ City
Phone Contractors License No.
4. •I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name None
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Pending
Signed:
Property Owner 4
Social Security Number
Date June 27,-1999 _
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the*Cal.ifornia Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number Building Department No,
School DistrictroVI OL Qj}tity D County rV1 Jurisdiction
Property Owner 0 0 /) ki (" 0 V
Project Location/Address 'V
Subdivision Lot Number
Residential Development:
Sq. Footage
# of Living MHI Ad ition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
A Roofed Areas)
Buildin Department Representative' Date.
t'
(Floor Plans reviewed by School District Personnel)
r
r
District I`d No. x/0,9 oZ
School District certifies that
Applicant N'" e) (Phone Number)
l �p.�rrt�� (LLt JLX
( Str_..e Address )
Am n
(City) •(State) (Zip Code)
has complied with the requirements of Resolution No.��-
by the p ent of $ / representing square square feet.
• - lv
School Di s: -t Representative Dat
PAID BY CHECK NO. REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
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BUILDING DEPARTMENT
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P:O. BOX 1576
OROVILLI: CALIF. 1,05M
FO R M %
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner LO' Climate Zone ! /
Permit # Floor Area ,
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW -AREA
CEILING
R-30
R-38
WALL
R-11
R-19.
FLOOR
R-11
R-19
SLAB
R-7
R-7
GLAZING
U-.65 (Dual)
U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip::doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZI
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85.
*1 -''. HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47'F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
❑ Other
(describe)
*1 (B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95'F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95'F)
❑ Other
(describe)
1. DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area).
(collector orientation) (collector tilt)
ElLocation,of Solar Panels
❑ Other
(Describe) .
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature ', elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature *,"Cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the ements of
Title 24, Part 2, Chapter 2-53 of the Califor minist C e.
-
SIGNATURE OF BUILDING ESIGNER OR APPLICANT
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AP-pjjoV
BY...V...�.........DATE..V1�!N �' 1�v1�1........(//
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SUBJECT..... _..............................................................................
. SHEET NO...........�..... OF......._....._.
.................................. JOB NO......0 �f ��
C'iK�7. BY...................... DATE ........................ -_................................................................... .......... --�--.._.._....-
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