HomeMy WebLinkAbout068-343-017060 0/7
AP y
ROBERT T (oB -393- 17
n/s Edgewoo 600' .W: , of Pi dal `
Ave.; Orovill e.
Perffii�t� 1002-75B, ., E,m n F 9 9 9-7$
rXps V-34—"
' Owe A ��
81 Edgewood Dr., Orovil e
iPermit #788-77B,E(patio,-cover_/SF).._.;.. �-
(�-39S-17
om she
81 Edgewood Dr., Oroville !;
contr:Polly Pools, Oroville
Permit #7/27al
-80B,E(new pri.swimming ,LLQ
pool) `v/ ��v
t
068-343-017. PERMIT#94-:1940
ALAGATA, ALBERT
A✓' J
81 EDGEW00D DR., OROVILLE o
CONV GARAGE TO FAMILY ROOM/SF
h
BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE
DELIVER TO LAST PERSON NAMED
DATE NAME DEPT. I DATE NAME DEPT
r_.
V= OK
O = Not OK
=NiotReady ble MOBILE HOMES
'Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a -
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketchy
3. Sewer; Location -Test -Fall -C/O Concrete '1
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete -
6. Gas; Location -Test -Wrap: / /"L"ft.
/' /"Net. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials 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 -Fell -Flex Connector , ' ` L
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
S. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial 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/Initials 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-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
� , 1
r
j
V=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL
' =
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Fig., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
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. Plenums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials 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 -Nasi Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors.
D_ ate/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
2�1. Elec. Receptacles Spacing -Lights & Switches at Doors
ii ze Boxes & No. of Conductors -Stapled
-� 25. x Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
I 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Sm e D actor
lv-
Date/Initials 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/initials'FR ING Plans OK except #'s
-39. Sils, Proper Material & Anchors
W Studs -Nailing, Spacing & Bracing -Plates -Sound
Walls over Girders & Floor Nailing
42..Draft Stop in Walls (rat proof)
�,A& Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam Size & Bearing
(Single & Duplex)
Date/Initials FRAMING (Continued)
i ngers-Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties- Puri in -roof Bmc-Truss-Shthng.-Rfng.
=4T -Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Sarage Fire Protection Framing
51. Property Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits -- ---�
I 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. C�p�ang'Area-Glass Protection-Skyllghts-Plastic
r__511r6hear-Walls; Nailing -Bolts
59. Insulgtion-Walls-Ceilings
80 Infiltratio alts- indows
=!E�EIZ2 54Lz
Date/Initials FINA lana OK except #'s
Ex Steps -Door & Sidelight Protection -Landings
c.02Smoke Detector
63. Furnac • e- omb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64 40a"em
s -Spa
%.lec. Trim & Subpanel; Breaker Sizes & Labels
-67 Rta+ro n Raela
e; learances-Hearth
OwIffl-ec. Outlets at Wood Panel lnt. & Ext.
707-IMITIMT -Appliance; Grnd.-Air Gap -Cooking Clearance
it. Counter
79Garage Jlunnnr•Sanding-Closer
erage-Damper
b. Air-Connector-P.R.V.
4, In Garage; Above Floor -Mach. otection
7r Pik Listed for Location
26 P.arege; (G.F.I.)-Romex Protection
, nsulation-Foam-Looke�❑ Yes
78. eck Construction -Post Caps
7 yawl a Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
Walks ❑ Yes ❑ No;
Planters7 ❑ Yes ❑ No
41 Shirrn• Rrn ••n F4pAe
82 A onnect, Electrical, Plumbing
08. Yams Abwe g: Appliance -Fireplace: Clearance to
Openings
onnec , lectrical, Plumbing
pii Extariar Gla T r F I Receptacle -Underground
A18b*"q6ntgAtion Throughout House
ass Protection
Previous Inspections
42_J3a rs Tagged; Gas -Electric
er Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 941-19gD
ASSESSOR PARCEL NUMBER
068-34-1-017
ZONING
AR
BUILDING PERMIT
OWNER
ALBERT
TELEPHONE
SQ. FT. OCC. BUILDING VALUATI
398 M—R 7,960.00
OWNER'S MAILING ADDRESS
81 EDGEWOOD DR OROVILTE, 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NnNE
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 99. 0o
ARCHITECT OR ENGINEERLICENSE
NONE
NO.
Plan Checking Fee
$ '
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 21 EDGEWOOD
PERMIT FEE
$ 206.35
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ElRemodel ❑ Utilities ❑ Installation ❑ Otheryd
Describe Work: CONV. GARAGE TO FAMILY ROOM
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
OR ADONS NEW T. ( D BEACCGBLDSOCCUP
R
3.5, F° 13.90
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
,1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESIO. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1.0`0
FIXED ( ESID OR
Ex. Occup.UT
(OUTLETS (RESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
lel shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 33.90
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating EXTEND VENT
6.50
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ 26.50
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 G(�e Date d,/y G /ice
Signature of Applicant Owner 1:1 Contractor EJAgent —�
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ [}6.00
c
'
TOTAL FEE $ 312.75
HAZ.
D. F
IMP
FLOOD
X
CDF PARCEL PD I HD
ISr>
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF
BY
PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
IC WORKS / Qj�
Da � 4!
�� ioev
(Date
Receipt No. ] 67118
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
IN
i� f�W'Fi ay'rr`�'4Y7i`/i��J4.-...r�.lh'`��c`'{a^r^C' v _it• tJ.s��ii,}�ira.�'(c�.�,.r:r.:4iiif7N.'.l`i'�tt"-rrr.w,^"r'..t;AP ..•an.. �, '(• w,
iw>. , .-��n. �Y a�++J`r.m.fi+iy.nw.s•t`Hp"'r'.r;.,l..'.. -'�. ...,,.
Mr
. COUKT. Y,OF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER
Proposed Building1Use V1 Lni,4Q Building In pEctor Date
At time of permit application, I was advised the following data must be submitted pri r to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Coeplete 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. .. g 1
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 $ ............./..� /
I. Impact f k ed-se�e le. . C ��r qo . Oh /............ .
.
2. 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). ...Pna;spe'ao; riq�est
20. Pre -inspection for 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 . ........................... ............. .
26. Copy of recorded deed of parcel creation and 60 right of way t4 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.....................'.4................ .
32. Plan check list . ................................................. ... .
33.
34.
When you issue the permit, process as follows: X" -Mail to owner.., Mail to contractor.
Telephone and hold for P 1 up at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date 7AI19X
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 o permit issuance: (Circle new item not checked above).
1. Index permit for above items No. X1,1
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 da by _ phone _ mail Countbbby _ Date
Plans checked by Date Plans approved by IL Y� Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
Department of Development Services
Building Division
Oroville: 7- County Center Dr., Oroville CA 95965 Ph: 916-538-7541 ,
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no) s
2.` I (have/have note signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed'construction:
Name
Address City
Phone Contractor's License No.
4.' 1 plan to provide portions of .*this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name ��s1 Z,
Address 95 9,9 G City
Phone S3 3 - / S/ v Contractor's License No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type -of Work
Signed:
Property Owner
Social Security Number
Date 7/6/ 9 i
NOTE: This Owner -Builder Verification is sent to you as required,by:Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the.
permit.
ter^'
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville;-CA-- (91 6) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
P
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 ntact this office immediately._
Date /0 -- L/nspector
REV 10/92
Insulation Certificate '
BUILDING OWNER:
BUILDING LOCATION: ,
BUILDING PERMIT #:
Description of Installation
ROOF
Material — 7G2�5 S Brand Name.
Thickness (inches) Thermal Resistance (R -Value)
t
;F.
y /9YU
CEILING
Batt or Blanket Type _. � i u^ S Brand Name
Thickness (inches) Thermal Resistance (R -Value) • .3
Loose Fill Type. Brand Name
Contractor's minimum installed weight/ftlb Minimum thickness inches
Manufaciu er's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL t'
Material Brand Name
Thickness (inches) . Thermal Resistance (R -Value)
RAISED FLOOR
-Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)"
SLAB FLOOR
Material _ Brand Name
Thickness (inches) Thermal Resistance (R -Value)'
Width (inches) sty;
FOUNDATION WALL
Material Brtn'd Name tik :j al
Thickness (inches) Thermal Resistance (R=Value)y-'
. ,aur.' ,•
Declaration
I hereby certify that the above insulation was installed in the..'biiilding at the above location in conformance with
the current Building Energy Efficiency Standards for.new.'r.,sidential buildings contained in Title 24 of the
Calif a Administrative Code..
• Us
Y-
enaal Contt r (Builder) I cetue Number
�%a x
/ 19
Signature arW Title # Date
Sub -Contractor (Insulation Installer) License Number
x
Signature and Title Date
•i, r A
THIS CERTIFICATE MUST:EE PROVIDED TO THE BUILDING DEPARINM PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY`SHALL BE POSTED WITHIN THE BUILDING.
a, ` JANUARY 1993 }
Certificate of Compliance: Residential - (Page 1 of 2) CF -1 R
i
Prolect Addreu
GENERAL INFORMATION
Field C / Date
Total Conditioned Floor Area: t t 2
Building Type: t/ Single Family AZAdditlon
(check one or more) Mufti -Family Existing -Plus -Addition
Front Orientation: North / East // West / All Orientations
(Input orientation Vrtftreft and circle one.)
Number of Dwelling Units:
Floor Construction Type: a Raised Floor (cirde one or both) ••
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Type R -Value U -Value (attic, to garage, typical, etc.) S_U(`QUN
Wall ..............
Wall .............. r
Roof .............� DING, EPAR�'MENY
Roof . ` , F_ D
Floor ............. v
Floor .............
Slab Edge ....
FENESTRATION
Shading Devices
Fenestration Area Fenestration Interior Exterior — Overhang Framing Type
Orientation (sf) U -Value (roller -blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood/vinyl)
Front..... (�) ` -f•' rJM 1�Or _ M'>ti
Left ......
Left ......
Rear..... ((.1)dr
Rear ..... (� )
Right.....
Right.. ( )
Skylight ....... _..
Skylight .......
THERMAL MASS
Area Thickness
Rwi"d Dewmt»r 1992
Certificate of Compliance: Residential (Page 2 of 2)
CF -1 R
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
V ..
Distribution
Heating Equipment Minimum Type and Duct or Heat Pump
Type (furnace, heat Efficiency Location Piping Thermostat CoMiguration
pump, etc.) (AFUE/HSPF) (ducts(.attic.itc.) __R -Value Type (split or DackE
Cooling Equipment PotipJDadff----Duet`---•
Type (air conditioner, Efficiency Location
heat Duma. evao. coolinal (SEEM _ (attic. etc.
WATER HEATI
Rated'
Water Heater Distribution Number
V .
Duct Thermostat
R -Value Tffd
Configuration
(split or pack,
Energy'
External
Tank Factor or
Tank
Capacity RecQyery Standby'
Insulation
(nations) Efficiencv Loss (%)
R -Value
1. For small gas storage (rated input "`(100"O" s a nce and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and perfonn9nce specifications needed to comply withlitle 24, Parts t and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business a Professions code) Documentation Author
Name: Name: 61
Title/Firm: Tide/Firm: 1
Address: Address:
Telephone: Telephone:
Lic. #:
ep
(signature)(date) (signature) (date)
Enforcement Agency
Name: ...
Tide:
Agency:
Telephone: ..
(signature/stamp) (date)
Revised December 1002
Thermal Mass Worksheet
I
l
WS -113
INTERIOR THERMAL MASS: METHOD B
Method B Is one of the twopossible options for calculating Interior mass as explained in Section 42 of the
Residential Manual (RM). The other. option, Method. A, is a simplified method to. take thermal mass credit for
concrete slab -on -grade only. This worksheet.is not required'for Method A. Method B•must be used to. take
thermal mass credit for any mass elements other than concrete slab -on -grade.
Calculate the Interior Mass/CFA value using.the worksheetspace below: Look up ttie Unit Interior Mass Capacity
(UIMC) for each interior mass surface in RM.Tabies 4-9a, 4-9b and 4-10. Include the -Interior surfaces of exterior
mass walls. For interior mass walls exposed.on both (two) sides to conditioned space, enter the surface area of
only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the RM.
Unit'lnterior Interior`
Descr'ption Mass Area Mass Capacity Mass Capacity
X - 1
X
X
X _
X
X =
X =
X = �.
Total CFA
EXTERIOR WALL THERMAL MASS.
Calculate the Exterior Wall Mass ofali.exte' ddr walls. Look up the Ekierlor Mass Factor for each opaque wall
element from RM Table 4-10. Only exterior mass wall surfaces maybe included in this calculation.
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
DESIGNER I ENFORCEMENT
*§150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
* §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(§: Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification. r j
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door ..
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures'
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§1500): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup'solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
S. Piping insulated between heating source and indirect hot water tank.
* §150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with: `
a. At least 36* pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
§150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved.
0-1
Revised January 1992
Point System Summary: Climate Zone 11 P -2R
K;Fw� I iDf7bf�� � I t%l�t .4•1�0��i � d f
t TWOM
BUILDING DATA
&=red Floor Area Number of Stories
a= Floor A-7
Check al applicable Unit.Type condition(s):
[ a/Single Family Detached (SFD) [ ] Addition Mne
[ ] Single Family Attached (SFA) [ ] Existing Wilding
[ ] Multi -Family (MF) [ j Existing -Plus -Addition
Fenestration
Area %
East
South
West
it
Total
SCORE CARD
Measures
-••
1.
Ceiling Insulation
or
�--
ecllve A UEtrd
R-value 1361
U-valus 10.0261
2.
Wall Insulation
1I or
R-vallua
Urvalue
11. Cooling System
11191—
10.065]
3.
Raised Floor Insulation
N b or
[is E a SEER
Zonal Control
us 19
ue 0.0371
4.
Slab Edge Insulation
, f _ or
12. Water Heating
usOus T—
2 NeW 10.751
S.
Infiltration
Any Ducts In Unconditioned Spaos? ( Yom/ N) [Y]
6.
Fenestration Heat Loss
System 1 N .4
— _
aloe [0.651] Total % Feneb. 1161
7. Fenestration Heat Gain
Point Scores
r"yP
d
O
Sum 1-6
% Fenestration SCsha bopert Eff. % Fenes. Sharva Efi:'Ratio
North d x ,1q
East_ X s d 1
SOtJtfl x4,11�— COUNTY OF BUTTE
West �I ��% X .. 2 BUILDING DEPT
Skylight x ,
Overhangs? 1 N) AUG 1 1994
S. Interior Thermal Mass /I Of
% �xp.• - 20 nuCA r
8. Exterior Wall Mass N O'
ExL Wag ManNO �o �i r� Sum 7-9
16. Heating System
��
AFUE or §
ecllve A UEtrd
11. Cooling System
V
SEER 110.0
[is E a SEER
Zonal Control
0.81; 2+ s 'ti7']
Adjustment [0]
12. Water Heating
System 1 N .4
Ile �De
[�1
�E'—�aotor
nQ Auxil nput
s i
System 2
(0.63]
[12] [None)
[STD]
,.
Hoater Type None]w—W
ns€ `'. Auxilia7lnputtri
Pont Total:
For, RevIa.dJanuary 1992
-'Po/nf Goal.
'�'
COUNTY OF BUTTE
Department -of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico 'CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION -
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally planto provide the major labor and materials for construction of the proposed property improvement
(yes or no)
1. I (have/have not) /i? ve signed an application for a. building permit for the proposed work.
3. I have contracted with the following ,person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No. -
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, -and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. I will -provide some of the work butI have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property -Owner
Social Security NumberS61/
Date2/9
NOTE: This. Owner -Builder Verification is sent toyou as required by Sections 19831 and 19832.of the California
Health and Safety. Code.
This verification must be completed and returnedto our office before we are. permitted to issue the
permit.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
rSchool District t'D v, ��, it F iA ►'' Building Department No.
A.P. Number 06 3 Jurisdiction 0 City [ ] County
Property Owner Alber-t— n
0 a
Property Location/Address / P i Vl
l
Subdivison Lot No.
Residential Development FZ
r No. of Living • MHI Addition
Units
Commercial/Industrial �` • '
New Addition
Sq. Footage
(Group�R)
GG /Cr e C /n0 ), ve ✓ S IbIl
Sq. Footage
(Including Exterior
Roofed Areas)
� /Y -
Date
--r--. _..._.._..-r------'---'-
(Floor Plans reviewed by School District Personnel)
District Identification No. l6
School District certifies that "LcGt.CC�.
(Applicant) v
(Street Address) 19
(City) (State)
has complied with the requirements of Resolution No.
representing 1W 9 square feet.
School'District Representative,
Paid by Check Number
Bank Number
Paid by Cash
(Phone Number)
(Zip Code)
by payment of $ AJLA
Date
f.
Remarks:
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.wkt (4/92)
`- PERMIT NO. " 788-77B,E..
' Temp. Power Pole
t Called PG&E
Temp. Elec. Serv.
Called PG&E
Tem�pp*' Gas Serv.
( Called PG&E
JOB
FINALED .
(Date)
(Sig at re
s.
t PERMIT EXPIRES
u
' +OWNER
Owen H. Cole
'
,ty)CONTR.
owner
LOCATION' (A.P.
34-263-17 )
81 Edgewood
Dr., Oroville
f
t
' Temp. Power Pole
t Called PG&E
Temp. Elec. Serv.
Called PG&E
Tem�pp*' Gas Serv.
( Called PG&E
JOB
FINALED .
(Date)
(Sig at re
s.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD ,
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback 11
Firewall
Soil Piping,
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
-Water Pipingl
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings
Prov. for physically
handica ed
Conformancef e
structure
Appliances
Gas Piping T & st
Tem . Gas
Slab
Final
Sanitation
Patio
a FIREPLACE
Final
Footings J
Footing
E ECT C
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIAIE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
AECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES Elec_ Service
Not
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBEHOME INSTALLATION
- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
P
r V/
COUNTY"OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
TelephoQe: 534-4541
APPLICATION AND PERMIT
dutnonce represenidtives o1 the uounty or tsutte to enter upon the -
above-mentioned
'p propperty�for inspection purposes.
X
Signature of Permitee or Agent '
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR.Of-''UBLIC WORKS
BY Date_3 �� 6 - 7,Z
B iI incl
permit expires Date �� 6 7P
BUILDING
Owner�
SQ. FT. OCC. I BUILDING VALUATION
D 00
j�
Mailing Address 46 ' L7D lamp—.
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address ,
Permit Fee`
Plan Checking Fee &/or Penalty '
Telephone No.
.
Permit Fee $ ' O
.7-0C
Building Address ®
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
/tl_dL&
Each Trap 1.50
b f ifnd
Repair drainage or vent piping 1.50
Water piping , 1.50
Each'gas water heater, or vent 1.50
A. P. No. ^- � 3 1
t
Zoning & Planning,
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
W.�,
Sa on
Fire Dept:
Fire -Zone
Use, Permit
Building sewer 5.00
EQQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
imp ements
Lawn sprinkler system 2.00
• ,
Yt51dg. Plans Recd
arcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ®
ELECTRICAL No.J: @ FEE
PERMIT FILING FEE $3.00 00
FA'r( U' Cd V �2
Main service 100 AMP ORSLE55 5.00
-
Main smice EA. ADD'L 100 AMP 2.50
'
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family JnJ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 1.00
• - '
NEW CONST. ( DLOCCUP. &\
OR ADONS. ACC'BLOG / 22sgft ®r
'
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS)-2.50ea
• -
NEW CONST - POWER APPARATUS &)
NON- R RESID. -(SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of -Chapter 9, Div. 3, of the
State of California Business & Professions Code'`under the name
style of: +
•
Eic. Occup(.UTLETS OR FIXTURES) BA@'L@�1
Ex. Occup.(OUTLFIXED,AETS (PPRESIDLNS, OR .) EA) '2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6:25
f , 0
,111 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code -which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County�of Butte a certificate of
Workmen's Compensation Insurance.
®I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of ,
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating . +'
Cooling
Ventilation
Hood 2.00
Permit Fee $
$37 6S
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
TOTAL -PERMIT FEE
$ ��%
IaS
dutnonce represenidtives o1 the uounty or tsutte to enter upon the -
above-mentioned
'p propperty�for inspection purposes.
X
Signature of Permitee or Agent '
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR.Of-''UBLIC WORKS
BY Date_3 �� 6 - 7,Z
B iI incl
permit expires Date �� 6 7P
fi
'-PERMIT NO. 1002-75B,P,E,M
�1 P
JCGS — / 97-71
�
E
M
�MH UTIL.
s?: ,PERMIT NO.
. PERMIT EXPIRES -/0. 76
`OWNER Robert Evatt
�CONTR.
+LOCATION (A.P. 34-263-17
{ , n/ s Edgewood Dr.., app. 600, W. of Pinedale Ave. ,
` Oroville
t1
R
yy
t
.S
1
9,
Temp. Power Pole
Called PG&E
T. Temp. Elea. Serv. Z J
C;iIled PG&E
Temp. Gas Serv. ? S
Called PG&E
JOB
FINALED
(Date
(Signature
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback _ %>
Forms
Main Bldg.
Footings
StemwaI l
Slab �S
Piers
Garage
Footings_ /5
Stemwa I II
Slab —/b
Carport
Footings
Slab lC-7
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing�C
Stucco �---
Mesh
Scratch
Brown
Finis
Interior Lath
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish----
Windows
inish -""Windows % -2—
Sidinq 7
Roof Sheathing — 2
Roofing —
Fdn. Vents
Garacie Vents
Prov. for physically
handicapped
Conformance of x.
structure
Final
FIREPLACE
Footing goo
Throat
Final
FIRE SPRINKLERS
Test
Final
Heath
Coolie
Ducts
Ventil
MECHANICAL
xi -"7J_
- 7J
7- L
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping -- i
Sewer
Fixtures
Water Htr. O ' -
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final — 7_4 — %,
Door Closer %-q- 7 1 Final yCr — 7-1- Final �► J
C"TE REMARKS OR CORRECTIONS ,
c 2
/ TT
ELECTRICAL
Rough
_
Fixtures' 9--'
Motors
0
Water Htr.
Subpanels
Grd. Fault Prot.Service
Temp. IMM
Underground
Permanent,
Door Closer %-q- 7 1 Final yCr — 7-1- Final �► J
C"TE REMARKS OR CORRECTIONS ,
c 2
/ TT
arm
COUNTY,OF BUTTE�- ^ DEPARTMENT -OF PUBLIC`W
k 7 County;Center Dr;ve ►OroviIle, California,95965
Telephone: 534-4541 "t
,
;/APPLICATION AND 'PERMIT
s .''4, ,,
t., BUILDING:::k�
Owner
Mailing ,Address f
SQ. FT.' OCC.', -BUILDING VALL
t.•
%UATION
0 CD -
STelephone
No t
�%
Fireplace' SS cl E 5�0cC�:
Contractor Ci�,'GC�/1� ,:� �;� ,
Total,ValuMion
Mailing Address ,' R
Permit Fee' , _ v
Plan Checking Fee&/or Penalty ,
t = �� r, • ' �'
TelephonetlNo.
Permit Fee $ / 00
$ Ji i
BuildingAddress
' '���.�
No.
PLUMBING' 'e @ FEE
+
PERMIT FILING FEE $2sA9. , ®�
e A• c) Y
Each -Trap ► 1.50 ��
r �� r + r
•.
Repair drainage or vent piping 1.50
;
Water,pipin9 r` '. �. 1.50
e 1ti ._ �.- `� , Y
Each gas.wa eater or vent 1.50
A. P. No " '
zoning& Planning- -
Gas piping system ,l - 5 outlets 1.50 S
.
,Each additional outlet .30
s
S Fire Dept:
Fire Zone
Use Permit i,
Building sewer- 5.00 '
EQA
Parking 1 Parcel
PI ,. ;Declaration
Parcel Map'.
,"
, 60'' R%W •''Improvements
Lawn; sprinkler system 2.00 ,
w F - .,� t F t
BI g. Plans Recd' j "+
: Parcel Approval,-
' iPlan's Approval _
Permit;Fee;
$' �I
NEW ADDITIONt❑ UTILITIES Q, OTHER 0 ►
ti.. t ELECTRICAL' No. @ FEE
, '
PERMIT FILING'FEE $3.00 �, (D0
Main service incl. 1 meter'., O C
• ." ''e -
Additional meters, -each 1.00
'
Sub -pan (12 or less) (mor
_
Single Family Duplex ❑ ,Mobil`Home ❑, Others ❑
Ra ; Cook-top-or,Oven r 1.00 % 10-10 1
-
Water Heater`or Space,Heater 1.00
Light fixtures bai alo E00
swi h&fix outl /0,7
+.CONTRACTORS LICENSE -LAW,
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California, Business & Professions •Code under the name
style of: '
Y
+
fEx. orF.A.F n. Motor. 1.00 , a9
Evap. cooler, gar.'' sp. or D.W. 1.00
Air conditioner or heat pump
Water pump, t,,c .
Mobil Home Facilities, ;5.00
Temp. Power Pole 5.00
`
License No, Classification ' a
a
'Misc. wiring
Y
I am exempt from the Contractors License Laws of the State of California.
Permi t Fee $
2
,r WORKMEN'S COMPENSATION INSURANCE
Li' •
'
I am aware of.the provisions of Section3700 of the California Labor".
Code which requires°every employer to'be insured against liability,
for Workmen's Compensation.
❑ ]-have placed on file with the County,of Butte,a certificate.of'
Workmen's Compensation Insurance.
'•
r-14—certify that in the performance of, the work for which.- this
issued'I shall not employ any person in any manner
so as -to become subject to.,the Workmen's Compensation Laws of,�
_ California.
MECHANICAL . No. @ FEE
t .
- -•
PERMIT..FILING FEE` $3.00 �, U0_
Heating`' .
Cooling. �• '
Ventilation�permit-is <
'Hood 4' -2.00 C76
Permit Fee
$
'I certify that I have"read this application and state that the above
information -is correct. I agree to comply to all. County Ordinances, ,
and 'State Laws relating to •.building construction, and hereby,
`
• ' TOTAL PERMIT FEE
$�
"" '," "" "-"LY "' "`C' "NU".uie : f •This,permit,is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes.
the Butte County Code and/or resolutions to do work indicated
* ; ` ..• -above for which fees have been paid.
x' X r Dat • �.� t ' DIREC�OFBLICWORKS
Signature of Permitee or Agent. . { '
�f 9'� �j Date J
76
Receipt.No*�oy%�r�G� '`� ,''
white=D.P.W. _ Yellow -Assessor.- Pink -Inspector _ Goldenrod -Applicant } Ullding permit expires Date ...........................
ra ,;..PERMIT NO .1825-80B,E
PERMIT EXPIRES
OWNERTom' F-ishe
."
CONTR. P011Y Pools.- Oroville
34-263-17
LOCATION (A.P. )
81 Edgewood..Dr.,. Oroville
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
i
BUILDING INSPECTION RECORD
MOBILEHOME UTILITIES ------------------Elec- Service Elec. Pedestal
Water Piping, Sewer Gas Piping
BI EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
�JM
EMARKS OR CORRECTIONS
121
- �
� r
D
o �
��
.�` C�
-�
(N TE: An entry must be made ori this form each time you visit the job site.)
UILDI G
BUILDING (Cont'd)
PLUMBING'
Setback
i Q S'/d
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
E
Windows
3rd Floor
StemwalI
Siding
To out
SI br I
Roof Sheathing
Water Piping
00Z--P1'e'rs__
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footin sOnWAre
Prov. for physically
handica ed
Conformance of ex.
Appliances
Gas Piping & Test
Temp. Gas
Slab
A Final
Sanitation
Patio
1 EP ACE
7F d7alr'
o
Footings
FootingELEC
I
Masonry Walls
}
Throat
Rou h
Reinf. Steel
;
Final
Fixtures
Bond Bein
Framing
L
FIRE SPRINKLERS
Test
Motors
Water Htr.
d
Stucco
Final
Subpanels
Mesh
MECHAWAL
Grd. Fault Prot.
Scratch
/
Heating
Service
Brown j
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
an
Door Closer;
Final
A Fin
MOBILEHOME UTILITIES ------------------Elec- Service Elec. Pedestal
Water Piping, Sewer Gas Piping
BI EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
�JM
EMARKS OR CORRECTIONS
121
- �
� r
D
o �
��
.�` C�
-�
(N TE: An entry must be made ori this form each time you visit the job site.)
3-' z9 �v
� � �-✓
����- ice" r
"�
/ff Oeoy/L[E
A. P. IN
13 L/_— L r / Zoning & Pt tanning
F s W. . . n Fire Dept. Fire Zone Use Permit
EQA I Parking I Declaration P Parcel
Plans Parcel Ma 60' RJ/W I Improvements
NEW
F- I Parcel Approval &f] Plans Approval
ADDITION UTILITIES F1 OTHER Q
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
wilding sewer
Lawn sprinkler system
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
/
POO(,
erm( e
ELECTRICAL
.
COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS
^ �
7 County Center Drive -
Telephone:
Oroville, California 95965
52.4-4541
$3.00 t�
APPLICATION AND PERMIT
600V OR LESS
Main service 100 AMP OR LESS
1
BUILDING
Owner
SQ. FT. OCC.
BUILDING VA ION
�''�/
Others [DO
ChiA17Z
000. 00
Mailing Address
Main service EA. ADD•L 100 AMP
2.50
No.
Main service OVER
100 AMPP OR LESS O
25.00
Contractor POLLY
POOL S
POOL
Main service EA. ADD•L 100 AMP
1.00
Mailing Address 31&3
00 VE #A1y
Fireplace
`Z
20sa ft
I h e o.
�j
Total Valuation
/ 000, 00
C�C� Com►
7
Permit Fee
&V 1 0
Building Address �/
ED4Ea)00D DR,
Clan Checking a
/or Penalty /j
C?,&r-8&}-
D 7-"'
Permit Fee
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A. P. IN
13 L/_— L r / Zoning & Pt tanning
F s W. . . n Fire Dept. Fire Zone Use Permit
EQA I Parking I Declaration P Parcel
Plans Parcel Ma 60' RJ/W I Improvements
NEW
F- I Parcel Approval &f] Plans Approval
ADDITION UTILITIES F1 OTHER Q
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
wilding sewer
Lawn sprinkler system
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
/
POO(,
erm( e
ELECTRICAL
W
No. @ FEE
PERMIT FILING FEE
$3.00 t�
600V OR LESS
Main service 100 AMP OR LESS
5.00
Single Family Duplex
Mobil Home E]
�''�/
Others [DO
Main service EA. ADD•L 100 AMP
2.50
Main service OVER
100 AMPP OR LESS O
25.00
Main service EA. ADD•L 100 AMP
1.00
NEW CONST. DWELLINGnr_OCCUP. 1')
no nnn.,e err n, c
20sa ft
CONTRACTORS LICENSE LAW
I am licensed under t1le provisions of Chapter 9, Div. 3, of the
State of orn-a Busi fess Professions Code under the name
style of:
'vicz
0 0M
License No. Classification
S
EX. OCCUDIOUTLETS OR FIXT11RES� IBL
FIXED APPLNS. OR
EX. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring DOL 1,F10AY,14 6.25
LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heatina
Code which requires every employer to be insured against liability
i
Wor en's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
ElI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is rrect. 1 agree to comply to all County Ordinances
and La s�relating to buildingconstruction, and hereby"
autf� riz reprep eritatives f t Court f Butte to enter upon the
above -m tioned p"ropertyyf r ti, urposes.
X Date
1
D e
Signature of �iteep{
Receipt No. _ 6_17��. /y[
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Cooling
$3.00
Ventilation
Hood . 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE Is -8
This permit is hereby issued under the applicable provisions of
the B9,AV County Code and/or resolutions to do work indicated
abV6 fVr which fees h been paid.
R_ECT F PUB IC WORKS
Building permit expires Date
SWIMMING POOL CONSTRUCTION CONTRACT
NOTE: THE CONDITIONS ON THE REVERSE SIDE OF THIS CONTRACT ARE A PART OF THIS CONTRACT.
Owner Tom . FishQ Date Maxch 27 ,1980
Address Q I Rdannd H me ho e --5J3z2_4.B_Q_
City Oroville, Calif. 95965 Work Phone��'���"®
The contractor hereby agrees to sell and the buyer hereby agrees to purchase, an in ground vinyl liner Polly Pool. The size is
to be 21 x 42 outside dimensions by 3 x 8 deep. The work will commence on.or about
and will be substantially completed by
The Polly Pool includes as standard items; filter, pump, motor,.time clock, accessory kit, ladder, water bala'nc'ing, pool .instal-' ..
�u
lation, plumbing, electrical from the -homeowner's panel, sales tax, start up chemicals and initial start up instructions-.
The -deck' -not included in the base price,,shall consist of 675'®'square feet of " . Kojl Deck
and additional decking, if ordered, at 2.50 per square foot.
ACCESSORIGS
21 x 42 Scandinavian design - Blue Cloud Liner. $7,•795.00
675 Sa ' Ft 1,600.00
Diving Board NIC
Extra Ladder N/C•
Tn Si-nnk 450,00
D. E. Filter 155.00
Pool Sweep 595.00
Classic Spa #50 - with tile- 4 jets - two pump system 1,405.00
Spa to be set and leveled.- 17" above ground. The decking to be finished jam:
50% upon delivery of pool kit $6,000.00
30% when deck is poured $3,600.00
10% when pool is full of wayer $1,200.00
10% when pool is finaled $1,200.00. t
You are entitled to cancel this contract before midnight of the third. day (excluding Sunday) after the date of, your signature.' .
The signatories, buyer and contractor, are the exclusive parties to this contract.
Contractors are required by law to be lice d an regul .ted by the ntractor's S to icense Board. Any questions concern-
ing a c or a referred to the registrar f they and hose addres is: Cintac or's State License Board, 1020 N Street,
ramento, California 5814. a�
rice Submitted by. \ t' 1�' -ham./' =/ Date
Depos Buyer Acceptance_ . E�®'"r�''� Date
Balance 12 , nno nn
License 351673
Buyer Acce
Contractor
Date:
Date .
/^Va ERSET
j COMPANY
LIDHNQED CONTRACTOR
Insulation - Weatherstripping - Acco istical Tile
r
P. 0. Box 3506
Chico, California
Phone 342-4764
Date
To
(Purchaser)
(No. and Street)
(City and State)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT -ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
vocrt'-.S- .9/
Street Lot Number Tract No.
EXTERIOR WALLS
Manufacturer Thickness/Type R Value
CEILINGS
Batts: Manufacturer Thickness R Value qq��
Blown: Manufacturer W Thickness -2 / No. Bags � Wt./Bares,b
Sq. Ft. Covered / <-od R Value % t
FLOORS
Manufacturer
SLAB ON GRADE
Thickness/Type R Value
Manufacturer Thickness/Type _
Width of Insulation Inches
FOUNDATION WALLS
R Value '
Manufacturer Thickness/Type R Value
GENE C RACTOR LICENSE NUMBER
BY /TITTLE I ,/ ( DATE
IN LAT��gk
NTRACTOR krak"... . LICENSE NUMBER 83%
B �(( TITLE e-X-4Qf!L4r DATE 11-f-3 -'%S'
( DATE)
ACCEPTED
SAVE ENERGY - INSULATE!
H RSETH COMPANY
(Authorized Representative)