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069-220-055
,r 6,9-22-55 2374-91B,P,E, SA4n- ';(new , . B.T." ache Circ02 _ 1r A le, Orov e s Apache 10, co .. ,. sf) 92-02527 069-22-0-055---�--- i ' SAMWORTH , B . T : & I RM,A LAWSON -& SPARKS .CONTR OROV I LE r , 197". -APACHE CIRCLE , -2_��� 3 RETA"I;N I NG WALL. t 0 0 u . __ _ .. _ ,t .- � - �I � I •t { , ,��.. �� .. -. T. • RESIDENTIAL 069-22-0-055 T A92-0252 i SAMWORTH, B.T. & IRMA j CONTR: LAWSON & SPARKS j 197 APACHE CIRCLE, OROVILLE RETAINING WALL k Gam, 9� 0 JOB FINA Signatui J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (� = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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. 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 ti'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 ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------- ------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- -------------------------------------------------------------- 24. Size Boxes & No. of_Conductors-Stapled -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------------- -26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -----------------------------'----------- 28. Subfeed Wire Size i r ga. Cu or AI-A.C. Wire Size r ! ga. Cu or AI 29. Range Circ. 1 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 ------------------------------ -------------------------------------------------- DateCard -B-1 Date Card -B-1 --------------------------- ----------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support -------- --------------------------------------- 35. Vent Fan Exhaust above insulation ----------------------------------------- -------- - -- -------- --- 36. Conden=ate Drain & Overflow: Size & Grade -------------------------------------------------------------- - ----- ----- - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------- Date Card B-1Date Card B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ----------------------------------------------------_-------------------- 40. WaIIs Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - - -- - - - --------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----------- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ----------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex,):rr Date` FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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 -Headroom -Rise -Run -Landing -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 ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector --------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ------------------ - ----------------- 64. Bedroom Exiting 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 Garage -Damper -------------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes --------------- 78. Guard Rails & Deck -Const ruct ion -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._-Gla-ss - - - - - - - - - - --------------------------- - 87. _Glass Protection 88. Corrections from Previous Inspections . -- - --------------------------- - ----- 89. ----- ------------------------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 1 Date Card B-1 Date Card -6- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements t 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 -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 e . 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 OWNER ' PERMrr NO. A routine inspection indicates that the following violations of Butte County Ordinances eldst 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 -t is office immediately. Date Inspector REV 11/91 f ". '••',-�ri � -.F .,.. .'�. y�y,.:.i....:..-•^-iy'-Y✓' �'�w-'t'`-'` Y'. ^^r--�.trrP . .. *_ S ,,,.4 sir-.. -„v.. �{_ .s .--4. 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 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 work is completed. If you have any questions pertaining to this matter, or need additional explanation, i please contact this office immediately. 96 (/� L � t( t ep a !`y ,i IZl '1 ^1 [iS z Y. s • •iJ 'h -i .N Date / S' -2— Inspector REV 11/ 1 •r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916:538-7541 APPLICATION.AND PERMIT PERMIT NO. 92-252 ASSESSOR PARCEL NUMBER 69-22-55 ZONING BUILDING PERMI OWNERr� T `Q-` orth •MAILING TELEPHONE 589-2824 SO. FT. OCC. BUILDING V L TIONB. OWNER'S MAIL NGmADDRE55 197 Apache Circle Oroville CA 95966 105 1,050 CONTRACTOR'S NAME Lawson ¢ Sparks TELEPHONE 589-0784 CONTRACTOR'S MAILING ADDRESS PO Box 782 Oroville 95966-0782 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 197 Apache Circle Oroville Permit fee $ 59.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 7L SUBDIVISION NA E I /L r �� 1� PARCEL MAP Water piping 7.00 P P 9 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Retaining Mall SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newn Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: retaining wall _ Permit Fee $ Contractor ELECTRICAL PERMIT FiliIng Fee 15.00 Main service LESS 200AOR ORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification F-1APLNS I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20rATO 1000AI _37.50 NEW CONST. / DWELLING OCCUP.&) 3.6Qsq.ft. OR ADDNS. l ACG. SLOGS. NEW CONSTFL ULT I -OUTLET @ 5.00 NO ..RFSBRANCH CIRCUITS) POWER APPARATUS 1, (SINGLE OUTLET cIR. ) 20 76 Ex. Occup(OUTLETS OR FI xTURESFIXED Ex. OCCup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 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 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. No ice to Applicant: If after making this statement, should you become subject to he 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. I also agree to save, indemnify d keep harmless the County of Butte against all liabilities, judgments, cos s and expenses which may in any way accrue aga" said County in conse nce of the of this per/mit. Date / ' �/ l ��yyyy Signature of Applicant — Owner Contractor ❑ Agent ED 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 TOTAL FEE $ 59.00 HAz DFEES IMP �— FL00 cOF -- PARC Po HD -A. Issu This permit is hereby issued under the applicable provi- Bions of the Butte Cou ty Code and/or resolutions to do wor�indid or which fees have been paid. R OF PUBLIC WORKS By ate' PERMIT EXPIRES Date 2 Receipt No. 109572 WNITE-D.P.W., YELLOW -ASSESSOR, PINx•INSPECTOR, GOLDENROD -APPLICANT . �.�-.ti,,,S ^r .Y,.. ..,. , -.• - -h,-ran.,....• r- - .,r ..--• t n.,•r "�.t ""' '�r � ~� �}; . �.. .y, --..... . �- .. .-. �..i,--, . �•�+;- w"r-. »...r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK`S - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNI 959651 TELEPHONE: 916/538-7541 PERMITkW__tAATI0h D A SHEET �' Permit No. OWNER A, rs l em- �3 (j l9l�.0IL- 7 4(� A. P No. Proposed Building Use AE,I I /y%t""--wailding Inspector Date At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....j� ... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet sign:at:ure on plans .. 5. Hazardous Material Form ......................... 6. Energy Design Compliance and supporting docume� tation { ..C:... ;i . 7. Statement of Intent for Non -Heated and AC Buildings .............. t 8. Engineered truss details and layout in duplicate (required prior to plan check-')-- heck) 9. 9. Mobilehome installation data including manufacturer's<install8tion instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from 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 ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, proces as Telephone and Other follows: Mail o w r. _ hold for pickup at office. Mail to contractor. —Deliver w/inspector. Copy of Hdz-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--inail_counter b Contractor, designer, owner, was advi Plans checked by Setts of plans on hold in _ °I - &' d Z G��� /Lc� f5 /'-' Copy—DPw !d of above required data by—phone —mai l—counter Date Plans approved File cabinet AP folder ..date date ite 9?/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO Z—�iZ AS]ESSOR PA CEL NUMBER — Z Z — ZONING BUILDING PERMIT DWy er- TELEPHONE SO. FT. OCC. BUILDING LUATION OW E 'S M ILING AD RESS CONT A T R'S NAME,5D N TELEPHONE CONPtTOR'S MAILING AD R�:S�?_ C?�� ��/ /c— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 2 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILD NG�_D RE � �I lj// �� Permit fee $ 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 STRUCTU �' SF ❑ Duplex❑ Mobilehome❑ OtherJ0 Q w L 5PEC1 FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JSjGJWJ @ 15.00 TYPE OF WORK New [i Addition [] R{ ode C tilities%� Installation Other ❑ Describe work: 2U ZP Permit Fee $ j Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 711 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �J 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) El 1, 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 Main service 200ATO1000A, 37.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. II 3.6d sq.ft.l NEw CONSTR. ULTI.OUT LET NON* R ESID BRANCH CIRC :T5 @ 5.00 /POWER. APPARATUS &\ 1SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES 20 76d RA EX. Occup. OUT ETS P(RESID IRE A.) 3.00 I Temporary service 15.00 Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor G Agent ❑� An OSHA permit is required for excavations over 5'0" deep and demolition Or construct. ion of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ cors' TYPE TOTAL FEE $Gj� O� FA2 0FEES IMP FLOOD COF PARCEL PD HD 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. l ,09 ST WNITE-D.P.W., YELLOW -ASSESSOR, PINx-INSPECTOR, GOLDENROD -APPLICANT l .0 D — 2, 2 3 (-/ c) VTAyAj,"1V1FGo NC. CIO an SAMMIE-', OK 8137.4- 117 'j 42. 0010 , -7 vunns ASTM ZONES LOT, RESIDENTIAL 69-22-55 2374-91B,P,E,M SAMWORTH, B.T. -4—T2_ Apache Circle, Oroville cont: 1� (new sf ) S/'- �% % � 4"I'?f 6c Ir ;3 OFFICE COPY Address GAS Meter By D ate EL I M ate GAS Date ------ Meter By-- ELECTRICDat4�� i Meter BY JOB FINALE Signature J=OK O=Not OK = Not Applicable Not Read>a RESIDENTIAL = y Date 'UND DOR (Plans) OK except tt's ior-Zqong-Setbacks-Easements-Flood-Slope Ftg_ Main; Soils-Elec. Grnd.-/ tg. Depth g., Garage; Soils-Steel-Elec Grn / /" Ftg. Depth etg:?l 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth C-&-litemwalls, Main; Steel -Bloc kouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors (Singie & Duplex) 7. Slab; Steel -Wrapped 6. rs-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 141A. -Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 3 Pienums & Ducts; Clearance -Ma I=Su rt -Ins. :1 Girder Sills -An or Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLU ING (Permit),OK except u's Water Htr.: Vent -Access -Combustion Air -Baffle _ ater Pipe: AnchorWail Protection Test -Fittings & Anchor -Nail Protection ,mower Pan: Test, First Floor -Tub Access -------69-Test-Tub & Shower. -Second Floor -Tub Access -�----------------- --------------- ---- y 1. Gas Pipe: Size & Anchors ------------ ------------ - - --- - - --- - - Dateand B-1 Date Card B-1 - ------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's ---- - 22. F' lure & Transformer Clearance -Ins. Protection -- -- --- - -- - ------ ---------------------- P - - - - - - EI c. Receptacles Spacing -Lights & Switches at Doors - --- ----- Si Boxes & No. of Conductors -Stapled - -- ----------------- - ---- — ---------- - -- ---------------- ----------------------------------------- Romex Installed Close to Edge of Studs & C.J. --- -------------------------------------------------- Equip Ground made up w/Mech Fastners-Bond Gas & Water -- ------------ �Appliance Circuts in Kitchen & Conductor Size!GFI ---------- --------------------------'--------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Sizer 1 ga Cu or AI 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. I ate_ Neutral ❑ Yes- -- ❑ No -- - - - S vi"ce-Riser Conductors & Ground -Main Disconnect ....... - - -------------------------------------------------------- p. Clearances Panels-Motors-Mech. Equip. ---------------- ---- AST fhes Closet Light -Shower Light -Spa Light ------------- --- - Smoke Detector -------- - - Date S Card B-1 Date Card B-1 ------------------------------------- ------------------------------------ Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) Ok except ft's 4.Ducts Insulation & Support ------------- -- ------------------------------------------------------------- Fan: Exhaust above insulation ------------43t. C nden_ate Drain &Overflow: Size-& Grade - Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ---------^------- - - ------------------------------------------------ --- /_ 38. Attic Access & Platform if Furnance in Attic -------- ------------------------------ --- -- - ----- Date �'I Card B-1 Date Card B-1 ------ -- -- -- ---------- --- ���- ;y -I/-:-------------- -------------------------------------------------- Date Gard B-1 Date Card B-1 Date FP4MING (Plans) OK except f+'s 39.S' '. Proper Mater al & Anchors ---------------- --- - - - - - -- - ---- - -- - - -------- - - - --- --- -- --- -- -- ----- ----- ---- Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ---------- ------ --------------------------------------------------- earing Walls over Girders & Floor Nailing -- ---- -)..---------------------------- -------------------------------------- Draft Stop in Walls (rat proof) 4 Tire Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ----------------------- 9 ------------------------- 4 eaders & Beam -Size & Bearing Date" FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors_ Jng. Joist-Rftr. lies-Purlin-roof Brac- r s -Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat clearance At ' Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _arage Fire Protection Framing -------�51. Pr erty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection _ A5_-- -_-_ywood_on Roof Overhang -Attic Vents -Rafter Outriggers .......... _- iding-Nailing Veneer 5F GrGr � co Mesh -Drip Screed -Fd. Vents-Underflr. Access f'S7. Glazing Area -Glass Protection -Skylights- Plastic ------------ ------- - Sia. Ins ar Walls: Nailing -Bolts ---- InSUlahOn-Walls-Ceilings ,X1- 60. Infiltration -Walls -Windows Date / Card B-1 Date Card B-1 DateCard B-1 Date Card B-1 Date FI f'(Plans) OK except ti's - _ _Ext. Steps -Door & Sidelight Prot&_ction-Landings 6 ke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection room Exiting L*5 G.F.I. & Bath Fixtures & Tub Access -Spa ------ ec. 7nm panel; Breaker Sizes & Labels taus & Rails 68. /Fireplace or Stove: Clearance§-+Fearttt 024- Elec. 24 Elec. Outlets at Wood Panel: Int. & Ext. ---- - L,WIT -Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance Pec. Outlets & Receptacles at Kit. Counter --- --------------------- - - -- --------- - - -- --- ----- arage-Fire Door: Swing -Landing -Closer 7� A-6 Accti n Garage -Damper ✓/4. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. esa. �co2ectioa 75. Plb.. Elec. & Mech. Equip. Listed for Location ------ --------------------- L7.& Elec. Receptacles in Garage; (G.F.I.)-Romex Protection - --- ti. 1flswlation- Foam- Looked in Attic ❑ Yes -- uard Ra - -ils & Deck Construction -Post Caps ----- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld._Drive es IQ-Wc<Walks ❑ Ye Planters ❑ Yes - ------------ ------- -- ---- - a.a .BcewnFinish------ --- --------------- ------ -------------fmish ----- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to --------- - - --------------- Openings 4r4CatCT'tMetl; Disconnect, Electrical, Plumbing (8"5�. Exterior Elec. Trim: G.F.I. Receptacle -Underground --- L -' e-lation Throughout House ass Protection _....._._..._.. --- - - - Z3 C"lrections from Previous Inspections Gas Test -Meters Tagged: Gas -Electric 9 at _r &Sewer Connected -C/O to Grade -HD Approval ---_-9Y k Ener Com p liance Certificate_ Other Certificates — • -- - - --- — -- — Date Card B-1 Date Card B-1 f �'L=---------Via---- � - Date ��a-- B-1 _—Date — Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = OK O=Not OK =Not Applicable =Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK exceptg'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: / NL" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except N'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 1 MISCELLANEOUS is Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except N's 1. Zoning Requirements -Setbacks -Easements \_ w 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ' 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 k'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 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT 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. Date O 2- Inspector l/ _ REV 11/8 LAKE OROVILLE AWE HARDWARE #5084-K 5369 OLD OLIVE HIGHWAY OROVILLE, CALIFORNIA 95966 OPEN 7 DAYS A WEEK (916) 589-1455 3007 MON - SAT 8-6 SUNDAY 9-3 CUSTOMER'S (y t ORDER NO. DATE / 19 9.� 143. �., If suit is necessary to collect the sums due hereon, the undersigned and customer agree to pay reasonable attorney's fees whYch sAalrbe taxed as a cost of the action. If the items hereon are charged, payment in full is due in thirty days, and if not paid in'full within thirty days, the outstanding balance will bear interest from the date hereof at 18% per year (1'/2% per month) until paid in full. All claims and returned goods must be accompanied by this document. Signature of Authorized Representative COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 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 -, -) u. eq 7 — f f OWNER PERMIT NO. A routine inspection in 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 cot this office immediately. off,. mow' S !;.. Date ��� Inspector 4 REV 1119 �� • r ...-.�—c7..„r�..-k.`..r.T..^�,-�"'�r:�.+..�w"t"`•Trsti.`''�`%<.+a..-.R� �_.r-rCra�..-� _„r.�t.�}'�a.,�.:'l.tn. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 �. CORRECTION NOTICE OWNER - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / r s Art Date- Inspector�V_ Y7 e.. , ,. J Ari � - rf- r a2 t 4 e 4: �7 62n ��f�` C� :', l Art Date- Inspector�V_ 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 NO. A routine inspection indicates that the following violations of Butte County Ordinanoes exist 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 ex pkmwtion, please contact this office immediately. e�C-1 A. 4Ju 6 a amt SKt>��ll 2 're 7'i;ST �• W �yc.�-- O �J� L � �� kv ac � � 7� 7 ry wcI �,f�, �L Date Inspector -4&�o -- REV 71/9 Owner Permit No. ENERGY CERTIFICATION !9� d2 . LOCATION A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL,RES. EXTERIOR WALL MATERIAL F ERGLASS BRAND NAME MTAINTEED THICKNESS THERMAL RES. CEILING BATT OR BLANKFT TYPE-FiberglasBRAND NAME 9UTAINTEED THICKNESS 16 THERMAL RES. --'TO LOOSE FILLTYP INSUL-SAFE IIIBRAND NAME CERT NTEED THICKNESS/,;2'� ' THERMAL RES. le- 34 , FLOOR,ELEVATED ' MATERIAL 4FIXERGLASS BRAND NAME QEJTAINTEED THICKNESS (.07MIl THERMAL RES. - / FLOOR, SLAB Fn. MATERIAL THICKNESS rWIDTH ._ FOUNDATION WALL MATERIAL THICKNESS BRAND NAME THERMAL RES. BRAND NAME THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE• BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSU1,4TION INC. # 622184 FIRM NAME WN STATE CONTR. LICENSE.NO. I hereby certify the above insulation and all required items as shown on the Building Depart. 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 CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE, This certificate must be on file .with the BUILDING DEPARTMENT prior to final inspection approval anda copy shall be posted within the building. JANUARY 1984 'u 55 APAC/AA& K r ry Certificate of Conformance Certificate N? 1316 -91 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below, and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. CXANSI Stan darid-Al"k.1-1983, for Structural Glued Laminated Timber O [: Job Name` `'SEQUOIA SUPPLY Job Location Fairfield, CA r' 8 r Customer's Order No. 90-741910 Date 7-31-91 Mfgr's Order No. 6065-C Signature Company PROOF LOADED END JOINTS Rosboro Lumber Co. Title Quality Control Address Springfield, OR Date 8-02-91 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the, manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. DR 4 by Y -Ye- Michael R. O'Halloran Executive Vice President `D%P01AglF SEAL �` 7 ASOf I NG1% AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION ENGINEERED WOOD SYSTEMS IF mf A KEA Certificate of Conformance Certificate X! 1307 -91 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. `XX ANSI -Standard A190.1-1983, for Structural Glued Laminated Timber - 0 0 Job Name SEQi10TA SIJPPT.Y Job Location FAIRFIELD, CA Customer's Order No. 90-41388 Date 7-24-91 Mfgr's Order No. 6049—C_'._.., PROOF LOADED END JOINTS Signature Company Rosboro Lumber Co. Title Quality Control Address Springfield, OR Date 7-29-91 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. Sh f OR4IF SEAL kgSHIN���_ y Michael R. O'Halloran Executive Vice President AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION + ill COUNTY OF BUTTE - DEPARTMINT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANDTERMIT ASSESSOR PARCEL NUMBER 069-220-055 ZONING RT -1 BUILDING PERM( OWNER B. T. SAMWORTH TELEPHONE 721-0810 SO. FT. OCC. BUILDING VALUATION 1 36 K 78,336 OWNER'S MAILING ADDRESS 6628 CARMELWOOD DRIVE CITRUS HEIGHTS 95621 693 M 12,474 CONTRACT NAME LAWSON & SPARKS CONST. TELEPHONER'S 580784 3 4 C 5 122 CONTRACTOR'S MAILING ADDRESS A0K P.O. BOX 782 OROVILLE Fireplace "A" 1500 CONSTRUCTION LENDER BUTTE COMM. BANK JUNK WN Total Valuation $97,432 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 427, 0 ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee - ,$ 213.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS APACHE CIRCLE OROVILLE Permit fee $ 665.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 174 SUBDIVISION NAME KRE UNIT #3 PARCEL MAP Water piping - 5.00 Each pias water heater or vent 5.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New 411 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 BEIRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR L 00 AMP ORSLESS 1 10.00 V0.00 Main service EA. ADD'L 100 AMP 1 2.50 2.50 4 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 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR AODNS. ACC. BLDGS. Vtsgit p8.40 NEW CON5TR. ULTI.OUTLET N O N.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20®50t eALO 30 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 70.90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 DUAL PACK 6.00 Cooling g 3 TON 6.00 rHood 3.00 3.00 Ventilation Permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save indemnify and keep harmless the County of Butte against all liabilities, jud ents, costs, and expenses which may in any way accrue again aid Coun in consequence of the granting of this permit X %�?�Yly��� /� Date Signature of Applicant - Owner Contractor ❑ Agent ❑ ��� An OSHA permit is required for exca ations over 5'0" deep and de lition or co7itruct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Insp ction Fee $ 0.00 CONSTTYPE 4 TOTAL FEE $ 841.40 HAz. ^' CLIA .--, PARK sc FL coF PAR I HD Iss E This permit is hereby issued under the sions of the Butte County. Code and/or work indicWab which fees F PUBLIC RMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS at 9 9 //�� Receipt No. C) �$ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -IN ECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPART 7 COUNTY CENTER DRIVE = BLIC WORKS - BUILDING DIVISION IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Proposed Building Use S� Z ' Building Inspector Permit No, . P. No. 66 9 - 2--) 0 - g35- 3 Date 7— /Z 19/ At time of permit application, 4,was advised the following data must be submitted prior to permit processing and/or issuance: 1%1 1 DATE RECEIVED APPROVED 1. All items have been submitted. ................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on -plans j;5. Hazardous Material Form .. .......... ..f ...................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Y 8. Engineered truss details and layout in duplicate (required prior to plan check) 5 9. Mobilehome installation data including manufacturer's installation instructions. ` 0. Fees of $-% ......................................... 11. Chico Urban Area fees paid ....................................... 12. Park fees aid .................................................... 3. o2s� tGNi- , School District fees paid .............. 14. Sanitation approval from ZOfI17 - 6416 Healt 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) -s�— ' 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21-Contract6r's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Lett r of signature authorizatio 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. j Telephone .SSS-07195/and hold for pickup at d office. Deliver w/inspector. Other r / Appl ican ✓ Date Z/" f 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 followingdata must be submitted prior to permit issu nc �' p p ( irc e n w Item. of he ked above). 1. Index permit for above items No. / / , 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above regILUed dddaattaa—b-y_phone_mall_counter by date Plans checked by Date �E" �i� p oved by� Date U Sets of plans on hold in File cab ine --= =-�4• erjj/ Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance on c le,, -Z /'? 7f— owner loca ion AP # Driveway permit 1140 e 14+Geav has been iAsued for the above property. date si ature'`` Oq COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916:"538-7541 APPLICATION AND PERMIT PERMIT NO. A $vvS17LRC�NUMB-� V)NIG BUILDING PERMIT cW R TTELE HONE SO. FT. I OCC. BUILDING VALUATION OWN R'$ MAILING DORESS e woo q I C Or TR C ©'S NAME ELEPHONE C NTRACTO s MAILIN AO REBS nc[[ CO TRU T N DER W rip 1-36t v,( UNKNOWN I Fireplace Total Valuation 3 r s" LENDER'S MAILING AOORES3 AR H TELT OR ENGINEER �� LICENSE NO. Filing Fee 10 00 Permit Fee Plan Checking Fee S Z � !� S`®� ARCM TECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Qj 1.5 z)o Penalty S BUILDING ADDRESSJ I 0- 1c ',^( Permit fee44a a - PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Sof ar or heat pump water heater 20.00 LOi NO. `t/� ISUBOIVS I�N AMELJ_ dd PARCEL EL MAP Water piping 5j.00 Each qas water heater or vent 5.00 �J USE OF STRUCTURE SFk Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 1 G I W 10.00 ea TYPE OF WORK FeAdditionRemodel❑ Utilities❑ Installation❑ Other❑ h Permit Fee Swork: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 a. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. t, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2.50 0.50 NEW CONST. OWELLING OCCUP.$)2'�2¢sditl3 OR ADONS. ACC. SLOGS. gr�0 NEWCONSTR. , ULTI.JUTLET .NON.RES10 BRANCH CIRCU ITS 12.50eaI /POWER APOARATUS 6 l SINGLE OUTLET CIR. ) // CX. OCCUpt OUTLETS OR FIXTURES .AL230 I2oa!ot I Ex. OCCub. OUTLETS PRESTO IREA.) I 2.00 Temporary service 1 10.00 1/0. D Mobile Home Facilities 1 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 3100.00 (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 PERMVT_ 0.00 FiIingFee 79. Heating OVA( (0 1 Cooling o Hood 3,00 6 C -)D Ventilation Permit Fee $-O� 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstTOTAL all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Oate Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ,on of structures over 3 stories In heI ht. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONSTTYPE FEE S "A` ua lAHK I ;cHL ; FLo _Up- P4q This permit is hereby issued urger sions or the Butte COLinty Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do fees have been paid. WORKS Date ?eceipt No. %S t� • N,TC•O.P.W., YELLOW-•eeE7]ae, PINR-1N9PCCTOR. .OLaCNRaD ^PPLICANr 3b g %'M o a 0� PERMIT NO: 59-91 Lake Oroville Area Public Utility District 1980 Erin street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: July 12, 1991 Applicant: B. T. SAMWORTH (Lawson & Sparks Constr. ) Applicant `•• 662R CarmelwandT-Tieghts., CA 95691 Applicant Phone No.: (916) 721-0810 589-0784 Property Location (s): 197 Apache Circle Kelly Ridge Estates - Unit 3 - Lot 174 A. P. No. (s): 69 -22 - Fees due: All fees paid. Application for service approved: — a LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Gn Date: Lake Oroville Area Public Utility District release to close permit: Date: By: 30 91--032877 91-032877 91-032877 ' : P 01--03E877 4 Roc Fee 5.00 1 Cash B.00 . Recorded 1 official Records 1 County of I Butte i " Candace J. Grubbs i Recordd-r 1 2137pm 9 -Aug -91 i XX 1 Return to DPW' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 20-8.1 of the Butte County Code requires —this-- acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned Lor agricultural purposes, and residents of this property may be subject to incon— veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul— tural zones which have as a priority use for productive agricultural .purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. X111 that real property situate in the County of Butte, State --of California, described as follows: CfFiC° /� L Date: State of SS Count r of ����� /v�,70) i i ,71.v/T 02 o cJiLZ PROPERTY OG.NERS : On this the 9 day of < < uo / 19 ?/ before me, the undersigned Votary Public, per onally appeared Y VQ ci S cc)o n Personally known to me. =roved to me on the basis C:',�3LA D. I,;li.: :.,P,, of satisfactory evidence. c F u:, 1' to be the person(s) whose name(s) CC►'� subscribed to the within instrument and acknowledged that t� My Comm!;sion Ex -,::res P,'Frdi 2, 19.2 executed the same for the purposes therein contained. IN idlT\E S WHEREOF, - REOF, I hereunto set my hand and official seal. G' rA.P. Present :1.No. . o. Notary Public , d ..r.,�.•<Y;-re...vs•-. -.... �,.v�r-•v'S°:F§s wr+...; h,�'.�; ..,4,'i''W���:�3'k"1"W'f;r,'ha "'Rei.ri:�?rf�i-.��.��7�'+/i�'R^',&T *F :iQ'e.a ,.w .. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM. ti�,•''� (One Form per Building) ` A.P.' Number ',-••uilding Departmen No. ,. School. District. City, County Jurisdiction Property,Owner P-roject iL-10_catdon/Address 10 Subdivision Lot Number' Residential. Development:Lj / �5.3 Sq. Footage # 16 of Living MHI \Addition (Group R)' Units Commercial/Industrial: a Sq. Footage �• , ..New Addition (Including Exterior Roofed A eas) Building Depart ent Representative a e ******************************************************************* P (Floor Plans reviewed by School District Personnel) District Id No. 1 School District -certifies that (A plicant Name) V Y (Phone Number) Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ �a� (� representing &!L'3_614 square feet. School Di/ ' ict,\ Representative Date PAID BY CHECK NO. REMARKS: BANK NO VO - 7 03 0 PAID BY CASH 1 white -applicant, yellow-building�department, pink school district r SCHOOL.FEE (8/88)f, RESIDENTIAL PLAN,CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit #� OWNER ( A.P. # GENERAL Plan Checker Zbning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on .property. 0-71.Items on data sheet. (W.C., fees, Health, Developer Fees,.License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. .3 Other buildings or structures. `-Grading, fills, drainage. 1-5�.F1 ood hazard. Special conditions on creation map, ustible, and foundations). --7-- FAU & FAS road setback. (noise, CDF, fire sprinklers, non-comb- <87;- Building or utilities across lot lines (Record form). FT,nnR PLAN j Co plete to scale plan with dimensions. equired windows for light and ventilation (Sec. 120.5). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). -Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). � Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical gas equipment. a -rage firewall, door size, and closer (Sec. 503(d)(3)). 1 3'0" exterior exit door (sec. 3304 (f). �F-6place and wood stove location, alcoves, andclearance. ke detectors (Sec. 1210). :r Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. 3-'�'Foundation plan complete enough to construct building. ..Is. Floor construction details complete enough to construct building. Elevations and wall construction"details complete enough to construct building. Roof construction details complete enough to construct building.���OC.�i�� Fireplace construction details and calcs if necessary. 1-� after ties or bearing ridge beam. rage door or porch header sizes. ' BYO. Stud heights. h1 --Adobe soils - special foundation design. 32- Retaining walls requiring design. 423-. Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). _:��xterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). F insulation - protection. 6" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1JA!Attic access and ventilation (Sec. 3205). underfloor access and ventilation (Sec. 2516). �� Combustion air for fuel burning appliances - L.P.G. requirements. 4+. Noise requirements on duplexes. 1 -5 -- -Energy design. Flashing at all exterior openings. DF responsible area requirements. 57 �1QDr�G CoA1-rIti. (b EM ✓W _ R35 ell= G� r -2 =/o 3� R 3 - —k 8 -7.-7q2 - l V &,�z = S xQ-a3 5 x 10 S•84�k Al. 3 x ofissK4a) X (3 � -- �x l �� _ � 2x (o • 574 I I tl+ 13 300 � c�►o. 7 (�X I� ) = [•S� x•$44 o.og5 =� �°�.i ��x �6 / 1--32877 Return to DPW AGRICULTURAL STATEMENT OF ACL OWLEDGEMENT FOR RESIDE]ITIAL DEVELOPMENT Section 26-8.1 of the Butte Count_V Code " requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 1 to land or included within an area zoned 91-032877 1 Rec Fee 5.00 for agricultural purposes, and residents. I Cash 5.00 of this property may be subject to incon- Recorded 1 veniences or discomfort arising from the i Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 2:37pm 9 -Aug -91 I XX 1 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 fh--at .redl..property:-.situate in the County of Butte, State of California, described as follows: OiFi�l9 L R 7- _3 - ./- 0 2 0 t"I k i�s.r c f v i Z (fa, O` /P/9 �e b`f9 Date: PROPERTY OWNERS: State of On this the 9 day of eco f 19 9/ . before me, the SS. undersigned Notary Public,' per onally appeared County 0f�Q.C�L-rXIt ) �YI Vky0( -I— ,� S c)o r -7Llc- G,vL .�. _.L r M A- A AA_ c �, u)d r :unnnnnnnnlnnlnnmmlmuQl°Imnmrnmmnmaamm,Innuu°t personally known to me. roved to me on the basis s `= CARLA D. NEUMAN 2---Personally NOTARY of satisfactory evidence. PRINCIPAL OFFICE I! :•: `o P \ I ': to be the p erson(s) whose name(s) a i CE SACRAMENTO COUNTY subscribed to the within instrument and acknowledged that My Commission Expires March 2, 1992 executed the same for the purposes therein contained. IN WITNE S ®milAf�lltI1p11111DIWW1J1!IL]1W1ll11!i!W!ll1SIJ111A1f!111g1JI1(Il)11111 WHEREOF, I hereunto set my hand and official seal. Present A.P. No.44Z o22 �� Notary Public EN® OF DOCUMENT Z- _ 2C) / 4//. 7/2 17�? w/VT/,/ 3 / 06?? -o Lo�D5 --- 5/0, �. Tit/ S 0 L 66;�r,vl -- 2 5- P/"C- p z 7 l . S AOL ,= 0, v�,/ 2 �Z4.3 3 c 2000 2o�v Z X/2_ a, 3/=0,�5'' 3 �,,� 0,0 Ir -f-- O , o 2, kl J Sn � 22.1 1� 39 Is'D 6-t-6 2c� 611 sQ ek / 211,0 UUM 02 Aug 91 11:20 am 50 , P 56 NICHOLS, MELBURG, IVROSSETTO AIA EDWARD'S RESIDENCE BEAM D (BEDROOM #3) *** JOINT DATA *** Joint X - coord. Y - coord. X - Degree Y - Degree Z - Degree Number (feet) (feet) of Freedom of Freedom of Freedom 1 0 0 1 1 1 2 4.5 1.06 0 0 1 3 13.75 3.24 1 1 1 4 23 5.41 1 0 1 5 26.5 6.24 1 1 1 Note: Degree of Freedom: 0=restrained '1=f.ree j=coupled to joint 'j" -------------------------------------------------------------------------------- *** SECTION PROPERTY DATA *** Sec X -sectional Mom. Inertia Shear Area Section Mod Plastic Moment No. Area (in2) (in4) (in2) (in3) Capacity (K -ft) 1 49.3 380.8 49.3" 79.1 0 Notes: 1. Non -zero Cross-sectional Area and Moment of Inertia are mandatory. 2. For non -zero Shear Area, shear stresses are calculated. 3. For non -zero Shear Area and Shear Modulus, secondary deflections due to shear are included (linear elastic analysis only). 4. For non -zero Elastic Section Modulus (S), stresses are calculated." 5. Non -zero Plastic Moment Capacity is mandatory for plastic analysis. -------------------------------------------------------------------------------- *** MAT•ERI.AL °PROPERTY DATA Material Youngmod Shearmod Density Coeff Exp Fy Yield Number (ksi) (ksi) (K/ft3) (/F*1.E-6) (ksi) 1 1690 0 .035 0 0 Notes: 1. Elastic Modulus (Young's Modulus) is mandatory." 2. For non -zero Shear Modulus and Shear Area, secondary deflections due to shear are included'(linear elastic analysis only). . 3. Non -zero density is required if self -weight is specified and member weight is to be considered (linear elastic and plastic analysis). 4. Non -zero Thermal Coefficient of Expa"nsio.n is required for thermal loads. (linear elastic and plastic analysis). 5. Non -zero Yield Stress is mandatory for plastic analysis. P -FRAME Input Data Str No. 04 t.1 Complaint Dat /X A? AP.#: Owner: �3; �:, -al ���,� �:, y�w.z, �_i^7L. r Zoning: C Address: i � c cam; ��� ell Complaint Location: VIOLATION TYPE: 0BUilding [ ]Health [ ]Planning rompLAINT' Taken By: Permit History on File: [ ]None [ ]As follows: 'Caution: Yes[ ] No[ ] 'r- ffe,-iO-,n BUILDING INSPECTOR'S REPORT E Tenant: Address: Description of Violation: I Approximate Building/Mobile Home size: Approximate Building/Mobile Home age: Under construction: Built by/for: [ ]Present ownex [ ]Previous owner [ ]Occupied( ]Vacant Has Electricity: [ ]Yes [ ]No Has Gas: [ ]Natural [ ]Propane [ ]None Has Sanitation:( ]Yes [ ]No Obvious sewage problems? [ ]Yes [ ]No ' Hazards: [ ]Yes A30 Person Contacted: Describe Action Taken: BUILDING INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE! j Inspector: ACTION RECOMMENDED: [ ]Information Only, File ]Complaint Unfounded�4 Date: [ ]Hold for Days [ ]Other OVER Complaint Dat . / / �i A.P.#: ,e) Owner: T. .�ur�wurt- Zoning: _ C Address: 9 tri 01W ! Complaint Location: VIOLATION TYPE: OBuilding [ ]Health [ ]Planning Taken By: COMPLAINT: 14W- euro✓ . _ �- ,w� 42.au/ Permit History on File: [ ]None [ ]As follows: Tenant: Description of Violation: Caution: Yes[ ] No[ ] BUILDING INSPECTOR'S REPORT Address: Approximate Building/Mobile Home size: Approximate Building/Mobile Home age: Under construction: Built by/for: ( ]Present owner [ ]Previous owner[ ]Occupied [ ]Vacant Has Electricity: [ ]Yes [ ]No Has Gas:[ ]Natural [ ]Propane [ ]None Has Sanitation: [ ]Yes [ ]No Obvious sewage problems? [ ]Yes [ ]No Hazards:[ ]Yes { ]No Person Contacted: Describe Action Taken: BUILDING INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE! Inspector: ACTION RECOMMENDED: [ ]Information Only, File [ ]Complaint Unfounded Date: [ ]Hold for Days ( ]Other OVER Complainant:. Address: 2- C) -3 Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER Leruricate of Comptjance: Aesiaentiai 0imate Gone 11 Pro ject T)tle -/� Q..3 7 -W119,1 - Building -W119,1 -Building Permit Project Address. Ulecited By / Date Documentation Author �c Telephone Enforcement Agency Use Only BUILDING DATA Glass Area % Glass North / �l• O C ditioned Floor Area 3 Number of Stories East Sl " 'sed Floor Number of Units i South 3. S [y,'Single Family Detached (SFD) (] Addition Alone West _ Z• �/ ( ] Single Family Attached (SFA) [ J Existing Building Skylight D G [ ] Multi -Family (NM [ J Existing -Plus -Addition Tom 2V4 15• BUTI,DING SHELL INSULATION Component Insulation LocationlComments Type R-VaIue (stria :o gwagCL etc.)' Wall .............. 1 Wall Roof ............. -� Roos' ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (sing1r. double) (roller blind etc.) (shadescrem etc) (yes/no) (metaVwood) North North ( ) East East ( ) � - South ( ) r South ( ) West 37 01 West ( ) Skylight....... p e THERMAL MASS I Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf)(inches) Location/Description(kitchem bath, etc.) HVAC SYSTEMS Nii:.imum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner. heat um) (SE. SEER.HSPF) (attic, etc,.) R -Value tuh or approved equal) 72 6-7 Maximum Furnace Heating Output: Btuh Q� O HOT WATER SYSTEMS Tank Manufacturer/Model # ���' S stem T (storage gas. etc.) Capacity or appmved equal) cial a ere s 5C. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I Mandatory Measures Checklist: Residential MF -IR NOTE. towrise residential buildings subject to the Standards mus cousin these measures mgzn:Uc= of the compliance approach used. Items marked with an asterisk (')maybe wupnzsoded bj more stringers eomplia= mquueencnu fisted on the CwGeate of Compliance When this checklist is incorporated 4:0 the permit documGss. the features noted shad be considered by all.parties as binding minimum component performance specie ions for the mandatory mea' es ! whether they are shown elsewhere in the documents or on this cheeldis only. DESCRIPTION DFSIGNU ENFORCEWD(T Building Envelope Measures • 42.5352(a): Minimum cetling insulation R-19 weighted avenge. §2.5352(bY Loose fru insulation manufacturer's labeled R.Value. • 12.5352(c)r Minimum wall insulation in framed walls R. I 1 weighted average (does act apply to catchor man walls). §2.5352(tk Slab edge irtsulation - water absorption rate no grewa than o.3%. water vapor transmission rate no greater than 2.0 p=Wumch. §2.5311: Insulation specified or installed moos California Energy Comm iaion (CEC) quality standards. Indicate type and forth. 42.5352(* Vapor barriers mandatory in Climate Lanes 14 and 16 only. §2.5317: InfiltrabowEafiloation Controls a. Doors and windows between conditioned and unconditioned spaces desipmed to limit air leakage b. Doors and windows certified. C. Doors and windows wotherstripped: au joins and penetrations caulked and soled. 12-5352(e), Special infiltration barrier installed to comply with §2-5351 amu; CEC quality 4 standards. 1 §2.5352(d)r Installation of Fireplaces I. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass doer b. Outside air intake with damper and contra c Flue damper and contra 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment siting: attach calculations. §2.5352(h) and 2.5315: Setback thermostats Gn all applicable heating systems. 12-5316(x): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 42.5316(b): Enhauu systems have damper controls. §2.5314(e): Gasfued space heating equipment has intermittent ignition devices. ( §2-5314: HVAC equipment. water heaters. showenccads and faucetseertiGed by the CEC. 12.5352(1): Water heater insulation blanket (R-12 or $eater) or combiaed interiesr/eaterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank ins dated (R-3 or greater). i 12.5312(Eaeepuon I):- Pipe insulation on steam and steam condensate warn & recirculating piping i §2-53 18(d)- Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatheproo( instruction plate on heatu. e. Plumbed to allow (or solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4.- I inx clock. . 5. Directional water inlet Lighting and Appliance Measures ' 12.5352(): Lighting - 25 Iumcns/watt or greater for general lighting in titchens'and bathrooms. t 12.5314(c): Gu fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator-freuers. freezers and fluorescent Lamp ballasts certified j by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. ChapW 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design reVensibility and the building owner. Who shall retain a copy of it and transmit the certificate to any subsequent puidlaser of the building. Designer Nam= r,tierFlrt,>_ Address: Telephone: tic. s: (signature) (d-) Documentation Author Name: TiticJ%"urn: Adders: Building Owner Name: 'l tdc/Fum: Address: Tick -phone: t (signature) (date) Enforcement Agency Name: Agency: Tckplwnc 1. Ceiling Insulation Specification Surodard U -value (0.65] Interior Number of stories -46 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 -1 R38 0 0 0 U -value 0.04 -1 0 0 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 2. Wall Insulation R -value One Two Three Single- Single - 0 R-5 Family Family Multi - R -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 12 8 4 -5 _.. _yQ.80 _.._153 :-::...114.-. 14 23 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 3. Raised Floor Insulation 16 18 Insulation In Floor 3 2 Number of stories 12 R -value One Two Three R-0 -i 7 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value Specification Surodard U -value (0.65] Interior -144 -70 -46 0.50 -120 -58 38 1 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -13 -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 Crawlspace 40 Number of stories 37 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 4. Slab Fdge Insulation 4 12 29 -58 -20 Number of Stories - - - R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -2 6 0.90 -4 -3, -1 0.80 .1 .1 0 0.70 2 2 1 0.60 i.6 4 2 0.50 - '9 -fi- 3' 0.40 12 8 4 S.Inriltration (Air Leakage) 7..Shading (Shade Open) ERectlre Pereatt Glass (Percent glass x SC) Effect•'ve Specification Surodard U -value (0.65] Interior Points 0 6. Glass Heat Loss North East South Total Skylight 18 5 1 U -value 1 Percent 16 4 .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 d 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 6 9 12 15 19 11 -6 7 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 .73 -64 -56 47 38 -30 na 3.41 -45 -39 -34 -29 -24 -18 7..Shading (Shade Open) ERectlre Pereatt Glass (Percent glass x SC) Effect•'ve U -value (0.65] Interior Slab Floor Raised Floor %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 .2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0- 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 .2 -4 -2 0 na - not allowed �B. Shading (Shade Closed) Effective Peremt G1asa (Persmt gian x SC) Effectim U -value (0.65] Interior Slab Floor Raised Floor Gtd66 NoM Eat South Weat Uftt 18 -14 -48 -69 -647-na -5 3 -1 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 rta 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 1..14 38 5.5 5 8 9 11 12 12 6.0 5 8 10 12 4 -1 -6 -8 7 -23 3 0 -4 -5 -4 -16 2 1 .1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed -16 Mass •a Detached At1l ed Family 9. Interior Thermal Mass U -value (0.65] Interior Slab Floor Raised Floor Mass Stories Stories -5 ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 •7 d -2 0 1 1 0.5 3 L 13 `. -1 1 1 2 0.7 -5 .2 (4' 1 2 2 0.9t �, 5 -1 t -0/'. 2 3 3 1.1 -4 -1 1 3 4 4 1.3- -3t•0, 2 oar f4 5 1.S .3 1 2 4 t 4,5 P• 5 20 •.,;l . t . ,4 . 5 6;M/ 7 25 0', ,, 3 5 7 7 8 3.0 1 \4'' ,6 8f 8 9 3.5 2 5 '-,7,- '9 n,'0.9 10 4.0 3 6 • 8"'" 9 "y'. 10 4.5 3 7 8 ,4„--10 11 ,!,ill 5.0 4 7 9 11 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 -18 Exterior Single- . S'utgle• (SEER xdud dfldency) -6 Wall FFamily MUN -16 Mass •a Detached At1l ed Family . +6 lo 0.00 0 0 0 -15 -5 0.20 3 2 1 5.0 0.40 5 4 3 -13 0.60 8 6 4 -11 .9 0.80 10 8 5 6.6 1.00 13 10 7 -2 1.20 13 12 8 0 0 1.40 12 13 9 8.0 1.60 10 13 11.. 4 1.80 10 12 12 14 12 200 10 11 13 10.0 11. Heating System 19 16 13 10 SE or HSPF 11.0 26 (assumes ducts In attle) 15 12 8 Sum of 1-6 30 _ 18 -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 5 Effective SE or HSPF 3 (SE or HSPF x duct efficiency) Hwa Effective -25 or -24 to -14 b -4 to 4610 16 or SE HSPF less .15 -5 +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 3 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 -8 System Type -5 S.1 _EQU Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 1 2 12. Cooling Syst•:m U -value (0.65] % Total Glass E 16 9'Glass SEER One -5 -4 4 3 (assumet ducts In attic) Two + 3 3 Sm of 7-10 2 2 1 Single -Family -25 or -24 b P-140 -410 +6 to 16 or SEER less -15 1 -5 +5 +15 more 8.0 -14 .12 -10 A 3 .4 8.5 -9 .7 -6 -5 -4 3 8.9 .5 .4 -4 a -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 75% Solar -1 -1 .1 0 0 0% Effetive SEER -18 -12 -9 (SEER xdud dfldency) -6 1.3 WS8 Son of 7-10 -16 -12 Effective -25 or -24 to -1410 -4 In . +6 lo 16 or SEER less -15 -5 +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 .12 -11 .9 -7 -6 -d 6.6 -5 -4 -4 3 -2 -2 . 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 In Zonal Control Adjustment or TYPE TYPO 10 8 7 6 4 3 SG No Cooliw,' System Installed 0 -Stories U -value (0.65] % Total Glass E 16 9'Glass S2 One -5 -4 4 3 -2 -2 Two + 3 3 .: 2 2 2 1 Single -Family #dachtd and Attached o X = ! Unci Size (sq .1200 Water ;139 Eff. % Glass 1700 2200 2700 Heater Uedit or . to to to : or Type Type less699 1 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 ) ZZ WSS 5 3 3 2 2 5% POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 75% Solar -1 -1 .1 0 0 0% HWR -18 -12 -9 -7 -6 1.3 WS8 -25 -16 -12 -10' -8 27 POU -18 _-12 -9 -7. -6 Iia None -5 3 -2 .2 -2 12 Solar 7 5 4 3 2 1.5 POU 3 2 1 1 1 IE None -28 19 -14 -11 .9 4.6 Solar . 8 5 4 3 3 0.6 POU -10 -6 -5 •4 -3 2 Multi -Family (Indlvldual rift) 21 29 11 13 Unit Size (so 17 Water 4.1 699 700 12M 1700 2200 Heater Credit or In to to or TYPE TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP Hwa 9 5 3 2 2 1.7 WS8 9 4 3 2 2 12 POU 9 5 3 2 2 SE None 45 -23 -15 -11 -9 50% Solar 2 1 1 0 0 21 HWR -23 -12 -8 -6 '-S 33 WS8 -25 -13 -8 -6 -5 S.1 _EQU -23 _1Z_8 5.9 -6 -5 IG None -8 -4 -3 .2 •2 24 Solar 6 3 2 1 _ 1 3.9 POU t 0 0 0 0 IE None 30 15 -10 -8 3 12 Solar 18 9 6 4 4 27 POU -8 -1 -3 -2 -2 Interior Mass/CFA . "PC 7 SASE U -value (0.65] % Total Glass E 16 9'Glass S2 Eff. Glass l X - 3--y X = 3.5 X = o X = it.7",PC.4.21 % Glass . SC Eff. % Glass t TYP9 1 MASS to IMC t 4.2. las exposed e Slab) X Ic.rp.c.a •mel X = TYPE 1 MASS AREA InteriorNvslCFA s 1S COND. FLOOR AREA TYPE 2 MASS - EztenorWall, Mass COND. FL OR AREA ) ZZ X = • 5y z SE or HSPF 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 6St 70% 75% 80% 85% 907. 95% 100% 105% 1107: 115% 120% 125` 0% 0 a2 0.4 0.6 0.8 1.1 1.3 iS 1.7 1.9 Zt 23 ZS 27 29 3.2 14 18 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 12 a4 0.6 0.8 1 1.2 1.4 1.5 13 21 23 25 27 29 11 13 15 11 4 4.2 4.4 4.6 7.6- 5 52 5.4 2o% a3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 Z4 21 29 11 13 15 17 19 4.1 4.3 '4.5 4.8 5 5.2 5.4 56 30% aS al 0.9 1.1 t.4 1.6 1.8 2 22 24 26 28 3 32 3.5 17 33 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. QI 0.9 1.1 1.3 1.5 1.7 1.9 22 Z4 Z6 U 3 12 3.4 16 18 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 19 1.1 1.3 15 1.7 1.9 21 Z3 25 27 3 32 14 33 18 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.5 1.8 2 22 24 26 28 3 12 15 3.7 3.9 4.1 4] 4.5 4.7 4.9 5.1 53 56 5.8 6 6.2 6o% 1 12 1.4 1.7 1.9 21 23 ZS 27 29 11 13 1S 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 Z6 28 3 11 14 36 3.8 4 4.3 4.$ 4.7 4.9 5.1 53 55 5.1 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 Z2 25 21 29 11 13 15 17 19 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 62 64 75% 1A 15 1.7 1.9 21 23 25 Zl 3 32 3.4 16 18 4 4.2 4.4 4.6 4.8 5.1 5.3 5.S 5.7 5.9 6.1 6.3 6.5 807. 1.4 1.6 1.8 2 22 2.4 26 28 3 13 3.5 11 19 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 62 64 66 85% 1.4 1.1 1.9 2.1 2.3 25 27 29 11 3.3 3.S 18 4 4.2 4.4 4.6 4.6 S 52 54 5.6 59 6.1 63 65 67 907.' 1.5 1.7 2 2.2 24 26 Z8 3 12 14 16 18 4.1 4.3 4.5 4.7 4.9 11 53 S.S 5.7 5.9 6.2 6.4 66 6a 95Y. 1.6 .1.8 2 22 25 21 29 11 33 15 17 19 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 13 21 2.3 25 28 3 32 3A 18 18 4 4.2 4.4 4.6 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 Z6 28 3 13 3.S 17 19 4.1 4.3 43 4.7 4.9 SI 5.4 56 5.8 6 6.2 6.4 6.6 68 7 I10Y. 1.9 V 23 25 27 29 11 13 16 3.8 4 4.2 4.4 4.5 4.8 S 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 26 28 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 13 5.5 5.7 5.9 6.2 6.4 6.8 6.8 7 7.2 120% 2 23 ZS 2.7 29 3.1 13 15 17 19 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% Zt Z3 25 Z8 3 12 14 16 3.8 4 4.2 4.4 4.6 43 5.1 5.3 55 17 5.9 6.1 6.3 6.5 6.7 7 7.2 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation Ria or R -value 1391 U -value (0.0301 2. Wall Insulation 9z I C/ or value 11] U -value (0.0981 3. Raised Floor Insulation K 11 or R -value (191 U -value {0.037] 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) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System - Zonal Control? .( Y / N ) 13. Water Heating Or R -value 101 F2 factor (0.771 Standard Point Scores . ... C1 Type (doub1cl U -value (0.65] % Total Glass E 16 9'Glass S2 Eff. Glass l X - 3--y X = 3.5 X = o X = O % Glass . SC Eff. % Glass X X = TYPE 1 MASS AREA InteriorNvslCFA s 1S COND. FLOOR AREA TYPE 2 MASS AREA __ 8 EztenorWall, Mass COND. FL OR AREA ) ZZ X = • 5y z SE or HSPF Duct iciency (0.781 Efficiency Effective SE or (0.7216.61 HSPF [0-W5. 151 may, X •�z = �� SEER (9.31 Duct Efficiency (0.741 Effective SEER (7.031 TypetSGI Cre" Inonel 0 O Sum 1y -17 �Summ 7.10 -= 3 Point Total: �,�