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069-300-049
J _ 69-30-3$ WAIBEL�G 9—�q 9 5367 Oaks Dr, lot 389,KR�k4C, Oro Permit#3442- M(new single fami ) Contr: Bo ools & Spas, Orla Per 196-86B,P,E(new swimming pool) 69-30-49 485-90B , WAIBEL.-Ken Ken � 5371 Royal-.Oaks.:Drive, 0rovil Contr : ' Better .Builder` s - (replace'. drywall/90'. 069-30-0-049 93-3729 B WAIBEL, „KEN 5371 ROYAL OAKS DR, OROVILLE CONTR: BETTER BLDRS:. _ CHG GAR DOORS TO 1'LARGE.DOOR ► `' _ B08-0019 069-300-049 MISCELLANEOUS Mechanical PROPANE HEATING UNIT REPLACIIS 5371 ROYAL OAKS DR , 0 WAIBEL FAMILY TRUST, ,D � 4f { I � i � � C �� rlT� I • � �aCi��r .. - — BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) _OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5371 ROYAL OAKS DR Owner: Permit No: B08-0019 APN: 069-300-049 WAIBEL FAMILY TRUST, Issued Date: 01/07/2008 By TMP Permit type: MISCELLANEOUS 5371 ROYAL OAKS DR Subtype: Mechanical OROVILLE, CA 95966 Expiration Date: 01/06/2009 Description: PROPANE HEATING UNIT REPLA, (530) 589-5131 Occupancy: Zoning: RTI 0 Contractor Applicant: Square Footage: WAIBEL FAMILY TRUST, Building Garage Remdl/Addn 5371 ROYAL OAKS DR OROVILLE, CA 95966 Other Porch/Patio Total (530)589-5131 FEE INFORMATION DBM Heater (Unit, Radiant, etc $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5979 LICENSED CONTRACTOR'S, DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/07/2008 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date -11. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. ove for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by eAS,OWNEROF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED TRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' y 01/07/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Ow I's Signature Date provisions. X 01/07/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr p rty owner or am auth zed to a on the roperty owner's behalf. CQ v 01/07/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) caner 1:1 Contractor OR. ElAgent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO P�VIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR(NO)I 2. I�0/HAVE NOT) SIGNEEDD 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 CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: PROPANE HEATING UNIT REPLACING WOOD STOVE Reference Number: B08-0019 Applicant Name: WAIBEL FAMILY TRUST, Owner's Name: WAIBEL FAM Y TRUS AP # : 069-300-049 Signature of Property Owner: -- Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. 56<6-00) BIN # "When riled, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name I FN Name N Mailing Address G. CityStag O o , Zip Phone _ 131 Fax E-mail ` 6e✓", /0 CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name GC/ Address City State Zip Phone Fax E-mail ' APPLICANT S/ NATURE //��/ PROJECT LOCATION V AN � J Property Address 2:5r) l� a cu City Ra L/; //&, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. \' Ir ) .:RESMENTIAL 7 _______ 93-3729 B J # 069-30-0=049' . WAIBEL, KEN OROVILLE 5371 ROYAL OAKS DR, ,r BETTER BURS CONTR: I ' CHG GAR DOORS TO 1 LARGE DOOR l B Z w 12X )Of V = OK O=Not OK - =NotRReady able MOBILE HOMES ' Not edy Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 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 Teat -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2. Footings; Soils-Size-Depth-Spacing-Connectore-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columna -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 #'a 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-Enclosu res -Pane I boa rds-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; 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 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped S. 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 -Ina. 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 -Nall 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/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 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 ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 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 FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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-Walle-Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. 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 -Mach. Protection 75. Plb., Elec. & Mach. 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 Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE,.., r BUILDING DIV&ON"a' i } DEPARTMENT OF DEVELOPMENT SERVICES .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 ( " 2 CORRECTION NOTICE `.. 23 —3 zoz OWNER ' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at - the above a0dress and should be corrected. Please notify this office when correction of work 5 is completed. If you have any questions pertaining to this matter, or need additional explanation, ^; please contact this office immediately. AvJ: _ y/-1• GR /�A rG�.� l���J G� .1/V/n L�1.7/�C//"LL/' �/ �S `- �, O �!^ d7 /k �,$' 'f- � � � � /L �� � / �i '� /X/7n ice• S h: r - j5J S41 yhi .y • i 'f ti Date / Inspector ' REV 10/92 lei COUNTY OF BUTTE - DEPARTMENT`OF DEVELOPMENT S - BUILDING DIVISION 7 County Center Drive - Oroville, Califorriia 95965- lephone (916) 538-7541 PERMIT NO. N� APPLIGATIQAND P RMIT ASSESSOR PARCEL NUMBER 069-300-049 ZONING RT -1 BUILDING PERMIT OWNER Ken Waibel TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5371 Royal Oaks Dr., Oorville 95926 Est. 6,000.00 CONTRACTOR'S NAME Better Builders Constr. TELEPHONE 589-2574 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Dr., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6 000.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.69 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 153.65 5371 Royal Oaks Dr., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 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 ❑ Other 11 DescribeWOrk: Change Garage Doors to 1 Large PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Door Main Service ( BOOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. ) 3.50 FT,, CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one) 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. ��zS Classification ❑ I, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. @ 1.0 50 Ex. Occup. ( OUTLET OR FIXTURES ) BAL. Ex. Occup' FIXED APPS. OR ( W ) OUTLETS IRESIO.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): ❑ Thi ermit is for $100.00 (valuation) or less. ave 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. ❑ 1 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 $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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. 1 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. 01 XS�ZDate �� Signature of Applicant - Q Owner ❑ Contractor gent 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 $ cDNA T PE V TOTAL FEE $ 153.65 HAZ• I D. FEES IMP Fl I CDF PARCELPD HD I UE 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. DIRECTOQ ^F CttRUC WORKS By j41ADate I.Z.3k PERMIT EXPIRES ON / 2 3 q /Date) ReceiptNo. 153719 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT in COUNTYOF BUTTE - DEPARTMENTOF�DEVEI_- ME SER ICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - ORO V"IE,CALIFORNIA9 5 LEPHONE(916)538-7541 PERMIT APPLICAIONA T�DTAH S EET � .41A / O� - OWNERA. o - Proposed Building Use C,614_-416 6 X 'uilding Inspector Date r At time of permit application, I was advised the following data must be submitted prior 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_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for required. .. oBuile gl�spe�� (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 to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ................... " 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed t} and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... - -. 32. Plan check list . ..................................................... 33. -34. When you issue the permit, proces as follows: Mail �to owner. Mail to contractor. Telephone`���land hold for pickup at 00,_ O office.' Deliver with inspector. Other Parcel Creation Acreage ,�� Applicant L Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. _ Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date . Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ray _ Date Plans checked by Date Plans approved by Date G9- %3 Sets of plans on hold in File cabinet AP folder ZAO,4 ley- % - 23fs Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMEN1'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville; California 95.965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ... �� %i _ /� / % /i '� ZONINCd� I /{�'/'. �. BUILDING PERMIT OWNER ) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Al 41—►' s a TELFQH� S CONTRACTOR'SMAILIN G O< ,� / - Fireplace -. CONSTRUCTION LENDER UNKNOWN ,TOteI Valuation $ LENDER'S MAILING ADDRESS Filing Fee - $ - 20.00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS./ - 3� 96y.q� v1 PERMIT FEE $ , . v` t% PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 - Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome O 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 C3Addition ❑ Remodel ❑ Utilities O Installation ❑ Other O DescribeW AA �/ 6 /16, 6 D %2 Le� I!/ L/ (�,Z PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service "OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I 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 O I, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRES10.1 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): O This permit is for $100.00 (valuation) or less. O 1 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. O I 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 $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 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 ac cru agens said County in consequence of the granting of this permit. / X Date �/ Signature of Applicant - O Owner O' -Contractor Cl -Agent. 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 $ OCC CONST. TYPE TOTAL FEE $ 3, 6is� HAZ• 1 D. FEES IMP I FLOOD I CD F pAfICEL p0 HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON lDetel a��/ Receipt No. /C�� _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR - PINK -INSPECTOR GOLDENROD-APPLJCANT ,�`',g'°r'r.�i`�r.,,b..7S,N��i*i`ST'"�i7,�`�"w'"';�3,i�j• .' r.;:�3"'o�i"�_'.�``�ti.�I°i'6�t�'�a��l "'�:�r'���•�7�° ':�y';'?��'My.',r `"� 9' �+ ' � < .. r ' ` � � . s _ � _. _ _. ' � 7. tI ti X; ,w. A S �a"RAe• �"'v "9C r''Plftix` aat1.1 ^11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 tj,,.l_�� APPLICATION AND PERMIT '7 ASSESSOR PARCEL NUMBER 69-30-49 ZO. IN PT1 BUILDING PERMIT OW"M Waibel T HONE SQ. FT. OCC. BUILDING VALUATION pric In _511loon.00. OWNER'S MAILING ADDRESS >tont. 5371 Royal Oaks Dr. Qrnvi 11 e I `Db6itt-F"ThIlTers TELEPHO CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN I Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDRESS Permit fee $ 85.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF91 Duplex[] Mobile'home❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer _FG 5.00 Mobile Home S T_ 10.00 e TYPE OF WORK New f_1 Addition❑ Remodel❑ Utilities❑ Installation El Describe work: Replace Water Damaged Drywall Other® _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): lam licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fierce and effect. ~ 7 License No. � ?�- -- S Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ACDNS. ACC, BLDGS. 2h¢sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p SAL@30 Ex. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains,t,said County in consequence of the granting of this permit. - X Date �--� Signature of Applicant — Owner ❑ Controctor ❑ Agent El/ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 85.75 HAz I CUA PARK SCHL I FLD I PAR I PO HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for hich fees D ECTOR PUBLIC BY PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ZU (J Receipt No. 58849 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION,, AND PERMIT PERMIT NO. (40 ASSESSOR PARCEL NUMBER 69-30-49 1 ONI f4 G'10 PTI I BUILDING PERMIT °Wen Waibel T HONE SQ. FT. OCC. BUILDING VALUATION --Ont, OWNER'S MAILING ADDRESS 5371 Royal Oaks Dr. OrCiville `°Bel er `�Uil'�ers TELEPHO CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5 .000.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 25.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 85.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Replace Water Damaged Drywall _ Permit Fee $ . Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u r 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 ce and effect. Al z c License No. d� f�2v Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.a OR AODNS. ACC, BLDGS. , 2/20sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e ( SINGLE OUTLET CIR. ) p OUTLETS OR FIXTURES Ex. Occup( 20@50 5AL@30 Ex. Occup. OUTLETS FIXED PIRESIO.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®/f 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, ju gments, costs, and expenses which may in any way accrue agai Lthe granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ $5.75 HAz CUA PARK I SCHL I FLO PAR PD I HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for hich fees D ECTOR F PUBLIC By4 PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS o Date Z ZQ `b Receipt No. 58849 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROO-APPLICANT �h 11n - err- I n Y`�,9V�1^o� PERMIT NO. 3442-85B,P,E,M iY.ltyR' Q ' PERMIT EXPIRES J ') O h 73 0 1, 'a1 0 r� '. D- 0 S IM u7�1 , s OWNER KEN WAIBEL � ��•-a_� � � �� � I ahs �� CONTR. ASSESSOR PARCEL 69-30-x'9 LOCATION 5367. Royal Oaks Dr, lot 389,KR#4C Oro a-a7�ir� F 00C 7-6& iKe q 7- Lack.a a-6 POD ` -/lion` . ixtr. JS. NF Ad -A,207- Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E _ JOB FINALED (Dat( Signature \ �d GA Meter By_ ELECT131 eter'`By�r' Temp. Power Pole Called PG&E 1'�j Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E _ JOB FINALED (Dat( Signature \ �d 1'�j A J = OK 0 = Not OK = Not Applicable MOBILEHOMES * c Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer;Location-Test-Fall-C/0-Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's ' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -81 % Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2; Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 2 i -. J"- OK's 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE OOR Plans OK except #'s Date FRA Continued /- 1 o ' g requirements -Se backs -Easement 4*,Wo'pqjty Line Firewall & Openings 1. MaK, S ' s -St - le " Ftg. th . Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., G e; So' -St I- 11f, /" Ftg. Depth , Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth w verhang-Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. P' -Fireplace Ftg.-Steel in ailing -Veneer if,co -Drip Screed-Fdn. Vents-Underflr. Access S Gla ' g Area -Glass Protection -Skylights -Plastic . Q.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55 ear Walls; Nailing -Bolts 9. as Pipe; Size -Anchors - . Water Pipe; Test-Anchors-Regulator-Seryice Test 11.Electric; Underground 4.2 lenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples t-L1iiQ31 5_bEA. 0,l-' ,ll Q)k_- t_X� Card -BI ate and -BI Date Card-BDate and -BI Date do ft Card -BI Date Card -BI Date Card-BIJ� Date �_�� Card -BI Date - Date FI (Plans) OK except q's Card -BI Date Date PLUMBING (Permit) OK except q's IExr Steps -Door & Sidelight Protection -Landings Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - IgGarage; Above Floor -Ducts -Mach. Protection 1 W Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 15b bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access K. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 61!_Elec. Trim & Subpanel; Breaker Slzes-Labels . Stairs & Rails 0 —P replace or Stove; Clearances -Hearth 6g_-E1eq. Outlets at Wood Panel; Int. & Ext. Card -BI Date - Card -BI Date Card -BI Date Card -BI Date W -kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance fjiii-�lec. Outlets & Receptacles at Kit. Counter Date EL CT CAL Permit OK except N's t 67. Garage Fire Door; Swing -Landing -Closer 48. A4 Duct in Garage -Damper 2 ix re & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- arage; Above Floor -Meth. Protection 7 P ., Elec. & Mech. Equip. Listed for Location 2 lec. Receptacles Spacing -Lights & Switches at DoorsIn iz Boxes & No. of Conductors -Stapled _2 2 o Installed Close to Edge of Studs & C.J. 7 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24 quip, Ground made up w/Mech. Fasteners -Bond Gas & Water 25/, ppliance Circuits in Kitchen &Conductor Size nsulation-Foam-Looked in Attic ❑ Yes 7g, -Guard -Rails & Deck Construction -Post Caps Zy/P"dn. Vents & Crawl Hole D r -Drainage & Wood -Earth Clearance Looked under Floor es 2 5'ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 2 nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive es No; Walks s� ❑ No; Planters ❑Yes o ' ❑ 28. ervice-Riser Conductors & Ground -Main Disconnect U. Stucco; Brown -Finish 29. quip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 7 encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. _.,7t ; ect, Electrical-P-Wobing . Exterior Elec. Trim, G. eceptacfe�Jnderground Card B I �( 4/ Datelif��L» Card -BI Date entilation throughout ouse BIL,-GIAss Protection Card B-1 Date T Card -BI Date Date ME NICAL (Permit) OK except q's Co rections from Previous Inspections 84. Gari^e -- eters Tagged; Gas -Electric C. Ducts: Insulation & Support 85.ewerGonnected-C/O to Grade -HD Approval - ent Fan; Exhaust above Insulation jonEnergy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Az Card -BI Date la rcard-Bl Date Card -BI • Date Card -BI Date Card -BI Date Card -BI Date C�BlDate Card -BI Date Card -BI Date Card -BI Date A Plans) OK except N's Comments at Final: 3 Sill roper Material & Anchors 37 Is; Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders &Floor Nailing It Stop in Walls (rat proof) i to s; Furred Ceilings -Stairs -Chases -Tub 41 er & Beam -Size & Bearing 4 H ers-Post Caps -Anchors -Connectors ,41 g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thn_g_.-R_f_n_g_.__ tr ce Ties or Type A Flue -Fireplace Throat 4 Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 7' Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, -Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 Inspector_ Date_���� /'- ! =s =� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3�IZ- 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. Owner: /41.7 girw lk �U7I Af, Permit No. ENERGY CERTIF ICAT ION 5367 Royai.Oaks, Oroville LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR W Material Fiberglass Thickness(inches) 3-" CEILING M[ Batt or Blanket Type R'i hargl agg Thickness(inches) 1011 Loose Fill -Type Minimum Thicknes5(Inches) ,Area covered(ft. ) FLOOR, ELEVATED Brand Name Thermal Resistance (R Value) Brand Name Certainteed Thermal Resistance R Value) Chi /z J h tee, / f?— �' L Brand Name_r� of AAS Thermal Resi.stance(R Value) $, Brand Name Number of Bags Wt.' per bag lli. Thermal Resistance(R Value) Material Fiberglass .Brand Name Certainteed ?1 Thickness(inches) r,11 Thermal Resistance(R Value),--- i rel FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in�c I�fot7nance with the / 1 /j State qifornia i_" 1 Energy Requdrements. ti s In�;u;.; tion Co . , Inc . #378407 i STATE CONTRACTOR'S LICENSE NO. ------ 4-17-86 OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. �< < c3 51/ 5-0 7 FIRM OWNER (Please print) STATE CONTRACTOR'S LICENS13 NO. /Z/ >G /� SIGN&ffRC6NfkKdTOR/OWNER 15ATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 J y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N'/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND, PERMIT ASSESSORP RCL NUMBER �y VT Cjril ZONI G BUIL NGPefMIT �/ OWNER 1<ka &,;j+ I 8 2 �- TEL Ho E SE � / l SO. FT. OCC. BUILDING VALUATION _ /DG 41 v OWNER'S MAILING ADDRESS s3 r c��r�- f"/ -An/ CONTRACTOR'S NA , TELEPHONE _ _ CONTR CTOR'S MAIL, I NG O�ORESS Fireplace CONSTTRRUCTILENDER UNKNOWN Total Valuation $104 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER T �0,-/� fa-a').%ZOtPk1,$F LISE NO. CEN Plan Checking Fee r Energy Plan Checking Fee $ ` 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,6 © r Permit fee � - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 3 `n Se4-& wheat pump water heater 20.00 LOT NO. SUB/DIVISION NAME /�•. �i PARCEL MAP Water piping 5.00 g ,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 J Mobile Home S I G I W O.00ea TYPE OF WORK New 2� Addition ❑ Remodel ❑ Utilities ❑ Installation❑Other ❑ Describe work: _ Permit Fee $ 99.60 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 10.00 ,(gyp Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �S�1�� Classification / L / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLI '/z2sgft OR ADDNS. ACC. B , NEW CONSTR.ULT'. LE 2.50 ea h NON•RESID BRANCH CIRC ITS Z. POWER APPARATUS .&) SINGLE OUTLET CIR. ( Ex. Occup\OUTLETS OR FIXTURES 20®s0t SAL030 ` FIXED Ex. Occup. OUT ETS P(RESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ Contractor td WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n yFi '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. MECHANICAL PERMIT FiIingFee 10.00 Heating I- o -,� Cooling Hood 3.00 ,nn Ventilation 9.00 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j ents, costs, and expenses which may in any way accrue_2J against said unty 'n consequence of th ranti of this permit. X ate 16 �'� Signature of Applicant — wner❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST. YPE V I' LO D PAR L V17 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE�ROELIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKSion pf- Date Receipt No. to d� - 7 c WHITE-D.P.W.. FELLOW -AS C O PI C OR, OLDENROD-APPLICANT /✓ 1 Ar 0 C4ICuGf+;r1OAJ.6 r<I(4E St/D�7RT sreucTu . a� 5 0 /< G) obex -p/A1 17-190-05— V7 7-13r-05-- ,. .i /oa4' S-/7.29 8.�z // DEC 'Rs Aul orv!jIALL^I IUs. 661.0....,_.._.._ floor and shoulo permit a "we .. J THE i SUBBASE KIT thermostat. 1 Having made eck t;Q� nst'th NATION BOP Co. PN.344270P118 ObI&CtionS to be avO•d" SUBBASE KIT (at steam pipes. water Orbs BOP Co. PN.34427OP120 Cola cariPartition - art tionroopace THERMOSTAT KIT tot (q KitM9n range On OOPOS to radiation fror BOP C0. PN.344270P119 Ids subt9ct effect from rrbndOws- (e1 t to drafts trop • 130180 REV O aoo:i - APr 31979 (q In direct path of air cm registers. moat from nearby 1114 _._----�k televisjo t sats - M sbr•�� 1 UNPACXING • "' • .� ; tt+4a•r++ostst and After rernov 140 cartom dis"Sern le as follower I. Remove the-themriOstat cove 111144*rte—' edge Of cove► upward until it s disc a • �.. • ' • • r : Carefully remove and protects Ine "rcury switches from sut .. -. + 1Remove tt+armostat _ screws indicated in Figure 1 Follow instructions On -'SWI re t.Tlfen�oe11aa and appropriate switch coy' ' Figura L rj Place thermostat and CC" • rhotrnting subbases e►T>O~- Sir on nasus CYCU . SO. 10 or an 4taoolinl; - SO• to StlBftASE MOtJNTiNG Pena ads:its; S.+,gle settMV WvW used kir hooting Olr naade 071. All Itire selected -PF COMML "Oatrq K Cooltrlq selection MNmpst&I wiring (la 411 min ging system sw tf & I Check unit wrung diagram ut.a1. mtsting or coating -YR ' Platir%W Ye,-ury 2wUAet~-1s 0 0- at2s.arm Wft equipment for deterrl.ning n owrmostat. ,s•-2 amps at 24 volts. dr.tsion. huffeered ol-ory 110 3. Run low vOetage thermostat cult about 4 inches through t! ¢ar► s S t�cyrets Per through targe opening in subl 4. Fasten subbase on wall Or i 1 ions i 2" s 2.n- a2.OW - 1..O elongated hosts as rndbcl C.Nd and berpe. S. le -e1 the subbase using a Cl CAUTION of•lovol adlustrnents Can bd he trwrnostat rs specially partied for tiMp4ttavte mpuntrrtq slots. swever. if must be handled carefully. ! 949ctrcail sca+nect power Sa Wy so 0441N9M ! bock and souromwnt damage dur.nd instaltaa.ou ���_ IMPORTA ' The thermostat has be9n a servicing of Ing thermostat. not short across uvmtnaes. This may burn Ord trial no help adjustment 10 i D *"Sal antrcbpator. ,ways conduct a thorough checkout .trim rnstat• should be necessary and HOMevet 1naCCural9 suboa: Inermostat control deviation. loon is Complete t mount Subbase in a true leve A-ATION WIRING hn* Locate the thermostat on an inside wall since IhO 1 Make boring Connection Inst 2 to tris install-Ilionructins.Inst ature of outside wans varies with ovldaa Ca'ailiOne IOr wrnnQ ,nstruthons. lotFl@wiring V position on the inside wall must to at 1101111111 18 3. All •rang must Comply w O•O�nanCeL 2rMs frern 11491unCtron with an Outside •int OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVI,LLE' C40*LIF0RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET c I /,;I Permit No. / �i A. P. No. y g ,go- O Proposed Building Use /C/P r.O �) /- Per, it.Fee-Ba'I-) d.�Up�n: " Complete Contract Price DPW Valuation Other (Explain) Building Inspector ���� o Date /r% A�i At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . 2:., Plot plans in duplicate/triplicate. 1 ,�/ �/ �Sr-UhFC! �y Ci �A�15�fq Complete plans in�d plu' is a/triplicate. �/ . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 11 7 Statement of Intent for Non -H gd nd AC Buildings. - ees of $ 7 �/• �� . . . . . . . 9. Letter of signature authorization. /1 i Sanitation approval from �(% /� �� Health Dept. Planning approval for (A) Use: (B) Parking: t' Certificate of Workmen's Compensation Insurance. 3. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner[:]) _ 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . •Pre-Inspec. request to V7 Pre -Inspection for equired. Building Inspector (Dote) Recorded copy of Agricultural Acknowledgm tement. . Other � ` N n Gtr U (? © f i � � �t'a L iCr©ciG�wlr°K P rwi ; T- `- �.onst, (J OPPro a re A,prior rnAmccu anc u hen you issue the permit, process as follows: Mail to owner. Magid td contractor. X Telephone C�.�' aj � � and hold for pickup at Ir office. Deliver w/inspector. Other_ ov SIS I Applicant / !//�i/X `lel/rr<�/ � Date /a 2/3?5' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above9t time of ca.n, circle item.) 1. 'Index permit for above Items o. I'j If 2. Additional items required: (Contractor, esigne , advised of above required By. Telephone -Mail Other Date 11 mar Plans checked by Date /O P" ps Plans approved by Date 47, 0_r Other Copy—DPW N _ - -'j- ,.- - -- 0•* 937.15+ 30.5.0+ 25.00+ 41.00+ 25.00+ 30.00+ 30-004 650.60+ -� 30.0.0+� , ..1 099-25* 0 - 787.00+ 72.00+ 20.60+ 100.00+ 51.00+ 30.00+ 1,060.60* 1 060' • 60+ 1,028.80- 31 801* f 1�.-_�.....: �....� •. .. .. ,. ,..... iii COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. rt7 ' 7 County Center Drive - Oroviller California 95965 - Telephone 916/534-4541APPLICATION AND AND PERMIT ASSESSOR P/RCF,. NUMBER ") ,d - ZONI G ITELEPROAE BUILDING PERMIT OWNER IF N C-cJ 1 /3 r C- ±&i ,� i 3 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR//'S NAME TELEPHONE \\ /D — �? f( O CONTR CTOR'S MAILING ADDRESS CONSTRUCTIQ,N LENDER UNKNOWN �ll-2 ri 11tJ I 7 Total ValuationLENDER'S FlfeplaceM14 MAILING ADDRESS ARCHITECT OR ENGINEER _,^' J LICENSE No. —7�� ✓ r Kl t/t.12 I�IcS� Filing Fee Permit Fee O� D Plan Checking Fee 25 ,p ARCHITECT OR ENGINEER'S MAILING ADDRESS ,:;). c. i-. / /\<(_V01. !4, =,l Ole -ZD Energy Plan Checking Fee /,j".()C$ / Penalty $ BUILDING ADDRESS � � r Permit fee 7X7. 00$ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 3 War of -heat pump water heater 20.00 LOT ' NO. /. J S / SUBKDI/V]SIIION NAME ' ` ' ' ` ;.0_, � (?_1 I PARCEL MAP Water piping 5.00 .6 Each qas water heater or vent 5,00 USE OF STRUCTURE SFK Duple,[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ De ribe work: ._ ` — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 -).00 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 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOD'L 100 AMP 2,50 NEW CONST. ( OWEL}11 1/2¢sgft OR ADDNS. ACC. 1�L NEW CONSTR. MULTI* NON.RES.D BRANCH CIRC ITS 2,50 ea (POWER APPARATUS 9) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES eA209L9SOt3U FIXED APP LNS. OR Ex. OCCUp. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ` WORKMEN'S COMPENSATION INSURANCE 1 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 subject9. to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor twin dhP_1 MECHANICAL PERMIT FiIingFee 10.00 Heating1-07- _ 9-00 Cooling Hood g 00 r nn Ventilationa. Q elin 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. XThis Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. cox sT.TrPc JFLoo0J_PA7LJr ND SSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. —.v WHITE-D.P.W.. YELLOW -AS[ . PI C OR. GOLDENROD -APPLICANT WN 7 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner ,L En/ G(/i¢/FjEL Climate Zone // Permit No. �j�kl2 BS Floor Area 2(o/Z Compliance path: Package ❑ A ❑ B ❑ C glP.,int System ❑ Budget grother /%�/b ✓� MIN R -VALUE DESCRIPTION • REQ'D INSTALLED ITEMS (1) INSULATION: [� Roof/Ceiling 30.00 Wall /9.00 R-13•oo B,4rr /- /Z-b•oo F0.444 ❑ Slab Floor Perimeter Raised Floor /17-00 (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. L7 (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. Lt1' (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location [3' ❑ ❑ h 7/83 1 Skylights (B) Shading %.Floor Area Single 2/• 64 R• Z //•7o 2.37 ?.Or Double Triple Shading Coefficient Description East , 6G South (P (0 West Skylights (C) South Overhang Length of projection 2 ft. Description E4V4_ (D) Moveable insulation: Area ft Description (E) Thermal Area Glazing Total Bldg 64/0.90 North 7/I o East ;905.50 South (o2.00 West .93.50 Skylights (B) Shading %.Floor Area Single 2/• 64 R• Z //•7o 2.37 ?.Or Double Triple Shading Coefficient Description East , 6G South (P (0 West Skylights (C) South Overhang Length of projection 2 ft. Description E4V4_ (D) Moveable insulation: Area ft Description (E) Thermal mass Type - Area Ft.2 HC= R= MC= Location Type -.Area Ft.Z HC= R- MC- Location Type - Area Ft.2 HC= R= MC= Location Type - Area Ft. 'HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location r FORM .I ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable•metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building;.and a tight fitting.flue damper with a readily accessible control. { *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A). Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ' ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) 9 3 Electric Heat Pump S EER Btu/hr (cooling 'capacity at 95°F) ❑ Other _ (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be -insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 ' . FORK 1 (6) DOMESTIC WATER SYSTEM ❑ -(.d) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/ElectricBaclzup (brand and model number) Gallons (tank size) 2 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) LtJ' '(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C).PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). [[� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING L� (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill -out the following: Heating: Winter design temperature 30 °, elevation %o ', heating load 51606 BTU elevation factor /•o x heating load = maximum outlet capacity gas furnace 5/GOO BTU Cooling: Summer design temperature /O °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 3 DESIGNER OR APPLICANT yT r TEC TON .ENTERPRISES/DESIGN 2240 LINCOLN STREET, OROVILLE,CALIFORNIA- 95965 AW 19161533.4501 TECTON ENTERPRISES/DESIGN 2240 LINCOLN STREET, OROVILLE, CALIFORNIA- 95965 19161533-4501 MM to op .i V TECTON 2240 LINCOLN STREET; OROVILLE,CALI.FORNIA-95965 19161533.4501 TECTON ENTERPRISES/DESIGN 2240 LINCOLN, STREET, OROVILLE,CALIFORNIA•95965 19161533.4501 Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street 69-85 OROVILLE. CALIFORNIA 95965 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 North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: KENNETH 0. WAIBEL 6385 Woodman Drive, Oroville Applicant Phone No.: 589-5131 Property Location (S) 5367 Royal Oaks Drive, Oroville 95966 Kelly Ridge Estates, Unit 4C, Lot 389 A. P. No. (s): Fees Paid: 69-30-48 ALL FEES PAID Application for service approved: December 11, 1985 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: By: Date: North Burbank Public Utility District release to close permit: Date: By: Return to DPW AGRICULTU,tA . Si 7%TT OF h ""nrTT PnCENENT FOR RES1D iAL DEVELC Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. -�- C' ED IN OFF".�'IAL R .5 C•FBUTT_COUNTY;,= A nT THE REO tt- PA RTe I � 85-39"jO 198; 0Fr i I AW 11= 2 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this LEAN R M.BECKER property may be subject to inconveniences or discomfort arising from :LERK-RECORDER EEE`"' 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 agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 389, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT 4C", which.map was filed in the office of the Recorder of the Countyr of Butte, State of California, May 2,. 1978 in Book 66 of Maps, at pages 9, 10, 119 12 and 13. Subject to all easements, rights of way and restrictions of record. Date: State of California ) On this the 11th day of December ,.19 85, before ) SS. me, the undersigned Notary Public, personally appeared County of . Butte ) Beverly Waibel ar3d Kenneth Waibel OFFICIAL SEAL Personally known to me. L/ Proved to me on the basis ~` JOHN EDWARD IACO1Pf of satisfactory evidence. ® NOTARY PUBLIC-CALIFORNIo. o be the person whose name subscribed to Principal Office in BUTTE County My Commission Expires Det. 9, t..5 he within instrument and acknowledged that ]John -Edward, ,. 'Iacopi r" , xecuted the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 6 / -J0— Lt Table 3-3a. Ceiling Insulation Table 3-7. So.th-Facinq Glazing Pts Table 3-10. Shading Coefficient Poi E 11 I Orten- I Z Floor Area AZO OWNER An�/ 9t 4/Rk6L Ane POINTS PERMIT NO. OWE40- ASSIGNED ACTUAL 1. SLAB - INSULATION I 0 -.19 I 0 ! +1 i +2 _ A VI I Glazing Type ! I R -Value 2. P.AISED FLOOR - R-19 19'�� 0 3. CEILING - R-30 30.90 0 4. WALL - R-19 1 0 -.18 I 5. NORTH GLAZING - 2.4-3.6% O •TZ -/D 6. EAST GLAZING - 2.5-3.6% 11,70 - 4 7. SOUTH GLAZING - 1.6-3.6% 3� O S. WEST GLAZING - 2.9-3.6% 1 19 9. SKYLIGHT - 0-1.3% .58-.82 I Area 10. SHADING (Exclude Overhang) 1 0.41)1 1 22 EAST - .66 f'p& O 1!points SOUTH - .19-.42 •�G [points[ I WEST - 13-.36 1 0 1 .83 up .SKYLIGHT - .37-.57 i! 1 +3 11. HORIZONTAL SOUTH OVERHANG 2' 2 p 12. MOVABLE INSULATION - NONE up to 1.5 I +2 13., INFILTRATION (Standard=0)(Tight=+12) I 0 1 49 14. THERMAL MASS SF -6 I 3.6 15. GAS FURNACE (SE)- 71-76% I 0 1 -8 16. HEAT *PUIIP (EER) 7.5-7.9% 9,!5 f� J 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% -11 I I -2 I -6 I WOOD STOVE 1 5- 7 1 I H7 Pa! MPWATER HEATER I -6 0 I -3 I ATTIC v O .. I 4.3- 5.0 I 4-3 Table 3-3a. Ceiling Insulation Table 3-7. So.th-Facinq Glazing Pts Table 3-10. Shading Coefficient Poi 14.4-15.2 1 -50 I -38 1 -32 I OTHER _ I I I I I Table3-11 H S 1 S' SC by Points I Orten- I Z Floor Area tatlon T I East I I 3.2-j-- ( 1 0-3.1 I to 1 6.4 up I 1 I 6.3 i I 0 -.19 I 0 ! +1 i +2 I I Glazing Type ! I R -Value of Insulation ! Points I i 0 i -1 i -2 I Total I I I I R -Value of I I 3.1 I - 17.9 I1 9�_ 1 0 -.18 I 1 .19-.42 I Z of I Sngl, I Dbl, -Tr-pi .I I 0 I -2 ! -4 I -4 I -6 We at 1 .1 1�.6 1, 3.2 I 6.4 I 8.0 Points I to I' to i to I to I up I Floor I (U - I (U - I (U - I 1 19 i -4 1 .58-.82 I Area 1 1.10) 10.65) 1 0.41)1 1 22 1 -2 1 111_5--1 3.1 1 3.9 1 5.2 1!points ) 0 ! +1 I +3 •! +6 I +7 !points [points[ I 30 1 0 1 .83 up O i! 1 +3 1 43 1 38 1 +2 1 1 up to 1.5 I +2 1 +2 I +2 I I 0 1 49 1 +4 -6 I 3.6 I -1 1 (07 I 0 1 -8 1 1 3.7- 4.6 1 1 1 3.7- ( 3.7- 4.2 I -11 I I -2 I -6 I . 1 5- 7 1 I 5.3- 6.5 I -6 1 -4 I -3 I -3 1 I 4.3- 5.0 I -14 1' -10 i 1 6.6- 7.7 I -9 1 -6 I -5 I -4' 1 1 5.7- 6.7 1 -10 I 7.8- 8.9 I -11 1 -8 I -7 I -12 i -10 I I Area. S of Floor I' Points I 1 9.0-10.0 I -13 I -10 -9 ! Table 3-4a. Wall Insulation Points 110.1-11.5 I -17 ,! I -13 I -11T- 1 -14 I -12 I 1 1 111.6-13.0 I -21 I -16 1 -14 ! R -Value of Insulation I points I 1 13.1-14.5 I -25 1 -19 I -16 I 1 I I i 14.6-16.0 i -28 i -22' i Ig -10. 1 1 7.0- 7.6 1 -24 I -18 I I 11 I -7 I I 9.8-11.2 1 1 I 15 1 -13 1 1 7.7- 8.2 ( -26 I I 19 1 0 1 Table 3-8. West -Facing Glazing Pts. 11 -15 1 1 8.3- 8.8 I -28 I -22 I -19 I I 11.6 - 17.5 1 i 30 ! +3 1 1 1- Glazing Type 1 ! 1 8.9- 9.5 I I I I Total I +6 I I :. 14.1-15.3 I -32 I Z of I Sngl, I Dbl, I Trpl, Table 3-5. �-•- North-Facin Glazin¢ Pts -'-�'-1•• I Floor I Area 11. - 10. I 1.10) 10.65) - I (U - 1 10.41)1 I I Glazing Type I I i oints I oints I ointsl I Total I 1 O+ FS I Z of Sngl, Dbl, Trpl, I up to 1.3 I 1.4- 2.2 I +5 I I +3 I +6 i ® ! +6 I +5 I I Floor I U- l U. l u- I ! "�j= Area ! 0.66 ! 0.41- ( 0.41 1 I 2.9- 3.6 i -3 i +z I 0 1 +3 I +1 I I 1 1.10 10.65 1 dorm I ! 3.7- 4.2 I -5 1 -2 1 0 1 O 1 0.1- 1.2 + 4 i +4 ! + 4 +4 +4 I +4 1 I 4.3- 5.0 1 -8 I -4 I -2 I 1.3- 2.3 I +1 '1 +2 I +2 I ! 5.1- 5.6 ! -10 1 -6 I -4 I 2.4- 3.6 I -2 I 0! +1 I ! 5.7- 6.2 ! -13 I -8 1 -6 I 1 3.7- 4.8 I -4 1 -2 I -1 I I 6.3- 6.9 1 -15 1 -10 i -7 I 4.9- 6.1 1 -7 I -4 1 -3 I 1 7.0- 7.6 I -18 I -12 I -9 I 1 6.2- 7.3 ! -9 I -6 I -5 ( ) 7.7- 8.2 I -20 I -14 1 -11 I 1 7.4- 8.2 I -12 1 -8 I -7 I 1 8.3--8.8 ! -22 I -16 1 -13 I I 8.3- 9.7 I 14I 1 -8 1 ! 8.9- 9.5 I -25 I -18 I -15 I I 9.8-10.8 1 -17 -12 I -10 i 1 9.6-10,1 1 -27 -20 I -16 I 110.9-12.0 I -19 ( -14 1 -12 ! 10.2-11.0 1 -29 ! -23 I -17 1 112.1-13.2 I -22 I -16 .1 I -13 I ! 11.1-11.8 I -35 I -26 I -21 I 13.3-14.5 I -24 I -18 I -15 i ! 11.9-12.7 I -33 I -29 I -24' I 14.6-15.3 I -2i I -ZO i -17 I 1 12.8-13.5 1 -42 i -32 I -27 ! ( 13.6-14.3 i -46 ! -35 1 -29 1 14.4-15.2 1 -50 I -38 1 -32 I OTHER _ I I I I I Table3-11 H S 1 S' SC by I I Orten- I Z Floor Area tatlon I (U - I I East I I 3.2-j-- ( 1 0-3.1 I to 1 6.4 up I 1 I 6.3 i I 0 -.19 I 0 ! +1 i +2 I .20-.36 I 0 I 0 I. it I .37-:66 I 0 I 0 ! 0 I .67-.82 I 0 I 0 I -1 j .83 up i 0 i -1 i -2 I South 1 0 1 3.2 16.4 1 8.0 ! 9.e I I to I to I' to I to ! up I R -Value of I I 3.1 I - 17.9 I1 9�_ 1 0 -.18 1 0 1 +1 I +2 I +2 I +3 1 .19-.42 1 0 1 0 1 0 1 0 !. 0 1 .43-.66 1 0 1 -1 I -2 1 -2 -3 .67 up .I I 0 I -2 ! -4 I -4 I -6 We at 1 .1 1�.6 1, 3.2 I 6.4 I 8.0 Points I to I' to i to I to I up 1 0 i 1.5 1 3.1 6.3 17.9 I 1 I I i 0-.12 I 0 1 +1 I +3 1 +6 I +7 .13-.36 I -0 I 0 i -0 I 0.1' -0 .37-.57 1 0 1 -1 I -3 1 -6 1 -7 .58-.82 1 -1 I X371 .-6,1 -12 I -15 -.9-3-up -2 - -8 I -16 1' =•20 I I •1 I I ' Skylight I .1 I .8 11.6 13.2 14.0 +3 I to '1 to I to I to I to +4 1 111_5--1 3.1 1 3.9 1 5.2 0-.12 ) 0 ! +1 I +3 •! +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 I' -6 I .58-.82 I -1 I -3 I -6 1--12 1 -. .83 up i -2 I -4 ! -8 -1 -16 I -20 I i I i i TOTAL POINTS = -able 3-1. Slab Floor Points I Tn=•ala- I R -Value of Insvlstlon I I tlun I I Depth, -_r I Inches 1 0-2 1 3-4 ! 5-6 I' 7+ ! 1 0- 11 1 -5 1 -5 I -s I 12 - 15 1 -5 I -3 i -2 Pi ! 15 - 19 I -5 j -2 1 -1 I 20 + I -5 I -1 1 0 " 7/7/83 ^� -IVT*Table 3-6. East-Factn Glazin Pts. Table 3-9. Skylight Points or zonta outh Overhane Potnt= I South Gla=l ng 1 Length Out I Area, Z of Floor I I (U - I (U - I (U - I I Area 10.66- I I Glazing Type I I from Wall (_ I 0 - 0.5 -2 I Glazing Type I I Total I I I ft T -'-'-'1 Total I I I Z of I Sngl, Dbl, Trpl, I Z of I Floor Sngl, Db!, Trp1, I U- l u - I U- I 1 1 0-6.3 I 6.4 up I I I I I Table 3-2. Raised Floor Points I Floor I (U - I (U - I (U - I I Area 10.66- i 0.42- 10.41 I 0 - 0.5 -2 -4 - T I Area 1 1.10) ! 0.65).1 0.41)1 1 11.10 10.65 ! down 1 10.6 - 1.0 I -2 ! -3 I I R -Value of I I I�I L;' Lt (points ! ointsl 11.1 - 1.9 ! -1 I -2 I I Insulation I Points 1 1 0 + 4 •4 •< -T I up to 1.3 I -1 I 0 1 0 I I 2.0 up I 0 1 U I I I I up to 1.3 I +3 1 +4 I +4 1 I 1.4- 2.2 I -3 I -2 I -1 I I I I I I 1.4- 2.4 ! +1. I +2 1 +2 1 I 2.3- 2.8 I -6 I -4 I -3 1 Table 3-12. Movable Insulation 1 below 3 I -12 1 1 2.5- 3.6 1 -2 I 0 1 0 1 I 2.9- 3.6 I -9 1 -6 I -5 I Points I 3 - 4 ! -8 1 1 3.7- 4.6 1 -5 1 -2 ) -1 1 ( 3.7- 4.2 I -11 I -8 I -6 I . 1 5- 7 1 -6 1 1 4.7- 5.5 1 -8 1 -4 1 -3 1 I 4.3- 5.0 I -14 1' -10 i -8 ( I Moveable Insulation•! I 1 8- 12 I -4' 1 1 5.7- 6.7 1 -10 I -6 I -5 1 1 5.1- 5.6 I -16 I -12 i -10 I I Area. S of Floor I' Points I I 13 - 18 I r2 1 I 6.8- 7.7 1 -13 I -8 I -7 1 I 5.7- 6.2 I -19 I -14 I -12 I I 1 1 •19+ I 0 1 i 7.8- 8.7 1 -15 1 -10 I -8 1 1 6.3- 6.9 I -21 I -16 I -13 1 I I I 1 ( 8.8- 9.7 1 -1.7 1 -12 1 -10. 1 1 7.0- 7.6 1 -24 I -18 I -15 I 1 0- 5.5 I- 0' I 9.8-11.2 1 -21 I 15 1 -13 1 1 7.7- 8.2 ( -26 I -20 i -17 I I 5.6 - 11.5 I +2 1 111.3-12.7 J__-2_5 11 -15 1 1 8.3- 8.8 I -28 I -22 I -19 I I 11.6 - 17.5 1 +4' I I: 12.8-14.0 1 -23 I -21 1 -18 1 1 8.9- 9.5 I -31 1 -24 1 -21 I 1 17.6 - 23.5 1 +6 I :. 14.1-15.3 I -32 I -24 1 -20- 1• 1 9.6-10.1 I -33 I -26 i -22 I I >23.6+ I +8 I . Table 3-13. Inffl:ration Control Feervres Points I Coctrol Features I Points I - I I I Standard I 0 ! I I ! 0.9 air changes per hr ! 1 I Tight I +12 I I I I 10.6 air changes per hr I' I I I i Table 3-15. Gas Furnace Withouc Refr! eration Coal!r. Pointe F- 1 I Seasonal Efficiency I Points I (SE), 71 - 76 I 0 I ! 77 - 82 I +2 I I 83 - 88 ( +4 1 I 89 - 9. I +6 I ( 95 up I +8 I I I I ti Energy Efficiency I Pouts Patio (EER) ! Table 3-17. Gas Furnace With Refrlveration Cooline Points !Refriseracionl Gas Furnace. 1 I Cooling 1 SE : 1 I 1- 7-183- s9- 95 I 1 761 821 881 941 vo I I I 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +51 +51 +91+10 I I 8.s - 9.2 1 +41 +61 +E1+101+12 1 1 9.3 - 9.7 1 +61 +81+101-121+14 1 I 9.8 - 10.3 I +a1+=01+121+141+16 I 110.4 - 10.9 !+101+L2i+151+161+18 1 1 11.0 - 11.5 1+121+141+1614.191+20 1 7/7/83 ZONE 11 TAELE 3-14 (ADAPTED) - INTERIOR THERMAL MASS POINTS MASS DWELLING ARFA SQUARE FOOT I AREA 1,000 1,500 2,000 2,500 I 3,000 I 3,500 + 4,000 I 4.SG0 5,000 I S.. FT. i A B C D A 8 C D A 6 C 0 A B C 0 A 8 C D A B C O A 8 C 0 A 6 -C-D:, B C SO 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 r 0 0 0 0 0 It 0 0 0. 0 0 IOL. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 DI 0 0 0 0 1 iso 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 ? 2 OI 2 2 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 22 212 2 2 c l 2 2 ` 1 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 -! 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 112 2 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 7I 2 2 7 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 4 4 1 2 503 18 18 16 10 12 12 10 6 To 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 < 4 2 4 4 4 j 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4{ 6 6 4 2I 6 6 4 2! 790 24 24 20 14 18 16 1; 10 14 14 12 0 10 10 10 6 10 10 B 6 8 8 6 4 8 6. 6 4 16 A 6 41 6 6 6 7, i 130 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 B 8 4 ? 6 6 4 I B 6 6 4I 6 6 u s 900 :8 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I 3 8 ' B 4 8 8 6 4 1 E 8 6 4 i 1,000 30 30 26 18 ?Z 20 20 14 18 18 16 10 14 14 1Z 8 12 12 )0 6 12 10 10 6 10 10 8 6 8 a C 4 8 6 •t i I,:OU .l: 32 28 20 174 24 22 14 20 20 18 10 I6 16 14 8 10 14 12 8 12 12 10 6 10 lO 10 6 11 10 8 F� lO f f ! 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 114 14 12 8 14 12 12 8 '12 12 10 6 to 10 8 6i In 10 8 6 1,700 33 34 32 22 28 26 24 16 22 22 20 12 18 19 16 lO 13 14 14 8 la 12 12 8 12 12 10 6 112 10 10 LI 10 IO F. o { 1,400 34 34 32 24 28 28 26 18 24 24 20 10 20 20 18 12 16 16 14 10 14 14 12 8 14 14 12 8 12 :G L. 10 10 I� E 1,100 ( 36 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 1G 16 14 8 14 14 12 w 1 17 12 to 6 :2 12 1: u 2,^000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 16 is L 14 la 12 E i 2,500 I 34 34 30 22 130 30 26 IB 26 26 24 16 24 24 22. 14 22 22 Is !2 20 20 18 !: 19 1 5 It 'U 3,000L 34 32 30 22 30 30 26 18 28 :6 24 16 {24 24 22 14 22 27 20 i4{ :2 :3 I_. 12 i 3,500 32 32 30 :0 30 30 26 td �28 28 24 16 26 24 22 14! ?a ;4 20 1.1 ' 4.030 32 32 30 20 30 30 16 la' 7s 28 24 If :5 2•i 2: 1f 4,500 32 32 28 2U { 30 30 26 IE' i ib ?- ;E 12 t7 1r 201 tJG '6' 1= : A) 1. 3's' Concrete Slab: HC•8.93; R•.29: Factor-7.3 2. 3 3/4` Thick Comnon Brick: 11C-7.125; R•.13; Factor -7.3 8) 1. Sk' Concrete Slab: HC -14.106: J. -.45B: FiC1or•7.1 c 1. 8- solid Filled Block: HC -20.63; R-1.93; Factor -6.1 wood stove #33 points'(no back up) 2. 8` Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. Casablanca fan + 1 point NOTE: Use all square footage directly exposed to conditioned air for Thermal'Hass Area: IIC-10.164; R-.965; Factor -6.1 D) 1' Thick Concrete/Tile: HC -2.55; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Reslstance Space Heating Points ' I Pointsfoo this measure will I Table 3-20. Solar Water Heating With Gas Backup Paints ' I be competed after the CEC I has approved an Alternative I Component Package for Reslstance 1 I Beat. Table 3-13. Active Solar Spnee Heating with Gas Points ( :let Solar Fraction I Points I 1 (NSF), Z I I I I I I 0-6 I o 1 I 7- 14 I +2 1 i 15 - 23 I +4 I 1 24 - 30 I +6 I ( 31 - 39 I +8 1 ( 40 - 47 I +10 I i 48 - 55 I 4.12 1 I 56 - 63 1 +14 I I 64 - 71 I +18 I 1 72 up 1 +20 I I I I Fultlfamll (per unit oincs) I 7.5 - 7.9 1 +3 1 1 9.0 - 8.3 I +6 1 I 8.4 - 8.7 I +9 1 I 8.8 - 9.1 1 +12 1 I 9.2 - 9.69.2 - 9.6 1 + I per un t, ! •10.3 - 10.8 1 +21 I I 10.9 - 11.5 I +24 1 I 11.6 - 12.3 I +27 I I 12.4 - 13.2 I ! ! +30 I I Table 3-17. Gas Furnace With Refrlveration Cooline Points !Refriseracionl Gas Furnace. 1 I Cooling 1 SE : 1 I 1- 7-183- s9- 95 I 1 761 821 881 941 vo I I I 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +51 +51 +91+10 I I 8.s - 9.2 1 +41 +61 +E1+101+12 1 1 9.3 - 9.7 1 +61 +81+101-121+14 1 I 9.8 - 10.3 I +a1+=01+121+141+16 I 110.4 - 10.9 !+101+L2i+151+161+18 1 1 11.0 - 11.5 1+121+141+1614.191+20 1 7/7/83 ZONE 11 TAELE 3-14 (ADAPTED) - INTERIOR THERMAL MASS POINTS MASS DWELLING ARFA SQUARE FOOT I AREA 1,000 1,500 2,000 2,500 I 3,000 I 3,500 + 4,000 I 4.SG0 5,000 I S.. FT. i A B C D A 8 C D A 6 C 0 A B C 0 A 8 C D A B C O A 8 C 0 A 6 -C-D:, B C SO 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 r 0 0 0 0 0 It 0 0 0. 0 0 IOL. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 DI 0 0 0 0 1 iso 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 ? 2 OI 2 2 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 22 212 2 2 c l 2 2 ` 1 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 -! 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 112 2 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 7I 2 2 7 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 4 4 1 2 503 18 18 16 10 12 12 10 6 To 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 < 4 2 4 4 4 j 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4{ 6 6 4 2I 6 6 4 2! 790 24 24 20 14 18 16 1; 10 14 14 12 0 10 10 10 6 10 10 B 6 8 8 6 4 8 6. 6 4 16 A 6 41 6 6 6 7, i 130 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 B 8 4 ? 6 6 4 I B 6 6 4I 6 6 u s 900 :8 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I 3 8 ' B 4 8 8 6 4 1 E 8 6 4 i 1,000 30 30 26 18 ?Z 20 20 14 18 18 16 10 14 14 1Z 8 12 12 )0 6 12 10 10 6 10 10 8 6 8 a C 4 8 6 •t i I,:OU .l: 32 28 20 174 24 22 14 20 20 18 10 I6 16 14 8 10 14 12 8 12 12 10 6 10 lO 10 6 11 10 8 F� lO f f ! 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 114 14 12 8 14 12 12 8 '12 12 10 6 to 10 8 6i In 10 8 6 1,700 33 34 32 22 28 26 24 16 22 22 20 12 18 19 16 lO 13 14 14 8 la 12 12 8 12 12 10 6 112 10 10 LI 10 IO F. o { 1,400 34 34 32 24 28 28 26 18 24 24 20 10 20 20 18 12 16 16 14 10 14 14 12 8 14 14 12 8 12 :G L. 10 10 I� E 1,100 ( 36 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 1G 16 14 8 14 14 12 w 1 17 12 to 6 :2 12 1: u 2,^000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 16 is L 14 la 12 E i 2,500 I 34 34 30 22 130 30 26 IB 26 26 24 16 24 24 22. 14 22 22 Is !2 20 20 18 !: 19 1 5 It 'U 3,000L 34 32 30 22 30 30 26 18 28 :6 24 16 {24 24 22 14 22 27 20 i4{ :2 :3 I_. 12 i 3,500 32 32 30 :0 30 30 26 td �28 28 24 16 26 24 22 14! ?a ;4 20 1.1 ' 4.030 32 32 30 20 30 30 16 la' 7s 28 24 If :5 2•i 2: 1f 4,500 32 32 28 2U { 30 30 26 IE' i ib ?- ;E 12 t7 1r 201 tJG '6' 1= : A) 1. 3's' Concrete Slab: HC•8.93; R•.29: Factor-7.3 2. 3 3/4` Thick Comnon Brick: 11C-7.125; R•.13; Factor -7.3 8) 1. Sk' Concrete Slab: HC -14.106: J. -.45B: FiC1or•7.1 c 1. 8- solid Filled Block: HC -20.63; R-1.93; Factor -6.1 wood stove #33 points'(no back up) 2. 8` Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. Casablanca fan + 1 point NOTE: Use all square footage directly exposed to conditioned air for Thermal'Hass Area: IIC-10.164; R-.965; Factor -6.1 D) 1' Thick Concrete/Tile: HC -2.55; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Reslstance Space Heating Points ' I Pointsfoo this measure will I Table 3-20. Solar Water Heating With Gas Backup Paints ' I be competed after the CEC I has approved an Alternative I Component Package for Reslstance 1 I Beat. Table 3-13. Active Solar Spnee Heating with Gas Points ( :let Solar Fraction I Points I 1 (NSF), Z I I I I I I 0-6 I o 1 I 7- 14 I +2 1 i 15 - 23 I +4 I 1 24 - 30 I +6 I ( 31 - 39 I +8 1 ( 40 - 47 I +10 I i 48 - 55 I 4.12 1 I 56 - 63 1 +14 I I 64 - 71 I +18 I 1 72 up 1 +20 I I I I Fultlfamll (per unit oincs) Floor Area Net Solar Fraction (NSF), Y per un t, ft2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2,1100 -and u 0 ' +l 1 +2 +4 1 +5 +6 +7 +9 All others (pe building points) _ 800-899 900-999 0 0 +5 +4 +10 +9 x14 +13 +19 +17 +24 +il +_9� +34 +26 +3v 1,000 1,199 0 +4 •+7 +11 +15 +19 +22 +26 1.20f,1,499 0 +3 +6 +9 +12 +15 +la +21 1,500-1.999 0 +2 +5 +7 +9 +12 +14 +It. 2.x1O0-'_,'/?9 0 +2 +3 +5 +7 +8 +)0 +11 I 3,0x:•0 ar.d uo 0 +! +3- +4 +5 4.7_ +s +10 Table 3-21. Other Water Beating Pts. I System Type I Points I ! I I I Gas Only ( 0 I I I I I Heat Pomp I 0 1 ( I ( Solar with Electric I Regtstance Backup 1 i 41 Meeciny the Requirs- I ments iu Part 2 f 0 1 I I f Elcccric Reststance I I ❑ (D) Moveable FORM ' esu ft2 Description RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY .Owner KEn/ ivf/aez- Climate Zone Permit No. �j�12 8S Flood Area 2101 z - Compliance path: Package ❑ A ❑ B ❑ C M Point System ❑Budget IR Other ❑ MIN R -VALUE DESCRIPTION - Area REQ'D HC= INSTALLED ITEMS (1) INSULATION- Location Roof/Ceiling 30.0 O I� Wall / 9• ao R-/3-oo 13,4r7' -f /z- (o . oo Fo.4A-1 Type ❑ Slab Floor Perimeter Ft. 'HC= Raised Floor 117-00 MC= (2) INFILTRATION• (A) A vapor barrier is required in climate zones, 1, 14 & 16. ,❑, ll (B) All manufactured windows and sliding glass doors shall meet the - Area 1972 ANSI Air Infiltration Standards and shall be certified and HC= R= labeled. MC= (� (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. ❑ Type Tight - the above standard features plus: - Area ❑ (D) Continuous infiltration barrier R= ❑ (E) Electrical outlet plate gasket Location ❑ (F) Air-to-air heat exchanger (3) GLAZING: Type (A) Location Ft.2 HC= Area Glazing %Floor Area Single Double Triple ®/ Total Bldg (1%0.90 -24-40 / North 2/y o 'T. //Z- ZEast 13 East305.50 11.7.9 �— �j South 62.00 2.37 �— HC= W West .03.50 2.0s — 7 MC= ❑ Skylights (B) Shading Shading Coefficient Description [� East �G Q' South (,G Q-_ West ❑ Skylights (C) South Overhang Length of projection 2 ft. Description ❑ (D) Moveable insulation: Area ft2 Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. 'HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location 13 Type - Area Ft.z HC= R= MC= Location 7/83 4�9 FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. e *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A)::Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr , / (heating capacity) Heat Pump. M (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar `type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (B) Cooling 13 Electric Air Conditioner (describe) (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump 93 s EER Btu/hr (cooling capacity'at 95°F) ❑ Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. L7 (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be -insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 30 °, elevation %o ', heating load 516.06 BTU elevation factor foo x heating load = maximum outlet capacity gas furnace /(000 BTU Cooling: Summer design temperature 10V* °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P:S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83S fG1iAiUWErZMINa DESIGNER OR A 3 FORK 1 (6) DOMESTIC WATER SYSTEM -. ❑ ).Gas Only Gallons '(brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑-* 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) [ri :(B) TANK INSULATION. Storage type water heaters andstorage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. , ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water.piping outside the . building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 30 °, elevation %o ', heating load 516.06 BTU elevation factor foo x heating load = maximum outlet capacity gas furnace /(000 BTU Cooling: Summer design temperature 10V* °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P:S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83S fG1iAiUWErZMINa DESIGNER OR A 3 - 4 • COMPLIANCE CHECKLIST FORM 2 For Low-Rise Residential Buildings (except hotels and motets) Step 1: Enter on the form the values for each measure from your buildin$.plan and specifications sheet. Step 2: Enter points on this page while working through the poiit system in.. Part 3. Bu lldl ng .Shell � Measure Points TioL3� .� rJ� Areao e o • e �o o • e • • e • • ��P �p'ft2 �i ✓� 1. Slat-on-Groc:nd Perimeter e ft; Depth in m- �I I 2 • Rained Floor R-Value . ' ,- e 4 • • o 11-=V ;. -�: o Ceiling Is:.sulation or Conatruction �-- la ezb ly, PTL - e o o o • 4 0 o • o e • • e F,— / J` 4o Uall Inaulatiar uT ConstrucUoal Assembly, &-Value I�- Glazigg Tatal % Flo6T, Area Single Double Triple 5 e . Worth-Facia • • /� X f t2 1 f t2 ft 2. 6. East -Facing .ft2 ft 2 ft2 �/ 8 . South -Facing • • • f t2 -- f t2 =f �.__—ft 2 8. West-Facing e / ft ft ft 9. Skylight • ft ft 10. Shading Coefficient (exclude overhang) ne East e • �V/ Sc . b. South e . . . . .SC . . . . p C. West . . . . . . • • e • • , • • •—S C 1'0 • • • • • • d. Skylight . . . . . . . . . e SC . 11e Horizontal. South C:verhang Length • _t61_11 ft . 12. Mo,:�«ole I:•csulation, % F-loor Area • 13e Infiltratio:u (indicate Standard or Tight) .a 4a `inerxal Mat ss Exterior Wiill T[r,rwrm,al Masa Area, Heat Capacity,, R-Value • ft2, HC, R- iatee.Iar Thera t:i aa &ren, Rat Cap3sity, R-Value f HC, -R !IVAC System** B. Gas Furnace Without. RefrigerCtion Cooling SE . (Seasonal Efficiency) 16. Heat Pump (Energy Efficiency Ratio)��, EER 17. Cas Furnace with Refrigeration Cooling SE SEER [Seasonal Efficiency -(SE), Seasonal Energy Efficiency Ratio -(SEER)) 18. Active Solar (Net Solar Fraction, %) X NSF 19. Zonally Controlled Electric Resistance Space Heating . . . (Yes/No) Domeatic«later heating** 20. Scalar With Gas Backup '(Net Solar Fraction, X) � % NSF 21. 00ier Water Heating (Describe type) Point . S stain o�W,r fiance Total y�� ,� (must be greater than or equal to 0) urea stitem� � n v a ppl at system measueee **Attach documentation .for efficiencies arad NSF. 75 ;e. " '& ER THERMAL MASS TAKEOFF SHEET FM I PERMIT NO. Thermal mass: Materials which have the ability to store.heat (typical types are. masonry, brick and ceramic tile). .Thermal mass cannot be insulated.from the interior of the building. (If covered by car- pet, cabinets, or enclosed in closets the mass is considered insulated). Thermal mass floors must have an exposed and textured surface or design so that carpeting w not' occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA Entry Floor /lip ' x I Bath #1 Floor ' x ' _"SQ.FT. Bath #2 Floor --'' x ' . SQ.FT. !! SQ.FT. - Bath #3 Floor II ' x ' • �'� SQ.FT. i, Kitchen Floor ' x ' • �SQ.FT. Floor I v ' x I C;1' _....SQ.FT. Floor ' x ' • SQ.FT. 72T, :4-, Fireplace 7f,✓' x ° SQ.k°r. Fireplace_: x ° SQ FT Bath #1 ounters x ° —�- Bath #2 Counters ' x ° .SQ° Bath 3 Counters �' x �° a �i& "SQ°FT' , SQ.FT. Kitchen Counters x ° • SQ.FT. .� Wall Shield_' x =° • R .FT. "1` 1lri Walls ' x • - SQ.FT. ' Wallsx —. Walls. 1.x -- SQ.FT. �-��--� � SQ.FT. "t ° $Q. FT. -- x SQ.FT. If compliance method proposed is other than the point system (where thermal mass point charts are available), use calculation methods on reverse of this form to show thermal mass compliance. T{i� • y 7/83 GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) x_ P�—=J4 x zell';Ie2_ _ C) x = d) x = C) x _ Total North Glazing = I (SQ.FT.) (a+b+c+d+e ) OTAL ORTH TOTAL BLDG AZING FLOOR AREA x Q.FT. SQ.-rT - CONVERSION TOTAL % FACTOR NORTH GLAZING 100 _ 9✓'l- Y. . 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) X. b) �_x _ 3) x = �) x = Total South Glazing = (SQ.FT.) (a+b+c+d+e ) "TAL ".H TOTAL BLDG AGING FLOOR AREA x 2'. FT. SQ.FT. CONVERSION TOTAL FACTOR SOUTH GLAZING 100 /A � 7 3-9 Skylights QUANTITY SIZE AREA (SQ.FT.) i) x = �) x - :) x = Total Skylights = (SQ.FT.) (a+b+c ) )TAL (LIGHT TOTAL BLDG \ZING FLOOR AREA i �+ 1•FT., SQ.FT. 4ER MT NO. 33 CONVERSION TOTAL % FACTOR SKYLIGHTGLAZING X 100 = �I PDR M 3-6 East Glazing QUANTITY SIZE (a) _�_ x&,?/, / (b) { x G� (c) �_ x (d)_ x (e) I x o CONVERSION FACTOR AREA (SQ.FT. TOTAL EAST TOTAL BLDG GLAZING FLOOR AREA SQ.FT. SQ.FT. 100 (SQ.FT. TOTAL % EAST GLAZIN, i": '�,re� . , 3-8 West Glazing QUANTITY SIZE RE (SQ.FT., (a) I x C< a (b) _x�% (c) x i1�/JLi Ia (d) x = (e) x = Total West Glazing (SQ.FT.; (a+b+c+d+e) TOTAL WEST TOTAL B4DG CONVERSION TOTAL GLAZING FLOOR AREA FACTOR WEST GLAZING x 100. a �,, q . SQ.FT. SQ.FT. 0 T HEAT TRANSFER COEFFICIENT PROPOSE® CONSTRUCTION ASSEMBLY Form 3 List ofConstructionComponents R 2. 3. 4. 6. 7• Inside Surface Air Film I �f 4—j cooling heating Sket'r�:�,dny4ruc41on Assembly r 1' Outside Surface Air Film WifEICiHM., ^ Ib%fta cooling heating Check one: Total Rasistance Rt Wall cooling heating Roof U -Value (I/Rt)'- Floor . _ cooling heating COMPLIANCE CHECKLIST FORM 2 For Low -Rise Residential Buildings (except hotels and motels) Stip 1: Enter on.the form the values for each treasure from your buildin�.plan and specifications sheet. Step 2: Enter points on this page while working through the point system in.. Part 3. Building Shell Measure Points *Total Floor Area . . /�W`�"1 ✓ f t2 1.. Slab-on-Groand Perimeter ft;Depth in R- p 2. Raised Floor R -Value . . . . . , . . . . R-= 3. Ceiling Insulation or Construction Assembly, R -Value . . . . . . . . . . . . . . . . R- ado 4. Wall Itisulation or Construction Assembly, R -Value R- IJ_ Glazing Total % Floor, Area Single Double Triple S.. North -Facing . . . % f I t2 I�1 f t2 ft2 6. East -Facing �� ft2 ►4rj ft2 ft2 ..v 7. South -Facing =� ft2 I ft2 ft2. M 8. West -Facing . . . ft2 I,pl ft2 ft2 9. Skylight . . . . ^�: ft2 ft2 . . . t. 10. Shading Coefficient (exclude.overhang) a. East . a_,&V SC . . . . y h. South . r SC c. West . C d. Skylight . .. . . . . . SC . 11. Horizontal South Overhang Length . . . =t . . . . . . . 12. Movable Insulation, % Floor Area . . . . . , . , . . 13. Infiltration (indicate Standard or Tight)�1', 14. Thermal Mass Exterior Wall Thermal Mass Area, Heat Capacity, K -Value ft2, HC, R- p� Interior Thermal Mass _ Area, beat Capacity, R -Vague . . 1�1 ft2, JNA HC, R - le- HVAC System** 15. Gas Furnace Without Refrigeration Cooling SES (Seasonal Efficiency) 16. Heat Pump (Energy Efficiency Ratio) . EER ►fit 17. Gas Furnace with Refrigeration Cooling SE SUER P [Seasonal Efficiency -(SE), Seasonal Energy Efficiency Ratio --(SEER)] 18. Active Solar (Net Solar Fraction, %) # % NSF 1-4A 19. Zonally Controlled Electric Rexistance Space Heating o . . . (Yes/No) hJA Domestic Water Heating** 20. • Solar With Gas Backup (Net Solar Fraction, X) % NSF tIA 21. Other Water Heating (Describe type) Point: System Compliance Total (must be greater than or equal to 0) `°"®%t/✓' *Checklistitems; not a point system measure. ��i" i� {✓'' �,,;.�,��� **Attach documentation for efficiencies and NSF."''=, 75 C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile.California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 69-3n-48 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION r OWNER'S MAILING ADDRESS Woodman Dr-. Oroville CONTRACTOR'S NAME Rilav Hill TELEPHONE CONTR CTOR'S MAILING ADDRESS 385 Hi11rrPRt ye -9 orovillp Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS --Filing Fee $ 1000 Permit Fee 3EEE $ 244.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGI EER'S MAILING ADDRESS 2240 Lincoln St., Oroville Penalty $ BUILDING ADDRESS 5367 Royal Oaks Dr. Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF NX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st- -enewal of e;rmit 43442-25 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 4000 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under7penayof perjury (check one): Fl 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 17I, 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 ths reason NEW CONST. DWELLING OCCUP.N , OR ADDNS. ACC. BLDGS. ) /22sgft NON.RESID CONSTR.NEW BRANCH CIRCI sT2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 20050# eA1030 FIXED Ex. OCCUp. OUTLETS P(RESID.)LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare unde pe ally of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 a inst said County in consequence of the granting of this permit. Date gnoture of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 254.00 Oc Cu P. CONST.TYPCJ IFL001PARCELI PO ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date 1/16/88 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 3442-85 PERMIT NO. 196-86BSP,E PERMIT EXPIRES 7 t OWNER KEN & BEVERLY VATREL CONTR. Bonita Pools, Orland ASSESSOR PARCEL 69-30-48 LOCATION 5367 Royal Oaks Dr, Oroville Temp. Power- Pole: Called -'PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature J = OK O = Not OK =.Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (f_1afrs1 OK except #'s etbacks- asements 2. Footings; Size -Spacing -Marriage Line i s; Compact ion-Struct Stability 3. Gas; MH Test -Demand -Valve -Connector 3ructure; St€ -Conn -Thi - ea -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Receptacles and Lighting; Distance -G 5. Drain; MH Test -Fall -Flex Connector . Elec Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector lec ;Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged; c.; Boding; Metal w/5' -Circulating Equipment -Heater Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. / Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Ogjawment Approval umb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date -BI lCard-131A-'[Zate ate Card -BI Date Card B -I Date Card -BI Date �O'i _ Card -BI Date H r' V = OK 0 = Not OK - = Not Applicable �k- = Not Ready RESIDENTIAL (Single and'Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55, Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground _ 12. Plenums & Ducts; Clearance -Material -Support -Ins. t. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s • - 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date _ PLUMBING (Permit) OK except #'s , 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. 1.9. Test Tub & Shower,.2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI t Date% 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter - Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. _Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -_ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -__ - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral 7 -Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes IJ No 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. - - Card B -I Card B -I - - -- - - - Date__ Card -BI Date Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric - - _ 31. 32. 33. A.C. Ducts: Insulation & Support Vent Fan; Exhaust above Insulation _ Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. 35. Furnace -Vent Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Date - -Ea-rd-B-1- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except #'s 3_6. Sills; Proper Material & Anchors__ 37. Walls: Studs -Nailing, Spacing _& Bracing -Plates -Sound 38. Bearing Walls irders & Fl -Nailing over G _ _ 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: _ _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dim_en_sions Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit jobsite) J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT N0. 7 County Center Drive - OroviIIe, California,, 5965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES O PAR�',F�J NUMB ZONING BUILDING PERMIT Ow R �v r 'ex TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN_ErR.S AIL G DDRESS OAU Q4�e � 01re v" CO RAC OR'S NAMTELEP ONE CO RAC �2'S M ING ADDRESS ® />, _ ^� `"f( fes) 7S"'(/� Fireplace CO M�tR'�UCT ON LEND UNKNOWN Total Valuation is Filing Fee $ 10 .00 LENDEVR'S MAILING ADDRESS Permit Fee $ ` ARC TEC OR ENGINEER r1l 14 4a LICENSE NO. e $ EEn�e�r�g�y�Plan Che king Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � gAaA $ BUILDING ADDRESS/� 7 Permit fee $ S' 110 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME MAP rRCEL Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUC URE SF ❑ Duplex❑ Mobilehome❑ Other L�LBuilding SPECIE Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK NewY1 Addition[:]Remodel[:]Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ % o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): © I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and my license is In full force and effect. and Professions Code (�(� License No. -Q—I i) >U 1 _ Classification C-53 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.t� ,h¢sgft OR ACDNS. (ACC. BLCGS. NEW CONSTR. U TI.OUTLET NON•.ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t e ALO 30 FIXED ALINIS EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 A�;c �yiri� ., 15.00 / Q Permit Fee $ a ` WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t 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 agains sai ount i consequence of the granting of this permit. X / —Z8 - Date Sig ure o Applicant — O r ❑ Contractor ❑ Agent] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ .s Occup. CONST.TYPC FLOOD PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —�/' ✓✓��3stories Receipt No. i�{Yy�� WHITE-D.P.W.. YELLOW-ASSESSO , PINK -INSPECTOR. GOLDENROD -APPLICANT l OWNER COUNTY OF BUTTE - DEPARTMENT Q;IF..PU,¢LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE_G*LIF0R4IA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. ll / Proposed Building Use V,-)4 l Permit Fee Based Upon: �L�_Complete Contract Price DPW Valuation Building Inspector At time permit application, I was advised the following data must be submitted prior to permit processing andlorjissuance: DATE RECEIVED APPROVED .� 1. All items have been submitted. . . . . . . . . . . . 2— Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 1 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Recorded copy of AgriculturalAcknowledgment Statement. 19. Other DRIVEWAY PERMIT ArUSTRUCTION APPROVAL REQUIRED PRIOR TO OCCUPANCY v When you issue the permit, process as follows: Mail to owner. Mail to contractor. XTelephone _� �`S' d3and hold for pickup at(�_)t/(n office. Deliver w./ inspector. Other Applicant Date //2-R JB � Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW IIItIIIII"am IWn I= IIOEM EM= IIIIIItIIIittlIIIIIITPA IIIIItIIIell IIIitIItIIIIIIIIIIIIIIIIIIITIM IIIt All IIIIIIIIIIIiIIIIitIIIIIIIIIIIitoil, tIIIIIIIIIIIIIItIiINY IiItT IPit I77f4 IIIIIIIIittIIIIIlIIliFA P IiII�AD IIis IIIItIITv t7::, IIIIIItIII19 'I k, I44, IIiIII777777- IIIk# IIIA IIIIIIIIIII Yi.; IIIPT IIN IIIIIIIIU IitIIIII'MAMA.%' IOU,, I' T —7� —I I- 10 "W"'t Wawa"........... rll�` t ..... . . . . . . i,!.f T� ITO 1,Uz f All, 1. a t" IT, �A' It, 4l 777 T jt, 44� ff it TT; ir, 6.4 lu L4 4k: r., MI -4 'mi IT )IT'S w, r 7,VY, i fq T F v -T ;j J 4 1 vl, :,o 7 ;"- , , , L' I, , I , , 4� I t 4u, 41 '41-44 ANK Vl' l't ITO If 'I�' IT f ii it ; W'j AIR& —4i, t-, ` , �,, P " I . r ". : , - , d"i I IT J -i ic� ii t W' N A It IA j;1 I "t �11'� , .1 - Ti 4 'Ile O�i -to i.A IT 'Y ;v t I Tj," SIN TV Azt�ipiwl TIN � A A I l4 If it it 'j TIF ) 11 It IT FIMM �Itftl pl -r�-iw $, 01 In aj 11k Iv pap 1 71 Fu ry. rl it j . 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