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069-360-062
0 6.' 06 9-3 "' 0-�-- SUMMARY SHEET FOR LAND DIVISIONS,v H Dou' `Bruce as gl "Gleriess'Drive., Oroville '7/2/03;'" 0 I '069 36.0&a -.93-1968,BPai GLENESS -DR,.�OROVILLE, CONTR'-- dRAVI SON-.RICKETTS.&oNST-` i,- NEW'SF L 069-36-0 0(-3714', B - GLENN, GAL U, GLENESS,,DR, v OROVILLE-fi.. -,CONTR:"GRAVISON'-RICKETTS ` ; /y COVER- EXISTING -DECK/SF 069-360 -06 ' , - I I 'i, � 94'-0265B,E'-y GLEN, G&CE-& GAYLE'. CONT:• GRAVISON CONSTRUC'ii.ON�- 12 GLENESS 'DR, OROVILLE , :1�/ ADD AREA-TO,MASTER BDRM & CLOSET/SF' 7"669-360-062�"�.',4 -09239,-- ;,� , PERMIT#98- IA-11. lr;� -1 i I -12 Gl'ennes Pr: Oroxiil e Con eveos,cons -Ad e r6 j 0& -J660 - CERTIFICATE OF MERGER Gale L.'Glenn' `,-. 4 1 f s RESIDENTIAL .069-366 PERMIT#98-0923 GLENN, Grace PERMIT NO.'_12 Glennes -Dr . , -Oroville*--Y---* Cont: Theveos Const. -.,PERMIT EXPO "Ydd Bedroom/SF ° — - �- —~--- , i OWNER CONTR. ASSESSOR PARCEL {[G LOCATION C e t f l� t . 4 CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E i Temp. Elec. Service Called PG&E Z 1 Temp. Gas Service } Called PG&E` I JOB FINALED (Date) tSignature n r V=OK 0 = Not OK Not NotReady ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-CiO-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; LorationClearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /`LYt / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .r. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.Connectora Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Der -al -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =, No OKi RESIDENTIAL (Single & Duplex) Not Applicable = Not Readv Date yNDERFLOOR (Plans) OK except #'s ., Main; Soils-Elec. Gmd. / ,4_LEtgg. Depth 3. F arage; Soils-Steel-Elec. Gmd/ P Ftg. Depth F5,POTEhes & Decks; Soils -Steel- /" F .Depth JSelotemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. S Steel -Wrapped Pie ireplace Ftg: Steel t9 D. all -Fitting -Test -2 Way C/O -Sewer Test JIQITJF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pi ums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 6"—ss & Ventilation 16. Insulation Date Ca op Date Card B-1 Date C Date Card B-1 Date PELIMBING (Permit) OK except #'s 1 ss -Combustion Air Baffle LAeOgVeter Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Tub Access est Tub & Shower, Second Floor -Tub Access 22rGaefipe, * e-& Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Si es & No. of Conductors Stapled R x 16staned Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastner anceCircuts in Kitchen & Conductor Size GFI ire Ge / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 3,� Ranor -0ven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No cors & Ground -Main Disconect ances Panels -Motors -Meeh. Epuip. Clo loset Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s a on & Support j6peoVent Fan, Exhaust above insulation ensate Drain & Overflow, Size & Grade 38. Fu ce-Vent Access -Comb. Air-Retum Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 VG (Plans) OK except Materials & Anchors A1!Walj;s.Studs-Nailinq Spacing & Braces -Plates -Sound e9 .'Bearing Walls over Girders & Floor Nailing r>6fop in Walls (rat proof) 4WIFire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45 eaders & Beams -Size & Bearing Date FRAMING (Continued) angers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng, A Flue -Fireplace Throat clearance 449". Attic IS& ek�Qrue tction-Draft Stop -Ins. Baffles �50,rrn'Windows or Exiting D s -Sill Hgt. & Dimensions side Ele Emlectinn Framing 652_-Pr0V6r—ty Line Firewall & Openings t. Doors -One 3 -Check Garage 3rd Story, 2 Exits - droom-Rise-Run-Landinq-Fire Protection 45&. -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Nailing Veneer Stucco esh-Drip Screed -Fd. Vents-Underflr. Access azinq Area -Glass Protection-Skvliahts-Plastic / Exterior Wall Panels / 62. Infiltration -Walls -Windows Date Card B-1Date 5-g Card B - Date Card B-1/Bate Card B-1 Date FINAL (Plans) OK except #'s e62 --Ext Steps -Door & Sidelight Protection -Landings fiAwo6i56ke Detector --fik,Fumace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection WN-tVr—oom Exiting & Bath Fixtures & Tub Access -Spa .6tL-kitec. Trim & Subpanel, Breaker Sizes & Labels 4914airs & Rails ove, Clearance -Hearth ec. Outlets at Wood Panel, Int. & Ext. ; Ground. -Air Gap -Cooking Clearance 73rEIS ^� �t�at�s__R R� *cales at Kit. Counter 14. e FireDoor: Swing -Landing -Closure 76 n r� fege-Damper Iearance-Comb. Air Connector-P.R.V. In e; Above Floor -Meth. Protection Plb., Elec. & Mech. Equip. Listed for Location 7 . c es in Garage (G.FI.)-Romex Protection ns -Foam-Looked in Attic Guard rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes EM—Following tnsdd-lDr" 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 113-41tteco-Brown-Finish ect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings t, Electrical, Plumbing xterior Elec. Trim, G.FI. Receptacle -Underground entilation Throught House la tion Corrections from Previous Inspections Gas es Meters Tagged, Gas -Electric a er & Sew Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: A, - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �PEMoC p� (Rev. 12/96) APPLICATION AND PERMIT tj ASSE1$Qj1PQRCM16'062 ZGNINQ-1 BUILDING PERMIT OWNEbRACE GLENN TELEPHONE SO. FT. OCC. BUILDING VALUATION GWNERyS�AAl4ltlf4f�1Vn DRIVE, OROVILLE lL �f� CO"'Min CONST TE533N 0716 cO"TRA�ZO,F,if�l(j�AD 6MMUNTRY CLUB RD, OROVILLE CONSTRUCTION LENDERIVU LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ 198.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 128.70 'u"'fyG�DTINESS DRIVE, OROVILLE lL liL Energy Plan Checking Fee $ 23.00 $ PERMIT FEE s 369.70 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE yy SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDROOM Gas i in system 1- 5 outlets 1 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service z. n OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 141 force and effect. p License Class ( Lic. No. / C/ d S OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING CUP. OR ADD sT. ( s0 3.5QFT: NANUL�TIc-ouOCr�s. NON•RESID. C CI cu @7.50 EL APPARATUS 8 SINGLE OUTLET CSI R. Ex. OCCU OUTLET OR FIXTURES �� 91.a Ex. Occup. OUT' ELEfS q'.Ip,DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 30.50 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier 5+a -t- e__ MECHANICAL PERMIT Filing Fee 20.00 Heating EXTW DL]CI' 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Policy Number I Z 7 2- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compens n laws of California, and agree that if I should become subject to the wl o6mpensation provisions of section 3700 of the Labor Code, I shall w' foc ply, Oth ose provisions. X_ Date / �_ Signature of pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep anddemolitionor construction of structures over 3 stories in height. /D Mobile Home Installation Fee $ Energy Inspection Fee $ 43.00 occ CONST. TYPE TOTAL FEE $ 549.2 0 0 HA2. 0. FE IMP _ FL000 !OF _ PARCEL pD _ H I This permit is hereby issued under the applicable provisions s of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �✓ By D e p,5' PERMIT EXPIRES ON 5 d / Dafe Receipt No. 1-�jleJU 1 WHITE-D.D.S.-B.D. CAN Y.ASSESSOR PIN NSPECTOR GOLDEN ROD-AFPLICANT UNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION © 7 County Center Drive - Oroville, Californtaa 95965 - Telephone (916) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT 711 ASSESSORPARCELNUMBER ZONI G BUILDING PERMIT OWNER (Y %REBS TELEPHONE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING -:3 o- 2-6) (j•�_. CONTRACTO ' S� TELEPHONE ' -o.7 CONTRACTOR'S MAIUNG ADDRESS D O d vo Isc� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ DZo ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1,T9 GO ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Q Q BU0.D W G ADDRESS Z � _ Energy Plan Checking Fee $ � Y m�$ PERMIT FEE $ 6NS LOT No. SUBONspNAME PARCEL MAP PLUMBING PERMIT Fling Feel -20.00 USEOFSTRUCTURE SF J Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Z Solar or heat pump water heater 23.00 Water piping 15.00 V Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition &,Remodel 13Ublibes ❑ Installation ❑ Other ❑ ��y� Describe Work: �-{JU L� •� Gas piping system 1 - 5 outlets / 15.00 -Buildingsewer 15.00 Ce)\\ Mobile Home S G W @20.00 PERMIT FEE s , ELECTRICAL PERMIT I Fling Fee 1 20.00 Main Service noon oo mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become su 'ect-t oke compensation laws of California, and agree that if I shout become subjec to the workers' compensation provisions of section 3700 f -the Labor Code, 1--s forthwith comply with those provisions. / X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" de and de .olition o cro onstruction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR o"� ( 3.5¢s. MULATI oSLEr NON•RO,' @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 'Z SAL Ex. Occup. our�is R6 D.OREA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1701'sreason MECHANICAL PERMIT Fling Fee 20.00 Heating u Cooling Hood 6.50 Ventilation PERMIT FEE $ M Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. D. FEES IMP FL000 cDF PgRCEL pp HD ISSUE This permit is hereby issued under the applicable f the Butte County Code and/or Resolutions indicated above for ch fees have been I I -7 ate- PERMIT EX �r provisions to do work paid. le ReceiptNo. 7 3 , 797 WHITE-D.D.S.-B.D. CANARY•ASSESSOR P K -INSPECTOR GOLDENROD•APPLICANT � :.. r • eY'Or �Y1:'�'x COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: (1,+ (� /a-- It to ASSESSOR PARCEL NUMBER: n_6 9 -_ 3( b — Q 4, z Proposed Building Use: ,�"' F Building Inspector: j Date: At time of permit application, I was advised the following data must be submitted prior to penfiit psing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ❑ . Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 6. Energy Design Compliance and,supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. --------------------------------- 09. Manufactured Home data and installation instructions including Tie Down Specifications. Fees of $ Tom/ 7•%�—----------------------------- --------------- -- . ----------- --- - Impact fees as shown on the attached schedule. --r California Department of Forestry plan appro a l�ee's�s� - ---1---- 1113. Flood elevation certificate. ---------------------------------------------------------------------- anitation and plot plan approval Health Department. ------------------------- ❑ 115. City of Chico plumbing permit. ----------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- orkers' Compensation carrier and policy number.----------------------------------------------------------- !;Z- J 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 1126. Letter of intent on building use. -------------------------------------------- El 27. Manufactured Home utility clearance. ------------------------------------- 028. Existing violations and/or expired permits. ------------------------------- E129. ------------------------------ ❑ . 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ G Other: i4o u �f14.t,,, k b' S-.tmmR, _5 s r When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to cc JdTelephone 6'.3 3 —d7 and hold for pickup at © w Applicant: _ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep ent, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: �lv th inspector. Date: By: Date: By: (Date) 'A 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: '7 m on actor esigner, owner, was advised of the above required data bypWhone, ❑ mail, ❑ Building Division counter, by Date: �M ontrac r gner, owner, was advised of the above required data by�hone, ❑ mail, ❑ Building Division counter, by Date: on actor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: J% Plans approved by: Date: Sets of plans on ho Plan Cabinet, ❑ A.P. folder. Note transfer by: _ Date: — 9 Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H..HUSE ONLY Plot Plan Attached Floor Plan Attached Sent to S.D— t oZ Owner / Locations. AP# Plan Approved for: Sewage Di al �/ Water Supply: Public Private Well Clearance for dwelling. they 0A.( C�'a2r7�t1C A- �2 ��-.►i44T 6�c�a�, .0 vtiL Z. Hold final for Final cleaianC NOTE: .K. fdr: 6'-1 �-- — _ — - c.. t �.— Environmental Health Specialist 8/96 2e Roe Date COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION A7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO., (Rev. 12/96) APPLICATION AND PERMIT % '� ASSES°!;! JJ 62 Z°"'AR_1 BUILDING PERMIT OWNERSRAitE GLENN � TELEPHONE SQ. FT. OCC. BUILDING VALUATION • °W"Ei:"Ic�t�= DRIVE, OROVILLE , • CONit14Wt= CONST TEJN b 716 CONT RM ""t�'i�J CJUNTRY CLUB RD, OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ • 020.00 ARCHITECT OR ENGINEER �- . ' ? LICENSE NO. Filin Fee $ 20.00 Permit Fee $ •ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 128.70 BUILOIIJ�fDft,b S DRIVE, j `` �bJJ�.�Gjj`'�I jj�'`�J OROVILM Energy Plan Checking Fee $ 3• $ PERMIT FEE $ 369.70 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ Other -' SPECIFY Each Trap 7.00 MW Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition I5 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDR" Gas piping system 1 - 5 outlets 15.00 Buildin `sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ .00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zuonoa'ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f I force and effect. License Class Lic. No. / V OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 46.00 SCC000A NEW CONST. DWELLING OCCUP. WE OR ADDNS. ( & ACC. BLDS. SD Sn .ES. AULTI.OUTCET rN-Urrs 97,50 PSOWEINR APPARATUS d GLE OUTLET CIR.OUTLET OR FIXTURES Ex. Occup.SAL 20 @ 1.00 @ .50 Ex. Occup. °�TELE°�" RL.Ip.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 30. SO WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' % compensation, as provided for by section 3700 of the Labor Code, for the l/ performance of the work for which this permit is issued. 7 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number 1 e- -7 '114— K (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers'� �mpensation provisions of section 3700 of the Labor Code, I shall forthw- c ply with ose provisions. X �A -- Date 5 _ Signature of -Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructions of structures over 3 stories in height. 12 MECHANICAL PERMIT Filing Fee 20.00 Heating NXIM DUQ' 15.00 Coolin Hood 6.50 Ventilation PERMIT FEE $ 3.5.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 43.00, Occ CONST. TYPE TOTAL FEE $ 549.20 - HAZ. D. F� IMP _ FLOOD r COF PARCEL PD HDr' I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r �• By �`' ' - PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /, j Date 1 •/ l / I !Date 1 - Receipt No.9 1, % / WHITE-D.D.S.-B. D. CANARY -ASSESSOR fPINKINSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION -� DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA 4 (530) 538-7541 CORRECTION NOTICE �L k kN OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of.work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 0 0-(L B/£ � YI�G� 41 --7j4(_x5f ' Oia)ur/2rz S neiil�n Date 7 �L�'7 rJ Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ^✓ti OWNER CORRECTION NOTICE 3 PERMIT NO. A routine inspec ' n indicates that the following violations of butte county Ordinances exist at the above ad I," and should be corrected. Please notice this office when correction of work is completedyou have any questions pertaining to this matter, or need additional explanation, please cor ct this office immediately. Date Inspector REV 10/d2 :6iL Jt2Og�64 921 ril, A Date Inspector REV 10/d2 r=•� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of butte county. Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' 5� 4 /^ . -. - M .z .-.r..r . ... �- moi• .r .yy,-.. .���.r.. .��.- �-•-cyr--...,�,.,r.,�,r•• -• �,,., _.-. w. ._ � ._ QX') BUTTE COUNTY SCHOOLS IMPACT FEE. CERTIFICATION FORM (One form per Building) School District Orr) , A M Building Department No. Ag A.P. Number. (07 -� Y��'f/�G10� Jurisdiction: City County 0 Property Owner, hC( CCC- 6 l` Property Location/Address / (� /� (1 c-, I) % • v �C%. t/ r/•P Subdivision f . Lot No. . Residential Development. Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial New Addition Building Department Rep Sq. Footage (Including Exterior. Roofed.Areas) Date (floor Flans reviewed dy Scnool uistnct Personnel) District Identification No,�•(' School District certifies that (Applicant) �i (Street Address) (Phone Number)? (City) (State) a (Zip.Code) has complied with the requirements of Resolution No:A �� 9�`a by payment of S r representing y G s4uare'fbet. B 2926 S" ULL MITIGATION -...$ School District Representative Date Paid by Check I/ Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed. under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.x)s (2/97)dmm c • • --� •�� RESIDENTIAL � .: `„ f 069-36-0-049 93-1968 BPEM " GLENN, GALE GLENESS.DR, OROVILLE CONTR: GRAVISON-RICKETTS CONST NEW SF / ---------------------'- OFFICE COPY- i. Address wd. e err y 0 Date �EL°ECTRIC- Meer BysDate �...n .c..e:.: 4 ol ° .J OFFICE COPY R. ,Address y GAS Meter By Date RIC ! x —•�-`T t, ` JOB:-FINALEP (Oatf) Signs _ . ...•.s -1'r �.�. f; t . c • • --� •�� RESIDENTIAL � .: `„ f 069-36-0-049 93-1968 BPEM " GLENN, GALE GLENESS.DR, OROVILLE CONTR: GRAVISON-RICKETTS CONST NEW SF / ---------------------'- OFFICE COPY- i. Address wd. e err y 0 Date �EL°ECTRIC- Meer BysDate �...n .c..e:.: 4 ol ° .J OFFICE COPY R. ,Address y GAS Meter By Date RIC ! x —•�-`T t, ` JOB:-FINALEP (Oatf) Signs _ . ...•.s -1'r �.�. V= OK O = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date/Initials - MOBILE HOME UTILITIES (Plans) OK except #'s Oete/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Teat -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg: Rfg.-Bracing 6. Gas; Location -Teat -Wrap: / P L" ft. S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Net. or/ P'L" ft./ /"LPG r 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance MISCELLANEOUS , Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. ,Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10.• Cert. of Occupancy 11 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pans lboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test , f V=OK , O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date/lr4tials UNDERFLOOR Plans OK except #'s Zo ng -Setbacks -Easements -Flood -Slope -C,3411g, Main; Soils-Elec. Grnd. / W Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 8. Stemwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab; Steel -Wrapped $,-Pre rs-FJ replace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test j. . Water Pipe; Test -Anchor -Regulator -Service Test 12. E ctric; Underground Pi ums & Ducts; Clearance -Material -Support -Ins. 41*1opirders-Sills-Anchor Bolts -Joists -Vents -Cripples fjgoo'Access & Ventilation 18. Insulation Date/Initials PLY&BING (Permit) OK except #'s 44. !%2!!r Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Neil Protection 1 .V.; Test -Fittings & Anchor -Nail Protection 19.-6hewer•Pan; Test, First Floor -Tub Access 129f-Test_Tub & Shower, Second Floor -Tub Access as Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s _ ig2-flFixture & Transformer Clearance -Ins. Protection .22465L, Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled omex Installed Close to Ede of Studs & C.J. jf26!j9quip. Ground me up w/Mac astners-Bond Ga Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI Z6 W Size / / ga. Cu or AI-A.C. Wire Size 6 / ga. KCqbr Al 29 --Range Circ. / / ca_Cu-or AI -Oven Circ. / / ga. Cu or Al. 1 ' lated Neutral ❑ Yes ❑ No L Service -Riser Conductors & Ground -Mein Disconnect 31. u! . Clearances Panels -Motors -Meeh. Equip. Clothes Closet Light -Shower Light -Spa Light 1 ,33. Smoke Detector Date/initials_ME ICAL (Permit) OK except #'s _AelDucts Insulation & Support L V t�Fan; Exhaust above insulation ndensate Drain & Overflow; Size & Grade Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet c Access & Platform if Furnance in Attic Date/Initials FRS NG Plana OK except #'s _ 9_,SHs; Proper Material & Anchors ✓40. W s"Studs-Nailing, Spacing & Bracing -Plates -Sound Bearing Wells over Girders & Floor Nailing _ . RT6-in Wells (rat proof) c 4'._FiraStops; Furred Ceilings -Stairs -Chases -Tub W.—Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 4!4In ,Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. Fireplace Ties or Type -Fireplace Throat clearance rj 48. is cress; Size Romex Protection- raft Stop -Ins. Battles Windows or Exiting Doors -Sill Hgt. & Dimensions tZlfGarage Fire Protection Framing 1. Pr party Line Firewall & Openings _52,."E-xt. Doors -One 3' -Check Garage -3rd Story2 Exits o , Width -Headroom -Rise -Run -Landing -Fire Protection A54 -plywood on Roof Overhang -Attic Vents -Rafter Outrlagers St co Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protectlon-Skvllahts-Plastic 58. Shear ; Nailing -Bolts l! ZZ . . nsulatio Wells- filings 80. Inil ltration-Walls-Windows Date/Initials FINAL(Plans) OK except #'a WEx!,.Steps-Door & Sidelight Protection -Landings �2!Srm Detector urnace; Vents -Clearance -Comb. Air -Connector - In rage; Above Floor -Ducts -Meth. Protection _room Exiting G.F.L-& Bath Fixtures & Tub Access-Soa 60_ -EI rim & Subpanel; Breaker Sizes & Labels 8 . Stairs & Rails fireplace or Stove; Clearances -Hearth ler utlets at Wood Panel; Int. & Ext. 7 it. . & Appliance; Grnd.-Air Gap -Cooking Clearance lac flets & Receptacles at Kit. Counter 79eldiarage Fire Door, Swing -Landing -Closer ZE C. uct in Garage -Damper r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection BS-Plb.,_EJec. & Mach. Equip. Listed for Location rec._Receptacles in Garage; (G.F.I.)-Romex Protection 7 sul n -Foam -Looked in Attic ❑ Yes ua Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Fqllowing instld.; Drive as ❑ No; Walks 04Ye—s ❑ No; p4pters ❑ Y2! ABA- Stuqqo-Bf6Wn-Fin(dr C. nit; Disconnect, Electrical, Plumbing 81,46rits Above Roof; Plbg: Appliance -Fireplace: Clearance to Opeolngs star ; Disconnect, Electrical, Plumbing 8 8 teri ec. Trim; G.F.I. Receptacle -Underground ntila ' n- hroughout House 8 - 8 0,-rn—eray ss taction tions from Previous Inspections Gas est -Meters Tagged; Gas -Electric ater `Sewer Connected -C/O to Grade -HD Approval compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARU,vIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calilornif•95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT f, 0 PERMIT NO. ASSESSOR PARCEL NUMBER 069-36-0-049 ZONING AR -1 BUILDING PERMIT OWNER GALE GLENN TELEPHONE SO. FT. OCC. BUILDING VALUATION 1741 R $90,014 OWNER'S MAILING ADDRESS 1631 Stanford Avenue.859 M 15,462 CONTRACTOR'S NAME Gravison-Ricketts Const TELEPHONE 589-3457 GG C 858 644 4 508 CONTRACTOR'S MAILING ADDRESS 4996 Ro Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 112.342 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 643.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 321.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE_ss._.___��-: �•e Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 1,0 Solar or heat pump water heater 20.00 LOT NO. 8-9 SUBDIVISION NAME BALLANTRAC MANOR PARCEL MAP 30-20 Water piping 7.00 Each pas water heater or vent 7.00 r USE OF STRUCTURE SF UX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New LXX Addition L_I Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 9 bpdronm _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18.50 Main service 200A TO IOOOAl 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1-1 �NF'I 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. 4ALicense .JO. _ Classification 7 ❑ 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, SLOGS. 3.60 sq.ft. NEW CONSTR.ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET cI&R. Ex. Occup( OR FIXTURES 20 76 rj FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 114,00 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating INIAT. PACK 9.00 Cooling g 4 TON 16.50 Hood 6.50 6.50 Ventilation perm it Fee $ 47.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again sad County in co seque of the granting of this per 't. X 17 Date $i nature of A licant Owner Signature pp ❑ Contractor Agent An OSHA permit is required for excavations over '0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ O.00 o ONST r 1 289O .50 OTAL FEE $ , HAz I DFEF$ pY/ IMP - FLOOD --- c1F PAf3f,�L X]� PD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D B C By ERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dat 3/ 9 143415/401.50pc// %D7 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 3,(^1^'b�•`ti'► s:-:;-+^-�r�- r `.r,..��r�`�r1r,T.+ '+^,rr COUNTYOF BUTTE -DEPARTMENT OF OE-VEL•6PMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 61etbd A. P. No.(0I - .�o 0 - Proposed Building Use n F - -,it f 2-1, 0-- Building Inspector lw Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. 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 . ................... . -`t— 8. Engineered truss details and layout in duplicate (required prior to plan check). .... ,L 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . .......... J=10. Fees of $ _ $9w ........................................ 0- 11. Impact fees as shown on attached schedule. 8 3 CZo 12. Cali fornia Department of Forestry plan approval/fees. ....................... . lood elevation letter (100 year flood) bCalifornia Engineer. . . 4. Sanitation and plot plan approval ,e0 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).N( -e- . . 20. Pre -inspection for required. .. ttoBu;id 91�gPedoe (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 . .................. o 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 and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list . .................................................... . L-n—T M�2GEC� oto TS t__M 3 When yo issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ��Rg-345'7 and hold for pickup at _ 0�2� office. Deliver with inspector. Other Parcel Creation Acreage ApplicantPl--/-�te l 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 ermit is uance: ( ' .cle new item not checked above). r 1. Index permit for above items No. 2. Additional items required: A Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, wag a vised of above required data by _ phone _ mail Cou b —Date Plans checked by DateyT"lans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works n _� de� 1j" -5-3--- I ISE ONLY Plot Plan Aunehed - - 14Intie Ilan Aminhed suit. to II: P): -- — ---�� TO:' I31.1ildittg Department FROM: Environmental Health ,- SUBJECT: Sanitation Clearance , - Owner Location dj2e), flan Approved for: Sewaoc Disposal Supply: Public. Clearance for bedroom home thcr y AP# Private Well 8/92 D<Ite COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �/4 �ti 6-/ eAlI✓ A. P. NO. 065-36d - �Z PROPOSED BUILDING USE S— C DATE REC. # DATE REC School District Fees (paid at District Office) .......... jj�� 2.. Sheriff Fees (paid at Building Department) Residential ......... X =$ unit amt. Commercial(per sq.ft.) % _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) R =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ;... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other M- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE — 71 - 0 Insulation Certificate 6,e_6()S4S .0- go) 4& vic�ir NWW tend Sueet _" - Ciq County Subdivision ldt Number Description of Installation ROOF Material Ilsiekness (inches) CEILING Basad Name Theru al Resiftsm (R•Value) Ban or Blanket Type Fiberglass BMd Name Certainteed Thickness (inches) Thermal Resistance (R -Value) Laosc Fill Type altratherm 111=4 N&= Certainteed Contractor's minimum installed weighdit Ib hGaimm thicimess 11 intim Manufacturer's installed weight per square foot to scheive Tlusmtti Retdst w= (R -Value) �- EXTERIOR WALL Material Fiberglass BraodNama Certainteed Thicimess (inches) lbetmal Raistanee (R -Value) RAISED FLOOR MaterW Fiberglass BrsatdNawto Certainteed Thickness (Wefts) ' 'llra W Retism m (R -Value) 72;— SLAB FLOOR Material Ibickness (inerts) Width (inches) FOUNDATION WALL Matuial Fiberglass Thickness (inches) Declaration Brand Name Tnemtal Resismom (R -Valu') Brand Name Certainteed Thcnnal Resisuu= (R -Value) I hereby certify that the above ici dadon was itutaned in the building at the above location in otmfotmv= with the currcrtt Building Energy Efficiency Standards for new residential buildings contained its Title 24 of the Cal iforrla.+►dministrative Code. IT 1-11 _j— -4-- �s7 Gu,eal a (Builds) t ` / ( lac-RgNumba s tmart� — Dan Hawkins Industries Inc./Shasta Insul. 650722 Su forpawn= Swam and Tide - per, • �•• Insulation Certificate �,�,su•lj ,� i.Tipw Numbet and Sweet City County subdivision Lai Nwnba Description of Installation HOOF Matcrul Thie"ncss (inches) CEILING Brand Name Th-Umal PA Stam (R -Value) Batt orBUAketType FIBERGLASS BtmdName CERTAINTEED Thickness (inches) Mmmial Red=uce (R -Value) Loose Fdl Type INSULSAFE III SMANaate CERTAINTEED conuxur'S minimum installed weight/ft Ib >, mini=m thielatess / /Aiwl s Manufacturer's installed weight per square foot to acheive TBeraW Resist&= (R -Value) EXTERIOR WALL Mar'^,t _ BrmdN&e CERTAIN Thickness (inches) / Thermal Resiswme (R -Value) RAISED FLOOR Material FIBERGLASS Thiclatess (inches) SLAB FLOOR Matcial Thickness (inches) Width (inches) FOUNDATION WALL Brand Name CERTAINTEED Thernul Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Mati! i _ FIBERGLASS Brand Name _CERTATNTEED_ . Thickmss (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in eonfomtsnce with the current Building Energy Efficiency Standards for new residential buildings contained inriitl , 24 of the Califomi dminismWve Code. General Contr w (B) e Nambv si cod Tttk Dift SHASTA INSULATION 272941 udC t ( anon truuma) Lieer»a Nttnrbo t Srp+uwe and Tick.7W Dau a� COUNTY OF BUTTE a BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 sf 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 f CORRECTION NOTICE .Y PT- /0 14 A 6,? OWNER PERMIT_ NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 44 /ilr-- — / l^/.4 0��{ — 49 4 q (/A�"l���I Ott• ("� �' �S���o �n n �% s`1 et R�di= � �t .+G Date f z Inspector REV 10/9 '�V ' -.max.. �. ;-,:.r�:..� a3..usar,�,+.,- 4-.•-�es� ..=t-M-•r'� t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott..RoadaParadise, CA - (916) 872-6307' CORRECTION NOTICES OWNER PERMITNO. y A routine inspection indicates that the following violations of Butte County Ordinances exist at 'r the above address and should be corrected. Please notify this office wheri correction of work, is completed. If you have any questions pertaining to this matter, or need additional ekplanation, =_ please contact this office immediately. i'av�c�� rocs ,s �. �Y E• .0 • ' �.� ..� ': r A eLL�, Q ))O �) l r Date REV 1 A Inspector A 1A — COUNTY -OF BUTTE BUILDING DIVISION - � .� DEPARTMENT OF DEVELOPMENT SERVX, ES ` 1469 Humboldt Road,ALahico, CA,,; -(916) 891-2751 4 : 7 County Center Drive, Oroville, CA - (916) 538-7541 j 747 Elliott Road, Paradise, CA - (916) 872-6307 ~` CORRECTION NOTICE uvvNrh 'PERMIT NO. - A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, r: please contact this office immediately. . rc 'lei r5 H ns Date/ -2 Inspector, YF REV 10/9 • l COUNTY OF BUTT CMMARY SHEET FOR LAND D I V I S i ON S BUILDING DEPT JUL 0-b 19 3 APPLICANT H. BRUCE DOUGLAS . ADDRESS 12942 Sterling St., Chino. CA 91710 .OWNER Same - PROJECT DESCRIPTION APPLICATION FOR -CERTIFICATE OF MERGER LOCATION 1 parcel located on the northeast corner ofGleness Drive - and Be Drive. Keily Ridge area -ASSESSOR'S PARCEL~NUMBER(S)--69-36-29 &-49 - - ZONING GENERAL.PLAN PROJECT CONSISTENT? _- ,.,; -GENERAL* PLAN t 'N ,CONFORMANCE ;REPORT A ,_. -.• r . T' � T v •` •w=•r- � � 3 LAND CONSERVATION °ACTS Mit + „� CONTRACT'S? DATE APPL I CATION ,� RECEIVED - •Ju 1 2.' 1993 _ v AGENT/SURVEYOR/CIVIL ENGINEER Ron Graves & Associates ' ADDRESS 4 L. P.O. Box '986 Orov*i 1.1e CA�,f-95965- ' DATE PLANNING DIRECTOR•'•S REPORT PREPARED ENVIRONMENTAL CATEGORICAL EXFMPTION - DATE ,FILED' DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED'_•.-. MIT.NEG.DECLARATION - DATE ADOPTED''- DOPTED'' ENV-IMPACT ENV.IMPACT REPORT - DATE CERTI_FIED'' STATE CLEARINGHOUSE N0. DEVELOPMENT REVIEW COMMITTEE'HEARING DATE APPEALED APPEAL -HEARING DATE i. f • fJ BOARD ACTION COMMENTS'FOR PLANNING DIRECTOR'S REPORT 4 ASSIGNED TO ! DISK RECEIPT NUMBER - LD 1005 (11/92) t county (,;enter, give, vruville (,:A y5yb5 Phone: 916-538-7541 RE:Build'ng Permit Application #93-1968 DATE: August 26, 1993 A.P. # O�b9-360-049 With reference to the above subject: FlAttached is: Application for permit Mobilehane Utilities Installation Sheet Building Plans _Mobilehcm Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced aWe need the following information prior to permit processing and/or issuance Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. _Jiazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehane data and manufacturer's installation instructions, 2 sets. XXX Feces of $ 888.08 payable to Butte County Treasurer. XXX Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitaticn and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license_ approval frau City of Biggs/Gridley.` Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workman Compensation Insurance. Owner -Builder Verification Form. =XXRecorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehame utility clearance. Documentation of legal access. Doctm�entation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Should you have any question concerning the above, please contact Bart League of this office., between 3:00 and 5:00 PM weekdays. Yours v , Lam— David Purvis Manager, Building Inspection Return to DPW AGRICULTURAL STATEMENT _ OF' ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. AUG 3 4 19911 The property described' herein is adjacent to land or included Ir within an area zoned for agricultural purposes, and residents of this .93-037443 property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: ' SEE ATTACHED LEGAL DESCRIPTION Date: Aug. 31, 1993 PROPERTY OWNERS: X GALE L. GLENN State of California ) On this the 31st day of August 1993 before SS. me, the undersigned Notary Public, personally appeared County of Butte ) Gale L. Glenn o o • L/ Personally known to me. Zy Proved to me on the basis OFFICIAL SEAL • of satisfactory evidence. MICHELLE A. MILLER • to be the person(s) whose name (s ) is subscribed to NOTARY PUBLIC -CALIFORNIA MUCommO Office OCT 2019o. • the within instrument and acknowledged that he executed the same for the purposes therein contained. FE: ' ' • IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 069-360-049 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BALLANTRAE MANOR UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 16, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 20 AND 21. PARCEL II• LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BALLANTRAE MANOR UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 16, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 20 AND 21. EXCEPT THEREFROM THAT PORTION THEREOF DESCRIBED AS FOLLOWS: BEGINNING AT THE MOST NORTHERLY CORNER OF SAID LOT 9; -THENCE SOUTH 46 DEG. 05' EAST, ALONG THE NORTHERLY LINE OF SAID LOT 9, 111.18 FEET TO THE NORTHWEST CORNER OF LOT 10 OF SAID BALLANTRAE MANOR UNIT NO. 2; THENCE SOUTH 11 DEG. 49' 42" WEST, ALONG THE BOUNDARY LINE BETWEEN SAID LOT 9 AND 10, 131.0 FEET; THENCE NORTH 71 DEG. 47' 55" WEST, 100.45 FEET TO A POINT ON THE NORTHWESTERLY LINE OF SAID LOT 9; THENCE NORTH 13 DEG. 38' EAST, 179.0 FEET TO THE POINT OF BEGINNING. RESIDENTIAL'PLAN"CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) � Bldg. Per it # - a OWNER GAN A. P. # Plan Checker C;F.NF.RAT. rning requirements: (sideyards and number of permitted living units). Vluation. 3� ans signed by designer. V. Proper description of work on application. -�l—existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded n violation. PLOT PLA 1. >mplete'parcel size and dimensions. 21/ Setbacks, sideyards, easements, etc. —1-9ther buildings or structures. rading, fills, drainage. Flood hazard. ,6 --Special conditions on creation map, (noise, ustible, and foundations). FAU & FAS road setback. CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN 1omplete to scale plan with dimensions. squired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). %k-ytights (Chapter 34 & Sec. 5207). ,Ntfman impact glass (Sec. 5406). 611" Required room sizes, ceiling heights (Sec. 1207). �CIs in baths, garage, kitchen, and exterior outlets (Article 210-8). �ight fixtures, switches, receptacles, and exterior receptacles for main- teance of mechanical equipment. oc ations of water heater,'heating and`coo'Fing eqv -pment,, .oXher electrical:" gas equipment. 1 rage firewall, door size, and closer (Sec. 503(d)(3)). 1 3'0" exterior exit door (sec. 3304 M. 1Q�! F�eplace and wood stove location, alcoves, and clearance. 14 S e detectors (Sec. 1210). 1 lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 14-�Standard bracing or engineered design (Table 25V) J! nusual shape, size, or split level house requiring lateral design. 3--c—lerestory requiring balloon framing and/or engineering. /�ee story building requiring engineered calculations.and plans. F ndation plan complete enough to construct building. C7, r construction details complete enough to construct building.. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. A9. pace construction details and calcs if necessary. 10. Rafter ties or bearing ridge beam. lage door or porch header sizes. 1 Stud heights. 43— a -be soils - special foundation design. k4—.-RL-taining walls requiring design. 4-5-.-S7et'tal—Inspection required. �j RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 8/91 Stairway details: landings, rise and run, head clearance, handrails 3306). Guardr details (Sec. 1711 & 3306(j). ick or stone veneer (Chapter 30). Exterior plaster — weep screeds (Sec. 4706). roof pitch for roof convering (Chapter 32). • covering type — (fire hazard). 7 am insulation — protection. 36" halls and stairways. wing area ov garage — complete 1—hour separation required on garage side including supporting walls and posts, etc. ' wo exits on hree—story dwellings (sec. 3303 & see Mezannines — 1716). 1�A'cfaccess and ventilation (Sec. 3205).12.rloor access and ventilation (Sec. 2516). 1 Combust' n air for fuel burning appliances — L.P.G. requirements. ois requirements on duplexes. 1 ergy design. 1 Flashing at all exterior openings. nsible area requirements. (5) -2 � ,�p.c�� j Cr4G�E� VMA�S-7�i��f Gp(jT •po 4#j-(--j-)rtN6 413ovT tt' t Zo LSF -r M '4�E For- 7a coo �t� 1 ' ' AFTER RECORDING RETURN TO: County of Butte Department of Public No. 7 County Center Oroville, CA 95965 LANDS BEING MERGED: � X33-0,328471' 1 Recorded I Official Records I Works County of I Drive Butte I Candace J. Grubbs I Recorder I 1:57pm 2 -Aug -93 I CERTIFICATE OF MERGER -:S�t34 Rec Fee Cash 8. 00 8.00 PUBL XX 2 ca e�ooe� 41,6�� AP NUMBER(S) SUBDIVISION/PARCEL MAP: BOOK 30 PAGBLOCK LOT(S) g j 9 P>`n. fA As of the 30 day of C"41 19those lands noted above are merged to c eate o'ne single parcel of land as described on Exhibit "A" attached hereto. Williatn Farrel Date Director of Development Services OWNERS' CONSENT TO MERGER GL I/.y as. ownerX of all that real property to be merged, do hereby consent and agree to the merger of such lands into one single parcel as described on Exhibit "A" attached hereto: SIGNATURE - SIGNATURE } STAOF CALIFORNIA }ss. COUN �7OF Allf c� ) } 6—C 14 n„ / ,7 / before me, / G>' /'J / "I /Qq3 DATE DATE personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within in ment and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and t t by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my had d official seal. Signature I�nunmumummnruumnm nruwnuluuuunnmm�lc. 01 -FICIAL SEAL tri 973527 JA NIE CLARK NOTARY PUBLIC - CALIFORNIA COWNTY OF BUTTE W Q My Commisslon Expires Sept: 17, 1995 (This area for official notaAHPBIl�IJllnuuuulnruulnnu lalnuunmllnuleunuan� 93-32847 2-- LEGAL DESCRIPTION H. Bruce Douglas Lots 8 and 9 as shown on the map entitled "Ballantrae Manor Unit No. 2" as filed in the Butte County Recorders office in Book 30 of Maps at Pages 20 and 21, excepting therefrom the following described parcel; Beginning at the most Northerly corner of said Lot 9; -thence South 460 05' East,.along the Northerly line of said Lot 9, 111.18 feet to the Northeast corner of said Lot*9; thence South 110 49' 42" West along the East line of said Lot 9, '131.00 feet; thence North 71' 47' 55" West, 100.45 feet to a point on the West line of said lot -9; thence North 13' 38' 00" East along said West line,, 179.00 feet to the point of beginning, merged into one parcel. 93-063 A.P. #69-36-29 & 4.9 7- ,R END OR DOCUMENT :i,N... , • ;tea: , .'.+ry, `"' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM � - (One Form Per Building) IN School District ... Building Department No. A.P. Number U� 9' 3(6 Oy�i Jurisdiction 0 City County 0 ., d Property Owner eAbJ ` Property Location/Address l ewess %f (lfi 040411/lQ— Subdivison Lot No. j Residential Development 0 Sq. Footage 7y / No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior RootedAreas) /zo Building Department Rep entative Date (Floor Plans reviewed by School District Personnel) District Identification No.. School District certifies that A�CQ (Applicant) (Street Address)_ (Phone Number) (CRY)( (State):; J. (Zip Code) has complied with the requirements of Resolution No. by payment of $�p representing / _VV square feet. School District Representative Paid by Check Number 11, Bank Number . / 1- /d/U Paid by Cash Remarks: Date If, subsequent to the,School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to additional school fees to fully mitigate its impact on the school district's schools: Whfte (applicant), Yellow (building department), Pink (school district) feeform.Al (4/92) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-754 PER IT N APPLICATION AND PERMIT -!24- 0 ASSESSOR PARCEL NUMBER 69-36-62 ZONING AR1 BUILDING PERMIT OWNER GRACE & GAYLE GLEN TELEPHONE SQ. FT. OCC. BUILDING VALUATION R 7,452-00 OWNER'S MAILING ADDRESS 12 GLENESS DR OROVILLE 95966 CONTRACTOR'S NAME GRAVISON CONSTRUCTION I TELEPHONE CONTRACTOR'S MAILING ADDRESS 4996 ROYAL OAKS DR OROVILIE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 64-35 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 GLENESS DR PERMrr FEE $ 206.35 OROVILLE PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 . USE OF STRUCTURE SF] Duplex O 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 M Remodel ❑ Utilities ❑ Installation O Other ElContractor Describework: ADD AREA TO MASTER BDRM & CLOSET PERMIT FEE g ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 BOOVORLESS 200A OR LESS 23.00 Main Service 1 200A TO 1000A , 46.00 NEW CONST. OR ADDNS? D ( a ACCGBLDS. 3.5C FT. • 80 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Cade and my license is in full forcfiend effect. License No. t;_(4 3 Z $fj Classification �J 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) ❑ 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 I @7.50 ( POW ER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , BAL. @ 1:0550 Ex. Occu FIXED APNS. OR p- (OPUTLETS IRESID.1 EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O�-I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 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 $ 24.80 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. 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 'n consequence of the ranting of this permit. X Da31 Signature of Applic t - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. A t 1�1C� Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE T OTAL FEE S231.15 HAZ. D. FEES IMP FLOOD COF PARCEL PO SU This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By /v'v!,r PERMIT EXPIRES ON r. applicable provisions to do work been paid. Date 6 tel — � Receipt No. 127.35 /155884// ( l U51 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-A� 1 -fir. sA' e COUNTYOF BUTTE - DEPARTMENTbr6EVELOPMENT SERVICES -BUILDING DIVISION ,0- TCOUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 f. PERMIT APPLICATION DATA SHEET OWNER COIF �� ::.. A. P. o. Proposed Building Use 4 D n f} f2 L 1 Building Inspector Date :z 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). ... . Mobilehome data a d r�nufacturer's installation instructions, 2 sets. ........... 114 ees of $ D 3 - V ......... . Impact fees as shown on attached schedule.{-}��{�... ,/.... . f a dornia Department of Forestry plan approval/fees. ............ Flood elevation letter (100 year flood) by California Engineer . ............::: : Sanitation and plot plan approval ,2 Health Department. -, City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: s (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for P`��" 8C'°"'6Q required. .. to Bu;��"a i"spa�e (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 and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................ :'.......... 32. Plan check list.............................. ...................... 33. Wh_en�ydu issue the permit, process as follows: Mail to owner. Mail to contractor. l/ Telephone nd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Copy of plans sent Health Dept. Fire Dept. Other The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: R' Date Date _ Circle new i not checked above. (Circle I ) By Contractor, designer, owner, was advised of above required data by _ phone _ mail C6unter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _mail ounter by _ Date Plans checked by Date Plans approved by Date Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Hot Plan Aunehed Flour 111tm AUodsod . tiant w It, D, ,/..C4�_X ,1 TO: Building DUIX11lmcnt FROM: Environmental Health SUBJECT: Sanitation Clearance .J IL 3 A Owner Location APb Plan Approved for: Scwa,,c Disposal \Vater Supply: Public Private Well Clearance for Other 7'�� Hold final for: Final clew - 0.K. for: NOTE -: Environmental Health Specialist ' 8/92 Date 6"o , - /IIIefi 6 6 �� :� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION -- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER zON� /� BUILDING PERMIT OWNER r /� co eA✓ /V VI TELEPHON{/�E`�' SQ. FT. OCC. BUILDING VALUATION ZZ OWNER'S MAILING ESS / /� t i/� 6 I-� �.�n� /' "^f V VTE('LEPH CONTRAC� S Z U rG 0 ' � ��(/ NE,,, 7 CONTRALTO SI,'MQ`AIAIIL`ING ADDRESS Q 0 D 0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILNG ADDRESS Permit Fee $ woo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 69�4 3-sr— Energy Plan Checking Fee $ a ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE S PLUMBING PERMIT Filing Fee 20.00 Cj LE V 7 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL M Each gas water heater or vent 15.00 USE OF STRUCTURE SFDuplex O 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 ❑ Additionx rRemodel O Utilities O Installation - O Other O DescribeWork:0 �//� r�/t -� / 5 4-- I(J v l� / J / PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 20O1 OR LESS ) 2001 OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) 3.50 FT.SO. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 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 ❑ 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 forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B200 @1.50 Ex. Occu FIXED .OR p' (OUTLETS (RESTRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 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. 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 agai t said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner Cl Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and emolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $� + HA2- 1 D. FEES I IMP I FLOOD CDF I PARCEL PD HO 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. By Date PERMIT EXPIRES ON . TOate) Receipt No. 12:7, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTO OLDENROD-APPLICANT A BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 0 F-- Building Department No. A.P. Numbero (i-7 — 3 6 7/ Jurisdiction City 0 County Property Owner Property Location/Address Subdivison Lot No. Residential Development 0 0 i .�•T Sq. Footage No. of Living MHI Addition (G up R) Units Commercial/Industrial lepresentative 0 ' = Sq. Footage. New = Addition (Including Exterior Roofed Areas) i X/A9:�/ Date - (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that (Street Address) has complied with the requirements of Resolution No. representing /3 square feet. � � nQ An n.�¢ i pool District Representative Paid by Check Number Bank Number Paid by Cash (State) 9 j -9V -o3 (Phone Number) (Zip Code).. ' by payment of $ ,-.2-16 -7V Date i If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School !;strict is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) " .` �� ,:, 73-a .-�_. — .� -� .. .. . _ ., � � � ,' � TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location `'! AP # Driveway permit si ature has been issued for the above property. date COUNTY OF BUTTE - DEPARTMENT & DEVELOPMENT SE VI ES - UILDING DIVISION 7 County Cen;er Drjve - Oroville, GWifornia 95965 - Tele ne (9 6) 538-7541 APPLICATION AND PER IT PERMIT NO. 93-3714 ASSESSOfl PARCEL NUMBER 069-360-0 ZONING AR1 BUILDING PERMIT OWNER ALE GLENN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ORT) OROVILLE 95966 360 C , 160 CONTRACTOR'S NAME GRAVISON—RICKETTS CONST TELEPHONE 589-3457 CONTRACTOR'S MAILING ADDRESS 4996 ROYAT OAKS DR, DROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 17— GLENESS DRIVE, OROVILLE PERMIT FEE $ 109.10 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. q SUBDIVI ION'S P RCEL MAP J�"2i� 2 Each gas water heater or vent 15.00 USE OF STRUCTURE SFi0 Duplex O 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 M Remodel ❑ Utilities ElInstallation ❑ Other C3Contractor Describe Work: COVER EXISTING DECK PERMIT FEE 1$ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADONS. ( & ACC. BLDS. ) SQ. 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and n y license is in full force 2pd 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEw CONST. MULTI -OUTLET _NON.RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 .50 Ex. Occu FIXED APPWS. OR p' (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. *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. ❑ 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. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in consequence o e g nting of this permit. Date / /5 C ature of Applicant - ❑ caner ❑Contractor ❑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 $ 3 CONS. " MVV/'�J TOTAL FEE $ 109.10 HAZ• I D. FEES IMP ✓ F100 CDF P EL PD HD I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo for which fees have been paid. ECTOR OF PUBLIC RKS 4 2 By to PERMIT EXPIRES ON za^� /Dere! ReceiptNo._L��72 WHITE-D.D.S.-B. NARl-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ri^L!'�1+���Y-'r..-/^�.r+l`•YY'K"�.rvi�`�T.�.w�.;„Tti�ryc+..i4dC�,:rn1'�'ltr�i���,'i�•ravr�J�C�.�rY•Y'�✓a+'}.�1'r�+j'','•��'"'''►s�:%�'.y"s- 'J' �ODING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TEL HONE (916) 538-7541. PERMIT APPLICATION DATA SHEET OWNER !/ L` A. P. N11 p�`°"� " ��11� . Proposed Building Use Building Inspector 7 Date / 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. EnergRp_esFgQ Compliance and supporting documentation. 7. Statement f 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. ...B..179p ed, (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 and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list......................................................... 33 F 34. When y u issue the permit, process as follows%, Mail to owner. Mail to contractor. IA Telephonec/nd hold fo'r pickup at office. Deliver with inspector. Other r. Parcel Creation Acreage Applicant Date 3 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 nter by _ Date �o Plans checked by Date Plans approved by Date Z2� Sets of plans on hold in File cabinet AP folder r Copy - Department of Public Works -COUNTY OF BUTTE - DEPARTMENT VF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oraville, California 95965 - Telephone (916) 538-7541 MIT NO. APPLICATION AND PERMIT--� ASSESSOR PARCEL NUMBER _D� q C/L!_� Y ZONING /j BUILDING PERMIT OWNER GhLE A TELEPHK SO, FT. OCC. BUILDING VALUATION ADDRE_ OWNE/SMAILING 6%-f 33 ��,///l/ ti CONTA TOR'S NAME 5� - .Pf -e S a TELEPHONE �S. J .�3 CONTRACGTO R' MAILING DRESS L ,Or os,0 (/ W Fireplace CONSTRUCTION LENDER- UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee, $j0h on ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ /t� l/ PLUMBING PERMIT Fi Ing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.S DIVISION'S NAME pp �. Q 4 N 0 PARCEL MAP — Water piping 15.00 Each gas water heater or vent 15.00 �/ USE OF STRUCTURE SF,P�I Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition O Remodel ElUtilities O Installation ❑ Othevr Describe Work: ��w�� (/i<<j % �� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service"v OR LESS ( 200A OR LESS I 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FTgO. . 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) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 RAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 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. ❑ 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. 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. I also agree to save, indemnify and keep harmless the County of Butte against all County in consequence of the granting of this permit. X Date ((This liabilities, judgments, costs, and expenses which may in any way a/n+ Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deepr Construction of structures over 3 stories in height. Mobile Home. Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ MA2. D. FEES IMP FLOOD CDF PARCEL PO HO ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutionsto do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. Date PERMIT EXPIRES ON /Date/ Receipt No. ! �j /� %� Z WHITE-D.D.S.-B.6. C N RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse resraenual buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stnngent compliance reoutrements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures wnether they are shown elsewhere in the documents or on this Checklist only. DESCRIPTION Building Envelope Measures §150(a): Minimum R-19 ceilino insulation. §150(b): Loose fill insulation manutawrer's labeled R -Value. • §150(c): Minimum R• 13 wall insulation in framed walls (does not apply to exterior mass walls). §150(d): Minimum R.13 raised floor insuiabon in framed floors: minimum R-8 in concrete raised floors. §150(0: Stab edoe insulation - water adsorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 oernvinrh. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfilbatioNExfiltration Controls a. Doors and windows between conditioned and unconditioned soaoes designed to limit air leakage. b. Manufactured fenestration products nave Label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Rue damper and control Z No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC eoui'pment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks Ie.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenouexterlor insulation (R-16 or greater). 2. First 5 feet of'pipes closest to water heater tank non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposed oi'ping insulated in recirculating sections of hot water system. 4. Cooling system piping oeiow 55OF insulated. 5. Pining insulated between heating source and indirect hot water tank. - §1501mr Ducts and Fans 1. Ducts constructed. installed and sealed to comply with UMC Sections 1002 and 1004: duan insulated to a minimum instated value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave oackdrah or automatic dampers 3. Gravity venuiatino systems serving conditioned space have either automatic or readily accessible. manually operated camoers.. §114: Pool and Spa Heaung Systems and Equipment 1. System is cerofieo with 78% thermat efficiency, on-off switch. weatherprooi operating instructions, no etectrtc resistance neatino ano no pilot light. 2. System is instaileo with: a. At least 36' ctoe oetween filter and heater for future solar heating. b. Cover for outcoor pools or outdoor spa. 3. Pool system nas c recuonai inlets and a circulation pump time switch. §115: Gas -tired centra., turnace. pool neater, spa neater or housenold cooking appliance have no continuously burrnd paot light. (Exception: Non-eiectnral cookino appliance with pilot < 150 Btu/hr.) Ughting Measures §I50fk1: 40 lumenswar, cr greater for general lighting in kitchens and rooms with water closets: and recessed cea no bxtures rC itnsuiation coven approves. DESIGNER I ENFORCEMENT COMPUANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comptywith Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, arty shading feature that is varied is indicated in the Special FeatufestRemarks section. Designer or Owner (per Business a Professions code) Name: - Tide/Firm: Address: Telephone: Lic. s: Ci`----- (signature) (date) Enforcement Agency Name: Tide: Agency: Telepnone: Isignatureistamp) (date) Documentation Author. Name: Tide/Firm: Address: Telephone: (signature) (dam) Certificate of Compliance: Residential Climate Zone 11 project Title • I�Ll�IJES.�. Project Address Documentation Author Telephone BUILDING DATA Conditioned Floor Area ( Number of Stories Slab/Raised Floor Number of _Units Single Family Detached (SFD) [ ] Addition Alone ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition B UILDING SHELL INSULATION 9-z--/9&% Building Permit M er_ Cheated By/ Date Enfameanexit Aaeaey Use Only Component Area % Z" Z North East 1761 South AMz. West r.#o— Skylight O Total i /4 s.�s.1 /I— Component Insulation LocatiiorVComms-xts Type R -Value (Sufic, to garage, Dap ECL aw-) Roof ............. -R." Roof ..........». �w't't -1— OA. 3 Gof�b'r Stu=0 Wall .............. � � 4 Wall ..... ......». Floor ............. Floor............ _ Slab Edge ...... FENESTRATION ming Devices -Fenestration 'Area Type Interior F=etior Overhang Framing Type Orientation (sf) (single, double) (Moller blind. etc.) (shodesaeim etc.) fyes/tto) (meud/wood) North ( ) L North ( ) East ( ) East ( ) — South ( ) Sour] ( ) West ( ) West ( ) Skylight....... -- THERMAL MASS BUT E �0NIV Type/Covering Area Thickness (slabtexoosed. tile- etc) S (inches) L.Ocatiotl/Descriation kitchen. bath. etc. 0 HVAC SYSTEMS titinimum Duct Type (furnace. air Efficiency Location conditioner. hentyumnn) (AF ulE, SEERASPF) (atdr- ctc.) /0 ce 0 IIOT WATER SYSTEMS Tank .jvstem T (storage gas. etc.) Capacity Number - —� SPECIAL FEATURES/REMARKS Duct R -Value Thermostat Tyne A 56Y6WAL Heat Pump (sRl i t or oke) R Value Energy Factor Ext. Tank Tng- Dictrih»tion Oro- Point System Summary: Climate Zone 11 . 7, 1. 2. Ceiling Insulation 510 8 -value [381 Wali Insulation Cz!)jL_or or U -value (0.0281 3. ue (191 Raised Floor Insulation U -value 10.0651 or AFUE err HSPF _� R -value (191 Uwalue 10.0371 4. Slab Edge Insulation or /0 Revalue (OJ F2 factor (0.75] 5. Infiltration • Any Ducts in Unconditioned Space? ( Y / N) [Y] 6. Fenestration Heat Loss-�� Type U -value (0.65] Total % Fenes. (161 7. Fenestration Heat Gain % Fenestration SCslade open Eff. % Fenes. North 1ity x I&I East x - Southr X West _ ---JFK- - West ,fl x Skylight _Qx = p Overhangs? (Y / N ) 8. Interior Thermal Mass � or %Exp. Slab [201 Int Mass/CFA 9. Exterior Wail Mass 10. Heating System 11. Cooling System Shade Eff. Ratio . �bt Est Wag Mass -14 •9 -5 R-11 1. Ceiling Insulation -2 -1 AFUE err HSPF Dua Effie. (1 sorry: Ettective AFUE (78% or 6.81 0.83: 2+ story: 0.861 orr HSPF /0 x .%t _ _' SEER 110.01 Duet Effia 11 story: Etteme SEER 0.81: 2+ story: 0.871 12 Water Heating System 1� Di Z- Meater Type Energy Factor Ext Ins. 8 -value Auxhiiary input (SG501 (0.531 (121 (None( System 2 Heater Type (Nonel Energy Factor Ext Ins. R -value Auxiliary Input R-0 -14 •9 -5 R-11 1. Ceiling Insulation -2 -1 R•19 0 Numoer of stones R-30 R-vmua One Two Three - R-0 -74 -48 -27 R-19 •5 -4 •2 R-30 -1 .' ;' -1 0 R-38 0 0 0 2. Wall Insulation No Ducts in Unconditioned Space -4 .2 Single' Single - Heat Loss -13 Family Famiy, wilti- R-value Detached Attaches Famtlly R-0 -72 -57 -43 R-11 -7 -6 -4 R-13 -5 .4 -3 R-15 -4 -3 -2 R-19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation .71 .66 .61 Ine2iatic a is Floor .51 .46 NMW of stones .36 R -value One Two Three R-0 -14 •9 -5 R-11 -3 -2 -1 R•19 0 0 0 R-30 2 1 4. Slab Edge Insulation Numoer of Stones Point Scores . 0, A-0 Sum 1-6 Sum 7-9 Zonal Control Adjustment (O] Zonai.Coneol Adjusunent (01 R-0 North .87 .67 .52 Or to. to more .86 .66 Distribution .87 or more ill .51 Or less Distribution .51 or less Point Total: Q R-0 North .87 .67 .52 Or to. to more .86 .66 0 .87 or more 0 .51 Or less 0 .51 or less 5. Infiltration (Duct Air Leakage) R-5 Skyug" .67 .66 or or more lass 6 -5 4 .3 2 -21 Ducts to Unconditioned Space •12 -26 -23 0 R-7 •36 7 .23 4 .75 2 16% No Ducts in Unconditioned Space -4 .2 3 6. Fenestration Heat Loss -13 -10 -21 -19 -13 •9 •31 •27 •19 -14 -65 -4 14;. .4 •3 .2 -1 .14 U-rdue •11 .8 .16 •14 .10 .7 -26 Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to t0 to to to to or mestranon more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 55 .50 45 40 less 501. -too •76 •69 -02 -55 48 -41 •38 •34 •31 -27 •24 •20 17 -13 .10 40% •77 -58 -52 -47 -41 •36 •30 -27 •25 •22 •19 .16 •13 -11 -0 -5 35% -66 49 44 -39 -34 -29 -25 -22 -20 -17 1 -15 •12 .10 •7 -5 •3 3011. -54 -40 -36 -31 -27 -23 -19 -17 -15 0 -11 -8 -0 .4 .2 0 28% -50 -36 -32 -28 •25 -21 •17 •15 •13 -1 •9 •7 -5 -3 .1 1 261. -45 -33 •29 -25 -22 -18 -14 •13 -11 -20 -7 -5 -4 -2 0 2 24% -t1 •29 -26 -22 -19 -16 •12 -11 -9 .5 -0 -t -2 •t 1 3 227. -36 •25 -22 -19 -16 -13 -10 -8 .7 ).7 -t -2 •1 1 2 4 20% •31 -22 -19 -16 •13 -11 -8 -6 -5 0 •2 •1 1 2 3 518% 0 -27 •18 -16 •13 -11 -8 -6 -► -3 0 -1 1 2 3 4 6 16% -22 •14 •12 '••10 -8 -0 .3 .2 -1 1 1 2 3 4 6 7 14% •18 -11 . -9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% •13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 8 9 101. -0- -t -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 8% -t 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based on Shade Enectrveness Rano) ER % Fen. astra- ton North .87 .67 .52 Or to. to more .86 .66 51 or less .87 or more East .67 .52 t0 to .86 .66 .51 Or less South .87 .67 52 W to to more .86 .66 .51 or less Waat .87 .67 .52 Or to to more .86 .66 .51 or less Skyug" .67 .66 or or more lass 18. -5 -4 .3 -2 -21 •20 •15 •12 -26 -23 .16 -12 •36 •? .23 .16 .75 -50 16% s -4 .2 •1 -18 -16 -13 -10 -21 -19 -13 •9 •31 •27 •19 -14 -65 -4 14;. .4 •3 .2 -1 .14 .13 •11 .8 .16 •14 .10 .7 -26 -23 -16 -11 •55 -38 127. 3 2 1 1 11 10 8 5 12 •10 7 d 21 18 •13 8 46 -31 11% -2 -2 .1 0 -10 -9 -7 -6 -10 -8 -5 -3 •19 -16 .11 .7 -41 .28 10%-2 +15 2 1 0 8 -8 6 5 Two 7 0.0 2 16 -14 9 b 37 •25 9% *-2 -1 -t 0 -7 -7 •5 .4 -6 •5 •3 -1 .14 -12 -8 •5 •32 -22 8% -1 •1 •1 0 -6 .5 .4 .4 -4 -4 -2 0 •11 -10 -0 -4 -28 •19 77. .1 -1 0 0 •5 .4 -4 -3 -3 •3 -1 0 •10 -8 -5 -3 -24 -17 6% -1 •1 0 0 -4 -4 -3 •2 -2 -2 •1 0 -8 •7 -4 -2 -20 -14 5% -1 0 0 0 •3 -3 •2 -2 -2 •1 0 0 •6 .5 .3 .1 -16 -12 4% 0 0 0 0 •2 .2 •1 •1 i •1 0 1 -4 .4 •2 0 -12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 •2 •2 0 1 •9 .7 2% 0 -5 0 1 0 0 0 0 0 -3 1 1 0 0 1 2 6 •5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 •3 •2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass Houses Wltb Exterior Method A (Slab -on -grade Construction Only) Pocertt Family One Family Two Three Exposed Ston 0.00 Stones Stories 0 0.20 -3 3 .2 0.40 .1 10 4 .2 9 .1 6 .1 20 10 0 1.00 0 12 0 30 17 1 10 1 18 1 . 40 1.60 3 17 2 1.80 1 50 14 4 24 3 14 2 60. 0 5 85% 3 7.2 2 70 3 6 2 4 90% 2 80 8 8 5 5 3 3 90 8.3 9 11 6 7 3 100 2 10 8.7 6 13 4 9 7 Method B 2 -4 to Im Effective AFUE or HSPF Slab Floor AC Raised Floor Mass -5 Stories +15 more Stones Sum of 1-0 /CFA One Two Three One Two Three 0.0 -11 -8 -0 -1 -1 0 0.1 -10 -7 -6 0 0 0 0.3 .9 -0 -5 1 1 1 OS -8 -5 -4 2 2 2 1.0 -6 -3 .1 4 4 5 1.5 -4 -1 1 6 6 6 20 -2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 1 - 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Houses Wltb Exterior Single- Single- Mufti Wall Family Family Family Mass Detached Attached .25 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 10. Heating -System Houses Wltb Ducts (R4.2) Water Heamg man SEER Pott Score Houses With Ducts (R-42) Sum of 7.9 30 -17 Sohn Pcxg .25 or .24 to Sum of 1.6 .6 to 16 or Gas Split Pkg -25 -24 -14 .4 +6 16 AFUE HP HP or to to to to or - esva HSPF less -15 -5 +5 +15 more 78% 6.8 6.6 0 0 0 0 0 0 801% 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 -4 to +6 to Effective AFUE or HSPF AC AC less (AFUE or HSPF x duct efficiency) -5 Effective +15 more One Story House Sum of 1-0 IE Gas Solis Pkg -25 -24 -14 .4 +6 16 AFUE HP HP or to to to to or 7.0 KSPF HSPF less -15 -5 +5 +15 more One Story House 8.0 7.8 -1 0 0 0 33% 2.9 28 -02- -S3 4.1 -34 -25 •16 401. 3.5 3.4 40 -34 -28 -22 -16 _-10 501. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80% 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House •12 -8 .3 0 7.0 33% 2.9 2.8 -09 -58 48 -37 -26 -15 40% 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 6". 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 901. 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Control Ad)ustmem System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Ad)usmtent for NoTua losttistioe Numow of Www Mus Water Hemer Tyoe One Two SG50 •2 .5 SG75 •3 -0 SE -5 -0 HP 2 .4 Zonal Control Adjustment All 6 5 4 2 1 0 House St:e Adjustment Kase Size (R=) Sutuatal Houses Wltb Ducts (R4.2) Water Heamg man SEER Pott Score 1000 Sum of 7.9 30 -17 Sohn Pcxg .25 or .24 to -14 to .4 to .6 to 16 or AC- - AC Tess -15 -5 +5 •15 _morn+ - 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 126 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 3 6 5 Effective SEER -1 4 (SEER x duct efficiency) 10 8 -1 Eft SEER 7 SE All Sum of 7-9 -20 -12 -17 Spirt Pcxg -25 or -24 to -14 to -4 to +6 to 16 or AC AC less -15 -5 +5 +15 more One Story House IE Al 083 5.0 4.9 -29 -23 -17 -11 -4 0 6.0 S.8 -16 .13 -9 -0 -2 0 7.0 6.8 -7 -0 -4 -3 .1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0- 11.0 10.7 12 10 7 4 2 0 12.0 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House HP 6.11.13.15 1.80 •1 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 •17 •12 -8 .3 0 7.0 6.8 -11 A -7 .4 .2 0 8.0 7.8 -0 -3 -2 •1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 . 3 0 Ad)usmtent for NoTua losttistioe Numow of Www Mus Water Hemer Tyoe One Two SG50 •2 .5 SG75 •3 -0 SE -5 -0 HP 2 .4 Zonal Control Adjustment All 6 5 4 2 1 0 House St:e Adjustment Kase Size (R=) Sutuatal less 1000 Water Heamg man to Pott Score 1000 1499 30 -17 •5 .25 .14 .4 -20 .11 .3 .15 A .3 -10 -6 .2 . •5 3 .1 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 House Stu AdjuStmmt How Sizer) SubtoW 15M 2800 Wats► Mooting to or Pant Spore 19% more 30 0 3 -3 0 2 -20 0 2 -15 0 1 -10 0 t .5 0 0 0 0 0 5 0 0 10 0 t 15 0 •t 20 0 -2 25 0 .2 U. Water Heating One Water Heater - No Anzillary CzedUs OMMKom SyUeM2 Rome systems Warr cLuaas EwW STD HWR Pkm No Timer Dated Heater Tvoel Zones Fa= POU Irhul On SG50 Art 0.53 0 3 1 -0 -5 0 0.63 5 8 6 .4 0 5 0.73 8 11 9 0 4 8 SG75 AS 0.48 .2 1 -1 -12 -7 .2 038 3 6 5 -5 -1 4 am 7 10 8 -1 3 7 SE All 0.67 -20 -12 -17 -41 32 -19 083 -17 -0 -13 38 -28 -16 IG' All am 2 5 3 IE Al 083 -21 -12 HP 6-11.13.15 1.80 4 7 5 -5 -1 4 Two Water Heaters - No Auxiliary Credits 31350 All 0.53 .7 .4 -0 -17 -12 -7 0.63 1 5 3 -8 -4 1 0.73 6 10 8 -2 2 7 SG75 AS 0.48 -12 -0 -11 -22 -17 -12 am •1 3 0 -11 .6 •1 M66 6 9 7 -4 1 6 SE All 0.87 •22 -14 -19 46 -35 .22 0,93 .16 •7 -12 -22 .28 -15 :G AN 0.80 .4 •1 -3 IE All 0.93 -21 -12 HP 6.11.13.15 1.80 •1 3 1 -10 .6 0