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HomeMy WebLinkAbout069-500-004K. E. Thacker &9 -So -4 •.. 5 Powers Ct., Oroville .Permit, #501-81B',P;E,rI(n,r sing family)• d i • �� KEN TRACKER 69-50-0 6 1\ #5 Powers Ct, lot 20, Village Oi w, Oro Contr: Thacker Construction, Paradise Permit#260-85B,P,E,M(new single family) 9-50-04 1480-90B,P,E,M THACKER, e th'� 5 Powers Ct, Oro le � (new s'i'ngle family)`.,. 9-50 M Permit#3109-9 O (gas pi sf) U 69-50-04 4122-90B BOX, Raymond 5 Powers Ct, Oroville (new garage) 069-500-004 99-03.96 BOX, Ray 11595,Miller Peak Road, Oroville Contr- Aladin Roofmg Re -roof 069-500-004 99-2510 BOX, RAYMOND #5 POWERS COURT, OROVI LLE N CONTR: SELIG VINYL SIDING I y^t riT�r. • OI - CM LO r Oil Fc Vo .,- .. _.- .. f ; , �� _�. ._ :._ _.. .-. -f ., . -. a. -. ,< --•... �i•-,".r--°'�7yWnA: .ffi'E . �:rc�.�.kw�r •�'r.�ty�✓•'�m�..•.�`K `. 3' 069-500-004 99-2510 ` . BOX, RAYMOND #5 POro S S COURT, OR j LE 4 CONTR: SELIG VINYL SIDING • I a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION #„ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 f PEI�� o. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT t/ OWNER TELEPHONE i SQ. FT. OCC. BUILDING VALUATION r YJ L OWNERS MAILING ADDRESS c- 0r,.+r2, 04,., PC 7 S ;fit CONTRACTOR'S NAME L 14,j TELEPHONE CONTRACTORS MAID OR SS 3'3I ' I 04/t as L.,l LI/ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ C? q; L ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ '3 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 P�•�gas C �J; �. Ener Plan Checking Fee Energy g $ PERMIT FEE S 2 - LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q . Duplex ❑ Mobilehome ❑ Other / SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: b t e4,01 S �L��� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service p A OR LESS 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. I O 1 License Class �_ Lic. No. i 1 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 WORKERS' COMPENSATION DECLARATION I 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' compensation insurance carrier and policy number are: Carrier I I :. s. , 'I S . • - T- I Policy Number r . 1 (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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 11 1 1 I Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 1 ' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200ATO i000A 46.00 NEW CONST, DWELLING OCCUP. SO EL OR ADDNS. ( a ACC. BLDS. 3.5,ts NON pEOS10RANCHO TLERCUI @7,50 . POWER APPARATUS a SINGLE OUTLET CIA. OUTLET OR FDRURES 20 @ 1.00 Ex. OCCU BAL @ .50 Ex. Occup. OurlsE.' Ao .oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 9 TOTAL FEE $ /G S HAZ. D. FEES IMP — FLOOD �- CDF PA RCEL PD _ .__ HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By .- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date r Date Receipt No.i�-l'� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 069..-500-004 P. 99-0396 BOX, Ray 11595 Miller Peak Road, Orovlle Contr: Aladin Roofing Re -roof COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PEPMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT (� OWNER RAY WX TELEPHONE SO. FT. OCC. BUILDING VALUATION 78ii OWNERS MAILING ADDRESS :15 CTV OROVIIIE CONTRACTOR'S NAME TELEPHONE �Z Z� CONTRACTORS MAIUNG ADDRESS S CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILIf3 g� S��� PW R0. OROVILLE J 77�y77 Energy Plan Checking Fee $ $ PERMIT FEE S59600 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IZI Duplex ❑ Mobilehome ❑ Other '- sMcIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)] Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service oo, op LE:: 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. License Class (� ' LIC. NO. _a3v 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. ❑ 1, 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 WEE200A CCU000A .5,so NEW CONST. DWELLING OCCUP. 3.5aF°. ORACC. BUDS. Aoo�� &T. Er NON-RESID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 50 BA0 @ I'so Ex. Occup. . ED A IEs o °ER.&5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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'fcompensation insurance carrier and policy number are: Carrier .-i ! , e / , 11f Policy Number `71 1 r /!i 1 / - `i / (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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _r • -� -, _ _ r, X 4� ___ Date . j %- �) �_ Signature of Applicant - ❑ Owner OkContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 59.00 HAZ. O PEES IMP FLOOD CDF PARCEL PD HD ISSUE X 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. n 3/1/99 By Date U 1/1 /2000 PERMIT EXPIRES ON Date Receipt No. 258375 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION z 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 00-Y ZONING BUILDINGPERMIT OWNER ,4 ,"vJO ` o� cJ TrW33� SO, FT, OCC. BUILDING VALUATION qJ Z . OWNER'S MAIUNG ADDRESS ,5,-!oo was %/e S S-9C6� CONfRACTOR'S_fJAA�1E S `L TELEPHONE 18 43-5-s9e �o coNTgaC�oeru ntl/ta..l L4 CW, C,N�Go CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is q L1.3 -L— ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDINGADDRESS S Qv�,r�. C�Zr r Energy Plan Checking Fee $ 02oJ, l �G $ PERMIT FEE $ 2'4e LOT NO. SUBDN510NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ' Describe Work: V t Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service 200A OR LESS 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. License Class Lic. No. ­1IOL `� 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 reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BUDS. 3.5¢FT; NONNEW REOSID. MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CR. Ex. Occup. OUTLET OR FORURES 20 Q I.00 BAL Q .SO Ex. Occup. oUT1EETS p6ID.OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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' compensation insurance carrier and policy number are: Carrier CAL';(o( ZA I Q Policy Number " OLd �S I I (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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE /�Q TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU 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 112- 'Z > a--) I /P. t.) Receipt No. 2. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �=LIIG This is to certify that C:I�wZ`�S f-wTN has authorization to sign for all permits at for Selig Construction. r License'#711042 Class B California Indemnity Ins. Co. Binder No 66.53 Policy No N5043317B Sco lig State of California County of 11,U7 -rC On 0C,1 -VG- M-1 �q°t6 before me, w- ,..L.AVA_Q Mrm, PC,TA-R-H P,v3:.tc, personally appeared SGpT -F Se LSCr proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/fie executed the same in his/ham authorized capacity, and that by his/lie-r- signature on the instument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS MY HAND AND OFFICE SEUL. Signature _ W. J. LAMBERT III D N 11 COMM. 11109367 -d NOTARY PUB&C-MFORRu C COUNTY OF BUTTE w MrC�m•. M�sSept.10,4000 3851 Morrow Ln., #7 • Chico, CA 95928 • CA. License # 711042 • (530) 893-5898 -:•.:A.:..:.+...waarruiSu...+ov�cu..u:.ua..de::c'.iw..-'.%....:-...'. r:. »_....�._..r . _.... .. .. .-..... ._ ... .. .. . MOW."' CERTIFICATE -OF F L31 AB I 'AT Y .A P.ID LA DATE (MM/DD/YY) -INS�:URANC: SELIG01 07/16/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION G.L. Anderson Insurance Serv. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Professional Insurance Assoc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12175A Folsom Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rancho Cordova CA 95742 COMPANIES AFFORDING COVERAGE G. L. Anderson Insurance Phone No. 916-353-5130 Fax No. 916-353-5135 COMPANY A California Indemnity Ins Co. INSURED COMPANY B COMPANY C Selig Construction Corp.; T -Rex Glass 3851 Morrow Lane, #7 Chico CA 95928 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS CF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F] OCCUR PERSONAL S ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY T C YTAM T OE R EL EACH ACCIDENT $1,000,000 A THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL N2055922E 07/01/99 07/01/00 EL DISEASE -POLICY LIMIT $1,000,000 EL DISEASE - EA EMPLOYEE 1$1,000,000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION WESTERN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, ING COMPANY WILL ENDEAVOR TO MAIL Wes tern Continental Operating Yolanda Horn14OO 1 O DAYS WRITTEN NOTICCERTIFICATE HOLDER NAMED TO THE LEFT, ?TE Easton Dr. #141 'BUTFAILURET MAILSUCH NHALL IMPOSE NO OBLI ION OR LIABILITY Bakersfield CA 93309 OF ANY KIND PON COMP AGENTS OR REPR E IVES. AUTHORIZED REP ESENT G.":L.' And son nce ACORD 25-S (1/95) 1:'A CORD 1988 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT If- ASSESSOR f ASSESSOR PARCEL NUMBER 069-90-0-004 ZONING BUILDING PERMIT V OWNER RAY RON TELEPHONE SO. FT. OCC. BUILDING VALUATION 1680 . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDI(Jf�1I � SMILLER PEAK RD, OROVILLE 1 Energy Plan Checking Fee $ $ PERMIT FEE $ 59.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF k] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)] Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service 20.A OR LESS 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 i full force and effect.�� 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 reason 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'9mPgnsatio insure ce carrier and policy number are: Carrier !C Policy Number -13 (d — (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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / QQ X _ Date 3 / T_ Signature f Applicant - 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. Main Service ZDOA TO L000A 46.00 NEW CONST. DW L]NG OCCUP. S° OR ADDNS. ( a ACc. BLAs. 3.50FT: NDµq°Eg,pT' MULTI-OUTLETITS @7,50 PON1GERLEAPPAPATUSUTLET 8 SINO CIR.Ex. Occup. OUTLET OR FDmJREs BAL p':50 O LNS Ex. Occup. GUTLEE°TSA RESID,°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I COF PARCEL PO HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' h fees have been paid. By Date 3/1/99 PERMIT EXPIRES ON 3/1/2000 Date rReceiptNo. 25R375 ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER//�'� / r/}.-., 0 t 6 • V') V (F/+1 •`l� �� —664 ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADD SS Q /� /� T 1 S ��V ! Ito CONTRACTOR'S NAME d / ', n A ' TE ?� CONTRACTOR-S2- ONT OR1'S IUNG AD RESS i / I CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $46 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ s' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Oe' Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ /nU�blibes 13 Installation ❑ Other ❑ Work: C '� Describe !/ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W IEE@!! PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoDA OR LESS 23.00 • ' I i Main Service 200A TO IGOOA 46.00 NEW CONST.OWE71JNo oCCU, P. 35Qso. OR ADONS. 8 ACC. BLDS. FT. NLW GUNST, MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES 20 O I.00 BAL O .SO Ex. Occup. ouTLtTs RESI6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.010 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FL000 CDF 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 !e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Da RESIDENTIAL i69-50-04 4122-90B BOX, Raymond 5 Powers Ct, Oroville (new garage) i ! ! JOB FINALE Signature d=dK O = Not OK NotNo Applic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P L" ft./ . /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS VERS CARPORTS G S Plans OK except #'s . oning Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric g; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; ' 'rig -Veneer -Stucco -Mesh Of; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/-// Card B�1 Date Card B-1 Date Card B-1 CDate Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness' Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK r, O = Not OK ' - = Not Applicable REStRENTIAL Not Ready , (Single & Duplex)= Date UNDERFLOOR (Plans) OK except #'s ' Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth . " 46..Cing:_4oist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Dept(1' 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 'l 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel r "' 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes O No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes O No; Walks ❑ Yes ❑ No; Planters O Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35, Vent Fan; Exhaust above insulation Elec. Trim; G.F.I. Receptacle -Underground 85. ExteriorProtection 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Ftirnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Prot 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card 8-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. / l,-zz--9In T ASSESSOR PARCEL NUMBER 69-50-004 ZONING R-1 BUILDING PERMIT OWNER Raymond J Box TELEPHONE 589-3308 SQ. FT. OCC. BUILDING VALUATION 440 M 6,160 -nn OWNER'S MAILING ADDRESS 5 Powers Ct., Oroville 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6,160.00 Filing Fee $ 10.)0 LENDER'S MAILING ADDRESS Permit Fee $62.5)0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $31.'25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $103.75 PLUMBING PERMIT Filing Fee 10.30 Powers Ct., Oroville Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP I.nL• J a (0C -t* t Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[-] Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Dterha(j C;araae (9n X 22) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.6)0 Main service LESS iOR °oo AMR SLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification Y) �-}, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.aj A CC.LDGS2/zQsgft New CONSTFL ULTBI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9L0 30 2AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fDl I shall not employ any person in any manner so as to become subject �t 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liI s, judgments, costs, and e. enses which may in any way accrue ag st d County in cons lue e e ra ing of this perm/. Date D D ig at re f Applicant — w ero Co raptor ❑ Ag en An OS A permit is required f excavations over 5'0" deep d demolition or construct- ion of structures over 3 stori in hei t Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 103.75 HAz — CUA — PARK _ SCHL — FLD PAR PO HD SSL Ve This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to 4o have been paid. WORKS Datef-Z- 4' �(" 2<�'t_^ 7 / Receipt No.$45119L^,4I 251-L 2 V< -?V- 6 1 WMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - bEPARTMEN _OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - Oi „OVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 '; 1 ; t ". PERMIT APPLICATION DATA SHEET 8 + Permit No. OWNER Nc)( A. P. No. Proposed Building Use (>Adud We -f.! Building Inspector 1 Date 0-36 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED—. APPROVED 1. All items have been submitted . .................................... b L 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 0L 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10: Fees of $ (�.......................... 4 —=416 .— Chico Urban Area fees paid 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from OP 56u -(J► Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. L-­" Telephone 589.330 and hold for pickup at 6CQ office. Deliver w./inspector. Copy of plans sent _Health Dept. Fire Dept. Other The following data must be submitte 1. Index permit for above items No. 2.. Additional items required: — Date By. to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by 13W Date Plans approved by (W Date 12-6'''96 Copy—DPW Sets of plans on hold in File cabinet AP folder u, COUNTY OF BUTT.,'E - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi•Ile, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER_ ZONING - _.-,—BUILDING-PERMIT- - OWNER J' TELEPHONE 589-3309 SQ. FT. OCC. BUILDING VALUATION +16 6 /(a n OWNER'S MA ING ADDRESS 5pigwvzC k CONTRACTOR' S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.CO LENDER'S MAILING ADDRESS Permit Fee $ 6 ?. `�lb ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S CQUO�I f2 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installattion ❑ Other ❑ Describe work:rPd �CQp �7 ClioX22 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service TOOV DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensedcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.Ik OR AODNS. ( ACC. BLOGS. I , /20Sgft NEW CONSTR. MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS 1 1 SINGLE OUTLET CIR.e Ex. Occup( OR FIXTURES 200 Sot eAL030 Ex. OCCUp. OUTLETS FIXED P(RESIO )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury. (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent'❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct. on of structuresQover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ /0377 HAz I CUA I PARK I SCHL 1 FLD 1 PAR I PD HD ISSUE This permit is hereby issued under the applicable prov- sions of the Butte County Code and/or resolutions to 00 work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.y4Sgi PeFt�2S �/ WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -IN ECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965Phone: 916-538-7541 O?-7NEP.-BUILDER VERIFICATION . Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing.ard issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and.materials for construction of the proposed property improvement (yes or no) V e 2. I (have/have not)signed an application for a building permit For the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and -provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following purscas to provide the work indicated: Name Address Phone Type of Work ' S ignQd : Property Owner Social Secity N er Date O NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and - 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are-per- mitted-to—issue-the-permit.. •S8 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. -•++ n..c� rvumocrt - - - 9-50-004 OWNER ZONING R-1 ' BUILDING PERMIT $O, FT. OCC. BUILDING VALUATION L TEEPHONE Raymond J Box 589-3308 OWNER'S MAILING ADDRESS 5 Powers Ct., Oroville 95966 CONTRACTOR'S NAME 6-lAn nn TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace i Total Valuation $ 6 160.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $62.50 $31.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ BUILDING ADDRESS Penalty $ Permit fee $103.75 ! Powers Ct., Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 .00 LOT NO. SUBDIVISION NAME PARCEL MAP 6<( 5( (0 Solar or heat pump water heater Water piping 20.00 500 Each gas water heater or vent Gas piping system 1 - 5 outlets 5,00 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome0 Other SPECIFY Building sewer 5.00 Mobile Home S I IS I W 0.00e TYPE OF WORK New ❑( Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ IDescribe work: nit- arf ('ar^oa (9n x 22) _ Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 10.00 Main service i00 OR LEAMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NEW I am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ;,�j )nllV1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt.under Sec. , Business and Professions Code Main service EA. ADO'L too AMP 2.50 NEW CONST./ DWELLING OCCUP.a\ OR ADONIS.1 ACC. BLDGS. I/ 'fts Q it CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS a� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2A�O 30 eALO 30Q Ex. Occup. OFI XED S PRE 1 )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. nA I shall not employ any person in any manner so as to become subject. .164 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 PER IT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 103.75 HAz CUA PARK SCHL FLO PAR PD HO ISSUE 1 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 Count or Butte to enter upon the above-mentioned property for inspection purposes. y I also agree to save, indemnify and keep harmless the County of Butte against all Ii I s, judgments, costs, and a enses which may in any way accrue ag st d County in cons ue e e ra ing of this perm),(. Date D Q ig of re f Applicant — w er Co rector ❑ Agen i n of r permit is required f excavations over S'0" deep d demolition or construct- ion of structures over 3 star; n hei t Th;s permit is Hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By the appiicable provi- resolutions to do have been paid. WORKS ��}o Receipt No. _ 84549 — X2511 uue euud* Of e.®.J OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Ken Thacker ADDRESS: P.O. Box 1088 CITY & STATE: Paradise, CA 95969 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: February ll,* . 1985 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SI=RvirEs DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #260-85B,P,E Receipt #32213, dated 1/31/85, AP #69-50-04). , Building eimit fees paid----------------- 433.75 Retain filing fee------------------------- 10.00 Refund due--------------------------------------------- $423.75 Plumbing permit fees paid-----------------$ 56.00 Retain filing fee------------------------- 10.00 Refund due---------------------------------------------$ 46.00 Electrical permit fees paid --------------- $ 78,35 Retain filing fee------------------------- 10.00 Refunddue --------------------------------------------=$ 68.35 Mechanical ermit:.:fees paid--------------- 28.00 Retain filing fee------------------------- 10.00 Refund,due--------------------------------------------- 18.00 Refund ever inspection fee----------------------------- 30.00 TOTAL REFUND DUE=---------------------------------------- $586.10 $586 10 TOTAL $586 10 1, .the undersigned, declare under penalty of perjury that the services or articles claimed have be perfo d or delive , and that this . claim is true and correct as stated. t Dated this day of 19 et /� +l Calif. ........... ........ G�r�Jlilr............K-SiGalma t .�,.... .. ............. g of, lalment 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have be erformed or de- livered and that there is a Budget Appropriation Q or Specific Board Approval ❑ (Check one) for the same.. Dated this ............ 11th day or FebruarX„ , 1985, at Oroville ..................... ............................. , cauf. ........... pe ment Head or Authorized De ty Dept. Exp. Code ............................................ Code .................................PAYABLE FROM FUND ....... _ _ ............... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. V, e A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER • _e-() ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION //yy�� 3V055 O MAI I G ADDRESS 0 1 CONTR CTOR'S AM p/r TELEPHONE .1 V C TRACTOR S MAILING ADDRESS Fireplace IW, I DO CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 1M ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ^t� ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ,Do Solar Water Heater 20.00 2D,010 Water piping 5.00 ,. LOT NO.SUBDI VISION NAME Oki tt2_ ©a PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 -- USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home TS1 G W 10.00 e TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 SS AMP OV OR R LESS 10.00 ©tv -- :SR Main service EA. ADD'L too AMP 2.50 NEW CONST. DWEL I S.P.& ADDNS. A t' 2h¢Sgft CONTRACTORS LICENSE LAW I declare un er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License N 370 173EX. I',^�,' Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTROR . ULT OUT LE NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu / 20@SDC P\OUTLETS OR FIXTURES eALeaoQ FIXED OCCUp. OUTLETS P(RESID.)R EA.) 2.00 Temporary service 10.00 100 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Qro Cooling Hood 3.00 , Ventilation t© Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabil' les, jug .indemnify co ts, and expenses which may in any way accrue agai s�jd-CDu y in conse ence of the granting of this permit. o� %�C�—"— Date 3� 7f S Signature of Applicant— Owner❑ Contractor Z?rAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PE144H FEE IsA OCCUP. GROUP TYPE OF CONST, PARC PD HD ISSo This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �t�� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. 501-81B,P,E,M Y PERMIT EXPIRES OWNER K. E. Thacker CONTR. Owner ASSESSOR PARCEL 34-81-4 LOCATION 5 Powers (t. , Oroville s Temp. Power Pole Called PG&E Temp. Elec. Service_ 1 Called PG&E_ Temp. Gas Service _ 1 Called PG&E_ 1 t JOB FINALED (Date) Signature = OK = Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK r O = Not OK = Not Applicable 71: = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tN's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets.& Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75, Following instld.: Drive C1 Yes ❑ No; Walks E) Yes E] No; Planters [I Yes 1-1 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors Comments at Final: _ 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ --41.-Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT , PER IT O A SSWR P�R f,EL NU BER rlJ� / ZO�VGI-NG BUILDING PERMIT' OWNS tank TELEPHONE SQ. FT. OCC. BUILDING VALUATION N R' MAILING ADDRESS r s O ACTO 'S N ME TELEP r C T OR' MAI NG DRESS Fireplace -I' " 65-0 C NSTRUCTION LE DER UNKNOWN Total Valuation $ Filing Fee $ 10,('0 LENDER'S MAILING ADDRESS Permit Fee $ own ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 , BUILDINy_ADDRESS Y-% PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME A- Qprr S PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF IVI Duplex❑ Mobilehome❑ Other SPECIFY Building sewer _CIO Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O P ACC. B LD ` 22 sq ft CONTRACTORS LICENSE LAW' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforceand effect. License No.'——'�-7 C9 �C Iassi f i cation �(, � ❑ 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 CONSTP-( T N.N.RESID BRANCH CIRCUITS) 2.50 ea NEw CONSTR. (POWER APPARATUS 6) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ BAL�1 IXED APPLNS, OR EX. OCCup.(OUTLE TS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I decl re 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 beccme 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. Heating Cooling 3 �' Hood 3,00 Ventilation Permit Fee S Contractor I certify that 1 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, judgment costs, expenses which may in any way accrue again t sa' o ty i nsequenc�dj f thegranting of this permit. %� Date. Signature of Applicant — Owner Contractor E Agent FJwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3(sttories in height.` Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP, GROUP R_3 I TYP or co ST. �� PARC PD HD Su i� This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DJRECTO I F PUBLIC BY PE EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date .7— �7Z -7— 7- Receipt No. 1` 76 b/ !/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL .PLAN CHECKING GUIDE �i (S.F.,'DUPLEX,.& MISC. ONLY) Bldg. A.P. A. GENERAL ,T'. Zoning requirements (sideyards and parking). r . Valuation. ,a� Signature by R.C.E.` or Architect (if,required),.* B. PLOT PLAN Complete parcel size and dimensions. ;2�Setbackq, sideyards, easements, etc. '3�Other buildings or structures. �.4,Grading, fills, drainage. C. FLOOR PLAN 10 Permit J`�O 8, Complete to scale'plan with dimensions. 2'Required windows for light and ventilation (Sec. 1405). ,3. Required windows for second exit (Sec. 1404). Allowable glazing for energyfrequirements (20% max. per.State law). 5! Human impact glass (Sec. 5406). ld'. Required room sizes, ceiling heights (Sec. 1407).' q-' G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). ,8-­�'Light_fixtures,`switches, receptacles, and exterior receptacles for maintenance of - mechanical equipment: Locations of water heater, heating & cooling equipment, other electrical or gas equipment', and plumbing fixtures. Garage firewall, door size; and closer (Sec. 503(d)(4)). 1�. 1 -.3'0" exterior exit door (Sec..3303d). Fireplace location. '. Smoke -detectors (Sec. 1413). D. STRUCTURAL DETAILS y Foundation plan complete enough to construct building. j1. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. S.F ireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR -1,—ECX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). ,3! Guardrail details (Sec. 1716). -4,-ST=cn or=stone veneer (Chapter 30). �r—�Fxter�o-r� plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. ;V. Adequate bracing. 10. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc: . 11. Two (2) exits on three-story dwellings (Sec. 3302). 'J 1��n Telephone ;.. 5332000 North Burbank Public Utility District `. 1960 Elgin Street OROVILLE,'CALIFORNIA 9S96S�- DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERSM�' This verification form must be submitted to the Butte County Department of Public Works - Building Department. prior to issuance of a building or occupancy permit, whichever is applicable. ::; t`• Prior to final approval by Butte County of a Building or an Occupancy. Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to. Butte County: Applicant: K. E. THACi:E '. Applicant Address: 0- o- ROX i wig _ pmzAnTSF. , l^A 95Ah() Applicant Phone No.: 872-3848 Property Location (s): 5 POWERS COURT VILLAGE OAKS UNI,r 2, LOT 20 A. P. No. (s): 034-81-0-004-0 Fees Paid: MQ= ALL FEES UNPt1 I AS OF 2/17/81., /;1AJ-- Application for service approved: FEBRUARY 17 , 1981 North Burbank Public Utility District Inspections) made and successful test(s) observed: Location: Date: e By: ..".r�..s. North Burbank Public Utility District release to close permit: Date: By. RESIDENTIAL 1480-90B-,P,E,M 69—SO-04 i THACKER, Kenneth ` s 5 Powers Ct, Oroville (new single family) s. A P yD .l� f n'f r` -1 tt OFFICE COPY Address GAS Date/�rJ Meter By ELE Date Meter By OFFICE COPY Address � GAS Dated , Meter BY ELECTRIC Date Meter BY - -� JOB FINALE Signature J=OK - O = Not OK r ' = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UND LOOR (Plans) OK except #'s zon' -Setbacks-Easeme ood-Slope .1 n; Soils-Ele rnd.- /J3 Ftg. Depth . Ftg., Garage; Soils-Steel-Elec. Grnd.-4 Wig. Depth 4. Ftg,/Porches & Decks; Soils -Steel-/ /Ftg. Depth Main; Anchors J9!6.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Eioe: Size -Anchors . / (y4, -Water Pipe; Test-Anch!T9&qdra_toq1-Service Test 12. Electric; Underground ienums & Ducts; Clearance -Material -Sup ort -Ins. irders-Sills-Anchor Bolts -Joists -Vents -C ples 15. Insulation Dateand B-1 Dat - l7 Card B-1AZ Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1'6. Water Htr.; Vent -Access -Combustion Air -Baffle V-- ater Pipe; Test & Anchor -Nail Protection 0.p_ W.V.; Test -Fittings & Anchor -Nail Protection bower Pan; Test, First Floor -Tub Access '20� Tub & Shower, Second Floor -Tub Access as Pipe; Size & Anchors Date , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s tur ,& Transformer Clearance -Ins. Protection lec. gaceptacies Spacing -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled mex Installed Close to Edge of Studs & C.J. 26--EetatpTGround made up w/Meeh. Fastners-Bond Gas & Water 2 -7 -2 -Appliance Circuts in Kitchen & Conductor Size/GFI 28-6ttbteed-Wire-Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29-Range-erref-hga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30—ser—vice—Riser—Conductors & Ground -Main Disconnect 34 Equip. Clearances Panels-Motors-Mech. Equip. 32-Gr6t55s­Closet Light -Shower Light -Spa Light moke Detector DateCard B-1 Date Card B-1 Dat- a Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support as-Ve-nt Fan; Exhaust above insulation 3 ndensate Drain & Overflow; Size & Grade 3 urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 3L6 6*ic Access & Platform if Furnance in Attic Dat , (!)Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING Plans OK except #'s 39 -5 -is, Proper Material & Anchors alts Studs -Nailing, Spacing & Bracing -Plates -Sound 44�-Iaarinq Walls over Girders & Floor Nailing aft •in Walls (rat proof) 43 ire Stops; Furred Ceilings -Stairs -Chases -Tub 4 eaders & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) angers -Post Caps -Anchors -Connectors Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4 ireplace Ties or Type A Flue -Fireplace Throat clearance 48r.Ad4i 6cess; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions age F're Protection Framing ropertne Firewall & Openings 52 -12%r -Doors -One 3' -Check Garage -3rd Story, 2 Exits -Headroom-Rise-Run-Landing-Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer ip Screed -Fd. Vents-Underflr. Access lazin rea-Glass Protection -Skylights -Plastic, r Walls; Nailing -Bolts nsulation-Walls-Ceilings 60. Infil tion -Walls -Windows A/o TZ: ti td l �1lbe7t Tc..rs Q � Date �( Card B-1 Date Card B-1 Date o I 2. Card B-1 Date Card B-1 Data FINAL (Plans) OK except #'s 6T. -Ex -t. Steps -Door & Sidelight Protection -Landings o 'e—Detector rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection edroom Exiting ath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels firs & Rails 68,-FifFP-1_ace or Stove; Clearances -Hearth let lets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer uc i Garage -Damper 7 r. tr.; ents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 7&Plb., Qlec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 u a ion -Foam -Looked in Attic and Rails & Deck Construction -Post Caps 7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes >3Ilowing instld.; Drive 0 No; Walkses 0 No; Planters 0 Yes o finish C. Unit; Disconnect, Electrical, Plumbing 83*Venue Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84-Water-We4-Disconnect, Electrical, Plumbing tenor Elec. Trim; G.F.I. Receptacle -Underground entilation Throughout House ss Protection ec 'ons from Previous Inspections as Test -Meters Tagged; Gas -Electric 9 er Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Daty Lop 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: (NOTE: An entry must be made each time you visit job site) :BUTTE" COUNTY RESIDENTIAL ENERGY CONSERVATION STANDARD CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION'REOUIREMENTS HAVE BEEN IN_:TALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT (location) -- �`---- -_------------ ----- BUILDING PERMIT N0. A.P. N0._________ THE FOLL-OWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (complete each item if applicable) INSULATION: SLAB EDGE FDN . WALL::-'. FLOORS 1� r CEILING/ROOF " -3n 0!._!C:T! IAPPROVF_D HEATER !APPROVED WATER HTR GLAZING: SINGLE GLAZED SPECIAL cIN=:ULATF_D? CERT. & LABELED WDS. 1a :=LIDING DRS. IWEATHER:=TRIPPE:D DI;:=;. BACK DAMPERED FANS I NTERMTNT I GN TN DEVICES CERT. APPLIANCES I DECLARE THAT ALL REOUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED STALLF_!_i I N ACCORDANCE WITH THE ENERGY CONSERVATION RE?!_! I REME.NT __ AND AGREE TO THE COMPLETENESS OF THIS CERT I F I CAT IE AS SUBMITTED. Signature � �f G _ Gr:_ner +.1 !._ ntr_.rt.or/OkVner Date ----Q� ---------- ----"�------ ------- State Cont.rctrs Li.c 0 Signature ofD Insulation Af�l_�l. i. c..=at.,�lr��V/��1� f_ � Ge.te State Cont•rctrs Lic 0 5 028 THIS CERTIFICATE MUT BE ON FILE WITH THE BUILDING DEPARTMENT" PRIOR TO REOUEST I NG A FINAL INSPECTION . Qr, ex COUNTY OF BUTTE DEPARTMENT GF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 ' CORRECTION NOTICE OWN PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when co lection of work is completed. If you have any question pertaining to this matt,qr r need additional explanation, please contact this office immediately. �• / i a •fir , Date / �� /��� Inspector_ •r.� �--�w..,..q'-rates'R_""��rr�...-ZT-axc'�kei�.�i:...7'150r,sK,4..+.�.�c+1'f�� COUNTY OF BUTTE j DEPARTMENT OF PUBLIC WORKS 196MemorialWay, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. d1--t kel Id ( 0'W 0-7- Date G?/%/;Py Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 14,4t Lie fZ- FG -9a OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �' (% / InspectorAie COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3 tc) ASSESSOR PARCEL NUMBER 69-50-04 ZONING R-1 BUILDING PERMIT OWNER Kenneth E. Thacker TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO Box 1088, Paradise, CA 95969 CONTRACTOR'SNAME Same TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS #5 Powers Ct, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other © Describe work: Gas Piping for range _ See #1480-90 Min CharRe $25.00 0.00 10.00 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �--,� 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. c 7j License No 25^3 26 A Classification El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ACDNS. ACC. BLDGS. / 2/z¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. OCcu p OUTLETS OR FIXTURES zAL& eL030 FIXED APPLNS. R EX. Occup. OUTLETS RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �Ifave 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 FiIingFee 10-D0 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Ii bilit' judg a ts, costs, nd expenses which may in any way accrue agai st Id C i consequen a of the granting of this permit. — X Date Signature of Applicant — Owner onfractor ��Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 E "AZ CUA PARK SCHL PAR PD HD Is<uE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees R TO OF PUBLIC BY PERMIT EXPIRES Date q 7U4 the applicable provi- resolutions to do have been aid. p WORKS Date �v Receipt No. 73376 W MITE -D. P. W.. YELLOW-A88ES SOR, PINK -INSPECTOR. ECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND,PERMIT PERMIT NO. lIf 8' - 9 ASSESSOR PARCEL NUMBER 69-50-04 ZONI G R1 BUILDING PERMIT OWNER Kenneth E. Thacker TELEPHONE S0. FT. OCC. BUILDING VALUATION 1530 R 61,200 OWNER'S MAILING ADDRESS P.O. Box 1088, Paradise, CA 95969 484 6,776 CO.NTRACTOR'S' NAME_' '`Owner TELEPHONE /�M 2/,i COV 'p 240 130 Open 690 CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,000 CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 69.90 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 343.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 171.50 Ener Plan Checking Fee Energy g 15.00' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Powers Ct. Oroville Permit fee $ 539.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.00 Solar or heat pump water heater 20.00 20.00 LOT NO. 20 SUBDIVISION NAME PARCEL AP Village Oaks Unit 2 a2 Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New K] Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 1000V OR 0 AMP ORLESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code vand my license is in full force and effect. License No. 2-S !0 0 Classification EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.ed\ OR AODNS. ACC. SLOGS. I 2yzQsgft 54.0 NEW CONSTR ULTI.OUTLET N ON.RESID BRANCH CRC" RC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET SIR. Ex. Occup( OUTLETS OR FIXTURES 20050t eALO 30 Ex. Occup. OUTLETSPIRESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 77.30 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. p -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 FiIingFee 10.00 Heating 6.00 Heat Pum Cooling 6.00 Hood 3,00 3,00 Ventilation 2 3.00 1 6.00 Permit Fee $ 31.00 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.TOTAL 1 also agree to save, indemnify and keep harmless the County Of Butte against all liabil es, judgments, costs, an expenses which may in any way accrue agai s ai ty i c he -granting of this permit. j6a X Date rz -7 U Signature of Applicant - Owner Contractor --e' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 1A CONST V FEE $ 733.80 HAz CUA PARK SCHL FLD PAR PD D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR CT OF PUBLIC �;j By PE IT EXPIRES -ate the applicable prov- resolutions to d3 have been pais. WORKS D to Receipt No. 66102 - 234.00// 70187 �� 4Z991 $ 0 WHITE-O.P.W.. T LPO - S@" PINK -INSPECTOR. GOLDENROD -APPLICANT '.-��p(7'Y �,••, - - ' " . •..rr� ..,, fti �� V}.,.-r�,;;sk.�.+A"',l.'t .'�.'i."T•...�'^,s.F,{i,.,r� yuPub:..t.?'_���r,.�:�1�1 „C COUNTY OF BUTTE - DEPARTMt PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �! 1 d � PERMIT APPLICOTION DATA SHEET Permit No. t t OWNER ,�/= �. p �� A. P. No. vT= Proposed Building Use Building Inspector Date <1101-7c) i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ��8. Engineered truss details and layout in duplicate (required prior to plan chec 9. Mobilehome installation data including manufacturer's installation instructions .�y 10. Fees of $ i .2 CZ O ................... �" Z3 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. 4 r- v , ate . School Distrl t fees paid .............. 6(C 14. Sanitation approval from ', f '�D q& Department �-II-9tl i bitvC 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW �9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date] 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. _ Recorded copy of Agricultural Acknowledgment Statement ......... r.15 - y 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mai) -,to o er. Mail to contractor. Telephone �2 le4rk" and hold for pickup at .office. Deliver w/inspector. Other Applicant Date U 9 r Copy of plans sent Health•Dept ,_`Fire Dept., Other— Date The following data must be submitted prior t ermit i s ance:cle w i Pm not checked above). 1. Index permit for above items No. C 12 2. Additional items -required: 0a 9 09 Contractor, designer, owner, was advised of above required daa _phone_�nail_counter by _.date 6-'-R 7 Contractor, d si r, owner, was advised of abov/e req�uire�d data by _mall_Count%erCby date 7-2-4-9,6Plans cel ee}ced by DatePlans approved by <X d Date Sets of plans on hold in File cabinet _AP folder Copy—DPW TO: Building Department FROM: Encroachmf�nt Permit Section RE: Driveway Clearance-, elel� 3- & U --,I &'-5 -6-1, f _-a - 2!!Z owner location AP # Driveway permit ?Jva.�-7-2 E�� has been issued for the above property. nu b -A, Z. S4570-4;A��M -!� - tl date sign/re f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT NO. D i 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT A CEL NUMBER ASSESSOR PAZ _ ZONI BUILDING PERMIT OWNER �c �2 Gam_ TELEPHONE SQ. FT. OCC. BUILDING VALUATION 6 OWNER' AILING ADDRESS o- B121,�8 I q.�iG702 CONT ACTOR'S NAME 2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S cv— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 79 .00 Energy Plan Checking Fee $ /,5.,06 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS pcl LJ Permit lee $ 'A' . _� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUB IIVISION NAME y ,, 0�-_kl," PARCEL MAP Water piping 5.00 . p0 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 QO Mobile Home S I G I IN 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[] Other❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 v O o Main service EA. ADD'L 100 AMP 2.50 --5'0 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force and effect. No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ACONST OWELING LCCUP.&) / DDNSACCBLDGSL ZyzQSgff �,SQ NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS D� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50eLicense eAL030 Ex. Occup. OUED P TLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00tract- Misc. lyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 FiIingFee 10.00 Heating 06) Cooling 6.00 Hood 3.00 Ventilation ,3,0,E 3. Ott permit Fee (,C� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of. the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $,30- occ CONST TYPE TOTAL FEE $ 3 0 HAI I CUA I PARK I SCHL I FLD PAR PD HD ISSUE Th'.s permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW- ASSES SO R. PINK -INSPECTOR. GOLDENnOD-APPLICANT .f.k=t.�.�:7': .� pry. r'.:.:+.?r.. *'1+1�w 5V'sa.r+'ryrt "Rwwt.+v.r...-.�.�.a •-�� ��Y��� 7,sil � / ' ,W^^' ` 0 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICAT_ION,FORM (One Form per. -Building) A.P. Number (/09-,5 0_-04 Building Department No. s School District LIA1,10 !L VVI City � County r"�_JF61 Jurisdiction�A Property Owner Project Locati Subdivision Lot.Number Residential Development:'. a Sq- Footage # of Living MHI Addition (Group R), Units Commercial/Industrial: , New OSq. Footage Addition (Including Exterior A Roofed Areas) Building Department Representative Date ' w E (F1'oor Plans rev- ewed by School District Personnel) District Id No. �y A'i • n Applicant Name `J School District certifies that Phone Number (Street Address) (City) (State) Q (Zip Code) has complied with the requirements of Resolution No. by the erment of $ c27/% representing square feet. School ;, rict Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: J white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 9 PERMIT NO: 59-90 Lake Oroville Area Pu- blic Utility District, 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BU I LDI NG SEWERS This verification form must be submitted to the -Butte County -Department of Public Works Building Department prior to, issuance of a building or occupancy permit, whichever is applicable. Prior to final approval- by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: May 17, 1990 Applicant: KEN THACKER Applicant Address: P.O. BOX 1088, PARADISE, CA 95969 Applicant Phone No.: Mobile 521-0236 Property Location (s): 5 Power Court, Oroville, CA 95966 Oaks #2,. Lot.20 A. P. No. (s): 69-50-04 Fees due: $900.00 SC -OR Regional Facility Charge, AnnexNz ion a $35.00 Connection Fee Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: 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. ,23299� The property described herein is adjacent to land or included within an area zoned + ' 90-023299 ! Rec Fee 7.00 for agricultural purposes, and residents Cash of this property may be subject to incon- veniences or discomfort arising from the Official Records.-!.. use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit , Candace J. -Grubbs of agricultural operations including, tRecorder 1 but not limited to cultivation, plowing, ! 1:5 2pm 5 -Jun -90 2 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Se -E- /177-40166 41 Date: C,_ s--�70 OFFICIAL SEAL KATHY DANCE NOTARY PUBLIC - CALIFORNIA COUNTY OF BUTTE My Commission Expires Feb. 28, 1994 • ............................. -......... ...... 21.1111111111111111 ... State of 1 ) On this the SYl� day of �u�� 19 '%V , before me, SS. the undersigned Notary Public, personally appeared County of �). _�e G1C�2� [� Personally known to me. [] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN Wl''T'Nl?SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.-� 0-00 T676tary Public Order No. P-30831 A-2,9299 -KD S C H E D U L E C The land referred to herein is des cr ibed as follows: All that certain real property situate in the County of Butte, Unincorporated, State of California, des cr ibed as follows: Lot 20, as shown on that certain Map entitled, "VILLAGE OAKS UNIT NO. 2", which Map was filed in the office of the Recorder of the County of Butte, State of California, on September 6, 197 -Vin Book 58: of Maps, at pages 62, 63 and 64. COUNTY OF BUTTE I)EPT. OF PUBUC WOKS JUN 14: A990 •.f 0DUO �� J 4END OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB //; ...r © Ate+= I I BUILDING PERMIT OWNERCVW_— / G. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN ER'StOLING0_DR E55 ��� CONT ACTOR'S NAM((jjJJ�`E(( TELE N CO TRAC 'R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /JT Permit fee $ PLUMBING PERMIT Filing Fee 1O.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE S/J�] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Pgmodelo �Utilities Installationo/Other Describe work: P-yr►�1�/i-f 7— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0.3 f Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.E OR ADONS. ( ACC. BLDGS. , 2/2QSgft NEW CONSTR. ULTI-OUTLET BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e� SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES e ALo0 3 AL& Ex. Occup. OUTLETS FIXED PR IRESID,>EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �S HAZ I CUA I PARK I SCHL I FLD PAR PD HD ISSUE Th;s permit is hereby issued under the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.-/,, 337 WNITE•D.P.W.. YELLOW-ASBESSOP, PINK -INSPECTOR. GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX,& MISC. ONLY)_ Bldg. Permit # '7 l% OWNER -0 earA.P. # �O D -O41 GENERAL +' --Zoning requirements: (sideyards and number of permitted living units). Valuation. Enlans signed by designer. ergy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on.creation map or compliance document. FAU & FAS road setback. PT.nn'P PT.AN Complete to scale plan with dimensions. 'Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). 5/89 ,Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths; garage, and exterior outlets'(Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or ,g'as equipment, and plumbing fixtures. garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). Fireplace -and wood stove location, alcoves, and Smoke detectors (Sec. 1210). clearance. STRUCTURAL DETAILS oundation plan complete enough to construct building. 1oor construction details complete enough to construct building. • Elevations and wall construction details complete enough to construct building. L-4-"-R-oof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details:. landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MI§CELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). /Rafter ties or bearing ridge beam. "Garage door or porch header sizes. Adequate bracing. . Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). �ttic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. �R taining walls requiring design. usual shape, size, or split level house requiring lateral design. . Flashing at all exterior openings. 1. Ceiling Insulation 0 S'Infiltratioo (Air Leakage). Number of stories ---Effedlve Number of stories ; Two Three R-0 -11 -7 R -value One Two Three '�eDn R-11 .2 Points -2 R-0 -103 -49 -32.:... Stardatd 16 - --" 0 NumberofStories R-19 -8 -4 -2 Three R-0 0 0 0 R-30 .2 -1 -1 R-7 8 6 3 F2 factor R38 0 0 0 ' -4 3 .1 0.80 -1 U value 0 0.70 2 6. Glass Heat Loss - 1 0.60 6 0.50 -176 -84 -54 Total 3 0.40 U -value 8. 0.30 -102 -49 32 Percent .51 to .41 to .31 to 0.30 or 0.10 -26 -13 -8 Glass Single Double .60 .50 .40 less 0.08 0.06 -18 11 -9 5 -6 - 4 50 -121 -53 -39 -24 -10 4 n.r1n .4 ? 1 40 -907 35 -75 -29 26 -19 14 -9 a 1 8 10 0.02 0.00 4 11 2 5 1 3 30 -61 -21 -13 -4 4 12 7 8 10 11 29 -58 -20 -12 -3 5 - 12 11 12 12 5.5 28 -55 •18 -10 -2 5 13 12 6.0 5 8 27 -52 -17 -9 -2 6 13 2. Wall Insulation 9 10 26 -49 -15 .-a 01 7 14 9 Single Single 13 25 46 14 7 0 7 14 13 Family Family Multi- 24 -43 -12 23 4 -5 1 8 14 R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor Number of stories R -value One Two Three R4 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 -144 -70 -46 -120 -58 38 -95 -46 30 -69 -34 -22 -13 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 .2 -1 0 0 ' 4 2 1 10 5 3 0 -48 Number of stories ---Effedlve R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 - -2 -2 R-19 -1 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor Number of stories R -value One Two Three R4 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 -144 -70 -46 -120 -58 38 -95 -46 30 -69 -34 -22 -13 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 .2 -1 0 0 ' 4 2 1 10 5 3 0 -48 Number of stories ---Effedlve R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 - -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 16 - --" 2 5 NumberofStories na R -value One Two Three R-0 3. Raised Floor Insulation Insulation In Floor Number of stories R -value One Two Three R4 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 -144 -70 -46 -120 -58 38 -95 -46 30 -69 -34 -22 -13 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 .2 -1 0 0 ' 4 2 1 10 5 3 0 -48 Number of stories ---Effedlve R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 - -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 16 - --" 2 5 NumberofStories na R -value One 22 37 -9 3 3 9 15 21 -34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 ' 17 20 8 2 12 14 16: 18 20 Controlled Ventilation Crawlspace 0 -48 Number of stories ---Effedlve R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 - -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 16 - --" 2 5 NumberofStories na R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 3 5 2 1 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8. 4 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 .2 0 na = not allowed 3.5 2 5 7 9 9 10 4.0 3 6 8 Controlled Ventilation Crawlspace -14 -48 Number of stories ---Effedlve R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 - -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 16 - --" 2 5 NumberofStories na R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 3 5 2 1 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8. 4 7..Shading (Shade Open) -14 -48 -69 ---Effedlve Percent Class 16 -12 -42 -59 (percent glass x SC) na Effective ' -35 ` ---` - %Glass North East South West Skylight 18 5 1 . 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 113 8 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 .2 0 na = not allowed 3.5 2 5 l3. Shading (Shade Closed) 'Flfective Percent Class (Percent tttaa x SC) Gim North Eam South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .29 -40 37 na 11 -7 .26 -36 -33 na 10 3 -23 31 -29 .74 9 -5 .20 -27 -25 -65 8 -5 -17 -23 -21. • -56 7 -4 -14 -19 -18 -47 6 3 -11 •15 -14 38 5 -2' -9 -11 -10 -30 .. 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 1 -2 -1 .9 1 1 1 1 .... 1 -4 0' 2- 3 4 3 0 its • not allowed 6 8 8 9 9: Interior Thermal Mass: Interior Single- Simle- Slab Floor Raised Flo -or Mass Family Family Stones SEER Mass Stories . 1CFA One Two Three One . • Two Three 0.0 -8 -5 4 `` -2 -1 -1 0.1 -8 -5 _` "3 .1 0 0 0.3 .._ 7 :: -4 -2. 0 1 .. 1 . 0.5 -6 -3 -1 1 1 2 ` 0.7 -5 -2 -1 1 2 2 0.9 -5' -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2-0 1 e 4 5 6 7 25 0 3 5 7 .7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 1 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 • 14 15 10. Exterior Wall Thermal Mass Exterior Single- Simle- 30 or Wall Family Family Mufti SEER Mass Detached Attached- Family 0.00 0 0 0 or 0.20 3 2 1 0.40 5 4 3 .4 to 0.60 8 6 4 less 0.80 10 8 5 . . 1.00 13 10 7 -8 1.20 13 12 8 -9 1.40 12 13 9 3' 1.60 10 13 -4 -4 -3 1.80 10 12 12 -4 2.00 10 11 13 .1 11. Heating System 0 n 0 0 SE or RSPF 0 10.0 4 (assumes duets In st dc) ' 2 1 Sum of 1-6 _ 6 5 4 -25 or -24 to -14 to -4 to +6 to 16 or ' SE HSPF less -15 .. -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3' 3 2 2 1 0.80 7.33 8- 7 6 5 4 3 0.85 7.79 13 11 -10 8 7 5 0.90 8.25 17 15 13 11 9 *7 0.95 8.71 20 18 "15 13 11 8 Sten of 7-10 Effective SE or HSPF Solar (SE or HSPF x dud efficiency) - Effective -25 or -24 to -14 b :4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 j 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 t Other 6 5 4 3 2 2 12: Coolin ' S st!m 30 or a " 8 7 6 SEER 3 U -value [0.098] No Cooling System Installed (assumet dueu In AMC) = Stories or Sim of 7-10'-...., ..._ One •25 or -24 to rt4 to .4 to +6 to 16 or SEER less -15 i -6 +5 +15 more 8.0 -14 ' -12 -10 -8 .6 -4 . 8.5 -9 -7 -6 -5' -4 3' 8.9 .5 -4 -4 -3 .2. -2 9.0 -4 3 -3 -2 .2 .1 9.5, 0 n 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 '- 120 15 13 11 9 7 5 13.0 20 17 ., 14 12 9 6 POU 8 5 Effed9ve SEER 3 3 SE (SEER xdud efticlency) -37 -24 -18 -15 Sten of 7-10 1.3 Solar Effective -2S or -24 to .14 to, .4Io +610 16 or SEER less -15 3 +5 +15 more 5.0 .30 .25 .21 -17 -13 .9 6.0 -12 .11 -9 -7 3 4 6.6 -5 4 -4 3 -2 2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 j 9.0 16 14 12 9 7 5 ' 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 ' 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 14 Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures Zonal Control Adjustment 30 or 10 8 7 6 4 3 U -value [0.098] No Cooling System Installed R -value (191 = Stories or R -value [0] F2 factor 10.771 One -5 -4 -4 3 -2 -2 Two + 3 3 2 2 2 .1 �•. :: 3 .: ,- � t.-. Single -Family Detached and Attached - . i a Unit Size (so Water Il.l•otwC•..71 t i 99 ' 12M 1700 2200 2700 Heater Credit or 11 10 to to or Type Type less .1699 2199 2699 more :.SG None 0 '! 0. 0. 0 0 or Solar 12 ' 7 8 6 5 4 HP-HWR 25% 8 5 4 3 3 WSB 5 3 3 2 2 80% POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 1.3 Solar -1 .1 -1 0 0 25 HWR -18 -12 -9 -7 -6 3.8 WSB.. -25 -16 -12 -10' -8 _ POU -18 --12. -9 -7 -6 IG None '-5 -3 -2 -2 -2 21 - Solar 7' 5 4 3 2 3.3 POU 3- 2 1 1 1 IE None -28 , -19 -14 -11 -9 0.3 Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 .3 29 Multi -Family (Individual units) 3.3 3.5 17 U* size (61 i p700 4.3' Water 4.8 699 700 1200 5.4 2200 Heater Credit or I to to io or Type Type less 1199 1698 2190 26 SG None 0 0 0 0 .mote 0 or Solar 14 7 5 4 3 ' HP HWR 9 ., 5 3 2 2 1.1 WSB 9 4 3 2- 2 24 POU 9 5 3 2 2 SE None -45 . .-23 -15 -11 19' 4.9 Solar 2 .• 1 1 0 0 50% HWR -23- -12 -8 -6 -5. 1.9 WSB -25 -13 .8 3 -5 _EQU._-3 -12 -8 -6 -5 ' IG :None -8 . -4 -3 .2 17:2 ` Solar .:• 6. j 3 2 1- f 1 09 POU 1 0 0. 0.. 0 . . E None : -W : -15 -10 _,-_8 3 b . _..Solar :'18 .:� 9 .. 6 :. 4 4 POU :.8.' .-4 -3 -2 - -2 . Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 14 Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures 30 or R -value 1381 U -value [0.030] or R -value [ 11 U -value [0.098] i 9 or R -value (191 Interior Mass/CFA •. or R -value [0] F2 factor 10.771 . fire !Mos ..•'- :: :... :,. . ".� - ;;,. �•. :: .: ,- � t.-. - . .._: -••• ... Il.l•otwC•..71 ♦ TYPE 1 MASS (UDC aT 4.2. !es exposed Slab) - _ . 0% 5% '10% 15% 20% 25% 30% 35% 40% 45%-50% SS% 60% 659. 70% 7S% 80% 85% 00% 95% 100% 105% 110y. 115% 120%125- 20%125•0% 0% 0 02 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 21 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 21 - 23 25 27 2.9 11 3.3 SS 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 3.3 3.5 17 3.9 4.1 4.3' 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 Zs 3 3.2 3.5 17 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3' 5.6 S8 40% 0.7 09 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 12 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 ' 21 23 2.5 27 3 32 14 3.5 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 557E 09 1.1 1.4 16 18 7 77 79 7e 21 3 2.1 3:1i 17 0.0 4.1 41 4.3 4.7 4.9 5.1 5J 5.b 5.8 6 6.2; SK1 1 1.4 1.7 .1.0 21 2.3 25 2.7 29 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 11 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 11 15 1.7 1.9 21 23 2.5 27 3 12 14 16 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.S 17 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 11 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 14 4 4.2 4.4 4.6 4.8 5 5.2 54 S6 5.9 6.1 63 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 .64 66 68 95% 1.6 1.8 2 22 2.5 27 2.9 3.1 33 3.5 17 34 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100%.. 1.7 U. 21 2.3 25 28 3 12 3.4 3.6 18 4 4.2 4.4 4.6 4.9 S.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.0 5.1 5.3 5.S 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 74 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 14 Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures 30 or R -value 1381 U -value [0.030] or R -value [ 11 U -value [0.098] i 9 or R -value (191 U -value 10.0371 or R -value [0] F2 factor 10.771 b ' .. . Type (double) U -value [0.65] Point Scores -a 0 -4 %Total Glass 116] Sum 1-6 % Glass SC ..Eff. % Glass x • 7-_ Y S X = •3•3y X = d X - --- % Glass SC Eff. % Glass a. North /• x_ _ b. East x = c. South O x = d. West 4.11 x = A %l e. Skylight _0,5' x� _ • 3 of 9. Interior Thermal Mass TYPE 1 MASS AREA 6 A/a4s/CFA COND. FLOOR AREA Interior 10. Exterior Wall plass TYPE 2 MASS AREA _ _ e Exterior Wall Mass ND. L OR AREA 11. Heating System x V3= 5.47 Zonal Control? ( Y / N) SE or HS F Duct Efficiency (0.781 Effective SE or (0.7Z/6.6J HSPF 10.5615.1 ] 12.. Cooling System 17 X , 3 Zonal Control? ( Y / N) s [-[9.51 Duct Efficiency 10.741 Effective S [7.031 .13: Water Heating Type [SG] Credit (none) r , , Sum 7-10 Point Total: Certificate of Compliance; Residential ~. Climate- Zone 11 Project Title Building Ptsmit # Project Addren Chedted B y � Dtue Documentation Author 0#TeLephone linforcement Agency Use Only Glass Area % Glass BUILDING DATA North Conditi ea 15 31� Number of Stoniest Slot sed F1 Number of _Urals �_ South _do O [ Single Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight o. s [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total & /. -s /,9, (o BUELDING SHELL INSULATION Component Insulation Locaflor /Comments Type R -Value (antic, to gange, typiccL etc.) Wall .............. 1 Wall ............. Roof ............. 0 . Roof ............. Floor ............. t Floor ............. Slab Edge ..... GLAZING Shading Devices _ Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation Sf) (single, double) ollar blind etc.) (shadescreen, etc.) es/no) (metst]Mood) North North ( ) 1 East ( ) East ( ) South South ( ) West Ita ;. West alh Ak X5 Skylight ....... I THERMAL MASS Type/Covering Area Thickness ' (slab/exposed lite, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.) { ' 1 . T HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) G� .....//G/' 7 J,r���- DENT C r)r-v IN Maximum Furnace Heating Output: Btuh V HOT WATER SYSTEMS Tank Manufacturer/Model # ,Qp O System Type (Stora a gas, etc.) Cap s+arlaAl Z --4r l �r- SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) W Mandatory Measures Checklist: Residential . _ .__ . _.... _ .. .. MF -1R NOTE: Lowrix residential buildings subject to the Standards must contain thea measures regardless of the eompliarre approach used. Items marked with an asterisk (•) may be Superseded seded by meet stringent compliance requirements listed on the Certificate of Compliance. when this checklist is incorporated into the permit documents, the feuura noted shall be considered by all panics as binding minimum component performance specifications for the m 4;twry measues whether they are shown elsewhere in the documents or on this checklist only. DE.SCRIPIION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R•19 weighted avenge. §2.5352ft Loose fill insulation manufacutrrr's labeled R -Value. ' §2.5352(0: Minimuen m wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352ft Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission ram no greater than 2.0 perm/urch. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352([): Vapor barriers mandatory in Climate ZD= 14 and 16 only. §2.5317: Infiltration/Esfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c Doors and windows weatherstripped: all joints and penetrations caulked and sealed §2.5352(e): Special infiltration barrier installed to comply with 02-5351 meets CEC quality standards. §2.5352(d): Installation of Furcplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2-5315: Setback dwxmoux on all applicable heating sys cats. • §2.5316(a): Dues constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316ft Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showcnccads and faucet certified by the CEC. 12.53520: water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fuss 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate retum & recirculating piping. §2-531g(dr Swimming Pool Heating 1. System has: a. Or/off switch on heater. b. weatherproof instruction plate on heater: e Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water Inlet. Lighting and Appliance Measures ' §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas rtred appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerates. refrigerator -freezers, fncezers and fluorescent lamp ballets certified by the CFC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists lir. Mdirig features and performance specifications Headed to comply with Title 24, Chapter 2-53 and Title 20, Mptcr 2, Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to my subsequent purchaser of the building. Designer Name: Addn=: Telephone Lic. A: (signature) (date) Building Owner Name: Kfr _k �/ A3 Cr fC rk rtlrj%tr,n: , Addrett: O1, /3ax /o 0R" Tetephonc 4Le, /6 6 6t�� a signattae) (date) Documentation Author Enforcement Agency Narnc: Nana: rak/Fum At—r. Address. Telephone I