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HomeMy WebLinkAbout069-500-016~�- ~ 69-50-16 SIERRA NATIONAL TRUST(Charles Massae) Lot 13, Village Oaks Unit #2 (Recorded AG Statement) 6-9 5-0 ' THOMAS, Al & Joan 24 Lariat Loop, 0)rov ill eCootr^ Holiday 9oolo/aninnio8 Pool/af0 ~- t2l J 0 _ RESIDENTIAL 392-90B,P,E,M 69-50-16 BELZA Development Corp. 24 Lariat Loop, Oroville (new sf) 61tll� b OFFICE CQPY Address GA Mete y ELECTRIC //JJ OFFICE COPY Address I GAS -- Meter By Date ELECTRIC Meter By Date — - J i JOB FIN 1 Slgnat 1 1 J=OK O=Not OK - = Not Applicable MOBILE HOMES ' =Not Ready BW� 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. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance r 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 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; Siis-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-koofing 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 k 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-PaneIboa rds-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 J; ' = Date UN FLOOR (Plans) OK except #'s Zoning -Setbacks -Easements- ood-Slope . Ftg., Main; Soils-Elec. /" Ftg. Depth . Ftg., Garage; Soils-Steel-Elec. Grnd.- /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth /e S walls, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums &'Ducts; Clearance -Material -Support -Ins. 14. Gird s -Sills -Anchor Bolts -Joists -Vents -Cripples IV 4 • D e c.4c( Date EL-..e?S / Card B -U -VA Date /' Card BW Date Card B -1/'t: h Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17-*ater Pipe; Test & Anchor -Nail Protection dZetrkV.: Test-Fittinqs & Anchor -Nail Protection +9._Shawar Pan: Test, First Floor -Tub Access 29�est'T b & Shower, Second Floor -Tub Access al-AEas-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 22--Fnrtare-& Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 2 Boxes & No. of Conductors -Stapled 45_Ro6ex Installed Close to Edge of Studs & C.J. 26-Equt-p. Ground made up w/Mech. Fastners-Bond Gas & Water ZZ_2-Av�p'liance Circuts in Kitchen & Conductor Size/GFI 2a SubJQg WFe Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29-ReRge-Eire-✓/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insula d Neutral 0 Yes 0 No 3o. -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. 3 . o hes Closet Light -Shower Light -Spa Light o e Detector Date7./l,- j Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.e. Ducts Insulation & Support 3 . ent F n; Exhaust above insulation onde sate Drain & Overflow; Size & Grade rnance-Vent;a -Co b. Air -Return Air Vent -115 outlet 38. Attic Acces & Platfo 211 Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING I91'ans) OK except #'s Material & Anchors Plates -Sound 4t­gearin W Is over GirdeY Floor Nailing S p in Walls (rat proof) 4t kizel§op�; Furred Ceilings -Stairs -Chases -Tub Ingle & Duplex) Date FR ING (Continued) 4 . a s -Post Caps -Anchors -Connectors 46"CIng. Joist-Rftr. ti russ-Shthng.-Rfng. 47. Firepla ies or Fiepiacr>rhroat clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire ion Framing 5 . perta Firewall & Openings Doors -One T -Check Garage -3rd Story, 2 Exits 52j3t31 sem; Width -Headroom -Rise -Run -Landing -Fire Protection ywS�pd on Roof Overhang -Attic Vents -Rafter Outriggers iding-N!i neer cco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic. 58- trear-YMIs; Nailing -Bolts ation-Walls-Ceilings filtration -Walls -Windows Date 2 - Z Card B- Date Card B-1 Date .=4 Sfrl Card B-1 4, Date Card B-1 Date FINAL Plans OK except #'s xt. Steps -Door ro ection-Landings moke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection UY47-Boroom Exiting G.F B Fixtures & Tub Access -Spa lec. im Subpanel; Breaker Sizes & Labels . Stairs ails 8 place or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Eleq_Qutlets & Receptacles at Kit. Counter L;2,.' -Garage Fire Door; Swing -Landing -Closer Duct in Garage -Damper WCA�tr. Htr.; Vents -Clearance -Comb. Air -Conner r .V Garage; Above Floor-Mech. Protection Plb. lec. & Mech. Equip. Listed for Location Elec. Bgceptacles in Garage; (G.F.I.)-Romex Protection nsulation-Roam-treeked in Attic 0 Yes . Guard Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage ood-Earth Clearance Looked under Floor Yes X80. Following instld. ve es O No; Walks Yes ❑ No; Plagters JDes ❑ No Stucco' own -Finish C. Unit; Disconnect, Electrical, Plumbing Lae -Vents Above Roof; PIbg.-Appliance-Firep lace. -Clearance to 84. lectrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground Venti tion Throughout House Glass Protection 88. Corr ions from Previous Inspections 8 es eters Tagged; Gas -Electric a & Sewer Connected -C/O to Grade -HD Approval (gheXnergy Compliance Certificate -Other Certificates Date Card B-1 Date5- and B-1 Dat Card B-1 Date Card B-1 Date Card 13-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 0 ENERGY INSTALLATION CERTIFICATE 00 .Building Owner O 6Q --L-A IW , Building Permit # Building Location 24 L.Allc4t .Lwh hA�L� -Sc ASPJ.' dam. Lo"( i�) DESCRIPTION OF INSULATION b SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a's shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) —(FIRM NAME) S-I�KATURE OF' BUILDING-VNTRACTOR/OWNER 62['10.2 STATE CONTRACTOR'S LICENSE NO. q-t-qo DATE )-; x & . IN HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. 9 /s DC7 ^ SIGNATURE,O H A CONTRACTOR/OWNER DATE THIS CERTIFICA MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND 'A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 ROOF _ Sl A�fALL4�— Material brandliame Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Brand Name • Thickness(inches) Thermal Resistance(R Value) CEILING 0. o Batt or Blanket Type Brand Name Thickness(inches) Thermal.Resistance(R Value) , Loose Fill Type Brand Name Minimum Thickness (Inches) Number of Bags Wt. per bag lb. -Area covered(ft.2) Thermal Resistance(R Value) 0 FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR; SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) • FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation -was installed in the above building, -- - -is consistent with -approved -building department-rplans and attachments -and con- forms with requirements of Chapter 2=53 of State of California Energy Requirement; FIRM(NAME/01*MR STATE CONTRACTOR'S LICENSE NO. b SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a's shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) —(FIRM NAME) S-I�KATURE OF' BUILDING-VNTRACTOR/OWNER 62['10.2 STATE CONTRACTOR'S LICENSE NO. q-t-qo DATE )-; x & . IN HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. 9 /s DC7 ^ SIGNATURE,O H A CONTRACTOR/OWNER DATE THIS CERTIFICA MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND 'A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 - �_A- LOCATION am -Ilya ENERGY CERTIFICATION A. P. NO. MATERIAL BRAND NAME THICKNESS THERMAL_ RESISTANCE (R VALUE) EXTERIOR WALL MATERIAL FIBEGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES)—THERMAL RESISTANCE (R VALUE) CEILING BATT OR BLANKET P T E FIBERGLASS �(- r BRAND NAME CERTAINTEED THICKNESS _ THERMAL RESISTANCE (R VALUE) LOOSE FILL TYPE` FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS(INCHES) l NUMBER OF BAGS_ al WT PER BAG 25 LB AREA COVERED (SQ FT) THERMAL RESISTANCE (R VALUE)_ FLOOR, ELEVATED MATERIAL FIRE GLASS �f7 BRAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FLOOR, SLAP. MATERIAL BRAND NAME_ THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FOUNDATION WALL MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE -(R VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INSULATION 379407 FIKM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS -AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL.EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. �El,q ,pec/ , FIRM NAME/OE STATE CONTRACTOR'S LICENSE NO. ef _az ANTUR GEN. CONT CTOR/ WNER DATE —1— G j OWN COUNTY OF BUTTE DEPARTMENT OF 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 4/, . •�. 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. Date U /— 5z) Inspector y 4 a Date U /— 5z) Inspector COUNTY OF BUTTE DEPARTMENT OF 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 a� 392 -9v 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 matte ; or need additional explanation, please contact this office immediately. . 4-0-- ,73,1, - r /'�l?) c� . G7' .tel /0✓U TCU � �Oyv �' �oL� S % df t' +�-�9 � ,. [) / 9 r Date__ C1� 6 Inspector /�` _ r COUNTY OF BUTTE } DEPARTMENT OF PUBLIC WORKS i 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 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. I' a�N � �oil J < � r� Inspector 6a A —Date � -L '_ 'v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial.Way, Chico — Phone: 891-2751 7 County Center"Drive, Oroville — Phone: 538-7541* 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact. this office immediately. 5�> 0 tA,- qb I Date— Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN MIT 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. i Date — 4 % W inspector COUNTY OF BUTTE DEPARTMENT OF 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 0 A roGtine 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:� 5 /AV Inspector ^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 6/ ASSESSOR PARCEL NUMBER 69-50-16 ZONING RTl BUILDING PERMIT OWNER BELZADeveG Development Corpo TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1648 M 1510 Poole Blvd Yuba City 95991 508 M-1 7112 NAME same TELEPHONE 84 cov 840 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 73972 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS SncrAmpntn . Q Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee 177.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Lariat Loop Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 13 NAME IVillage Oaks #2 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 5 0C USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New E Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 in nc Main service EA. ADD'L 100 AMP 2.50 9 5r CONTRACTORS LICENSE LAW I declare under penalty of perjury check one p y p I y l )• I am licensed under provisions of Chapt. 9, Div. 3 of the Business and. Professions Code and my license is in full f ce and effect. License No. —`) �/r�0Classification ( I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.E OR ADONS. ( ACC. BLDGS. , /z¢sgft NEW CONSTP- ULT' -OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET cIR. ) Ex. Occup(OUTLETS OR FIXTURES eA 20@0330 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating 6-00 6-00 Cooling g 6 O 6.00 Hood 1 3.00 3.00 Ventilation 3 3.00 9.00 permit Fee $ 4 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 ofcc 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, sts, and expenses which may in any way accrue ag s County in c e e ce of the granting of this permit. %� Date C2 -This 5V Si afore o Applicant - Owner❑ Contractor ❑ Agent l[ &�� oG An OSHA permit is required for excavations over 5'0" deep and die `lition or construct- over 3 stories in height.//ma�y'' Mobile Home Installation Fee $ Energy Inspection Fee 30ML �� CONST TYPE TOTAL E $ 733.00 F{qZ HA CUA[:PA:RK UA sc FL PAR PD HD_ - 11 This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By l PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date L4 nlOnOfI.Structures No � ,-5 ��c/ 5 P. YELLOW-ASS[S OR, P INK -INSPECTOR, GOLDENROD -AP CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ' t 7 COUNTY CENTER DRIVE - OROVILLE, OIL IFO NIA59 965 - TELEPHONE: 916/538-7541 40 PERMIT APPLIC ILATA SHEET Permit No. / OWNER Be Z al, A. P. No. (`? III? Proposed Building Use—SBuilding Inspector LDate 2 �0 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 ........ . tatement of Intent for Non -Heated and AC Buildings .. ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions 1 ees of $ �O ..seri ........................ 1. Chico Urban Area fees paid ....................................... r112. Park fees paid 3 �-� � - School District fees paid .............. anitation approval from ,f1� Health Department 5. 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) 2- 9-- 9 D m 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... rtificate of Workmans Compensation Insurance .................. 3 -,'Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... � -ay ' q O 25. Letter of signature authorization ................................... 26. t 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. �T Telephone 1,7/--15'0�and hold for pickup at O&Y'l <Coffice. Deliver w/inspector. . Other ApplicantDate4 yy Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedr'or to per it is u c Circle new item not checked above). 1. Index permit for above items No. - -/ 2. Additional items required: ontracto signer, owner, was advised of above required data by_phone__rnail—counter by L S•.date Contractor, designer,,o)vn� was advised of above required data by—phone _mail—counter by date Plans checked by4Z Date Plans approved by Date �l .Sets of plans on hold in 'File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 0-/�- fiW 6",C/" owner location Driveway permit 10— si ature 61 C, - -05 -0 - / , � AP # has been issued for the above property. . -2 qV date BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Farm per Building) A.P. Number/49,-,50,0 Building Department No. School District (�i 1 City County �Jurisdiction 'T Property Owner Project Location/Address Subdivision % %���, �a < Lot Number 43 Residential Development,: / Sq. Footage /1 Cf # of Living MHI Addition (Group R) Units ,tell Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Bu,Zldin�g"`De"pa>r"tment Representative / /bate (Floor Plans reviewed by School District Personnel) District Id No. �b School District certifies that plicant N Street Address) City a Phone Number Zip Cod has complied with the requirements of Resolution No. fC. �a by the payment of $ 247.2 representing /G7-6 square feet. 'School Dis jr—kfgt Representative 'Date PAID BY CHECK NO. REMARKS: BANK NO •? PAID BY CASHL`-}� � �.0 white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) It o u- -Nka*,f-.. ALL'.-ouL�f lW,PwEZ'-T IC>NA, WAL-t- SAmo oa P-Acw- F I I..; 66*-Jkc-�P. at— c2 Ma lu2Y tD J, _MA ;Cr=MWT f5L� <WD C1.12OUT_ Pit -L (k)KTMP ir 'NVALLt;o. lt57Tc. TLkfLk .09- r th .??MT16KI --:PA5Elk1Vl3Tr_;I T e- - jQeTAcLLATl0Mi5 ot 1 w KI V1 s_Tu R_ P, ED ev a � it CLk lb _Yf__A -lZ -A50 LAUGHLIN 8c CO.' CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 . . . (916)671.1008 POALUM gf-j I ....... –$at- e- 0 WAL-t- SAmo oa P-Acw- F I I..; 66*-Jkc-�P. at— c2 Ma lu2Y tD J, _MA ;Cr=MWT f5L� <WD C1.12OUT_ Pit -L (k)KTMP ir 'NVALLt;o. lt57Tc. TLkfLk .09- r th .??MT16KI --:PA5Elk1Vl3Tr_;I T e- - jQeTAcLLATl0Mi5 ot 1 w KI V1 s_Tu R_ P, ED ev a � it CLk lb _Yf__A -lZ -A50 LAUGHLIN 8c CO.' CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 . . . (916)671.1008 POALUM gf-j I ....... –$at- � PROJECT LAUGHLIN 8c CO.° CIVIL ' 0^` ev DATE^� ^ | ------'-'—VARD --'---' 'c*scx DATE ' . � . S*ssTor_______ ^ � I PROJECT UAkt-L, :t LAUGHLIN ac CO. 7� CIVIL ENGINEERS DATE 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 CHECK DATE (916) 671.1008 i W i z ICK � j he7o 2 .p �l 200 s ! I PROJETVAL1 LAUGHLIN 8c CO. c B Y ��./(�(� r f. (, L�� D ATE cJ t 7:05 CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 CHECK DATE (916) 671.1008 ) SHEET OF i I 2(o4p s 22 Add,ptv 1 perI t on WA LAUGHLIN & CO. BY CIVIL ENGINEERS DATE 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916) 671-1008 CHECK DATE SHEET OF ttoy--7415Q c:7 2 PRO1 'IAi. k) ECT 1 1vC LAUGHLIN 8c CO. BY - 1 t /l L DA ••--•• CIVIL, ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 CHECK E C I( K�(J (916) 671.1008 DATE '- SHEET / Op r 1 o I . UU/ac L•L Coves- �1Z = k .,. 1 � �I , 47, r t CSL{�� .:-�... { t' C� ��J S'1 `L:►v � � � ; - Icet)KT lQv-o L.3 WA4_Z. IT -i -l- 4foq o C� `�.O 3 i J. o - �v�►�c-tee 04ct) V -oC-. �. o- 00, az--)f, ,w�LT see Tovss r._ b cV E� z LA:(r,F':n - of his �L.T yJ.lU4-Irk' AI,IGNOK,S �f'I�! F-t� VEQ'(. n Hid - M�.Sover,,- - 04WIoG. \ \ o� �Irj ��T �►�I.�e. / O -a" Holtz. VMT. 9 v�Ila.E Hd �c�tll.ly �i� I z 0 -.1y MA60My .6 41 Q -14M-o .._lirWA i 4'.. - -6 0 -L f %:F1 INw &CAM. % 11 6LJ9` Q 6� 1�i Co ..*44 3z"or; T -op -24-l'..... I Li . ............................ #- 4ec'*j,-r Fc >T,, N L 6::, to -W Ko G" — !-Wl Z, -OA �M tAEt&WT A 2,% It rte. Mike to x "*630-f CtMWT P -,LY - I <WD CKOUT r-(LLtfD C -i Qour sv- RA 60kwa� F -M 1500 -06-WATEC pQ�oi7 -----T-T!l� 0-7 4W6Wgt� MAW Fbmp T A LLAT 100 6; \� - TUR-Peo �T-4 11 *4- S o.c- x0tt L Nrn) W V -e -v, LAUGHLIN IN CO. CIVIL ENGINEERS IUUEI LIVE OAK BOULEVARD YUBA CITY. CA 95-991 (916) 671-1008 W V-4 -6-j 00 .V.4 CL; 8 A* N a 1Z MME o STATE OF CALIFORNIA (Acknowledgement) ss. County of SUTTER _- ) IST FEBRUARY 90 N. WALTERS On this day of , in the year 19 — , before me, a Notary Public in and -for the said County and State, *residing therein, duly commissioned and sworn, personally appeared ' THOMAS I. BELZA personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s): (0 INDIVIDUAL). Whose name is subscribed to this instrument, and acknowledged that he (she or they) executed It. (10 CORPORATION) Who executed the within instrument as president mmk ____.5sGrsI9q/, on. behalf of the corporation therein named, and acknowledged to me that such corporation executed the within instrument pursuant to its articles and by-laws and a resolution of (0 PARTNERSHIP) its Board of Directors. 'That —executed the within instrument -on behalf of the part- nership, and acknowledged to me that the partnership executed it. IN WITNESSWHEREOF, I have hereunto set my hand and affixed my official seal, in and forsaid County and State, t he day and year first above written. nj t) a M A,0 -- Notary Puklic in for County and State of California and said OFFIVAL SEAL to ' ' ' 1 My commission expires: N. VVALTER�, S M1 B NOTARY PUBLIC -CALIFORNIA L SUTTER COUNTY. My Commission Expires Jun. 19,1992 END OF DOCUMENT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT - FOR RESIDENTIAL DEVELOPMENT 9'0 - Q'S 2 5 5 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded; prior to issuance of a building permit. '- -'5.00 R e '' F e e 90-045255 c 5.00 The property described herein is adjacent ' Total ' to land or included within an area zoned P. Recorded' for agricultural purposes, and residents Official Records of this property may ;be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace i. Grubbs but not limited to herbicides, pesticides, Recorder, I CD 1 and fertilizers; and from the pursuit `i•:51pm 8 -Feb -90 -: of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise,_ and odor. Butte County has established agricul- tural zones which have as a priority use_for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm -operations. All that real property situate in the County of Butte, State of California, described as follows: ,o. 33516PE L DESCRIPTION A. P 40.0- 50 - Ifo All that certain real property situate in the County of Butte, State of California, described as follows: Lots 13, 16, and 18, as shown.on that "VILLAGE OAKS UNIT NO. 2", which Map th'e Recorder of the County of,Butte, tember 6, 1977 in Book 58 of Maps, at Date: certain Map entitled, was filed in the office State of California, on pages 62, 63 and 64. of r _ - Sep- PROPERTY OWNERS: State of ) On this the day of , 19 before me, SS. the undersigned Notary Public, personally appeared County of ) Personally known to me. E] Proved to me on the basis , r 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 WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public f„: f µ t PERMIT NO: 12-90 Lake Oroville Area'Pu'blic Utility District 1960 Erin 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: February 8, 1990 Applicant: BELZA DEVELOPMENT Applicant Address: 1510 Poole Blvd., Yuba City, CA 95991 Applicant Phone No.: 671-3505 Property Location (s): A. P. No. (s): Fees due: 24 Lariat Loop, Oroville, CA 95966 Oaks Subd. #2, Lot 13 69-50-16 $200.00 LOAPUD Annexation Fee $35.00 LOAPUD Connection Fee $900.00 S Application for service approved, Facility Charge LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: vv n Re�:urn 'o DPW j� � 5-1, AGRICULTURAL STATE*U-NT OF ACKNO14LEDGEMEt:Te.1,; TF, FOR RESIDENTTIAL DEVELopT,ENT "EC.fi35 tEt2ifESTf.::.l: 4=.1;` Section 26-8.1 of the Butte County Code requires this acknowledgert�[(� '`��' be recorded prior to issuance of a buildingisu permit. - The property described herein is adjacent to land or include�� within an area zoned for agricultural purposes, and residents of FEE this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, Pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a'priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: /13, 16, 18, 31 & 32, Lots 9., 11, 12 as shown on that certain Map entitled, VILLAGE OAKS UNIT NO. 2 which Map. was filed in the office of the Recorder of the Coun ty of Butte, State. of California, September 6, 1977, in Book 58 of Maps, at pages 62, 63, and 64. AP#69-50-4 69-50-V, 16, 17, 18, 2t� 69-51-22, Date: March 20th 1985 PROPERTY 0 Charles Edwin Masa TRUSTEE State of California ) County of Butte ) SS VERNA J. MORRIS ® NOTARY PUBLIC -CALIFORNIA Butte County My Commission Expires Sept. 17, 1966 On March 20th, 1985 before me, the undersigned, a Notary Public in and for said State, personally appeared Cb.3r 1 PS > ci-i n Massae. Trustee personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are sub- scribed to the within instrument and ack.- nowledged to me that he/she/they executed the same. WITNESS my hand and official seal. Signature erna — END Or DOCUMENT LAUGHLIN & CO. PROJECT -�T - CIVIL ENGINEERS BY �'' DATE �' 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 / (916) 671-1008 JO/NO. SHEET_OF k���---�" 110� pFESSIu�y iii I- �. I/ 2`-' , I j ��L+ri lm���it.`�w•� f"C�J`�;.� i -6• V J"�® �.L ply/ � � } ( (d,(,` AA J. Cid'. i -c�2, c �-- ' ; , ,. � _ iii$( � 1 . . �, 1- , - ,, t 1 • I ..-.. O BUTTE COUN I Y. _ 4OL©ING DEPARTMEN" Ii . APPR.Vem LAUGH LI N & CO. CIVIL ENGINEERS 1008 LIVE OAK BOULEVARDYUBA CITY, CA 95991 (916)671 . 1008 PROJECT DATE BY � � I 4 / GT/ CHECK DATE SHEET OF I500o rI 221 <L- 4- p� i. -(� �"�" _.� � /2-1��r�Y7 Sze • � b `���' 2Q-. PROJECT NII LAUGHLIN & CO. DATE 7� BY tet. — CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY. CA 95991 CHECK DATE (916) 6711008 SHEET OF 1 c 1 I co c/ kv v. �-70 I ��T N`. Co��1 Q i Wiz 1�KCIr 6vo 2. b -i vT--A L- 2(o4v i . c PROJE T 1�'T^�CI K II1��^I LAUGHLIN 8c CO. BY CZ�C_./ r ..0-�... DATE � % 7--� CIVIL ENGINEERS 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 (916)671.1008 CHECK DATE t SHEET OF C..- 621 / e,- i ' ��l%lei%��%� �'• C ('. ��i� � r� �'—' /� �/,. / '.:� vT= 3�rc�%t 1 //22- �� _ /34 elf Add, Gov P R O J E CT LAUGHLIN & CO. f CIVIL ENGINEERS BY ��1' ` �'` -- DATE 1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991 CHECK DATE (916) 6711008 SHEET OF� 1c�° 4=7`7 z fir, z, Jut �-i iso) `I(•1�'r.' X �� y J. _ ,ODz C1zx�z � C),2 �rC A06 ¢ U oo Oy I PROJECT LAUGHLIN 8c CO.BY - CIVIL ENGINEERS �j 1008 LIVE OAK BOULEVARD YUBA CITY. CA 95991 CHECK DATE (916) 671-1008 J - SHEET / OF I � I' 1 • JQ l/U 11 I-�Zp ap �T Wli L.L L.c�� • � I • "rL�tJSi.��U �r-�� �11L�:--mss •jl�t��.lc�-t�> X Crr 111.3 WIT PT (11Z7lcn�r7x lcCoo >,o 1 I L) �l i. z. Ir C- ¢. Fr o m U s V, YI RESIDENTIAL 69-50-16 3570-90B,P,E THOMAS, Al & Joan 24 Lariat Loop, Oroville Contr: Holiday Pools (swimming pool/sf) i 'h t JOB FINALE Signature J=OK O=Not OK No 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/ /"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-RailE 4. Wood Awn.; Postg-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns7Connections-Splice-Decal-Enclosur3s 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 etbacks-Easements 2rgo-'ilgmpaction-Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec eceptacles and Lighting, Distances-GFI rec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; goadbit Entries -Terminals -Listed 7. Elec.(Bo Metal w/5' -Circulating Equip. -Heater 8. Elec.; rounding; Equip. w/5' Circulating Equip. -Pool Lgh-g. Boxes-Enclosures- Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test DaterQ ��Card B-1 Date Card B-1 Date) Card B-1 * / Date Card B-1 J=OK O = Not+ ffR Applicable Not Ready RESIDENTIAL (E ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ►ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 44. Headers & Beam -Size & Bearing I I (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, 0roviIle — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 1041 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. i� 0/0Tt C Date ` ` �� Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 69-50-16 ZONING R1 ,. BUILDING PERMIT � OWNER Al &Joan Thomas TF„L.EPHON`E SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 24 LariatLooE Oroville 95965 16,000 CONTRACTOR'S NAM Holidav Pools TELEPHONE 343-8245 CONTRACTOR'S MAILING ADDRESS ast assen, q ico Fireplace C UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ 116 $ 25 . JO J 58 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 24 Lariat Loo Permitfee $ 184.25 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❑ Mobilehome❑ Other Pool SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:_ Pool from Master —Permit #504-88 Permit Fee $ 15.01) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I Clare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 15'3,2 )e!2 r_1 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 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING occuP.tr OR ADDNS. ( ACC. BLDGS. 12'/20sqft NEW CONST R ULTI.OUT LET NO N•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 left. 15.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit it Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and ex hich may in any way ac rue against said County in c grant' g 0f this permit. X ��� �� Date Sig ure I Applicant — 0wne Co ractar Agent ❑ A 0 A permit is required for ' xc alio over S'0" deep and demolitio or construct- i structures over 3 stories i ght Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 224.25TOTAL FEE CUA PARK SCHL F PAR P UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D! EC ' R OF UBLIC By— PERMIT EXPIRES to O the applicable provi- resolutions to do have been paid. WORKS y Receipt No. 74056224. ' Receipt&Dt WHITE-D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4. COUNTY OF BUTTE - DEPARTMENT -OF PU'B411C WORKS - BUILDING DIVISION s � 7 COUNTY CENTER DRIVE - OROVltT— I ALIFORNIA 95965 - TELEPHONE: 916/538-7541 �= PERMIT APPL19f TIA DATA SHEET _ Permit No. OWNER 4A. P. No. :4 t Proposed Building Use Building Inspector Date 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 check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. r School istrict fees paid .............. f 14. Sanitation approval from L 04`4!V (J_ Health Department 54-�C- 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.. ......................... 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _X Telephone _ '!✓5;nd hold for pickup at QAe0office. Deliver w. /inspector. Other a Applicant ate Copy of Haz-Mat form sent Health Dept. F6 a ept.Air I Date Copy of plans sent Health Dept. Fire Dept. Other ate By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail_count by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_cou er by date Plans checked by Date Plans approved by Date ' Sets of plans on hold in File cabinet AP folder !Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/536-7541 APPLICATION ANI) PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER L ZONING BUILDING PERMIT OWNER li � l TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILIN ADORE ss % /57 CONTRA R'SNAM TE EPH f �2 CONTRACTOR'S MALIVING ADDRESS O 4-57 e'> C-IAIG 8 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 71 Lf 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 gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other O sPECIFr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W .00e TYPE OF WORK. New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:��r�L=`IL�,�.,uvt /L/,Q��%� —Lo Permit Fee $ Contractor ELECTRICAL PERMIT FFIling Fee 10.00 Main service 1000 V OR AMP ORLESS10.00 CONTRACTORS LICENSE LAW. I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS 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 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.tr OR ADONS. ( ACC. BLOGS. , /20sgft NEW CONSTR. MULTI.( LET NON •RESID BRANCH CIRC IT$ 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20030e e AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 (gyp l %a' Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have -placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 I Heating 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 Count of B 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 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 $ HAZ CUA PARK SCHL FLD PAR PD H ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 7 Ivo b 2-5 WNITE-D.P.W., YELLOW-ASSE33OR, PINK -INSPECTOR. GOLDENROD -APPLICANT CO,I..INTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 C.ty Cgnter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.� / `� a `—►'/ ASS 5 R PARCEL NUMBER -S O -, ZONINN`' BUILDING PERMIT o E a TELEPHONE SO. FT. OCC. BUILDING VALUATION Oy1/EDR'S MAI IN! A. DRESS n eo 9�Yf 4ac ppll ���CJJ TRACTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C N TRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ ;Q. LENDER'S MAILING ADDRESS Permit Fee A C 1`ECT OR L.V ;INEEP. LICENSE NO. Plan Checking Fee $ / O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDREs Penalty $ BUIL DI G ADDESS >� Permit fee $ S Q PLUMBING PE IT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump ater heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water eater or vent 5.00 USE OF STRUCTUff SF ❑ Duplex❑ Mobilehome❑ Other �!1 f SPEC Gas piping sy tem 1 - 5 outlets 5.00 Building se er 5.00 Mobile Ho e ISIG W 10.00 ea TYPE OF WORK NewX Addition❑ Remodel[:] Utilities❑ Installation❑ Othe EJPermit Describe work: ee $ Cont ctor LECTRICAL PERMIT Filing Fee 10.00 in service 600V OR LESS 100 AMP OR LESS 10.00 Ain 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 Busines and Professions Code and my license is in full force and effe License No. Classification, [](I, as the owner, d for sale. (Sec. 7044) �eFierl will do the work, and the structure is not intended LlnlUaUt- ❑ I, as the owner, am exclusively contracting with licensed (Sec. 7044) I am exemptunder Sec., Business and Professe for this reason N CONST. / DWELLING OCCUP.& OR DONS. C ACC. BLDGS. , /4sgft NEWCONSTR. U TI.OUTLET No ESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SING LE OUTLET CIR. Ex. OCC o p UTLETS OR FIXTURES 20 ® soe eALO 30 FIXED APLNS Ex. OCCU . OUTLETS P(RESID )REA.) 1 2.00 Temporary ervice 10.00 Mobile Home acilities 15.00 Misc. 6Virinors. 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 Buildin Department a.Certificate of Workmen's Compensation Insurance or Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to b come 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 ERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 liabilities, judgments, costs, and expenses which may in any way accrue against saiq County in co nce of the granting of this permit. X Date Signature of Applica — 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 $ HAz. cuA PARK SCHL FLD coF PAR PD ) HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do ' work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 91D.9i WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,�•-,� w« ,COUNTY OF BUTTE l DEPARTME T OkPUBILIC WORKS -.BUILDING DIVISION, 7 COUNTY CENTER DRIVE - OROVILLE, CALI `NIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATIZIN-11ATA SHEET Permit No. OWNER Cl-, �l7n A P. N . % Q -,5-0 — / Proposed Building Use R6 i t7i ✓i "Building Inspector Date At time of permit application, I was advised the following data must be -submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have bee bmitted. ........ 2. Plot plans in li /triplicate, signed by preparer of plans........ 7/3. Complete plans In d�plicate/triplicate, signed by preparer of plans .. 4. Complete engineered\pIans and calcs, with wet signatUrg gn 121ans .. 5. Hazardous Material For ....................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -'Heated and AC Buildings .............. 8. Engineered truss details and layobkin duplicate (required prior to plan check) 9. Mobilehomq installation data including manufacturer's instalXment ' instructions. ' * . 10. Fees of .............11. Chico Urban Area fees paid .......... ................... 12. Park fees paid ........................ .................13. School Distr t fees paid ......14. Sanitation approval from Health De15. City of Chico plumbing permit .............. ........... 16. Plot plan and business license approval from C of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parkin ' ...... 18. Improvements may be required. Contact Land Developm t ection DPW 19. Driveway permit (construction approval required prior occupancy) 20. Pre -Inspection for req.6 d Pre-Inspec. request to Building Inspector (Date 21. Contractor's license information (No., Name Style, assi 4 tion) ... ,,4gtnQ2. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner o Ma' to owne .... 24. Recorded copy of Agricultural Acknowledgment tatement .. ..... 5. Letter of signature authorization� ;: JJ .6A te PI^m �� CaT 4 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for Ickup at office. Deliver w/inspector. Other Ap l icant Date Copy of Haz-Mat form sentHealth Dept. Fire Dept. Air Pollutio Date Copy of plans sent Health Dept. ire Dept. —Other, Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phon _counterl to Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by - Date Plans approved by Date Sets of plans on hold in File cabinet AP folder `' Copy—DPW 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE March 8, 1991 Al and.Joan Thomas RE: building permit application 2102 Vista Del Mar A.P. # 69-50-16 San Mateo, CA 94404 With reference to the above subject: X Attached is: _ Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER %7 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ 16.5[1 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in duplicate Structural details in Complete plans and calcs in duplicate by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for ACompleted Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Please complete the attached forms where indicated and return to this off with a check or $36.50, plot plans, and engineered plans. Thank you. Should you have any questions concerning the above, please contact Rod Taylor of this office. Yours very truly, William Cheff Director of Public Works JFG/aj J.F. Glander Chief Building Inspector COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,,Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 7y!Vt- 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 persons to provide the work indicated: Name Address . Phone Type of Work Signed: 102MA.5'„ Property Owner Social Securit um er ,_� Date 312;Zql 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE April 2, 1991 Al and Joan Thomas 2102 Vista Del Mar RE: bh uilding permit application #783-91 San Mateo, CA 94404 A.P. # 69-50-16 24 Lariat Loop, Oroville With reference to the.above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information.or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. .Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X / OTHER lie have reviewed engineered by a 2 conies to th lans and have determined that t d Civil or Structural Engineer. Or pian check. uire to be e submit two Should you have any questions concerning the above, please contact Rod Taylor of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector v Ll t �WA� 1 11 A. All 4x4x8' posts are commercially treated. B. All posts set 4-8' centers. ' C. Rough 2xl2xl6' Cedar for retaining wall D. 20 Penney Galvanized Nails E. Cedar Fence Boards F. Construction grade 2x4's G. 1/2 sack of cement and gravel for each post H. 2x12xl6' boards approximately 2' off ground for water runoff I. Rock and gravel at base of foundation J. Existing dirt, sand, and loam approximately 2' high from base of foundation 1. Ceiling Insulation Specf ation SEER Errective Pe Belt Class Number ct s=des Erreetirt Ptrcent Class R -value One Two Three R-0 -1C3 -49 32 R-19 -8 4 -2 R-30 •2 1 •1 R-38 0 0 0 U -value Glass Single Ocucle .60 0.!0 -176 -84 -54 0.30 -102 -19 32 0.10 -26 -13 -8 0.C8 -18 -9 -6 0.C6 -11 -5 -4 n,r. 1 2 =1 0.C2 4 2 1 O.CO 11 5 3 12 28 -55 -18 2. Wall Insulation •2 5 13 Single- Singte- •9 •2 Famtly Family Multi - R -value Detacned Atlact,ed Fam(ry R-0 -6e -51 -7 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 8 15 - 0.80 -153 -114 -76 0.50 -91 -68 -db 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0X6 .. 9 7 5 O.C4 14 Ill 7 0.02 19 .14 10 0.00 24 18 12 3. Raisrd Floor Insulation 9 13 Insulation In Floor 1 6 Number of stories 17 R -value One Two Three . R-0 -17 -9 .5 R-11 -3 ::=.2 .1 R-19 0 0 0 R-30 3 1 1 U -value 13 16 19 --- 0.60 -144 .70 46 0.50 -120 -58 38 0.40 -95 -46 -30 0.30 59 34 -22 0.20 43 -21 -14 0.10 -17 -8 -5 0.08 -11 -b -4 Us -6 -3 .2 0.04 - •1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawfspace +15 more Number of stories 0.30 2-75 R -value One Two Three R-0 -11 -7 -5 R•5 -4 -4 3 R-11 .2 .-2- .2 _ R-19 -i -2 - - -2 4. Slab Edge Insulation - 2 0.70 6.42 �� Number of Stories 9 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R7 _8 6 3. F2 factor 5.1 53 Resistance " 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 S.,Infiltration (Air Leakage) 7.•Shading (Shade Open) Specf ation SEER Errective Pe Belt Class Points Erreetirt Ptrcent Class (percent standard 8.0 Elective 0 Two 6. Glass Heat Loss 0.0 -8 -5 -t .2 XGlau Total %Glass North East South -West U valua 18 Percent 1 4 .51 b .41 to .31 to 0.30 or Glass Single Ocucle .60 .50 .40 less 54 -121 -53 -39 -24 -10 4 to 00 .17 -15 •14 3 8 35 -75 -29 •19 -9 1 10 30 -61 -21 -13 .4 4 12 29 -58 -20 •12 3 , 5 12 28 -55 -18 .10 •2 5 13 27 -52 -17 •9 •2 6 13 26 :9 -15 -8 -1 7 14 25 ;6 •14 -7 0 7 14 24 -13 •12 -5 1- 8 14 23 -40 -11 -4 2 8 15 22 37 -9 -3 3 9 15 21 -34 -7 •2 4 10 15 20 31 3 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 M 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 7.•Shading (Shade Open) o SEER Errective Pe Belt Class Slab Floor Raised Floor Erreetirt Ptrcent Class (percent &Lass x SC) 8.0 Elective (percent Plass x SC) Two Effective 0.0 -8 -5 -t .2 XGlau Norh %Glass North East South -West Skyright 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 - 3 5 2 2 7 1 3 4 2 2 6 ..- 1 3 4 2 3 5 1 2 4- 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 •1 •1 •1 -1 2 0 •1 •2 -4 -2 0 na - not allowed .2 .1 .9 & Shading (Shade Closed) o SEER Errective Pe Belt Class Slab Floor Raised Floor Mass (percent &Lass x SC) 8.0 Elective Two Three One Two Three 0.0 -8 -5 -t .2 XGlau Norh East South West Skyfi* 18 -14 -48 -09 -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 -6 •23 31 .29 -74 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21' -56 4.5 3 7 8 10 -14 -19 -18 -47 6 3 -11 -15 •14 38 5 - -2 -9 •11 -10 -30 4 " -1 -6 3 -7 -23 3 0 -L -5 -4 -16 2 1 .1 .2 .1 .9 1 1 1 1 1 -4 0 2 3 4 3, 0 na . not a kt wed 0 0 0 O.t 06 0.20 9. Interior Thermal Mass o SEER Interior Slab Floor Raised Floor Mass Sbries SbDdes 8.0 rCFA One Two Three One Two Three 0.0 -8 -5 -t .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 -i 1 3 4 4 1.3 -3 0 2 3 4 5 115 3 1 2 4 b 5 2.0 -1 2 4 5 6 7 Z5 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 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 3.8- Exterior Single- . Single- 44 4.6 6 wall Family Family W6 Mass Detached Attached Family 0.00 0 0 0 O.t 06 0.20 3 2 1 1.2 1.4 0.40 5 4 3 ZI 22 0.60 8 6 4 2.9 3.1 0.80 10 8 5 11 1.00 13 10 7 t 6 1.220 13 12 a 8.0 8.5 ' 1.40 12 13 9 -4 3 1.60 10 13 11... 0.9 1.80 10 12 12 1.8 ZCO 10 11 13 26 Z! 3 32 11. Heating System 15 17 17 3.9 3.9 4.1 SE or HSPF 43 4.5 4.S 4,1 • (xssunles ducts In attic) . 52 &I 5: Sum of 1-6 -5 -t -4 3 -25 or -24 b -14 to -41a +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 •1 Effective SE or HSPF (SE or HSPF x dud eMciency) Effective -25 or -24 to -14 b -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2-75 -73 bi -56 -L7 .38 •30 na 3.41 -45 -39 .34 .29 •24 .18 0.40 3.67 34 uM .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 S 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 815 32 28 24 20 17 13 1.00. 9.17. 37 32 28 24 • 19 15 _ , IZonal Control Adjustment 4.5 System Type 4.9 5.1 53 Resistance " 10 9 7' 6 4 3 Other - 6 5 4 3 2 2 12. Cooling System Interior Mass/CFA 7 .0 o SEER o o 11.1w1K'1. 21 o Point System Summary: Climate Zone 11 8.0 9 8 6 5 4 3 9.0 10.0 16 22 14 19 12 16 9 13 7 10 s ' 7 SCORE CARD 11.0 26 23 19 15 12 8 (Assume' duct.! In attic)�c•rv...a - . Measures .1_e� 30 33 26 29 22 2a 18 20 14 15 9 10 1. Ceiling Insulation 30 or I TYPE 1 2u55 MW ► 4.2• Le: eaoosed Stab) 2. Wall Insulation R-value(381 1.1 -value (0.030] Q/ 10 8 7 6 Stm of 7.10 -25or•24 lb 3 _R or R-vilue IllU-value(o.0981 0% 5% 10% 15% 20% 2S% 30% 3S% IQX 4S% 50% 55% 60% 61t 7M 75% 87% 85X ACX 9SX 100% 105» 1IC: 115 1: SEER lest -15 •14b 15 +5 +6 to +15 16or re more _ 01 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 Z] 2.5 2.7 2.9 3.2 3.4 36 3.8- 4 4.2 44 4.6 6 td 5 10% 2M 0.2 03 O.t 06 0.6 0.8 0.8 1 1 1.2 1.2 1.4 1.4 1.6 1.6 1.8 1.9 2 ZI 22 23 Z4 Z5 Z7 Z7 Z9 2.9 3.1 11 3.3 15 11 4 t 2 /.4 t 6 t s 5 8.0 8.5 ' = -9 -12 -10 -8 •7 -6 •5 -6 -4 3 37% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 21 Z/ 26 Z! 3 32 3.3 3.5 15 17 17 3.9 3.9 4.1 4.1 4.3 43 4.5 4.S 4,1 48 19 5 St 52 &I 5: 8.9 -5 -t -4 3 -4 .2 •2 47% Sf77: 0.7 n9 0.9 121 1.1 1.3 1.3 15 1.5 1.7 1.7 I.i1 1.9 21 Z2 Z4 Z6 21 2A 3 17 11 19 a.l 4 4.J 4.5 4.7 !.9 S 1 S ] S.5 SE S i 0.0 1 .3 -3 [ _2 •1 •L`J 25 3 31 14 3.6 3.8 4 t1 l.4 4.6 4,8 it 5.1 5.5 5.7 59 9.5 0 0 0 0 0 0 SSX 0.9 1.1 1.4 1.6 1.8 2 Z2 24 Z6 Z8 3 12 35 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 10.0 4 3 3 2 2 1 60% 65» 1 1.1 1.2 1.3 1.4 1.5 1.7 1.7 1.9 1.9 Z1 Z2 Z3 24 Z5 26 1.7 Z9 11 3.3 3S 3.8 4 4.2 4.4 4.6 ' 4.8 ' S 52 5.4 56 5.9 61 10.5 11,0 7 10 6 5 4 9 7 6 3 d 2 3 7M 1.2 1.4 1.6 1.1 2 ZZ ZS Z7 Z8 Z9 3 11 3.2 13 3.4 3.5 38 17 3.8 3.9 4 4.1 4.3 4.3 4.5 4.5 4.7 4.8 4.9 5.1 53 55 5.7 5.9 61 - 12.0 15 13 11 9 7 5 75% 1.1 13 1.1 1.9 Z1 2]', Z5 27 3 12 'il 16 3.d t 4.2 4.4 4.6 4.8 S 5.1 52 54 .5.3 S.5 56 5.7 58 5.9 6 6.1 62 13.0 20 17 14 12 9 6 G7-.: dSY. 1.4 1.4 1.6 1.7 1.8 2 Z2 2.4 26 2.1 3 33 3.5 3.1 3.9 1.1 4.3 4.S 4.7 4.9 5.1 54 56 5d 6 62 6.3 61 Errectlye SEER 1.9 2.1. 2.3 ZS 2.7 Z9 11 33 3.5 3.6 4 42 4t I6 4d S 52 54 S6 59 6.1 63 65 (SEER xdud eMcrticienq) 95 Y. 1.6 1.8 2 12 Z5 Z7 29 3.1 33 1S 11 3.9 4.1 4.3 4.8 48 59 5.2 5.4 5.6 S8 69 1077: 1.7 1.9 21 2.3 ZS Z8 3 3.2 3.4 16 IS 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 S.9 6.1 6.2 6.3 64 6.5 67 6.7 Eloc"-25 or Su11 of 7-10 -24 to -14 b 1 b +6 b 16 or 175: 117: 1.8 1.9 2 Zt Z2 2.3 2.4 2.5 2.6 27 Z8 Z9 3 11 3.3 13 3.5 3.7 3.9 4.1 t.3 4.5 4.7 4.9 5.1 S.4 5 6 5 3 6 6.2 64 6 6 6 d SEER test -15 5 +5 +15 more 115X 2 22 2.4 2.5 2.8 3 12 14 36 15 38 3.8 4 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.1 5.2 5.4 5.7 5.9- 61 6.3 6.5 6.7 6 9 5.0 30 -25 . 120% 125% 2 21 2.3 Z3 ZS ZS Z7 Z8 Z9 3 3.1 3.2 3.3 14 3.5 3.8 3.7 3.8 3.9 4 4.1 41 4.4 4.4 4.6 4.8 5 5.2 5.3 5.4 5.5 'S.6 5.7 58 5.9 6 6.1 62 6.4 6.5 6.6 .6.7 6.8 6.9 7 7.1 6.0 ' -12 -21 -17 •11 -9 . -7 -13 3 -9 -4 l64.9 5.1 5.3 5.5 5.7 5.9 6.1 6,3 6.5 6.7 7 7.2 7 .0 o a o o o o Point System Summary: Climate Zone 11 8.0 9 8 6 5 4 3 9.0 10.0 16 22 14 19 12 16 9 13 7 10 s ' 7 SCORE CARD 11.0 26 23 19 15 12 8 - . Measures 12.0 131 30 33 26 29 22 2a 18 20 14 15 9 10 1. Ceiling Insulation 30 or .�. Zonal Control Adjustment 2. Wall Insulation R-value(381 1.1 -value (0.030] Q/ 10 8 7 6 4 3 _R or R-vilue IllU-value(o.0981 No Cooling System Installed 3. Raised Floor Insulation ( or - Stories " - R-valne(191 U-value(0.037] One -5 -1 -; ' 3 -2 -2 4. Slab Edge Insulation or Two + 3 3 2 2 2 1 R-vadue (01 F2 factor (0.771 Point Scores v 0 S.. Infiltration - Standard 0-- Single-Famf11 Detached and Attached 6. Glass Heat Loss ---' �� ..� / i _L Unit Size (so Type (double] U -value (0.65] 90 Total Glass (16] Sum Water 1199 1.200 1700 2200 2700 7, Shading -(Shade Open) Heater't,redt or b 10 to or _Type Type less ' 1699 2199 2699 more % Glass SC Eff. oro Glass SG None : - o o . o o a North _�_ X '] % 1 or Solar 12 2� 8 6 5 4 __ HP HWR 8 5 4 3 3 b. ' EastX ,NtB. 31 POU a _ 3 3 2 2 C. $OUCh � X _ POU 8 S 4 3 3 - SE None 37 24 -18 -1s •12 d. West X I Solar •1 ' •1 -1 o a e. Skylight O x �_ HWR -18 •12 -9 -7 3 = WS3 . -25 -16 -12 -10' -8 POU_ -18 _.12 -9 -7 -b 8. Shading (Shade Closed) - n None -5 -3 .2 .2 -2 fDo Glass SC Eff.'$ Glass POU7 5 4 3 2 a. North d G POU 3 1 1 1 1 X IE None 8 5 14 3 A b. East (p X = '� 7 Solar 8 5 d 3 3 ----y- POU -10 3 •5 -4 .3 C. South j , X = Multi-F2m1l1 (Indlvidual units) d. West X = a. 0 3 UM size (sQ e. Skylight - . X Water 699- 700 1200 17'00 2200 Healer Credit or b to 10 or - Type Typ6 less '1199 1699 2199 mots 9. Interior Thermal Mass/�/ TYPE 1 KASS AREA ; �. SG None 0 0 <' 0 0 0 COND. FLOOR AREA -� HP HWR or Solar n of-ustCFA 9 7 .;r 5 • .Z Z 10. Exterior Wall Mass TYPE 2 .�tA55 WS8 9 d ! 3 2 2 .._. Fatelior9l/allmms.- < ND. FLOOR Sum; POU 9 5 3 ,' 2 c t 2 ._ tem 11. Heating System ..• SE" None d5'x'r23 -15 = -it • -•g g y - �`'X Solar 2' 1 1 0 0 Zonal Control? (YIN) SE or HSPF Duo F.Lf cicncy (0.78] Effmu-;i_ SE or HWR -23 ' • '-12 4�7 -8 -6 '-5_ (0.72/6.61 WS8 -25 HSPF (056/5.15] - _ . - -13, ..� -6 -5 ;. _eQu 23 12 ' a .__-6 , _5 2. Cooling System"./b 'L(- x IG None -8 -t •3 . • 4 .I .2Zonal Control? (YIN') :EER (9s] Duo Efficiency (0.74] Effective SEER (7.03] Solar6 .. 3 -2 - POU - 1 _ 0. 0. _ 0 0 - IE None 30 is 13 -:Water Heating T -t . -10 a' g Solar 18 9 .. 6 4 4 `:. j _ ...._ .. Gtdit (none POU . -8 -4 -3 -2 -.2 O Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential hIF-IR Project Title '�(�� �,%� _ NOTA Lodine rrsiden" bui"ngs-subimct to ox Sturithr s must contain there me2surs rcgart !eM of the compliance ./� L approach used. Items makrd with an uwruk (') may be supeedcd by more sringent compliarxz requirements listed �� Buildinggg PC�1it it on use Ccrurecare or Compliance when Out chack5a u incorporated into the permit doeurnersu. Ne features nand shall C � (��,/' be considered by all partars u btr+ding minimum component po4ormanct V OrteaLCris foe the mandatory meawu Project Address ,l ✓ / J wKcLhcf they arc she" elsewhere in Nc docurnemu or on 6,%is chocUst only. Checked By i Date Documentation Author Tekpho" Fnforoemrnt Agency Uae Only DuAdinj Envelope I DESIGNFz E*T-0RC�IE'? �^1��� [1 Building Enrtlope Measures Glass Arca .o Glass ' 12.5352(a): Minimumcciling;nsuluion R•19 deithtc4 3vcr3gc. • BUILDING DATA `/ North © �� �'' §2•s3s2(LY. Loose au insulation marwraesuaer•a lsbclod R•value Conditioned—ed-Area /i Y Number of S torics / East 7.10 ' 12.5352(c): Min mum wall insulaoon in framed rayls R•11 weighted average (dor not apply b Slab/�aised Floor Number of .Units � South -'�3. Q- `a�'a cd% ,/ �_ . —�'." 12-5352(k): slag od;e insulation - w2tcr absorption rue no gsesuer than 03%,rate vapor h. [14 Single Family Detached (SFD) [ ] Addition Alone West �_ �t�. _ trar,:1„t lnsWasion to ,o edamgsmw than sWStd2.0 rt u [ ] Single Family Amached (SFA) ( ] Existing Building Skylight �_ O §2.5311: Iruulauasclyptriridform. instalkdmau( slifomiaf�agyCocnmissirn(C C)qualiry [ ] Multi-Family (NT) (] g TOW � 3 -3 � § standards Ina type and r � y. Existing-Plus-Addition 2.53520: ver lsarrenmu+Ca in Climate 14 and 16 m1 J2.5317: Inf ltn6owEafcltration Controls x Doors and windows betwoen conditioned and urconditioned spaces desiv%ed to Limit air BUILDING SHELL INSULATION leakage ,,•, b. Doors and windows eeutifed. _ Comm4;its Component Insulation LOC3�lO+a! c Doors and windows wthcnaipped in joints and petxess an dA ewlked d sealed _ T R-Value (&rdc, ta an e, I i^rl,etc. ) 12.5352(c): Special infiltration barrier insulkdtocomply with 42.5351mccuCCquality standards Wall .............. :: §2.5352(d): Installation of Fucplacu I. Masonry and facery•busi4 fireplaces hart wau.............. x Tight fusing. closeable metal or glass door Roof ............. b. Outside air rinke tdamper and axttrol c ?huee damper and d control Roof ......2. No continuous buming gas pilou allowed. - ' HVAC and Plumbing System Measures . •: '.. Floor ............. f� = Fi00r............. • .. w. r. � 12-5352(g)and 2.5303: Space conditioning equipment sizing: attach tzlculaoorts. ' Stab Edge ..... §2.5352(h) and 2-5315: Setback thcrnwsta on 31'. applicable heating systems, • 12-5316(2): Ducts constructed, insaikd and insulated per Chapter 10, 1976 UMC. GLAZING Shading Devices §2.5316ft EahauA systems have damper antrot:_ §2-5314(c): Gas-fund space heating equipment his intemtitte+t ignition devices, Glazing Area Glass Type Interior . Exterior Overhang Framing Type 12:5314: HVAC equipmen<,ater heat=%.showerheads and fauc=cenirtedby the ac _Orientation St (sin double) (roller blind. etc.) (shart..escrern, etc.) (Vesho) (metal/wood) §?-5352(il; V/2terheuainsuluionbLantet(R-12orgrcatcr)oeceenbinedinteriorRaterice insulation (R• 16 or greaten fust S feet of pipes closest to tank insulated (R-3 or greater). -No rT- ( -) D N31, 1 §2•5312(Eacry6on) Pipe insulation on steam and scam condcnsatc ratan k recirculating - .• Not—t_` 1 ( ) piping, .. .. East ( ) --- i §2.5318(d): Swimming Pool Hosting East ) 1. System mar � >. ONoff switch on heater. Sohl ti`1 b. WeathePlumbs to ai instruction plate on beater. e. Plumbed o allow for solar. SOU tYi ( ) N _. I 3, Pool percentcovethcrsrsal c(ricicncy. West ( ) 7_5' . 4. Time clock. . West ) I S. Diroctional water inlet : t Lighting and Appliance hteisures Skylight ....... O 12.33526): Lighting • 25 IumcrtsMatt or greater for generd lighting in kitchens yaa bathrooms. -THERMAL MASS ! §2.5314(e): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area, Thickness 12-5314(a): Wrigeraton.refrigcrator•freezers,freacrsandfluorescentlungballastscertified (slab/exyosied, tiles etc.) (Sf) (inches) Locadon/DescriDtion(kitchen, bath, etc.) I DythcCEC Indicate makcandmold number. COMPLIANCE STATEMENt 1 This cruficate of compliance lieu ter, building featumrs and performance soeeificadotu needed to comply with Title 24, Chaptcr 2-53 and n le 20, CTaptr2, Subcha; r r 4, Article I of the Calia`ornia Administrative code. Taus =Lfiicate has beat signed by the: individual with wt fall design respGnsibilicy and the building owner. who shall HVAC SYSTEMS Minimum Duct renin a copy of it and transmit the c erdficste to my subsequent purdi=r of the building. Type (fumace, air Efficiency Location Duct Output Manufacturer / Model # Designer conditioner, hest pump) (SE, SEER,HSPF) (attic, etc.) R-Value itch) or aD roved a al I Building Owner A itr S• % S r"� Name N=W-- uklFamL Titie/FintL Su/dGsat'-/w'fG.o� : Ad&r-=: .�Ltr/U ilio /t �SL✓O Tcleplsonc :.Tikphonc / 3sos Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufact:urer/Mode1 # System T (storage gas. etc.) Caoacit or aaproved equal) I AAA eo�ecii4l,,�'e_'S(si6rtataare) r. - (date) s' anac) (d2tc) Documentation AuthorEnforcement Agency. SPECIAL FEATURESIREMARKS. (Add extra sheets if necessary) _ - .N,rT,� .... _ .. .. TitlerF-trrrL Aceaey