HomeMy WebLinkAbout069-570-04369-57-43-7. 3125 90B,P,E,M
KENNY, John
d 1 Executive Ave, Oro Me O =
Contr: Robert Ames
(new sf)
69-57-43
Permit#3628-90B
(retaining wall)
69-57-43�
Permit#462-91B
(open dec sf
Ctrl : �J �?
• P
RESIDENTIAL _
�� 69-57-43 T 3628-90B��
KENNY, John I
1 Executive Ave, Oroville ;
Contr: Robert Ames
(retaining wall)
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JOB FINALE
Signature
v=OK
O=Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
MISCELLANEOUS�`�L
Date DECKS VERS, CARPORTS, GARAGES, Plans OK except #'s
Zoning Requirements -Setbacks -Easements
2-.FeaMf gs 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
Datela- 0-'�, 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
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P 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�`�L
Date DECKS VERS, CARPORTS, GARAGES, Plans OK except #'s
Zoning Requirements -Setbacks -Easements
2-.FeaMf gs 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
Datela- 0-'�, 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
' =Re
& 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. Joist-Rftr. ties-Purlin-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. Depth
48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Blockouts-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 _
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 B71 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 0 Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation-Foam-Looked in Attic ❑ 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 0 Yes ❑ No;
Planters 1:1 Yes O 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
85. Exterior Elec. Trim; G.F.I. Receptacle-Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet
87. Glass Protection
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 B-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
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
V
,1&r;516
TERMI T 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 // / ���Inspectorzr�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NPZ
7 County Center Drive ; OroviMl , California 95965 - Telephone: 916/538-7541 3628-9
• APPLICATION AND PERMIT If I
ASSESSOR PARCEL NUM ER
69-57-43
ZONING
ARI I
BUILDING PERMIT
OWNER
Joh
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
492 4,92-0
Roy, WA
r 1J 1J Wtf
OWNER'S MAINt LING 3YpiADDRESS P.O. Box 71 5 AX
pENr
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 56.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ .28.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1 Executive Ave, Oroville
Permit fee
$ 94.75
PLUMBING PERMIT
FiIingFee 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 Retaining wall
5 ECIFV
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 6a Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: retaining wall _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
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 Professignq Code.1and my license is in full force and effect.
License No. �io 'f ?7 Classification 13
❑ 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 ADDNS. ( ACC. BLOGS.
,/20sgft
NEW CONST L ULT' -OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
BAC
P30
FIXED APLNS
EX. DCCUp. OUTLETS P(RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Tpe permit is for $100.00 (valuation) or less.
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
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agar t a(d ounnty in ~conseque a of the granting of this permit.
Date
Signature of Applicant — Own ❑ 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
AL
TOTAL FEE $ „94, 7
HAz
CUA
PARK
F
PAR o
r
Hg+`
✓
ISS/E
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above f r which fees
IRE Q. T OF B C
BY
PE IT EXPIRES to
the applicable provi-
resolutions to do
have been paid.
WORKS
D to2y
Receipt No. 74153
WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Copy of Haz-Mat form sent ' Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner; was advised of above required data by_phone---nail_cout
r by .date
Contractor, designer, owner, was advised of above required data by_phone_mail,cour by date
Plans checked by
Copy—DPW
Date Pans approved by / J2�1 Date
Sets of plans on hold in File cabinet _V__AP folder
r
y
4
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER
` LIE /t/y Z- A. P. No.
�-
Proposed Building
Use'��`� �u (,�� _/ Building Inspector
n
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
_V/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.
School District fees paid .............. .
14.
Sanitation approval from Health Department
_ 15.
City of Chico plumbing permit .....................................
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.
21.
Pre -Inspection for required Pre-Inspec. request to
Building Inspector
Contractor's IiEense information (No., Name Style, Classifications ...
(Date)
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 u issue the permit, process as follows: Mai. 0 w Mail to contractor.
-Mai.
Telephone) nd hold for pickup at -Del
, iver w/inspector.
Other
ApplicantUIL
Date
Copy of Haz-Mat form sent ' Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner; was advised of above required data by_phone---nail_cout
r by .date
Contractor, designer, owner, was advised of above required data by_phone_mail,cour by date
Plans checked by
Copy—DPW
Date Pans approved by / J2�1 Date
Sets of plans on hold in File cabinet _V__AP folder
.COUNTY OF BUTTE-yDEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviile; California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
AS ES,SOR ARCEL NUMBER
_
(,f/n `'
ZONI
y�
/e
BUILDING PERMIT
TELEPHONE
SQ, FT. OCC.1 BUILDING VAL TION
OWNER' MAILING ADD ESS
�X T/lam (l
C R CT 'S NAME
ax, ��
TFCC PHO E
C TR TOO R'r////,.,S_M �1NADDRESS
jv_
FireplaceJECLW
STRUCTION NOER
/L
UNKNOWN
Total Valuation $
NDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING.ADDRESS
BUILDI G AD R�35
jC t G v J
J
Energy Plan Checking Fee
$
Penalty
Permit fee
$
PLUMBING PERMIT
0.00
ir
LOT N.O. isUBDIVISION NAME PARCEL MAP
Each Trap
Solar or heat pump water heater
Water piping
Each Qas water heater or vent
5.00
USE OF STRUCTURE A
SF ❑ Duplex[] Mobilehome❑ Other�1A (��� rr L�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ .Utilities ❑ Installation❑ Other ❑
Describe work: �-ri� 1n1 (, (
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
E9 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
for this reason
Main service EA. ADO'L 100 AMP
2,550
NEW CONST. DWELLING occuP.�`
OR AD DNS. ( ACC, BLDGO I
YZQSQ ft
NEWACONSTRMULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS
( SINGLE OUTLET CIR,e)
EX. OCCUp(OUTLETS OR FIXTURES
200300
e AL030
FIXED TS (RESAPPLNS, OR
EX. Occup. OUTLETS (RESID,) EA,)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner. so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee' 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 Count of
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 againstTOTAL
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
ILI
X Date
Signature of Applicant— .. -Owner' Contractor ❑•.. Agent ❑
An OSHA permit is required for excavations.over 5'0" dee p.and -demolition or construct-
ion of structureso
3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
a
FEE $ G/
PARK
scHL
FLD
PAR
PD HD ISSUE
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
—�e/r,/
Receipt No. / /tel 7 �= -
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�` 40 PS R
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RESIDENTIAL
69-57-43 462-91B '
i KENNY, John
1 Executive Ave, Oroville
Contr: Robert Ames t
(open deck/sf)
JOB FINALE
Signature
v=OK
O=Not OK
=Not Applicable MOBILE HOMES
' =Not Ready �
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning.Requirements-Setbacks-Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support Sketch
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
4. Water; Location -Test -Easement Needed (Sketch) -
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Electric
7. Utility Clearance
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements -Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test -Demand -Valve -Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distances-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 volts-GFI
8. Gas and Electricity Tagged
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
9. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
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
V OK
O = Not OK
= Not Applicable
' = Not Ready RESIDENTIAL (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. Joist-Rftr. ties-Purlin-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. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-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
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 At
75. Pib., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ 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 O Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes 13 No;
Planters ❑ Yes ❑ 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; Pibg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
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 B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card 8-1 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
APP-LICATION AND PERMIT
l //PERMIT NO.
n
ASSESSOR PARCEL NUMBER
ZONING
AR1
BUILDING PERMIT
OWNER
John Ke
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
192 deck 960.00
OWNER'S MAI LI G ADDRESS
715, Roy, WA 98580
CONTRACTOR'S NAME
Amps
TELEPHONE 1.'RnhPrt
5g
CONTRACTOR'S MAILING ADDRESS
ville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 960.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
Nonp
LICENSE NO.
Plan Checking Fee
-1-7150
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
All Rypriitiyp Aye.
Permit fee
$ 42.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Solar or heat pump water heater
20.00
LO NO.
X30
SUB IVISIO N ME
ake 1 ge Village
PARCEL MAP
85-12
Water piping
s.00
Each qas water heater or vent
5.00
jj USE OF STRUCTURE
SFH Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 e
�� TYPE OF WORK
New Addition,< Remodel❑ Utilities❑ Installation❑ Other E]
Describe work: C deck 7 x 27.6
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service VOR S
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.
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.tr
OR ADDNS. (ACC, BLDGS.
,
2/z ¢sq ft
NEW CONSTR "'ULT' -OUTLET
NON-RESID BRANCH CIRCUITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES
20@50C
SAL@ 30
FIXED APLN
Ex. Occup. OUTLETS 1PRESID.IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
(� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions Of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 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 cons ruction, and hereby authorize representatives of the Countyot
Butte to enter n the above-mentioned property for inspection purposes.
I also agree o s ve, indemnify and keep harmless the County of Butte against
all Iiabil i s, d costs, and expenses which may in any way accrue
against o ty in consequence of the granting of this permit.
X /tel /S�
Date �'
Si Lure of Applicant — Ow a 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 $ 42.:50
HAz
CUA
PARK
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FLD
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HD
I s
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR BLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date�2�2�-Qz�/
�� Z
Receipt No. 83840-$42.50
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
OWNER
qW
*00W104W
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y,
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION -
7 COUNTY CENTER DRIVE; O,ROVILL'LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No. ±LY' S
Proposed Building Use°' tba � Building Inspector Date Z_ �-2 I • Q�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
5.
6.
7.
8.
9.
16'.5.
Hf .
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
All items have been submitted
Plot plans in duplicate/triplicate, signed by preparer of plans ........
Complete, plans in duplicate/triplicate, signed by preparer. of plans . .
Complete engineered plans and calcs, with wet signature on plans ..
Hazardous Material Form ......................................... .
Energy Design Compliance and supporting documentation .........
Statement of Intent for Non -Heated and AC Buildings ...............
Engineered truss details and layout in duplicate (required prior to plan check)
Mobilehome installation data including manufacturer's installation
instructions.......................................................
Fees of $ ........................
Chico Urban Area fees paid .......................................
Parkfees paid ....................................................
chool Qistri fees paid ..............
Sanitation approval from I Health Department
City of Chico plumbing permit .....................................
Plot plan and business license approval from City of
(see City for other requirements)
Planning approval for (A) Use: (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy)
Pre -Inspection for required Pre-inspec.request to
Building Inspector
Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
Recorded copy of Agricultural Acknowledgment Statement .........
Letter of signature authorization ...................................
When yob issue the permit, process as follows: Mail to owner. Mail to contractor.
/Telephone and hold for pickup at N,)office. Deliver w/inspector.
Other
Applicant
Da
Copy of Haz-Mat form sent Health Dept. LPrre Dept. Air Polluio Date
Copy of plans sent Health Dept. Fire Dept. Other Date-
ate
By-
By
The
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—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet 0 AP folder
Copy—DPW
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) LJ4-IIF 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 0 /1/-,z
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 /1/0 kv
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
M/0fVJ___
Signed: f�
Property Owner /
Social Security er (�
oZ
Date /�-/ / y u
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 PERMIT NO.
7 County Center Drive - Orovillg, California 95965 - Telephone: 916;'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
pp ZONING
,�/f:.,
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
C� O. CDQ a
OWN ', td AI LIN a�E55_71 ✓ / V �D 0'
CONTRALTO 'S NAME
o /3 fir- M -r - .
TELEPHONE
CONTRACTOR'S MAILING AE55
Ct, //C/_
"7/C/J.j��n` A� ����
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
C9
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ „ !;-p.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
.
Permit fee
$ O
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO,
30
SUBDIVISION NAME
/ nG-_ /��
PARCEL MAP
S �— 02 •
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFP� Duplex❑ Mobilehome❑ Other
_ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00e
TYPE OF WORK
New P1 Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: ��GZ-7,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 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.
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
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OCCUP.9i
NEW CONST. (ACC.
OR ACDNS. `ACC. BLDGS.
�z¢sgft
NEW CONST FLULTI.OUTLET
NON•R ESID BRANCH CIRCITS/POWER
2.50 ea
— APPARATUS e
ISINGLE OUTLET CIR.
(
EX. DCCUp\OUTLETS OR FIXTURES
20 e BAL0330
FIXED
APLNS.EX. Occup. OUTLETS PIRESID.IREAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Contact—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
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, 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 33 stories in height,
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ �� ��
AL
-
HAz
CUA
PARK
FLD
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HD
IssuE
This permit is nereby issued under
sions of the Butte Ccunty 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
l
Receipt No. 5?3 D'o :04 .2)
WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville. California 95965 A
Telephone: 538-7541
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COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville. California 95965 A
Telephone: 538-7541
RESIDENTIAL
` 69-57-43 3125-90B,P,E,M
i v
KENNY, John
1 Executive Ave, Oroville
Contr: Robert Ames
(new sf) J
&ej)5c4,-
r
y U 55e-
OFFICE
Se 5 I n dtoC�-t
OFFICE COPY
Address �+�R n e-17* g
�Hs
GAS
Meter By -- Date
ti m IC
—
at
Address
GAS
ELECTRIC gate ,� 2QG
Meter BY ��
JOB FINALE
Signature
V OK
O = Not OK
= Not yabl2
Read
Not•Ready RESIDENTIAL (Single
' =
Date UNDERFLOOR (Plans) OK except #'s
tl<Zoning-Setbacks-Easements-fjood-Slope
c-2-Ftg., Main; Soils-Elec. rnd.-474" Ftg. Depth
g., Garage; Soils-Steel-Elec. Grnd.-I,</" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
temwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors I
7. Slab; Steel -Wrapped
8. Pier -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Ga ipe; Size -Anchors
Vr'water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pie n & Ducts; Clearance -Material -Support -Ins.
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date 6
X2-4�Q Card B-1 1W Date Card B-1
Date% -2{j.�� Card B -12y. Date Card B-1
Date PLUMBING (Permit) OK except #'s
t 16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. ater Pipe; est & Anchor -Nail Protection
18. D.W V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
Tes Tub & Shower, Second Floor -Tub Access
(,2 Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacinq-Lights & Switches at Doors
\,/14._Size Boxes & No. of Conductors -Stapled
5. Romex Installed Close to Edge of Studs & C.J.
6. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
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.
sulated Neutral ❑ Yes ❑ No
_ 0. rvice-Riser Conductors & Ground -Main Disconnect
1. Eq ' . Clearances Panels-Motors-Mech. Equip.
lothes Closet Light -Shower Light -Spa Light
tovsmoke Detector
Date Card B-1 Date Card B-1
Date Card B-1Date Card B-1
Date M ANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
meaI Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Ffirnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
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
9. Sils. Proper Material & Anchors
ails Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Is (rat p
it fops; F rred C - firs -Chases -Tub
Headers & Beam- ize & Bearing
& Duplex)
Date FRAMING (Continued)
4 e -r@ -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
lace Ties or Type A Flue -Fireplace Throat clearance
48 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
V__-49__Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6Garage Fire Protection Framing
I ,5, Isroperty Line Firewall & Openings
L 2. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53-sra-irs, Width -Headroom -Rise -Run -Landing -Fire Protection
4 plywood on Roof Overhang -Attic Vents -Rafter Outriggers
fling Veneer
Stucco Mesh-Djip Screed -Fd. Vents-Underflr. Access
7. Glazing Area -Glass Protection -Skylights -Plastic
Sh r Walls; Nailing -Bolts
nsulation-Walls-Ceilings
Inf i Itration-Walls-Windows
Dates -,::; ' V[Card 8-1' `J' Date Card B-1
Date - / Card B-1 Date Card B-1
/&s<'Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector /
Furnace; Vents- Clearande-Com b. Air -Connector -
In Garage; Above Floor- euicts-Mech. Protection
Bedr Exiting
G.F.I. ath Fixtures & Tub Access -Spa
lec. Trim & Subpanel; Breaker Sizes & Labels
i.�Stairs & Rails
e or Stove; Clearances -Hearth
. Elec. Outlets at Wood Panel; Int. & Ext.
Grnd.-Air Gap -Cooking Clearance
& Receptacles at Kit. Counter
fr V.2 -Garage Fire Door; Swing -Landing -Closer
7-tY>0 in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In arage; Above Floor-Mech. Protection
Plb_ Elec. & Mech. Equip. Listed for Location
ec. Receptacles in Garage; (G.F.I.)-Romex Protection
&7, -Foam -Looked in Attic ❑ Yes
uard Rails & Deck Construction -Post Caps
JL9_fV_n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under F19,or ❑ Yes
80. Following instid.; Drive Yes ❑ No; Walks ❑ Yes No;
Planters ❑ Yes
1. Stu, rofinish
A.0 isconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openin s
-04-V95-ter Well; Disconnect, Electrical, Plumbing
xtenor Elec. Trim; G.F.I. Receptacle -Underground
( Sfi,4Mtilation Throughout House
I 8�ss Protection ti
,-88. Corrections from Previous Inspections
1.s Tes Meters Tagged; Gas -Electric
W & Sewer Connected -C/O to Grade -HD Approval
ICAI-Energy Compliance Certificate -Other Certificates
Date /p Card 6-1- Date Card B -1 -
Date Card B-1 Date 11 Card B-1
Date 7 Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
v=Ok
O=Not OK
- = Not Applicable
Not Ready 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 -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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
E:14 ERGY CER 171 T' I C1AT I ON
LOCATION A.P. NO
ROOF
Material_-_____._-... 131 and Name
Thickness 'I'),ermal Resistance (R Value)___
EXTERIOR WALL
Material_ FIBERGLASS_ i3r. end Name CERTAINTEED__ _
Thic}mess ( Inches)_ /o 'Thermal Resistance (R Value) 2/9
Batt or Blanket Type—FIBERGLASS__-._Iar. rund -Name .r CERTAINTEED_ _ _
Thickness (Inches)_ /��'� Thermal Resistance (R Value)-�j
Loose Fill Type IBERGLASS _— B and Name CERTAINTEED _
Minimum Thickness (Inches)/,. No. of Bags Weight/Ba9b
Area Covered (Sq. Ft.)_y��Thermal Resistance (R Value)�'�X&
FLOOR,ELEVATED
Material _`FIBERGLASS __ Brand Name CERTAINTEED
Thickness inches) 'i'hermal Resistance (R Value)___
FLOOR, SLAB
Material Brand Name_
Thickness (Inches) '
FOUNDATION WALL ...l"herrnal Resistance (R Value)_
Materialf)r.and Name _
Thickness +(Inches) + _ '1'}�ermal Resistance (R Value)__
I HEREBY CERTIFY THAT THE ABOVI: INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WIT11 THE STATE. OF CALIFORNIA ENERGY
REQUIREMENTS.
IIAwx rtvS_1.Np.US IkI.Fl�i� 379407
Firm flame/Owner State Contractor's License No.
u' u 1 _
Signature ��------
D to
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.
Fi rfn Names
ture G'en. Contract
Date ---- ---�---------
e r-�� ---
.y :,ly,�'t4`�..."1.. '�-R �_�at.�.s-t-%1'V�r�r(2,--•''�+ti"Y"^+a'Z.C"'...+..-r.�t'".y""""`--' ..-+'rT"'� v;?y^ .. 7-- �n .
COUNTY OF BUTTE
DEPtiAI -TM.ENT 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 T ,% PERMIT NO.
A routine inspectionindicatesthat 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(.
��lt �fi ✓cf n �.. < <� Gr.� t0/C f r �/( �GJ� u-� t 7 5
M
.moi K'
.y .
Date Z�/ y/�/� Inspector
ii•y:a 4r
i - 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 c-,'
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 cor ection of work is completed. If you have any question pertaining to this
matter or need
additionalI-- explanation, please contact this office
immediately.
K _Til rr) P) ;1, .� / ..L. Leg —,. i _
i �—
.r,\ i L m 1i n .— n / i N
1�4 t r j. j e ,. sic I' I, _ Zu, le- `r`-- �..-,_, �-
rt"f— -# s ' , -- t - C r 7-
—
Date
Date ' Inspector !FA j
COUNTY OF BUTTE ,
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
f 7 County Center Drive, Oroville — 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.
Date_ %� �.i 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
OWNER I— , 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 ed additional explanation, please `contact this office immediately.
/%'/ i
w/0 U�
CLIS ox.)
"i7,701M , - l /l1%lam
wAr;4- r
Date ! Inspec
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
34
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 /�'g ` —� '/ Inspector �<�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 T
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
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.
Date����jf,,Inspector_.!/ '�
�� � r-._..��r••i`....-...:v+.--x.1:'1 "... y .. -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIOWAND OERMIT
PERMIT N0.
L
0.-
A SES5013.PARCEL NUMBER �� \
9-57-43 �_""_" SC;
ZONING
ARI
BUILDING PERMIT((
OWNER
John Kenny
TELEPHONE
SO. FT. OCC. BUILDING VA ATION
1348 R 93,Q20
7 ADDRESS
O,yI. EQ. Box Roy WA 98580
P ll 715 1�
2
CONTRACTOR'S NAME
Robert Ames
TI E�Hf>f15
1,650
CONTRACTOR'5 Trail CtMAILING ADDRESS oville 95966
Fireplace
'
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3 Q
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 328.00
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$ 164.00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 517.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
31
SUBDIVISION NAME
Lake Ride Villa e
PARjEL MAP
D ���
Water piping
5.00 1 9.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF r r Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New RX Addition ❑ Remodel ❑ Utilities ❑ . Installation❑ Other ❑
Describe work: 2 BR _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR011 OR LESS10.00
10.00
Main service EA. AOD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
1 declare nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession 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.&)
OR ADONS. 1 ACC. BLDGS.
2yz2sgft 49.45
NEW CONSTR.ULT'-OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
%SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20@50C
SAL@30
FIXED
Ex. Occup. -OUTLETS PIRESID ILNS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 71.95
Contractor
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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
6.00
dual pak
Cooling
6.00
Hood
3.00 .00
Ventilation
Permit Fee
$ 25,QQ
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 said ounty in consequ ce of the granting of this permit.
-*,
X Date
Signature of Applicant = Owner ❑ Contractor Agent ❑
An OSHA permit is required For excavations over •01' de nd de o1ition or cons ct-
ion of structures over 3 stories 'n height. U
S '
Receipt No.99
YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
Mobile Home Installation Fee $
Energy Inspec Ion Fee $ m
co sT E
o
TOTAL F
$ 689,9
HAZ
CUA
PARK
S H
LD PAR
PD
M
ISSU
This permit is nereby issued under the applicable pro vi -
sions of the Butte County Code and/or resolutions to to
work indicated above for which fees have been paid.
DIRE TO F PMnntg WORKS,
By�WNITE-D.P.W.,
PE IT EXPIRES Data;.
i • • i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILEE, CA'j IFORNIAi95965 - TELEPHONE: 916/536-7541 «
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER lTU li /� �yN A. P- .No.
Proposed Building Use �' Building Inspector Date
9v
At. time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
f 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 ...............
10V_e 8. Engineered truss details and layout in duplicate (required priorto.plan check) Vii- 19- 90
9. Mobilehome installation data including manufacturer's installation
-&P-4instructions5.
1 C. Fees of $ '. �-f �d �� .�. ...+ .. '/ ......�, yr Ir` t��
1). Chico UrbaneATea fees aid-... .!........ ............
12.. Park f/U a/d/ ► � p,.�� :.. ` .. .... (.................
LQPA- is ct fees paid" d. - .. .go J
art 1 �-' a i ��
Sanitation ap/prowl from f-�TT �►�� Health Department 70-
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:
Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior.to occupancy) 9y
20. Pre -Inspection for required Pre-Inspec. request to
' Building Inspector (Dater
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 ❑) .....
zQh�24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.,
27.
When � you issue the ermit, rocess fof,lows: Ma,�er. _
/Telephone 5a -S' and hold for pickup at office.
Other
Mail to contractor.
/Deliver w./inspector.
e
Copy of Haz-Mat form sent Health Dept. - Fire Dept. . _Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other - Date By
.—..,The following data must be submitted prior to permt isssl.!aice: (Circle ,new item not checked above).
1, Index permit for above- items No.
2. Additional items required:
Contractor, designer, owner, was adv
red data by _phone___rnai I _counter b ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by ��` Date _ l Q �O
Sets of plans on hold
Copy—DPW
LA folder
V
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway , Cle rance
q�
a
owner
location
AP
a ermit %D 7v
L=
has been issued for the
above property.
�;,_e
date
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 NUMB
ZO N,s,
X;5
BUILDING PERMIT
OWNER „O
/ TELQ.PHONE
..
SO. FT. OC . BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTR CTO 'S A,ME � T^�PH E
3
G
XT
CONT CTOR'S MAILING ADDRESS
L,
Fireplace
CONSTRUCTION LENDER
UtliKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Fi1i Fee 10.00
Each Trap
2,00 G
Solar or heat pump water heater
20.00
LOT O.
SUBDIVISION NAME
iLIOG� Ll�
PARCEL MAP
Water piping
500 5,00
Each qas water heater or vent
Gas piping system 1 - 5 outlets
5.00 'O !4
5.00
USE OF STRUCTURE
SF Duplex[] Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
N,vp Addition ❑ Remodel/s❑ Utitilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ D
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR L.E LESS10•00
OO
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
prOVlsIOnS of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ 'I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service EA. ADO'L 100 AMP
2.50 .2�
NEW CONST. DWELLING OCCUP.N
OR ADONS. ( ACC. BLOGS.
'/20sgft
NEW CONSTR. ULT I.OUTLET
N...RES,.,BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e)
l SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20@SOC
eALO 30
EX. DCCUp. OUTLETFIXED AS IRPPLESNS.IDOR
.1 EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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 suchPermit
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
O
29 -P4
Cooling
rO
Hood
3.00 r
Ventilation
Fee
$ 02
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 Countyof
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 excavatioover 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. / -7
Mobile Home Installation Fee $
Energy Inspection Fee $
oCc
CONST TY .
PE
TOT F E' S"91
HAZ
CUA
PARK
ISCHL
FLD
I PAR PD
1 HD IssuE
This permit is nereby 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. x-2,1
WHITE-D.P.W.. YELLOW-ASSE330R. PtHK SPCCTaR. 60LDEHROa-APPLICANT
5/89
OWNER
GENERAL
RESIDENTIAL.PLAN CHECKING GUIDE
(S.F.'; "DUPLEX- & MISC. ONLY)
Bldg. Permit # 3 �� -90
A.P. #
I-. Zoning requirements: (sideyards and number of permitted living units).
Valuation.
�-� Plans signed by designer.
.4�. Energy Design and Compliance.
Existing violations on property.
6. Items on data sheet.
PLOT PLAN
--(! Complete. parcel size and dimensions.
- Setbacks, sideyards, easements, etc.
Other buildings or structures.
rading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FAU.& FAS road setback.
rr nnn DT est
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
Y. GFCIs in baths, garage, and exterior outlets (Article 210-8).
i:— Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
Locations.of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
. of
firewall, door size, and closer (Sec. 503(d)(3)).
r: 1 - 3'0" exterior exit door (Sec. 3304(e)).
.Fireplace and wood stove location, alcoves, and clearance.
. Smoke detectors.(Sec. 1210).
STRUCTURAL DETAILS
Foundation plan .complete enough to construct building.
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.
Fireplace construction details and talcs 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
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
-fir- Exterior plaster - weep screeds (Sec. 4706).
--57 Proper roof pitch for roof covering (Chapter 32).
-6� Roof covering type - (fire hazard).
r7, rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
46: -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).
-' Attic access and ventilation (Sec. 3205).
1.3 -.-Underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances.
-i5—Noise requirements on duplexes.
+6:''Adobe soils - special foundation design.
1-; Retaining walls requiring design.
+8 -.-'-Unusual shape, size, or split level house requiring lateral design.
1 -9 -:-'Plashing at all exterior openings.
PERMIT NO: -27-90
Lake Oroville Area Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the.Butte County Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: October 4, 1990
Applicant: John N. & Elsie L. Kenny (R. L Ames Constr. )
Applicant Address: P. O. Box 715, Roy, WA 98580
Applicant Phone No.: (206) 843-2337 589-4655
Property Location (s): 1 Executive Avenue
Lakeridge Village - Lot 31
A. P. No. (s): 69 -57 -
Fees due:
Application for service approved: Z-141-'
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
�r�� 11 -y,r' , �-.. r.iMf'w-i.xrru..'.*`tiw. •crrary�eR -q � t.rr7..++yrC"T•ri . ,�,ry ^^.�y.,W Z'•x+�,�^.r+^'Yrr"�`�i�h.,jU .. ...r s� i' � , �r1 N^ ^T
r +s-�,,,.,��,fr. ..rf�'�y.Mr`` t.�/r3..r ,y.+*inlZtr,�AirrMir�Y✓`e
BUTTE COUNTY SCHOOLS DEVELOP ENT,#;FEE CERTIFICATION FORM
( One 'Form per4';Bui`•iding )
A. P . Number c/ - 5-7- 04 3 Building Department No.
School District 6 Q�/� City County �� Jurisdiction
Property Owner MOP -N W 15tiN � +
Project Location/Address /
Subdivision ,� p ��� G /� (,� ( j/� yL`S' Lot Number
. ,t
Residential Development:
a Sq. Footage ! 3g 0
0 # of Living MHI Addition (Group R)
Units
L - Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
� -
District Id No. //0
tic �t School District certifies that
(Applicant Name) (Phone Number)
' (Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. F9_ 9U- o& '
� e
by the p yme t of $/� 9, �y� representing �,�j�� , square feet.
School District Rffpresentative Date
PAID BY CHECK NO. REMARKS:
BANK NO /9
PAID BY CASH
white -applicant, yellow1building department, pink -school district
SCHOOL.FEE (8/88) \`
9Q-42992
Raturn to DPW AGRICULTURAL STATFIENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County, Code q
requires this acknowledgement be recorded r
prior to -issuance of a building permit.
The
property described herein is adjacent
90-042992
to
land or included within an area zoned
for
agricultural purposes, and residents
Recorded
of
this property may be subject to incon-
Official Records
veniences
or discomfort arising from the
County of
use
of agricultural chemicals, including,
Butte
but
not limited to herbicides, pesticides,
Candace J. Grubbs
and
fertilizers; and from the pursuit
Recorder
of
agricultural operations including,
9:42am 5 -Oct -90
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
' Rec Fee 5.00.
Cash 5,00
X 1
•r'
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that real :pr-operty:*situate in -the County of Butte, State of California, described as
follows:
LOT 31, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "LAKERIDGE VILLAGE
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE:' OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON OCTOBER
28, 1981 IN BOOK 85, AT PAGES 11,12,13,14,& 15.
Date: 10/4/90
State of CA. )
County of BUTTE )
On this the 4THday of OCTOBER , 19__a_Q_, before me, the
SS. undersigned Notary Public, personally appeared
• • • • O • •. • • • • • • • • • • •
° OFFICIAL SEAL s
°ANGELA 0. MASTELOTTO •
° NOTARY PUBLIC -CALIFORNIA °
° Principal Office In BUTTE County •
• lmy Commisslon Expires SEPT. "J",
4 J •
• • -
JOHN N. KENNY***********************************
Personally known to me. a Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
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
END OF DOCUMENT
1. Ceiling Insulation
5. Infiltration (Air Leakage)
Specification Points
Standard o
6. Glass Heat Loss
Total
Number of stories
I
R -value
One
Two
Three
R-0
-103
-49
-02
R-19
-8
-4
-2
R-30
-2
-1
-1
R-38 •
0
0
0
U -value
U -value
4
40
_ 0.50
-176
-84
-54
0.30
-102
-49
.-32
0.10
-26
-13
-8
0.08
-18
-9
-6 ..
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
-2
0.04
-1
0
2. Wall Insulation
0.02
4
2
Single-
Single -
10
5
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-2
.2
•1. Slab Edge Insulation
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
1
0.60
6
4
3. Raised Floor Insulation
0.50
9
Insulation in Floor
3
5. Infiltration (Air Leakage)
Specification Points
Standard o
6. Glass Heat Loss
Total
Single-
Number of stories
Raised Floor
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
4
40
-90
- 0.60.
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4-
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
7
14
Number of stories
-46
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
•1. Slab Edge Insulation
-9
-3
•-
Number of Stories
15
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
1
6
11
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
5. Infiltration (Air Leakage)
Specification Points
Standard o
6. Glass Heat Loss
Total
Single-
Slab Floor
Raised Floor
Effective Percent Glass
U -value
r. Glass
Percent
East
South:
.51 to
.41 to
.31 to 0.30 or
Glass Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-07
-26
-14
-0
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
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23..
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-01
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16•
18
20
7..Shading (Shade Open)
Effective Percent Glass
(percent glass x SC)
Tective
Single-
Slab Floor
Raised Floor
Effective Percent Glass
Wall
r. 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 -
it
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
is = not allowed
8. Shading (Shade Closed)
Single-
Slab Floor
Raised Floor
Effective Percent Glass
Wall
Stories
Family
(percent Blau x SC)
Stories
Effective
/CFA
One
Two
Three
One
%Gle6s
Nodh
Est
South
West
Skylight
18
-14
-8
-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
-6 .
-23
-31
-29
-74
9
-5
.20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-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
na - not allowed
8
10
11
11
9. Interior Thermal Mass
Interior
Single-
Slab Floor
Raised Floor
Mass
Wall
Stories
Family
Multi
Stories
Mass
/CFA
One
Two
Three
One
Two
Three
0.e
-8
-5
-4
.2
-1
-1
0.1
-8
-5
-0
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-0
-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
2
4
5
6
7-
2.5
0
3
5
7
7
8
3.0
1
4
6
8
4 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 I
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-
Single -
-
Wall
Family
Family
Multi
-4
Mass
Detached
Attached
Famly
0.00
0
0
0
2
0.20
3
2
1
SEER
0.40
5
4
3
8.0
0.60
8
6
4
8.5
0.80
10
8
5
„_.
8.9
1.00
13
10
7
9.0
1.20
13
12
8
9.5
1.40
12
13
9
10.0
1.60
10
13
11...I:
.
1.80
10
12
12
11.0
2.00
10
11
13
'- 12.0
11. Heating System
9
7
5
13.0
SE or HSPF
1.2
9
(assumes ducts In attic)
S%
Effedltre SEER
8_
Sum of 1.6
4
(SEER xduct efticiency)
3
_
-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
9.0
Effective SE or HSPF
9
(SE or HSPF x duct efficiency)
5
Effective -25 or -24 to -14 b -4 to +610 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
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
to
System Type
Type
Type
less
1199
Resistance
10 9
7 6
4
3
Other
6 5
4 3
•2
2-
12. Cooling SyWm
f I
-
SEER
One
-5
-4
(assume{ ducts
In attic)
-2
-2
Stm of 7-10
3
3
7
2
-25 or -24 to 04 to
-4 b
+6 to
16 or
SEER
less -15 15 ;
+5
+15
more
8.0
-14 -12 ? -10
-8
-6
-4
8.5
-9 -7 -6;
-5
-4
-0
„_.
8.9
-5 -4 -4
-3
-2
-2
9.0
-4 -3 -3
-2
-2
-1 I
9.5
0 0 0
0
0
0
10.0
4 3 3
2
2
1
10.5
7 6 5
4
3
2'
11.0
10 9 7
6
4
3
'- 12.0
15 13 11
9
7
5
13.0
20 17 it 14
1.2
9
6
S%
Effedltre SEER
8_
5
4
(SEER xduct efticiency)
3
SE
Sun of 7-10
-37
-24
Effective -25 or -24 to -14 to
-4 to
+6 to
16 or
SEER
less -15 5
+5
+15
more
5.0
-30 -25 -21
-17
-13
.9
6.0
-12 -11• -9
-7
-6
-4 1
6.6
-5 -4 -4
-3
.. -2
-2
7.0
0 0 0
0
0
0
i
8.0
9 8 6
5
4
3
9.0
16 14 12
9
7
5
10.0
22 19 16
13
10
7
11.0
26 23 19
15
12
8
12.0
30 26 22
18
14
9
13.0
33 29 24
20
15
10
Zonal Control Adjustment
8
5
4
10 8 7
6
4
3
-10
No Cooling System Installed
-5
-Stories
-
One
-5
-4
-3
-2
-2
Two +
3
3
7
2
2
1
Single -Family
. f
Detached and
Attached
1 t Unit Size (sQ
Water
; i99
-12%y,'*
1700
2200
2700
Heater
t redit
or
-1 to
to
to
or
Type.
Type
less
1699
2199
2699
more
SG
None
0
~ 0
0..
0
0
or
Solar
12
' 8
6
5
4
HP
-HWR
8
5
4
3
3
WSB
5
3
3
2
2
S%
POU
8_
5
4
3
3
SE
None
-37
-24
-18
-15
-12
80%
Solar
-1
1
.1
0
0
0.2
HWR
-18
-12
-9
-7
-6
1.7
WSB
-25
-16
-12
-10'
-8
3.2
POU
-18
_ -12
-9
__7
-6
IG
None
-5
-3
-2
-2
-2
0.6
Solar
7
5
-4
3
2
21
POU
3 _
_2
1
1
1
IE
None
-28
-19
-14
-11
-9
Solar
8
5
4
3
3
1
POU
-10
-6
-5
-4
-3
24
Multi -Family
(Individual
units)
3.3
3.S
3:7
3.9
Unit Size (so
4.3
Water
4.8
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
5.6
7
5
4
3
HP
HWR
9
1.7
S
143
3
2
2
2.8
WSB
9
3.4
3.6
3.8
2
2
4.5
POU
9
15
3
2
2
SE
None
45
-23
-15
-11
-9
1.9
Solar
2
11
1
0
0
3.4
HWR
. -23
.'. -12
-8
5
'-5
4.8
WSB
-25
1 -'13
-8
-6
-5
55%
RQU
_23
_12
8---.-6
1.8
-5'"
IG
None
-8
4
-3
--2
-2
3.7
Solar
6
3
2
1!
1
5.1
POU
1_
0
0
0 _
0
IE
None
-00
-15
-10
-8
--6
2.5
Solar
18
9
6
4 .
, 4..
4
POU
-8
d
-3
-2
•2
Interior Mass/CFA
TTP8 2 PSS
-
(1.710211C•4.21
t TYPE 1 MASS
(UIMC a 4.2,
ie: exposed
�-
Slab)
Ic.rpetW .1.61
Y
0%
S%
10%
1S%
20%
2S%
30%.35%
.
40% 45%
50%
55%
60%
65x
70%
75%
80%
Y.
90%
95%
10011. 1051/. 110% 11511. 120% 125`
OY.
0
0.2
0.4
0.6
0.6
1.1
1.3
1.5
1.7
1.9
2.1
23
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
1011.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
25
2.1
2.9
3.1
3.3
3.5
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
2.2
24
27
29
3.1
3.3
3.S
3:7
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
2.2
24
28
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
4011.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
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
2/
23
2.5
27
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
8.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
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
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
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
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
22
2.5
27
2.9
3.1
3.3
3.5
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%
1.3
1.5
1.7
1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
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
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
63
65
67
9011."
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
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
6.4
66
68
95%
1.8
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.6
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
55
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
S.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
1101/.
1.9
2.1
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
6.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
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
7.2
120%
2
2.3
2.5
2.1
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
S.4
5.6
50
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
25
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation or
R- ue 1381 U -value 10.0301
2. Wall Insulation _ I or
R -value [ l l J U -value [0.098]
3. Raised Floor Insulation R Iq or
R -value [ 191 U -value [0.037]
4. 'Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
or
R -value [01 F2 factor 10.771
Standard
/3.%
Type [double] U -value [0.651 % Total Glass [ 16]
% Glass S _ Eff. °!o Glass
X
X =
0 X
X
o - 3 X = • �3
% Glass SC Eff. % Glass
a. North X' x
b. East X
c. South G x = O
d. West (0, x = 0
e. Skylight O -:j x -77 _ 3
4,. TYPE 1 MASS AREA
,i9 Interior Thermal Mass COND. FLOOR AREA . B
1 1 Interior Wiss/CFA
°t �+�' TYPE 2 MASS AREA =
10.�zteriorWall:Mass e
.. ND. L OR AREA
rl l • .+r.� Exterior Wall Mass
11: Heating Sysem."'?� x _
' Zonal Control?p�( Y, /N!) SE or HSPF Duct Efficiency [0.78] Effective SE or
_ ' ,� [0.72] .6] HSPF [0.5615.151
r
12. Cooling -.System ��� 9 x -
Zonal CotilroI? / N) i+ SEER [9.51 Duct Efficiency 10.741 Effective SEER (7.031
13. Water Heating 4...
Type ISG]. _- .` _*-7 Credit [none]
- s
Point Scores
0
�y /L0.
Sum 1.6
- t/
Sum 7.10
4 3
0
Point Total. -1 3
Certificate of Compliance: Residential Climate Zone 11
Project Title
17 Building Pami��
Project Address 72
Checked By / Data
Documentation Author Telephone Enforcement Agency Use Only
lals
BUILDING DATA Glass ea 9b
North .
Conditioned eao Number of Stories East
Slab sed Fl Number of -Units South
[ ingle Family Detached ( [ ] Addition Alone West .
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight O 3
[ ] Multi -Family (MFS [ ] Existing -Plus -Addition Total / 7 % 13.
BUILDING SHELL INSULATION
Component Insulation Locaf orX- omments
Type R -Value (aide, to ganga. r ical. etc.)
Wall .............. fTt�
Wall .............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Devices
GIazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (sf) (single._ double) (roller blind. etc.) (shedescreen. etc.) Nesh►o) (metal/wood)
North ( )
Q
North ( )
East ( )
the building feats= and performance specifications needed to comply with
•, _
I/
East ( )
Title 24. Chapter 2-53 and Mile 20, Mptrr2. Subchapter 4. Article I of the California Administrative code. This
South
cerdficate has been signed by the individual with overall design responsibility and the building owner. who shall
HVAC SYSTEMS Minimum Duct
South
retain a copy of it and transmit the
certificate to any subsequent purchaser of the building.
West
Duct Output Manufacturer / Model #
West ( )
conditioner, heat um) (SE, SEER,HSPF) (attic, etc.)
R -Value tui ora roved equal)
Skylight.......
0_
�
1
THERMAL MASS
Name:
Type/Covering
&fA-
Z6 L _11�J_/01#1
l �Y.
ArwAddmss:
Area Thickness
(slab/used, tile, etc.)
(SO (inches) Locadon/Deseription (kitchen, bath, etc.)
I
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requutments listed
on the Cervi ficate of Compliance. When this checklist is incorporated into the permit docur ens. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted avenge.
§2.5352(by Loose fill insulation manufacttuu•s labeled R -Value.
. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(kr Slab edge insulation - water absorption rate no greater than 03%, water vapor
transmission rate no greater than 2.0 pmWmch.
12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Clinute Zones 14 and 16 only.
§2.5317: Infiltradon/ExrrltrationControls
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
12-5352(e): Special infiltration barrier installed to comply with §2-5351 moots CEC quality
standards.
§2.5352(d): Installation of Fireplaces
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(8) and 2-5303: Space conditioning equipment siring: attach calculations.
§2.5352(h) and2.5315: Setback thermostat on all applicable heating systems.
§2-5316(a): Ducts constructed. installed and insulated per Chapter 10.1976 UMC.
§2-5316(b). Exhaust systems have damper controls.
§2-5314(c): Gas -rued space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, show erheads and faucets certified by the CEC.
12.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater): first 5 feu of pips closest to tank insulated (R-3 or greater).
§2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
I. System has:
a. Orloff switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance pleasures
12-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
N
j COMPLIANCE STATEMENT
This certificate of compliance lists
the building feats= and performance specifications needed to comply with
Title 24. Chapter 2-53 and Mile 20, Mptrr2. Subchapter 4. Article I of the California Administrative code. This
cerdficate has been signed by the individual with overall design responsibility and the building owner. who shall
HVAC SYSTEMS Minimum Duct
retain a copy of it and transmit the
certificate to any subsequent purchaser of the building.
Type (furnace, air Efficiency Location
Duct Output Manufacturer / Model #
conditioner, heat um) (SE, SEER,HSPF) (attic, etc.)
R -Value tui ora roved equal)
, Designer
Building Owner
�
1
Name:
Name:
&fA-
Z6 L _11�J_/01#1
l �Y.
ArwAddmss:
JC
` �
TitkJl=um
TitWFum
Address:
Tekpho=
Telephone:
Maximum Furnace Heating Output:
SYSTEMS
Btuh V,
Lic• r'
HOT WATER
Tank Manufacturer/Model
# ®� 0
,`
42
System T (storage as, etc.) Capacity ora
roved equal) hal Fea
(si6rhattue)
(date) (signature) (date)
Documentation Author
Enforcement Agency
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
; Nam`:
Name.
TitkJFirm
AZency:
Address:
Telephone:
N