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071-440-006
-- - - - . � _.. -- - - ---- ----- --- -,- -93-2407 P, E 4 , . WALL, .JACK• & SHARON. =F JUSTAMERE, ,LN - . BERRY CREEK..,,-Ili) TRAVEL TRAILER UTILITIES EL C GAS- COMPACTION TEST REQ SUPPORT STRUCT REQ 93-3377.BPEM WALL, JACK &.S ARON ' 155 JUSTAMERE'LN, 'BERRY CREEK NEW SF / 0--?- '160 PERMIT#94-2008 WALL, JACK / 155 JUSTAMERE LN., BERRY CREE NEW PRI. DET GARAGE j��y 19 17 0 V=OK O = Not OK -=Not Applicable =Not Ready MOBILE HOMES Date/Initials 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 -Teat -Wrap: / /"L"ft. / /"Nat. or/ / V ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8'. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DE COVERS CARPORTS GARAGES, Pians OK except #'s r Z ing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alupr. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. arports; Windows -Doors Er riE .arfirgg; Sils-Anchors-Studs-Rftrs-Trusses Awl ng; Nailing -Veneer -Stucco -Mesh Shthg-Roofing Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Sin§le & Duplex) _Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 18. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Cond uctors-Sts pled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. 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 At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Bmc-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/Initials 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 -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California.95965 - Telephone (916) 538-754,Y� _ PPEEOT o. APPLICATION AND PERMIT %q ASSESSOR PARCEL NUMBER 071-020-100 FR10 ZONING BUILDING PERMIT OWNER K WALL TELEPHONE 589-5215 SQ. FT. OCC. BUILDING VALUATI 816 M 14,688.00 OWNER'S MAILING ADDRESS 155 JUSTAMERE LN BERRY CREEK CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105.30 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 287.30 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ITARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New XI Addition C3Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DET GAR PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OCCOR ADDNS.T ( D BEACCGBLOSUP ) 3.5C F°: 28.55 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �cense No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2L @ 1.00 60 Ex. Occup' ( FIXED APPLNS. OR OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. *I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 48.55 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence of the granting of this permit. X bate7Z, Si nature of Applicant wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 335.85 HAZ- 1 D. FEES I IMPFl00 COF JPARCEL I PD HD U This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions Indic. above for RE Ohick fees have been OF PUBLIC WORKS TO�R By /AW PERMIT EXPIRES ON ��� (Dere( (Date) provisions to do work paid. M 9 'X .?C— � Receipt NO. 16721$ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION +� DEPARTMENT OF DEVEJOPME'NT SERVICES\ 1469 Hurnboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive,.Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OW ER PERMIT. NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addressKandould be corrected. Please notify this office when correction of workis completed. If yony questions pertaining t this matter, or need additional explanation, please contact t iimmediately. 5 IS 4A- REV 1019 17 . COUNTY OF BUTTE - DEPARTMENJI1 Q VELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, 6ALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER J AC- k/ � L � .4 L L _ A. P.. No 0 % - Proposed Building Use �,�4/aA6� Building Inspectorr, Date At time of permit application, I was advised the following data must be submitted, to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. ......... 2. Plot plansD4 s s, signed by preparer of plans. ........................... 3. Complete plans 3 sets, signed by preparer of plans.` 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . .................................... E?e;gy Pysign Compliance and supporting documentation . .................. 7. Statementle'Pk!]+pnt for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome datand anufacturer's installation instructions, 2 sets. . 10. Fees of - 33� ? ........... . 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry_ plan approval/ ee 1 .��.v� y 1.3 Flood elevation letter (100 year flood) by Cali rnia Engineer. .. .. ....... / 4. Sanitation and plot plan approval Health Department . ........... . 15. City; of Chico plumbing permit. ........ ., .. ...................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements -(B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...P,;! a oA r6quest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) ................. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ............................................ 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ....................................................... 33. 34. When you issue the permit, process as follows: Mail'to owner. Mail to contractor. L,.-- Telephonand hold for pickuoffice. Deliver with inspector. Other Parcel Creation 7/ Acreage Applicant ate 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date P Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works EA. USE ONLY Plot Plan • Floor Plan wm.chotl Sent to B.D./ TO: Building Department ` FROM: Environmental Health SUBJECT: Sanitation Clearance -5 Owner Location AP# Plan Approved for: Sewage Disposal t/ Water Supply: Public Private Well c� Clearance for ihc-lYvme: er for: final clearance O.K. for: Environmental 8/92 COUNTY OF BUTTE Departanznt oi' .Develobment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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) �i4!/Gr 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 Contractor's 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 Contractor's 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: Property Property Owner Social Security Number,: Date %/ice 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 permitted to issue the I permit. eount* ot a!✓u a OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: SHARON H. WALL ADDRESS: 155 JUSTAMERE LANE CITY & STATE: BERRY CREEK, CA 95916 IMPORTANT: 3/3/94 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TRAILER WAS NOT NEEDED FOR WHICH B.P. WAS ISSUED. (8.P.#93-2407, A.P. #071-020-098, RECEIPT #143690, DATED 7/21/93, OWNER: JACK & SHARON WALL). TOTAL AMOUNT PAID.....................................$146.00 RETAIN REFUND PROCESSING FEE...............$25.00 RETAIN PLUMBING PERMIT FILING FEE..........$20.00 RETAIN ELECTRICAL PERMIT FILING FEE ........ $20.00 RETAIN ELECTRICAL SERVICE FEE..............$23.00 TOTAL AMOUNT TO BE RETAINED .........................$ 88.00 TOTAL AMOUNT TO BE REFUNDEB ........................... 58.6 TOTAL $58 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been p rformed or delivered, and that this claim is true and correct as stated. Dated this ��.-O day of ............................. 19� etCalif. .... . -... ..�/' ......... ................. ........ ........... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or lea s i ied ab ve h e n erformed or de- livered and that there is a Budget Appropriation Q or Specific Board Approval ❑ (Check one) fo th a. Dated this ..... 3RD ...................... day of ..MARCH............ 19...9.4at OROUZL,L,E .calif. ;;C—�-� ...... ............. ..................... ......................... Deb rtment He d or Authorized Deputy Dept 440-002 Cd� 4210500 PAYABLE FROM CONSTRUCTION PERMITS .................................................................................. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. I CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. J 566 /NSP NO TE aN V 4 9or KAP F141da s (4-00) _ �EEp l��ilN D PiloCE�Si NG �� `ZS o o) - l�'HEP ��C.r S'�I�? t/((.� FES C23 •o o) ANO XCM/Fi/J,DL`2. Av&�- RESIDENTIAL 071-020-098 93-2407 P,E WALL, JACK & SHARON JUSTAMERE - LN, BERRY CREEK TRAVEL TRAILER UTILITIES i /O/2 71q-4 JOB FINALED (Date) Signature SRA COUNTY OF BUTTE DEPARTMENT OF;DEVkAOPMENT'SERVICES - BUILDING DIVISION �'7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT `, -?"`- �, /,x Z ASSESSOR PARCEL NUMBER 071-020-098 ZONING Fr -5 BUILDING PERMIT OWNER Jack & Sharon Wall549-446-5948 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS S37> , 42066 Via San Lewis Rey, Fremmt 439 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 26.100 Permit Fee $23.W ARCHITECT OR ENGINEERLIC NO. Plan Checking Fee $ Energy Plan Checking Fee $ENSE ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 23.00 Justamere Lane Berry Creek PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome J) Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home S G I W 21 @20.00 140. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CK. Installation ❑ Other El Describe Work:N TT PERMIT FEE $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200A0,LESS ) 1 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.50 FSTp . CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification i I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEw CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup- (OFIXED APPWS. OR 5.00 UTLETS (RESID.) EA. ) Temporary Service I 23.00 Mobile Home Facilities 1 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inS gGence if the grantingofthis permit. X �`�C�li�rCF Date 7✓ `3 Signature of Applicant O wner EI Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 146.00 HAZ• D. FEES IMP F1O0,(1, COFA PARCEL I PD R011 IS$/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y�Q DIRECTOR OF PUBLIC WORKS l0— //�� By 1S%%�'i��ix`6=' Date - PERMIT EXPIRES ON ',O Z7 9L (Date) 1 10 143690 Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O =Not OK . =NotApplicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 MISCELLANEOUS Date/Initial 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-Ralls 4. Wood Awn.; Posts-Beams-Rftrs -Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landing's Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL ' = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped- 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -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/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -25. 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance '48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials 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 -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: SRA COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVIC - UILDING DIVISION 7 County Center Drive - Orovilte, Calif&nia 95965 - Teleph ne 191 ) 538-754 PERMIT NO. APPLICATION AND PERM( 3 � 6"Z ASSESSOR PARCEL NUMBER 071-020-098 ZONING Fr -5 BUILDING PERMIT O NER Jack & Sharon Wall TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 5.3 42066 Via San J�ewis Rey, Eremont 94539 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $�j�iq Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 23.00 1 Justamere Lane Berry Creek PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. / SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 2 @20.00 140.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities CKInstallation O Other ElContractor Describe Work: MHU TT PERMIT FEE 1$ 60. 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "v, OR LESS ) 200A OR LESS 23.00 23,00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) S O. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification ^1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 RAL. @ 1.00 Ex. Occu FIXED APPWS. OR p (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said n cARCEI County is ence of the granting of th's permit. X Date ��� .3 Si nature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is reqred for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 146.00 HAZ• 1 D. FEESIMP `P FLOO C P Po I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q�—� WORKS L Date �0 (Oerel Receipt No. 143690 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I% S R COUNTY OFBUTTE - DEPARTMENT OF,,PE#ELOPMENTSERc ICE -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TEL PHONE (916) 538-7541 PERMIT APPLIGATION DATASHEET OWNER 041i1y�' �,�(( A. P. No. a zZ - d Z O A9'69 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 BY All items have been submitted . .........................!.... . of plans, 3/4 sets, signed by preparer of plans. ... F!' .................. T- 3_ omplete plans, 3/4 sets, signed by preparer of plans.. ' .................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood Engineer. .. ......... :: y ... .. d�bL 14. Sanitation and plot plan approval CaliforniaM/C Health Department. ............ :V# WOE, 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . D�19. Driveway permit (construction approval required prior to occupancy). .. .. .... 20. Pre -inspection for P`eI"spection request required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _)........... 2 . Recorded copy of Agricultural Acknowledgement Statement . ............. .... .� �6 Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....- 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ........................................ When you issue the permit, process as follows: Mail to owner. • Mail to contractor. Telephone and hold for pi ku§at. office. Deliver with inspector. Other - _ Parcel Creation�/ Acreage _ S Applicant ��/�X.,�� ate :;Zw�% Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire D pt. Other Date By The following data must be submitte prior to PnIr is an (Circ item t checked above). 1. Index permit for above items No: 2. Additional items required: Contractor, designer, owne as advised of above required data by Yphone _ mail Counter by<f- bate /C'"GG"L Contractor, designer, owner, was advised of above required data by _ phone _ mail ouby _ Date Plans checked by Date Plans approved by `Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance som04-'r4-r-4 (&�4- Ii.H. 11111 O\L ' I'Il.t I'i:ui /wa�Ps l_ Flour I'Inn Awichc Scut to 14.U�� /� Owner / Lotion ��s� ADN C,// I�e,� y, Plan Approved r: Scxva�e Disposal 'VVate Supply: Public Private Well Clearance for bedroom ( home. Other (,zJ1�2=L=L !r�� SI !`-�-e/�'�, Hold fiY4 for: Find clearance O.K. for: N "ronmental Health Speciatfist 8/92 ate 93 a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER U do (A JA (L A.P. # OIL Qw- 0 PROPOSED BUILDING USE DATE 7/2%� REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) .Residential ...... x =$ unit amt. Commercial (sqft) x =$ 1sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION -DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building DepartmentT At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE � • r V ' Rl 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 your signature. in your name and bearing 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 (yesorno) , 2. I (have/have not) -'signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name, ® Address City Phone Contractors License No. 4: I plan to provide* portions of this work, butI 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: Property Owner Social Security Number Date 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. RESIDENTIAL 071-02-0-098 93-3377 BPEM WALL, JACK & SHARON 155 JUSTAMERE LN, BERRY CREEK NEW SF 7/G_3 OFFICE COPY (i { Address I! GAS Meter By Date ELECTRIC /���x Meter By Date Address GAS .j Meter By Date ELECTRIC J Meter B -- Y JOB "FINALED (Dale) L% 4 % Slonatun \ V=OK T O = Not OK Not = Not Readyble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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-Connectors 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/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Main in Conduit 4 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test L V=OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Initials UND LOOR Plans OK except #'s 0 Z g -Setbacks -Easements -Flood -Slope g., Main; Soils-Elec. Grnd. Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.- Ftg. Depth 4. tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped A6 Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel % . D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test �,. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 11[jy13. Pienums & Ducts; Clearance -Material -Support -Ins. . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/lditials PLUMBING (Permit) OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Neil Protection D.W.V.; Test -Fittings & Anchor-Naii Protection .197'SFo'Wec Pan; Test, First Floor -Tub Access • 20Tst Tub & Shower, Second Floor -Tub Access /Y t2T. Gas Pipe: Size & Anchors Date/initials ELECTRICAL Permit OK except #'a tzrpxture & Transformer Clearance -Ins. Protection I0'. Elec. Receptacles Spacing -Lights & Switches at Doors Sze Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. �quip. Ground made up w/Meeh. Fastners-Bond Gas & Water Appliance Circuts in Kitch n & Conductor Size/GFI L&68 Subfeed Wire Size g . Cr AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / ga. orAl-Qven Circ. / / ga. Cu or Al. Insulated N * tral 1�es ❑ No %39�5� 'ce-Riser Conductors & Ground -Main Disconnect quip. Clearances Panels -Motors -Meth. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date/Initials MECHANICAL Permit OK except #'s Ducts Insulation & Support 09- Vent Fan; Exhaust above insulation -36. Condensate Drain & Overflow; Size & Grade urnance-Vent; Access -Comb. Air -Return Air Ven 115 0' tie is Access & Platform if Furnance in Attic Date/Initials FRAMING Plans OK except #'s .�,Slls, Proper Material & Anchors kl(0,3krffs Studs -Nailing, Spacing & Bracing -Plates -Sound 1. B ring Wells over Girders & Floor Nailing 2. Draft Stop in Walls (rat proof) 65 Fire Stops; Furred Ceilings -Stairs -Chases -Tub 04 --Headers & Beam -Size & Bearing Date/Initials i FRAMING (Continued) J;46. H ers-Post Caps -Anchors -Connectors e fig. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rina. tZjj�Cplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 1(4) Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions 'ST. Ppl5erty Line Firewall & Openings E.1 -Doors -One 3' -Check Garage -3rd Story, 2 Exits L5S.'SWMrs Width -Headroom -Rise -Run -Landing -Fire Protection . plywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer 56. e o es -Drip Screed -Fd. Vents-Underfir. Access W Glazing Area -Glass Protection -Skylights -Plastic 5 . ear Wells; Nailing -Bolts �9. Insulation{ Hff� jBetttngs-- �T 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Fxt. Steps -Door & Sidelight Protection -Landings ri6T S e Detector Furnace; Vents -Clearance -Comb. Air-Connector- ISarage; Above Floor -Ducts -Meeh. Protection RW7-& Bath Fixtures & Tub Access -Spa 1Ae_'Elec Trim & Subpanel; Breaker Sizes & Labels _V57-tairs & Rails a,6 emplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. mixt. & Appliance; Grnd.-AIR Gap -Cooking Clearance tPt.'Elec. Outlets & Receptacles at Kit. Counter g -Landing -Closer 7 e -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In arage; Above Floor -Meth. Protection . Ib., Elec. & Mach. Equip. Listed for Location eceptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation_Eaem=1_ooked in Attic ❑ Yea LZ&.--d_uard Rails & Deck Construction -Post Caps ��n. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Yes o; Walks ❑ Yea o; Planters ❑ Yes o Wish A. . Unit; Disconnect, Electrical, Plumbing LAW—Vents Above Roof; Pibg.-Appliance-Fireplace: Clearance to Openings MefWell; Disconnect, Electrical, Plumbing ,dderior c. Trim; G.F.I. Receptacle -Underground V ation Throughout House LA7'Glass Protection 88. Correct' s from Previous Inspections 89. Gal—Test-Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 91 nergy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SER S - BUILDING DIVISION 7 County Center Drive - Oroville, galifornia 95965 - Ter,T n (916) 538-754} PERMIT NO --"APPLICATION AND PER "�� �3�� ASSESSOR PARCEL NUMBER 071-020-098FR-5 ZONING BUILDING PERMIT 1 OWNER Jack & Sharon Wall TELEPHONE 533-5950 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1,672 R 90 288.00 348 C 49524.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 96 312.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 626.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .406.90 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 1,075. 155 Justamere Lane, Berry Creek PLUMBING PERMIT Filing Fee 20.00 Each Trap 9 7.00 63.00 Solar or heat pump water heater 23.00 Water piping 115.00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 1 15.00 19.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 15-00 Mobile Home S G W @2 TYPE OF WORK New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation C3Other ❑ Describe Work: New 2 Bedroom Single Family PERMIT FEE $ 143-00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "v OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00NEW OCCUP. p OR ADONS.T ( D LLIN&EACCG BLDS. ) 3.50 FT. 58.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) AL. 20 @ 1.0 0`00 Ex. Occu FIXED APPLNS. OR ( ) p' OUTLETS (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I)LI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 78,50 Contractor MECHANICAL PERMIT Filing Fee 20.00 HeatingDual Park(Gas� 15.00 Cooling Hood 1 6.50 6.50 Ventilation 2 4.50 9.00 PERMIT FEE $ 65.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou in con equence of the granting of this permit. X Date / %_ 0-9Z 5Q Sig ture of Applicant - 0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $46.00 GCC -yN CONST. TYPE TOTAL FEE $ HAZ- D. IM j Y FLOOD IV/ COp V PARCE PO 1/ H Iss This permit is hereby issued under the applicable provisions n the Butte County Code and/or Resolutions to do work inthe i above fo which fees have been paid. (MIRTOR OF PUBLIC WORKS By DateL�cT93 PERMIT EXPIRES ON O 9 ' (Oete) Receipt No. 15'3213 $509.90 PC//153195 $899.00 Bal WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • ''TM^ • ..•>.<,r•a r'ra...�,y ..�yy,. ��y.-,k.�„_a� A.nt ,ak , .:,�,:;�-�u.+l--.Ft/'r''`y,Y�e'r^..�,.t-..rr.-•'^.i-M ..., .. COUNTYOF BUTTE -DEPARTMENT OF EVE OPMENTL-TE V CES -BUILDING DIVISION 7 COUNTYt,CENTER DRIVE - OROVILLE, CALIFORNIA9596 PHONE(916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER AUL (A ) h411 A. P. No. O7/ _ b.20 - bcO Use Proposed Building Usd Building Inspector 100 Date /O 52 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets; signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehorpe data and manufacturer's installation instructions, 2 sets. . 0. s of pO . ....... (... .................:...... I mpact fees as shown on attached schedule.,�(�b Foc G1��,;.F.� ,} . ooF. 12. California Department of Forestry plan approval/fees. ....Q- ... ? I- IV Flo evation letter (100 year flood) by California Engineer. ..... . anitation and plot plan approval Oyu?tic Health Department. .... 15. City of Chico plumbing permit. ............ • ..='c .......... .. ... .. T- 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . �r t 19. Driveway permit (construction approval required prior to occupancy). ..Prey"gD O" `dor 20. Pre -inspection for required. . . to Building Inspee. .ctor (Gate) 21. Contractor's license information. (No., Name Style, Classification) . ............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ......... . —K— 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; ........... 7T 2 30. Documentation of 50% subdivision developed or (A) Road improvements completed�� and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. .. ............ . Ian check list. ... ..... When you issue the permit, process as follows: Mail to owner. Mail to contractor. )/ Telephone nd hold for pickup at 000i it C - office. Deliver with inspector. Other Parcel Creation .533 55 sa Acreage Applicant 4Date 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 submitte or t mit 'ssu c. ( ircl item not checked above). 1. Index permit for above items No. 2. Additional items required: 44 00 F Contractor, designer own , was advised of above required data by _phone _mail Counter b ate /Q Contractor, designer, owne w s advised of above required data by _ phone _ mail ter by _ Date Plans checked by Date a ZZ Plans approved by Date Sets of plans on hold in t"� File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER T PROPOSED BUILDING USE ' 8eo&wo, 1. SCHOOL DISTRICT FEES ( P� (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x -$ unit amt. Commercial (sqft) x -$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. PA i p 0 A -rPA1Lee- i,m; -f-- 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER A.P. # O?!- Oto- c --,,P DATE if z ( IL3 REC. # DATE REC C14006 3 p oz7 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. 2/A APPLICANT /,1 / 0 �W DATE 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) FS 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name' A/DAh=' _ 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: Property Owner _ 11-d eb_)a_0 Social Securitymber Date 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. 2� COUNTY OF BUTTE 'BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 --� - 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE a A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con ct this office immediately. p �''rG �� . / 6,01 - v "Y K4- /4-, „; �- ,, II,44/of - �- III ,-Z i.-. Date p Inspector REV 1Q 2 t./ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 ,— Y Couot*-Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE t OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 'I. the above address and should be corrected. Please notify this office when correction of work ..`; is comp ted. If you have any questions pertaining to this matter, or need additional explanation, plea contact this office i ediately. eR1 Z �0't 4 Date Inspector - REV 10/9 C (I 40 1V Insulation Certificate /_5S 3'u1394g,ey 6,eFjr Number and Streei city County Subdivision Lot Number • Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING B=orBlanket Type Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance (R -Value) 3 d Loose Fill Type RUM BtanriName American R_c wo oo Conttacur's minimum installed weight/ft lb Mtnimwn thicknen inches Manufacturcr's installed weight per square foot to acheive Thernal Resistattce (R -Value) EXTERIOR WALL Material Fiberglass Brand Name CertaInteAd Thickness (inches) Thermal Resistance (R -Value) RAISED FLOOR Material Fiberglass Thickness (inches) SLAB FLOOR Brand Name Certainteed Thermal Resistance (R -Value) Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL Material Fiberglass Thickness (inches) Declaration Brand Name Certainteed Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the buildirig at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Q �C General Contra= (Builder) I k=c Number Siptazum and Tuk Daae Hawkins Indu tries Inc./Shasta Insul. _ 650722 ( luttaller) lxertae Numbs .. Siputttae std Tido • �sP.��4t'�� .�� O -'fir 3 1� Installation Certificate: Residential. BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: CF -6R An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of,Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certifled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment heat pump, etc.) Model Number AFUE. etc. Location R -Value Sizing Stuh Capacity Btuh Energy' External • �: i✓ , . 0.(o3.O /# A Ar Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation CEC Certified (gallons Eff Iciency .Cooling Equip. - Compressor Unit' Actual Distribution Duct or `Type (air cond., Manuf. Make & Efficlency Type and Piping heat pump; etc.) Model Number (SEER) Location R -Value JL !fin ("X'- T ✓ i- S%NW , S ZQ. P- The building design heat loss and design heat gain rate have been determined using a method spec -died in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Part '6. Subchapter 2, Section 111. W 4/ Sign Lure Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner: THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. .0 JANUARY 1993 Energy' External Water Heating CEC Cartffled Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas. etc.) Model Number or Btuh) (gallons Eff Iciency Loss % R -Value 7 U . r _?3 -r 1,J L- P t GA 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For targe gas storage water heaters (rated input >75,000 Btwhr), List Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Part '6. Subchapter 2, Section 111. W 4/ Sign Lure Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner: THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. .0 JANUARY 1993 Insulation Certificate ' BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: Description of In tallation ROOF Material Brand NL Thickness (inches) Thermal Re; CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Res Loose Fill Type Brand Name Contractor's minimum installed weight/ lb Minimum thi Manufacturer's installed weight per sq foot to acheive Thermal Res EXTERIOR -WALL / Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material rand Thickness (inches) e Width (inches) FOUNDATION WALL Material Thickness (inches) (R- s=7R-Value) inches (R -Value) _ y Brand Name Thermal Resistance (R -Value) _ Declaration I hereby certify that the at the current Building Eneri California Administrauve Brand Name Thermal Resistance (R -Value) —" Name rural Resistance (R -Value) Brand e _ Thermal R list (R -Value) insulation was installed in the buildins at the above location in conformance with Ticiencv Standards for new residential buildings contained in Title 24 of the Generai Contractor (Buiidcr) Signantre andTitic e ivumoer Sub-Cuntractor (Insulation Installer) L;iccnse Number S ignature and Tide Date THIS CERTIFICATE MUST 13E PROVIDED TO TILE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 FEATHER RIVER. RECREATION AND PARK DISTRICT' / 1200 Myers Street S• (� 17 9 Oroville, CA 95965 (sxs) 533-2011 .� A,,/ AGMEEMENT BETWEEN FEATHER RIVER RECREATION & PARK DISTRICT ANDn, DEDEVELOPER(S)CO UND) OF0gP RE FOR:4 i. U pg93 MITIGATION OF DIPACT FEES Y ? Date WHEREAS, the undersigned are presently the owners of that land commonly known as AP No. 7 ? -.-e 29 , which is located within the jurisdiction of Feather River Recreation & Park District, near , the legal description of which is set forth in Exhibit A//attached hereto and incorporated herein by this reference; and WHEREAS, said owners propose to develop their said land, and, in connection with their �opment proposal, have submitted an application to the County of Butte for the following map parcel map use permit other (specify ); and WHEREAS, said owners recognize that the cumulative impact of development within the jurisdiction of the Feather River Recreation & Park District, including their proposed development, has created and is creating the need to augment the recreation and park services provided by the Feather River Recreation & Park District and has increased and is increasing the need for the Feather River Recreation & Park District to acquire facilities and equipment necessary to provide such services; and WHEREAS, said owners are aware that the Feather River Recreation & Park District is studying methods to provide funding to acquire such equipment and facilities by establishing developer fees, establishing an assessment district, or some similar, fair, reasonable and appropriate funding mechanism to finance such equipment and facility acquisition or to fund environmental and other studies as may be deemed necessary to determine the needs for such equipment and facilities, and said owners recognize that the imposition of such a funding mechanism or combination of mechanisms will benefit their said property and WHEREAS, said owners wish to mitigate the impact of their proposed development on the Feather River Recreation & Park District's ability to provide adequate recreation and park services but recognize that the Feather River Recreation and Park District does not at present have such funding mechanisms in place or other adequate resources necessary to provide such mitigation. NOW, THEREFORE, said owners do hereby agree and consent as follows: 1. Said owners consent to the establishment of such funding mechanisms, agree not to protest against establishment of the same,—and agree to pay their pro rata share thereof. 2. Said owners agree to cooperate and support the County of Butte in obtaining the approval of such funding mechanisms from other property owners .wi hin the jurisdiction of the Feather River Recreation and Park District in the area. 4 . 3. Said owners agree, prior to issuance of any building permit in connection with or related to their use permit to pay to Feather River Recreation and Park District impact mitigation fees in the amount of $942 per unit. It is understood that such fees shall be paid directly to Feather River Recreation and Park District into a separate designated Feather River Recreation and Park District fund limited to use for the intended purposes of mitigating impacts on the Feather River Recreation and Park District and providing equipment -and facilities for the Feather River Recreation and Park District. .4. In consideration the foregoing and other good and valuable consideration, the undersigned owners expressly agree that the foregoing shall be an agreement running with the land and shall be binding upon their heirs and all successors in interest. Date gnature U. � cx) H 4AS L STATE OF CALIFORNIA: COUNTY OF BUTTE On. --7 , 1999 before me, the undersigned, a Notary Public in and for the State of California, personally known to me, [ ] proved to me on the basis of satisfactory evidence to be the person(s) whose names -are subscribed to the within instrument and acknowledged that they executed the same. WITNESS my hand and my seal. 0BEES NDOBERM MEBO1DIM®080HES® 2 DANIEL F. HUNT N' NOTARY PUBLIC -CALIFORNIA 13 Butte County My Commission Expires OCL 1, 1994 c� SWL/jcs 06/93 0%11ULUltC V1 V1VL4t1y -tom t i - A,.r� -- Name (ryped or Printed) FRRPD Authorized Representative 2'_ e --'7S Date Return to euildlN9 I V= AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 3- 4 4 6 8 8 FOR RESIDENTIAL DEVELOPMENT Section •26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land _or included within an area zoned. 9:3-044688'1 Rec Fee 5.00 for agricultural purposes, and residents- I Cash 5.00 of -.this property- may be subject to. incon- Recorded I veniences � or. discomfort arising from the Official Records I use of agricultural chemicals, including, County of i but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations-'' including, Recorder I but not limited to cultivation, plowing, 10:19am 12-0ct-93 I PUBL XX 1 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 discomfort from normal, necessary farm operations. �j All 'thdt .real .-prvperty.`situate -in . the County of Butte, State of California, described as follows: �i9.e C'E� � ..¢- s S�/ow•�/ � �ci' %/�/,� T CC--� /i� � •� � � ccL /%� jo oTv /, %yam 7 UiciD� •� /,� ©7 e�,9.e �cc A,Fw-- 7/- �'` - �f/ G" Date: PROPERTY OWNERS: State of i County of t CAUr•O)UN A At t-PUIU1osE ACKNOWLEDGMW- ' State of California) Optional Section County of B to ) Capacity Claimed by Signer nough suiu�c Jon not rtr♦uire die naary �o fill i.. On 199 before me, JUDTIH M. MLLIAM5 we d— W...eoina so may t.K i�.•�ivaei. a Notary Public, pers nilly appeared: ns seiyins on we d—n—c. INDIVIDUAL ] CORPORAII. OFFICER(S) [ ]personally Known to me OR.proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/arc — 9�1�R��t�N,��/•\\�Ae���p�� subscribed to the within instrument and Title( acknowledged to me that he/sheAhey (1 PARTNER(S) O LIMITED • ' JOWH M. VWiLUAMS ® executed the same in his/her/their authorized [ 1 GENERA' • •.�[ 1 ATTORNEY-IN-FACT eapaciry(ies), and that by his/her/then NO ( 1 • RUSTEE(S) NOTARY PUBL(GCALIFORNlA signature(s) on the instrument the person(s), ( ) GUARDIAN/CONSERVATOR k �' `-�wt, suft CAUf)1y or the entity upon behalf of which the �q person(s) ( ) OTHER: [ NAI; �tm1S mE1t�1f9 MafCh11,1994 a P (s) acted, executed the instrumcnL { ; SIGNER IS REPRESENTING: N=c of WI IHSS doffic' cal. SIGNEPvsoREPR EnciSENTI Signa otary e THIw.m-mm� OPTIONAL SECTION S CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT THE DOCUMENT DESCRIBED AT RIGHT: Present A.P. No . NUMBER OF PAGES: _ DATE OF DOCUMENT fe eould P,e it fraudulwe aaad—t of this form. SIGNER(S) OTHER THAN NAMED ABO �JtMll1_4/� YVV \0a�li�ioi COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Jack & Sharon Wall*- DATEAugust 9, 1993 42066 Via San Lewis Rey Fremont, CA 94539 RE: Building Permit Application #93-2407 Dear Mr. & Mrs. Wall: A. P. # 071-020-098 With reference to the above subject: L1 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 /XXX 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: 1469 Humboldt Road, Chico 7 County.Center Dr., Oroville Skyway & Elliott Ad:, Paradise. Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing XXXX Recorded co.py of.agricultural.acknowledgement statement. XI OTHER 1. Plot Plan is not clear enou scaled plan. to plan check. Please- submit clear Should you have any questions concerning the above, please contact Dave Wasney of this office., between 3:00 and 5:00 pm weekdays. Yours very truly, William Cheff Director of Public Works JFG/aj /,J.F. Glander 1 -CDF FIRErSAFE REQUIREMENTS' 071_ o zo - oaf 513 280'7 l,Ua.i1a Skaro - v v AP # PERMIT # NAME Under authority of PRC 4290, the following checked items are required.,r by the Butte County Fire DepaKtment and are made a part of -this:' permit. These requirements are minimums and will be superseded .-b''.t Butte County local regulations which equal or exceed these standards'."'_-:' - Field inspections will be made by the Butte County Building Department:;:; for compliance. [1272.00 Maintenance of Defensible Space. To ensure continued' maintenance o.f properties in conformance with these - standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. - Driveway Standards [W1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway be,&.;bt`shoulders) shall. provide unob- structed access.-- L - .conventional drive vehicles, includ- ing sedans and fire.* apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius. [I�f 1. No roadway shall have a horizontal inside radius of - curvature of less than 50 feet and 'additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius;.2 feet to those from 100-200 feet. [� 2. The length of x:..t ical curves..in roadways exclusive of gutters, dit':es and drainage structures designed to hold or divert water shall be not less than 100 feet. [1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long -with a minimum 25 foot taper on each end. [4111"" 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its -entire length. • r Page .1 of 3 1. Gate entrances shall be at_least two feet wider than the roadway it serves. L ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [� 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the. center' of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See _/ Other Requirements below. [tel 1276.02 Disposal of Vegetation and Fuels. Disposal, includingy chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and .._r -t a=Q caused by site development and construction, road. and 'driveway construction and fuel modification shall'be completed prior .to completion of road construction or final inspection of a building permit. Page 2 of 3 0 :y C 071-070 -09g 93 y -o 7 Itilatl `� ` QCK AP # --� d JVi Ct'd h PERMI,T # t� NAME '*. [ ✓j/1273 .10 ` 7 Turnouts . Driveways exceeding 150�.,in. Length;-",': less than 800 feet in length, shall provide a -turnout ` near the midpoint of the driveway. Where a drivewa" exceeds 800.feet, turnouts shall be provided no M'0'-`l�; than 400 feet apart.. [1273.10 Turnaround. A turnaround shall be provided at all:: building sites on driveways over 300 feet in length and, shall be within 50 feet of the building.. 1273.11 Gates 1. Gate entrances shall be at_least two feet wider than the roadway it serves. L ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [� 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the. center' of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See _/ Other Requirements below. [tel 1276.02 Disposal of Vegetation and Fuels. Disposal, includingy chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and .._r -t a=Q caused by site development and construction, road. and 'driveway construction and fuel modification shall'be completed prior .to completion of road construction or final inspection of a building permit. Page 2 of 3 0 071- Coto — MR 93_24107. y AP# PERMIT # r a' Other Requirements [ ] If' Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less.Than 15 Feet Choose any.3 of the following: Metal doors on side toward property line with insufficient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D -.Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco.- 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials V2- L3 Date Signat e 10 cq Wall [ ] If Building Setback is Less.Than 15 Feet Choose any.3 of the following: Metal doors on side toward property line with insufficient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D -.Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco.- 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials V2- L3 Date Signat e 10 cq f y$ 111 a, _ ..- BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM r. (One Form Per Building) ,. School District � `/ Gam! Building Department No. A.P. Number 0q&' Jurisdiction City County Property Owner Property Location/Address Subdivison Residential Development Az No.df'biving Units rG ��4 e 2✓/✓ t'/�c Lot No. 0 0 Sq: Footage 7.2 MHI —'----Addition --Addition _-- • (Group'R) - _ Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date a-:.-��_^_-cadewed�y School District Personn, el`' strict Identification No. 940063 School District certifies that JI,. (Applicant) (Street A�dress) (City) / / (State) (� has complied with the requirements of Resolution No. representing / square feet. School District I (Phone Number) (Zip Code) LO payment of $ 4�-'m o Date Paid by Check Number Remarks: Bank Number Paid by Cash If, sub equent to the School bistrict Representative s gnniing this Butte Cou ty Schools Impac Fee Certificati��Form, the School D' trict is notified by the Rplicable Local Pla ing Agency that is projec is being review@d under the Califo is Environmental Quality Act (CEQA), this�roject may be sub'ect to \ White (applicant), Yellow (building department)`Kink (school district) feeformmkf RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) 3-3-77 Bldg. Permit # OWNER W,4 A. P. # %I -O Plan Checker --22).::f /0-y2;:9& GENER lv /AL ing requirements: (sideyards and number of permitted living units).6 r TO (-9 24 --'-Valuation. fzcMov6p -1 ans signed by designer. 4.,,Prop description of work on application. sting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ed not -ice of violation. 11.' Complete parcel size and dimensions. �tbacks, sideyards, easements, etc. 3-70'Eher buildings or structures. 4v/5ding, fills, drainage. So -'Flood hazard. 6 Special conditions on creation map, (noise, CDF, ustible, and foundations). FAU & FAS road setback. fire sprinklers, non -comb- . Building or utilities across lot lines (Record form). FLOOR PLAN-- 1. C ete to scale plan with dimensions. 2. uired windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). hts (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). 6. Rgq.uired room sizes, ceiling heights (Sec. 1207). GF in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- .nce of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or as equipment. age firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 exterior exit door (sec. 3304 (f). 1/�rfeplace and.wood stove location, alcoves, and clearance. l Smoke detectors (Sec. 1210). 1/,71—,44fixtures, water closet clearances and shower size.. STRUCTU-RAL DETAILS . Standard bracing or engineered design (Table 25V) mal shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. V��Mn'datio"n estory building requiring engineered calculations and plans. plan complete enough to construct building. r construction details complete enough to construct building. 7. Elevations and wall construction details complete 4 ----Roof construction details complete enough to p ace construction details and calcs if 1��ter ties or bearing ridge beam. 1 age door or porch header sizes. 12—.'Stud heights. 1 Adobe soils - special foundation design. 1 Retaining walls requiring design. 1 Special Inspection required. enough to construct building construct building. necessary. E�I 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK.OUT FOR 14-1"Stairway details: landings, rise and run, head clearance, handrails 2 Sc. 3306). Guardrail details (Sec. 1711 & 3306(j). k=ems' stone veneer (Chapter 30) . "t7�: �roer plaster - weep screeds (Sec. 4706). oofpitch for roof convering (Chapter 32). 6 oof covering type - (fire hazard). 2_--FeaHi--4nsulation - protection. 8x36" halls and stairways. area over garage - complete 1 -hour separation required on garage side inc ding supporting walls and posts,,.etc. o exits on three-story dwellings (sec. 3363A see Mezannines - 1716). tic access and ventilation (Sec. 3205). 1 Y Underfloor access and ventilation (Sec. 2516). 1 Combustion,,air for fuel burning appliances - L.P.G. requirements. Ve requirements on duplexes. lEtsrgy design. 1 Flashing at all exterior openings. ly/CDF responsible area requirements. r P/G ti 4 1111410 BUTTE COUNTY : BUILDING DEPARTMrzNj APPROVED 00 °fid '`� Tj2A116 1-79A 1 LES 0'6, 9 DSO=- All Tdsteriate WorkmaashlP ftO 130 TIL Two art of Aoe�rdawith B cognized Good PraOU089 and . 1 m�t8 t1 s 1 Rtf8T % nce l�pt on the job at cell times and it is unlawfbl to of a ( 1i�9 Prescribed for th® Specified use a aRY o2angm or alterations on somw without in the Uniform Building, Plumbing & Mechanical vltten permission from the Department of PubHo : -00des' and the National Electrical Code. OSPkB, CounW of Butte. /t/0. 4 RECgR LS 4zo2 FD. ND. 4 kEiW L S 4ZDZ N 8?'* 53,11 '.' W Z 14-7 515 - Q = 34--0,5 ZO � N3¢`05'Zo = ?7.35 The attached Fire Safi-- "� (• Vrequirements must ' 0 be oomp�e •� Z as specified and approved by C.D.F. ' t� _ �� 1 .. ��• ALL STRUCTURES AND EQUIPMENT INCLUDING 60 R/W PE,e rR OVERHANGS SHALL SEr,CLE„R OF ALL. EASEMENTS. r r A SET BACs OF O F'1: r R%1 THE SIDE SAND ' �/ ; ' '� �a FI'. FROM THE REAPS i~1�®BERT V LINES AND 447.88 (ie,) r i z S 62, 04 ('K, '— °' ' -fir. FROM THE ROAD CENTERLINE SMALL BE a �, ROCKER f _ / ! N CLEAR_OF STRUCTURES AND EQUIPMENT EXCEPT �l ROA � c j j MA A a .EAVE OVERHANG. 1' i o `' Z o g 7Z ' ti N l 1(1qJ o0 5. 3 o •_, ---- ---- — — — — E /¢ COQ IV 88 4T Z 9 RN/ �PER 77 M 9/ (o0',e/W SER R, SE C. C '/4 COR. Z _: SEC. 2 �R,) TIMBER SPRINGS ROAD �p c 5 � ►�/ 14 5' � C,� Mandatory Measures Checklist: Residential NOTE: LO -rise residential buildings subject to the Standards must contain these MI' -1 R listed on the marked with an as Certificate of Com (') may be SU measures regardless of the noted shall be considered b pltance. When this Checklist by more strip compliance mandatory measures whether Panies as bindingddist is incorporated into the gent comPl,anOe minimum com Permit documents, hefeatures requirements Y are shown elsewhere in the rine-Umo performance specifiratinn the features DC3Gt NON - �'monts of on this checklist only- 13 nly.- for the 13ullding Envelo e P Measures DESIGNER P SON: Minimum R.19 ceifing insulation. ENFORCEMENT §150(b): Loose fill insulation manufacturer's labeled R•Value. §I50(c): Minimum R.13 wall insulation in framed walls (does not apply to exterior - §ISO(d): Minimum R•13 raised floor insulation in framed fl mass wails). §150(1): Slab edge insulation - cors; minimum R-8 in concrete raised greater than 2.0 water absorption rate no greater than 0.3%, water v ased Boors. pernvinch. §118: Insulation specified or installed m ` transmission rate no Indicate type and form. eats California Ener §116.17: Fen 9Y Commission quality standards. Fenestration Products, Exterior Doors and Infiltration/Exfiltradon a Doors and windows between conditioned and unconditioned s b. Manufactured f Controls C Exterior tone products have label with certified Paces designed to limit air leakage, doors and windows weatherstriPped; all joints and U -value, and infiltration certifi §l�(91: Vapor barriers mandato Penetrations cation. mandatory in Climate Zones 14 caulked and sealed, §15Q(0: SPedal infiltration barrier install and i6 only. §150(e): Installation of Fireplaces ed to comply with §151 meets Commission 1. Masonry and facto Decorative Gas Appliances and Gas Quality standards. factory -built fireplaces have; Logs a. Closeable metal b. Outside air ior glass door ntake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbin §110-13: HVAC eduiPment, water heaters, showerheads g SYstern Measures §150(1): Setback thermostat on all applicableand faucets cerfified heatin s by the Commission. §150(j): Pipe and lank Insulation 9 Ystems. 1. Indirect hot water tanks (e.g unfired storage blanket (R-12 or greater) or combined lite opt ater,or insulationks of 2 First 5 feet of ibackup solar hot water tanks) have ,nsulation 3. All buried or ex Pipes closest to water heater tank non-retir (R• 16 or greater). 4. Conlin posed Piping insulated in recirculating culatlng systems, insulated Cooling system piping below 55°F insulated, slating sections of hot water system. (R•4 of greater). 5. Pining insulated between heating source and indirect hot water tank. §I50(m): Ducts and Fans 1. Ducts constructed. installed to a minimum instated vale and seated to comply with UMC 2. Exhaust fan systems nave 2 or ducts encl Se withi 1 on and 1004: ducts insulated 3. Gravity backdrah or auto enclosed entirely within conditioned space ry venuiaono systems servinguratic dampers manually operated d conditioned space have either automatic or nasal surpass., §114: Pool and Spa Heaun accessible, I. System is g Systems and Equipment no eiectric stn 78%Iherma, efficiency on -ort switch, resistance neauno and no oilot light weatherprool o 2. System is installed with: Aerating instructions, a. At least 36' Ptoe oetw b• Cover for outcoor is o filter and heater for future solar heating. 3• Pool system n DOots outdoor spa. az Ct/eCpbnal innll ets any a circulation Dumb time switch. §115: Gas-iireD centra! furnace. continuously bunno p,ior,,pht. e. PPS l he ter• spa neater or ho Non•e,ectri ing ap d cooking appliance have no Lighting Measures col cooking appliance w,rh plot < 150 • §150(k): do lumenswar, cr greater for 6twhr,) recessed ce,iing fixtures tC ; Create,on general lighting in kitchens and ' coven approved. rooms with water closets: and COMPLIANCE STATEMENT Thiscertificate of compliance lists the buildir>g features and - " onsCode .Regulations, and the administrative pertormartce sPedficabons needed to com ns ovens design um that responsibility. When this certificate of �m'mptement them. e� Title been signeddbbyltfarid 6, of any shading featlue that is pliance is submitted or ace iniglete Designer or Owner vaned indicated in the Special %flit eyRemarks sectiorL . building plafl to be bout in multiple (PWr aualny 8 Profeiiy�� Name: Cade).. rdatF-rm. Documentation Author - Name: Address: Tidallirm; Telephone: Address: zc r Lic. t: Telephone: (signature) '61 _ ^ Enforcement A gency (date) ( nature) Name: (date) Title: Agency: Te,epnohe: isr9naturerstamp) 01111111110— (oate) CertiFcatQ of COmNlia,nCe: Residential - PrejectTwe Climate Zone 11 l Prel I Address Build.P t�� Documentation Author BF Caedced B0 `Z'� Telephone Y / Date BUILDING DATA F"rO'O4" Agency Use Only Conditioned Floor Area Fenestration Slab/Raised Floor AMU) Number of stories . Area % U) Number North Single Family Detached (SFD of Units East Z� ] Single Family Attached (SFA) [ ] Addition.Aione` South [ 7Multi-Family (rg) [ . ] Existing Building West [ ] Existing-Plus-Addidon Skylight B UII,DING SHELL 1NSULA:RorrTotal • d L - Component Insulation . T e R-Valuet�ormme.- xis (at1Qc, ea'=r1, etc j Roof ......... 30 ... _� ora e. Roof.......... Wall.. ............ Wall......... Floor .' I Fl.. Floor •: •. •... •. • �`�=-:-rZ �_ r SIab Edge...... !- - FENESTRATION -FenestrationShadin Orientation Asea Type IntShading Devices $in d erior Morch ( North ( ) oubte) r.oller blind etc.) Manor L (sh,.de�,an, eta.) Overhang Framing �W East O) (metal/kv�) East South--� —�tL SOUL',(.� �_ West ( ] West ( ) _ ------- ---- SkyIight....... �- THERMAL --� MAS- TyPe/CoveringC� (.srabiexmsed. tile, et AreaThickness inches WILDING DEPARTMENT Locatio NDesCTIDtion kitchen, bath Ii VAC SYSTEMS --`— Type (furnace. air Nfinimum Duct conditioner, hail Efficiency -. DutnD) (�uF,SEER, Location, HSPF) (aWC. , Duct etc.) U -% Q ;'—'! C R��� Thermostat Heat "pump • ---- � � — S�T'i��� IL + � (S � � • nr n-+�.t. Alt IIOT WATER SYSTEMS Svstcm T (Stora a ¢ as' ew.) SNumber Tank Ca acity EnerR Value • S— ��Ad v Factor 41t SPECIAL FEAT —�� _ D '�3 _ D' UIZES/REMARKS Z 11. Cooling System mess Ratio) With Ducts tiasetl on Shatle Eftecw Houses Heat Gain ( skYtlOM SEER Sum of 7.9 7. Fenestration H WM .66 to .b to 16 cr Houma sme Aa)usaneat •East South 67 .52 .51 .67 glen Pdt9 •25 or •24 to •14 to +5 .t 5 more Point Scores tiORh 67 S2 .51 .87 or a AC AC less i5 5 0 0 House Sae In=1 87 -.fi7 .52 51' _.87 .67 .52 .51 .87 to or a to .6 0 0 p 0 1000 Climate Zone y. 66 less more less 10.0 9.7 2 2 1 o suotata► lis Point System Summary: to to a 10 to a 10 less more .86 a 3 to f... �^ °r more .86 .66 less more .86 11,0 10.7 1 WaterMeaon9 then 0 estr+ more .B6 .66 less 3 0 pqM Score 1000 ta99 uth .12 •36 .-32 23 •16 •75 •SO 120 11.6 8 6 6 a 2 0 -30 5 U -value [0.028] 4 3 2 _ •21 20� 1 s�.1�._`' 19 .16 3 g 11- 27 4r3 --t 6 GS =d --43.0-12 6 i t 9 8 5�2X17 4 1, Ceiling insulation - a►ue �� 1B.. 5 38 14.0 13.6 13 Il 0 •25 to y 4 -13 to .21 .23 •16 .11 -55 g 6 2 -11 -4 -2 .1 18 •16 .16 •14 'to 7 26 •8 46 .31 14.6 1 or - /� 16y. 18 •13 15.0 6 12 .2p U -value [0.065, V/ 14"� .4 -3 .2 -1. 1a •13 •t1 •6 -12 •11 _7 .3 21 -d1 -28 Effective tS -9 3 2; Wall Insulation R -v ue i -1 b -5 .3 •19 -16 -11 -7 -t0 -0 2 12% •3 -2 -1 0 10 •9 7 6 10 •14 .9 fi 17 '� (SEER x duct efficiency) r Of •_�- 2 •1 •S .7 -4 2 16 •8 5 •32 •22 Sum of 7.9 S 0 .1 3. Raised Floor insulation U.,ryue10.037J 11% z 0 -8 -8 6 . •3 1 14 .-12 0 R -value [t9[ 1 4 2g 1g EH SEER .4 to ,b 10 16 or p 0 107. •2 .1 5 d � 5 •t0 6 25 or •2a to •14to +5 3 2 0 7 •7 0 11 -15 -5 .i 5 more S B 2 •1 1 0 6 .5 -4 a 2 0 •10 g 5 3 2d to AC PAC less t0 4_ Stab Edge insulation �Y� of F2 rix ( j ace? (Y / N) M v �• a ° t5 g 3 1 1 ' 4 .4 •3 •3 •3 $ 7 = .z .20 Any putts in Unconditioned Sp 77. 1 1 0 0 'S z i 0 5 3 :1 .t6 •12 One Story House 23 •17 11 11 • 0 4 .4 3 2 3 1 0 0 6 4.9 29 -9 .6 -2 0 20 14 4 5. infiltration Su�_ ,% ..1 •1 0 .3 .3 .2 .2 1 .4 2 .2 01 .9 •10 5.0 .16 13 -1 p 25 5.8 LOSS Y _value 065] To es. 161 Qy ° 0 p 0 2 2 0 0 p 0 1 2 0 2 5 0 7 B 1 p 0 0 0 0 g. Fenestration Heat T� u t ° .1 1 0 3% 0 0 0 0 p 0 1 2 .3 2 8.0 0 0 0 0 1 0 p 0 0 0 1 1 2 0 0 8.1 T.9 2 1 0 � 0 0 0 1 1 1 1 1 0 0 0 0 3 3 3 3 5 4 3 House Str�e Adjustment 7. Fenestration Heat Gain Eff• ,fie F s, Shade Elf. Rib I% 1 1 1 1 o p 9.0 8.7 7 g ' 3 t ° ase size Itt21 % Fenestration Sc� �" = /� _ �+-- 1 1 1 ' i t 1 1ao 9.7 9 7 d z o 7 (/� °x 11.0 10.7 12 10 g 6 2 ° �iptOtal 1500 ADO° North r X = 2 S stem is 12 3 0 East X o �+ 8, Interior Thermal Mass 10. Heating t t2o tt•6 14 10 6 rH, ,q t0 a E2S Houma W ith Ducts (R.32) 13.0 126 18 re 1999 more �•�-� t 1 7 3 ° pant Soo South X = ! ytethod A (Slalson-8 Construction Only) Sum of 1 6 14.0 13.6 20 t7 12 8 3 0 .30 ° 1 Three 4 .14 +6 16 15.0 14.6 22 -25 0 2 X Percent one Two Stories Gas Split H of 2 to to to a Two or Three Story House 20 A3 -5 p0 -2D C 2 West a �� ( story Stones AFUE HP HP °f to 35 27 Skylight _�-- X �- Eaoosed 2 .1 i sPF t1SPF less -15 5 �p5 Ore 6 0 5 8 21 17 .� .t -2 ° .iG o 1 f S .3 Overhangs? Y / N) �.� 3 ° -2 -1 '1 7r- 6.8 6.6 • o - ° i p o 7.0 6 6 3 -2 1 .1 0 s o ° -------- r.,. 10 p p 1 0 or Int Z0 0 1 807. 7.0 6.8 4 3 2 2 1 B.0 7.8 0 0 0 p 0 0 0 0 S. Interior Thermal Mass X �EPSIab 1201 Su- 1 1 85% 7.4 7.2. 5 4 3 1 8.7 B.4 i 1 0 0 5 ° 30 3 2 1 g0% 7.8 7.6 e 7 5 5 4 2 9.0 8.7 2 1 4 2 1 ° 5 ° 1 40 2 11 9 7 0 9. Exterior Wall Mass -ww _ 50 6 3 2 95% 6.3 8.0 7 4 • 2 10.0 9.7 6 5 6 4 1 15 0 -2 Zoria�troCon I 100% 8.7 8.5 13 11 9 11.0 10.7 10 t0 7 5 2 0 2D 0 -2 �% X 1� ElfecbYe PFUE sunent [Ol v' C0 4 2 �ective AFUE or HSPF 120 11.6 13 2 025 10. Heating System �sDuct Elft. [1 story* AdN 70 6 5 3 0 AFUE ar HSPF 0.83: 2+ sto :0.881 or H -� 8 3 (AFUE or HSPF x duct ettldeney) 13.0 126 16 12 9 6 [7gy6 or 6.8 �,/ 14 10 6 3 9 6 Sum 011 6 1a.0 13.6 18 16 11 7 3 0 r X E1teGbv6 SEER 2ona4t�anttol 90 6 4 Effective OuetEttie (1 start• Adjustment(Ol 100 10 Siert pkg •25 •24 -14 -4 +6 1B 15.0 14.6 20 11. Cooling System 10.0 Gas to to to or SEaR [ 1 0.81:2+ awry: 0.87j Method B AFUE HP HP a to +5 it5 Moro Zonal Contras Adjustmeat Ramal Floor � asPF less •t5 5 6_ 5 4 2 1 0 int Slab Floc Stones �l - 12 -Water Heating D • �InF; stones T,,,O Three One Story House -53 - •2s -16 iZ Water o� H N o �-�� Ois>rtbubon one Auxivary input [STDi !� iCFA One Two Three p 33% 29 28 22 -16 -10 W / HealingryaSystem 1 En Y FSO E[Novel 8 �i '1 -1 3.5 3.4 d0 34 •26 _ o wassaaTf �S� erg [121 _��. -11 .19 16 •7 s He`St,5 y 10.531 0.0 •7 -0 0 ° ° 507• 4.4 4.2 13 12 2 -1 PA= "OM �� Die�vibu�nor+ 01 •10 5 1 1 1 .4 -4 3 No TUrnr Auxiliary input 0.3 •9 .6 •4 2 2 2 60% 5.2 5.1 0 0 0 oemd System 2 ----� Ext Ins. R -value -8 -5 5 64% 5.6 5.4 6 ° a 3 2 1 Water Cfunata r POU tit tan Vie[ Energy Factor OS s Fame 1 -0 -S ° Heater Type l point Total: �- 1.0 6 a -1 d G 8 707. 6.1 5.9 9 7 Hemer7voel IaneS OS3 3 _1 1 6 6 6 8 13 11 13 11 8 5 SG50 0.67 6 .4 o. S _ _ �S 7.0 t 2 Zo .z 2 4 8 9 g 90% 7.8 7.6 19 t6 17 13 10 8 8 11 9 p 4 8 5 9 9 to to°% 8.7 8.5 24 20 _1 -12 7 -2 a Insulation 25 1 31 -1 4 4SlabEdgmberofStones 3.0 3 6 7 13 13 13 Two or Three Story e.58 48 37 26 15 sG75 0.68 •3 6 5 's Insulation a 6 14 t4 14 33% 29 28 .39 •32 .24 .17 -t0 0.68 7 10 8 •1 3 7 1. Ceiling Number of sto;eS Three`- R-Vtue One T Three 5. Infiltration (Duct Air Leakage) 4.0 4 6 8 4o% 3.5 3.4 .16 •13 -9 5 41 42 -19 p 50 7 g 15 15 15 50% 4.4 4.2 -24 .8 .3 -2 All 087 -1 -t2 .13 •38 •?8 -16 0 2 Ducls m Unconditioned Space 3 t>0 5 16 16 16 -9 8 6 0 SE 0.97 •i7 -o R -value Ono ' . �:... •27 ' r [ ! + R-5 6 4 2 Pio Duos in Uncondrttoned Space 7.0 8 9 11 t7 17 6g% 6 0 5.8 0 0 p 0 •'-pa- R-0 tLBD 2 S • 3 ...n. 4 •2 7 8.0 t8 1 1 IG -21 •12. . R _5 -1 0 R-7 707. 6.1 5.9 2 097 _ . .. 3 R 30 '1 0 0 6• Fenestration Heat Loss 0 '`a ...6, 3 ,E 5. .t 4 80•h .7.0 6.8 :;9r:,:,8:<.',10 - .8. btt.t3.15 180 4 7 S R-38 ° U vdue 4t 36 .35 al Mass `7.B "7:6., 15..: <,17. x,14 11 8 4 HP ,ie A�ttar7 (-r°due 56 51 46 907: 7 76 71 66 .61 to to a 9. Exterior Wall Therm multi toox 8.1 9.5 20 Two water Batas - .7 4 .6 •17 -12 2• Wall Insulation to to to-- SinglB single Family oS7 8 1.31 1.21 1.11 1.01 10 .8o to to 10 tod5.,....a0. _-less - F� Zonal Control Adiustmem SG50 1 S 7 t Single- Total 60 .:^55• 50 -- ... ��a Family 0.53 2 7 Singes to to 10 80 -75.°.,_70:..-65__•-z7 2d 20 17 •13 -10 Wall 10 9 •2 Family Farmly Percent or 130 1.20 1.10 1.00 .90 Detacned AttaCted System Type 1 0 0.77 li .11 -22 17 12 AM ned Fanttty Fenesu=on more •62 55 •4 •41 34 .22 •t9 -t8 •13 11 $ 3 Mass 0 0 ° Resistance 6 4 3 2 p48 12 -0 -1 2 2 1 i °� SG3 o.68 •1 1 0 _ .t 1 0.00 1 1 6 R.value. Oe>actted �3 Soy. .100 °•76 �9 •27 •25 .t2 -t0 -7 'S • . -57 .7 .58 -52 .47 41 .29 .25 2'Z •20 17 ;5 -8 .6 .a -2 0 0.20 3 5 a Omer 3 3 .. o.68 6 9 7 .1 6 R.p aoy 7 6 .� 4g ser 39 34 -19 •17 -15 13 •7 .5 •3 -1 1 0.40 7 8 6 Insulation _t4 .19 R.1122 -4 3 15'b 54 .4p -36 -26 .27 -25 -� •15 •13 •ill .� 5 0 2 9 10 Adjux�enc for N�� of Water SE A9 °0..843 .1166 -7 -12 •39 •28 15 R.13 F6115 .4 3 .2 30% SO 36 -32 18 1a 13 it 2 1 3 0.80 12 9 Twe t 0.80 9 12 one AS 0.60 3 R•19 0 ° 1 267. 'u 33 _ _29 � .19 g 16 12 11 :� S 3 Z .2 1 ; 5 1.00 1� 13 to water r+e�ner Tvoe 2 -6 :G 93 21 12 .10 s o 1 1 24% i1 � .16 .13 -10 -8 -1 1 2 14 11 SG50 i 1 3 1 Ft•21 .36 -25 .� •19 .a -2 a 6 1'� 18 '3 •9 E � 1.80 221, t1 -8 •6 -5 1 1 2 3 17 13 SG75 ,5 tr1t,13.t5 20X 31 .22 •19 .16 •13 1 2 1 4 6 7 1.60 21 HP 3. Raised Floor Insulation .4 3 2 18 1a SE -2 insWzoon in Float 18% 27 19 14 t2 -10 .13 i8 •6 . -3 -2 � 2 3 s 5 6 7 9 1.80 2 19 14 HP 16% 9 7 5 3 -1 4 4 5 6 7 8 zoo Number at stones 10 Three 14% 18 11 .4 2 -1 1 2 3 5 6 7 8 8 9 11 R -value 014 Two 5 12%% a - t 2 1 1 s 6 6 7 7 8 8 9 9 10 R-0 -2 -1 -4 0 1 2 1 R•11 -3 0 0 V. 0.10 0