HomeMy WebLinkAbout072-061-0029
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a
y
y A.P.'r MARIS P
JACK MYERS 72-06i- , Paul ______ 1909B
e/s Mt. Ida Rd. at end of pavement, !jP--0� � — � 1911E
Oroville
CONTR: .Mountain Dev. Co., Oroville
Permit .2390-73B,P,E,M ''}} -�� n� '
(new single family) d�v,.l�' �--/GI-%3 w/s Mt. Ida 1/3 mi. no. of Oro-Forbestowi
--. _ � Oroville
�y 72-061-2 • y ,- CONTR: Ladd Cors truction, L�la3 Oro Dam BIL...
CONTR : Mountain Development Co . , = Oroville
Oroville
Permit #-,W66-75B,E,,M(,add family
room SF)
-23 0
02
IVAN G. MYERS_
210 Lost Horizon Drive, Oroville
fPermit#387-84B,E,M(addition/SF)
o
1
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PERMIT NO. 6486-75B,E,M
13
HGalaxe ar
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/1A urK. / Z,3
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`MH UTIL.
PERMIT NO.
PERMIT EXPIRES/flti
`
tOWNER — Jack Myers
i
CONTR. __ Mountain Development Company,OrO.
LOCATION (A.P. 72-061-2 )
�E/S Mt. Ida Rd., at end of Pavement, app.
11 mi. N. of Olive Hwy, Oroville
t
A�
r
•jJO
ft �
4
Temp. Power Pole
Called PE
Tempc. Se v.
"
•
� CPG&ETe
Serv.
Called PG&E
3'
I JOB 4 _
FINALED ✓ ' %
(Date)
eq
' (Sig tine)
,I
- 2--? 0-5;�ri�a� g ct� w a Cly
�.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
%
Firewall
Soil Piping
Forms
"%
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
A '%
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing C-
Water Piping
Piers
— r" 7
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final l
Footings
Footing C'S
ELECTRICAL
Masonry Walls
Throat: --
Rou hZ
Reinf. Steel
Final
Fixtures — —7
Bond Beam
FIRE SPRINKLERS
Motors
Framing Z
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final -2 — 7G
DATE
REMARKS OR CORRECTIONS
.. COUNTY OF BUTTE — DEPA_ RTMENT OF PUBLIC WORKS
• 7 County Center Drive Oroville, California 95965 j / _ � �
Telephone: 534-4541 `X /y 5/w%
APPLICATION AND PERMIT 10 61_�,
r30(!�7 �y uate i —s2
Receipt No. / S 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ding permit expires Date 7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
c:5v
Mailing ddress
Telephone No.
Fireplace 7S-6
Contractor `
Total Valuation jj
Mailing Address IF
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ —
() —•
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning $ Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
San FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Parcel
Declaration
parcel M
60' R/W
Improv is
P
Lawn sprinkler system 2.00
'Planns
Bldg. PI4rr9 ec'd
Parcelproval
L Plans Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,
Main service io°o AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 6 00V25.00
100 AMP OR LESS
Main service EA. ADD'L too AMP 1.00
NEW CONST.(DWELLING OCC &
OR ADDNS. ACC, BLDGS. ) 2¢sq ft 7/ 0,0
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONST, POWER APPARATUS &
NON-RESIR
D. (SINGLE OUTLET C1R.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
y01
st lf: /}
e oFIXED
/ /
A' /j}�//
Ex. Occup(OUTLETS OR FIXTURES)BA@2510
LM
APPL
Ex. Occup.(OUT ETS ((RESID,)R EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No Classification
Misc. Wiring 6.25
FT
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ toa(
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
JqZI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
:641Ll,
Cooling
Ventilation
Hood 2.00
Permit Fee $ 7 pd
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mkiedpropeirty for inspection purposes.
X Date
Signature o7 Permitee or Agent
TOTAL PERMIT FEE
$ a�
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which feeshave been id.
DIRECTOR OF P BLIC WORKS
r30(!�7 �y uate i —s2
Receipt No. / S 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ding permit expires Date 7
,y_
PERMIT NUMBER _ B 2390-73B,P,E,M
d /
O` P
E
PERMIT EXPIRES
'OWNER Jack Myers
CONTR: Mountain Dev. Co., Oroville
LOCATION (A.P. X3W.W72-061-2
e/s Mt. Ida Rd. at end of pavement,Oro.
a;
11 V
f'
4
s�
Es
Zoning _
Foundation
Rgh. Plumbing
Rein. Steel
Framing
Wtr. Htr.
Firewall
ELECTRIC
COUNTY OF BUTTE `"
Department of Public Works
BUILDING INSPECTION RECORD
Setback
`ter I
Forms
v�O
Piers & Girders Q� %ice —L%� Firepiace
Bond Beam
Gas Piping & Test
Plmg. Topout 1
Furnace e)lL —'
Garage Vents
GAS
Lath & Plaster
Found. Vents E�
Rough Elec. `—
Kitchen Vent 0
Sanitation '& Water
BUILDING
Temporary _ � ��� Temporary Cert. of Occup.
Final 9 �7 '��. Final 7-.? Final�—�.�
DATE REMARKS OR CORRECTIONS
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 L
APPLICATION AND PERMIT
A_-�{L,/' (� ut,�C' —Date G^,/ r -..._ .-_... ........
Signature of Permi tee or Agent J
r Q ii BY Date '��-/G"%3
Receipt No. [ Building permit expires Date_.:.<_4::.�--
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
J44 X �i
Mai I i n Address
No.
Fireplace Qa "
ETelephone
Contractor
Total Valuation Q Q jJ
Mai I i ng Addr ss� -
Permit Fee
Plan Checking Fee &/or Penalty
3phane No.
Permit Fee
$
,00
$ 6,rlol
Building Address
PLUMBING
No. @
I FEE
PERMIT FILING FEE $2.00
Each Trap 1.50 ,Q
ov
Repair drainage or vent piping
1.50
Water piping 1.50 ,
-
Each gas water heater or vent 1.50
A. P. No.
Zoning Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
W
ani n
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 0' R/W
Pme
ImproveLawn
sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Ap ovol
Plans Approval
Permit Fee
$
19,62
$ J 91
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No. @
FEE
PERMIT FILING FEE 3.00 , "O
Main service incl. 1 meter ,"
Additional meters, each
1.00
Sub -panel (12 0 less) (mor hon 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or en a 1.00 �.DJ
Water Heater or Space Heater
1.00
Light fixtures yal(�25
Rogs., swA6es & fix utIets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif rnia Business & Professions Code under the name
style of:
Hddd, Ex. 06b or F. A. Furn. Motor
1.00
, O
Evap, cooler, gar. lisp. or D.W. / 1.00 /,00,
Air conditioner or heat pump % 5(�
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No.2112/ Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
"r
$It=U., `
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
lecertify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No. @
I FEEPERMIT
FILING FEE $3.00 Jim
Heating /OQ /� e
Cooling
Ventilation
Hood 2.00 1 cQ,0-"'0
Permit Fee $
$ OC
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentio�111���d roperty forlicePe/cctthion purposes.
i�-A
v /!��® n nn
• 7
TOTAL PERMIT FEE
$ �lp .,
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.
nlRr(:TOP nG PIIRI Ir` WnRkC
A_-�{L,/' (� ut,�C' —Date G^,/ r -..._ .-_... ........
Signature of Permi tee or Agent J
r Q ii BY Date '��-/G"%3
Receipt No. [ Building permit expires Date_.:.<_4::.�--
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
/%L, Zz y 7,3
1-72�C)k
�1SlilA C fY. �/� 192 LP7J1/G,(zC�lGB�/GL�
{
r '"PERMIT NO. 387'R84B,E,M
PERMIT EXPIRES
OWNER IVAN G. MYERS
CONTR. owner
ASSESSOR PARCEL 7261-02
LOCATION_ 210 Lost Horizon, Orovi11e _
t JOB FINALED (Date)
i
• 1
Signature
f
t•
i
•1
t
�t
I
0s
•i
r
M
!
Temp. Power Pole
Called PG&E
`I
Temp. Elec. Servi
Called PG&E
Temp. Gas Service
,i
Cal led PG&E
t JOB FINALED (Date)
i
• 1
Signature
f
t•
J = OK
0 = Not OK s
— = Not Applicable MOBILEHOMES = MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
4. Water; Location—Test—Easement Needed (Sketch)
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
S. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors _
7. Utility Clearance ti
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1, Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils: Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.: Receptacles and Lighting: Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -81
Date Card -BI Date
I
= OK
= Not OK
= Not Read cable RESIDENTIAL (Single and Duplex)
Ready
Date UND LOOK (Plans) OK except N's
Date
FRAMING Continued
Zoning re nts-Setbacks-Easements
4
ro erty Line Firewall & Openings
, Main; Soils-Steel-Elec. Grnd.- / _-ALLFt . Depth
4
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3. - - Ftg. Depth
0.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Soils -Steel- / /'' Fig. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
__ alls, Main; Steel-B4ee4et'rfa-WrapVed-S49b-62iding-Nailing-Veneer
6. age; Steel -Blackouts -Wrapped -Slab
rip Screed-Fdn. Vents-Underflr. Access
_
7 rs-F-s -e-+- el
Glazing Area -Glass Protection -Skylights -Plastic
_ S. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
ailing -Bolts
9. Gas Pipe; Size -Anchors
-S
SL.L;✓�
AL3%
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
-�12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date - (r Card -BI Date
X,
C rd-
Date
Card -BI
Date Card -BI Date
Card -BI Date ` Z and -BI Date
Date
FINAL�Ptaiis) OK except N's
Card -BI Date r Card -BI Date
Date f PLUMBING (Permit) OK except q's
_ 14. Water Ht.; Vent -Access -Combustion Air
Ext. Steps -Door & Sidelight Protection -Landings
5
58.
Furna s -Clearance -Comb. Air -Connector -
Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Radmw F„;.:..,.
_
17, Shower Pan; Test, First Floor -Tub Access
60.
& Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
ec�Firrf�5ubpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & AnchorsLairs
& Rails
_
6
-Hearth
Card -BI Date Card -BI Date
lec. Outlets at Wood Panel; Int. & Ext.
p -lance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
66.
at Kit. Counter
Date ELECTRICAL Permit OK except p's
67
- anding-Closer
68.A.C.
69.
Duct in ra-g-namoer
Wtr. Htr.; - rxrl -
Ve Comb. Air-Connector-P.R.V.-
age; Above Floor-Mech. Protection
20. F' ture & Transformer Clearance -Ins. Protection
--
F c. Receptacles Spacing -Lights & Switches at Doors
70.
isted for Location
ize Boxes & No. of Conductors -Stapled
71,
arage (G.F.I.)-Rome&�ec.
ulatio - ooked in Att1c s
Romex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
---
7
r Is & Deck Construction-Pos
- nce ircui s in en &Conductor Size
7
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Flo Yes
2 . ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
2 / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
_ Insulated Neutral ',_'Yes ❑No
-
Conductors &Ground -Main Disconnect
75.
Followi tld.: Drive [3 Yes No; Walks [I Yes E] No;
P ers El Yes El No
76.
- lois
- _ 2 earances; Panels-Motors-Mech. Equip_-
77.
- es-Brkr. & Cond. Size -115V Outlet
- 3 -- a Light -Shower Light _-
78,
a oo ; I g.-Appliance-Firepl.-Clearance to Opngs.
------------------------------
Card B I _Date � Q� Card -BI _ Date -
Card B -I Date Card -BI Date
79.
, Electrical, Plumbing
80.
G.F.I. Receptacle -Underground
enI throughout House
Date MECHANICAL (Perrr,it) OK except N's
orrections from Previous Inspections
84.
d; Gas -Electric
/ 1. A.C. Ducts; Insulation & Support _
32. Vent -Fan; Exhaust above Insulation __-- -_-
33. _Condensate Drain _& Overilow; Size & Grade
85.
ed -C/0 to Grade -HD Approval
g�
nergy Compliance Certificate -Other Certificates
L
_ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
-- - -------_-- _ - ---____--_- . -_ -_-
Card -BI - Date - Card -BI Date
Card -BI Date Card -BI Date
Date FRA G(Plans) OK except q's
rd -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
_ IIs; Proper Material & Anchors
Its: Studs -Nailing, Spacing & Bracing -Plates -Sound
earing Walls over Girders & Floor-Nailing-
loorNailingDraft Stop in Walls (rat proof)
Draft
4 ops; Furred Ceilings -Stairs -Chases -Tub
-
m- ize & Bea ing
4 gers-Post Caps -Anchors -Connectors
43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Tr{ias-5tU4< Rot
4*_F_icapIace_X4es or Type A Flue -Fireplace Throat
x145 Attic Access: Size & Romex Protect ion -Draft _Stop -Ins. Baffles
4 or Exiting Doors -Sill Hg I. & Dimensions
ire Protection Framing
_
-
(NOTE: An entry must be made each time you visit job site)
Owner • IVAN & GENEVA G: �' J
Lost Horizon ®r.
Permit No.
�rOv ®� •
959616 N E R G Y C B• R T ,I F I C A T I O N
�'K
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material �l
Thickness(inches)
EXTERIOR WALL
Material__ y� i
Thicknesd(inches)
CEILING
Bat' or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness inches) l
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
/Izk
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name,oar4r s'_
Thermal Resistance(R Value)%
Brand Name n
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)_,Ey,
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insula tion was installed in the above building
in -conformance with the State of,Californ-ia Energy, Requirements.
. ANI & GENEVA P►RW04.
210 Lost Horizon Dr.
APPLICATOR
STATE CONTRA OR'S LICENSE NO.
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
IVAN & GENEVA SAYERS
210 Lost Horizon Dr.
Oroviile, CA. 9S26s
FPW NAME/0 (Pa se print)
TURF_0VMZNERATzVft RACTOR OWNER
ba-
STA�NTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
�PERMIT 140.
ASSESSOR PARCE NUMBER -
�' O
IN
ZONING
BUILDING PERMIT
OWN
OJ
TELEPHONE
��
,SQA FT. OCC• BUILDING VALUA I
��� V
OWNER'S MAI ING A DR 55
i
CONTRACTOR'S NAME O
,ii
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1791luo
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
l
$ S"
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee or I
$ rSD
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10 0
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G W
10-00e
TYPE OF WORK
New ❑ Addition Rem I ❑ Uti litig ❑ Installation ❑ Other ❑
Describe work: 'e '0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00,
Main service ;`0000 AMP LESSOR
10.00
Main service EA, ADD'L 100 AMP
2.50
NEW CONST. DWELL & 9.
OR ADDNS. ACC. B G 21/22sgit
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt.under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.SOea
NEW CONSTR. POWER APPARATUS '
NON- &
RESID, SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 6A ®30
FIXED APPLNS, OR
EX. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ f 9,t) C)
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
'X I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
CAS
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ofT
Butte o enter upon the above-mentioned property for inspection purposes.
I also agree to save, i .emnify and keep harmless the County of Butte against
all Ii ill ' jud a S, costs, and expenses which may in any way accrue,
agai s id Co y ' onsequence of the granting of this permit.
—
Date� E'
Signature of A licant — Owner 21 Contractor ❑ Agent ❑
An OSHA per it is required for excav ' tions over eep and demolition or construct-
ion o uct es over 3 starie 'n hei
Mobile Home Installation Fee $
y�
TOTAL PERM EE $ v
OC P GROUP
T P or ONST.
PA EL
P H
1Ssu�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PEEWHXPIRES Date�L_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datea —1 4—
Recep
ITE ., YEL - S I
ENERGY SHEET ORM '
FOR
�l ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. 387- 8¢ PACKAGE "A" (Additions)
NAME I VAS! SQUARE FOOTAGE
JOB ADDRESS VO/'10V /ZQd Z) -Pp 04ollAUE: Existing Residence
TYPE OF WORK A2)45 AE92E/tT,'0A1 ' �toOM New Addition 960
New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room additions, converting garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11
Z 12
Z�6
INSTALLED APPLIES TOO NEW AREA
114 JWL it 77 V-4
CEILING 11%.-30
R-3
WALL R-11
R- 1
• FLOOR R-11.
R 11
\R-
SLAB n " - /
11
GLAZING> 65 .
/ .65
t SHADING
SOUTH -OPTIMUM OVERHANG
or ..36 S.C.' f V,41TE
Rom SWADFs
WEST . - .36 S.C. w#/TE AC LA--� 59/4DES
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL'(Weatherstrip doors, certified windows, caulking)
DUCTS PER UMC -.Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
i. •
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
{ 7/83
EkIST� �JC�
*1 HEATING VENTI TING. AIR CONDITIONING SYSTEM_
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity) 11.
.❑ Heat Pump
(brand and model number) ACOP.
Btu/hr
(heating capacity at 47°F) l�
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling( S a�/j
C3 Electric �Conditiondr
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
' EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM 1=X1$1 1
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction) ft
2
(backup heater type, brand and model number) (collector area)
r
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
`1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 30 °, elevation ', heating load BTL'
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature 104 °, cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of '
Title 24, Part 2, Chapter.2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
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