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HomeMy WebLinkAbout072-062-018I.Q TRAVEL TRAILER W/O PERMIT 8/14/98 ���� 72-062-172-0d, JOHN G I PE 1 7�0 (Use Permit to allow 2nd dwelt W/S MT. IDA FID., 4 rn I . NOF OL I VE ert zoned A -R Hwy. PERMIT 5327-75E(TEMP. POLE Pro P Y 'FOR LOI- DEVELOPMENT• --WATER PUMP) 4 72-06.2} Jame V sconte-(Tenant: John Gipe) W S Mt Ida Rd., 4 mi. N. of Olive Hwy, Orovill Permit Y#32 -76P E(utig. ffI) ELEC.� GAS SUPPORT STRIrCTCRS R COMPACTION TEST REQ. 72-0 -11n contr: John W. Be er, Yuba C�� Permit #4141 - Issued %- oA,o 72-062-1P-1- Contr: es -Const Permit#235 B,P,E M(new single family) '72-062-11 �3 Cont . Banes Const P it#3086-85B,E(add private office/SF) e+ S416 c3 0 Signature PERMIT NO. 2353-85B,P,E,M y PERMIT EXPIRES OWNER JOHN GIPE CONTR. Banes Const ASSESSOR PARCEL 72'062-11 LOCATION 82 Carefree Way, Oroville ,A Temp. Power Pole Called PG&E1 Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK 0 = Not OK : r - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance r , 7. Elec. Card -BI Date Card -BI Date _ Card -BI• Date Card -BI Date ' Date MOBILEHOME 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 1 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini 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 Equipment -Healer 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghcg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date i Card -BI Date Card -BI Date Card B-1 Date Card -BI Date , Card -BI Date Card -BI Date 1Z J = OK 0 Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) �E Date UNDERFLOOR Plans OK exce tq's Date FRA NG Continued 14ning requirements-Setbacks-Easementsoperty Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- /J " Ftg. Depth 4 Exj..Doors-On 3' -Check Gar ge-3rd stor 2 ex' -G vt77 arage; Soils -Steel- / /" Ftg. Depth airs; Wi -Hea oom-R' -R -La ng it rotecti Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. wood on Roof Overhang -Attic Vents- Rafte rs Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5,K Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. cco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers- lace Ftg.-Steel jKqjating Area -Glass Protection -Skylights -Plastic 8 .V.: Fall -Fittings -Test -2 way C/0 -Sewer Test ar Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date/3-5::Card-BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA (Plans) OK except H's E t. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date P . M G (Permit) OK except p's Smoke Detector '(r 1 t.; V -Acces Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting ater P' ;'Test & Anchors -Nail Protection 1 Test-Fttngs & Anchors -Nail Protection 1 r an; Test, First Floor -Tub Access .I. & Bath Fixtures & Tub Access 18. 'jp2nub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 410%—a-s-P-ip-e—Size & Anchors Stairs & Rails FjJeplace or Stove; Clearances- earth EI , Outlets at Wood Panel; Int. & Ext. Card -BI ate Card -BI Date 64e�Rit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI 2ZZ. (DW Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter oor; Swing -Landing -Closer a -Dam er Date ELECT AL Permit OK except q'sara 20. re &Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ec. Receptacles Spacing -Lights & Switches at Doors 21.ZRI 71. Plb., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 S' oxes & No. of Conductors -Stapled 23 Romex Installed Close to Edge of Studs & C.J. . Ground made up w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic es .Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2 lance Circuits in Kitchen &Conductor Size 26 Sub eigd Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. ange irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, I ated•Neutral ❑Yes El No 75, Following instld.: Dr- Ej Yes ®.PCB; Walks ❑ Yes �� Planters 11 Yes I/Jo 2 Se ce-Riser Conductors & Ground -Main Disconnect rown-Finish 2 ip. Clearances; Panels-Motors-Mech. Equip. 7 nit; Dis t-Clrnces-Brkr. & Cond. Size -115V Outlet Clothes Closet Light -Shower Light 7 nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 8 xterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. V tilation throughout House Card B -I Date Card -BI Date 8 Glass Protection Date MECICAL (Permit) OK except q's rrections from Previous Inspections as Test -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & SupportWaterewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade D 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card-Bloyn Date Card -BI Date Date& Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G Plans OK except N's 3 S'is; P oper Material & Anchors 37 a ; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. ring Walls over Girders & Floor Nailing 4,,e-5KQpaft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 119"ead Beam -Size & Bearing 4 gers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof gr—ac.-Tr -Shthng.-Rfng.__ F' place Ties or Type AFlue-Fireplace Throat 4 is Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4L—eaPage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville —,Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE �)_- -)� �-P� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 o �-P•4 d D/l n 04L, Inspector Date r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891'2751 7 County Center Drive, Oroville — Phone: 534A541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE G, �. �3�►3 - b-� OWNER 6 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this �_ matter, r need a ttional explanation, please contact this office immediately. �' t / 42- 'W.e. �iAWB iMM Inspector Date--IA"- .Z Ile0 �__. I Owner: Gipe Permit No. I LOCKrION ROOF Material_ Thickness(inches) ENERGY C r R T r F ICATION Oroville 7Z -/o 6Z — 1 A.P. No. DESCRIPTION OF INSULATION EXTERIOR WALT., . Material Fiberglass Thickness(inches) 1011 CEILING Batt or Blanket Typepi hPrgl g,ss Thickness(inches) Loose Fill Type Minimum Thicknes5(Inches) Area cover.ed(ft. ) FLOOR, ELEVATED Material ! Thickness(inches)_ FLOOR, SLAB Material- 1 ` y Thickness(inches) _ Width(inches) FOUNDATION Material Brand Name_ Thermal Resistance (R Value) Brand Name CeFtainTeed Thermal Resistance(R Value)jj-3jQ_ Brand Name_ CPrta i r)TaPrl Thermal Resiistance(R Value) R_1 Brand Name Number of Bag. Wt. per bag lb. Thermal Resistance(R Value) Brand Name _ Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value) Brand Name Thickness(inches)_ I Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in c-1,,n4ornance with the Statep ifornia Energy Requirements. ns Insu�,ation Co . \ Inc. SIGNAI :E'OF INSTALL,TION APPLICATOR #378407 STATE CONTRACTOR'S LICENSE NO. 1/6/86 DA'L'E I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attac}tinents have been installed as required by the State. of California Energy Requirements. All e�ui.pmefit, devices and materials are of the quality prescribed or are 6peei.fidally approved by the State of California. FIRP"i NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSS NO. S IGNA E OF CJ .NER.AL C RACT'OJ 04J1ti'1EIt 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. n „ ! ;;t4 January 1984 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95995 - Telephone 916/534-4541 APPLICATION AND PERMIT 1 PERMIT NO. ASSESSOR PADR�`L )UMBER / ZON1 BUILDING PERMIT owN `. TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWN�OS MAILING D ESS f //p� 10 C CONTR TOR'S NA A)S TELEPHONE -• CONTRACTOR'S MAILING NODRESS Fireplace CONST TI LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEND 'S MAILLING ADDRESS Permit Fee $ ARCHITjEfT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ /$,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES /I `I E' L Permit fee $ �S S PLUMBING PERMIT Filing Fee 1 10.00 - Each Trap 2,00 �r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ' Water piping 5.00 5 ,001 Each qas water heater or vent 5.00 USE OF STRUCTURE SF fVr Duplex F-1 Mobilehome❑ OtherBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 IS Mobile Home ISI G I W 1 0.00 ea - TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ _ _ ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10°°o AtV OR oRss Main service EA. ADD'L 1 0 AMP 10.00 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am 'licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered �or sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCC OR ACDNS. (, ACC. BLDGS. 1/4sgft 3 t NEW RESID, RANCHUTLE 2,50 ea NON.RESIO BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex.Occu o 20®s°s Occup(OUTLETS OR FIXTURES eALO 30 FIXED ALNS Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling ,(�O Hood 3.00 too Ventilation Permit Fee $ j Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot. Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against ali liab' 'es, judgments, costs, and expenses which may in any way accrue again sai County • co a ence of the granting of this permit. '— r/ X � Date S 8 S'gn re of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct= ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP.CONST.TYP PLooD PARCE PD ND Ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) EC O OF PUBLIC By PEWIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _- Z Receipt No. !LIM WNITC-D.P.W., YELLOW -ASSESSOR, PINK -1 INSPECTOR. GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT-OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF04IAA5965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET _ Permit No. OWNER 1/��� h A. P. No. .i Proposed Building Use 0 I .> /_ Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Exp,lain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing �+ and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization./ . . . . . . . Ok 10. Sanitation approval from / a. Health Dept. 11. Planning approval .for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 4 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . ,Pre-Inspec. request to 1,7. Pre -Inspection for Required. Building Inspector (�°ta� 18. Recorded copy of Agri ultural Acknowledgment Statement. Other c — — �''ri �St wnermClow issuete�aoor. Mail to contractor. 4Tele hone _ _1 n and hold for Telephone i pickup at office. Deliver w. /inspector. Other ( C1 'A C ;, J_e Applicant 7 i Date RA5l S� r Copy of plans sent —Health//Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By . '� Date Plans checked by Plans approved b, Other: Copy—DPW Date Date NiViding De wirtment F:yl 'vironmfatal. F!:Il th ub j. t Flan l�pT,rr,vc�i for: Hold Fivi.a! fur: 7a --I-L— T ..3 t. i 'r, Ali 7,' Water Supnly- Final O.K. for: .Glea-an-e for _Lb.-drc oto ileltoinc or other N 0 t c Cl e I.,, W -A t PPI Y� Ill,iter I) u 1) p'l y FORM RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY I Owner (D) Moveable Climate Zone �L_ Permit No.. Floor Area ftZ Description Compliance path: Package ❑ A ❑ B ❑ C ®'Point System ❑ Budget ❑ other �on � � MIN R -VALUE DESCRIPTION ❑ REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling a—,30 W Wall Af ❑ ❑ ab Floor Perimeter - Area ❑ aised Floor MC= (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ❑ Type (B) All manufactured windows and sliding glass doors shall meet the - Area Ft.2 HC= 1972 ANSI Air Infiltration Standards and shall be certified and MC= labeled. (C) All swinging'doors and windows leading to unconditioned areas ❑ Type shall be fully weatherstripped. - Area Ft.Z HC= Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ ❑ (F) Air-to-air heat exchanger - Area Ft.2 HC= (3) GLAZING: MC= (A) Location Area Glazing %Floor Area Single Double Triple ❑ �J Total Bldg _l?s- /Iza - Area ® NorthZ / 5 ® East G /ef ® South g 7/83 ® West 3 S•2 �_ ❑ Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights } (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass �on � � /1ZC Z ❑ Type t Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area HC= R= MC= Location —Ft.z 7/83 FORM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM . (A)"'Heating ❑ Central Gas Furnace go (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar ACOP o� SE 7/83 2 ;type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientationcollector tilt rated y -intercept rated slope ® other G[J ODD S7!)yE (describe) *1 (B) Cooling ❑ Electric Air Conditioner, (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) �] (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. Q (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. {� (G)DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumebs per watt (usually florescent).' *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 /coo ', heating load BTU elevation factor I.V, x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature �4°, cooling load 7,C#& BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *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. 7/83 SI ATURE OF BUILDING DESIGNER OR APPLICANT 3 FORM (6) DOMESTIC WATER SYSTEM - ® (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 2 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector.orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) Q -(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumebs per watt (usually florescent).' *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 /coo ', heating load BTU elevation factor I.V, x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature �4°, cooling load 7,C#& BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *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. 7/83 SI ATURE OF BUILDING DESIGNER OR APPLICANT 3 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE 13. ,INFILTRATION (Standard=0)(Tight=+12) 14. -THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PU1fP (EER) 7.5-7.9% 17. DUAL PACK(SE, SEER) 8,0-8.3/71-76% WOOD STOVE r�FF WATER HEATER PIA ox �, s. w act,.r•�c r -y, OTHER . -able 3-1. Slab Floor Points O s� TOTAL POINTS =Z 17ncula- I R -Value of Insulstion 1 I tion I I I Oepth,--T---T I inches 1 0-2 1 3-4 5-6 I' 7+ I i I I I i i 1 0- 11 1 -5 1 -5 ZONE 11 1 +4 I 1 12 - 15 I -5 1 -3 I -2 OWNER /_ y lXe I 16 - 19 I -5 POINTS I -1 PERMIT 90. I -1 I ASSIGNED ACTUAL I 3.7- 4.6 I 1. SLAB - INSULATION 1 -1 I 1 0 1 3.2 16.4 1 8.0 19.f 5 _ A VI i -3 1 I 5.7- 6.7 1 -10 I -6 I -5 I i 6,8- 7.7 I 2. RAISED FLOOR - R-19 I -7 I 7.8- 8.7 1 -15 1 -10 3. CEILING - R-30 -1.7 1 I2 3d O 9.8-11.2 I 4. WALL - R-19 1 -13 1 111.3-12.7 I 7 -18, •1 5. NORTH GLAZING - 2.4-3.6% A 5' 4- 2- 14.1-15.3 I -32 I -24 I -20 'I 1 0 1 +1 I +3 I +6 I +7 .13-.36 i6. .37-.57 EAST GLAZING - 2.5-3.6% I -1 I -3 I -6 1 -12 .83 up I -2 i -4 I -8 I -16 1 -29 7. SOUTH GLAZING - 1.6-3.6% Z D y 8. WEST GLAZING - 2.9-3.6% 2- i 9. SKYLIGHT - 0-1.3% ' 10. SHADING (Exclude Overhang) EAST - 4 1.66 =. ' SOUTH - 2-6. 19-.42 _C2_ (7 WEST - s't .13-.36 - 6 -- SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE 13. ,INFILTRATION (Standard=0)(Tight=+12) 14. -THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PU1fP (EER) 7.5-7.9% 17. DUAL PACK(SE, SEER) 8,0-8.3/71-76% WOOD STOVE r�FF WATER HEATER PIA ox �, s. w act,.r•�c r -y, OTHER . -able 3-1. Slab Floor Points O s� TOTAL POINTS =Z 17ncula- I R -Value of Insulstion 1 I tion I I I Oepth,--T---T I inches 1 0-2 1 3-4 5-6 I' 7+ I i I I I i i 1 0- 11 1 -5 1 -5 1 -5 1 +4 I 1 12 - 15 I -5 1 -3 I -2 1 +4 1 I 16 - 19 I -5 I -2 I -1 1 0 1 I 20 + 1 -5 I I I -1 I l 0 I 1 +1 i I I 7/7/83 Table 3-3a. Ceiling Insulation Points R -Value of Insulation I Points 19 I -4 22 1 -2 30 I 0 38 I +2 49 I +4 rable 3-4a. Wall Insulation Points I R -Value of Insulation I Points I 1 24 30 i +3 Table 3-5. North -Facing Glazing P[ I I Glazing Type I I Total I I I of ST. Dbl, Trpl, l I Floor I U- l u- I U- I Area 10.66 10.42- 10.41 I I 1 1.10 10.65 I down I o +4 44 +4 I 0.1- 1.2 i +4 1 +4 i +4 I I 1`-2-3 I +1 I I +2 o I I 3.7- 4.8 i -4 I -2 1 -1 1 I 4.9- 6.1 I -7 i -4 I -3 I 1 6.2- 7.3 I -9 I -6 I -5 I 1 7.4- 8.2 I -12 I -8 I -7 I I 8.3- 9.7 i -14 I -10 I -8 1 9.8-10.8 I -17 1 -12 1 -10 110.9-12.0 I -19 I -14 I -12 i 112.1-13.2 I -22 I -16 I -13 I ( 13.3-14.5 I -24 I -18 1 -15 14.6-15.3 i -27 i -20 i -17 Table 3-6. East-Facin GlazingPts. I I Glazing Type I - --I Total I I 1 I of I Sngl, Db1, Trpl, Table 3-2. Raised Floor Points T I R -Value of I 1 Insulation I Points I I 1 I I below 3 1 -12 I i 3- 4 I -8 I I 5-7 I -6 I I 8 - 12 1 -4' 1 I 13 - 18 I r2 I 19+ i 0 I Floor I (U - I (U - I (u - I Area 11.10) 1 0.65).1 0.41)1 I (points 1points 1pointsl 0 1 -1 I +4 1 +4 I i up to 1.3 1 +3 I +4 1 +4 1 I 1.4- 2.4 I +1 . I +2 1 +2 1 i 2.5- 3.6 I -2 I 0 1 0 1 I 3.7- 4.6 I -5 I -2 1 -1 I 1 0 1 3.2 16.4 1 8.0 19.f -8 i 4 i -3 1 I 5.7- 6.7 1 -10 I -6 I -5 I i 6,8- 7.7 I -13 I -8 I -7 I 7.8- 8.7 1 -15 1 -10 I -8 1 I 8.8- 9.7 I -1.7 1 -12' 1 -10 1 9.8-11.2 I -21 .1 ..-15 1 -13 1 111.3-12.7 I -25 1 -18, •1 -15 I 112.8-14.0 I -28 1 -21 I -18 14.1-15.3 I -32 I -24 I -20 'I 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 Table 3-7. South-Facin GlazingPts Table 3-10. Shading Coefficient Points-- TI I . I Glazing Type I i SC by I- I Total I I I I of I Sngl, Dbl, Trpl, I Floor I (U - I (U - I (U - I Area 11.10) 10.65) 1 0.41)1 I (points (points Iooints) 0 1 +3 1 +3 1-4-1 UP to 1.5 I +2 I +2 I +2 1.6- 3.6 I -1 I 0 I 0 9 7 5 2 1 -4 I -" I -2 5.3- 6.5 I -6 I -4 I -3 6.6- 7.7 1 -9 I -6 1 -5 7.8- 8.9 I -11 I -8 I -7 9.0-10.0 I -13 1 -10 .I -9 10.1-11.5 1 -17 I -13 I -11 11.6-13.0 1 -21 1 =16 I -14 13.1-14.5 I -25 I -19 1 -16 14.6-16.0 I -23 1 -22' I -19 Table 3-8. West-FacingClazin Pts. I I Glazing Type I I Total I 1 I I of I Sngl, Dbl, Trpl, I Floor I (U - I (u - 1 (U - I °_ I Area 11.10) 10.65) 10.41)1 I [points [points 1ointsl o +6 +6 +6 I up to 1.3 1 +5 1 44 I +6 I I 1.4- 2.2 I +3 1 +4 I +5 I 1 2.3- 2.8 i 0 1 +2• I +3 1 1 2.9- 3.6 I -3 I 0 1 +1 I I 3.7- 4.2 1 -5 I -2 I 0 1 1 4.3- 5.0 1 -8 I -4 1 -2 I I 5.1- 5.6 I -10 I -6 1 -4 I T -7-r2 i -13 I r l -6 I i 6.3- 6.9 I -15 - I -10 I -7 I 7.0- 7.6 I -18 I .-12 I -9 I I 7.7- 8.2 I -20 'I -14 1 -11 I 8.3- 8.8 1 -21 1 -16 I -13 1 I 8.9- 9.5 I -25 I -18 I -15 I I 9.6-10.1 I -27 -20 I -16 I 110.2-11.0 i -29 I -23 I -17 I 111.1-11.8 I -35 i -26 I -21 I 111.9-12.7 I -38 I -29 i -24' I 112.8-13.5 1 -42 I -32 I -27 I 13.6-14.3 I -46 I -35 I -29 I 1 14.4-15.2 I -50 I -33 I -32 I I I I I I Table 3-11. Horizontal South Overhand. Points South Glazing I Length Out I Area, I of Floor I from Wall I _ I i ft r I 1 0-6.3 I 6.4 up I I I I I 0 - 0.5 1 -2 -4 10.6 - 1.0 1 -2 I -3 I 11.1 - 1.9 I -1 I -z I I 2.0 up I 0 I 0 I I I I I Table 3-12. Movable Insulation Points I Moveable Insulatlon'I I I Area, I of Floor I Points I 1 __r T I 0 - 5.5 ( 0 I 1 5.6 - 11.5 I +2 1 I 11.6 - 17.5 I +4 i 17.6 - 23.5 1 +6 I I >23.6+ I +8 I I Orien- 1 Floor Area Cation I East I I 3.2 -j -- I 1 0-3.1 I to 16.4 up I I I 6.3 I 1 0 -.19 I 0 1 +1 I +2 I .20-.36 I 0 i 0 I it I 37-:66 _ I 0 I 0 I 0 I .6�7-.82 I 0 1 '6" I -1 .83 up i 0 i -1 i -2 I South 1 0 1 3.2 16.4 1 8.0 19.f I I to I to I to I to I up I 3 6.3 7.9 19 _ I 0 -.18 1 0 1 +1 I +2 I +2 I +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 I .43-.66 I ` I -1 I -2 1 -2 -3 I" °erg ,1 -I 0 l -2 I -4 I -4 I -6 West ( .1 11.6 1 3.2 1 6.4 1 9.0 I to I to I to I to I up 11.5 13.1 16.3 i 7.9 I I I I I i 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 i- 0 1 0 1 0 1 0 I 0 .37-.57 1 0 1 -1 I -3 I -6 I -7 •58-.92 i -1 I -3 i -;j_1 -12 I -15 Mup 1 -2 1 -4 1 -8 1 -16 1 70 i 1 I I I Skylight 1 .1 1 .8 11.6 13.2 1 4.0 I to 1 to i to I to I to I.7 1.5 1 3_1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 I 0 I -1 1 '-3 I -6 i - .58-.82 I -1 I -3 I -6 1 -12 .83 up I -2 i -4 I -8 I -16 1 -29 Table 3-9. Skylight Points 1 1 Glazing Type I I Total I I I I of Sngl, I Dbl, Trpl, I Floor l u- l u- I U- I i Area 10.66- 10.42- i 0.41 I I 11.10 10.65 I down I I up to 1.3 I -1 1 0 1 0 1 I 1.4- 2.2 I -3 1 -2 I -1 I 1 2.3- 2.8 I -6 1 -4 I -3 I I 2.9- 3.6 I -9 I -6 i -5 I I 3.7- 4.2 I -11 I -8 I -6 I I 4.3- 5.0 1 -14 1' -10 I -8 I 5.1- 5.6 1 -16 I -12 1 -10 I 5.7- 6.2 1 -19 I -14 1 -12 I 1 6.3- 6.9 I -21 1 -16 1 -13 I 1 7.0- 7.6 I -24 1 -13 1 -15 1 1 7.7- 8.2 I -26 1 -20 1 -17 I 1 8.3- 8.8 I -28 1 -22 1 -19 I 1 8.9- 9.5 I -31 1 -24 1 -21 I II 9.6-10.1 I -33 1 -26 i -22 I Table 3-13. Infllttation Control Fea.tvres Points I Control Features ( Points I T - I I I Standard ( 0 I � I i I .1.9 air changes per hr I I 1 I I 7- I Tight i +12 i I I I 10.6 air changes per hr I I ! I ! Table 3-15. Gas Furnnce Without _ Refrigeration Cctal!ng Points I Seasonal Efficiency I Points 1 I (SE), .t I I � I I I 71 - 76 I 0 I I 77 - 82 I +2 I I 83 - 38 I +4 I I 89 - 94 I +6 I I 95 up I +8 I I I ! Table 3-16. Heat Pumo Points T 1 System Type 1 Points I I Energy Efficiency I Points ! I Patio (EER) Net Solar Fraction (NSF). Z I 7.5 - 7.9 I +3 ! I 3.0 - 8.3 1 +6 1 I 8.4 - 8.7 I +9 I { 8.8 - 9.1 I +12 I ( 9.2 - 9.6 I +13 I I 9.7 - 10.2 I +l8 I I 1013 - 10.9 I +21 I I 10.9 - 11.5 I +24 I 1 11.5 - 12.3 I +27 I I 12.4 - I 13.2 I +30 I I I Table 3-17. Gas Furnace With Refrlveration Coollne Points !Refrigeracionl Gas Furnace. I 1 Cooling I SE I I I171 -117-i 83 - 59-7-5-T ! 1 761 821 891 941 up I I 8.0 - 8.3 1 01 +21 +•4{ +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 I 8•3 - 9.2 1 +41 +61 +81+101+12 1 I 9.? - 9.7 1 +61 +81+IDI+121+14 1 I 9.8 - 10.3 1 +81#-101+121+141+16 1 1 10.4 - 10.9 I+l0i+L21F)41+161+19 I 1 11.0 - 11.5 1+121+141+161+191+20 1 I I ! I I I 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS DWELLING ARFA SQUARE FOOT AREA 1,000 1.500 2,000 2,500 I 3,000 I 3,500 4,000 4,500 5_,000 I SQ. FT. I A 8 C D A 8 C D A 6 C D A 8 C D A B C D A -8C D A 6 C 0 A 6 C D C !0 2 2 2 2 2 2 2 0 I 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 r 0 0 0 0 0 0 0 01 O. 0 0 0 1.00• 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0� 0 0 0 0 1 ISO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2'? 2 O I 2 2 2 0 Zen 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 2I 2 2 0 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7 2. 7 2 2 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 2 2 2 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 4 2 2 503 18 18 16 10 12 12 10 6 10 10 8 6 n 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 4 4 2 4 4 4 670 22 20 1B 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 5 4 2 16 6 4 Z 703 1 24 24 20 14 18 16 11 10 14 14 t 2 0 10 10 10 6 10 10 8 6 8 B 6 4 8 6. 6 4 1 A A 6 4 1 6 6 6 P. 830 126 24 22 16 70 16 16 10 14 14 12 8 l2 10 10 6 10 10 8 6 10 R 8 4 I? 6 6 4 I 8 6 6 4I 6 5 v 4 1 900 28 28 24 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I 0 0 'B a B 8 6 4 B 8 6 4 LOCO 30 :f0 25 18 22 20 ZO 14 10 iB 16 10 14 14 12 8 12 17. 10 6 12 10 10 6 10 10 8 6 8 8 C 41 B E 4 i 1,100 .32 32 28 2O I24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 13 10 8 (� !J e f , 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 I14 14 12 8 14 12 12 8 JII'12 12 10 E ! 10 10 8 6 1 10 In 8 6 i 1.7^10 34 34 32 22 28 26 24 16 22 22 20 12 18 10 lE 10 14 14 14 8 14 12 12 6 112 12 10 6112 10 10 C� 10 ;0 F• u 1,400 34 -34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 112 1? :G t: 1n 13 1) s 1,500 ( 36 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 N 117 12 10 f, ;7 l2 I-, o i 2,300 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 It, 16 it F. 14 14 1_> g 2,503 I ]4 J4 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 22 22 t3 :2 20 20 18 !:•I 19 !� it :J 7,000 34 32 30 22 30 30 26 16 28 26 24 16 I24 24 22 14 22 27 20 14 1 :2 2J It i 3,500 32 32 30 20 30 30 26 id 211 28 24 io 26 24 22 14 1 ±4 ;4 20 14 ' 1,730 32 32 30 20 130 30 26 la ! 70 28 24 It b 25 2Z if 4,503 132 32 28 20 ! 311 3o 26 lE j id ?c ;E 5 00 = - ------ -- ` 32 ' 12 2f - 23 1 IJ_ - - 6 1 A) 1. 3'3^ Concrete Slab: HC -8.93; R-.29; Factor -7.3 2. 3 3/4' Thick Common Brick: IIC-7.125; R -.I3; factor -7.3 8) 1. Sh* Concrete Slab: HC -14.106; R -.4i8; Factor -7.1 C 1. 8" solid Filled Block: HC -20.67; R-1.91; Factor -6.1 wood stove #33 points -(no back up) 2. 8' Solid Filled Block With Both sides Exposed To conditioned Air. casablanca fan + 1 point NOTE: Use all square footage directly exposed to conditioned air for Thermal',Mass Area: IIC-10.164; R-.96�; Factor -6.1 D) 1- Thick Concrete/Tile: HC -2.55; R-.083; Factor?3.7 Table 3-19. tonally Controlled Electric Reslatance Space Ileating Points , I Points foc this measure will ! Table 3-20, Solar Nater Heating With Cas Backan Paints I be completed after the CFC I I has approved an Alternative 1 I Component Package for Resistance I I Beat. Table 3-19. Active Solar Sp-ce Heating with Gas Points i Net Solar Fraction I Points I I (NSF), X I I I I I 0-6 I 0 l I 7-14 ( +2 1 I 15 - 23 I +4 i I 24 - 30 I +6 I I 31 - 39 I +8 1 I 40 - 47 I ; +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I ( 64 - 71 I +18 I I 72 up I +20 I I I I Y.ultifamil (per unitpoints) 1 Table 3-21. Other Vote Heacinq Pt 1 System Type 1 Points I i Floor Area 1 Gas Only I Net Solar Fraction (NSF). Z I ! I 0)I per unit, I I ( Resistance Backup I I I Meecing the Require- 1 menta is Part 2 1 -� I ( 10)1 I I I ft2. I ! 0.9 10-19 20-29 30-39 40-49 50-59 60-69 s 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 4•2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 /�8 , +10 2,r,00- and u 0 *1 +2 +4 +5 +5 + +9 All others (per buil.ding pnints) _ 8UO-899 0 +5 +)0 +14 +1- 99 +24 +29 � +34 900-999 0 +4 +9 +13 +17 +21 +26 +30 I.t100-1,199 0 +4 .1-7 +ll +15 +-19 +22 +26 1,20Cr1,499 0 +3 +6 +9 +12 +15+21 1,500-1,999 0 +: +5 +7 +9 +12 +14 +lc 2,000-2.999 +2 +3 +5 + 7 +8� +10 +11 01(• 3,0 .1-,.d uo -0 0 +1 F3 +4 +5 A-7 +8 +10.1 1 Table 3-21. Other Vote Heacinq Pt 1 System Type 1 Points I i I t 1 Gas Only I I Beat Pump (,`• jAI . I ! I 0)I I Solar with Electric I I ( Resistance Backup I I I Meecing the Require- 1 menta is Part 2 1 -� I ( 10)1 I I I I Electric Resistance I ! Retul$.Ito DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RLCURDEUIII OFFICIAL RECOMS FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY CALIFORNIA AT THE REQUEST OF Sedion 26-8.1 of the Butte County Code requires this acknowledgement hp rornrded prior to issuance of a building permit. 95-26179 AUG 29 M 9:27 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR CORDS ER property may be subject to inconveniences or discomfort arising from CLARK -RECORDER EEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, -but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, 29— smoke, noise; and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on Page: adjacent property should be prepared to accept -such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE EXHIBIT "A" ATTACHED Date: PROPERTY OWNERS: •r o State of raiifornia ) On this the 29th day of August , 19 85 , before SS. me, the undersigned Notary Public, personally appeared County of Rtttti� ) dao®acleoel�®®o4mc�a©owo¢se�a�� CAROLYN J. FiJTZ p NOTARY PUBLIC.CAL ORNW a 4 suit county n ® My Cowd6sfon Expires A 4 11, IM �dar�Qa000®c10®a®e000aataoaof� . John E. Gipe and Sharon L. Gipe fes/ Personally known to me. L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose rlame(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -moi �� ��i , ♦ �� yA Present A.P. No. Pd ` 6 - 1 1.1 _.���,: y.«q 54.. �:`.F+L •-�Vy�y c ,� - •11,,� s�,'�•+`� iF`6.1,�, i1 �7li{�'C.'�'1+a - A.r.'�.'a `• 's- pa, r )�. � - e a: ..,.a...%jv»rv..i.�4\.:�'M���OPC3C�i.�a.S�2�24�.�']G�a�„rise`a�;s.�`.�.7i>�".�i�aa3atfw.�iY$�w::.._-d�••��y.'•:Silt�'J3et«S'� w %�tiee-.":'• i :! _:% f"'r :�.F�r••.':4- rh..�, +,.:� •7.r ;""'e�.FJ"'�.,.., ^_"..��. t�' _. g. �{[y r•: 1Al..r- 24; em. k.11 that certain real property situate in the County of Butte, State of �aiifornia, described as follows: ; Lot 152, as shown on that certain' map entitled, "OFFICIAL MAP OF JROVILLE-WYANDOTTE FRUIT LANDS, UNIT NO. .5", which Map was .filed -in the )ffice of the Recorder of the County of Butte, State of California, July 20, 1928, in Book 8 of Maps, at pages 37A and 38A. EXCEPTING THEREFROM the following described parcel'of land: 3EGINN'ING at the Southeast corner of said Lot.152, said point being located )n the centerline of a 60.0 foot public road, 'as shown on said Map; thence Erom said point of beginning; along the South line of said Lot 152, West 282.50 feet; thence at right angles, North 178..0 feet; thence at right angles, East to a point on the East line of said Lot 152 and on the :enterline of said 60.0 foot public road; thence along the East line of Said' Lot 152 and along, the centerline of said 60.0 foot public road, Southeasterly to the point of beginning. %LSO EXCEPTING THEREFROM the following described parcel of land: 3EGINNING at .the Northeast corner of said Lot 152, said point being Located on the centerline of a 60.0 foot public road,•as shown on said Map; thence West. along the North line of said Lot 152, 312.0 feet; thence at right angles, South 208.0 feet; .thence at right angles, East to a point on the East line of said Lot 152, and on the centerline of said 60.0 foot public road; thence Northerly along the East line of said Lot, and the :enterline of said public road, to the point of beginning. EXHIBIT "A" John Gipe P.O. Box 1.661 Oroville, CA 95965 CERTIFIED MAIL Loon Atte count D Of NAI !J F. L WFAI I'll A111) ('f Al.) I( PLANNING COMMISSION _OUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 PHONE: 534-4601 December 5, 1985 RE: - Use Permit, AP#72-06-2-11 Dear Mr. Gipe: Enclosed is your validated Use Permit No. 86-16 to allow a second dwelling, on property zoned A -R, located on the West side of Carefree Way approximately 800 feet North of Old Olive Hwy., Oroville. Should you have any question regarding this matter, please contact this office at 534-4601 in between the hours of 10:00 a.m. and -3:00 p.m: Sincerely, B.A. Kircher Director of Planning BAK:jmc cc: Department of Public Works (2) ?�. Environmental Health Department of Forestry rA- USE PERMIT BUTTE.COUNT.Y PLANNING COMMISSION a December 5, 1985 DATE: (Registered Mail Rec.) 86-15 PERMIT NO. AP 72-06-2-11 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: John Gipe is hereby granted a Use Permit In accordance with application filed: 8/22/85 to allow an additional dwelling on property zoned -A -R located on the west side of'Carefree Way, approximately 800 feet north of Old Olive Highway, Oroville. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for 1n a condition .to a use permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If.any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permlttee,.the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. Mobile to conform -to be certified under Mobile Construction and Safety Standards Act of 1974. 2. Mobile to be greater than 500 sq. ft. 3. Mobile to have been constructed after June of 1976. 4. Sewage disposal and well to serve mobile to be installed under permit and inspection by Butte County Health Department. 5. Applicant must also comply with all other applicable State and local statutes', ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are In fact the conditions which were imposed upon,the granting -of this use permit, and -that I agree to abide -fully by said conditions. Dated: Applicant NOTE:. Issuance.of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does It waive any other requirements. Chairman of Planning Commission CC: Department of Public Works (2) Health Department Fire Department ?—GeV �g 0'.. p t 3224-76 P,E • PERMIT NO. } PERMIT EXPIRES OWNER James Visconte (Tenant: John Gipe) t CONTR. owner ;-OCATION (A.P. 72-062-11 _ 3 w/s Mt. Ida Rd., 1/4 mi. N. of Olive I Hwy., Oroville i t f i t J. f. • i , f Temp. Power Pole_ E Called PG&E Dnp. Elec. Serv. 3 Called PG&E r Temp. Gas Serv. �L - 7C t e Called PG :7 2T 7 , �I v, /Set Gay JO ALE '.2-4 % G• ®% '_ 2�"/ j (Date) (SignatuF - M� Y1 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 Windows 3rd Floor Stemwall Siding To out Slab Roof,Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping& Test I Temp. Gas Slab Final I Sanitation Patio FIREPLACE I Final Footings Footin Masonry Walls Throat Reinf. Steel Final Bond Beam Framing Test Stucco Final Mesh MECHANICAL Scratch Heatin Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS a ELECTRICAL Roughzg�i �/ >�— 3A/ Fixtures Motors Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re uirements of the Calif rnia Administrative Code, Title 25, Chapter 5, un er permit number for the following location: Owner j,2,wi S l/ Owner's Address I 2 S Mobilehome Mfg. S --/ AkI C Model 4 Year -26 Insignia No.. 2-�S9Q Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY -OF BUTTE , DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 t CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code,- Title 25, Chapter 5, under permit number 414 % " % 6, for/the following location: 61-//_57 M T "I—, Owner • -i®wner's Address Z 3 t. Mobilehome Mfg. $- c Model` (d'i Year Y Insignia No. Serial No. 3� It is hereby certified for occupancy at the above described location and ' may be occupied. ' DateBy Director of Public Works THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? .Yes L�No B. Is there proper clearances around panels? Yes N C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring' system, of the mobilehome at the pedestal. 2. Make sure that the power supply cord'or feeder assembly conductors, including neutral conductor,'have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each m.obileliome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line).,. including fixtures.and appliances, shall be tested for continuity from such equipment and the grouriding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder. assembly conductors. shall Ibe connected to the site service equipment. A further continuity test'shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. A 10• Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and taeservices. C, MOBILEHOME DATA Manufacturer and/or Names tyle �� C L '7 Length Width�2 i Vehicle Serial No. �`361_ State Identification No._-2A3-�_'94 Additional.Informati.on or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes4No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes &__ No 3. 'Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yeses No 4. Is the mobilehome level? (Sec. 5088) Yes 4�__No- 5. I.f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes r No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes L:—No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes 'd -,No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 0W A 1. 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes "--No B. Does it have minimum 4' per foot slope and is it properly supported? Yes 1 --No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping; is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes—L--Nb B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes //No MOBILEHOME-SUPPORT DATA Mobilehome Mfr. Setup Model No.Od-t �eG� Year Width a. (ft.) Length .(ft.) Expando Size _7 ft..x 12— ft. (Draw support details below)' On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). ' Sin le -® Footings (check -one) / 1. Wood either I f/�+ pressure treated or CenterCenter Supp. t �5•�' fdn. grade. Support Footing Si es Locations (in.) 2. Concrete pad. x / / 3. Other,: specify in. Supports (check one) i 1. Concrete block. 2. Concrete piers HT, �(3, .) in.) 3. Steel piers 4. Other, specify Typical SuPP o ; Footing Size 1 Max. Pier � ��. in. P g ft. in.) F. in.) i Maxe. - Ovrhang *If center piers are other tha• drawn above, draw in locations, spacing, an ; dimensions. 1. Owner's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's name: '/qMW t,IMR ,`U s—AiLA-s 3. Is the site currently under permit? Yes / / No / / (If yes, furnish permit number 3S, .V—" OR Is the site an existing site? Yes / / No / / s (If yes, .furnish two (2) plot plans.) 4., Will themobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify site service? ----------------------------=---------------------- Yes / / No x (If yes, identify the load and size: (Load) 47 6) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- In 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? GkSS 6,0 R%(ft.) 12. What is the mobilehome gas demand? ------------------------------ I.SOj Me) (BTU) (This information not required if pipe length less than 6 ft.'on natural gas ' or less than 50 ft. on LPG.) I ' BUTTE couNn BUILDING DEPARTMENT APPROVED (� 5. What is - the mobilehome electrical rating? ---------------=----7- /� Amps � 6. What is the mobilehome site service rating? --------------------- , Amps 7. What is the mobilehome site circuit.breaker rating? -----------=- Q (J Amps.. .. 8. Is there any other electric load to be served -by the mobilehome site service? ----------------------------=---------------------- Yes / / No x (If yes, identify the load and size: (Load) 47 6) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- In 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? GkSS 6,0 R%(ft.) 12. What is the mobilehome gas demand? ------------------------------ I.SOj Me) (BTU) (This information not required if pipe length less than 6 ft.'on natural gas ' or less than 50 ft. on LPG.) I ' BUTTE couNn BUILDING DEPARTMENT APPROVED (� X .s COWNTY OF BUTTE - QE.PA-R-TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:53424541 � _?c a 76 APPLICATION AND PERMIT AV—1 �apn�T�-�oLin' t mac; BUILDING OwnerSQ. !�M e / nJ e FT. OCC. BUILDING VALUATION Mai l i ng Address 2 "ce. 4 d 4r_1Our LG Telephone No. 553—ti'S5� 7 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressPLUMBING F T No. @ FEE PERMIT FILING FEE $3.00 .es i L F el L t u , Each Trap 1.50 +�OJ1 LL a Repair drainage or vent piping 1,50 r Water piping 4zw / D.d Each gas water heater or vent 1.50 -- 6G �- /( F s W. Fire Dept.Fire Zone Use Permit Gas piping system 1 - 5 outlets t� /0-00 Z-ach additional outlet .30 Building sewer SHR, 00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. I1ans Rec'd onincJpteriir1Raf sol t7� Plan pproval Permit Fee $ ,OQ $ 3 pC NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - ,. NEW CONST, DWELLING OCCUP. & OR.ADDNS. ACC. BLDGS. 2¢sgft NEWCONSTR MULTI -OUTLET NON -.ESI., (BRANCH CIRCUITS)i 12.50ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 style of: ` Ex. Occup(OUTLETS OR FIXTURES) BA25 104 FIXED ALNS Ex. Occup. (OUT LETSP(RESID)REA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 O License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r ,OD O 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. 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.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 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 TOTAL PERMIT FEE above-mentioned property for inspection purposes. h X /d 9 /t/ 7 Signature of,Peermiitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR 0 BLIC WORKS 2ildinag Date permit expires Date 6-1,9-7 •COONTY OF BUTTE — DEP,' kF,TMENT OF PUBLIC WORKS 7 County Center Drive — Orgville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I! / ow,"y cl,--o BUILDING Owner f�J �f �� Cd SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor p1-11LI W &=L-, I/— 'FA Total Valuation Mailing Address 7L i�� Permit Fee Plan Checking Fee &/or Penalty �j��1 �?,` G,l�• Telephone No. 6 �� Permit Fee $ $ Building AddressPLUMBING S �' ��� No. @ FEE PERMIT FILING FEE $3.00 y / /L L4 /� O� �� Is' (/✓� Each Trap 1.50 L ✓ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 •� A. P. No. �6 'Q c� Z Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeV SauLLabi" I FireDept. FireZone Use Permit Building sewer 5.00 EQA PlanParkins Declaration Parcel Map 60' R/W imp ents Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel ADDrJkal I Plan Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 rXL VWI) r, -VZ- F',?? F22 Main service i°oo V OR AMP LESSOR 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home JA Others ❑ VER Main service 1 0 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ADWECCLBL GS.CCUP. &) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEWcONSTR. (POWER APPARATUS & NON .RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profe sions Code under the name stye o _ r L - Ex. Occup(OUTLETS OR FIXTURES)@L�Q BALts/ FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,27 7,6&— Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. I/ IXcertify 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.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby n,..ti rl ,_11, r a• Do TOTAL PERMIT FEE $2,0 �Q `^ •- I vMovntatIves UI the UounLy UI Butte to enter upon ine above-mentio property fo 'nspection purposes. X Date Signature of Permitee or Agent Receipt No. lf✓ T 1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OFA6`ULIC WORKS ByDate ao�•-�� Iding permit expires Date 2353=85 PERMIT N0. _ �j308(66785B,E PERMIT EXPIRES OWNER JOHN GIPE CONTR. K Banes Const ASSESSOR PARCEL 72-062-11 LOCATION 82 Carefree Way, Orvville i 1 i t "1 i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service r� Called PG&E ✓`� JOB FINAL ED (Date) Signature y� --- "j -31) .,-3J = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'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 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B-1 Date Card -BI Date Date Card -BI Date 11 1 Card -BI Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL'(Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. 4. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 49. 50. 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. 40. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.--Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) t ^ COUNTY OF BUTTE - DEPA' RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAVION AND PERMIT PERM T NO. a t� ' ASSESSOR PARCEL NUMBER `7 .—Ej til ( ZONI G BUILDING PERMI OWN E!i �\ ,(�� TELEPHONE SO. FT. OCC. BUILDING VALUATION ER'S MING ADDRO S vt D GON ACTOR'S N ME TEL CONTRACTOR'S MAILING ADDRESS L 1��.. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap, 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 'L(' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea ,�.,� TYPE OF WORK New ❑ Addition L�" 1 R1emodel ❑ Utili ie ❑ Inst lation❑ Other Describe work: A141 7) r1. (�� \ Ct? _ Permit Fee Contractor $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnes$ and Professions Code and my license is in full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered �f sale. (Sec. 7044) E I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING 21/2 O New CONSTR.( A �sgft B ULTCC ODUT E BRANCH CIRC ITS 2.50ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20050t 9AL030 FIXED Ex. OCCUp. P OUTLETS (RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ , WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai s Count in,6oj&equence of the granting of this permit. X Date r�,� nature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 2, OCCUP, CONST.TYPE JF;:JPARCE P11 ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PERMI EXPIRES Dater the -applicable provi- resolutions to do fees have been paid. WORKS —bat/e�aZ� T 6 rL�� Receipt No. t Il 3f `i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II C: COUNTY OF BUTTE - DEPARTMENT OR PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEgwGA.LIFORNIA 95965 - TELEPHONE: 916/534-4541 ' PERMIT APPLICATION DATA SHEET Permit No. OWNER R� A. P. No. _ 7 Proposed Bui ng Use Permit Fee ed Upon: Complete C ntract Price DPW Valuation Other (Explain) Building Inspector Date %,`Q'N's-T At time of permit applicati I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2 Plot plans in duplicates. ... . . . . . a� Complete plans in duplicat +s te._f/0WV 4 � � -/�' ��Lbof 4. Complete engineered plans and calcs. . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . 0. Sanitation approval from Health Dept. vim- .•��.. _- 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . , . ... . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec, request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. . . 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at --office. Deliver w/inspector. Other r Appi icaln.- Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of a ation, circle item.) 1. Index permit for above Items No. 2. Additional items required: J (Contractor, Designer, Owner was advised of above required data by Telep one -Mail Other By Date Plans checked by_ Date~ Plans approved by Date :P - Other: n. Copy—DPW COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 DATE `6 30 a f�jl7" RE : PeYW, �c YJ ol(i C�D� q 576 With reference to the above subject: �1 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet ` Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Z 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 inf9rmation or check exemption statement ,. Complete plans in d X42 , including pc�` Plot plans in Structural detai s in Complete plans and talcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise. Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L1 OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works C.Glander Chief Building Inspector 0 ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT No. `" PACKAGE "A" (Additions) JOB ADDRESS TYPE OF WOR FORM 7 SQUARE FOOTAGE Existing Residence New Addition 19M 46 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 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA ✓CEILING 11-30 R-30 R-38 dWALL R-11 R-11 R-19 FLOOR R-11 R-11 R-19 SLAB R 7 R711 R- 7 LAZING ,65 .65 .65 SHADING POO'SOUTH -OPTIMUM OVERHANG or .36 S.C. - r 00�EST - .36 S.C. e4L00SE FILL INSULATION (Density) o-NFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) P/DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT —_p/MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING ,4EW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ 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 ❑ Electric Air Conditioner (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 ❑ (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) ft2 (backup heater type, brand and model number) (collector area) (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 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, 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. s i S ATURE OF BUILD G DESIGNER OR APPLICANT I A 1. u .. y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 f - ' Telephrne: 534-45411. APPLICATION AID PERMIT I vp1 va cl l LQLVcO ul UIC VUUIIty ul DULLU lu WIICI Upun LIM above-mentioned property for inspection purposes. Date Signature of Permit�e.('�Agent f Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS I r �, By—f"' Date ��!'//� ;� 7 6 1 f fT Buitd4w"ermit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ./ K' �` - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �. c; 1, • , /, 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 FUP-1 SartiletirnT Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bg�P_I.ans.f�ec_d�.. Parcel Approval Plans Approval Permit Fee $ $ NEW--[-] ADDITION ❑ UTILITIES ❑ OTHER VELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter ~7 Ir Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mo it Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb d2 Receps., switches & fix outlets 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 style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 ^ Evap. cooler, gar.disp.or D.W. 1.00 Air conditioner or heat pump Water pump . Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring [2-1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ - $ - WORKMEN'S COMPENSATION INSURANCE 1 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. ❑,,l 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 Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ I vp1 va cl l LQLVcO ul UIC VUUIIty ul DULLU lu WIICI Upun LIM above-mentioned property for inspection purposes. Date Signature of Permit�e.('�Agent f Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS I r �, By—f"' Date ��!'//� ;� 7 6 1 f fT Buitd4w"ermit expires Date F/( COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone:-153�-A54.1 APPLICATCON AND PERMIT S�3 ;Z 7 - Z•- ��r���••��•�•��•-,� L� v�unty vi outtc LU ciitci uNUn the me tinned property for inspection purposes. X Date Signature of Permit e o Agent L ipt No. /37Z/3. to D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIR CTOR OF PUBLIC WORKS By QC �r�" �� Date d /S_ ermit expires Date _ %D BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing d ss P Telephone No. Fireplace Contractor Total Valuation Mailing A dress Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ I Building Address �� %��� PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 .01 /M./ � .OG i V i Each Trap 1.50 �O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 F eSerwtetiaR' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Permit Fee $ Bldg Pl-a' °^,'a I Parcel Approval Plans Approval NEVADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter JAdditional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (morethan 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbo �2 Receps., switches & fix outlets20 0 2b 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 style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 _ License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ ^� WORKMEN'S COMPENSATION INSURANCE 1 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 &?W0,r,men'sCompensation Insurance. rtify that in the performance of the work for which this pmt ,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 Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $77 Z•- ��r���••��•�•��•-,� L� v�unty vi outtc LU ciitci uNUn the me tinned property for inspection purposes. X Date Signature of Permit e o Agent L ipt No. /37Z/3. to D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIR CTOR OF PUBLIC WORKS By QC �r�" �� Date d /S_ ermit expires Date _ %D PI s i s-MI)ST he This set of p kept on the . t all times >, d is un! ' :z or altar^°' ions on same wi�'h.^u' make any chr-r written permissi n from fhOepartment of Pubk Works;County f Bu All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile M home. /7 rhe PO4. Setback shall be 5 ft. trorr: the side property line and 50 ft. frorr the centerline of the road, permitting A maximum of a 2 ft. eave, overherta /3-0 Septic system and !o a ton0,010, to be as per .Health Dept- Re- $utte County quirementse S 176 d . jog a Q .O .n rJ' BUTTE C0l.1NTY MJ BUILDING DEPA.I?TM7-NT APPROVED poo POP43013 lDuo140N 044 l"luDyoDln� )g buigwnld-but uuo}lun 044 ul asn Palpoe�i$ ey�.:Of �.��..;,;e:�i n PUD se2140D.,d P'Ilu ) • H<< 4+im aounHotioy. �941a 'la°M sl�'l�e40H ll`v'—:31ON dos 9 0 V ..:MOA `_ i, 3" I 11� - —1 — . ­ I � I _11 � . I 1. I e — � 11 . � � � � � ­ I I I., I 11 - ­ ­ — -11 .111, I I I ".. 1. � �111 — I _- I ­­ ­ I . � __ 11 11 . . ".. I.. ­­—­_ __­ — —,,,_,_. i� I — — _­ .. _11-1--.— "". I---- ­ . � " ­ __ , , , ..— . � I , — �� � . — . I .11 . .1.11. � � — � . 1. � I , ". ­ , 1 , " � — _. .1 � I, I .— 11 1�1 .— ­— . ­ � , ­ ,. ­ � I � 11� I 11 11 ­' - I .1 I . I ,� —1 I I . 1. 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