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072-080-028
1\ DOAN. HART 7�-08-28 58 Tfklulntion Trail,Oroville Permit1PV_0-85P,F(util, MH) FLE C CAS L,a SUPPORT STRTTr RP REO COMPACTION TEST REo ^014 �2-08-28 DON HART/�NP-L EMERY Contr: Beather River Homes PermlitV166-85MHI sued /--2 072-080-028 92-2622, BPEM ,CORPE, John' 58 Tribulation Trail, Oro . v ill new sf 072-08-0-028 93-;3363 .E ,_,t,CORPE,John A. ,58 Tribulatiori Trail, Oroville.' c . (move eleser to we 072-080-028 -93-3991 CbRPE, JOHN 58 TRIBUtATION TRAII:, OROVILLE /�j�/9!�, INSTALL WOODSTOVE / SF.! .............. 77- 7 n J072-08-0-028 92' COR�PE-�, -Y�--John Tribulation `58 Tribulation Trakl', Oroville P� , . . 1 11 q Ag Exemption Permit horses, tractor,; feed' 7 G72--030' 2 .j' ": CON .. -r .r.i . ' .. -. a � -.1 W�•P "'[` 'i �.�Y :.t . 'iH *,.i :'.J' •. . `�aVG'� �w+: +tT'i3"�.'f'i: f»{.i�bM T4 AJ.. �� •�., SIJ•' 4Y: +.� • __ _3 � ;�T�'�.-...•u . 072-080-02.8 93-3991 CORPE, JOHN 58 TRIBULATION TRAIL;'•OROVILLE- INSTALL WOODSTOVE/SF C t 4 F i } fl 1 1 . s 4 ' 1 i COUNTY OF BUTTE - DEPARTMENT OF QEVEL'OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7.541 913, APPLICATION AND PERMIT *" PERMIT NO. ,) i ASSESSOR PARCEL NUMBER 072-080-028 ZONING AR , BUILDING PERMIT OWNER JOHN CORPE TELEPHONE •' — 532-8038 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' PO BOX 150. OROVILLE CA' S 65-0150 CONTRACTOR'S NAME I - owm TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I A 1500 CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER n LICENSE NO:. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 58 TRIBULATION TRAIL, OROV11LE PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE Icy SF ❑"''Duplex ❑ Mobilehome ❑ Other SPECIFY I Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK . ( New ❑ Addition El Remodel Cl Utilities C) Installation 1:1 Others© Describe Work: 1IMSTOVE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.50 FSTO: I- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and ssions Code and my license is in full force and effect. ProfeLicense No. Classification 0 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 - ( POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES' 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that thi e.above information is correct. I agree to comply to all Butte County Ordinances'and California State Laws relating to building construction, and hereby authorize representatives'of the County of Butte to enter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c�o� sequence of t e -granting of this permit. XiIJC.... fr';o s��. Date�3 SignAdre of Applicant - ❑ Owner 1 ❑ Contractor ❑ Agent ' ` An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories*in height. Mobile Home Installation.Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.001 HAZ. I D. FEES I IMP I FLOOOJ CDF PARCEL PD HD I ISSUE #f 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 P - �� Date BY 11 PERMIT EXPIRES ON / (Date) ReceiptNo. 154035 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFD,EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 9-3vTIr • APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-080-028 ZONING _ AR BUILDING PERMIT OWNER JOHN CORPE TELEPHONE 532-8038 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' PO BOX 150 OROVILLE CA95965-0150 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 58 TRIBULATION TRAIL OROVILLE PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF dXDuplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ❑ Other)b Describe Work: WOODSTOVE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 600V Main Service 1 200A OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) 3.50 T,SO, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) ' @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2001.00 Ex. Occup.FIXED APPLNS. OR OUTLETS IRESID.) EA (. ) 5.00 Servi Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 4 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count'n c sequence of ranting of this permit. _ S' re of Applicant - ClO ner 1:1 Contractor ❑ Age t' - An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. 1 D. FEES I IMP FLOOD COF PARCEL I PD HD I ISSUE 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—AF—RU.BLIC WORKS r-- By A&4 Date gJ PERMIT EXPIRES ON 2 Z 2 Zlel etel ReceiptNo.1 [535 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,. r�..'1''��y�ilsy: ,.( }i.�"1i�. s�^r4.�r�rf�y���;1�����;`Y••' "��T����� T�U�t"�. `. ��" +¢a.�A.�Y COUNTYOF BUTTE - DEPARTMENTOFETtVtLOPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET OWNERy d Vt o A. P. No. Proposed Building Use Building Inspector- 'Fc� Date 2/ .1-S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3. Complete plans, 3/4 sets, signed by pro -parer of plans. ...................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval - Health Department . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: " 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). ...... pe'... �q��-- 20. Pre -inspection for required. .. to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......... ............................... . 29. Documentation of legal access . ..................... :.....-*******- 30. .... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pic p t office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by -Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ;f COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention,Property Owner: An 'owner -builder" building permit. has been applied for in. your name and bearing your signature. Please complete and return this information at your earliest opportunity -to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) = 2. I.(have/have not) signed an application for a building permit for the proposed wo k'. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name' Address City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security umber Date %,?, —? 1 — g 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and*returned to. our.office'before we are per- mitted to issue the permit. 072-08-0-028 93-3363 E CORPE, John A-' - 58,-Tribulationj Tr'ail,,,� . Qrovi Ile (Move.elec ser to well}h. j �?C) Ila Celts IZ-<7 .j e) 0 C e4 i I / r/9,3 Ale COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 05965 - Telephone 1916) 538-7541PERMIT NO. APPLICATION AND PERMIT0 ASSESSOR PARCEL NUMBER R ZONING R BUILDING PERMIT OWNER nRN A COPPE 4R TELEPHONE r%o— SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ()T?OVTT I R O CONTRACTOR'S NAME R. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER _ UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITEC OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 58 TRIBULATION TR PERMIT FEE $ OROVIILE, CA OFF WILLOW PASS ti PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCELiMAP Each gas water heater or vent 15.00 USE OF STRUCTURE d SF ❑ Duplex ❑ Mobilehome ❑ Other POLE SPECIFY t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities R; Installation O Other ❑ Describe Work: MOVE SERVICE TO WELL !7d PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 t Main Service ( BOOVORLESS ) 200A OR LESS 2300 23.00 • Main Service ( 200A TO IOOOA ) 46.00 rt[ I ILII NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) 3.50 SFT.D, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business iand Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ''. I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Profe sisions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Professions Ex. Occu FIXED APPLNS. OR p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20 00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Developmen't Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. i Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. i PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above informationis correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte 'against all liabilities, judgments, costs, and expenses which may in any way accrue against said Country in consequence of the granting of this permit. X 1 �r��,1� /� _ Date / — Sign ur� a of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction'of structures over 3 stories in height. 9 Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 43.00 HAZ• I D. FEES I IMP I FLOOD CDF PARCEL I PO HO ISSU This permit is hereby issued under of the Butte County Code and/or indicated,above for which fees have /DIRECTOR141PUB7J� 1,Wil�QII�By B L J• ` PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS Date /I) it 1 / /- ) IDatel Receipt No. 153202 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r.. J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN /DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION' AND PERMIT�3 ASSESSOR PARCEL NUMBER 072-080-028 ZONING AR BUILDING PERMIT OWNER JOHN A COPPE SR TELEPHONE 589-2260 SO. FT. OCC. BUILDING VALUATION OWNER'S M AILING ADDRESS PO Box 150 OROVIT LE -95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 58 TRIBULATION TR PERMIT FEE $ OROVILLE, CA OFF WILLOW PASS PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex Cl Mobilehome O Other POLE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities (�c Installation ElOther O Describework: MOVE SERVICE TO WELL PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.5C FT.S0. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as he owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) .;Rr1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) RAL @ 1.0 550 Ex. Occu FIXED APPWS. OR ( . ) p' OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _[_ WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the anting of this permit. X Date �� f — gg-nVure of Applicant Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPETOTAL FEE $ 43.00 HAZ. I D. FEES I IMP FLOOD COF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for which f shave be n paid. DIRECT PUBLI ORKS By Date-� 0 14 /1 ' >g PERMIT EXPIRES ON / L-/ IDetel Receipt 153202 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDINC"DIV1.31ON DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico -CA - (916) 891-2751 7 County Center Drive, Oroville, CA.- (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE iER PERMIT NO. A routine ins3ection indicates that the following violations of Butte County Ordinances exist at the above acdress and should be corrected. Please notify this office when correction of work - is completed If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r - 9 Date j Inspector &14= REV 1Cy92 i. i. iv JOB FINALE Signature ELECTRIC � ~' RESIDENTIAL 072-080-028 92-2622 BPEM CORPE, John' 58 Tribulation Trail, Orioville new sf �/ /Q3 24 OFFICE Copy Address II GAS Meter r By DatA ELECT Me y- Date OFFICE COPY Address & 1� :::2r. 611 4, JOB FINALE Signature ELECTRIC � ~' SEP `00-108: It PGL TBLDG:' PROD, SAC. P. 2/, -V,7 APA�Gw ,q'ertificat oniormance e o Certificate so 9008 —91 I� ~ter- _HE 346iED MAVUEACTUREF;��CERTIFIES that the structural wood products'',danttfte,d below and marked with a collective mark of American Wood SYSterns (AWS) Were min- uf'actured in accordance with the specifications iridicated below. ANSI Standard A190.1-1983, for Structural Glued Laminated Timber r �! G"M 'a'ni„'C,4 ;,An:..ia e.Mi.'vYaaC> wi-.+.... ,,.,rJ✓ llf, •� '•may ` J� l JotxName'PALMER G. ),EW S1'?C0 Job Lor on SACRAMENTO, CA /Customer's Order No. 301--28291 Date 9-16-•92 lAAFf r 7169 -C g 's Order No. F LOADED Cor�any ROSSORO LUMBER CO, Address Title QUALITY CONTROL SPRINGFIELD, OREGON Date -' - IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufactu'rer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency 1 of t0`0 rrtsnufacturing process, with adequate sampling to verify the quality of glularn construction and the adequacy of glue bond. ea1,5EAL a • • Michael R. O'Halloran Executive Vice President ee AMERICAN WOOD SYSTEMS — A RELATEO CORPOAATION OF AMERICAN PLYWOOD ASSOCIATION SEF ;-;@-!' 00 08: 16 P P 1BLPG . PROD, SAC. f r' •s WAE JL P.O. Box 20 • Springfield, OR 97477 PHONE: (503) 745-8411 • FAX: (503) 7288919 ra'�l.t t,r.:. r.....•..,?:; t.r�`}�r ,,J..,l i L.. r:. Uv._ Y �• c. a.) :r,•'1t..I";I�•G :,I't:I. �:) ..I l:i •I• ,Ir•It L... .":il'if:;i'tirif`),.:.J,i'I (:) (•I�1 `l.`:.`t��.:'.�r }, ,. ` V• Aar , �{iF:.,,'.%l:iF.:((i.YF•>,.ii':?�3'�:�:�in,�c>`F%:: ;: t'i,{rii{Y,f};�r,;�.;;tl;r;i�;};n:�::,'•,Y� •1,.7;:n �i..�l'1,,,�,.Y,:r.}r:m 'J,. < 1�2 �) t.Yfl'i �i .� .1.:=t f i•..:�.�(..te; �'li:Jl.'�:'.,. L..l.jt:> i (.tl"1{::,fl { it.�i..l`. • tttttgaxaixitiii.iiiiti3ili3itttiiititiititliittittiitit[iiii3T:itt►titttit3sitYfiiili3ittiittii ORD SH? 2�r � SPC S7 4.7f t QTY OT" WIDTn DEPTH rcE' IS FnACT ti:c iiR COMB. .. , 01- .,2 X 09 41 00 D V4 240OF G 4 D V<24007- a? Ito X ii,_.1: ,o U? I D t14 24007 5 8 ON-11E X !? 60 02 i 0 V4 240OF 4 = 01-1/3 X 16-112 60 02 I D V4 2406F :--�—�-- a-50=1 f: 05-113 X 09 60 07 I D V4 240OF S-52: 4 0 05-1i8 X 21 bJ 0? u V4 2400F S-5?4h 2 _ C5"114 a 24 50 00 i r V4 2400= S-6i,?F4 4 4 06-5/4 k 12 50 00 i D V4 2400; S-6:`. ? 2 06-1111 k 15 66 1-12 D 14 240r1s 2- i:'6 /4 X 15 50 W 0 V4 ?400= S-613h i %1 06-314 X 1B 50 !i': Ir, V4 2e0V S-6:9 2• 2 G6-vi4 X 14-112 60 G2 I D V4 2 41 00F !-5:QF' 4 4 05-:%B 1 D V4 2400" P. 3/3 ORDER ACKNOWLEDGMENT! INVOICE TERMS AND CONDITIONS----��- T t, Plea" supput all If bi dedwelMn9 :lith 014nal treight bill*. Z Associalidn iulwi to appoy on Waims of grade. Wly & manufacture. CUSTOMER'S ORDER IS SUBJECT s Fast due accounts will ba aoaes:ad a service charge of 1+nab per month (13% pw annum). TO ALL OF THE TERMS AND •. Customer agrees to indemnity Roebora Lumber Company few rill expenaea incurrod in conneclion CONDITIONS STATED HEREIN, with the cdlection or am wnts due hereunder. including all court costs and attorney's fees ineurreC PA Me Nie0 kwoi"on any appeal, S. All litigation conoaming this aper will take place in Lane County, Oregon. � •� G Should Inaorislsianclee IN tarma be found bat"an Ih!a acknowtadgment and cu atomw putchaaa order, this aeWww!adgnsani takes pieeadence In all casae, SAY ROSE BURRO-' ����x�lA� COMPANY":( � `/ ��`�~^�������� �����`������� �����`��~��� � ' _ ` P.O.Box 20 ° Springfield, OR 97477 PHONE: (503)746-;41 � FAX (503)726-889 ' OR�ER ACKNOWLEDGEME�T ROSBORO GLV—LAM PRODUCTS JOB # 576J—C �ustomeI G. LEWIS COMPANY INC Ship To ^ 1::''i C) BOX 28547 w` . SACRAMENTO CA 95828 ` ******* Aft, **************************************************************** Re«isiopDat� 0/00/(X) . �ust301-21847 Cust Job # � Re;ision Num. ^ ` �3 1-0.p Via TRUCK Route Freight Chgs BY OTHERS T rms 2% 10 DAYS, NET 30 Comb Symbol: AS NOTED ' ''�nspection APA/EWS Inspection Paid By ROSBORO `/ APPEARANCE PROT SPC ST BEAM PR0FlL LINEAL 0TY HlUTH DEPTH FEET IN FRACT RADIUS GRADE H00FY -BCT FN C{[ G8 COMB. SECT i 8 FEET /i -3126 W 03-1/2 X 12 16 VY 2000 Arch. l S H [W.22 --FA \ N S '� , �4 � - -3136 7 03-1/2 X 13-1/2 16 09 2000 Arch. l S H [N 220W A I N S 112 � �0 4 05-1/9 X 10-1/2 -64 02 2000 Arch. l S. D V4 2400F A l N S 240 � ` » 512 O 05'1/8 X 12 60 02 2000 Arch. [ S D M 240OF -A \ N S 480 �513 4 05r1/8 X 13-1/2 60 02 2000 Arch. l S 8 V4 2400F A l N S 240 � ' ' `5i5 ���� 4 05-U8 X O 60 02 2000 Arch. [. S U V4 24�F A I N S 24o � . ' 02 `"^�;� ^` ,"^', " .16-1/2 .. ~ ^.,, ' ^ Arch.— ' V O� . 619. � ! 06-3 /4 X 19-1/2 60 02 2000 Arch. l S U ' V4 240OF A \ N S OO 1 512K' 9 4� 20V0 5158`�4 |0 X D oZ Arch. � S 0 V� 24OVF A \ N S D6 � Eh AckkoWLEDG�ENT INVOICE TERMS AND CONDITIONS pl"jje k'upporl ill ifeight deducilons with original freight bills. "'IS SUBJECT CUSTOMER'S ORDER Association W18�8 jo �pply on claims of grade, tally & manufacture. %Wl be assessed i service charge of 11/2% per month (18% Per annum). tO ALL OF THE TERA AND.. Past due accou ni� cu . stomer agrees io Indemnify Rosborio Lumber company for all expenses Incurred In connection including all court costs and attorney's toes incurred CONDITIONS STATED HEREIN. k with the collection of amounts due hereunder, at the Wal I&ei and on any ippeal.- ` /m mmom" m�, county, Oregon. o�wmo purchase. wledgment owvm q Certificate . – '� 9050 —91 ii THE i9N®ERSIGNE® MANUFACTURER HEREBY CERTIFIIdS that the structural wood prociuctkS identified below and marked`with a collective mark of American Wood Systems (AWS) were man- ufact6 red in accordance with the specifications indicat'ed below. E 9k ANSI Standard A190.1-1993, for Structural Clued Laminated Timber 0 .. Job Aflame PALUF_,A G o LEWI S- Job Locatlort SACRANENTO„ CA Customer's Oder No. _ 301-28611 Date IOwi 2-92 Mtor's Order No. ` 7219-C _N i PROOF LOADED &ND JOINTS SignatureTltle QUALITY CONTROL Company ROSSORO LUMBER CO, Address SPRINGFIELD, OREGON Date _-__IO-22-92 IT IS HEREBY CERTIFIED that the structure! glued.iaminatr3dtimber production of the above-namedmanufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems,: such audit consisting of the inspection with reasonable frequency of the manufacturing process, witt adequate sampling to verify the quality of giulam construction and thead' �quacy of glue bond. 61_11&114 9 ^4 FZ SEA -- - - Michael R. O'Halloran Executive Mica President Zw56liA1G��� AMERICAN WOOD SYSTEMS — A RELATeO CORPORATION OF AMERICAN PLYWOOD ASSOCIATION . r' _ ..._ _._ .� - - - a• ...... ...... .... -� .. .. ... .. _.. .... _ . - �..Lr . � - w�.:-•'�--...k-..-.-ate-. . h.�.+s.: Permit/ ENERGY CERTIFICATION LOCATIONA.P.N DESCRIPTION OF INSULATION ROOF` ' 4 MATERIAL THICKNESS EXTERIOR WALL BRAND NAME_ THERMAL RES. MATERIAL Fiberglass BRAND NAME Certineed THICKNESS_ _ `' .� _ THERMAL RES. CEILING BATT OR BLANKET TYPE—FIBERGLASS BRAND HAME�.. Certineed THICKNESS /d e1 - _ ______-- THERMAL RES. 80 _ LOOSE FILL INSULSAFE IIIBRAND —_ NAME CERTAINTEED .�.. THICKNESS � �% � 77-5-0 THERMAL REE. ____ FLOOR—ELEVATED MATERIAL Fiberglass BRIND NAME Certineed THICKNESS THERMAL RES. FLOOR—SLAB INTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS ;' --`� THERMAL RES. I HEREBY CERTIFY THAT TH.E ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS-IND.INCAdba SHASTA INSULATION LIC.#650722 ; o -o- Pt— 1 44000/0 00?*Z7.1? Thereby certify the above insulation and all required items as shorn 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 Calif. FIRM sNAME/OWNER (PLEASE PRINT) STATE CONT. LIC# SIGNATURE OF GENERAL CONT/OWNER DATE This certificate must be on file with the Building Dept. prior td -Final and posted within the buildine. r. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 139 Humboldt Road, Chico, CA - (916) 891-2751 - , 7 County Center Drive, Oroville, CA - (916) 538-7541 i47 Elliott Road, Paradise, CA - (916) 872-6307 '1z CORRECTION NOTICE OWNER PERMIT NO. e. A routine inspectioi indicates that the following violations of Butte County Ordinances erist at .. B; the above address and should be corrected. Please notify this office when correctional work is completed. If yon, have any questions pertaining to this matter, or need additionalexplanation, r please co aem is office immediately., r l � vi 124> :770--- _ � r v/acs : li�i�avrL 2 cgo- s r M Date ! I /51-"nspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conjkct this office immediately. N 7- �v _/4 L LC47- S/per Date Z' " � 3 Inspector REV 11/91 J=OK O=Not OK Not = Not Readyable RESIDENTIAL (Single & Duplex) Date UNDER OR (Plans) OK except ti's Date /FRAMING (Continued) -oni -Setbacks-Easements-Flood-Slope ain; Soils•rclec. Grnd.- " tg. Depth --- Ftg., Garage; Soils Steel-Elec. Grnd.- /" Ftg. Depth - 4. Ftg. Porctfes & Decks; Soils -Steel-/ /Ftg. Depth --- temwal , Main; Steel -Bloc kouts-Wrapped ----- mwalls, Garage; Steel-Blockouts-Wrapped ------ -- 6a. Holebowns and Special Anchors L;,<ab; Steel -Wrapped fIrrs-Post Caps -Anchors -Connectors Joist-Rftr. ties-PUrlin-roof Brac-Truss-Shthng.-Rfng 67L� Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Windows or Exiting Doors -Sill Hgt. & Dimensions - - SANG rage Fire Protection Framing --- - . Property Line Firewall & Openings 52"'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel -- ---- 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date - a and B-1 Date - rd B-1 D °t.._Eard B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's - - --16. Water Htr.: Vent -Access -Combustion Air -Baffle lYWater Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection ------------------------- — ------------------ 19. Shower Pan, Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21 Gas Pipe: Size & Anchors ------- - - - - --- - - a --- -- -- Date rd B-1 Date Carrd B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's — - -- 22. Fixture & Transformer Clearance --Ins. Protection ------------ - Receptacles Spacing -Lights & Switches at Doors � �-- �--------- ----------------------------------------- -- -- {� Size Boxes & No. of Conductors_Stapled --------------- --------- ___25• +tU-mex Installed Close to Edge of Studs & C -J --- ------- - _ 2quip. Ground made up w/Mech. Fastners-Bond Gas & Water ---- --------------------------------- 27�1'dppliance Circuts in Kitchen & Conductor Size/GFI ---------- -- - -------------------------------------------------------- 2Z -0.w e--------------------------------------------------------------- f- 1'e Sizer r ga. Cu or AI-A.C. Wire Size ! / ga. ______---------- - -- AI---- ZN. Range Circ. / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. sulated Neutral ❑ Yes- - ❑ No Service -Riser Conductors & Ground Main Disconnect ;w -�---�- -- �Equip_Clearances Panels-Motors-Mech. Equip. --------------- ----------------------------------------------- ,7ie1 es Closet Light -Shower Light -Spa Light - -- ------------------------------------------------------ ------------ ---- moke Detector ---- -- - ---- - --- - - Dat and B-1 Date Card -B-1 ------------- ---- --- ------ --- ---- ---------- - ---- ----------------------------------------------- Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except ti's al�._A C. Ducts Insulation & Support ------------- ---------- 3Fl Ve t Fan Exhaust above insulation densate Drain & Overflow: Size & Grade ------------ --- -- -- - -- - - ---- ------ - - - - ...._. - Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - --------------------------------------------- --- - --- -- - - - ---- ---- - 38 ttic Access & Platform if Furnance in Attic --------- -------------------------------------- Date ,y� 4°�/Card B-1 Date Card B-1 --FF -- - - ------------------ ------------ ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39.' Sils. Proper Material & Anchors - - - ---- ------------------------------- ----------------- �Ils Studs -Nailing. Spacing & Bracing -Plates -Sound 41!Be ring Walls over Girders & Floor Nailing -------------- - ----------------- �-------- ------- -- -- ---- ----- -- ------ 4ra.ft Stop in Walls (rat proof) +�J - - - ------------- -- Stops Furred Ceilings-Stairs=Chases_Tub -------- ----- --- 4 . Headers & Beam -Size & Bearing TrI -Headroom-Rise-Run-Landing-Fire Protection on Roof Overhang -Attic Vents -Rafter Outriaaers ". Siding -Nailing Veneer Drip Screed -Fd. Vents-Underflr. Access --------- Gla Area -Glass Protection -Skylights -Plastic - hea Walls; Nailing -Bolts -- 5--sulaIion-Walls-Ceilings 60. Infiltration -Walls -Windows Date Card B- Date Fe -Bard B-1 Date //�-J�di -rard B- Date Card B-1 Date r FINAWPIans) OK except ti's &r -Ext. Steps -Door & Sidelight Protection -Landings ------------ - 3. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------------ ------------- _ ed om Exiting ��� F.I. & Bath Fixtures & Tub Access -Spa ---- --- .bCS tlec. Trim & Subpanel; Breaker Sizes & Labels . Stairs &Rails _ireplace or Stove: Clearances -Hearth - �_ Outlets at Wood Panel: Int. & Ext. - .-- i -----------------------t.Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance 7 c. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer ---------------------- ----- 9 --- p — . /CC. Duct in Gara a -Dam er ;In ir. Ht ., Vents -Clearance -Comb. Air-Connector-P.R.V. rg_Above Floor_Mech_ Protection ------------.7Ib.. Elec. & Mech. Equip. Listed for Location 7.6-1ETe-c. Receptacles in Garage: (G.F.I.)-Romex Protection tion -Foam -Looked in Attic ❑ Yes -- Rails & Deck Construction -Post Caps - - ------------ -------------------- Vents &Crawl Hole Door-Draina9 a &Wood -Earth Clearance Looked under Floor ❑ Yes - ---- �- -- - - -- 3B!Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -- --- ---------------------_--Wish------- -- A.C. Unit; Disconnect. Electrical, Plumbing 8 Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings at . Well: Disconnect, Electrical, Plumbing —' ' xte nor Elec. Trim: G.F.I. Receptacle -Underground--- -- ------------------------ -- — 8&.-,Ve'nCilation Throughout House - - - - - - - - - - - - - - - ------- lass lass Protection orrections from Previous Inspections ---------- -- - — - as Test -Meters Tagged; Gas -Electric Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date -L� Card B-1 _Date _Card B-1 Card B_1 _ Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final_ ,t OK O=Not OK Not Applicable ' = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch '" 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 Concrete 3. Decks; Griders and/or Joists- Decking-Bracing-Stairs=Rails 4. Water; Location -Test -Easement Needed (Sketch)' 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: , /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Carc B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft's 1. Zoning Requirements -Setbacks Easements ' Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged i 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip.-Heater- quip.-Heater8. 8.Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date Card B-1 Date Card B-1 Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 y 9. Health Department Approval ` 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-2622 �- ASSESSOR PARCEL NUMBER 072-080-028 ZONING AR A - BUILDING PERMIT OWNER t, JOHN CORPE TELEPHONE 534-8416 SQ. FT. OCC. BUILDING VALUATION 2790 R 150,660 OWNER'S MAILING AODRESS.> P.O. BOX 150 OROVILLE 95965 728 M 1-3,104 CONTRACTOR'S NAME SAME TELEPHONE 116 C 1,508 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 165 272.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 828.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 414.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 58 TRIBULATION TRAIL OROVILLE 95966 Permit fee $ 1,277.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap ID 5.00 50.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.001 7_nn USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 nn Building sewer 15.00 1 no Mobile Home S I G I W @ 15.00 TYPE OF WORK New �p Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: SE 3 BDRM _ Permlt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS 18,50 Main service 2orATO10o0A1 37.50 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. �yZ '47Ex. License ,Jo.S Classification - ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUR.&) 3.64sq.ft. OR ADONS. 1 ACC. BLDGS. / 1 123, NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) %SINGLE OUTLET CIR. Occup( OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 . MiscWiring15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject 10 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 15.00 Heating 9.00 Cooling 4 TON 16.50 LHood 6.50 6.50 I Ventilation 2 4.509.001 Permit Fee $ 56.00 L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County Of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Countin co quence of the granting of this permit. againi�y X - Dated - - �� "' �Z Oo al4a ure of Applicant - Wner ❑ Contractors' Agen�d., An OSHA permit is required for excavations over 5'0" deep anofto r c str ion of structures over 3 stories in height. �% Mobile Home Installation Fee S Ener Inspection Fee $ Energy P 40.00 occ CONST TYPE TOTAL FEE $ 1,629.3 HAz DFE IMP L FLOOD ✓ CDF PARCEL PD - HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County de and/or resolutions to do ich fees have been paid. work;��,UBLICWORKS By Date PERMI EXPIRES Date / -9 Receipt No. 199173 PC FEE 487-25 // 122968 1142.10 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT •"� e `lei., t 7. � C • : •: ; k • "� 1COUNTY OF =BUTTE-'DEPARTME County ;center Orlvs-'Orovlller' California 96 • t • r �' g' � �i - ' APPLICATION AND r _a 1 P TEL HONi k 5_ owNER-S• 1. INGcA/DDRESs� /� Q��/ C...: _ O''J5V tU/"r 1 {i/J - T�LPONECONT AS NAM �,. <<AJ�' CSTRUCTION LEi ON LENDER'S MAILING i A Al mn+'e UILDING A DRess. - S S MAILING ADDRESS KNOWN r /f+ E/I/ p MIT NO. P.UBLI:C�WORKS r G elephOne .916 538=7541 t �r a U LDING:'P.ERMI-4 t.BUI LDINf3'VAL'UAT O'NF .r 5' (o Fireplace Total •Valuatio $' $ 15.0 -Filing'Fee`- -Permit Fee �d24S $ Plan Checking Fee. 2 $ Energy Plan Checking Fee $ y O Penalty $ Permit fee 12 7 $ r"H PLUMBING PERMIT Fill it 5.00rj (Q �---- l� Solar or heat pump water heater ' -• PARCEL MAP Water piping LOT NO. SUBDIVISION NAME Each cies water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE -Building sewer SFDuplex❑ Mobilehome❑ Other E Mobile Home S G W -' - TYPE .OF WORK Installation❑ Other❑ permit Fee - NewIQ? Addition FD Remodel❑ Utilities❑ Contractor �L3�r alrl• 5 3 B � ELECTRICAL PERMIT Describe work: -. :. Main service 200A OR LESS Main service 20GATO 1000A, CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCGP OR CONST (ACC a ouG LET ' I declare y check one): under penalty of perjury ( Div. the tis9 NON.RES ID BR'A R CIRC ITS POWER APPARATUS e ( SING LH OUTLET CIR• I a dBusiness I am licensed under provisions nice se infull force effecL; Code and my Ex. Occup(ouTLETs OR FIXTURES OR and Professions Classification License NO. FIXED APPLNS. EX. OCCUp. OUTLETS IRI-SIDd EA.� I, as,the owner, or my employees with wages as their sole compen- isnot intended or offered MobperHome sation, will do7twork,and the structure Facilities for sale. (Sec. ) exclusively contracting with licensed contract-.. Misc. Wiring• 0 I, as the owner, am ors. (Sec. 7044) Business and Professions Code I am exempt under Sec. _�--' permit Fee ' for this reason Contractor. COMPENSATION INSURANCE MECHANICAL PER WORKMEN'S I declare under penalty of perjury (check one): (valuation) or less. Heating The permit is for $100.00 fit with the County of Butte Building Department 7.00 7.00 5.00 15.00 Jw; l� e �L3�r alrl• J I have placed on • e . Cooling - a Certificate of Workmen's Compensation Insurance or a Certificate 6.50 of Consent to Self-Insure.Hood ' s� q ri C] 1 shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. $ Notice to Applicant: If, after making this state must forthwishould th comply becomeou subject Permit Fee �- to the W. C. provisions of the Labor Code, y Contractor= provisions or this permit shall be deemed revoked. Mobile Home Installation Fee S at the above information I certify that I have read this application and state thEnergy Inspection Fee 1v 2 3 al is correct. I agree to comply to all County Ordinances and State Laws relating Dcc CONST TYPE TOTAL FEE $ to Bute tole ter construction and above-m nt onedhorize propertyf or inspection purposes. resentatives of the nty of HAZ DFEES IMP FL000 COF PARCEL D HD ISSUE 1 also -agree to save, indemnify and keep harmless the County ofButte accrue. all liabilities'. judgments, costs, and expenses which this in a y y applicable provi- against said County ` n consequence of the ranting This permit is hereby issued under the Date sions bei County Code and/or resolutions to do X Agent ❑ ork indicated ove for which fees have been paid. 5ignoture of Applicant - Owner ❑ Contractor ❑ 9 D�IR CTOR IF PUBLIC WORKS �y ' Z� Date li OSHA permit is required for eXeavationt over 5'0" deep and demolliition or co s ru - - t ion of structures over 3 stories in height. G..>! d Q Z PERMIT S Date Z,�3731 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -• 7 County Center Drive - Orovllle. California 95985 - Telephone: 916!538-7541 APPLICATION AND PERMIT �PERMIT NO. � ASSESSOR PARCEL NUMBER 07.2 — C'�-0028 ZONING ..p+ BUILDING PERMIT OWNER3 or e6 .� S3�TELEPHONE 6� SQ. FT. OCC. BUILDING VALUATION OWNER'S (LING ADDRESS o�x CONTRACTOR'S NAME S G TELEPHONE /t 15 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuatio $ _3� LENDER'S MAILING ADDRESS Filing Fee $ . 155.00 Permit Fee $v O ARCHITECT O�.N,-_ NEER LICENSE NO. Plan Checking Fee $ fol Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES A/ Permit tee $ 25(x,-75 PLUMBING PERMIT Filing Fee 15.00 �59G Each Trap 5-001 5 o 00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7. Ob Each Qas water heater or vent 7.00 USE OF STRUCTURE SFJ;;� Duplex❑ Mobilehome❑ Other SPE,CIFY Gas piping system 1 - 5 outlets 5.00 dU Building sewer 15.00 5- Mobile Home S I G I W @ 15.00 TYPE OF WORK New& Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 5F 3 Biz. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A cos LESS 18.50 Main service 200AT01000AI 37.50 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 U I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ ACC. BLDGS. DWELLING OC c et� OR ADDNS. 1 / 3. 64sq.ft. e l NEW CONST R.ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup(OUTLETS OUTLETS OR FIXTURES 20 76d R FIXED (RID ) Ex. Occup. OUTLETS ES 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject ❑ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling o ie t7 Hood 6.50 0 Ventilation Penmit Fee $ 00 LZritractor 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 ay accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 PP ❑ 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 S Energy Inspection Fee $ f D CONST PE j/ TOTAL FEES HAz 1 0 FEEV IMP FLOOD I CDF PARCEL D ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date L' pp ,?� Receipt No. �`� C.� d �T o �� WNITC-O.P.W.: YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT t� C, al From the desk of y JOHN A. CORPE, SR. l RE: AP# 72-08-28 -John A, Corpe (Owner) The mobile on this property will be removed when the house,is completed. Thank You 1 .1 Signed- Q_ -A 4----t.- John A. Corpe Sr. t. Irl COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 06696 o TELEPHONE (616) 639.7641 OWNER e) 61n Proposed Building Use PEWIT APPLICATI'ON DATA SHEET A. P. No. 67 2 - Building Inspector �� Date 80 - c z P 7A// s Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ............... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calks, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome d nd manufacturer's iQstallation instructions, 2 sets. ........... 0. Fees of $ 1- .�...................................... S 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 3. ood elevation letter (100 year flood) by California Engineer . .................. Sanitation and plot plan approval n 9.00 ; I If Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. -� 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........ . Driveway permit (construction approval required prior to occupancy). .. - ed dew 20. Pre -inspection for required. a � a�spaor (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ - 24. Recorded copy of Agricultural Acknowledgement Statement. r,'/.E ......... 25.Leliter of signature authorization . ....................................... y of recorded deed of parcel creation and 60 right of way to a public road.. . 27. Letter of intent on buit�ng-tse. Al c76��/.P.., x440 fit/..c ...................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/.expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you i3sue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at n2.OU, i 12 office. Deliver with inspector. Otl er 5 Parcel Creation Acreage Applicant_ Date Z 9 Z Copy of Haz-Mat form sent Health Dept. Fire Dept. - Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prio r it ce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: (r Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date Plans checked by Date Plans approved by /F� Date -gLi'i Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance J� & 72-�-�� owner % location AP # Driveway permit /�"'��� `' /a has been issued for the above property. n b �r sae�l date sign re TO ". Buildina Department ,,;• FROM: Environmental Health -SUBJECT: Sanitation Clearance o Owner I Location AP# Plan Approved for: Sewaqe Disposal Water Supply Lkell Hold final for: Final clearance O.K. for: r Clearance for __a bedroom mobilo _,T_ NOTE * * * Water Supply Water fSupply . Other tjclt/t _ d `— Sanitarian v vtI Vi I. f APPROVED Butte County . j ' -V COUNTY .OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA -§5965 - TELEPHONE (916)5387541 -OWNER JvhN Gori A. P. NO. %Z -- C000CU --OZ PROPOSED BUILDING USE S` 3 g DATE L A9 Z REC. # DATE REC School Distric Fees All*( paid at District Office) ..� 2. Sheriff Fees ea-4., (paid at Building Department),,,,.rai br Xl c,�- /o��/e /-�c•�t Residential ....... X =$ U unit amt. Commercial(per sq. ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.f t.) X sq. ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ... ..._. 6. Other 7. Other At time of permit application, I was advised the above fees are• required to be paid prior to issuance of the permit. :APPLICANT DATE 2 �i 2- _+! V '` , i rs`^f.A'v ..r.. ... .. .ter'"""."7.T'-"'.am'o�c's-�.{yif�N'sTh..rr•. {tiiyJ°p"r"4�[P•y� BUTTE COUNTY SCHOOLS IMPACT "FEE CERTIFICATION FORM (One Form Per Building) School District o�0 E4"EJW R y Building Department No. A.P. Number Jurisdiction 0 City County Property Owner JOPI/y C,o J2 pE Property Location/Address SS Tf� 1Q VLATIViV 1 R A (% ORD . t Subdivison Lot No. Residential Development Commercial/Industrial Building C Sq. Footage 2 73 Addition (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Date V (Including Exterior Roofed Areas) District Identification No. School District certifies that, / (Applican (Street Address) . (Phone Number) (City) (Zip Code) has complied with the requirements of Resolution No. ff f— %0 --06 by payment of $ V,316, " representing ,�2 7 3 1— square feet. istrict Representative a Paid by Check Number Bank Number Paid by Cash Remarks: 2-,:;) V 9-� Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) No. f Living MHI14V Units rca~ % 40 s � GO m Z .l%.1 C Sq. Footage 2 73 Addition (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Date V (Including Exterior Roofed Areas) District Identification No. School District certifies that, / (Applican (Street Address) . (Phone Number) (City) (Zip Code) has complied with the requirements of Resolution No. ff f— %0 --06 by payment of $ V,316, " representing ,�2 7 3 1— square feet. istrict Representative a Paid by Check Number Bank Number Paid by Cash Remarks: 2-,:;) V 9-� Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) �� {-•4-N RPE 1 _. - o - z -7-2- No 2 N oPSN • G(�-. c�o� F6Nb1 t-� C. Tt (amu vw�6�C �l/ y D o& KI ---T _F N • 4 X S z so P60 C) Tc VN ? o 2 , M . `LA/A-t-L RRPrcIN6. � 2o GgJ SS SECTION F1�N T - �D THZ} A45,7-, 90 9-t A It &A-74 / �-E �9 N .TO � ooE= G,e.OSS SELTI 01J jT To Tf%�o v C7 P- 1 1 1 1 1 1 1 1 1 1 1 1 1 11 J r ------------------------ ------------------------------------------------ -------r _ --------_----______;__-----c -------------------------------- a r ______________________________�r;:11 -.-w;a-��n-�i:--- ______________________ ____ . __. r_------------------- =T rd 1 --------- -.,_--------------------------------- .. :V f vii ;i. i`•s,jt r J RESIDENTIAL PLAN CHECKING GUIDE MISCEi.LANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Q —Gr rail details (Sec. 1711 & 3306(j). L-lici -- stone veneer (Chapter 30). -4: f-;-eivr plaster - weep screeds (Sec. 4706). 5A.,�roper roof pitch for roof convering (Chapter 32). &,—Roof covering type - (fire hazard). am insulation -.protection. 8: 36" halls and stairways. 8/91 ving area over garage - complete 1 -hour separation required on garage side inclu supporting walls and posts, etc. its on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 . Attic access and ventilation (Sec. 3205).. door access and ventilation (Sec.. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. ise-requirements on duplexes. 1 �aegy design.. Flashing at all exterior openings. -responsible area requirements. toc-, e t -c o V 61z v M Z RESIDENTIAL' PL -AM CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER Etf- A.P. # %71-0 IR- 2R Plan Checker` 8- GENERAL N: Zoning requirements: (sideyards and number of permitted living units). AAjua-tion. ��Pplr�coper 3ns signed by designer. description of work on application. xisting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7- R-eeoF4ed notice of violation. PLOT PLAN �omplete parcel size and dimensions. etbacks, sideyards, easements, etc. 3✓ Other buildings or.structures. 0"--G ding, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU-& FAS road setback. (noise, CDF, fire sprinklers, non -comb- . Building or utilities across lot lines (Record form). FLOOR PLAN C ete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Req ed windows for second exit (Sec. 1204). 'ghts (Chapter '34 & Sec. 5207).• uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). 7t'--G-FCIs in baths, garage, kitchen, and exterior outlets (Article 8a ---Eight fixtures, switches, receptacles, and exterior receptacles tenance of mechanical equipment. 9 ocations of water heater, heating and cooling equipment, other r as equipment. 1rage firewall, door size, and closer (Sec. 503(d)(3)). 1 1 3'0" exterior exit door (sec. 3304 (f). LZok ace and wood stove location, alcoves, and clearance. detectors (Sec. 1210). 1.. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 210-8). for main - electrical Standard bracing or engineered design (Table 25V) usual shape, size, or split level house requiring lateral design. 5. Clerestory requiring balloon framing and/or engineering. lr�ree story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. ( Floor construction details complete enough to construct building. �evations and wall construction details complete enough to construct Roof construction details complete enough to construct building. onstruction details and calcs if necessary. R er ties or bearing ridge beam. 1 arage door or porch header sizes. I. Stud heights. 1 . Adobe soils - special foundation design. 1 Retaining walls requiring design. 1 Special Inspection required. building Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT43:`T��i�-' ' ."�Ct313AS �E;�a3Ed'�Ea� y� Section 26-8.1 of the Butte County Code.requiYes`this acknowledgement PA $Ho be recorded prior to issuance of a building permit. JAN 33 us The property described. herein is adjacent to land or included E 1.E h 1'.' A. 1' within an area zoned for agricultural purposes, and residents of this FEE property may be 'subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, 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 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: w Tha NottA 315.00 feat of the South 415.00 feet of Lot 163 as shove on that certain map entitled, •Offieta: Kao of Oroville Wyandotte Frcit Lands Unit No. $,e which ■aC vas recorded In the office of the Recorder of the County of Butte, State Of Celltornis, July 20, 1925 In Book 9 of !taps, at pages 37A and 35A. Excepting therefro% that Right of Hay and esse%ent as recorded in A-)ok 1093 Official Records of Autte County at pages 425 and 427 described as follovs: I°strip o: land 100 feet vi As and approximately 761 feet to length containing l.R acres aur or less, situated in Lot 163 as shown on that certain Map entitled 'Official Map of Oroville Wyandotte Fr,.It lrnds, "nit Co. 5." the centerline of safe strip being •ore particularly described as follcvs: Startinv at A point on the North aide line of the aforementioree lot 16j, which point Is westerly a dlstsnee of 220 feet, arra or less, fro% the Northeast corner lof Lot 153, thence on a southerly meanAerin. contour course a distanee of e73 feet %ore or less t-) r no,tnt on the East line of raid Lot 163, sale point being northerly a IJtst^nee•of 200 feet fro% the Southeast corner of r.ot 163. Together with"and reserving therefroa a 60 foot non-exclusl•e elvr a nt fcr road and Public ut.11lty purooses over the West 60,00 feet of said Lot 1^6 and the Fest 60.00 feet• of the South 115.00 feet of said lot 163. Date: —/ — { PROPERT WNERS: State of On this the /��' day of 19�, before �� ��. ) SS. me, the undersigned Notary P lic, pe rs nally appeared County of �s�Ltr ) 1f cl a_,� � c� n!2. L/ Personally known to me. Proved to me on the basis of satisfactory evidence. • to be the person(s) whose names) %A..# subscribed to the within instrument and acknowledged that executed the same for the purposes therein cont ed. IN WITNESS WHEREOF, I hereunto set my hand and ficial seal. OFFIC:SEALSHELLEYONNOTARY PUBLFORNIAPrincipal OfficeCountyb1y Commission E. 30. 1988 Notary Public Present A.P.' No. 7Z-08,TS This set of plans and specifications MUST ot kept on the job at all times and it is unlawful to J., make any changes or altdNtions on same Without written permisson from lh,�Dep&rtment of Publir. Works, County of Butte. NOTE:—All Materials ll; Workmanship Shall Be in / \` ` Accordance Wt ;'h Rc� r,3n;zcd GoOd Prqcficos anp) O cc> of a quall' * .' Z Y prewL M fcr +1.'ITR .`io S! 0�GQ'r use in +hu V Uniform Suil'ding, P Me anical Codes and .7 o e National Elec -ical Code. V) R 9� A setbacko\ \ r, \ � � ,i•'. N o t of 5 fr he 't.. /T property lines a asetback IN U. K Of 50ft- from th4 road e shall f c1car of centerlin o v structures ore L i��' �� Cj 0p ment 0'x0ni .1D for a.2 -ft. eave 0 verha ng,. % C4 rJ N-1 Utility conn E cions shall be within 4 ft. of the mobilehome, either -A directly behind or vvi'thin the rer half of the roadside (left) of the a �` mobilehome, �I e\ A permit ill be re vired for fh' �1 installation of 11 a mobilehome, ti Lo IQJ -P Nv --- - ----_v..._ C_ z i .5 I -v 0a ',TIF 09 os� 00,001- -v 1. LQ Z) N! BUTTE cou,�Tv J ov) BUILDING- DEPAMe J , (,�.c\' (z W J APPROVED IJ J lo ZI A q/ BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIF -441A 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUIL6ING EXEMPTION PERMIT PERMIT NO. 0— Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D 7a - c) go _ ®z<F ZONING 4 OWNER �Oha (' E PHONE NO. / OWNER'S ADDRESS eo-&xJ 1 CD pt� ISSUE LOCATION OF BUILDING �� . � 759 USE OF BUILDING Ca��eS SIZE OF STRUCTURE ' 4.0= � ���® X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME --JZ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING � ROOF COVE � / - C/ FLOOR TYPE / ESTIMATED COST OF CONSTRUCTION $ 5000 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � , , FRONT SIDES S S --<O REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that ti a and before occupancy. Date %L L Signature of Owner Permit Fee — $50.00 The above describe Building is exempt from a building permit. Receipt No. 123Z3 Manager Building Div' on By � �e'sDate q /S^ 4 Z White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD PARCEy P.q ROOFIyG1 ISSUE Manager Building Div' on By � �e'sDate q /S^ 4 Z White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant I Ll COUNTY OF BUTTE PARTMENT 6f PUBLIC WO BUILDING BUILDING DIVI8I.ON 7 COUNTY CENTER 0JRIVE -, OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538- 'S 1 ,PERMIT APPLICATION DATA SHEET OWNER J OW C o,(iQPi Proposed Building Use _&& - J�:7 +', Building Inspector A. P. No. D% 2 - OFC) ; 029 Date 71111 f Z - At timepermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �� DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ...................... 6. Energy Design Compliance and supporting documenfdt on>\ .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ... \.................. . 8. Engineered truss dexails and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions,'2 sets. ........... 10. Fees of$ ........................................ 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. . 7....� ................. 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approvalrequired prior to occupancy). .. ... ... . 20. Pre -inspection for Pre -Inspection request p required. . . to Building Inspector 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .....r :.................. . 23. Owner -Builder Verification (Given to owner Mail to,owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement .................. i,` 25. Letter of -signature authorization. .......-.- .__77_77 ......................... ` 26. Copy of recorded deed of parcel creation and 60 right of way to a public, road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................................: . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. / When you issue the permit, process as follow% ,,' Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation %y / YZ Acreage Applicant a Date Copy of Haz-Mat form sent Health Dept. Fire Dept. - Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1)Index permit for above items No. ,r2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I. .. . ...... A BUTTE COUNTY PLANNING COMMISSION USE PERMIT DATE PERMIT NO. (Registered mail receipt)' ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: is hereby granted a Use Permit NAME in accordance with application filed: (date) to allow " 1• Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted 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 permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: �Z c 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 Permitdoes not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission EXT t,. f. ;7t ''. 'i kri_�.^��•l�,'r� ;t �a" ... 5{t3i1 >.. 8 5 7_7 PER�IMI- NO. 72-08-28 ---- - ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Don R. Hart is hereby granted a Use Permit NAPAE in accordance with application filed: 10-4-84 to allow a second dwelling (date) on Property zoned A -R located on the west side of Mt. .Ida Road 1000 ft. south of Olive Highway. 1.. Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit i -n accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2 Unless otherwise provided for in a condition to a use permit, all 'conditions must be com- pleted 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 permittee, the permit shall become null • and void and reapplication shall be required to establish the use. SPECIAL CONDtT109dS: 1. Provide :sewage system under .permit and inspection from the Butte County Department of Public Health. 2. Spring to be used for water supply to be tested for coliform bacteria prior to final approval -of .second dwelling by Building Department. 3. Meet the requirements of the Building Division of the Butte County Department of Public hrorks. 4. Provide off-street parking in accordance with the County Code Section 24-3S. S. 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: --i Applicant NOTE: Issuance of this Use Permit does not waive requirement ofobtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Dl:parrtrnent Depar'cmetit of Public Works (2) _ chairman of Planning commission Fire Dep-- -tment PERMIT NO. 4,1;9, 8 5 1Z, E (MH) -PERMIT EXPIRES • �r/�� OWNER DON R. HART CONTR., owner A . SSESSOR PARCEL 72-08-28 LOCATION 58 Tribulation Trail, Oroville Tf OFFICE COPY-", Temp. Powe Address ----- Called GA Datek:f5-- Me Temp. Elea ELECTRIC Dat, Meter By Called Temp. Gas Service Called PG&E JOB FINXLm (Date). 11-2, Signature .0101 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 requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. �'' ` r Serial No. It is hereby certified for occupancy at the above described location and may be occupied. ` Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Orovilie — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 67 C0RRECT10N N00"T1.CE BUILDING OR PROPERTY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance exist at he 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. (g'- InenFrtor Date � (3 J S � i (g'- InenFrtor Date � (3 J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 534-454.1 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE R T5, 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. Inspector ,Ae�/ Date / ''� 7' [5� V = OK 0 = Not OK - = Not Applicable * = Not Ready, RESIDENTIAL (Single and Duplex) r Date • UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. 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 Fipe; 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Data Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. 60. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -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. 64. 65. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N'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, Plb., Elec. &Mech. Equip. Listed for Location 23. Romer: Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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 Al 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 E]No; Walks [I Yes ❑ No; Planters El Yes 11 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 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 Dale Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 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 Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. 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-Roo_f Brac.-Truss-Shthng_.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) I ' J = OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILE ME UTILITIES (P OK except N's l o ing Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—.Easements 2 oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails +'Rater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/--?410 Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—T —Wre/ /"L"ft./ /"Nat.or /%"ft./3/"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date /_/ Card -BI Date Card -BI DateCard-BI Date Card -BI Date Card -BI Date Date M 0 8 1 L,0f0 VE INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's . Zo ' g equirements—Setbacks—Easements 1. Setbacks—Easements 2 gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability s; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Ejedricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. W er; MH Test—Regulator—Connector i 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7.1 er nd Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 zits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Da Card -BI Date Card-BI Date Card -BI Date Card B -I -_l Date Card -BI Date lCard-BI Date Card -BI Date V/ - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. / ASSESSOR PARCEL NUMBER n 2 _& ZONINvG BUILDING PERMIT O NER ' TELEPHONE S'y 3 S0. FT. OCC. BUILDING VAL N OWNER'S MAILING ADDRES - CONTRACTOR'S NAME TELEPHONE O NTRACTOR'S MAILING AD ESS 67A are � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fiin g Fee $ 10.0[) LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /w Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP 77Gas Each qas water heater or vent 5.00 piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition [:1Remodel ❑ Utilities ❑ Installation 9 --'Other ❑ Describe work: Zi ��sf' �� .=_fie -444 11,0 • �s r p � � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 ('E)1n Main service EA. ADD'L 100 AMP 2.50t2__ NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare un er- penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full force and effect. 1, License No. t S Classification CU ❑ 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 U TI.OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS NEW CONSTF POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. Ex. Occu 200500 P(O Ts OR FIXTURES BAL®30 FIXED EX. OCCU OUTLETS P(RESID.)RE A. 2.00 p Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th ,permit is for $100.00 (valuation) or less. ❑/have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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„ju ments, costs, and a penses which may in any way accrue against said;,y icopse encfi o& e granting of this per t. Date nature of Applicant — Ow ' r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0” deep and demolition or construct- structures over 3 stories in height.ipt Mobile Home Installation Fee $ TOTAL PERMIT FEE 70. 00 OCCUP. GROUP I TYPE OF CONST. JFJPA:�l - This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-D.P.W., %y�"� Lion,Coff No. �-19By YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: - e 2. Installer's name:,,E' 3. Is the site currently under permit? Yes / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome 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 ) ( ) Y .• 5. What -is the mobilehome electrical rating? ----------------------- Amps 6.29 rj Amps What is the mobilehome site service rating? ------------ 7. 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. " Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (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? �� (ft.) 12. :What is the mobilehome gas demand? .------------------------------ (BTU) (This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMEN ®pP V : 73% a 7Z -v8 Z9 MOBILEHOME SUPPORT DATA If other than single wide, 3qo 3 V _ Mobilehome Mfr. 1''���/pr,� furnish Setup Model No. Year gy Width (ft.) Box Length (ft.) -tagalong or Expand'o Size ft. x ft. -���--- (SHOW 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood.either A. Apressure treated or foundation grade. x (ft.)(in:) (in. (in.) F] 2. Other.(specify) Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block. 2. Other (specify) (in.) in. *_If c'e'nter piers are other than drawn above, draw in -locations, spacing, and dimensions. E -Tagalong or Expando, show support details. elf (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max. Pier Spacing 3-X3a ' Max. -- Overhang (ft:) (in.) (in.) (in.) *_If c'e'nter piers are other than drawn above, draw in -locations, spacing, and dimensions. X? V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR ARCEDL �Vi M_B �j2 Z Dy L7 --1U( ZOf�j Nfti 'illi!/` BUILDING PERMIT owDEO / r L HONE, SQ. FT. OCC. BUILDING VALUATIO OWNER'S rfLIN- DDRESo�l�- CONTRACTOR'S NAM� TELEPHONE CONTRACTOR'S MAILING ADDRIfSS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN /' LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ BU NG ADDRESS _T� n�� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 D�Vr` 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[5_1110'ther SPECIFY Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK, New ❑ Addition ElRemodel El Utilities �!�' Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0V OR LESS10.00 p. Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 2/2 OSq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 2,50 ea NEW CONSTR (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES a0 ®socc FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 oo Misc. Wiring15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 elpenses which may in any way accrue on agai aid County in equence of a nting of thi ermit. X Date Signature of Applicant — Owner �& Contractor ❑ Agen ❑ 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 $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARC PD H Is;;'- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRrEG:IR0 LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW-ASS&SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I, Don Hart, do hereby give my consent for Neal and Vanessa Emery to place their Mobile Home on my property, located at 58 Tribulation Trail, Oroville, CA. Signed: Date: G-' Ceiling insulation Wall Insulation Single- Number of stories 0.80 R•vz�ue . One Two Three R-0 -103 -49 -02 R-19 , -8 -4 -2 R-30 .2 -1_ -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 .2 -1 0.02 4 2 1 0.00 11 5 3 Wall Insulation . Raised Floor Insulation Single- Single - 0.80 -1 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 .0 0 R-13 2•_ 2 1 R-19 8 6 4 U -value -14 -3 0.60 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 4 " 2 1 0.00 . Raised Floor Insulation F2 factor 0.90 Insulation in.Fioor -3 -1 0.80 -1 Number of stories 0.70 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -26 -14 -3 0.60 -144 -70 -46 0.50 120 -58 _8 0.40 -95. -46 .. -30 _ 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 4 0.06 -6 -3 -2 0.04 -1 .0 0 0.02 4 " 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -14 -7 Number of stories 7 R -value One Two Three R-0 -11 4 -5 R-5 -4 '-4 3 R-11 -2 .2 -2 R-19 -1 -2 - -2 Slab Edge Insulation 15 21 - Number of Stories -2 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 _ 3 F2 factor 0.90 -4 -3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage), Spedficabon-Point6 Standard 0 6. Glass Heat Loss Total - Suvie- Family Single. EReWve Pa cYat class 46 to Ll -value %Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 '13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -01 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3s 7 10 14 18 13 -12 i•4 8 11 15 18 14 14 _7 7 10 11 13 11 -6 8.5 0 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) ERedive Peremt Glass (Pavent Slaw x SC) Effective Suvie- Family Single. EReWve Pa cYat class 46 to Stab Floor %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 .5 2 2'- 7 1 3 4 2 2_ 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 -9 3 3 0 4 2 1 3" 2 0 i0 1 0 3' 7 -9 2 1 4 6 o T 2 -4 =4 = o .: na = not allowed -4 0 2 3 16. Shading (Shade Closed) Suvie- Family Single. EReWve Pa cYat class 46 to Stab Floor Raised Floor (pe*'esat fttaar x SC) - Stories Attached Family Stories 0 ICFA %Ghu Nosh Etat South West SlW%ht 18 -14 •48 -69-' -64 na 16 -12 -42 -59 -55- na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na• 10 -6 -23 -31 . -29 -74 9 .5 -20 -27 -25 -65 e -5 -17 -23 -21•. .56 7 -4 -14 -19 -18 -47 6 .3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 � -23 0 3 5 7 7 -9 2 1 4 6 8 8 1 y , , 1 -4 0 2 3 4 3 0 no - not allowed 10 10 4.5 3 9. Interior Thermal Mass Suvie- Family Single. Interior 46 to Stab Floor Raised Floor Mass Mass Stories Attached Family Stories 0 ICFA One Two Three One Two Three 0.0 -8 -5 -4 .2 .1 .1 0.1 -8 .5 -0 -1 0 0 0.3 -/ -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 •1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 -0 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 - 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Wall Suvie- Family Single. Sum of 1.6 46 to 16 or Family Mule Mass Delad ed Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. .. 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes duds In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6. 5 4 3 2 2 12. Cooling Syst.,M SEER (+swme, ducts In attic) Sten of 7-10 -M Cf 4410 x1410 Sum of 1.6 46 to 16 or SEER less -25 or -24 to -14 to -4 to +6 to 16 or - SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 _ 5 .0.90 8.25.. 17 15 13 11 9 7 0.95 8.71 __20.- 18 _.-. 15._ 13 11 8 4 3 Efctive SE or HSPF 15 13 (SE or HSPF x duct efficiency) 7 Effective -25 or ,24 to 44 b .4 to +610 16 or SE HSPF less 45 -5 +5 15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 .-34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0. 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 1 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6. 5 4 3 2 2 12. Cooling Syst.,M SEER (+swme, ducts In attic) Sten of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed _Stories -M Cf 4410 x1410 • ID 46 to 16 or SEER less -15 I .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 .4 -4 -3 -2 -2 9.0 -4 -3 .3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 HWR -18 lffoaive SEER -9 -7 -6- 6_WSB.. (SEER xduct efficlency) -25 -16 -12 Sim of 7-10 POU 40__-12 E8ed"-25 or -24 to -1410 -4 to 46 in 16 or SEER less -15 -6 +5 +15 more 5.0 -30 -25 .21 -17 -13 -9 6.0 -12 -11 -9 .7 -6 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 -3 0 0 8.0 9 8 6 n 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 1S 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed _Stories Slab Edge Insulation or One -5 -4 -4 -3 -2 -2 Two + 3 3 2 - 2 2 1 Single -Family Detached and Attached 7. Shading (Shade Open) E Unit Size (SO Water 099 1204' '1700 2200. 2700 Heater Credit or -1 io to . to • or. Type Type less. 2199 2699 more . SG None 0 0 0.. 0 0 or Solar 12 '' 8 . 6 5 .. 4 HP HWR 8 5 4 3 _.3 WSB 5• 3 3 2 2" POU _ 8 5 4 3 •3 SE None -37 -24 -18 ' -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6- 6_WSB.. WSB.. -25 -16 -12 -10, -8 POU 40__-12 0% -9 _7. .6 IG None -5 .3 -2 -2 -2 Solar 7. 5 4 3 2. POU 3_ 2 _ 1 1 1 IE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 ' -6 -5 -4 -3 Multi-Famin (individual units) . 4.6 4.9 S n 10% Water 699 700 1200 (` 1700 2200 Heater Credit or In to 10 or Tree TYPO JOSS 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE Now 45 -23 ''-15 -11 -9 Solar 2 1 1 0 0 HWR -23' -12 -8 -6. -5 WSB -25 -13 -8 -6 -5 4.3 4.5 4.7 4.9 5.1 IG None .. -8 -4 3 -2 -2 Solar... 6 3 2 1 1 POU__ 26 ' 0 0. 0 0 ENone -30 -15 _ -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 .2 -2 - rolnt system bummary: Climate Gone n SCORE CARD Measures 1. Ceiling Insulation ? C) or R -value [�81 U -value [0.030] 2. Wall Insulation or R -value [ 11 J U -value [0.098) 3. Raised Floor Insulation or R -value [ 191 U -value [0.037] .Point Scores rd 4. Slab Edge Insulation or R -value (0] F2 factor [0.77] S. Infiltration • 1317/ 0 -� 6. Interior Mass/CFA P 34i Type [double] U -value [0.65] % Total Glass [ 16) Sum I 7. Shading (Shade Open) � nn t nnas , d •..tl t�.•1.p1 {e.rneted a.O t TYPE I w%SS WIMC + 4.2, is: e■ sod slab) 0% 5% 10% 15% 20% 2S% 30% 3S% 40% 45% 50% 55% i0% 65% 70% - 75% 80% 85% 9o% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.9 1.5 1.7 1.0 2.1 2.3 2.5 21 2.9 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 S 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 to 1.6 1.9 2.1 23 2.5 2.7 2.9 3.1 •3.3 3.5 3.7 4 4.2 4.4 4.6 4.6 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 IS 1.8 2 2.2 24 21 29 3.1 3.3 45 3.7 , 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 2.4 26 28 3 3.2 3.5 8.7 3A 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5. 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 1S 1.7 1.9 21 2.3 25 27 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 2A 2.6 22 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 so 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 2.5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.11 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.6 12 2.2 2.4 2.6 2.8 3 3.3 3.5 9.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 90%' 95Y. 1.5 1.6 1.7 1.8 ti 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 SA 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 3 3.2 SA 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 53 SS SJ 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 22 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 62 6.4 6.8 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 9.1 32 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 SA 5.6 So 6 6.2 6.5 6.7 6.9 7.1 7.3- 125% 2.1 2.3 2.5 2.8 3 32 SA 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5S 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 rolnt system bummary: Climate Gone n SCORE CARD Measures 1. Ceiling Insulation ? C) or R -value [�81 U -value [0.030] 2. Wall Insulation or R -value [ 11 J U -value [0.098) 3. Raised Floor Insulation or R -value [ 191 U -value [0.037] .Point Scores rd 4. Slab Edge Insulation or R -value (0] F2 factor [0.77] S. Infiltration Standard 1317/ 0 -� 6. Glass Heat Loss P 34i Type [double] U -value [0.65] % Total Glass [ 16) Sum I 7. Shading (Shade Open) % Glass SC Eff. % Glass a. - North -0.4o x 77= O ,_ S b. East .? x I- 46_ c. South , x d. West s •4r x W ---g Ate e. - Skylight O x - 8: _Shading (Shade Closed) - z - % Glass SC Eff. % Glass a. North x b." East -;, 4-� x = z 117-1 c. South e x = _. d. West S¢ x e. Skylight x 9. Interior Thermal Mass �a 3 TYPE 1 MASS AREA J:� Interiorlv`nsalCFA COND. FLOOR AREA - -v 10: Exterior -Wall Mass TYPE 2 MASS AREA $ w • r ? , ; `j +�� f-.. ," 1E•• ND. FLOOR AREA 10 Exterior Wall Ivlaaa S 11 -.Heating System , x 7.�btnQ Control?r (A.1' IN SE or HSPF Duct Efficiency [0.78] Effective SE or t `+ [0.7y6.6] 0 HSPF [0.54/5.15] 12. Cooling Systemq. 3x O _ 7,. $ _ Zonal Control? ( Y / N) SEER 19-11 Duct Efficiency [0.74] Effective SEER (7.03] 13. Water Heating Type [SG) Credit [none] L t Tntat: T Certificate of Compliance: Residential . - Climate Zone 11 ProjectTltle 9Z- i62iZ— �j$ Butming Pamit # Project Addren A0 W-- 9V- Z4&-9 Cbedced By/ Data Documentation Author Telephone Fslforoaltant•AFncy Use Only BUILDING DATA Glass Area % Glass North G p, 401 Conditioned Floor Area 0741 Number of Stories OZ.- East AV 4E- Slab/Raised Floor SLB Number of Units South Single Family Detached (SFD) [ ] AdditionAlone west -0 Sr ] Single Family Attached (SFA) [ ] Existing Building Skylight 92_ O [ ] Multi -Family (MFS [ ] Existing -Plus -Addition Total A— .3?Q J3 , BUILDING SHELL INSULATION Component Insulation LocatiiorMommerits Type R -Value (tutee, to garage, Drpi:;at, etc.) Wall .............. 1Q Il f�viN-r '�orT�L Roof ............. ' _ 30T7 Roof ............. _ Floor ............. floor ............. V) SE Slab Edge..... G LA L IN G Shading Devices 1'C Glaring Area Glass Type interior Exterior Overhang Framing Type Orientation (Sf) (since double) (roller blind. etc.) (shadescreen. etc.) OTWI to) (metaUwood) North ( ) _ Aeay JMLz_ East East South ( ) South ( ) West West ( ) Skylight....... O - �-- THERMAL MASS Type/Covering Area Thickness _ (slab/exposed, tile, etc.) (sf) - (inches) LOcation/Dcscriotion (kitchen. bath. etc.) - HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer /Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) �mk LS Maximum Furnace Heating Output:Btuh HOT WATER SYSTEMS _Tank Manufacturer/Model # (,� �j ♦ D St C3. SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential _ MF -IR NOTE: Lownse residential buildings subject to the Standards must contain Utes mean= regardless of the compliance approach used. Ivens marked with an asterisk (•) may be superseded by more stringent Compliance Nquuements fisted on the Certificate of compliance. When this Checklist is incorporated into the permit documents. the features nolyd shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whtlhw they are shown elsewhere in the documents or on this checklist only. DtscRIvnoN DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(x): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose ml insulation manufacturer's labeled R -Value. • 12-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply No exterior mus walls). 12-5352(kr Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no grater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exftltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit a'tr leakage. b. Doors and windows eerurtted. e. Doors and windows watherstripped: all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with 12-5351 mats CEC quality 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or Sim door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment sizing: attach cakuluions. 62.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(1): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(6): Exhaust systems have damper controls. 62-5314(e): Gas -rued space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment. water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 62-5312(Exception 1): Pipe insulation on swam and steam condensate return do recirculating piping. §2-531g(d): Swimming Pool Heating 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on hater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures t 12=5352(1): Lighting - 25 lumenstwatt or grater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(x): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPMIANCE STATEMF.NiT This Certificate of compliance lists the building feattM and performance specifications needed to comply with Title 24. Chapter 2-53 and Mde 20. Chapter2. Subchapter4. Article I of the California Administrative Code. This. Mrtificate has been Signed by the individual with overall desiga trspat ibility and the building owner, who shall retain a Copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: - Titwam: Address: Tekphona t.ic./: (sitnature) (date) Documentation Author Name: Tttk/F-x Address: Building Owner Name TidelFam- Address: - Telephone A i attar) (date) Enforcement Agency Nat= Agencr. Tekpho=