HomeMy WebLinkAbout072-310-03072-31-30
ROBERT TRAVIS
N/S Powell Ridge Rd, 2/10 mi E
Lumpkin Rd
Contr: Oroville Pump & Elect
Permit##1160-81E (ele for power
pole for well��& ut r����
72-31-30
Powell Ridge Rd, Orovill
Contr: Quality Const f` ��0?02
Permit#1608-87B,P,E,M(new single amily
F72-31-30 35 2-89E
Robert4 r
141 Powell Ridge Rd, Or ville
(elec-ser upgrade)SF
l� t �7
. II
9
30,
r�.
IMPORTANT MESSAGE
-�a
Telephone
❑ Telephoned ❑Please call
❑ Wants to see you
❑Will call again
❑ Returned your call
❑URGENT
❑ Was here to see you
COUNTY OF BUTTE
�. DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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.
MUM
�� I✓!
i����./�irilti►moi � _� �L! i. �.�. � � ►j� .r • •
Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
41) k -9
PERMIT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I
Inspector -62-(6 Date/'/ — / ' //
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
ER
r-, 7
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above'address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
66
Inspector Date
.RESIUcNTIAL
Form -4
'(Rev. 9/83)
'I-NV9CJATIO.N .CERTIFICATI.ON
W • &WELI. r2. PU R— . W I& 6!1�
Numoer and Strut City County
Subdivision Lot Number
DESCRIPTION OF INSTALLATION
ROOF S6F, crr ( "iuG
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
EXTERIOR WALL
M- r
S cip"
I"
Material 9
Brand Name Iorp
Thickness (inches) 6u
Thermal Resistance (R Value) �'
p
/
CEILING
p ?,��
Be" or Blanket Type [l- /0
Brand Name bW W S C04N IN�G1
Thickness (inches) �t7 '� 12 tt
Thermal Resistance (R Value) IL '
�C)
Loose Fill Type
Brand Name
Contractors minimum installed weight per square foot 6 Minimum thickness in.
Manufacturers installed weight per square foot
to acheive Themlal Resistance (R Value)
FLOOR, ELEVATED
��-
R- /9 �r6
oyjaio -CmVl"
l-
Material
Brand Name
�It
Thickness (inches)
Thermal Resistance (R Value) 1nn`-
FLOOR,SLAB
`
Material �J ��
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Width (inches)
FOUNDATION W��AgqLL,(
Material IV �A'C
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with the
current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the
California Administrative Coda).
General Contractor (Builder) License Number
T51 cure and Title bate
r
Sub-Contr ctor (Insulation Applicator) License Number
� 00
Signature and Title —I/ pat#
Owner: Permit No.
ti
ENERGY CE.RTIF ICAT ION
LOCATION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
.FOUNDATION WALL
Material
Thickness(inches)
A. P. No.
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME' //O STATE CONTRACTORS LICENSE NO.
SIGNATURE OF INSTALLA ION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF QE.NERAL CONTRACTOR OWNER
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
O
x
°'PERMIT NO. _._1608-87B,P,E,M
PERMIT EXPIRES_
OWNER RQBERT TRAVIS
CCNTR. alit Const
ASSESSOR PARCEL 72-31-30
LOCATION - Z Powell Ridge Rd, Oro
1t
ITomp. Poryor Polo_
} Called PG&E _
'Temp. Eloc. Service
• + Called PGAE
tr
,romp, Goo Sorvlc
r'
CallcdPG&E
r
JO(l FINAL(70 I.'.
a
l�.
Signal"id ..
l
1.
Not ArtMOBILEHOMES
woWRe -C"0'•
MISCELLANEOUS
to
k#061LEHOME UTILITIES (P$en") OK errcnpl N'S
Duto
02CKs. COVERS, CARPORTS. BTC. $Pianos OK e.ceoi • s
1. Zoning Rpuuemenls-Setbecka-E•eearnts
----
1. Zoning Rpulrerwems-SetwcU-Eaeee+ent•
— -- -
2. Sade: S.peclal UN Support -=ketch `~-----
- - --
2. Foolinoo, Slte-OWit-specrng-Connectors
7, ��: Locetlort-Teet-Fa11 C/O -Cohered
J. Oecka; Girders, and/or jai •1a-Dxk$ng-BrecIng- Starrs-Qaris
d. Meta: Location -Teat -Easement Needed (Sketch)
d, wood Awn.: Posts-BNnts-Rttrs.-ConnoC.-Shin Rt -
o.- g.-Or.•crn0.
0. Electricity: Location-Clearences-Grnd.-/ / Amp-Concrets
_
9. Alum. Awn.; Colunrts-Connections-Sol:ce-Decal-Enclosures
0. Gas: location-Tat-11r/"LPG—
ritp:/ /"L"It./ /' Pmt. or/ /"L"$6/
—
0, Cupoas: windowe-Ooore -
T. Utility Clearance
7, E1eC. -- —
(,jrd-BI
Data Card -01 Date -
Caro -BI
Date Card -91 Date - -
- Card -81
Date Card -01 Date
Cnrd•BI
ooze Ca10-91 Oats
Date
MOB1LEit011t INSTALLATION (Plana) OK except •'s
Data
POOLS (Plena) OK except e'a
1. Zoning Rpulreatento-Selltaeka-E•seawnto
I. Setbacks-Easeawns
2. Footer►gs; Size-Spacing-Ymriap• Line
2. Se11s; CompaCOOM-Structwe Stability --
J. Gas; IW Test-Ooatard-VOlvd-CoMeCla'
J• Pool Strvctwa: Stset-Cor•setlons-Thickness-Ose4 Nen-Linin
d. Electricity: 101 Tae lesrateose
d. Etee.; Reuplacles and LigM(ng; Distaaees-OFI
0. Oral": 101 Tesl-Fath-Ftea Councilor
S. Elec.,. Pool LigMing: tS mets--GFI _
0. slate: MH Tast-Aogrtata-CwntsCtar
0. Elec.; Encloetras; Coduit Entries -Terminals -Listed --
7. wets and Sotrer Conimeted-C/0 to Graft -HO Approval
7. Elise.; Bonding: Metal w/S'-Gircu:oling ECuipmoni-Neater
0. Else..; Grounding: Eguip.e/S'-Cuculnting Epulp.-Foot Lgnrp.-d -
S. Gas and Eleculclly Tagged
g. Exits: snap.-OytCh
Boxes- Eaclosurea-Peopsib aids -Ins, to Main in Conduit
..
10. Con. 01 Occupant r
g. Health Depen•nnt Approval
10. Plumb: Cit. Test -eater Supply Test
Card 6-1
Date Card -BI Date
c•rd•81
Date Card -el Date
r Card 8-1
Dote Cab -BI Date
Card -81
Date Card -81 Oa;e
r
74.
.. N1.f A(.p L, Jblr
• Nm I:,. iJr
RESIDENTIAL (Singlo and Duplex)
t,. u� 1F1 oon 1'r,,n♦ OK e.rn,I1 e .
oniny re1)uucrrr rUa-Sotbrl. ►._ Eesemeoto
46�10.1 Karn, Salle -
tileal-Flet.` .
- - c}rl 1p.. l:arn0a, Sorla_SIe_ol- / /" Ft@. OeD1A
�rFlO., F ,-Steel
Porches b Uocks Soita- / -
_ /
._ ..__ _. t0, Doan
�SlrSlomwouj, Karn, Stool -Otoc►ouls_lrrappod_$1`------------•
�r•Strmwalls, G_orayo_$to°I-Dlo_cYout!-Wrapped-Slob -----•
rP s-Fueplac0 Frr� :_$trnl_•- - --•---
- O )r.V.: Fall -f uunps-Tea-? is,
Y C1D-Soaor Toot
. - -_'.• �-G.1! P�Do _$120-ArK hG!_ ___-- -�-�-
- - _ 10. tVator P,po. Toot-Anchao-go0ulotor-s;, ico Test - --
1 1 .
Electric. UnderyrounJ
1„ Plenums & Ducts, CIOaranCO-sLstorlal_SupOorl-Ins;
ol ta_Jor91
AnCner D5- ------- ---
VOnls-CrICDIC!
G.nc•91 OJIe Card DI -
CarJ-UI Date
t t DJIo -
Card -01 Deco r
Uala
.J'J•DI
=J'o-91
DLUL131NO (Permit) OK oaCopt 0•a
1 (Valor NI,, vont- Accoss-C ombutit ton Air
PI Jtor Pipe: Test & Anchors-hla,l Proroction
JV' D:t9.V_.: Tost-F_1 sb Art: roloction
dl! Snowr Pon: Teel, FIrs1 Ffoor_lt� ;>ccosti
Toet Tut) IS SROWar, ahero 2nd Floe -Tub Access
rd0. Gas P�pa_Suo b an
_ DateCard•_81 Data
OJte Card•91 Mmai
Warn
-�" ELECTnICAL Pcrn..t) OK oxceot o'v
.• i8� F,s:vre IS Translormci 110Jranco-Ins. Projection
J! Elec. Receptacles Spac.no-L, nts 6 Svailches at Ocars
�__ --
32' Si:c Boxes S No. of Conductots-Slaplad
c -ea Instvtoc Cuss to Ecpe of SIu17s tS C.J_
EJu p, Gfovrto made up e•koch, Fastoners-Dona Gas
-Y- ppl,ar.cc Grcu,ts In K.tchen b Cdn_ou-.
Svt):CC,; nve Sue /a, Cu or A - •_•
0 I A.C. who Slze i r pa. Cu or At
Raro! C'rc• r ! pa_ Cu Cr At_Ovon Cirt. / / a.
fnlul.Ytea Neutral Yes ,No 0 Cu Or Al,
ServrCC-Riser Cana uctors b Ground -&u,, Drac OnneCl
EQurD. Clearances. Panels -10.010-!--U:Xh, Equip, --
G�. Clotnra Cloaet LIOm-Snowr LIOnt
Caro•BI- ...
M1•J 0.1 Oatc _
O..Ic CAfd•131--
ate MfCNANlt41 tPern•nl OK except e's
A.C. Ducts Insulal,on b SYppOrl
jilj/eni f,�n. Exhiust above Insulation '•
Conccnsafe Orain b Ovalle.. Size b Grade
F,nn.,Ce-Vent Access -Comb. A,r-Rc(urn Air Vent -115V ouUr i
411,C ACt'pc: b PI ilform rl Fu•nacu In AIt,C ._ ..._
l•�'Oi 1.111' ._. ... _. ..
C.vd PI Dale
Fn�rMING�f'i.,.1♦, UK r•.rrn, n••;
w l0-•. }Lr,, •..-N.Ii1n`p.a 10-
1 A IL.K m;I-I•i.ur♦-`.Hund
.•1., Ir'•u� 1.i :, 111•. ncr•r Guy!„r (J,
.fr/ ".�11 `,Lep .r. Ir.11t •, tr.11 (•i.q,r)
A 111•.
Ari. L.,,.. i••! i i. .
14 T
,1.1„ n .. .. .. .♦ 11•.....- . 1' 1 '•' ' .. 11,...1
, 1. Ihn!t t.•P Li Ii.0 11•
Dm I. r Fn4 1Np ICnnunup•tl
.... ---- �rupwly Lina Frro.roll
_ L UPenlrq�
- _ ►t. Dcwrs-One 3'-CnncY Ger�-lyd
---- S Starf, Width- is1orY. ? arils
Jr
-- - �-Run- LA fir
Pt wax! on Roof ..
Y-” OO Uvome _..^AIS - olcct,on
- -- - i!0- At Von,, -q
Srdlrp_NaJInO-V_cnnor j -�__o�tor_ u..r_OOPra _
S}r Stucco oath_ -D: !D Scrob_ f-- do V_o -_6-W
fit. �Gl.u,rq Aro°-Glass Protection_ I, n Acce:!
$1M.Sr !wall a, Nar11n �----Y O� U_'�10�1,--��-'•
Cord•BI rS��/--�y Cord -Df
Card -Bt Dais
Cord -81 Cote
Qoto F�1 (Plans) OK oacc�t 0'0
II,e at Steps-DOer b S,doll t Protection_
---�Srno)to Detector Landinos
Fid Furnace: Vonls-clatwentoj-:Fr . Alr-Conno_(or-
GaroOe: Above Floor-Duets-btscn P
Ofert on
04- -8031 Earlin0
----
FA, b Both Features b Tut) Access
E Trim 0-01; Brecher S12ee-,ebpl!
fair! y
Flrepleco or $cove: Gtearences•Heanh
lac. Cultists at tropd Ponel: Int. b Eil.
_,. o I r -once, Uma. -Air Gap-Ca:klr.Q Cloaran-e
lec. outlets b Receptacle! at Kit Cc nter
z _
•— d' " "v Sw,n�_-_Lenoirto-C:osor
68 et -in 6tra-e-Damp±r
411. "if.: Vons-ClearJrrCO-C=..). ;tCr-P.R.V._
n GaraSa. Above Flcor-Ge C-1 Prctect,Cn
Elec. b UCCN. Eau; -
p• Liat50 for Lo:a.ICn
Gsa a�eGuaOo. (G.F.L)-R�nez P;o:ec.
/moi=!�lnsutshon-Poor-Lootied in Attic Y
3.. G—aro "9115 S Deck Construction -Pct! Caps
I . r
'4010 DeaDrarra,: b wool -Earth Clearance
_ Looked under Floor _.. Yes
)S. follonrrt0.nslld.: Or,vo�,-: Y0! `( Walks L Yos
PL, fit Yes tlNis
I✓77, A.C. Unit— O,aconnoct-Curices-erfar. b Cana. Size -?15V Oul:ot
_ VOr?t! ACOve Roo!• Pt Apptiante-F,rept,-Clearance to Clangs.
_ --- -
-� �e Oath Celt, Dlac_anncCt, Electrical, Plurntmo
,/v1 Ealcrior E'oc_ Tr_m G-F.I. Receptac!O_un_aerorovrd
✓��wa Volirlat,on IWoughoutMouse
�. Conections from Previous Insoections _
Ti'�000: Gas-Elec!r,c
So.oer Con_necled-C/O to_Groco-HO ApDrovaf j
EnorTy_Compliorlcc Cenilfeat_e-Other Cenlhrates n
C,trd•FI:
- - L,a. / ar
Cd-Ot
Card, O1 0.+:4/AS�= _. Card -DI - —Data _--- -• -- _-
c.u,, 0-1 [`.,ice -Ca„I nii---Mve
Cr--!, of F,nat
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,.CaliforRia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSV9y PARCEL NUMBE
3 I -
ZONING
S
BUILDING PER
ow RTELE
er �'IV
ONE
-
SQ. FT. 0 C. BUILDING VALUATION
O R MAILI AD RES.
CO ACTO •S NAM /
E EPH N V !
� v
v
CONT TOR' M LING A RESS
SJ�� V i V� Y10 i
Fireplac t ry
DQ
CONST UCTION ENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
L R•S MAILING ADDRESS
Permit Fee
$
ARC ITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$ \ tgn
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
C ^
l
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
fns
Solar or eat pum ater heater
20.00
LOT O.
SUBDIVISION NAME PARCEL MAP
Z L
Water piping
5.00 S
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF V Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S FGTWT
10-00ea
TYPE OF WORK
New X Addition ❑ Remodel ❑ },hili ' �9 Installation❑ Other ❑
Describe work: VL _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code_ ,and my license is in full foe and effect.
Lj C, L�
License No. ���lr� / Classification
E-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
//EA.
oR ADDNST \ACCLBLDG Is:
2yz¢sgft
NEW CONSTR u TI-ou E
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCcup�OUTLETS OR FIXTURES
ZO®SOC
eAL930
Ex. Occup. OUTLETS FIXED P(RESID )REA.)
2.00
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):
❑ The permit is for $100.00 (valuation) or less.
�( I have placed on file with the County of Butte Building Department
,y�\ 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
Filing Fee 10.00
Heating
k t-
Cooling
�j L
Hood
3.00 Q
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 liabilitie , judgments, costs, and expenses which may in any way accrue
against sai ount in conse e e of the granting of this permi .
X Date �
4
Signature of Applicant — Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5' " deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $/00
TOTAL PERMIT FEE $
occ - UP.1 CONST.TYP! FLOOD
This rmit is hereby issued under
sio o the Butte ounty.Code and/or
wo i i t ab a for which
TOR OF PUBLIC
BY
PER IT EXPIRES Date
Rc PD HD ISSUE
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHIT! -O. P. W., YELLOW-A96CSSOR, PINK-IN9P CCTOR, GOLDENROD -APPLICANT
n. 7.2—
000 PRO #AVA. &AsG.ap
/!WA Mof*rgo qac, (DOW-*
q Lr 4"
� �� - �r7 Com/ fsoPt Ftp
I
0
40
U
r LecLL IC MIK kUnuIL
:and and model number) (seasonal EER)
Btu/hr
(coo'Uag capacity
Electric Heat Pump '
EER
Btu/hr
(cooling capacity at 95°F) '
❑
Other
(describe)
i
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F)
BACKDRAFT DAMPERS shall beprovided.for all fan systems exhausting
air to the outside.
p
(G)
DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
1
• - -.:., i"- v ^v: . .,,.q. 1;., .. .. .i►'T r , i y+" . s • - r '^'t; r— - 7 _ , J;; r. . _ ,�. '-qw;'.%„ �: . ,. ... , ., .. . -.,� v. .. ...... -...-
r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE: 916/534-454y/
PERMIT APPLICATION DATA SHEET ,----
•-'� � I C � �-- Permit No.
ko
OWNER rav I A. P. No.
Proposed Building Use J /- Building Inspector e115 Date Jr
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
I• items have bee. submitted.
1
lot plans in plicate./ riplicate, signed by preparer of plans. g
Complete plan -in duplicate./triplicate, signed by preparer of plans
mplete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . . ~
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC -Buildings. . . . _
8. Fees of $ , , , , , ,
9. Letter of signature authorizat•o .O - �% . . . .
LwVfo. Sanitation approval from �&alth Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to ownerF]).
_15. Improvements may be required. . . . . . . .
16. Mobilehome Installation Data.
Pre-Inspec. request to > (Dote).
Pre -Inspection for Required. Building Inspector
n Recorded copy of Agricultural Ac know ledgment'Statement. '= l0
9 riveway Permit.
20. Plot plan approval from city of
22.
W en ou issue the p .ma�?2DV�rS
follows: Mail to, -owner, Mail to contractor.
,( Telephone`/ and hold for pickup at office, Deliver w/inspector..
Copy of plans sent Health Dept., Fire Dept„ Other Date
The following data must be submitte ri r to permi is uance: (Circlri new item not checked above).
1. Index permit for above items No
2. Additional items required:
act designer, owner, was advised of above required data by phone_mail_counter by
date �f7. ^�
Contract , designer, owner, was advised of above required data by phone_mall_counter by date /-7-20
Plans checked by Date (6-30 !% Plans approved by nate %��
Sets of plans on hold in File cabinet AP folder
Copy—DPW
- Flours: 10:00 a.m. - 3:00 p.m.
7
TO Buildina Department -:-
FROM: Environmental Health
SUBJECT: Sanitation Clearance
C -Qu --,L/ 0, /
Owner Location AP#
Plan Approved for: Sewage Disposal_
Hold final for:
Final clearance O.R. for:
Clearance for a bedroom mobile home. Other
NOTE * * *
Sanitarian
Water Supplydl
Water Supply
Water Supply
Date
TO: Building Department
FROM: Encroachment Permit Section
RE: Drtueway Clearance
owner location AP #
Driveway permit has been issued for the above property.
r
7,1 c9 %
s ig6ature date
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centerline shall be clear of i
structures or equipment exceptcoOIY� iapt,�Sc.,
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Tight - the above standard features plus:
(]
(D)
Continuous infiltration barrier
r
- FORM
(E)
Electrical outlet plate gasket
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
owner ��,��
❑
¢.t/js Climate Zone Permit No.
Floor Area
2225
Compliance
path:
Package ❑ A ❑ B ❑ C ❑ Point System [],Budget 'S Other
MIN
R -VALUE DESCRIPTION
Location
REQ'D
INSTALLED
ITEMS
(1) INSULATION:
Single Double Triple
®
_
Roof/Ceiling
Total Bldg 530.S— Z , 4?
[�
Wall A—ff
C!r
❑ab
loor. Perimeter
_�e
❑aised
Floor
�(
East Z G
(2) INFILTRATION:
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
South Jr,
West �L
CJS
(B) All manufactured windows and sliding -glass doors shall meet the
❑
1972 ANSI Air Infiltration Standards and shall be certified and
Skylights
labeled.
Cf
(C).All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
(]
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket
❑
(F)
Air-to-air heat exchanger
(3)
GLAZING:
(A)
Location
Area Glazing %Floor Area
Single Double Triple
[�
Total Bldg 530.S— Z , 4?
C!r
North 5' '
_�e
F
�(
East Z G
Er
p'
South Jr,
West �L
❑
Skylights
(B)
Shading `
Shading,
Coefficient Description
❑
East
❑
South
❑
West
❑
Skylights
.
(�
(C)
South Overhang
Length of projection _�ft. Description
❑
(D)
Moveable insulation: Area ftZ
Description
(E)
Thermal mass ,t. '� OX A10'T-C_4" rj
❑
Type Area
Ft.2 HC=
R=
MC= Location
❑
Type - Area
Ft.2 HC=
R=
MC= Location
❑
Type - Area
Ft.2 HC=
R=
MC= Location
❑
Type - Area
Ft.2 HC=
R=
MC= Location
❑
Type - Area
Ft. HC=
R=
MC= Location
❑
Type - Area
Ft. HC=
R=
MC= Location
7/83
7/83
FORM
❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING. AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
*1
rated slope
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number)
Btu/hr
(seasonal EER)
(cooling capacity at 95°F)
Electric Heat Pump,
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other j
(describe)
®/ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(� (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances. '
19/ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
Q/ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the -UMC, 1976 Edition.
2 g
y �
FORM 1
(6) DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
. (brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
-(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
[� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
+/ (7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature .30 elevation 72ddocJ ', heating loa�t BTU
elevation factor % x heating load = maximum outlet capacity g43
ce
04( BTU
Cooling: Summer design temperature &767 °, cooling load d WBTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
3
ZONE 11
OWNER �-` POINTS
PERMIT N0. - ASSIGNED ACTUAL
1. SLAB - INSULATION lS
1
2. RAISED FLOOR - R-19
3. CEILING - R-30 -.3a 6_
4. WALL - R-19 /2 R-11 -%
5. NORTH GLAZING• - 2.4L3.6% 6•5' ' C
i 6. EAST GLAZING - 2.5-3.6%
7. SOUTH GLAZING - 1.6-3.6% Jr Z
8. WEST GLAZING - 2.9-3.6% 6.7 -111<-
9. SKYLIGHT - ,0-1.3%
10. SHADING (Exclude Overhang)
EAST - 2-C.66
O
SOUTH - St .19-.42
WEST - 0.) .13-.36
.SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2' Z _�
12. MOVABLE INSULATION - NONE d �_
13. INFILTRATION (Standard=0)(Tight=+12) 5
14. THERMAL MASS SF
15. GAS FURNACE (SE) 71-76%
16. HEAT PU11P (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8,0-8.3/71-76%
Table 3-3a. Ceiling Insulation
R -Value of Insulation I Points
19 ( -4
22 i -2
30 0
38 I +2
49 I +4
Table 3-4a. Wall Insulation Points
R -Value of Insulation 1 Pointe
1
11 I -7
I 19 I 0
I 30 +3
I
rabl le 3-5. North-FacinS Clating Pte
Glazing Type I
Total
I of
Floor
Area
-
I 0.1- 1.2
I 1.3- 2.3
I 2.4- 3.6
I 3.7- 4.8
1 4.9- 6.1
I 6.2- 7.3_
I 7.4- 8.2
I 8.3- 9.7
I 9.8-10.8
n:a.
U
I uua,
I U-
I arpa,I
I U- 1
0.66
1 0.42-
1 0.41 I
1.10
10.65
I down 1
♦[
+4
+[
--I
Total
I +4 I
1
1 2
1 +2 I
-6
1 2 of
1 Sngl. I Dbl,
-4
I -2
I -1 I
-7
I -4
-3 I
-9
I _6
I -5 I
-12
I -8
I -7 I
-14
I -10
I -8 1
-17
I -12
1 • -10 I
WOOD STOVE 2 1.10.9-12.0 I -19 1 -14 I -12
s.�� 1 12.1-13.2 I -22 1 -16 I -13 1
WATER HEATER 0 1133-14.5 I -2 t --
18 I 15 1
.
ATTIC 7:70 % -t�0
OTHER 4-( % +7
TOTAL POINTS =
-able 3-1.
slab
Floor
Points
Table 3-6.
Table 3-2. Raised
17nculs- I
R -Value of
Insvlstion I
I R -Value of
I tiun I
2.8
--I
Total
I
I Insulation
I Derth,
I 0 I 0 I 0
-6
1 2 of
1 Sngl. I Dbl,
I
I inches 1
0-2 1
3-4 1
5-6 1'
7+ I
(U - I
i I
I
I
I
I
I below 3
-10
5.7-
6.2
-19
I oi•nts 1
I 3-4
1 0- 11 i
-5 I
-5 I
-5 I
-5 I
I 5- 7
I 12 - 15 1
-5 I
-3 I
-2 I
-1 I
I 8 - 12 ,
1 16 - 19 1
-5 i
-2 I
-1 1
0 1
I 13 - 38
I 20 + I
-5 I
-1 1
0 1
+1 I
I •19+
7/7/83
/I �r
1.3
-1
V
Table 3-6.
last -Facing Glazing Pts.
2.2
-3
-2
I Glazing Type
I
2.8
--I
Total
I
2.9-
I
I 0 I 0 I 0
-6
1 2 of
1 Sngl. I Dbl,
I Trpl,
Iloor Points
-8
I Floor
I (U -
1 (U - 1
(U - I
-10
-8
I Area
1 1.10)
1 0.65).1
0.41)1
-10
5.7-
6.2
-19
I oi•nts 1
ointsl
Points
I
I o
I+ 7
-13
r[
7 6
I
I up to 1.3
I +3
1 +4 I
+4 1
.1 I .8 1.1.6 1 3.2 1 4.0
-20
i 1.4- 2.4
I +1
I +2 I
+2 1
-12
I
( 2.5- 3.6
I -2
I qJ
0 1
-8
I
I S
I -5
I -2 I
-1 i
-6
I
I 4.7- 5.6
1 -8
I -4 I
-3 i
-4'
I
I 5.7- 6.7
I -10
I -6- I
-5 1
4
I
I 6.8- 7.7
i -13
I -8 I
-7
0
I I
7.8- 8.7
I -15
1 -10 (
-0 I
( 1
8.8- 9.7
I -1.7
1 -12 1
-10. 1
I
9.8-11.2
I -21
I. -1S I
-13 I
111.3-12.7
I -25
1 -18 I
-15
112.8-14.0
1 -28 I
-21 I
-18 1
i
14.1-15.3
1 -32 I
-24 I
-20
II
Table 3-7. South-Facine Claz
I I Glazing Type I
I • Total I I
( I of I Sngl, I Dbl, Trpl,
I Floor I (U - I (U - I (U - I
I Area ; 11.10) 10.65) 1 0.41)1
II oints I oints I ointsl
o +s +! +3
I up to 1.5 I +2 1 +2 1 +2 1
( 1.6- 3.6 I -1 I 0 1 0 1
I
L2-__1_2-4- s-2 -4 1 -2 1 -2 I
I 5.3- 6.5 1 -6 I =4 I -3 i
i 6.6- 7.7 I -9 I -6 I -5 1
I 7.8- 8.9 I -11 I -8 I -7 1
9.0-10.0 I -13 I -10 .I -9 I
110.1-11.5 I -l7 I -13 1 -11 I
111.6-13.0 I -21 I -16 I -14 I
13.1-14.5 1 '-25 ( -19 I -16 I.
14.6-16.0 1 -28 I -22 I -19 I
Table 3-8. West -Facing Glazing Pts.
I I Glazing Type I
I Total I I
I I of I Sngl, I Dbl, rTrpl,
I Floor 1 (U - 1 (U - I (U - I
I Area 11.10) 1 0.65) 1 0.41)1
I Ipoints I oints I ointsl
0 ai +6 +i
Ito 1.3
�4�1 +5 1 +6 1 +6 1
I . z I +3 1 +a 1 +5 I
1 2.3- 2.8 1 0 1 +2 1 +3 1
1 2.9- 3.6 1 -3 1 0 1 +1 I
1 3.7- 4.2 1 -5 1 -2 I 0 1
1 4.3- 5.0 1 -8 1 -4 I -2. 1
1 5.1- 5.6 1 -10 1 -6 1 -4 i
1 5.7- 6.2 I -13 1 -8 I -6 I
I 6.3- 6.9 1 -15 I -10 1 -7 I
I 7.0- 7.6 I -18 I -12 I -9 I
I 7.7- 8.2 1 -20 1 -14 I -11 I
I 8.3- 8.8 1 -22 I -16 I -13 i
I 8.9- 9.5 1 -25 I -18 I -15 I
( 9.6-10.1 I -27 -20 1 -16 I
1 10.2-11.0 I -29 I -23 I -17 I
111.1-11.8 1 -35 I -26 I -21 f
1 11.9-12.7 I -38 I -29 I -24' i
112.8-13.5 I -42 1 -32 1 -27 I
13.6-14.3 I -46 1 -35 1 -29 I
114.4-15.2 1 -50 1 -38 I -32 i
i I I I I
Table 3-9. Skylight Points
I I Glazing Type I
I Total I I
1 Iof Sngl, Dbl, Trpl,
I Floor I U- I U- l U- I
I Area 1 0.66- 10.4 - 1 0.41 I
I 1 1.10 1 0. 5 1 down I
I up to
1.3
-1
0
0
1.4-
2.2
-3
-2
-1
2.3-
IIIIII
2.8
-6
I -4
-3
2.9-
3.
I 0 I 0 I 0
-6
-5
3.7-
4.2
1
-8
-6
4.3-
5.0
14
-10
-8
51-
5.6
-16
-12
-10
5.7-
6.2
-19
-14
-12
1 6.3-
6.
-21
1 -16
-13
1 7.0-
7 6
58-.82- 1
-l3
1 -15
1 7.7-
Skylight I
.1 I .8 1.1.6 1 3.2 1 4.0
-20
1 -17
1 8.3-
8.8 1
-28
1 -22 1
-19 1
1 8.9-
9.5 1
-31
1 -24 1
-21 1
1 9.6-10.1 1
-33
1 -26 1
-22 1
1
Table 3-10. Shading Coefficient Points
1 -
I SC by
I
I Orten-
1 2 Floor Area
1 tation
I +4 I
I Last
I I 3.2 I
_23.6+
1 0-3.1 to 6.4 up
I
I 6.
i 0 -.19
1 0 ( +1 I +2
I .20-.36
I 0 I 0 I ♦1
( 37-.66
I 0 I 0 I 0
.67-.82I
0 I 0 I -1
1 .83 up 1
0 1 -1 1 -2
I South 1
0 1 3.2 1 6.4 18.0 ( 9.6
I I
to I to I to I to I up
1 13.1 i 6.3 17.9 19.5 I
I 0 -.18 1
0 .I +1 I +2 I +2 I +3
.19-.42 1
0 1 0 1 0 1 0 1 0
I 43-.66 I
0 I -1 ( -2 I -2 -3
I' � I
,I
027 1 -4 1 -4 I -6
West I
.1 11.6 13.2 16.4 ( 9.0
I
to I to I to I to I up
11.5
13.1 16.3 17.9 I
0-.12 (
0 I +1 I +3 1 +6 ( +7
.13-.36 I
0 1 0 1 0 1 0 1 0
.37-.57 I
0 1 -1 1 -3 I -6 1 -7
58-.82- 1
-1 I -3 I -6 I'-12 1 -15
.e- 3 up 1
I
:4_1 -4 1 -8 1 -16 1 -20
I I I I
Skylight I
.1 I .8 1.1.6 1 3.2 1 4.0
I
to I to I to l• to I to
I 7 1_5 13.1 13.9 1 5.2
0-.12 1
0 1 +1 i +3 I +6 I +7
.13-.36 10
I 0 I 0 I 0 1 0
.37-.57 1
0 1 -1 I -3 I -6 I -'
.58-.82'.1
-1 1 -3 1 -6 1 -12 1 -a
.83 up 1 -2 1 -4 I -6 1 -16 1 -20
I I I I I
Table 3-11. Horizontal South
Overhane Points
South Glazing
Length Out I Area, I of Floor I
I from Wall I I
I
ft T
I 10-6.3 1 6.4 up I
I I I I
0 - 0.5 1 -2 1 -4 1 - 1.0 1 -2 1 -3 I
11.1 - 1.9 1 -1 I -2 I
I 2.0 up I 0 I 0 I
I I I
Table 3-12. Movable Insulation
Points
Moveable Insulation
Area, I of Floor
0 - 5.5
1 0 1
5.6 - 11.5
I +2 I
11.6 - 17.5
I +4 I
17.6 - 23.5
I +6 I
_23.6+
I +8 I .
b.
Table 3-13. Iaf!ltratlo0 Control
Features Points
�---- ---
i
I Control Features I Points I
T- I 1
I Standard I 0 I
1 I I
10.9 air changes per hr ( I
I I i
Tight i +12 j
0.6 air changes per hr I' 1
j I i
Table 3-15. Cas Furnace Without
RefrlReration Cool!r.e Points
1 Seasonal Efficiency I
Points I
I (SE), I I
I f
I
I
I 71 - 76 I
0 1
1 77 - 82 1
+2 1
1 63 - 88 (
+4 I
I 89 - 94 I
+6 I
I 95 up I
I I
+8
I
1 8.8 -
9.1 I
Table 3-16. Peat Pumo Points
I Energy Efficiency 1
Points I
I Ratio
(EER) 1
1
I 7.5 -
7.9 I
+3 I
I 3.0 -
8.3 I
+6 I
I 8.4 -
8.7 I
+9 I
1 8.8 -
9.1 I
+12 I
I 9.2 -
9.6 I
+13 1
I 9.7 -
10.2 I
+Is I
1 10.3 -
10.8 I
+21 I
I 10.9 -
11.5 I
+24 i
I 11.6 -
12.3 I
+27 I
i 12.4 -
I
13.2 1
I
+30 1
I
Table 3-17. Gas Furnace With
Refrleeration Coolina Points
IRefrigeraciod Gas Furnace I
I Cooling I SE ; I
I
171-177-183-1 69-79-57T
I 1 761 821 881 941 uP i
1 8.0 - 8.3 1 01 +21 +s1.+61 +8 1
1 8.4 - 8.7 1 +21 ++I +61 +91+10 1
1 8.8 - 9.2 1 +41 +61 +8I+101+12 1
1 9.2 - 9.7 1 +61 +81+101+121+14 1
I 9.8 - 10.3 I +91+101+121+1+1+16 I
110.4 - 10.9 I+1G1+L2j+I-j+16j+19 I
111.0 - 11.5 1+121+i:1+161+191+20 1
7/7/83
TABLE 3-14 (ADAPTED)
USS DWELL
AREA 1,000 1,500
SQ. FT. A 8 C 0 1 A 8 C
ZONE 11
INTERIOR THERMAL MASS POINTS
2,000 2,500 I 3,000 I 3,500 4,000 I I,SGO 5,000 1
8 C D A 8 C D A B C D I A 6 C O A 8 C D I A 8 C D a 8 C- L
so
2
2
2
2
2
2
2
0 j
2
2
2
0
1 0
0
0
0
0'
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
i 0.
O
0
D I
100.
4
4
4
2
2
2
2
2
2
2
2
2
2
2
2
0
2
2
2
0
2
2
0
0
2
2
0
0
2
2
0
0.0
+5
0
0
0
150
6
6
6
4
4
4
4
2
2
*2
2
2
2
2
2
2
2
2
2
2
2
2
2
2,
2
2
2
0
2
t
2
0
2
2
2
0 1
200
8
8
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
.2
2
2.2
2
2
2
2
2
2
2
2
2
2
2
.
2
C}
253
to
10
8
6
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
'•
300
12
12
10
6
8
8
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
7
2
2
2
7
2.
7
2
2
350
14
14
12
8
10
10
8
6
6
6
6
4
6
6
6
2
6
4
4" 2
4
4
4
2
4
4
2
2
4
1
2
7
2
2
7
2
400
14
14
12
8
10
10
8
6
8
8
6
4
6
6
4
4
6 -
6
4
2
4
4
4
2
4
1
4
2
4
1
2
2
3
4
2
2
500
18
IS
16
10
12
12
10
6
10
10
8
6
R
8
6
4
6
6
6
4
6
6
6
2
6
6
4
2
4
44
2
1
a
4
600
22
20
18
12
14
14
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
C
6
4
6
6
6
4
6
6
1
2
1 6
6
4
2
700
24
24
20
14
16
16
14
10
14
14
12
8
10
10
10
6
10
10
8
6
8
8
6
4
8
6.
6
4
6
6
5
41
270
26
24
22
16
?0
16
16
10
14
14
12
8
12
10
10
6
10
10
B
6
10
R
8
t
I!
6
6
4
8
6
6
II
6
6
6
4 i
903
78
28
74
16
22
20
18
12
16
16
14
10
14
14
12
8
12
12
10
6
10
10
3
6
13
8
'8
4
8
8
6
41
8
8
6
t i
1,010
30
JO
26
18
22
20
20
14
18
18
16
10
14
14
12
8
12
17.
10
6
12
10
10
6
10
10
8
6
8
8
O
4{
8
6
4
1,700
32
32
28
20
24
21
22
14
20
20
ltl
10
16
16
14
8
114
14
12
8
12
12
10
6
10
10
10
6
IO
10
8
61
!0
¢
2
1.200
34
32
30
22
26
26
22
16
22
20
18
12
18
18
14
10
14
14
12
8
14
12
12
6 12
12
10
6
10
10
B
6
10
In
a
6 i
1,300
34
34
32
22
28
26
24
16
22
22
20
12
18
18
16
10
lu
14
14
0
14
12
12
6
12
12
10
6
12
10
10
C�
10
.0
F.
o
1.400
34
34
32
24
28
28
26
18
24
24
20
11
20
20
18
12
18
16
14
10
14
14
12
8
14
14
12
8
12
12
:G
E,
to
iD
19
4
1.i00 136
34
34
24
30
30
26
18
24
24
22
1/ 122
20
18
12
18
18
16
10
16
16
14
8
I/
11
12
tl
17
12
10
(.I
.2
17
1;
1
6 i
2,000
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14 (
20
20
18
12
16
18
16
10
16
16
i4
6
14
14
12
B i
2,507
I
34
34
30
22 130
30
26
18
26
26
24
16
24
24
22.
14
22
22
l9
:2
20
20
18
!'•I
19
15
16
:0
J.000
34
32
30
22
30
30
26
18
28
26
24
16 124
24
22
14
22
27
20
14+
::
.3
;_
li
3,500
32
32
30
20
30
30
26
ld {?d
28
24
16
26
14
22
14 1
!4
;4
20
14 '
-
-'
32
32
30
ZO
30
30
16
18'
78
IS
24
1t
26
2:i
2Z
1E
4.500
32
32
28
20110
30
26
7I
ib
^
2-
.l ;
-4.700
)2
l7
1e
201
13
;G
;6
1=
A) 1. 3's Concrete Slab: HC•8.93; R-.29; Factor -7.3
2. 3 3/4- Thick Common Brick: 11[•7.125; R•.13; Factor -7.3
8) 1. S4' Concrete Slab: HC•14.106; it•.458; V4ctor•7.1
e 1. 8- solid Fined Block: He•20.63; R-1.93; Faccor•6.1
2. 8• Solid Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thernal,Mass Area: HC -10.164; R -.96G; Factor -6.1
D) 1• Thick Concrete/Tile: HC-2.SS; R-.083; Factor -3.7
wood stove #33 points -(no back up)
casablanca fan + l.point
Table 3-19. Zonally Controlled
Electric Resistance
Space Heating Points
I
!Points for this measure will I Table 3-20, Solar hater Heating With Cas Backup Points ,
be completed after the CEC I
I has approved an Alternative I
Component Package for Resistance i
I Best.
Table 3-18. Active Solar Space
Heetlne with t:as Points
1
Net Solar Fraction I Points
(NSF), z I
HultifamLl (per unit points)
Floor Area
I 0-6 I
0 1
7 - 14 I
+2 i
I 15 - 23 I
+4 I
1 24 - 30 I
+6 I
I 31 - 39 I
+8 I
I 40 - 47 1
+10 1
I 48 - 55 I
+12 I
I 56 - 63 I
+14 I
I 64 - 71 I
+is I
I 72 up I
I {
+20 I
I
HultifamLl (per unit points)
Floor Area
Net Solar Fraction (NSF), Z
per unit,
it 2.
•
0.9
i3 -i4
ii. -29
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-9990
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2,1100 and up
0'
+1
+2
+4
+S
1 +5
+7
1 +9
All others (pe building points)
8UO-899
0
+5
+10
+14
+19
+2G
+?9
X34
900-999
0
+4
+9
+13
+17
+il
+26
+30
1,000-•1,199
0
+4
+7
+11
+15
4.19
+22+26
1,20(.-1,499
0
+3
+6
+9
+12
+15
+18
+21
1,500-1,999
0
+2
+5
+7
+9
+12
+14
+16
2,i)00-3,999
0
+2
+3
+S
+7
+8
+10
+11
1,E0 ar.d uo
-0
+1
+3
+4
+5
+7
+9
+10
I
Table 3-21. Other Water I!eatin Pts.
1
I System Type I Points I
I I I
1 can only I 0 I
Beat PVop 1 0
I Solar with Electric i
Resistance Backup I
I Meeting the
Require -vents In Pact 2 I
I I
I Cltecrlt Resistance 1
I Only i
I I
0
RECORDED BUTTE COUNTY
,JPW AGRICULTURAL STATEMENT OF 'ACKNOWLEDGEMENT OFFICIAL RECORDS BY
FOR RESIDENTIAL DEVELOPMENT PARTY SHOWN
_ion 26-8.1 of the Butte County Code requires this acknowledgement W7 JUN 2 u PM 4: 56'
a recorded prior to issuance of a building permit. 87-230,15
CANDACE J. GRUBBS
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,-
and
esticides;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: ,
G�c�-N. %c.�. ��, a.,i.-r. .Cld�r.ra� -
U�:.�,L9` �i /%/.c? .t'.r;Z.A-Ci-...L-C-_• C'7�•v (..../'L.d--/ C.-C�Jv�r`•`-"t_z.a..i �/�•'Z•C�d � l �J/�� � �
61
J J L=�X•
Date:
State oL
6/24/87
County o
f
_J
SS.
Butte )
PROPERTY OWNERS:
ROBERT E. TRA�IIS pCJ
ZELDA L. .TRAVIS.
vn Lnis r.ne 24th day of June , 19 87 , before
me, the undersigned Notary Public, personally appeared
ROBERT E. 'TRAVIS and Z'ELDA_-L' . TRAVIS..
Personally known to me. f9 Proved to me on the basis
of satisfactory evidence.
to be the persons) whose hame(s) are subscribed to
the within instrument and acknowledged that
executed the same for the purposes therein conte ned.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
OFFICIAL :3EAL
D. OPSHAY1
NOTARY PUBLIC - CAI.IFORN01
BUTTE COUNTY
/0
'Ay (Oa TiSS fli oCy'•f S OeG is, 1990
Nota y Public
Present A.P. No.
m
I
4 �
I
1►
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAtION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
'
BUILDING PERMIT
OWNER
ti
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mob ilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.al
OR ACDNS. ACC. SLOGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OUTLET 2,50 ea
NO BRANCH CIRC TS
NEW CONSTR. I POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR. /
so @ 25¢
Ex. Occup OUTLETS OR FIXTURES BAL�1
p]XED APP
Ex. OCCup.�OUTLETS (RESID IKEA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
,
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.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County.in consequence of the granting of this permit.
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT
•' _ 7 County Center Drive - Oroville, Qalifoje 95965 - Telephone 916/534-4541—
APPLICATION AND PERMIT AA
ASSESSOR PAR NUMBER ZO I N G
'7:2 -,- 30 -2-
woo
E16fLDING PERMIT
OWNER s TELEPHONE
63 46`66`9--C'60-3
SQ. FT. OCC. BUILDING VALUATION
OWN R'S/`M�AILING AD�D/�E SS /�_p /�.�
2 �} O GJv /moi 0 t V (Jv G
CONTRACTOR'S NAME I
O C., r7
TELEPHONE
CONTRACTOR'S MAILING ADDRESS I"
Fireplace
CONSTRUCTION LENDER
- "
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
�.
Permit Fee
$
ARCHITECT OR ENGINEER -
_
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
e
Permit fee
$
BUILDING ADDRESS n - //P/
S / ®L!/QZI
PLUMBING PERMIT
FilingFee 10.00
ZEach
0414,1
Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
62- f'D
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
USE OF STRUCTURE /
SF F-1Duplex❑ Mobilehome❑ Other ee-
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ R m7dIE:1 tilitiesQ Install on 0 er❑
Describe work: ��r3eci(�i /volto l�iiri
Q -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR
00 AMP ORSLESS
5.00 X00
Main service EA. ADD'L 100 AMP
2.50 ,(`j0
NEW CONST. (DWELLING OCCUP.y`
OR ADDNS. ACC. BLDGS. I
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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
,p 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 CO ID R BRANCH CIRCTITS 2.5Oee
NEw -CONSTR. ( POWER APPARATUS.&)
NONRESID. SINGLE OUTLET CIR e)
Ex. Occup OUTLETS OR FIXTURES _ B �@1
IXED APPLNS. OR
EX. OCCup.�OUTLETS (RESID.) EA. 2.00 06
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
., Cqp 4Ou 4oG
Permit Fee $ 20• Cd
Contractor
MECHANICAL PERMIT
FilingFee 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.
f0I 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgm s, and expenses which may in any way accrue
agai t s 'd Co ty i co qu nce of the granting of this permit.
'
X Date
Signature of Applicant - Owner � Contractor ElAgent❑
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 $ 20.00
OccUP. GROUP
I TYPE OF CONST.
PARCEL
PD I
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOR OF PUBLIC
By
PE IT EXPIRES Date—'�
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
�7
Receipt No. �� d�S`V
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
4-1/ )U11TY OF BUTTE - DEPARTMENT OF PUBLiC WORKS
I'ti-itV11 t ray.
" 7 County Center Drive - Oroville, Californir. 95965 - Telephone 916/534-4541
APP!_ICATiO_N PERMIT _ _-----
o ARC- -R.- NUMBER BUILDING PERMIT
AS5 F_SSUR a _.
BUILDING VALUATION
SO
. F T . OCC. -
%
--oY:Nr_R•s MnIfaNG, AD.n`�ss / Ys�
414
CONTf.ACTOR�'S
r•UNl"F?ACTOR'S MA.I'_ING ADDRESS Fireplace
CJ�/Ci --
__ _ -_-_ -- ---- jUNrNOWN Total Valuation---- --
' CONSTRUCTION LENDER �� /� I �� - 10.00
Filing Fee
-LIEMDEIE15 MAILING ADDRESS Permit Fee
J LIPlan Checking Feekv _
--. —.— _$
__ ,SSL Penalty --- — ------
ARCrIITECT OF• F4 NE.id R'_ 6 MAILING ADDRESS Perrnit fee --� -
- --- -! -= FilingFee 10.00
-`3 tJILCIING f.DD=2E55 ,, ,�/171/ PLUMBING PERDAiT
X-5 f cac�Pl/ r� r/ ' — --- Each Trap _--- 2...00 —
,- C Repair drainage or vent piping--- _.x'.00
�i(' I,.i{.� d• 4 i...i ..Cyd---E-y- __
--SJL Water piping
SUBUI\'I---------__-- Pd.FCE.L rt AP Each qas water heater or vent 5.00FiION iJAMc_
Gas piping system 1 - 5 outlets
__r _-- --.__- _`• --- � - Betiding sewer _____- __ _--
- _ -~ USE OF ST 0. PURES 5.00 -
k % Lawn sprinkler system _-
k Duplex[] W..obilehome❑ Other -'-`-"s `ECIFY------- -'-- —_ --+M
TYPE OF WORK--- - — Permit FLe _—.--- --
r! Installr�on[] offer ❑ Contractor
` ;view (-] Addition Remod9l tilities L� - � - _--- - � Fi!ingF ae 10.00
!C- � , �vr� ELECTRICAL PERMIT
� r r; "� c_
Describe wor4c r Main service so9v oR Less 5AU
r 190 AMP OR LESS _
�>+ r' �•cfP's ��-------- PA.Sin Sere ICE EA- non'I_ 109 AMP 2..50
NeYI cGNST. %OWELLJr1G OCCUP.N) 22sctft -
OR AODM. 1 ACC. SLOGS. _
CONSTR•Ui=f1-OUTLETS2.50 ea
CONTRACTORS LICE.HSE LAW tJON_R`•S!D BRANCH CIRCUIT-
-- NL"Vf CONST P_ (I>UWER APPARATUS W1x- -
declare N
under penalty of perjury (check one): ON-RESID. SIr: LE OUTLET ( R. / _
licensed under provisions of Chapt. 9, Div. 3 of `rf e Business Ex. Oct:,lp(ouTLETs oR Flx ruREs �A�0TCL- -
R
LNS. G�I ,,.G`�
and Professions Code and my license is in full force. and effect. E� Occup.{ — PIXC.D APP OUTLETS (RESID.) EA. - -�.00—
j License No.— - Classification _-__.-_._ Temporary service — - 10.00 -
i, as the owner, or my employees with wages as their sole compen- • -- 15.00
'= �- cation, will do the work, and the structure is not inienced or offered 'Mobile Home. Facilities 7'50
-
° for sale. (Sec. 7044) Mise. Wiringring I -
/'t�cu�1 - - jL- �c�cJ I htJU
f, as the owrer, am exclusively contracting with licensed contract-
ors. (Sec. 7044) Permit Fee
(]I am exempt under Sec.___—•. Business and Proanions Code
Contractor _
for this reason _--- - - 10.00
_ _ __- _ ---•- MECHANWAL PERMIT FiIirgFee
- ------=WORKMEN'S COJAPENS.ATION INSURANCE Heating -
! declare under penalty of perjury (check one): —
[l The permit is for $100.00 (valuation) or less. _ -
L � I have placed on file with the County of Butte Builth In Department Cooling 3 _00
a Cel of Workmen's Compensation Insurance or a Certifica.a Hood of Consent to Self -Insure. Ventilation
qi I shall not ernpioy any person in any manner so as to become subject _
I to the W. C. laws of California. -- --
e;c•ticn to Ap;Jlicai}t: If after making this statement, should you hecorne subject-Perr.it Fee $_ to tt,e 1`i. C. provisions of the Labor Code, you must forthwith col,;p!y
with such Contractor
provisions or this permit shall be deem--- ad revoked• - Mobile Horne
installation Fee $— _
JI certify that I have read this o application
and Ordinances that
the Statabove
Laws einformation
is correct. I agree to corr;ply the 26, vc)
to building construction, and hereby authorize
for inspection oourposesunty of TOTAL PERMIT FEE $
Bt.1tte to enter upon the above-mentioned property ------^.so ac,ree to save, indemnify and keep harmless the County o` Butte against Occup. GROUP TYPE OF CONST.]PARCEL
—
all !iaL'ilities, judgm21'�, sus, and expenses which may in tiny way accrue -
ac.ai(t°t said Co t ipp`1co quence of the ranting of this permit. This permit is hereby issued under the applicable provi
Y 7_' r-
(_� / sions of the Butte County Code and/or resolutions to d(
r���.°-�T _ Date-__- work indicated above for which fees have been paid
ter: ,
Signature of Applicant - Owner ( Contractor ❑ Agent [) DURECTOR OF PUBLIC WORKS
A
.ermit i� required for excavations oval 5'0" deep and demolition or onstruct-
ruras over 3
stories in height. -- Date
_.___ _---
r� �✓%6>61 P=.Fi`tY11't EXPIRES Date--
�� . No.---- _ _.--_
-WY.ITFJD. P�w.-^YHL LaW•AS ^u^P.: Date -----
'0 R. PIN K•INSPEC fO.—R. 00! DEV ROD.AN:nLIf.AN—�
A
,•w•-v�•s-K-a^�" is ..r. rds-•'n ).,(. w••-.•^,r.,,�..: .. ,.. .- w `-
72-31-30 35_ 8�9E
TRAVIS, Robert
141 Powell Ridge Rd, Oroville
(elec ser upgrade)SF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Californid f594 - Telephone: 916/538-7541
APPLICATION AND .PERMIT
"( �PERMIT N0.
ASSESSOR PARCEL NUMBER
'7?-- l - �� a
ZONING
L S'
BUILDING PERMIT
OWNER
n
l�0$C2r r,e.4 v (s
TELEPHONE
SO. FT. OCC. BUILDING VALUATION'
OWNER'S MAILING ADDRESS
141 A)WCI- z 91&C -C 2l�
CONTRA CTOR'S NAME
n/ ON It
TELEPHONE '
+
CONTRACTOR'S MAILING ADDRESS 1
Fireplace
CONSTRUCTION LENDER
O fJ (Z
UNKNOWN
Total Valuation Is
Filing Fee
9
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
AJONr`Ener
LICENSE NO.
Plan Checking Fee
$
Plan Checking Fee
Energy g
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
*;
Penalty
$
BUILDING ADDRESS
1. q<�f.,/ r l c n (I� .,r r�
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
r -
Each Trap
2.00
{ t {
Solar or heat pump water heater
20.00'
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5,00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF,X Duplex❑ Mobilehome❑ Other, r
SPECIFY x.
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New R] Addition❑ Remodel❑ Utilities❑ Installation❑Other❑
Describe work: L "(Z1 C L1' -
To ZOo AMP` i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10,00
Main service 600V OR LESS
100 AMP OR LESS
10.00 JX>
Main service EA. ADD'L 100 AMP
2.50 ,S'v
CONTRACTORS LICENSE LAW+ �
I declare under penalty Of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of thei 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 intendedjor offered
for sale. (Sec. 7044)
I
❑ 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 I •
NEW CONST. DWELLING OCCUP.N
OR A.D.S. ( ACC. BLDGS.
, /22sq It
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR,
Ek. Occup(OUTLETS OR FIXTURES
20050c
9AL®30
FIXED PR
Ex. Occup. OUTLETS (RESID )EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
iCICE IN 10-1
IS,w JL'oo
Permit Fee
$ Sc�
' WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (checkrone); `.,'*k11 I .�
r 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
p
of Consent to Self -Insure.
0 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. I, ' . � i
Contractor
MECHANICAL PERMIT
Filing Fee • 10.00
Heating
,
Cooling
g •
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the -above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize•representatives of the County of
Butte to enter upon the•above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date' 3 el i %
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
_
TOTAL"FEE $ 3 7, SO
HAz
CUA
PARK
SCHL
FLD
PAR PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
.��
DIREOTO+OF PUB IC
"K01
BDatte
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
��71
Y
Receipt NO. .4113SO4
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - CfEPAM" )F PUBLIC WORKS
7 County Center Drive - Oroville, California 95aD5 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERM T NO.
s
ASSESSOR PARCEL NUMBER
0'7?-- —03o
ZONING
V S If
BUILDING PERMIT
OWNER k 0 8 e 2 r T-,e,c} U IS
TELEPHONE
38 �2I 2(0
SO. FT. OCC. BUILDING VALU ION
OWNER'S MAILING ADDRESS
191 Potnl�l-� �'fbGFc 2�
CONTRACTOR'S NAME
/./0Nr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Of,(r
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
g
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
oNr-
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Powrcc-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New R Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: IE(_F_ C t-2 t CA L S EfZ U (c r LtP oek tz_
TO ZOO (--MPS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR011 OR LESS10.00
_pP
Main service EA. ADD'L 100 AMP
2.50 ? �v
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.q
OR ACDNS. ACC. BLDGS.
, /zQsgft
NEW CONST R. ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
9000 30 2ALO 30
Ex. Occup. out OUTLETS PRESID )D APLNS.REA.)
sation,
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
p /,J fo,l
Vg'00 /S_o0
Permit Fee
$ o
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
aThe permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid Cou tyGin c _ e�que�n"ce�of the granting of this permit.
- � q
� !ILW - ?3 UT/� �/
%� Date
Signature of Applicant — OwnerO Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
_
TOTAL FEE $ 3 7,S O
HAz
I CUA I
PARK
I SCHL
I FLO
I PAR
I PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County.Code and/or
DIRE=F
work ind' ated above for &-ata
B
PER IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
ORKS
Receipt No. 118504
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
Asa twain rAHLtL NUMBER -
Z- - O O
OWNER
ZONING
U
BUILDING PERMIT
k n os E TELEPHONE
2 r re 1} VIS S 8°I-2 2
OWNER'S MAILING ADDRESS
CONTRA CTOR•3 NAM
SO. FT. OCC. BUILDING VALUATION
^10 N r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
No �J r
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
Filing Fee
$ 10.00
Permit Fee
$
oNQ
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEE M '1 LIN ADDRE1 SS
BUILDING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
too W IZ L 2 f r
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
�' &yn e — C-W<F
LOT NO. SUED VI ION NAME % PAgCEL MAP
�.a Q.S
Each Trap
2.00
Solar or heat pump water heater
Water Piping
20.00
5.00
Each pas water heater or vent
5,00
USE OF STRUCTURE
1
SFO Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10-00ea
TYPE OF WORK
NewXJ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:__ ELF- 11 t 2 I C A L � r? U I r r "r e4mII, ,£
TO Zoo (-}MPS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR SLESS
10.00 /O_ oc>
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one}:
•
I am licensed under provisions of Chapt. 9, Div. 3 of the7Business
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 licenseci!contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADO•L 100 AMP
2.50 ,Sp
NEW CONST. DWELLING OCCUP.A/
OR ADDNS. ACC. SLOGS.
, /:2sgft
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20050t
e ALO 30
Ex. Occup. FIXED APP ESI* OR
P• ouTLETs IRESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
P Q- /„f qc io„/
1S00
Permit Fee
$ So
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I ❑ 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 subjectLH,od
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becorne subjectntilationto the W. C. provisions of the Labor Code• you must forthwith comply with suchmit
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
3.00
Fee
$
tractor
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.
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-
. aiidCouutty
in c equence of the granting of this permit.X /p�/This
Mobile Home Installation Fee $
Energy Inspection Fee S
Occ
CONST TYPE
TOTAL FEE $ 3
INDISSUE
HAz
CUA
PARK
SCHL
FLD
PAR
Pagainst
permit is hereby issued under the app
�e M
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) ' S
2, I (have/have not) signed an application for a building permit
for the.proposed work.
3.. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ;I plan to provide portions of this work, 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: Rawt
�Property Owner
Social Security Numberr
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
' ,z- 3i_ ;- v