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Home My WebLink About072-440-013• tea- - - -_ _ - ._ .-_ _ _ y, -- 72-44-13 Application for Determination --'Ztn-,Iafvt C16arctneG' 72-44-13 1310-90B,P,E,M ,`- DEDEKER,,Charle j 55 De (-new Oro. '11e I (new single family) Permit#1087- B 8, , ell (open- deck/sf ). 72 4 Permit0l3,63=91B' f 0 "Y (1st renewal l'10 072=44-0-013 Y.r - - 93-81 B DEDEKER,-Charles 55'Dedeker Ln, Oioville cover existing deck/sf s�o/ys FAI 72-44-13 Amended Cert. of Compliance • 53-90 72-44=13 Dedeker, Charles & Aloha ` 55-Dedeker Lane; Oroville Ag`Exentption Permit' (storate-hay, grain, farm equip) 411 a FPSA or M3"q 'r Cc MIEN [ MM y R SIDENTIAL - - 072-44-0-013 93-81 B DEDEKER, Charles 55 Dedeker Ln, Oroville -cover existin(gg_deck/sf JOB FINALED (Date) -_ Signature V=OK ' O = Not OK Not = Not Readq�ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements :2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 6. Utility Clearance Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements .2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC_W, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks • Griders and/or Joists -Decking -Bracing -Stairs -Rails 4cod Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; SiIs-An chors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date(% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------- ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------- - ------------------ 19. Shower Pan; Test. First Floor -Tub Access 20.--Test-Tub &---- Shower, - Second Floor -Tub Access -------------------------- ------------------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------- - Date Card B-1 Date Card 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 - ------- --- - ----------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ---------- ------------- ----------------- -- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------- --------------------------------------------------------- 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size i / ga. Cu or At 29. Range Circ. ! ga. Cu or AI -Oven Circ. ! ! ga. Cu or AL Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------ - 31. Equip Clearances Panels-Motors-Mech. Equip. ----------- 32.- Clothes Closet--Light-Shower--Light-Spa---light -------------------- - ----------------------------------------- - - 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------------------------------------------- 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- -- --------------------------------------------------- 38. Attic -Access-&. P-latfo-rm if Furnance in Attic ----------------------------------------- ----------- --------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors --------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------- ----------------------- ---- 42. Draft Stop in Walls (rat proof) 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -----------53.-Stairs: Width -Head room -Rise-Run-Landing-Fire Protection ---------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts -------------------------- - 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------ Date Card B-1 Date Card B-1 ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------- -------- -------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ------------------------------------ 64. Bedroom Exiting --------------- 65. G F.I.& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels - ----------------- 67. Stairs -&-Rai-Is 68. Fireplace or Stove: Clearances -Hearth - --- - --- -- --- - ----- ---------------------- 69. Elec. -Outlets-at-Wood Panel; Int. & Ext. ----------------- ----- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ---------------------------- 71. -------......--------------71. Elec. Outlets & Receptacles at Kit. Counter ---------------------------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- 73. A.C. Duct in Garage -Damper 74. Wtr. Htr. Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech._Equip. Listed for Location 76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------- - - - ---------- - - ---------------- 78. -Guard -Rails Rails & Deck -Construction -Post Caps ------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __....-------------------------------- -------------- 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------------------- ------------- -------------- --- 81. Stucco_Brown-Finish 82. A.C. Unit Disconnect. Electrical. Plumbing - - - -- - - ---- -- ---- -------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------ __1 --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- . - ---..... ------ ----------------------------- 87. Glass Protection ------ ----------------------------------------------- 88. Corrections from Previous Inspections - - - --- -- - - --- ---- --- ----------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - ----- ----- --------------------------------- 91. Energy Compliance Certificate -Other Certificates ------------------------------- ------ --------------------------------- Date ------ ------------------Date Card B-1 Date Card B-1 - ----------------------------------------- -Date--. ---------------------Date_ Card -B-1 __ _Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-440-013 ZONING MR BUILDING PERMI OWNER Charles Dedeker TELEPHONE 589-2582 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 82 Dedeker Lane, Oroville 95966 p 80 C 1,04U.UU CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $1,040,00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 59.00 55 Dedeker Lane Oroville PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New ❑ Addition® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:_ Cover Over Existing Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 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) F]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 Main service 200A TO 1000A1 37.50 NEW CONST. DWELLING OCCUP..) OR AODNS. ACC. SLOGS. 3. 64 NEW CONST R. U TOUT LET NON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS h) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES AI 20 76 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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. ❑ 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. 1 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 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 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 accrueHAz against said County in consequence of the granting of this permit. X L Date / ," — ';'a Signature of Applicant — Owner[k � Contractor El Agent F1sions 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 $ occ CONST TYPE TOTAL FEE $ 0 i 0FEES / IMP / FLOOD ` CDF / PARCEL PD i HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Work indicated above for which fees D�E TO5 OF PUBLIC By 9Date/--143�_ PER EXPIRES Date �—/ applicable provi- resolutions to do have been paid. WORKS 9 7 P—,– ? V___ Receipt No. 130436 1 WHITC-D.P.W., TELLOW-AS8[$90R, PINK -INSPECTOR, GOLDENROD -APPLICANT r,,s��a�;:,c-.-.�r�n."C�r��h�.�'�(`��2u.h.,..'r.IFr''tiM ��r�'"rr„c��.r�v�.,�. �,MT,r!"'�ti.r�.�.r.��rr,!r.,^i�.,- •''''• � . , , COUNTY OF BUTTE -DEPARTMENT OF AVELOPMENT SERVICES -BUILDING DIVISION A 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 96965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER t_,V/iyP Proposed Building Use Inspector A. P. No. /40 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.'Hazardous Material Form. ....... ............. ................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. .:................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. 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. 14. Flood elevation letter (100 year flood) by California Engineer. .... . Sanitation and plot plan approval O v�/�� 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 occupanc ) y Preanspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28, Mobilehome utility clearance . ..................:........ . 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone '�-Z: ` nd hold for pickup at 1100 office. Deliver with inspector. Other Parcel Creation Acreage Applicant C �--�""' 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. 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 Grt4Pnr-JS Date 1-\� Plans approved by G(88o,,i5 Date Lz_-°13 I- Sets of plans on hold in File cabinet X AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. E'lease complete and return this information at your earliest opportunity to avoid unde'CEssary 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 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. S. 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 G. Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the--California-Health and --Safety Code.- --- - - - - .. -- This verification must be completed and returned to our office before we are per- mitted to issue the permit. 7 Allu zi A Jf rp *rA 14 4. JA P.n'i I I V/aFi_ mIIN. RE 3 , V o y � - � Q z �-C� rrn C -D X II F u I 7 -� -1 7\- CD I j� r7 RE 6' 34" � �/ HW)fZWL ME16HT 7Q U0 V o Z � - -� 33 r w X II -1 -{ CD I j� C> F= z < .=m o 0 �! �G„MIN. STAIR n � W i DT4 O � ! Lam• ro 00 O v �• - x MAX, n ;�- 6' 34" � �/ HW)fZWL ME16HT 7Q U0 P 33 r X II -1 m l/7 I j� C> F= z �! �G„MIN. STAIR n � W i DT4 L ro v �• x r , / All_l RESMENTIAL 1— � 72-44-13 087-91B 'DEDEKER, Charles ! 55 Dedeker Ln, Oroville (open deck/sf) go as -V a 1 I J=OK O = Not OKNot = Not Readyable MOBILE HOMES- - Date M084LE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils: Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements _ 2 Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card. B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES, Plans OK except #'s oning Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3, Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Si Is-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dati and B-1 1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #s 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 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 'J OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL �S ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tt's _ 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size _& Bearing jingle'& Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50.Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63, Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/0 to, Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0, 7 County Center Drive - Orovllle, California 95966 - Telephone: 916/539.7541 APPLICATION AND PERMIT Zg-44-13 MR BUILDING PERMIT "TZLKPHONE 589-2582 $0. FT. OCC. BUILDING V ATIO -•8 •r 400.00 OWNER'S MAILING AADDRE3!! 82 Dedeker Lane Oroville 95966 CONTRACTOR'S N AM Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ 400.00 LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ 10,00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 55 Dpdeker Lane, rov'lle Permit fee $ 35.00 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 pas water heater or vent 5.00 USE OF STRUCTURE SF92 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W -00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: new 8 x 10 deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. 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 force and effect. License No. Classification, 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. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 , OR ACDNS. ACC. BLDGS. /:¢sgft NEW CONST R. U TI.OUTLET 2.SOea NO N.R ESID BRANCH CIRC ITS (POWER APPARATUS &1 (SINGLE OUTLET CIR. / EX. OCCU o 20060e p OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (REBID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Miscbyirin . g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F]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 PERMITFiling Fee 10:00 Heating Coolin g Hood 3.00 Ventilation penult 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 againsj said CoVntiy/?nconsequence of the granting of this permit. �� Date /°�9� S' e ofAf l cant – SWner � C.ontroctor ❑ 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 $ 5.00 HAL CUA PARx LLD DF P I H I s This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. D E OR OF PUBLIC WORKS By Date L — ql PERMITEXPIRES Date eceipt No. 88651/35.00 FHR.,ITf-O.r.W., YELLOW-A6aC330R, PINK-INePECTOR, GOLDENROD -APPLICANT . / 1. .. ... - ��- �• - ,. ..� .. „, , / COUNTY OF BUTTE - DEPARTMENT OFl PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE* O«ROVI i;ALIFORN1p95965 --TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET /n �r /�� ID12 d � �� Permit No. r �3 �f' ! K OWNER rr A. P. No. 12 y ` Proposed Building Use NGw Deck Building Inspector Date S/ Cl(/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............ ' ' ' * * * .... * * * * * ..... . 2. Plot plans in duplicateAriplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .: 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ...:.., ;\ Z , %. . 6. Ener Design Compliance and su ortin { ocumentation 9Y 9 P PP `9";d ; ......... 7. Statement of Intent for Non -Heated and 'AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................ *.................... 13. School District fees paid .............. 5Sanitation approval from O2 V Health Department ' City of Chico plumbing permit ................................... . .............. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to s Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................. �: 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4 24. Recorded copy of Agricultural Acknowledgment Statement ......... t . Letter'of signature authorization .......................... . ....... . 26. 27. Wherl/you issue the permit, process as follows: Telephone Other and hold for pic Mail to o ner. Mail to contractor. p at M—office. Deliver w/inspector. Copy of Hdz-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. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phon ai _counter b�-ate Contractor, designer, owner, was advised of above required data by_phone_mail_coun r by date I ns checked by Date P "ns approved by Date G C1 Sets of plans on hold in File cabinet .V_AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 4,C - Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE ' L Sanitarian - Dat COUNTY OF BUTTE - DEPARTMENT 6P PUBLIC WORKS PBNMIT NO, 7 County Center Drive - Oroville, California 069a • Telephones 016/630.7641 APPLICATION AND ft.-RMIT —��— /,jAUNI —%� BUILDING PERMIT C e 6911— 5 SO. FT. OCC. BUILDING VALUATION C N 0'W 6 /G n ONE CONTRACTOR'S MAILING ADORNS! Fireplace dQ o CONSTRUCTION LHND6R1vo1V6:. UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'! MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEERED I LICENSE NO. Plan Checking Fee $00 5- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ` Penalty $ BUILDING ADDRESS 55e CeD rA Permit tee $ —35, 61C9 PLUMBING PERMIT FllingFee 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 gas water heater or vent 5.00 USE OF STRUCTURE SF4?J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remmodel ❑ Utilities ❑ Installation[] Other Z Describe work: NEGcI ox /dk D4:15C& Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 CONST. DWELLING OCCUP-ai OR ACDNS. ACC. SLOGS. ,/:2sgft NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea """ /POWER APPARATUS 6 f (POWER OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 209501 eALO 30 Ex. OCCup. OUTLETS PRESID" IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. ❑ 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. FT " 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 Cooling Hood 3.00 Ventilation penult 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 said County in consequence of the granting of this permit. X Date 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 storieJ in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 3� , 00 HAL. I CUA PARK I SCHL I FLD I CDF J PAR I PD 1 HD. I ISSUE This permit is hereby issued unaer sions or 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 -ASD SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, JA 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 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 nersons to provide the work indicated! Signed: Property Owner ;,X Social Security Number Date -e7Z— /9-9 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL 72-44-13 1310-90B,P,E,M r DEDEKER,.Charles 55 Dedeker,Ln, Oroville (new single family) ?14c 1 sj.v-r 3 ' s ji V'. y. - 1 OFFICE COPY Address i I' GA Meter By Date i mss` i ELECTRIC i Meter By Date�� -- C a JOB FINALE Signature pgrT7 is.�:iL:�� 4�_. .Y�� —� �;iat�'pr1�'��.`7�=�'�`w��.. _ —�f•., _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872 -6307 - CORRECTION NOTICE OWNER 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. G J 6� U` O U" r" -? 0' rk-0- �-- 02- r~9-�'i� � cr—�"Ls' � � �•`'�`— Gj � �^—� r1.— r/�Qsf'i� v,—r 4 U/� �C� 4 i rr6 F / V-T6e X e L. L"moo-�,,z, Date 2,9 — ei t Inspector — COUNTY OF BUTTE 'T DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE / IT 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. r"'1 '4'11 +1,/-/ 7-1 4(-( "/ 194A x Date =� 1 5 1 Inspector �� PC e Owner ` Permit No. LOCATION E RGY CERTIF CATION 001. DESCRIPTION OF INSULATION A.P. N0. ROOF BRAND NAME CERTAINTEED THICKNESS MATERIAL BRAND NAME THICKNESS THERMAL RES. THICKNESS EXTERIOR WALL WIDTH MATERIAL RQLASS. BRAND NAME TAIN.TEED THICKNESS THERMAL.RES. BRAND NAME CEILING THERMAL RES.' / BATT OR BLANKET TYPE BRAND NAME CERTAINTEED THICKNESS THERMAL LOOSE FILLTYPE. INSUL-SAFE IIIBRAND NAME CERT TEED THICKNESS THERMAL RES. O FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR, SLAB MATERIAL BRAND NAME. THICKNESS THERMAL RES. WIDTH FOUNDATION WALL .MATERIAL Z BRAND NAME THICKNESS THERMAL RES.' / I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. .ENERGY REQUIREMENTS. SHAST :INSULATION INC. #530235 FI N E R STATE CONTR. LICENSE NO. I here y certify.the above insulation and all .required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of thequality prescribed or are specifically approved by the State of Calif. FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'.S LICENSE NO.. SIGNATURE OF GENERAL 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 I Pt J=OK .. A O = Not OK Not ' = Not Ready able MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except t1's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) . 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ P L" ft./ P'LPG 7. Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . MISCELLANEOUS •� A' Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings Date . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except R's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 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 ' -t J=OK O = Not OK - = Not Applicable ' Not Ready • RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except #'s Date _FRWING (Continued) ;A'. Zoning -Setbacks -Easements -Flood -Slope L,2- Fig., Main; Soils-Elecr6rf+d.-fy//' Ftg. Depth 3-,Ftg ,-Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped 6.,&ernwans, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. rs-Fi replace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors %, Gater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pie ms & Ducts; Clearance -Material -Support -Ins. JA -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date / Card B-1, Date Card 6-1 Date �( -q Card B-1 C Date Card B-1 Date P6WBING Permit OK except #'s 6. a3er Htr.; Vent -Access -Combustion Air -Baffle �ater Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection ec eceptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 2 me nstalled Close to Edge of Studs & C.J. qu Ground made up w/Mech. Fastners-Bond Gas & Water 2 iance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size /F'/ ga. C r AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / ga C or AI -Oven Circ. / / ga. Cu or Al. Ins ted N tral ❑ Yes No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 4. A.C. Ducts Insulation & Support 3p) Vent Fan; Exhaust above insulation ' � r„„,,�-..:n & Overflow; Size & Grade 3?--FTM3rrc-e-VeM; Access -Comb. Air -Return Air Vent -115 outlet 8. ttic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN Plans) OK except #'s 39,,5 I's, Proper Material & Anchors f s Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub aders & Beam -Size & Bearing Post Caps -Anchors -Connectors Clag_-doist-Rftr. ties -Pu rlin —roof Brac-Truss-Shthng.-Rfng. fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 62!€xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits /53./5tairs; Width. -Headroom -Rise -Run -Landing -Fire Protection wood on Roof Overhang -Attic Vents -Rafter Outriggers 55� i,jtfig`-Nailing Veneer Drip ed -Fd. Vents-Underflr. Access 97-16ra-zing Area -Glass Protection -Skylights -Plastic. �ear Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL P ns OK except #'s xt. S s -Door & Sidelight Protection -Landings mok -elector 6 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 rqga,,-Exiting s F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels irs & Rails replace r Stove; Clearances -Hearth lec. qoets at Wood Panel; Int. & Ext. i .Fix ppliance; Grnd.-Air Gap -Cooking Clearance lec. outlets & Receptacles at Kit. Counter a Fire Door; Swing -Landing -Closer A.C. ct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In age; Above Floor-Mech. Protection & Mech. Equip. Listed for Location le eceptacles in Garage; (G.F.I.)-Romex Protection Insu n -Foam -Looked in Attic 0 Yes . Gu ails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Cl!,nce Looked under Floor O Yes 8 ollowing instld.; Drive O Yes ❑ No; Walks ❑ Yes ❑ No; Planters 0 Yes 0 No Bt"SnTCU6, BMwn-Finish nect, Electrical, Plumbing gl-VeAls- Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openin ater Well; Disconnect, Electrical, Plumbing or Elec. Trim; G.F.I. Receptacle -Underground 8C_VerrttrTion Throughout House ass Protection Cor ections from Previous Inspections Test -Meters Tagged; Gas -Electric . Wa & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date v and B- Date Card B-1 Dat Card 64”'Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pERMI NO. 7 County C@nter Drive - Oroville. California 95965 - Telephone: 916/538-7541 •APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72-44-13 ZONING' MRS BUILDING PERMIT OWNER Charles Dedeker TELEPHONE 589-2582 SQ, FT. OCC. BUILDING VALUATION 1st renewal OWNER'S MAILING ADDRESS 82 Dedeker Ln. Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 FEE $ ARCHITECT OR ENGINEER LICENSE NO. .139.25 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 55 Dedeker Ln. Oroville Permit fee $ 149.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [?9K Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other U Describe work:_ 1st renewal of BP#1310-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. 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 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 CONST. I DWELLING OCCUP.Ed , ft OR ACDNS. ACC. BLDGS. /zQsga NEW RESID. RANCH T LETCIRCUITS 2,50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2AL@ eLe30 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 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 Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 liabilities, judgments, costs, and expenses which may in any way accrue against s_ajd County in consequence f the granting of this permit. X Date�� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-O ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 149.25 HAz. CUA PARK scHL FLD cDF PAR PD I HD. ISSUE] This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. O BLIC WORKS �j By12/ZR Date P MIT EXPIRES Date 5-18-92 Receipt NO. MOO— l,Z-5 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF MITTE - Department of Public Works 7 County Center Drive OrbAlle, 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 willibe issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 6� 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. a 4. 1 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. l 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number � Date NOTE: This Owner -Builder Verification,is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov'tlle, California 95965 - Telephone: 916/538-7541 'APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -, 72-44-13 .._MR ZONING BUILDING PERMIT OWNER Ch.qrlps, T)Pdplcpr TELEPHONE 58 -2582 S0. FT. OCC. BUILDING VALUATION 1144 R 45,760 OWNER'S MAILING ADDRESS 82 Dpd Oroville 126 coy 1,260 CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I "Att 1 000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 278.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Q$ $ 139.25 Energy Plan Checking Fee .00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 442.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 16,00 Solar tfheat p mp ater heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 9-00 Mobile Home Is G W 10.00e TYPE OF WORK New [2( Addition❑ Remodel❑ Utilities[] Installation[] Other❑ Describe work: 2 bdrm. _ Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 0 0 Main service EA. ADD -1- 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW penalty p l y (check one): I declare under email of perjury El am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. L.cense No. Classification YI, 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 OCCUP.& OR ...NS. ACC. BLDGS. 2,/20sgft 28.60 NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50aeAL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 1 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 61-10 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 19 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 f_'vS 10.00 Hood 3.00 1 3.00 ventilation 1 3.001 3.00 Permit Fee $ 26,00 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, costs, and expenses which may in any way accrue agains Aaid Cou ty opFquencepf the granting of this permit. Date Signature of Applicant - Owner ❑ Contractor ❑ Agent 27 An OSHA permit is required for excavations over 5'0" deep nd demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30,00 o c CgNS TY E v TOTAL FEE $ 615185 HAZ �- P SCH F D PAR PD% H ' Issu � This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees OIR PUBLIC By PERMIT XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �' Receipt No. - e �O WHITE-D.P.W., 'r ELLOW-ASSLSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �1COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 APPLICATION AND PERMIT ASSESSOR -ARCEL NUMBER . ; zDAN lyG BUILDING PERMIT OWNERTE PHO � S0. FT. OCC. BUILDING VALUATION c / I 957 ' OWNER'S ?,AILING ADDRESS -/RC2 -�6 I �D✓ CONTRAC'OR'S NAME QWAAK TELEPHONE i CONTRAC`OR S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'SMAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , `215 Energy Plan Checking Fee 'S' - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ _001 BUILDING ADDRESS / /(- / Permit fee I S, '�/1/ PLUMBING PERMIT Filing Fee 10.00 Each Trap L2.00 J Solar orm water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S Each qas water heater or vent 5.00 USE OF STRUCTURE SF,?] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 —� Mobile Home I S FG PJ 10.006 TYPE OF WORK New Et Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: IJR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 force and effect. License No. ClassificationFIXED 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. 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 ( DELBLDGOCCUR.&\ oR ADDNST C S.I 2'/z2sgf NEW CONSTR. r ULTI.OUTLET NON.RESIO. BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@30C e , AL30 APL Ex. Occup. OUT ETS (RESIO IR EA.) 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): j 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 bo 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 1 - ` 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 build ng 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 liab:lities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit. is _required for xcavotions over 5'0" deep and demolition or construct- ion of st-uctures over 3 stories i height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE [TOTAL FEE $ 6J �w• HAZ CUA I PARK I SCHL I FLD I PAR PD Ho ISSUE This permit. is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I O WHITE-D.P.W.. YELLOW - ASSES R, PINK -INSPECTOR. GOLDENROD -APPLICANT �lv tiF�-,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No, OWNER /i1006C-�S &'< A. P. No. 7.2--4�� /3 , Proposed Building Use 4 h04A Building Inspector . Date ..� v At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions: 1:. ........................................ S-- 10. Fees of $ �( lJ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 3. �(i�........... 1 (546, KSchool District fees paid ............... if_: �— 14. Sanitation approval from �2w Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... �� 18. Improvements may be required. Contact Land Development Section DPW WE �– 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner A) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... L_-- yL 5. Letter of signature authorization .................................. . 26. U 27. a Wh n you issue the permit, process as follows: Mail to owner. Mail to contractor: Telephones Rq�� and hold for pickup at office. Deliver w/inspector. t� Other Applica Date JS 5 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 iss an: If n item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance Owner Lon Plan Approved for: Sewage Disposal v Hold final for: Final clearance O.I. for: Clearance for _�_L__ bedroq ome. Other 7c2,_(1(t1-0 AP.# / Water Supply L% Water Supply Water Supply NOTE reran Date y Buildinc Department r "" Environmental Health Sanitation Clearance zza Sanitarian Date Owner. Location AP#. Plan Approved for: Sewaae Disposal _ Water Supply Hold final for: Water Supply . Final clearance O.K. for: Water Supply. Clearance for bedroom mobile ome. Other NOTE ,. zza Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County'Center Drivq, Oroville, CA 95.965 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 wi1L 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) _1G�G 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) thb following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner `�?G •1L�1 L��oC�rJ� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r�? `49-/3 R,pturrf to DPW',p AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT REOUESTEC BY: U� Q� FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit., The property described herein is adjacent to land or included within an area zoned .9,0-020382 for agricultural purposes, and residents '90-20, 382 / Rec Fee 5.00 Cash 5.00 of this property may be subject to ancon- !± Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of, i but not limited to herbicides, pesticides, Butte 1 and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including,; Recorder ; but not limited to cultivation, plowing, 11:50am 18- May -90 BG i spraying, pruning, and harvesting which — - occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within :said zones and on adjacent property should be prepared to accept such inconvenience. or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Al 13 4 - At 7, Date: S 7_- jv PROPERTY OWNERS: State of, ) On this the 1 day of 19 %( , before me, SS. the undersigned Notary Public, perso ally appeared County of Personally known to me. E�Proved to me on the basis of satisfactory evidence. OFFICIAL SEAL to be the person(s) whose name(s) NOTARYPATSY CCARTERRNIku scribed to the within instrument and acknowledged that BUTTE COUNTY ex cuted the same for the purposes therein contained. IN WITNESS IRM comm. expires PAY 13, 19MM REOF, I hereunto set my hand and official seal. Present A.P. No!4"��r otary Public ENE) OFDOCUMENT* 1 s BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number �.��'� "' Building Department No. School District ,r"' W3 (-Cr-- , City [:] County 0 Jurisdiction Property Owner lUd ec-Ls Ar654:�-6< Project Location/Address Subdivision ' Lot Number Residential Development: / a � Sq. Footage 11 # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Departmen4&*'F,epresentative gate - (Floor Plans 'reviewed by School District Personnel) District Id No. J17 Applicant Name Street Address City School District certifies that tate Phone Number) 1 Zip Code has complied with the requirements of Resolution No. f 06 by the payment of $ representing square feet. School Dis,t,FIIgct Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) /3 ID ` 9U -Bldg. Permit # 'G OWNER A. P. # GENERAL V. 'Zoning requirements: (sideyards Valuation. 3. fans signed by designer. Energy Design and Compliance. Existing violations on property." 6. Items on data sheet. and number of permitted living units). PLOT PLAN --. p a, Complete parcel size and dimensions. "=4!� Setbacks, sideyards, easements, etc. Other. buildings or structures. k.'G ading, fills, drainage. �S lood hazard. --6. Special conditions on -creation map or compliance document. FAU & FAS road setback. FLOOR PLAN ,��Required ,1!/�omplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). windows for second exit (Sec. 1204). — ' Skylights (Chapter 34 & Sec. 5207). 4,5-.' Human impact glass (Sec. 5406). L.a! Required room sizes, ceiling heights (Sec. 1207). t7!�-GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles of mechanical equipment. 291"'Locations of water heater, heatin a d cooling equipment other gas equipment, and plumbing ixtures. garage firewall, door size, and closer (Sec. 503(d)(3)). 4-Y�1 - 3'0" exterior exit door (Sec. 3304(e)). q-2'.'-F-ireplace and wood stove location, alcoves, and clearance. U-.-IG-oke detectors (Sec. 1210). STRUCTURAL DETAILS A for maintenance electrical or Lj./,Foundation plan complete enough to construct building. L2,."' Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. -4�7- Roof construction details complete enough to construct building. �-- Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ✓Guardrail details (Sec. 1711 & 3306(j)). rick or stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 41�Iq /terior plaster - weep screeds (Sec. 4706). ' roof pitch for roof covering (Chapter 32). lfa! 0_f covering type - (fire hazard). eafter ties or bearing ridge beam. Garage door or porch header sizes. OZ Adequate bracing. �. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,k -.'T we-'eexits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 4-2'Attic access and ventilation (Sec. 3205). Lk. Underfloor access and ventilation (Sec. 2516). combustion air for fuel burning appliances. .3 -5 -.-Noise requirements on duplexes. -16-.."Adobe soils - special foundation design. __-1-7'.Retaining walls requiring design. nusual shape, size, or split level house requiring lateral design. L9". Flashing at all exterior openings. 0 5/89 LI__.dl _ / " LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: .(916) ®538-7266 RONALD D. McELROY October 10, 1989 Deputy Director Charles and Aloha Dedeker RE: AP 72-44-13 82 Dedeker Lane App, for Determination. Oroville, CA 95966 Dear Mr. and Mrs. Dedeker: At the regular meeting of the Butte County Subdivision Violation Committee meeting held on October 10, 1989, the committee granted a conditional Certificate of Compliance for the above -referenced property. The conditions are: 1. Verify legal access to the.parcel from a publicly maintained road. 2. Provide two way traversable access from a publicly maintained road. There is a'fifteen-day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works ;rohn Mendonsa j/— Assistant Di ector JM/ds attachment cc: Planning Department Environmental Health Department (-Building Department LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538.7681 RONALD D. McELROY Deputy Director November 21, 1.989 Charles and Aloha Dedeker RE: AP 72-44-13 82 Dedeker Lane Certificate -of -Compliance Oroville, CA. 95965 Dear Mr. and.Mrs. Dedeker: 'Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on November.8, 1989. The Recorder's Serial Number is: 89-44682.. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works ion Mendonsa Assistant Director JM/ds attachment cc: Building Department Environmental Health Department RETURN TO: Public Works Land Development Section 0U`44bb1 89-044682 ; Rec Fee .00 I 1 Total .00 i Recorded ! Official Records County of Butte 10 Candace J. Grubbs 1AGENCY SHOWN Recorder ; 8:01am 8 -Nov -89 GF 2 CERTIFICATE OF COMPLIANCE Issued to: Charles and Aloha Dedeker 82 Dedeker Lane Oroville, CA 95965 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the.applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on the west side of Dedeker Lane, 600 ft. north of West Sandra Lane. Black Bart area. 2. Assessor's Parcel Number: AP 72-44-13 Description : All that certain property located.in the County of Butte, State of California, more particularly described as follows: The. East 330 feet of the North 440 feet of the Northwest quarter of the Northeast quarter of Section 26, Township 19 North, Range 5 East, M.D.B. & M. TOGETHER WITH a r.ighf of way 60 feet in width for road and utility purposes lying 30 feet on each side of the following described centerline: 4 BEGINNING at a point on the East line of Section 26, Township 19 North, Range 5 East, M.D.B. & M., bears South 00° 43' 23" East 1237.97 feet from the Northeast corner of said Section; thence. from said point of beginning North 82° 53' 24" West 103.60 feet; thence North 63° 34' 22" West 246.47 feet; thence South 740 39' 03" West 160.62 feet; thence North 790 27' 24" West 669.97 feet; thence South 19°'50' 20" West:653.10.feet; thence South 02° 14' 36" West 186.15 feet; thence South 14° 48' 36" West 750.08 feet; thence South 25° 46' 24" East to the South line of the Northeast quarter of Section 26. ALSO TOGETHER WITH a right of way 60 feet in width for road and utility purposes lying 30 feet on each side of the following described centerline: BEGINNING at a point that bears South 890 06' 14" West a distance of 30.00 feet from the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M.; thence. South 60° 51' 23" West a distance of'45.02 feet to the beginning of a tangent curve to the left, having a radius of 100.00 feet, a central angle of 580 00' 58" and being concave to the Southeast; thence along said curve an arc distance of 101.26 feet; thence South 020 50' 25" West a distance of 236.13 feet to the beginning of a tangent curve to the right, having a radius of 100.00 feet, and'a central angle of 680.56' 03", thence along said curve an arc distance of 120.31 feet to a point of reversing curve having a tangent bearing South 71° 46' 28" West a radius.of 100.00 feet, a central angle of 62° 07' 24" and being concave Southeasterly; thence along said curve, an arc distance of 108.43 feet; thence South 090 39' 04" West a distance of.117.02 feet;;.. thence South 020 21' 01" West.a distance of 491.54 feet to the end of description. ALSO TOGETHER WITH a right of way for road and public utility purposes 60 feet in width over all existing roads located in said Northeast quarter of Section 26, Township.19.North, Range 5 East,."M.D.B. & M. TOGETHER WITH rights-of-way of record recorded in Book 1725 of Butte County, Official Reocrds at Page 403 and in Book 1722 of Butte County Official Reocrds at Page 475. (continued on next page) 88-44682 CERTIFICATE OF COMPLIANCE -".PAGE-TWO AP 72-44-13 Charles and Aloha Dedeker Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499.35 (b), to protect the public health and public safety: NONE County of Butte Subdivision Violation Committee 1) A 11 END OF DOCUMENT 77 77 17 V-4.1- P _ ,v r1 i U K A L VVtAI I H AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director January 16, 1990 Charles and Aloha Dedeker RE: AP 72-44-13 82 Dedeker Lane AMENDED CERTIFICATE OF Oroville, CA 95965 COMPLIANCE Dear Mr. and Mrs. Dedeker: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on December 12, 1989. The Recorder's Serial Number is: 89-049165. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works J n Mendonsa Assistant Director JM/ds attachment cc: Building Department nvironmental Health Department 89-49165 89-049165 Recorded Official Records County of Butte RETURN TO: Candace J. Grubbs Public Works 8:02amcorder 12aDec-89 Land' Development Section. AMENDED CERTIFICATE OF COMPLIANCE Rec Fee Total Issued to: Charles and Aloha Dedeker 82 Dedeker Lane Oroville, CA 95965 AGENCY SHOWN This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of.Chapter 20 of the Butte County Code. 1. Property location: on the west side of Dedeker Lane, 600 ft. north of West Sandra Lane. Black Bart area. 2. Assessor's Parcel Number: AP 72-44-13 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: That portion of the South 440 feet of the North 880 feet of the Northwest quarter of the Northeast quarter of Section 26, Township 19 North, Range. 5 East, M.D.B. & M., lying East of the West 990 feet of the said fractional section. TOGETHER IJITII a righC of way 60 feet in width for road an,d utility purposes lying 30 feet on each side of the following described centerline: BEGINNING at a point on the East line of Section 26, Township 19 North, Range 5 East, M.D.B. & M., bears South 00° 43' 23" East 1237.97 feet from the Northeast corner of said Section; thence from said point of beginning North 82° 53' 24" West 103.60 feet; thence North 63° 34' 22" West 246.47'feet; thence South 74° 39' 03" West 160.62 feet; thence North 79° 27' 24" West 669.97 feet; thence South 19° 50' 20" West -:653.10 feet; thence South 02° 14' 36" West 186.15 feet; thence South 14° 48' 36" West 750.08 feet; thence South 25° 46' 24" East to the South line of the Northeast quarter of Section 26. ALSO TOGETHER WITH a right of way 60 feet in width for road and utility purposes lying 30 feet on each side.of the following described centerline: BEGINNING at a point that bears South 89° 06' 14" West a distance of 30.00 feet from the Northeast corner of Section 26, Township 19 North, Range 5 East, M.D.B. & M.; thence South 60° 51' 23" West a distance of.45.02 feet to the beginning of a tangent curve to the left, having a radius of 100.00 feet, a central angle of 580 00' 58" and being concave to the Southeast; thence along said curve an arc distance of 101.26 feet; thence South 02'.50' 25" West a distance of 236.13 feet to the beginning of a tangent curve to the right, leaving a radius of 100.00 feet, and a central angle of 68° 56' 03", thence along said curve an arc distance of 120.31 feet to a point of reversing curve having a tangent bearing South 71° 46' 28" West a radius of 100.00 feet, a central angle of 62° 07' 24" and being concave Southeasterly;.theitce along said curve, an arc distance of 108.43 feet; thence South 09° 39' 04" West a distance of 117.02 feet; thence South 020 21' 01" West a distance of 491.54 feet to the end of description. ALSO TOGETHER WITH a right of way fo,r road and public utility purposes 60 feet in width over all existing roads located in said Northeast quarter of Section 26, Township 19 North, Range 5 hest,"M.D.B, & M—: TOGETHER WITH rights-of-way of record recorded in Book 1725 of Butte County Official Reocrds at Page 403 and in Book 1722 of Butte County Official Reocrds at Page 475. (continued on next page) C�- GF 2 :89-49165 CERTIFICATE OF COMPLIANCE PAGE TWO AP 72-44-13 Charles and Aloha Dedeker NOTE: This Amended Certificate of Compliance is being recorded to correct an error in the legal description of that Certificate.of Compliance recorded November 8, 1989, in Butte County Official Records at Serial Number 89-44682. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter.20-166 'arid Government Code, section 66499.35 (b), to protect the public health and public safety: :NONE County of Butte Subdivision Violation Committee END OF DOCUMENT END OF DOCUMT -' COUNTY OF BUTTE - DEPARTM€NT r7F PUBLIC WORKS 7 COUNTY CENTER -DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE:.(916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT / PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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 N0. FL— ZONING I , �` 7 OWN ar !!�s and PHONE NO. OWNER'S ADDRESSD d LOCATION OF BUILDIN 7). ✓/ �//1 USE OF PUILDING SIZE OF STRUCT RE 4 X 2 -2 CJ D SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME �_STEEL CONCRETE OTHER (Specify) TYPE qF SIDING IN lz 00J ROOF COVERING/ /"A r, FLOOR TYPE I DI 19-7- 2%ESTIMATED ESTIMATEDCOSTO F CONSTRUCTION oZ0Ciao $ AG Buildings shall comply with the building front, side,.and rear yard requirements of the applicable County Ordinances as follows: / r K, J / b < b FRONT .S� SIDES 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building 1s made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ,z/�Zq 1) Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 402?1M Director of Public Works By Date ,.f,- %—.Fp White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FL— PARCE P.D. ROOFING, ISSUE =0D ✓/ �//1 Director of Public Works By Date ,.f,- %—.Fp White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant ir: i"• i • 1'��'�'1 T In COUNTY OF BUTTE - DEPARTMENT OF PUI34AxJ 1;ORKS - BUILDING DIVISION < 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 'w - PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Proposed Building Use _-:::eA9 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. -.E'n'ergy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation - instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other r Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution y Date Copy of plans sent ---lealth Dept. _Fire Dept. Other Date- ate By- By The The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---lnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW -" 1. Ceiling Insulation ,.. Slab Floor Points Number of stories mn . Sdard _ R -value One Two Three : R-0 -103 -49 -32:- 2'R-19 Total R-1 9 -8 -4 -2.. U -value R-30 -2 -1 -1:. .51 to R-38 0 0 0 . Single U -value .60 .50 .40 0.50 -176 -84 -54 -53 0.30 -102 -49 32 4 0.10 -26 -13 -8 •26 0.08 -18 -9 -6. 35 0.06 -11 -5 -4 -9 0.04 -4 -2 -1 -61 0.02 4 2 1 4 0.00 11 5 3 -20 -12 • -3 5. 2. Wall Insulation 28 -55 -18 Single- Single - -2 5 13 Family Family Multi- - R -value Detached Attached Family 10 R-0 -68 -51 -34 -8 R-11 0 0 0 25 R-13 2 2 1 0 R-19 8 6 4 -43 U -value -5 1 8 0.80 -153 -114 -76 -11 . 0.50 -91 -68 -46 15 0.30 -47 -36 -24 3 0.10 0 0 0 21 0.08 4 3 2 4 0.06 9 7 5 31 0.04 14 11 7 10 0.02 19 .14 10 -4 0.00 24 18 12 16 18 -26 3 3. Raised Floor Insulation 7 12 - Insulation in Floor -23 -1 3 Number of stories 12 17 R -value One Two Three 4 R-0 -17 -8 -5 15 R-11 -3 -2 -1 10 R-19 0 0 0 -14 R-30 3 1 1 .14 U -value 13 -12 -- ---.0.60 , -144 -70 -46 + 0.50 -120 -58 38 9 0.40 -95 -46 30 11 0.30 -69 34 -22 13 0.20 -43 -21 -14 3 0.10 -17 -8 5 ' 17 0.08 -11 3 -4 ' - 0.06 -6 -3 -2 ' 0.04 -1 0 0 ' 14 0.02 4 2 1 Solar 0.00 10 5 -3 POU Controlled Ventilation Crawlspace -14 to -4 lo' -';6 '7. Shading Number of stories ,. less -15 R -value One Two Three Percent Glass R-0 -11 -7 -5. (percent R-5 -4 -4 3 2 R-11 -2 -2 -2 6 5 R-19 -1 -2 2. i 4. Slab Edge Insulation East South •West Skylight 18 5 -"" --- Number of Stories 1 ' 15 13 R -value One Two Three • R-0 0 0 0 na R-5 8 5 2 5 R-7 8 6 3 12 F2 factor 3 5 2 X0.90 -4 3 .1 3 0.80 -1 -1 0 -10 -9 0.70 2 2 1 3 0.60 6 4 2 1 0.50 9 6 3 5 0.40 12 8 _ 4 - -S: Infiltrattoa (Atr Leakage) - 9. Interior Thermal specification -- Slab Floor Points Mass mn . Sdard R -value 1381 U -value [0.030] - o /CFA One Two Three Ocie 6. Glass Heat Loss Three 0.0 -8 -5 Total -1 -1 0.1 -8 U -value Percent .. 0 0 .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 .a ,y 6 10 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 31 3 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 3 7 10 .14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 ' 17 20 8 _ 2 _ 12 14 16 18 20 Solar _ Sum of 1-6 3 POU -25 or -24 to -14 to -4 lo' -';6 '7. Shading (Shade Open) less -15 -5 +5 +15 --Efreetite Percent Glass 0 0 0 0 0 (percent glass x SC) 3 2 2 Effective 0.80 7.33 8- 7 6 5 4 - - - - %Glass North East South •West Skylight 18 5 1 4 1 ' 15 13 na 16 4 2 5 1 or HSPF x dud efficiency) na 14 4 2 5 1 -56 -47 na 12 3 3 5 2 •18 na_- 11 3 3 5 2 -10 -9 na 10 2 3 5 2 0 1 9 2 3 5 2 0.70 6.42 2 8 2 3 5 2 19 16 2 7 1 3 4 2 13 2 6 1 3 4 2 3.8 3 5 1 2 4 2 10 9 3' 4 0 2 .3 1 2 3 3 0 1 2 1 2.6 3 2 0 0 1 0 4 3 1 -1 -1 -1 -1 S 5 2 0 -1 -2 -4 -2 15 0 na = not allowed 21 - 22 23 - 27 27 2.9 3 �3. Shading (Shade Closed) 3.3 14 3.S 3.7 Efreetive Percent Glass 4.1 4.3 4.6 (Perrent (haat x SC) 5.2 5.4 5.6 58 6 6.2 64 Gita -4 North East South West S4i& 18 -1-14 -48 -69 -64 3.6 na 16 -12 -42 -59 -55 5,1 na 14 -10 35 -50 -46 6.5 na 12 -8 -29 -40 -37 2.4 na 11 -7 -26 36 •33 3.9 na 10 3 -23 31 -29 5.4 -74 ' 9 -5 •20 -27 -25 90X' -05 8 -5 -17 0 -21. 2.7 2.8 -56 7 -4 -14 -19 -18 4.2 -47 6 3 -11. -15 -14 5.6 38 5 -2 -9 -11 -10 1.6 -30 4 -1 -6 -8 -7 3.1 -23 3 0 -4 -5' -4 4.5 4.6 -16 2 1' =1' -2 -1 - -9 1 .. 1 . 1 1 ... 1 19 -4 0' 2- 3" 4 .- 3 3.4 0 ten .rat allowed 4 4.2 4.4 4.6 4.9 9. Interior Thermal Interioriv`-% s/CFA Interior- Slab Floor 1. Ceiling Insulation Mass Stories R -value 1381 U -value [0.030] Stories Sim of 7-10 /CFA One Two Three Ocie • Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 .: -1 .. 0 0 0.3 .. -7 -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 20 -1 2 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 f / 8 ib 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 25 Exterior Single- Single - -2 Two + i„4 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 j 0.20 3 2 1 1199 .' 1200 "1700 0.40 5 4 3 to 2699 0.60 8 6 4 more 0 0.80 10 8 5 - HP' HWR 1.00 13 10 7 . 1.20 13 12 8 3 1.40 12 13 9 •12 1.60 10 13 : 11... HWR 1.80 10 12 WSB.. -25 -16 •12 •10' 200 10 11 13 2_ _l IG None =5 • -3 -2 -2 •2 Solar 11. Heating System 3 24 POU 3 2 1 SE or RSPF E None -28 79--1 4 _ (assumes ducts In attic) � - . Solar _ Sum of 1-6 3 POU -25 or -24 to -14 to -4 lo' -';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 i 20 18 ' 15 13 11. 8 -45 .--23 -15 Effective SE or HSPF -9 (SE or HSPF x dud efficiency) - Effective -25 or -24 to -14 b 1 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -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 i 0.70 6.42 17 15 13 11 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 3.8 System Type 4.2 4.4 4.6 4.8 ' Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 1.6 '12. Cooling S stem`` Interioriv`-% s/CFA SEER Measu�s 1. Ceiling Insulation - (assume; ducts In attic) R -value 1381 U -value [0.030] 2. Wall Insulation Sim of 7-10 - R -value [11] U -value [0.098] -25 or .24 lo 44 b . -4 b . +6 to 16 or SEER. le66 .15 t -6 +5 +15 more 8.0 -14 -12 -10 •8 3 -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 =- 120 15 13 11 9, 7 5 ,20 17 .. 14 - 12_ 9 6. Effective SEER (SEER xduct eM8ency) Sim of 7-10 Effective•25 or -24 to -14lo .410 +6 b 16 or SEER less -15 •5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 •9 -7 3 -4 6.6 -5 -4 -4 3 -2 2 7.0 0 0 0 0 0 0 I 8.0 9 8 6 5 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 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 0 0.2 10 8 7 6 4 3 No Cooling System Installed 1.5 j -= =_Stories 21 23 25 One -5 -4 -4 3 -2 -2 Two + i„4 3 .; 2 Z. 2 1 4.4 3 1' 4.8 5 S.3 t- 0.3 0.6 Singh-Famlly DetachedrInd Attached 1.2 a` Unit Size (sQ 1.4 1.6 Water Heater Credit 1199 .' 1200 "1700 2200 2700 Type Type or .; b to less 1699 2199 to 2699 or SG None 0 0._ 0 -0 more 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 WSB.. -25 -16 •12 •10' •8 POU t j3 _ -12. •9 -7 -6 IG None =5 • -3 -2 -2 •2 Solar 7 5 4 3 24 POU 3 2 1 1 3.2 E None -28 79--1 4 -11 .9 Solar 8 5 4 3 3 POU -10 3 -5 -4 -3 MuIU•Famfly (individual units) 0.9 . Water -• F Unit Size (sQ 699 : 700 1200 • 1700 2200 Heeler (>ea t or'. b to 10 of TYPO TYPO lest 199_ 1699 2199 mom :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 None -45 .--23 -15 -11 -9 Solar 2.' 1 1 0 0 HWR --23- 712 -8 3 •-5. WS8 -25 -13 -8 -6 .5 eQU_-23-12 •8 -6 3 IG None -8 4. 3 -2 172 1.4 1.6 1.8 2 2.2 24 2.6 28 3 E None : 30 . ' -15 -10 -` _8{ 3.9 ._-.Solar .= "::f- 9 6 "18 4 4 L POU :.'8 u~°.-4 :. •3 -2 -2' Vint. vyOtctit OU111111il[-y: Comate Gone U SCORE CARD Interioriv`-% s/CFA Measu�s 1. Ceiling Insulation - R -value 1381 U -value [0.030] 2. Wall Insulation PA' . or - R -value [11] U -value [0.098] 3. Raised Floor Insulation Interior Mass/CFA : ND. L OR R -value [ 19] U -value [0.037] I1. Heating System / % ` X = Zonal Control? ( Y / N) TM 2 M55- Duct Efficiency(0.78] Effective SE or _ 10.72/6.61 hSPF [0.56/5.15] 12..Cooling, SystemPW X Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency 10.74] Effective SM [7.03] 13. Water Heating77 _ V .... _._........ Credit [none] Ic..v.t.d .l.el - t TYPE 1 MASS (UM a 4.2, to: exposed slab) 0% 5% 10% 15% 20% 25% 30% 3S% 40% 45Y. 50% 55% 60% 659. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 12S' 0% to% 0 0.2 02 a1 0.4 0.6 0.6 0.8 0.6 1 1.1 1.3 1.5 1.7 1:9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 S.3 20% 0.3 0.6 0.8 1 1.2 1.2 1.4 1.4 1.6 1.6 1.8 1.9 2 21' 2.2 23 24 2S 21 2.9 3.1 3.3 15 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 30% 0.5 0.T 0.9 1.1 1.4 1.6 1.8 2 22 24 26 27 2.8 29 3 3.1 32 3.3 3.5 3.5 17 17 19 3.9 4.1 4.3' 4.5 4.8 S 5.2. 5.1 56 40% 0.7 09 1.1 19 1.5 1.7• 1.9 22 24 26 28 3 3.2 3.4 3.6 3.8 4 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 $a 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 14 3.6 3.8 4 42 4.3 •4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.6 5.8 6 60% 65% 1 1.1 12 11 1.4 1.5 1.7 1.9 21 2.3 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6.2 63 70% 1.2 1.1 1.6 1.7 1.8 1.9 2 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 a.9 5.1 5 3 S 5 5.7 5.9 6.1 61 75% 1.3 15 1.7 1.9 21 - 22 23 25 25 27 27 2.9 3 11 3.2 3.3 14 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 3.6 3.8 4 4.2 4.4 4.6 4.8 5,1 5.3 5.5 57 5.9 6.1 6.3 6.5 805: 85% 1.4 1.4 1.6 1.7 1.6 1.9 2 2.1 22 2.3 2.4 26 2.8 3 3.3 3.5 17 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 90X' 1.5 1.7 2 2.2 24 25 26 2.7 2.8 2.9 3 3.1 3.2 3.3 3.4 3.5 18 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.6 17 3.4 3.9 4.1 4.1 4.3 4.3 4.5 4.6 4.7 4.8 4.9 5 5.1 53 5.5 5.7 5.9 6.2 64 66 68 100Y. 1.7 19 21 2.3 25 28 3 3.2 3.4 3.6 18 4 4.2 4.4 4.6 4.9 5.1 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 S.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1107. 1.8 1.9 2 21 22 2.3 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 115% 2 2.2 2.4 2.5 2.6 27 2.8 29 3 3.1 3.2 3.3 3.4 36 3.6 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.1 4.3 4.4 4.S 4.6 4.7 4.8 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 ` 125Y.. 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4,4 4.6 4.9 - 5 5.1 5.2 5.3 5.4 5.5 5.6 50 6 6.2 6.5 6.7 6.9 7.1 73 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 TA_S�a C%___a ___ 9'7- Vint. vyOtctit OU111111il[-y: Comate Gone U SCORE CARD Interioriv`-% s/CFA Measu�s 1. Ceiling Insulation 3 or R -value 1381 U -value [0.030] 2. Wall Insulation PA' . or - R -value [11] U -value [0.098] 3. Raised Floor Insulation f or ND. L OR R -value [ 19] U -value [0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8.-'- Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass or R -value 101 F2 factor [0.77] Standard Type [double] 1.1 -value [0.65] % Total Glass [ 161 % Glass SC ..Eff. % Glass (/ X -_ l -_ _ � 7� � X X = % Glass SC _ "F Eff. % G16= , ��C2 3 X '0_ -- X TYPE 1 MASS AREA $ Point Scores D Sum 7'10 �3 PninlTnlnl• �� I Interioriv`-% s/CFA COND. FLOOR AREA 10.''Exterior Wall Mass TYPE 2 MASS AREA Exterior Wall Mass ND. L OR _ 8 AREA I1. Heating System / % ` X = Zonal Control? ( Y / N) SEor HSPF Duct Efficiency(0.78] Effective SE or _ 10.72/6.61 hSPF [0.56/5.15] 12..Cooling, SystemPW X Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency 10.74] Effective SM [7.03] 13. Water Heating77 _ V .... _._........ Credit [none] Point Scores D Sum 7'10 �3 PninlTnlnl• �� I Certificate of Compliance: Residential- = - 'Climate Zone 11 Project Title 1Z Id 20 Building Permit M ep Maximum Furnace Heating Output: HOT WATER SYSTEMS Tank Manufacturer/Model #_ Svstem Tvoe (storaee gas, etc.) Capacity (or approved equal) Special•FAture(s)", erh n NJ Mandatory Measures Checklist: Residential MF-lR NOTE Lowrise residential buildings subject to the standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by mat stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documenm the futures noted SMU be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(by Loose fell insulation manufacturer's labeled R -Value • §2-5352(c): Minimum wall insulation in framed walls R-1 I weighted average (docs not apply to exterior mass walls). §2.5352ft Slab edge insulation - water absorption rate no greater than 03%. crater vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed mess California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfeltratioNEzfeltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage b. Doors and windows certified. c. Doors and windows wcatherstripped: all joints and penetrations caulked and sealed 12-5352(c): Special infiltration barrier installed to comply with 12-5351 moeu CEC quality standards. §2.5352(dr Installation of Fimplaces 1. Masonry and factory -built rMiaces have a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2.5352(8) and 2-5303: Space conditioning equipment siring: attach dculations. §2.5352(h) and 2-5315: Setback thermiosta: on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b)c E3ehaust systems have damper controls §2.5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2.5352(): Water heats insulation blanket (R-12 or greater) or combined interior/exteriorinsulation (R-16 or greater). fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Eaception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a Orloff switch on heater. b. WeathuDroof instruction plate on hcater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Trmc clock. 5. Dineetiorul water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator-frtturs, fasters and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT This certificate of compliance lists toh-, building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Cluptrx2. Subchapter4. Article I of the Cawomia Administrative code. This certificate has been signed by the individual with overO design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to say subsequent purdiaser of the building. Designer Building Owner Name: Nance . Ta le/Fln r Thk/FirnL Address: Address: Telephone Tetephonc Lic. 0: 9v (signature) (date) (signature) (dz c) T !� ` Documentation Author SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) - _ 'ritle/Fusm Address: Enforcement Agency Name: At—r. Telephone Project Address Checked B y / Date . Documentation Author Telephone Enfoteanew Agency Use Only Area % Glass BUILDING DATAGlass Conditione&FWq5 Area�7 �—Number Number of Stories North East 0 D sed Fr of Units �_13 SoutSlab 7 ; [ a Sin Family Detached (SFD) [ ] Addition•Alone west l� O (] Single Family Attached (SFA) [ ] Existing Building Skylight r� Total /r�r� O • (] Multi -Family (MF) [ ] Existing -Plus -Addition BUELDING SHELL INSULATION D 'p l3 Component Insulation Locatiion/Comments Type R -Value (attic. to garage, r�iacl. etc.) • Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices _ Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation s (sin double) o do.e (shadescreen, etc.) es/no) (meul/wood) North North .East -- East ( )� South 72 - _i SouLh ( ) _ NA West ( ) O West ( ) aW Skylight....... 0 THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen. bath, etc.) l 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) ep Maximum Furnace Heating Output: HOT WATER SYSTEMS Tank Manufacturer/Model #_ Svstem Tvoe (storaee gas, etc.) Capacity (or approved equal) Special•FAture(s)", erh n NJ Mandatory Measures Checklist: Residential MF-lR NOTE Lowrise residential buildings subject to the standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by mat stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documenm the futures noted SMU be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(by Loose fell insulation manufacturer's labeled R -Value • §2-5352(c): Minimum wall insulation in framed walls R-1 I weighted average (docs not apply to exterior mass walls). §2.5352ft Slab edge insulation - water absorption rate no greater than 03%. crater vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed mess California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfeltratioNEzfeltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage b. Doors and windows certified. c. Doors and windows wcatherstripped: all joints and penetrations caulked and sealed 12-5352(c): Special infiltration barrier installed to comply with 12-5351 moeu CEC quality standards. §2.5352(dr Installation of Fimplaces 1. Masonry and factory -built rMiaces have a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2.5352(8) and 2-5303: Space conditioning equipment siring: attach dculations. §2.5352(h) and 2-5315: Setback thermiosta: on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b)c E3ehaust systems have damper controls §2.5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2.5352(): Water heats insulation blanket (R-12 or greater) or combined interior/exteriorinsulation (R-16 or greater). fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Eaception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a Orloff switch on heater. b. WeathuDroof instruction plate on hcater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Trmc clock. 5. Dineetiorul water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator-frtturs, fasters and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT This certificate of compliance lists toh-, building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Cluptrx2. Subchapter4. Article I of the Cawomia Administrative code. This certificate has been signed by the individual with overO design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to say subsequent purdiaser of the building. Designer Building Owner Name: Nance . Ta le/Fln r Thk/FirnL Address: Address: Telephone Tetephonc Lic. 0: 9v (signature) (date) (signature) (dz c) T !� ` Documentation Author SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) - _ 'ritle/Fusm Address: Enforcement Agency Name: At—r. Telephone 72-,, �V lJ