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HomeMy WebLinkAbout072-610-015RICHARD & MARYLOU SAIDE N -Saide Rch..Rd, Orovilleg - ermit#2109-88B(new private garag ) _Contr: _Joe Schies , fz erinit'#2638 88B'(i ew"'garage)_ ' m .�� _ Y. -- IDE 3220, BPEM• SA , Richard- �Ranch�:�Rd, {Oroville+ .._ contr t SteveOrsillo �riew,sft , �: - 7 ,:�_Q 17 072-610-015 ,. .` .<1,04-0049 SAIDE, RICHARD . .� . .99 SAIDE RANCH ROAD, OR•OVII WATT'S PLBG; �, � �1 n � �-�_h . SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID - ENV HLTH CLEARANCE Q GATE JOB FINAL.ED• . . SIGNATURE: 072-610-015 06-1585' SAIDE,RICHARD iit'-,� ' NOTES r 99�SAIDE RANCH RD,.OROVILLE ur>E� �a Cont NINE BROTHERSVINYI y(• SIDING(VINYL) ,.., a �: RESIDENTIAL + - AP N- Permit No. t $'.Owner. ;Site Address: It• Contractor. ` t7, 4 o r .;,Type of Permit: 1 r SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID - ENV HLTH CLEARANCE Q GATE JOB FINAL.ED• . . SIGNATURE: . =OK o = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION Lj SOFTSET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaI1/C/0-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-CIrncs-Gmd • Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-CImt:s 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connecte&VO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 14 Exits 15 Cert of Occupancy 16 HUD Label/lnsignia Numbers Serial Numbers o'r cls o'er ds MISCELLANEOUS - )ATE DECKS'COVERS•CARPORTS•GARAGES 1 ZoningSetbacks-Easements 2 Figs; Soils-Sz=DpthSpacing-CnnctmSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Fang; Sills-AnchrsStuds-Rfas Trtisses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -1 anditgs 12 Braced Wail pnls oe DATE P O O L5 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclsA11ng; Distance-GFI 5 Elec Pool Lting;15 volts-GFI 6 Elec.Enctsrs; Conduit Entries Terminals-Disted 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool ightg Boxgs-Encisrs-pnlboards.4nsultn-to Main Conduit 9 Health Dept Appm 10 •Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Encisr, Fencing -Alarms 13 Bond'mg, Diving board or Slide Pool Drawing 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd FtSI Dpth 3 Fig Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc FtgSteel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-SillsBolts-Vnts-Cripples 15 Acc & Vntitn 16 Insulation DATE 15RAMING 17 Sills Proper Materials & Anchrs 18 Wills Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders B. flr Nailing 20 Draft Stop In Walls (rat proof)' 21 Fire Stops; Furred Ceilings—Stairs—Chasers—Tubs 22 Headers & Beam's &'Bearing' 23 Hangers-PosiA 'Capsnchrs-Chnctns 24 Ceiling Joist-RHr Ties-Purlin-Roof Brac TnusShthg 25 Frplc Ties or Type A Flue=Frplc Throat Cimc 26 Attic Acc; Sz &'Rini prtetn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting DoorsSill tit & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opng!V . 30 Ext Doors -One 3' -Check Ga`age 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4_anding-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rflr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Are PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 Insultn-W al Is -Ceilings 39 Infiltration Walls Wndws s` o'er m` d 4• DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cimc-ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz [—ICU or ❑ AL AC Wire Sz Q Cu or EIAL 48 Range Circ Q. Q CU or ❑AL Oven Circ oa QCU or [:1 AL Insulated Neutral Q Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimes pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail Prfctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tuti & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchis 59 Fire Sprinkler; Test 60 Yard Gas Piping a` m DATE MECHAN-ICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace In attic oe o+� DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiling 70 GFl 8 Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood PnI, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnetr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GF) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrcbt-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes 0 No 87 Stucco Brown -Finish 88 AC Unit Dscnnck Elec-Plmb 89 Vnts abv Roof, PlmbAppinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl RcptcI-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler m BUTTE COUNTY PERIVII-1-NU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 14 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061585 OFFICE #: (530) 538-7541 r PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION 1 hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2006 APN: 072-610-015-000 the Business and Professions Code, and my license Is In full force and effect. '- / r % �/ D License Class: License Number: ` ( Y Site Address:99 SAIDE RANCH RD ORO • �y, Dale: � 0'- 0&eonlractor. ill�(9 S f /►�l - Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: vinyl siding 18 sq.'s. Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any Gly or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SAIDE RICHARD M to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of 99 SAIDE RANCH RD the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the. basis for the alleged exemption. Any 95966-8755 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 1, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business.and Professions Code: The Contractors' State License Law does not apply to an Applicant: NINE BROTHERS VINYL SIDING owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 7744 ORPHEUM WAY sale. If however, the building or improvements are sold within one ANTELOPE CA year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of 95843 sale.). (916) 752-5252 ❑ 1, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ; Contractor: NINE BROTHERS VINYL SIDING ❑ 1 am Exempt under Article 3 of the Business and Professions Code 7744 ORPHEUM WAY Date: Owner: ANTELOPE, CA 95843 WORKERS' COMPENSATION DECLARATION (916) 752-5252 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the License #: 847142 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are:.Engineer: �4 0( % v� Carrier: 2- Policy#: C,-- J ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S.F. Issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� Date: Applicant: WARNING: Failure secure w rker c m satlon coverage Is unlawful, and shall subject an empl to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. A/ ,. CONSTRUCTION LENDING AGENCY la permit Is he by Issue underthe app abl provisions of the Butle,County.Code and/or I hereby affirm that there Is a construction lending agency for the Resolution,to work Indicated abovty.whlr fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Clv.) }•%'/ BY / Dale: Name: PERMIT EXPIRES ON: Address: D e) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the own ree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any ial form cument of Bu I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes, l �1As H wV- Print Name: C-1 Signature: 0 - � �-� , / `j/ Date: ❑ Owner)a. Contractor f C3 Agent for Owner ❑ Agent for Contractor / B. C. Building Permit 01-16.04 pg 1 R BUTTE COUNTY PERMIT*NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061585 : OFFICE M (530) 538-7641 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that , I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2006 APN: 072-610-015-000 the Business and Professions Code, and my license Is In full (force and � l / �7 / (� effect. '- � License Number: u 1 ( 4 License Class :D-41 Site Address: 99 SAIDE RANCH RD ORO �c Date: 6` o— O&onlractor. 6,3� e2 it l S V f-%►� f ,4:1 Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am' exempt from the Description: vinyl siding 18 sq.'s Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SAIDE RICHARD M to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of 99 SAIDE RANCH RD the Contractor's Stale License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-8755 she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sale compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business.and Professions Code: The Contractors' Slate License Law does not apply to an Applicant: NINE BROTHERS VINYL SIDING owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 7744 ORPHEUM WAY sale. If however, the building or Improvements are sold within one ANTELOPE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of 95843 sale.). (916) 752-5252 ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ; Contractor: NINE BROTHERS VINYL SIDING ❑ 1 am Exempt under Article 3 of the Business and Professions Code 7744 ORPHEUM WAY Date: owner: ANTELOPE, CA 95843 (916) 752-5252 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 847142 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: � / Engineer: of F Carrier: Z_2- !) Doi 2� 3 Policy#: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. Issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .. O �• - Date: Applicant: WARNING: Failure secure wrker c satlon coverage is to criminal penalties and one unlawful, and shall subject an emp,,gr hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. Go) CONSTRUCTION LENDING AGENCY -provisions of the Butte County Code -and/or Tbis per I he by issue under the&ffi I hereby affirm that there Is a construction lending agency for the Resalul ons to work Indicated abovfees have been paid.performance of the work for which this permit Is issued (Sec 3097 Civ.) By Date:—J Name: PERMIT EXPIRES ON: Address: D e) O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the own ree to comply with all county and state laws retailing to building construction. I acknowledge It Is unlawful to alter the substance of anyelcial form cument of Bu I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. �1`0(m) Print Name: V Signature: /� D r v Dale: v ❑ YOwnerConlractor 13Agent for Owner C3Agent for Contractor u. c. eunaing Permn ui-ia-04 pg i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY**07 a r / OWNER INFORMATION Last NameS moi, ` TE v irs. ame C fr ,'. A 9 p Address 99 5 Of I �(E f` n/kll) e City O F oV 1 It G State C14ZP 9 Jr-96� Phone (5-5o);579 _ yB 93 Fax Phone(.,,( 752 - E-mail Fax 036 APPLICANT INFORMATION CONTRACTOR Name Name Or) E �'j 9 0 1/ V He a r> I T h Address 77 Z1 � Og pF u m WAY City A o t e lo F State �� zip 9 5 S e-, Phone(.,,( 752 - 5z 5 2 Fax 036 72 6 - 56 E-mail Date Approved: Lic. # d ZI 7� 4 0 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City A n t e io Pf Address Zip City Fax oK2 7Z6 -J`-6 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Ve r)--; ,©( M; G -.A S HC H U K Address -1 7 y �( /Z P h r U m WA City A n t e io Pf State G A Zip Phone 11 X16 %S2'SZ SZ Fax oK2 7Z6 -J`-6 E-mail For office use I : A1119 ..oc 1 d' F_ 4 nc�H' Zoning I Ci 09 01/ X Floo'dlorfe SRA Yes No Occ. Carrier Si a� E F U r) n Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc 19 PERMIT NO. BW # PROnJECT LOCATION A1119 ..oc 1 d' F_ 4 nc�H' Property Address I Ci 09 01/ X Cross Street P--> rz, pts �Jwyi , WORKER'S COMPENSATION Policy Number Z Z 51^ 003 20 S Carrier Si a� E F U r) n If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Q7 r) -S/'h Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS 3 Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 3 Received by: Amount: Bldg "/ / SRA Receipt #:ISAgy/ Sheriff SMIP Other e Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS, The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6.. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. _Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form El 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). 4.. NPDES_ Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan A check fees -for work plan checked acid other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 _ . O. (Rev. 12/96) APPLICATION AND PERMIT Cil- do P IT N- ASSESSOR PARCEL NUMBER 0'7-Z, —�7 0' / v ZONING BUILDING PERMIT OWNER •. T SQ. FT. OCC. BUILDING VALUATION . OWNERSU AD S �I CO RA S E r , Vl i CO TO DRESS - r. A mir CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS(I q �1 (�(� Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Ce Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 aOOV LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in SII fs and effect. , / License Class v Lic. No. '9 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cod for the performance of work for which this permit is issued. My workers' cc 4 insurgmee carrier and policy number are: Carrier AD Policy Number (The above sections need not be completed 0 the permit is for work of a valuation Of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall n employ any person in any manner so as to become subject to workers' omp sation laws of California and agree that if I should become subject to the orker compensation provi ns of section 3700 of the Labor Code, I shall f with comply w• th Dateindic 14signa tu of licant :"D Owner ontractor ❑ Ag e/emol�itio�nor,�on.truction An O A p mit required for excavations over 5'0" deep and of structu s ov r 3 stories in height. Main Service 200A TO LDOOA 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( & ACC. BLDS. 3.50FT. NEW CONST. MULTI -OUTLET NON REBID. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDRURES B2' Q I.50 Ex. Occup. DUTIEEOTS A ID°R, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ _ Ci HAZ. D. FEES IMP FLooD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work d Bove fob is fees have been paid. !1 C By Dat (' PERMIT EXPIRES ON ( �_ Date Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSSSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-7591 , 00 MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER J 7 ! / J /'� I +'�"• ZONING BUILDING PERMIT OWNER ' TfiLEPHONE SO. FT. OCC. BUILDING VALUATION OWNERSf.M.,A�IUUN/G ADQfR S _ t/ f� Wille.Cd-\ 4d Oy . CONTRACTOR'S NAME / TELEPHONE CON,,TRAC�� RS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / - C(- r 14 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00'11 AJ& TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6 Ce L�� ! Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zooA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �� '7 License Class +_moo Lic. No. Z, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO /000A 46,00NEW CONST. DWELLING OCCUP. OR ADDNS. a acc. BLns. sD 3.50F.: NONRE ID.' MULTI -OUTLET 97,50 POWER APPARATUS a SwGLE Our. CIR. Ex. OCCU OUTLET OR FIXTURES Bn� @',w Ex. Occup. oPlxurLEEDTSA APWSIODEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code-, for the performance of work for which this permit is issued. My workers' cora ense on insurance carrier and policy number are: Carrier �r�fC /GG/f/ A:) Policy Number 6Xv 7 no — 7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not .employ any person in any manner so as to become subject toaworkers' compensation laws of California,,and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply fwithth se provisions., p y'\ �� / �j X —t— --- Date — Signature OVAppllcant - ❑ Owner O''Contractor ❑ Ageny / An OSHA permit is r9quired for excavations over 60" deep and demolition or construction s struct`res over 3 ssttorie�� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �S . U0 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do, work indicated above for whirh fees have been paid. / 01/of By Dae / PERMIT EXPIRES ON l K r0� Date rin_height. Receipt No. I V1 WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT /A -.. r n . � • � y - Nf is `- - - - ' 072-610-015 SAIDE, RICHARD 04-0049 I 99 SAIDE RANCH ROAD, OROVILLE CONT: WATTS PLBG REPLACE WTR HTRISF y RESIDENTIAL i 072-29-0-085 - — -- - -- - -- - --� SAIDE, Richard /-3220 BPEM 99 Saide Ranch Rd, Oroville contr: Steve Orsillo new sf 14 � l OFFICE COPY e Address r; GAS Meter By Date ELECTRI Meter By Date— �---, OFFICE COPY I Address GAS Date Meter By ELEC - IC Date Meter By JOB FINALED (Data) Signature i J=C2K O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 9. Siding; Nailing -Veneer -Stucco -Mesh 1. Zoning Requirements -Setbacks -Easements 10. Roof; Shthg-Roofing 2. Soils; Special MH Support Sketch 11. Ext.; Steps -Doors -Landings 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas' Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect POOLS (Plans) OK except #'s 8. Utility Clearance 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability - Date Card B-1 Date - Card B-1 Date Card B-1 Date Card 13-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks Easements 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 3. Gas; MH Test -Demand -Valve -Connector Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9. Health Department Approval 5. Drain; MH Test -Fall -Flex Connector , 10. Plumb.; Cir. Test -Water Supply Test 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 Card B-1 Date Card B-1 10. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans}Q,K except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Siie- Depth -Spacing- Conn ectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 1. .* + 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 #'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 -Panel boards -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 1. .* + J=OK O = Not OK = Not Applicable _ Not Ready RESIDENTIAL = Date UNDERFLOOR (Plans) OK except #'s Lo ing-Setbacks=Easements-Flood-SI e tg., Main; Soils-Elec. GrndAt . Depth 3. 'Ftg., rage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth g., Porches & Decks; Soils-Steel-l'$Etg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel - 8. Piers -Fireplace Ftg.-Steel 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. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date .V -/b =�Zard B-1 Date Card B-1 Dai . 6' ip y�ard,•B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's Water Htr.: Vent -Access -Combustion Air -Baffle ----------- — ---------------------------- .Water Pipe; Test & Anchor -Nail Protection ------------------------------------- _----- D.W.V.; Test -Fillings & Anchor -Nail Protection ------------- — ----------------- ower Pan; Test, First Floor -Tub Access -------------- ------------------------- Zt,Tub & Shower, Second Floor -Tub Access -------- --------------- --------------- Gas Pipe: Size & Anchors ------------------------------------------------------------- Dat ----------- - - DatfP7 v 'Card B-1 Date Card B-1 ---- -Z-- ---------- -------------- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's ------- — 22. Fix ure &Transformer Clearance -ins. -Protection --- - -- --- --- ----ns.- ------------------- Receptacles - - --- Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled -------- - ------------------- 2 omex Installed Close to Edge of Studs & C.J. ----------- ----- ------------------------------------------------------------ p. Ground made-up w-------------Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---- ---------- - -- -------------------------------------------------------- 4i�ht 9-wrre Size / i ga Cu or AI-A.C. Wire Size r / ga. Cu or AI -------------- - - ------------------------ <c / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------- - ------ Service-Riser Conductors & Ground -Main Disconnect- ----- ------------------------------------ -------- Equip. Cleara-nces Panels -Motors Mech. Equip. ---- - ------------------ - ----------------- ---------------- 52-1flothes Closet Closet Light -Shower Light -Spa Light ----- -- --- ---- ------- ------------------- ------------- ---- --- -- . �noke Detector ------------------------------------------------- --- ---- - - -------------------------------------------- - --------- Date / �ard B-1 Date Card B-1 ----1- ! ��----------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's 34✓A.C. Ducts Insulation & Support ----------------- e - - - - - -- -- - --- ---- ----- - - ---- --- - - --- - -- ---- ------ ---- ----- -- nt Fan: Exhaust above insulation ------------------------------------------------------------------------ - � to Drain &Overflow: Size &Grade 3rnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ------- - -- ------------------------------------------------------- 3 tt- Access & Platform if Furnance in Attic ----- ---- -- - - --- --- -------------- ---------- -- --------- - Date %/Card B-1 ---- - -Date -- ---- - --Card B_1- -- --- --- j� -1 T f -------- - - - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3 ils. Proper Material & Anchors_ - p'0. Walls Studs -Nailing Spacing & Bracing -Plates -Sound - -- - - -- - - - - -- Bearing Walls over Girders & Floor Nailing -------------- - - ----------------------------------------------------- ------------- ------- ---- raft Stop i -- -n Walls (rat proof) ------------------------------------ ----------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub - -------------------------- Headers & Beam -Size & Bearing (Single & Duplex) Date FRAMING (Corttinued) _ 4 angers -f Ost Caps-Anchor%;Connectors _ Wig. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. replace Ties or Type A Flue -Fireplace Throat clearance d8!Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 4a_&dr5.-Windows or Exiting Doors -Sill Hgt. & Dimensions rage Fire Protection Framing �1�PISperty Line Firewall & Openings exI. Doors -One T -Check Garage -3rd Story, 2 Exits ------------ --- - -- airs; Width -Headroom -Rise -Run -Landing -Fire Protection -----,5.�wqpd on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer _ 5&-'_4ee*e-Mesh-Drip Screed -Fd. Vents-Underflr. Access _ lazing Area -Glass Protection -Skylights -Plastic -- --- - e r Walls: Nailing -Bolts nsulation-Walls-Ceilings 60. Infiltration -Walls -Windows -Date�f / [Card B-1 _ Date _ Card 6-1 Dat/ 12,02 -,Card B- Date Card B-1 Date FINAL (Plans) OK except tf's -- text. Steps -Door & Sidelight Protection -Landings 62 moke Detector --------------------- rBFurnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-D(icts-Meeh. Protection ---------------- b�ed'room Exiting ------------ .61r G.F.I.& Bath Fixtures & Tub Access -Spa lec.airs Trim &&Subpanel; Breaker Sizes & Labels --------- ------------------ -- &Rails -- -- ---- ----------- — iirreeplace or Stove: Clearances -Hearth W. Elec. Outlets at Wood Panel: Int. & Ext. i9.Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter -- - ----- --- - ------------------------ ---- arage Fire Door; Swing -Landing -Closer - -7T-4.C. Duct in Garage -Damper 11-4- tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In arage: Above Floor -Meeh. Protection ---------------- Plb.. Elec. & Mech. Equip. Listed for Locatior) - -- --- 7 .-E f, Receptacles in Garage: (G. F.I.) -Rome x ection 7-i nsula jon-Foam-Looked in Attic - 7.---uar - ail -s & Deck- Construction -Post Caps 7 -. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters - ❑ Yes - ❑ No - -- --- ---------------- ---------E3.C. it; Disconnect. Electrical, Plumbing 8 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to -- Op ings Well: Disconnect, Electrical, Plumbing d xt for Elec. Trim; G.F.I. Receptacle -Underground entilation Throughout House — s;l rotection ----_--- ---------------------------------- ------------- d" Cor lions from Previous Inspections ------ - - ---- a t -Meters Tagged; Gas -Electric ----- ----------- --- - - ----- -- -- -- W &Sewer Connected -C/O to Grade -HD Approval ----------- - -- --------------------- nergy Compliance Certificate. Other Certificates Date ��Gzfd 8 1 _Date _ _ Card B-1 — v -- Date ` `�iHrd 8-1 _ _Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Orovillc, CA - (916) 538-7540, 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE o1MEEi PERMIT NO. Aroufsreercpeetion indicates that the following violations of Butte County Ordinances exist at The ahaae I I and -should be corrected. Please notify this office when correction of work incomp&fed_Ii ave any questions pertaining to this matter, or need additional explanation, please this office immediately. Date Z ' 2 �- �?ilnspector REV 111111192 • _.,_-.�,.' .q,.'/.-i�"'i "' '�� --ram.`.r`���:`+.;rZ'+.=-�"7;;r�.:�»v-:_,.�x„'tF'�yi COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ? - ZZa WNER ---�' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conteGt this office immediately. //tea T/ 4- _ ?T t -7- Date A 1OInspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ;J 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538 -7541 -747 -Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION -NOTICE. I OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at =• • the above address and should be corrected. Please notify this office when correction of work r." . is completed. If you have any questions pertaining to this matter, or need additional explanation. Z>aseo ct thisoffice immediately. �t Tc ATT Ic �r I )a . Ir.. rr. f> Date //�iZ Inspector 46at_1111 REV 11/91 } Owner: ��/� d✓�iCGy Permit# . a ENERGY CERTIFICATION Q, err LOCa" �v A. P. f } DESCRIPT:0`I OF INSULATION ROOF MATERIAL ..BRAND .NAME THICKNESS THERMAL RES. EXTERIOR.WALL : MATERIAL Fiberglass BRAND'NAME Certineed THICKNESS 6 .4 THERMAL RES. 02/ CEILING BATT OR BLANKET TYPE -FIBERGLASS BRAND NAME Certineed THICKNESS A;2 ` THERMAL RES. LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR -ELEVATED MATERIAL Fiberglass BRAND NAME Certineed THICKNESS �,Z � THERMAL RES., / FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS THERMAL RES. I HEREBY -CERTI Y THAT THE -ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH. THE STATE OF CALIF. ENERGY REgCIREAIENTS. HAWKINS IND.INC/dba SHASTA TNSITT.ATTnN T Tr iF%Sn,7,7, Iherebv certify the above insulation and all required items as shown on the building department approved plans .and attachments have .been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. 0 ------------------------------- -------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONT. LIC! SIGNATURE OF GENERAL CONT/OWNER DATE This certificate must be on file with the Building Dept. prior to Final and posted within the huildine COUNTY OF BUTTE - DEPARTMENT OF PUBLIC +WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3220 i ASSESSOR PARCEL NUMBER 072-290-085 ZONING A 5 d BUILDING PERMIT ' OWNER , TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 27659 DEL NORTE CT HAYWARD 94545 1455 R 78,570 304 C 3 952 CONTRACTOR'S NAME STEVE QRSTLL0 CONST TELEPHONE 532-1131 CONTRACTOR'S MAILING ADDRESS OLIVE13022 HWY OROVILLE 95966 Fireplace"A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 84,022 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 530.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 265.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 99 SAIDE, RANCH ROAD OROVILLE 95966 Permit fee $ 830.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 81 5.00 40,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP Water piping 1 7.00 7,00- Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SFRI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New [X Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 2 BDRM Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. License No. 0 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 Main service 200A TO IOOOA, 37.50 NEW CONST. ( DWELLING OCCUP.g\ 3.6Esq.ft. 50.90 OR ADONS. ACC. BLDGS. r NEW CONSTR ULTI.OUT LET @ 5 00 NON.RESID BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex, Occu OUTLETS OR FIXTURES 20 76 P� Ex. Occup. our ETS ((RE51D )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ __8Z WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating .00 IRG, FURNACE Cooling .00 Hood 6.50,50 Ventilation 4.50 Permit Fee $ 44.00 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 prop for inspection purposes. I also agree to sav emnif and ke h mle s the County of Butte against all liabilities, gm s, s , and ex ses which may in any wa accrue against ' C. nce f t ra ing of this perm i X Date Signature o Applicant - caner ❑ Contractor EJAgent An OSHA q permit is required For excavations over S'0" dee n d ition or construct- ion of structures over 3 stories in height. ��(y Tr Mobile Home Inst lation Fee S Energy Inspection Fee $ 4n nn ) CON TJYJt TOTAL FEE $ 1,087.40 HAz , DFEE IMP -- FLOo CDF PARC PD HD Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicat ab a for which fees have been paid. DROF P ELIC WORKS By - Date l4 -�L7 PER IT EXPIREt 4/Date Receipt No. 123218 293.25 PC FEE WNITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I II — ?c 1.t ©✓�� 2 1& COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Genter Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR PARCEL UMBER ' -Q r Q ZONING_ BUILDING PERMIT OWa ' ��� QII . TELEPHONE $QPf� OCC. BUILDING VALUA ION O� LIN OD EA/0 r,/' ` QqyU S©r fi e, J1 9 S CO RACTOR-S NAM / ELEPHONE CONTRACTOR'S MAILIN ADDRESS Q �//0 r (� Fireplace It iso 110 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee -Q $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee il ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 00 Penalty $ BUILDING ADDRESS It -an vi -• Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 .� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 5� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 LS Building sewer 15.00 Mobile Home IS1G W @ 15.00 TYPE OF WORK New `(] Addition ❑j Remodel Utilities ❑ Installation❑ Other ❑ Describe work: fi K _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 00V 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 ❑ 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) - ❑ 1, 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 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUP OR ACDNS. ACC. SLOGS. 3.6Q Sq.ft. NEW CONST R. "'ULT' -OUTLET NON .R ESID BRANCH CIRC ITS @ 5•�0 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76d At 8,qRA FIXED APPLNS, OR Ex. Occup. OUTLETS IRE510.1 EA.� I- 3.00 Temporary service 15.00 �r Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuations or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent -to Self -Insure. I shall not employ any person in any manner so as to become subject- to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor - MECHANICAL PERMIT FiIirig Fee 15.00 Heating ©. Cooling g y 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 accrue against said County in consequence of the granting of this permit-CUNiVOFBU XDate BUILUIiUG DEPT Signature of Applicant — Owner SEP 1 1 ❑ Contractor ❑ Agent El An OSHA permit is required for excavations over '0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee 40Q t)$ cc Co j, TYPE / TOT E E HAz -FEES IMP FLOG CDF PARCEy PD ✓ HD ISSUE This permit is hereby issued under the 2sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. _1� WHITE-D.P.W., YELL lOR,k-1 SP ET GOLDENROD -APPLICANT J 4 l050 i �s�s COUNTY OF BUTTE_ rPARTMENT OF PUBLIC WOq ~ - BUILDING DIVISION 7 COUNTY CENTER DRIVE r OROVILLE, CALIFORNIA 95965 '- TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET .� OWNER P�C-borj s _ ,P o. 9^0 -©D Proposed Building Use /- 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 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 nufais ij�stallation instructions, 2 sets. ........... 10. Fees of $ 0!Jr................................O 11. Impact fees as shown on attached schedule. ..............................$ � 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by C�Jifornia Engineer. . 14. Sanitation and plot plan approval Ordyi f' -Health Department . ............. 15. City of Chico plumbing permit. ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Building Ins requ�- 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 you issue the pg it,r cess as follows: Mail owner. II c tra or. _ Telephone - i and hold for pickup at ro V i c eliv r with inspec or. Other Parcel Creation -D514 Z, Acreage ApplicantDate 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 t er it i suance: (Circle new item not c e k d above . 1. Index permit for above items No. / / 2. Additional items required: 91 Contractor, designer, owner, was advised of above required data by _ phone _'mail o ter by _ Date Contractor, designer, owner, wag advised of above r uire to by _ phone _ mail C u ter by _ Date Plans checked by a<S Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F TO: Building Department FROM: Environmental Health , SUBJECT: Sanitation Clearance - I'6d"flan Attached Hour flan AlLichcd L/ Sent to B.D. Owner Location Plan Approved for: Sewage Disposal Water Supply: I'ublic _ Clearance for. p% bedroom %Pjb'k,_ home. 'Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 2a -a 9 APS/, Private Well Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965°— TELEPHONE (916)5387541 OWNER �%,Aard sa d A.P. NO. 9 PROPOSED BUILDING USE uJ �I` DATE 9 29,-�- REC.-# DATE REC --er<1. School DistrictFees Ore e le- w --i (paid at District Office) lU Sheriff Fees (paid at Building Department) Residential ......... ! X�40 =$ 36o 0 Z—g /9:: unit amt. Commercial(per sq.f t.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.f t.) x =$ sq. ft. amt. 4. Recreation'District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application,s adviabove fees are required to be paid prior to issuance of the permit. APPLICANT DATE Return to DPW AGRICULTURAL ,STATE TME OF ACKNOWLEDGE► FOR RESIDENTIAL DEVELOPMENT Section 26-8.1, of the Butte County Code;,, - - - requires this acknowledgement be'- recorded' 92-046284°` " " 9�-046284 927046284 prior to issuance of a building permit. The property described herein is adjacent ge-04028,4 o Rec`'Feia 3.'00 to land or included within an area zoned I Check "S.•.Ob for agricultural purposes; and residents Recorded ` I fee i of this property may be subject to incon- off tai al Recor-do I JI . veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candtice -J.'*Grubbs _ I and fertilizers; and I from the pursuit Recorder I of agricultural operations including, , 1:56am 8-Qat-92 I PURL X -1 but not limited to cultivation, plowing, spraying, pruning, and, harvesting which .111114, 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'ind on adjacent .property should be prepared to accept 'such inconvenience or discomfort from normal,necessary farm operations. , All that real property situate in the County of Butte,, State of California, described as follows: I 14 V % (x Cres 106.1 d OK A-P- 0-72,, i dl --a—o 8f rty,e4� tS C14- d(- �,,�, rz d I�ladc. parr ks vaso J&PJACA, tom.,c rs Iw., 4UP1 J W�4d kh e144nceaLS& kliou^ ) , SIS $ Q ` UiA ?46,4 ;t S 110MW 31% f AfWA � -� (31Getk.-eaiji ►S 1 diYf y ag 1oc4 iF�+�l. ; R% 0., he d A10H 1. ! Date:I Or ob ,'� 2 i 1.1 I I ,� , PROPERTY OWNERS: CIL I 1 ' 9 I i ,r sir i in � •, ;I .I� , �(C/'ardl11`I'I,, 5ai" "el State of ,) On this the . qday of (�� �'be r 1 I' 19`2_ , before me, the SS.i undersigned Notary Public, personally appeared ,County of Personally known to me. Proved to me on the basis '' ! f '� II l,of satisfactory evidence. occiclaiseAL I to be the persons) whose name(s) BRADLEY L.IC HAUPT subscribed to the within instrument and acknowledged that NOTARYPUBLIC-CALIfanY1 0,:v- ALAMEDA COWITY executed thei same for the purposes therein contained. IN WIT,, SS MY CDNp+I. EXP. FEB. 8„ ---- I WHEREOF, I hereunto set my hand and official seal. Present A.PI. No�g r6) I ' I otary ubl' 0 t...r ��,. �. �;�,`, i,."r+1"Ay�:yr':6�"'" ""'"',+H.r." ..�,.�,�.'^.�r-s.";�h,+'t'r . � .may •-;�rarwr+r�'., - .�►..-r-......., .,.�,,,�.s.,•y,,,�:[�'4'wit:�'C�'�*.-",�"'""�„"�dr"""-..n*.,..-:n• .�'�tti4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) �1 School District Leo P'e m Building Department No. A.P. Number Jurisdiction 0 City [] County Property Owner �. i eVl �a rd so i ti Property Location/Address Subdivison Residential Development Eoingf No. MHI Units Commercial/Industrial ' 0 New 0 Lot No. Sq. Footage Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by,School District Personnel) Date District Identification No. School District certifies that , (Applicant) (Including Exterior Roofed Areas) (Street Address) (Phone Number) (City) (State) ` (Zip Code) has complied with the requirements of Resolution No. 9� -% -/ _ ' by payment of $ ,2 �ZOO, representing, / ��� square feet. School District Representative Paid by Check Number Bank Number - Paid by Cash Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School .District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),. this, project maybe subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 2 "7 OWNER 'A. P. # 7 Z. Plan Checker GENERAL ;/�• onzng requirements: (sideyards and number of permitted living units). 2! Valuation. �3 "Ri-ans signed by designer. Doper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN '' omplete parcel size and dimensions. etbacks, sideyards, easements, etc. ' Other buildings or structures. Grading, fills, drainage. !"-Flood hazard. 1 Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). �AU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN fomplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). eauired windows for second exit (Sec. 1204).kylights (Chapter 34 & Sec. 5207). uman impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). ight fixtures, switches, receptacles, and exterior receptacles for main- enance of mechanical equipment. ocations of water heater, heating and cooling equipment, other electrical or gas equipment. -rage firewall, door size, and closer (Sec. 503(d)(3)). 1 3'0" exterior exit door (sec. 3304 (f). ireplace and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. Flreplace construction details and calcs if necessary. after ties or bearing ridge beam. Varage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(:j). Brick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convering (Chapter 32). F.3 of covering type - (fire hazard). am insulation - protection. " halls and stairways. ving area over garage- complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).' ,P ' Attic access and ventilation (Sec. 3205). --k2-.--Underfloor access and -ventilation (Sec. 2516). -. . Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 15. Energy design. �I, shing at all exterior openings. 4��CDF responsible area requirements. ^v� 45Z/S/!�l W LL-� IC :, W OL --- 1,u 2.0, --57-�VEF- O/ZS 1. LL C> Bum mum 13UILDING DEPARTMENT Q 213 w ��._ �o .c 3 ?�, LJ Lt - k_ Z_Cj . �oJ\ alec.A-1 CA*LCI-,-'> kLMO CA-Nkk S IS- L-CM)O t(2 �? O -(Ng- tW Au of Kus —f 3 �, o-[ 7, V 6, I 16w-3 v = o OLo SL 0 N-kocpzz S CV- MICHAEL MOONEY Title : 2 CIVIL ENGINEER Scope : rC RCE 20647 Number: �( 5A MADRONE AVE, OROVILLE CA Misc : '916-533-2131 Dsngr.: Date:22—Sep-92 --------------------- ---------------------------------------------------- T I M B E R B E A M D E S I G N Page ------------------ Description » >> -- DESIGN DATA --I----_1 ----- -----I- Na-_--;-I----4-----I----5---------6---------7---- TIMBBR SECTION --•--- --- --- --- .... Depth in ....Width in Le: Unsupp ft Fb - Allow psi Fv - Allow psi B ksi LOAD DUR. FACTOR Stress Ratio->> -- CENTER SPAN -- SPAN LENGTH ft UNIFORM DL plf LL plf PARTIAL DL plf LL plf X -Left ft X -Right ft POINT... DL LL X -Dist. ft DL LL f X -Dist. ft DL j LL X -Dist. ft DL LL X -Dist, ft -- CANT. SPAN --- SPAN LENGTH ft PARTIAL DL plf LL plf X -Left ft X -Right ft POINT... DL LL X -Dist. ft DL LL X -Dist. ft RESULTS Mmax @ Cntr in -k X -Dist. ft Moment @ Rt in -k REACTIONS... Left: Dead Live Right: Dead Live ---- STRESSES --- 7.5 1.5 I'Vo 1,450' 5 95 1 0 1700 1.29 2. 4 0.11 --No Gd ------ OX --t----- 2 .0 13.00 3 30 82 48 13.00 --- 0E --------- OR -------- OB --------- OR ---- -----1 ..... I .... 2 ----- 173 ----- I ---- 4 ----- I----5----- ----6-----1----7---- 2.00 --------- - I ---------- I ------ , - I ---------- I ---------- I ---------- I --------- 9. 1 19.11 55! 4. 4 6.50 8.6 1 825 195 87 55 312 99 25 195 09 ,5 5 311 156' --No oo 1-I----2-----I----3-----I----4-----I----5-----I----6-----I----7---- Fb... Allow psil 4 0 1,613 3 / Actual psi 1,406 1/Q2 MICHAEL MOONEY Title s tIVIL ENGINEER Scope RCE 20647 Number: 5A'MADRONE AVE, OROVILLE CA 'Mist '916-533-2131 Dsngr.: Date:22—Sep-92 ------------------------------------------------------------------------ T I M B E R B E A M D E S I G N Page ------------------------------------------------- Fv... Allow psi 95 119 7---------------------- 356 Actual psi 128 61 69. -- DIF UCTIONS -- --------I----------I----------I-------- -- ---------- I---------- I--------- UNTBR... Dead Load in 1.40 -0.215 -0 477 X -Dist. ft 14. 6.5 9. DL Ratio 23 125 1 Live Load in -1. 1 -0.344 -0. X -Dist. ft 1 0 6.5 2 LL Ratio 1 1 453 1, 6 Total Defl. in -3. -0.559 -0 9 X -Dist. ft 6,5 9 2 Total Ratio 10 .279 3 CANTIL6VBR... Dead Load in 0.106 DL Ratio 453 Live Load in 0.169 LL Ratio 283 Total Defl. in 0.275 Total Ratio 174 MICHAEL MOONEY Title :� c� CIVIL ENGINEER Scope : G RCE 20647 Number: 5A'MADRONE AVE, OROVILLE CA Misc 1916-533-2131 Dsngr•: Date:22-Sep-92 GENERAL TIMBER BEAM ANALYSIS & DESIGN Page -------------------------------1'� - -------------------------------- DESCRIPTION >> ` -%"= ---------- BEAM DATA TIMBER SECTION BEAM WIDTH BEAM DEPTH LAMINATION THICKNESS Fb - BENDING Fv - SHEAR Fc - BEARING ELASTIC MODULUS BEAM DENSITY ---------- SPAN DATA CENTER SPAN LEFT CANTILEVER RIGHT CANTILEVER = 1.75 in = 11.875 in ^� = in = 2800 psi = 285 psi = 750 psi =1800000 psi = 33 pcf ------------- = 19 ft = ft = ft DESIGN DATA LOAD DURATION FACTOR= 1 USE BEAM WEIGHT ? N y/n REDUCE SHR BY 'd' ? Y y/n --------- END CONDITIONS. -------- FIXITY CODE ----->> 1 << 1=Pin/Pin, 2=Fix/Fix 3=Fix/Pin, 4=Pin/Fix 5=Fix/Free -------- UNBRACED Le : CENTER SPAN Le : LEFT CANT. Le : RIGHT CANT. APPLIED LOADS LENGTHS ------- ft ft = ft .................. ........ Concentrated ...... ....... ............ ........ Use '-' distances for left cantilever ! . ....Uniform........ @ Center: ..#4.. ..#5.. ..#6.. ..#7.. .................. Trapezoidal ................. Dead = plf lbs Live = plf Dead @ Left = 92 plf @ Left Cant: Dist. @ Right= 36 plf Dead = plf Live @ Left = 35 plf Live = plf @ Right= O plf @ Right Cant: ..#8.. ...X -Left = Dead ft Dead = plf ...X -Right = 13 ft Live = plf in-# .................. ........ Concentrated ...... ....... ............ ..#1.. ..#2.. ..#3.. ..#4.. ..#5.. ..#6.. ..#7.. ..#8.. Dead = 158 lbs Live = 252 lbs Dist. = 13 ft ........................... Applied Moments .......................... ..#1.. ..#2.. ..#3.. ..#4.. ..#5.. ..#6.. ..#7.. ..#8.. Dead = in-# Live = in-# = -ft -Dist --------------------� SUMMARY ------------------------------- US+I�NG:11.88" Beam, Bending = 39.2%, Shear = 19.55% Reactions: Dead Max. Max. M+@ 9.6 ft = 3.76217 ft -k Left = 0.64 0.89 k Max. M-@ ft = ft -k Right = 0:35 0.58 k Max @ Left = ft -k Deflections: Max @ Right = ft -k Center: _ -0.37 -0.56 in Max. Allow Moment = 9.59689 ft -k ...L/Deft.= 611 407 ...Dist. - 9.27 9.42 ft fb : Max. Actual = 11098 psi` Left = in Fb : Allowable = 2,800 psi ` L/ Defl•= fv : Max. Actual = 55.7 psi Right= in Fv : Allowable = 285.0 psi ...L/Def1.= Max. Shear @ Left = 0.89396 k Max. Shear @ Right = 0.57553 k Ck = .811(E/Fb)".5= 20.56 Sxx - Supplied = 41.1 in -3 Cs = .(LeD/B"2)";.5.= 0 4k ty 0 P r,�•o 1 W S%�"V�� a1ZS tLLO LL-=- L(c, LV tot_ t 2-3c3 I�-r LL- � — oa 9,54 \ 1 1 /' — 45�I�If(f _Lc.. 10.E 05 U/L w2 — C1Z /�LC') +'�2/��� �J��LS�VibL 17L. k7 IL • IGS DL' t_ t1_ I o LMi•UO LA -11. ,J J s� z 4 � o nl N TS 1 po OL tis / L tot_ t 2-3c3 I�-r LL- � — oa 9,54 \ 1 1 /' — 45�I�If(f _Lc.. 10.E 05 U/L w2 — C1Z /�LC') +'�2/��� �J��LS�VibL 17L. k7 IL • IGS DL' t_ t1_ I o LMi•UO LA -11. ,J J � o nl N po l� l� N c� +0C- I�S�UIM, 12, Dt—up 9 tt. z \ 5"i5U—\ S�) = t3, " (W' �Z 4Qk7L- � Z4"kal FumNc MICHAEL MOONEY ........ Use '-' distances for left Title : . ....Uniform........ @ Center: CIVIL ENGINEER Trapezoidal ................. Scope : g RCE 20647 Live = 56 plf Number: Left = 95 30 ' SA MADRONE AVE, OROVILLE CA @ Left Cant: Misc Right= 95 30 '916-533-2131 ---------------------------------------------------- Dead = plf Live @ Dsngr• : Date:22-Sep-92 plf -------------------- ' GENERAL TIMBER BEAM ANALYSIS & DESIGN Page --------------------- DESCRIPTION >> 4XRl►x— �r_- SP c �� :..X -Right = 10.5 17.4 ft Live = plf - ------ DATA -- ............................ N DAT --- --- -=S TIMBER SECTION - - -- ..#4.. ..#5.. ..#6.. ..#7.. N FACTOR= 1.25 LOAD DURATION Dead = 350.P BEAM WIDTH = .5 in USE BEAM WEIGHT ? /n BEAM DEPTH = 1 .5 in REDUCE SHR BY 'd' ? Y y/n LAMINATION THICKNESS = ................... ....... Applied Moments .................. ....... Fb - BENDING = 1450 si --------- END CONDITIONS-------- Fv - SHEAR = 95 psi FIXITY CODE ----->> 1 << Fc - BEARING = 1050 psi 1=Pin/Pin, 2=Fix/Fix ft ELASTIC MODULUS = 1700 psi 3=Fix/Pin, 4=Pin/Fix Be m, BEAM DENSITY = 33 pcf5=Fix/Free Reactions: Dead ---------- SPAN DATA ------------- Max. M+@ 8.6 ft = 12.5013 --------- UNBRACED LENGTHS ------- CENTER SPAN = 17.4 ft Le : CENTER SPAN = ft LEFT CANTILEVER = ft --;k Deflections: ft Le : LEFT CANT. = ft RIGHT CANTILEVER = ft Le : RIGHT CANT. = ft APPLIED LOADS ........ Use '-' distances for left cantilever.! . ....Uniform........ @ Center: .................. Trapezoidal ................. Dead = 35 plf�UJI WZ W3 Live = 56 plf Dead @ Left = 95 30 plf @ Left Cant: @ Right= 95 30 plf Dead = plf Live @ Left = 152' 48 plf Live = plf @ Right= 152 .48 plf @ Right Cant: ...X -Left = 10.5 ft Dead = plf :..X -Right = 10.5 17.4 ft Live = plf ............................ Concentrated ................... ...... ..#1. ..#2.. ..#3.. ..#4.. ..#5.. ..#6.. ..#7.. ..#8.. Dead = 350.P lbs Live = 230 lbs Dist. = 11.47 ft ................... ....... Applied Moments .................. ....... Dead = /✓� in-# Live = ?8 %�l 5 e�c� IZSD in-# Dist = ft ---------------------------- SUMMARY ------------------- ------------ USING:3.500" x 13.50" Be m, Bending = 78.9%, Shear = 67.65% Reactions: Dead Max. Max. M+@ 8.6 ft = 12.5013 ft -k Left = 1.16 2.91 k Max. M-@ ft = ft -k Right 1.00- 2.39 k Max @ Left = ft --;k Deflections: Max @ Right = ft -k Center. _**************in Max. Allow Moment = 15.8488 ft -k ...L/Deft.= 1 0 ...Dist. = 8.70 8.63 ft fb : Max. Actual = 11411 psi > Left = in Fb : Allowable = 11789 psi 6 ...L/Deft.= fv Max. Actual = 80.3 psi'�dRight = in Fv : Allowable = 118.8 psi ...L/Deft.=. Max. Shear @ Left = 2.90705 k Max. Shear @ Right = 2.38804 k Ck = .811(E/Fb)".5= 0.88 Sxx - Supplied = 106.3 in"3 Cs = (LeD/B-2)";.5.= MICHAEL MOONEY Title i 36.99% CIVIL ENGINEER Scope RCE 20647 Max. Number: '- 5A MADRONE AVE, OROVILLE CA Misc 1.62 k 1916-533-2131 ------------------------------------------------------------------------ M-@ 10.4 ft = Dsngr- Date:22-Sep-92 GENERAL TIMBER BEAM ANALYSIS & DESIGN Page DESCRIPTION >> 4���S>> -------------------5.rPsiiF!IXIh Max --- ------------ ---------------- ft -k Deflections: � RE_P67ITI UE---------- Max BEAM DATA ------------ DESI DATATIMBER Center. =-27.82 SECTION Max. LOAD URA ACTOR= 1.25 15.8488 BEAM WIDTH ...L/Deft.= 4 BEAM WEIGHT ? N y/n BEAM DEPTH REDUCE SHR BY 'd' ? Y y/n LAMINATION THICKNESSFb fb : Max. Actual = 512 -.BENDING d Left = i --------- END CONDITIONS-------- Fb : Fv - SHEAR 11789 i FIXITY CODE ----->> 1 << Fc - BEARING = 1050 psi 1=Pin/Pin, 2=Fix/Fix 43.9 ELASTIC MODULUS = 1700 psi 3=Fix/Pin, 4=Pin/Fix Fv : BEAM DENSITY = 33 pcf 5=Fix/Free ...L/Deft.= ---------- SPAN DATA ------------- Max. -------- UNBRACED LENGTHS ------- 1.61982 CENTER SPAN = 10.4 ft Le : CENTER SPAN = ft LEFT CANTILEVER = 1.75172 ft Le : LEFT,CANT. = ft RIGHT CANTILEVER = Sxx ft Le : RIGHT CANT. = ft ---------------------- APPLIED LOADS --------------------------- ........ Use '—' distances for left cantilever ! . ....Uniform........ @ Center: .................. Trapezoidal ................. Dead = 35 plf Live = 56 plf Dead @ Left = 95 30 plf @ Left Cant: @ Right= 95 30 plf Dead = plf Live @ Left = 152 48 plf Live = plf @ Right= 152 48 plf @ Right Cant: ...X -Left = 0.85 ft Dead = plf ...X -Right = 10.4 - 0.85 ft Live = plf ............ .............. Concentrated ...... ........... ...... ..#1.. ..#2.. ..#3.. ..#4.. ..#5.. ..#6.. ..#7.. ..#8. Dead = lbs Live = lbs Dist. ft ............. Applied Moments ... .................... ..#1.. ..#2.. ..#3.. ..#4.. ..#5.. ..#6.. ..#7.. ..#8.. Dead = in-# Live = in-# Dist = ft al4_:_v i CdSING 3.500" x 13.50"_Beam] Bending = 28.6%, Shear = 36.99% Reactions: Dead Max. Max. M+@ 5.2 ft = 4.53919 ft -k Left = 0.62 1.62 k Max. M-@ 10.4 ft = -0.0000 ft -k Right = 0.67- 1.75 k Max @ Left = ft -k Deflections: Max @ Right = ft -k Center. =-27.82 -72.34 in Max. Allow Moment = 15.8488 ft -k ...L/Deft.= 4 2 ..Dist. = 5.20 5.20.ft fb : Max. Actual = 512 psi d Left = in Fb : Allowable = 11789 psi 2 �� ...L/Def1.= fv : Max. Actual = 43.9 psi ;-- Right = in Fv : Allowable = 118.8 psi ...L/Deft.= Max. Shear @ Left = 1.61982 k Max. Shear @ Right = 1.75172 k Ck = .811(E/Fb)".5= 0.88 Sxx - Supplied = 106.3 in"3 Cs = (LeD/B"2)^`.5.= M ejgetz Y� P i f O B.I.N. F REQUEST FOR INSPECTIONPermit Location: - No. Ownere P Contractor c� or Tenant: Complaint: BLDG.Z Form PLUMB/MECH ELECTRIC M.H.I./M.H.U. Frame/Underfloor Rough Stucco Lath Top Out Rough Temp PRE- Stucco Brown Gas Piping/Test Temp. Gas SeNlce Corrections Final Housing Fireplace Bond Beam ewer Piping water Piping Underground Well Circuit Job Status Permit Renewal Insulation Nailing Shower Pan Light Niche t' g OTHER Verity Y Utilities ectrons Final C Corrections t Corrections Final Final READY FOR Date: — INSPEC.ON A.M. —C .� 19 P.M. Time: Note: r ejgetz Y� P CoINS,% MWASrsN? zc �* G►,l� Bf:OG i.PLUMB/IMECH EELECTitIC 3 �* m pFta+9h Ra+9h '=g3� INSPE ION •aFrame/Underfloor glop Out " tempp aServ%e fCortecGons' FI s �� StuccoflFatt► tltGas;PipinglTestSeryice'2`r rF,ine( Jolrstutusg~ StuccoBrown tiT:empGas' •und rounds ` Fve iaoes� wer P ,• • a Perrnd Renewal Weu C=ud Bond t3eam$ Water�P� c L M Niched• '�'verilj^Uts Ir�utat%Sfiower Pante �OTHER *: i ea�. � � �Gortectans� , �t:orrectans.r •• ° k krsa�+r INSPEQ R' 19 A`'. P.M. .. .. P.- r Nota -K- All 'Lk.=e''�..�H.,.nv.'t-'r K.= 07 4y Pt LAO Ib^ . + p�tGrhaC ( flaw- `( GBra�c•, ` 1 ,'�1 ! (�' pC (il �'3�2 Cd'' CD- W'^"��-.. (.✓/�''. c t✓. rtGi • � � C9 ��` e.�f C� '1 � t i.2. (y� (�.P e r S 10 .^ .itl� '^ . &j 41 • � ���iC'a,� ����'�� yr 4 f;, f - PERMIT NO. 2638-88B PERMIT EXPIRES' OWNER RICHARD SAIDE CONTR. Joe Schies ASSESSOR PARCEL* 7.229-85 q. LOCATION 7217 Forbestown Rd, Oroville 1. cA -:Rd Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOBFINALED (Date) Signature b = OK 0 = Not OK Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) UK 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-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -Bi Date Card -B1 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4., Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1 ping Requirements -Setbacks -Easements l ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card-B1(1A--�, Date $° g,6, Card -B1 Date Card -B1 j Date Card -B1 Date 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-Termirials-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -Bi Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs &Rails Card -131 Date Card -61 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights'& Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 8i. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92• Roofing Certificate Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Card -81 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA- (916) 891-2751 7 County Center Drive, Oroville, CA (9 16) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 8O OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r O U (CA S �O Oct V- `C N'� to Y1-dh-( llS� �¢ l3Qrcr«� ,�tG Lr/.mac Q c/c;✓��icHa I Pee W,4<, Date 5P� _70 Inspector Al i REV 11/81 ol Nry Id �A V,k r �o LL�-C- 0 kk J. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS' PERMIT 0 7 County Center Drive - Oroville; California 95965 -.Telephone: 916/538-7541 APPLICA�N� ASID PERMIT ASSESSOR PAR EL NUMBER - _a ZONING BUILDING PERMIT , OW l C QC�E TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS69 ///' CONTRAC TOR'S NA E LEPHONE - AILING ADORE CO RACTOR'S M5 � J' �r S Fireplace CONST UCTIO LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .150 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SS'40 �/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or nt 5.00 USE OF STRUCT E SF ❑ Duplex❑ Mobilehome❑ Other l-T/��F SPECIFY Gas piping system 1 - 5 outle 5.00 Building sewer 5.00 Mobile Home S I G W O.00ea TYPE OF WORK NewA Addition ❑ Reel ❑ Utilities ❑ Installation ❑ Other 1:1i Describe work: 1Z X /m Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 6001 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): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions d nd my license is in fullce and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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 OR ADDNS. CONST. ACC. BLDGS. DWELLING OCCUP.li) '/zQsgft NE w CONSTR U TI.OUTLET 2,50 ea NON.RESID .BRA C CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCup OUTLETS OR FIXTU ES 9 0 DA 02.00 Ex. OCCup. OUTLETS P(RESID )FIXED APLNSREA. Temporary service 10.00 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. •lam' I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement,: should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against li:bi iies, judgments costs, and expenses which may in any way accrue :gains aid Count in co sequence of the granting of this permit. X Date Signa re of Applicant — Owner ❑ Contractor Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures�over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON 9T.T Pc JSCNOOLJFVJP�Ll PU ND 1all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By 91D R TOR OF PUBLIC PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS atei� �� Receipt No. p'gn ®/ WNIT[-D.P.W.. YELLOW-ASS[e SOR, PINK -INSPECTOR.' GOLDENROD -APPLICANT ,....f. --s ,,.ti.�1��.i�µ4i'�Cii.:s^�,�5.)'Yi=�14►r„I�r.r'�.- y{'�'y�dt(t+�t�7�'.�' �1Y:"y1t.t�q.:z.;;�+"-•.�.�.r.:,, •�eyr.n�f?ry,�a��,.:..�.� 4r"'2J..�`�y,ty•v ,�;,j�''.!.t.�. COUNTY OF BUTTE - DEPARTMENT-*& PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE - OROVIL_-E,, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' PERMIT APPLIC_ ATdON DATA SHEET / Permit No. OWNER - r A. P. No.22 Proposed Building Use sl/�� Building Inspectore-2 Date V At time of permit application, I was advised the following data must be submitted prior to permit processing and/o suance: 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan.,, 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authori k' n. . . .. . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12: Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner0, Mail to owner'❑ ) _.____15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . e Pr 17. Pre -Inspection for -Inspec. request to _ _...._._- _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. X19. Driveway Permit. 20. Plot plan approval from city of 21. _ 22. When, you issue the permit process as follows: Mail t owner, Mail to contractor - Telephone ��Sa and hold for pickup Coffice, Deliver w/inspector. Other Applicant Date 11 Copy of plans sent Health Dept.; Fire Dept., Other Date 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---nail—counter by date Contractor, designer, owner, was advised c? above required data by —phone _maiI—counter by date Plans checked by Copy—DPW Date Plans approved by +j. 6 Date Sets of plans on hold in File cabinet 1 AP folder (Dote) TO: Building Department FROM: Encroachment Permit Section, RE: Driveway Clearance owner location AP # r . Driveway permit has been issued for the above property. si ature date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage L Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile home. NOTE *** sposal _ Water Supply Water Supply Water Supply Other �t Butte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Ri rhard & MAryl ou Sai dP ADDRESS: 7659 DP1 NnrtP C'.t_ CITY & STATE: Hayward, CA 94545 IMPORTANT: 1988 SEE INSTRUCTIONS DATE OF CLAIM: August 9, ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner will have contractor do work. (bldg Permit Appin. #2109-88B, Receipt #17409, dated 7/1/88, A.P. #72-29-85). Total building permit fees paid---------------- $121.75 Retain filing fee ------------ ------- $ 10.00 Retain plan checking fee------------ 37.25 Amount retained ---------------------------- $ 47.25 Refund Due ------------------------------------------------ $ 74.50 $74. 50 '1 TOTAL $74 . 50 I,the undersigned• declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. �-' f 1, / •t Dated this de of 19{�� et QroULVY'....• Calif. ............... Y ... ),t,y-�; .... ..... ........................ ........(!� ... ................. [J_ Signature of Clalment I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have en performed or de- /Board Approval s (Check one) for the same. livered and that there is a Budget Appropriation s or Specific Dated this ...........:..�(,,,................ day of ..f..l..i/............ 1`Y/.f.• at ................ Cellf. ..... '. ... ..................... ....... I (( epartment Head or Authorized uty Dept. Exp. 4210500 PAYABLE FROM COn t P rmits FUND Co.........4..4.0.-002 ................ Code....................................................a.............:......................................_........... ► DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM NO. ,/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 C U�/ APPLICATION AND PERMIT 4 A55E 6-1 50 F'AFi -t •• i "'- ' BUILDING PERMIT Ix 011 ow 1`n Q rIV ©U ( alp .�► 6411 �EpI�N€L� SQ. FT. OCC. BUILDING Aa VALUATION CON RUCTION LENDER -AJM Y1 E UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ ARC)4IJrECT OR ENGINEER - LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS $ BUILDING ADDRESS Permit Fee $ $ Plan Checking Fee $ LOT NO. SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other S11 ECI Y TYPE OF WORK New^ Addition❑ Remodel Utilities Installation❑ Other[] Describe work: 020 X� 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 Lro7( 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason __- 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. 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 age i t said County in consequence of the granting of thisper it. X Date �7 Signature of Applicant — 10 Owner ❑ Contractor ❑ Agent LJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. i / -b t/ Z WHITE•D.P.W., YELLOW-A3eC33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS Total Valuation $ Venti lation Filing Fee $ 10,00 Permit Fee $ $ Plan Checking Fee $ TOTAL PERMIT FEE Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S I G I W P0.00 ea I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 :I Main service EA. ADD'L 100 AMP 1 1 Z.SU 1 1 OR ADDNS. % ACC. B POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID.)REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permlt Fee $ Contractor. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP.1 CONST.TYPEI ISCHOOLIFCOODIPARCELIPD I ND I 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION W 40 - 7 COUNTY CENTER DRIVE - OROVILLE; µCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT OPLICATION DATA SHEET Permit No. Q OWNER ! C tii irCQ Proposed Building Use f='�� �� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: ++ DATE RECEIVED bPAPPROVED All items. have.been-submitted. 2. Plot plans ilf'duplicate./triplicate, signed by preparer of plans. 3. Complete plans in-1duplicate./triplicate; signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. • 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , 9. Letter of signature authoring ion. f g 10. Sanitation approval from Health 'Dept. %11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif,) 14. Owner -Builder Verification (Given to owner, Mail to ownerEl) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . ; 17. Pre -Inspection for Pre-Inspec. request toRequired. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit.. 20. Plot plan approval from city of 21. Engineered trusses•in duplicate (required prior to plan check). 22, 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 22 Qp Applicant `L aSp v Copy of plans sent Health Dept., Fire Dept,, Other- Date The,following•data must be submitted pr' tope lssua Circle new item not checked above). 1, index permit for above items No. �t /�/ 2. Additional iteMu.lred: A- A p %b Djj)_ ..c Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date dvised of above required Contractor, designer, owner,7—Date, . 1 Plans checked by �/ data by—phone Plans —mal l—counter by approved by date Date _ Sets of plans on hold inile cabinet AP folder Copy—DPW Ow, kla OFUU- OiX)k- V1.0 'Q.��'� (i , 41 cj2 +-91- vouj. kw� kJI4 'Au"i Certificate of Compliance: Residential North' ( ) Climate Zone 11 East. ( ) BuildinSPermit# Project Title South ( ) 64o .( South ( ) _ West Project Addressp� �! Se(, ck : �C1 aC4®.(`O LS ChrAed By/ beta Documentation Author Telephone Bnforo enc Agatey use Only Thickness (slab/exposed tile. etc.) (sf) _ - (inches) Location/Description (kitchm bath. etc:) HVAC SYSTEMS Minimum BUILDING DATA Type Uumace, air Efficiency, Location Duct Output Manufacturer / Model # North Glass Area % Glass Area Conditi r A� Number of Stories 2 East HOT WATER SYSTEMS Tank Manufacturer/Model # Slab/ Number of.Units _L South (`T Single Family Detached (SFD) [ ] Addition Alone West v [ J Single Family Attached (SFA) [ ] Existing Building Skylight Total �— �0 [ J Multi -Family (MF) [ ] Existing -Plus -Addition BUII,DING SHELL INSULATION Component Insulation L.ocaiionlCommenits Type - R -Value (a uic. to ¢ornate, tvviaal. Wall ... wan .............. � _ Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Glazing Area Glass Type Interior Exterior Overhang Framing Type Shading Devices North North' ( ) East. ( ) East ( ) South ( ) 64o South ( ) _ West West ( ) Skylight....... —�— - -- THERMAL MASS Type/Covering Area Thickness (slab/exposed tile. etc.) (sf) _ - (inches) Location/Description (kitchm bath. etc:) HVAC SYSTEMS Minimum Duct Type Uumace, air Efficiency, Location Duct Output Manufacturer / Model # conditioner.heat pump) (SE. SEER.HSPF) (attic. etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lownse residential buildings subject soft Standards must contain these measures regardim of the compliance approach used. Items marked with an asterisk(*) maybe superseded by more stringertt compliance tequ rcments listed on the Certificate of Compliance. When this chockfist is incorporated into the permit documents. the feawrdr noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturtr's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R -I I weighted average (does not apply to exterior mass walls). 12.5352(kr Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. 62.5352(!): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infdtration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. G Doors and windows weathersinpped. all joints and penevuions caulked and sealed. 12.5352(¢): Special infiltration barrier installed to comply with 12.5351 meets CEC quality standards. 12-5352(d): Installation of F•ueplaces 1. Masonry and factory -built rMlaces have: a. Tight filling. closeable metal or glass door b. Outside air intake with damper and ancontrol e. Flue damper and =.1 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attoch calculations. 12.5352(h) and 2-5315: Setback thermostat on all applicable heating systems • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(¢): Gas -rued spare heating equipment his intermittent ignition devices. 62-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2-5352(i): water heater insulation blanker (R -I2 or greater) or combined interior/exterior insulation (R-16 or greater). fust 5 feu of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate mum & recirculating piping. 12-5318(d): Swimming Pool Heating 1. System has: a. Or4off switch on heater. b. weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12=5352(j): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. . 12-5314(a): Refrigerators. refrigerator -freezers. fmczers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STAB This certificate of compliance lists the bodhig features and performance spedfications needed to comply with Title 24. Chapter 2-53 and Title 20.0uptc-r2. Subdhapter4. Article l of the Califomia Administrative Code. This _ certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent puhdlaser of the building. Designer Building Owner - Name: - Name: — -- ; Tuk/Ftrne TitleJ�ttn: - . Address: Address: Telephone, �[x. N• Docurixtitation Author Name: Titk�Fu,re Address: Telephone (date) (signature) Enforcement Agency Name: . AtenW. Tekpltonc (date) Ceiling Insulation :. Wall Insulation Single- Number of stories -5 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 2 .1 -1 R38 0 0 0 . U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 :. Wall Insulation . Raised Floor Insulation Insulation in Flour Number of stories R -value One Two Three R-0 Single- Single - -5 R-11 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -95. -46 30 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 13 R -value One Two . Raised Floor Insulation Insulation in Flour Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 8 4 .40 less 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 _ -95. -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 .0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -9 -2 Number of stories 13 R -value One Two Three R-0 -11 -7 -5 R-5 -4 ..4 3 R-11 -2 -2 -2 R-19 -1 -2 - -2 Slab Edge Insulation 23 -40 -11 Number of Stories 2 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 .1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) Speaficeb" Points Standard 0 6. Glass Heat Loss Total Exterior Slab Floor ERective 1f'elreeat Glass Mass U -value Fast Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 •2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 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 7. Shading (Shade Open) ENadve Pa t class (patent Elan X SC) Effective Exterior Slab Floor ERective 1f'elreeat Glass Mass %Glass North Fast South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2-- 7 1 3 4 2 2_ 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3- 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 ` 0 .: na = not allowed -23 3 0 -4 s. Shading (Shade Closed) Exterior Slab Floor ERective 1f'elreeat Glass Mass Mass (percent Sian X SC) 0.00 Effectim Stories 3 2 1 /CFA One Two Glas6 Norte Ent So At West SlW*t 18 -14 -48 -69- -64 na 16 -12 -42 -59 -55- na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 r1a 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na -riot Snowed 3 7 8 10 - 11 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Mass Stories 0.00 0 0 0 Stories 3 2 1 /CFA One Two Three One Two Three 0.0 -8 3 -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 2.0 -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 3 7 8 10 - 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior SM - Savle- Wall Family Fanu'y Multi Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. 1.80 10 .12 12 200 10 11 13 11. Heating System -6 SE or KSPF -4 (&= me$ ducts In attic) -9 Sum of 14 -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 - +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7_ 5 0.90 8.25. 17 15 13 11 9 7 0.95 8.71 _ 20 _ 18.-.' 15__ 13 11 8 9.5 Effective SE or HSPF (SE or HSPF x duct efficiency) Efleeive -2S or -2410 -14 to -4 to +6 to 16 or SE HSPF less -15 -6 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 .-34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 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 System Type Resistance 10 9 7 6 4 3 Other 6. 5 4 3 2 2 12. Cooling Syst,m Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories North SEER East c. South One -5 -4 (aawme; ducts In attic) -2 -2 Two + 3 Sim of 7-10 .; 2 - 2 2 ,25 of ,24 to 1410 J b 46 b 16 Or SEER less -15 .6 - +5 +15 more 8.0 -14 -12 -10 -6 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 •4 -3 -2 -2 9.0 .4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 .6- 6_WSB. WSB. Effedve SEER -16 -12 -10' (SEER xauet efficiency) PQU -18. _-12 Stan of 7-10 - -7 -6 IG None Effective -25 or ,24 to -1410 -4 b 46 b 16 or SEER less -15 .6 45 +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 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 10 8 7 6 4 3 No Cooling System Installed -Stories North b. East c. South One -5 -4 -4 -3 -2 -2 Two + 3 3 .; 2 - 2 2 1 Single -Family I taehed and Attached Type [SG) E Unit Size isQ Water 1199 12M '1700 2200 2700 Heater Credit or,, to 10 . to -W Type Type less. 1699 2199 2699 more SG None 0 ? 0 0.. 0 0 or Solar 12 " 8 6 5 4 HP HWR 8 5 4 3 -3 WSB S. 3 3 2 2 - POU 8 5 4 3- 3 SE None 37 -24 -18 -15 12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 .6- 6_WSB. WSB. -25 -16 -12 -10' -8 - PQU -18. _-12 -9 - -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 E None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multl-F&MW (Individual units) - 3.7 4 ft Sim (s pp 4.6 Walw 699 700 1200 1700 2200 Hower Credit or b b In or Type Type less 1199 Ing 2199 !none SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None 45 -23-15 4.5 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 .8 3 -5 WSB -25 •13 -8 -S -5 -ML -. p ---U_8_ _.-6 4.3 IG None -8 -4 .3 2 _-5 -2 Solar.. 6 3 2 1 1 - - POLL_ !_0 1A 0. 0 0 IE None -30 -15 _ -10 -8 -4- Solar 18 9 6 4 4 0 5.5 5.7 -3 -2 -2 - Point System Summary: CIimate Zone 11 SCORE CARD Measures 1. Ceiling Insulation A 3p or R -v ue [38) U -value [0.030) 2. Wall Insulation 11T or R -value [ 11) U -value [0.098) 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) _ a. - . - -- e. y North b. East c. South d. West Effective SE or k 1 S' ht HSPF [056/5.151 v'• X Interior Mass/CFA 9. SEER [95) Duct Efficiency [0.741 Effective SEER 7.03) Type [SG) � r.►c s' �nss it.>'•urMN�•11 t TYPE I OWS 10IRC + 4.2, le: exposed slab) 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 86ic: 701E 75% 60% 65% 00% 95% 100% 105% 110% 115% 120% 125• 0% 0 0.2 0.4 01 0.0 1.1 1.9 i.S 1.7 1.9 21 M - ZS 2.7 2.0 3$ 3.4 i.6 3.0 4 4.2 4.4 4.6 4.6 5 53 10% 0.2 0.4 0.6 01 1 1.2 to 1.6 1.9 2.1 Z3 23 Z7 2.9 3.1 43 33 3.7 4 -4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 IS 1.6 2 12 14 Z7 20 3.1 3.3 3.5 3.7 3.9 , 4.1 4.3 4.5 4.e 5 5.2 5.4 56 30% 01 0.7 0.9 1.1 1.4 1.6 1.e 2 12 2.4 16 2.6 3 32 3.5 3.7 3.9 4.1 4.7 4.5 4.7 4.9 5.1 6.3 5.6 56 40% 0.7 OA 1.1 1.3 1.5 1.7 to 2.2 14 18 2.6 3 3.2 3.4 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 1.5 1.7 1A 11 Z3 2.5 17 3 32 3.4 3.6 ae 4 42 4A 4.6 4.0 5.1 5.3 5.5 5.7 5.0 6.1 55% 0.9 1.1 1.4 11 1.6 2 2.2 24 2.6 18 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.6 6 6.2 60% 1 12 1.4 1.7 1.0 1t 2.3 2.5 2.7 2.9 11 3.3 3.5 3.0 4 4.2 4A 4.6 4.6 5 5.2 $A 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 12 2A 2.6 2.6 3 3.2 3.4 3.6 3.0 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 12 25 Z7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.0 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 15 1.7 1.9 11 23 2.5 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.0 5.1 5.3 5.5 5.7 SA 6.1 6.3 6.5 00% 1.4 IS 1.0 2 22 2.4 16 2.6 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.0 6 6.2 64 66 65% 1.4 1.7 1.9 2.1 2.3 1S 2.7 2.9 3.1 3.3 33 3.6 4 4.2 4.4 4.6 4.6 S 5.2 54 5.6 5.9 6.1 6.3 65 67 90%* 1.5 1.7 2 2.2 14 16 2.6 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 6.7 5.9 6.2 6A 66 6e 95% 1.0 1.0 2 Z2 ZS 17 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.0 5 5.2 5.4 5.6 5.0 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 It 22 15 16 3 3.2 3A 3.6 3.0 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.0 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2A 2.6 26 3 3.3 33 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 6.4 61 68 7 110% 1.9 2.1 2.3 25 17 29 3.1 3.3 3.6 3.0 4 42 4.4 4.6 4.6 5 52 5.4 5.7 6.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 22 2.4 2.6 2.6 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 62 6.4 •6.0 6.0 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 SA 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 ' 125% 2.1 2.3 25 2.8 3 31 3A 3.6 3.6 4 4.2 4.4 4.6 4.9 5.1 5.3 5S 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 L4 Point System Summary: CIimate Zone 11 SCORE CARD Measures 1. Ceiling Insulation A 3p or R -v ue [38) U -value [0.030) 2. Wall Insulation 11T or R -value [ 11) U -value [0.098) 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) _ a. - . - -- e. y North b. East c. South d. West Effective SE or k 1 S' ht lg 8: _.Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? (Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [ 19) U -value [0.037) or R -value [01 F2 factor [0.77) iV3 Type (double) U -value [0.65] % Total Glass [ 161 % Glass Sc Eff. Glass X ,)? _ o X = - 3 X 7= 02 o i X = X -. % 1 Sc Eff. Eff. % Glass �1 X Y a. X = i 7 X X- 0 X. TYPE 1 MASS AREA s $ ICOND. FLOOR AREA Interior TYPE 2 MASS AREA a 8 Point Scores V 0 Sum 13 Exterior Wall Masa ND. FLOOR AREA x 9 SE or HSPF Dura Efficiency [0.78) Effective SE or [0.72/6.6) HSPF [056/5.151 v'• X 9. SEER [95) Duct Efficiency [0.741 Effective SEER 7.03) Type [SG) Credit [none) Point Total: