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072-610-021
3848'90MHI- "j� � LACE bar AC y B k B Rd 0 lack a Rd,_Orovi le . st �l t jo /M s n tal lation/M -29-159 P6rmit'#.��-90P, E _Sy-e-patfs for utiliti.�s/Mffl)_- e ovill 7 2 9_ 159 9 2 -Sl 6 7:BP "JACKSON ,, Id Orbvkl e Black Bart s 6j�{-o39i s�ah�e� De��R�- C�13a12�) . . ............. ... . ....... -game- ACK SoAf :�,Okv, ,4320BLA*CK;,B.ART R.OAD'-' EXEMPT- STORE. TRACTORS 01 o -n511 0 i it I it II !,I BUILDING DIVISION l l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PE T ,IOL/'3 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.0. 0 _,/S— ZONING OWNER PHONE NO. q� <� / ...OWNER'S ADDRESS L LOCATION OF BUILDING ;b"T I ISS USE OF BUILDING SIZE OF STRUCTURE . U0' X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF VERING FLOO , $ESTIMAT�ob?F (�fjIySTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT j SIDES 1/�%�'�✓ REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occup ncy. Date Permit Fee - $60.00 Receipt No. 7 Signature of Owner The above described AG Building is exempt fW a bu ,Uding permit. F0,11]PAR L I P.D I ROO G I ISS T, . Manager Building Division AA 41 L By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date t RESIDENTIA.L'a. 072-29-0-159 I JACKSON, Joe 92-3167 BPEM 318 Black Bart Rd, Oroville ' 1 new sf ICXP 10 5— 93 r; i_ M� 7. i fi r!. .4 b y> d- 1+ ter. �? OFFICE COPY j { AddjLr GAS Meter By Date ELECTMeter By Dat j t` f' k JOB FINALED ( e) _ Signature C. k. J=OK O =-Not OK =noo Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft.% /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector \ 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'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- Enclosu res- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 It J=OK O = Not OK ' = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDE LOOK (Plans) OK except q's Zon ing-Setbacks-Ease ments-Flood-Slope g., Main; Soils-Elec. Grnd.-y7L:_Ftg. Depth g. Garage; Soils-Steel-Elec. Grnd./•&_Ftg. Depth tg., Porches & Decks; Soils-Steel-/ZYa . Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold owns and Special Anchors ab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Qas Pipe; Size -Anchors - yard gas piping: size -test 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground enums & Ducts; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date j, few Card B-1 Datet 7 `acrd 13-1 DatW/*7 f L. Card B-1 Date Card B-1 Date/ ' r PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- -------------------- ----- yJ!Water Pipe: Test & Anchor -Nail Protection --------------------------------------------- _ � D�.W�..V.: Test -Fittings & Anchor -Nail Protection -- — - 1:8. ower Pan: Test. First Floor -Tub Access - -- - --- ------ est Tub &_Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors --------- -- ----Date -------------- - - - Card B-1 --- Date � � 1 l.�• and B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------- --------------------------------- - - - Efec_Receptacles Spacing -Lights & Switches at Doors - oxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J.- ---------------------------- ------------------------------- 25 Equip. Ground made up w!Mech. Fastners-Bond & Water --------- ------------------------------------------------Gas----------------- 2 . 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------- -- - ------- --------------------------------------------- e ga. Cu or AI-A.C. Wire Size ! / ga. Cu o .AI ------ -- -- - - - ----------------------- Range Circ ! r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ---------------------------------------- &Q!5ervice-Riser Conductors & Ground -Main Disconnect -- ---- 30-15'q-uip Clearances Panels-Motors-Mech. Equip .rhes Closet Light -Shower Light -Spa Light -------------------------------------------- ------ -------------- 07S -oke Detector -- - - Card ----- -- - -- - - - -- -- --------------------- ------ ---- -- - ard B- _ Date B-1 C ----`------- ------------------------B-1 ---------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except H's C. Ducts Insulation & Support ----------------------------------------------------------------------------------- �nt Fan: Exhaust above insulation 3 ondensate Drain & Overflow: Size & Grade --------------------------------- -- --- ------ - - --- 3?"�urnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------------------------------- I ----------------------------------------------- 3t.A -------- ------------I--------------------------------------------- 3t.A ttic Access & Platform if Furnance in Attic ----- ------------------------------------------------------------------------ Da - - -- -- ---- - - -- - ;te - % - Card B- Date Card B_1 - -- --- - ---- - --- ---- -- 3-------- --------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 3 Sils. Proper Material & Anchors - -- - --/ ---------------------------------- ---------------------------- 44�. alis Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- ------------------------------------------------------------ --- _wring Walls over Girders & Floor Nailing ----------------------------------------------------------------- raft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------ ---------- ---- - ------------------- . Headers & Beam -Size & Bearing s t & Duplex) nO-b Date . FRAMING (Continued) Hangers -Post Caps-Ancliors-Connectors $�ng. Joist-Rftr' ties-Purlin=roof Brac-Truss-Shthng.-Ring. --�-Ties or lace ___ ltic p Type AFlue-Fireplace Throat clearance 4 Access; Size & Romex Protection -Draft Stop -Ins. Baffles �drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50 --Garage Fire Protection Framing ------__5_4_!Prepoperty Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54-V-ywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer ----- --- 5E--5T0Vt-q esh-Drip Screed -Fd. Vents-Underflr. Access 5---azi g Area ------------ -Glass Protection -Skylights -Plastic ear Walls: Nailing -Bolts �,//�,759. Insulation Ceilings _ -- 60. Infiltration_Walls-Windows ------ -- ---- - - -- — Date and B_1 Date Card B-1 Date and B-1 Date Card B-1 Date FINAL (Plans) OK except a's Ext. Steps -Door & Sidelight Protection -Landings ------------------------- — 62-�rtt�JCe Detector Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection - ----- -------m Exiting G.F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Sub_panel; Breaker Sizes & Labels airs & Rails --------------- ireplace or Stove: Clearances -Hearth -- - - lec. Outlets at Wood Panel Int. & Ext. & Appliance; Grnd.-Air Gap -Cooking Clearance 1 Elec. Outlets & Receptacles at Kit. Counter ----------- �------------------- ----- 72 -Garage Fire Door: Swing -Landing -Closer 73 Ate. Duct in -Garage -Damper -M-T7t_rHtr Vents -Clearance -Comb. Air-Connector-P.R.V. . -_ In Garage: Above Floor-Mech. Protection ------�Elec. & Mech._Equip. Listed for Location .,? Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------- ------=--------------- — . Insulation -Foam -Looked in Attic ❑ Yes - - --- �3-6nerC'Flails & Deck Construction -Post Caps 7 Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes ---------------- -- - -- ollowing instld. Drive Yes ;Walks ❑Yeso: Planters ❑ Yes No ---_ - ---- ai-•'9tOC_COU'_'13TOwn-Finish ------ —- it Disconnect. Electrical, Plumbing ents Above Roof: Plbg -Appliance-Fireplace.-Clearance to � OO�pe-nings -- c'. ate r Well; Disconnect, Electrical, Plumbing --- ' xterior Elec. Trim; G.F.I. Receptacle -Underground -- 8 ntilation Throughout House d ass Protection ------ ---------------------- -------- ----- -- 88. Corrections from Previous Inspections__ aass lest/ Meters Tagged Gas-Electric W Sewer Connected -C/O to Grade -HD Approval- — Energy Compliance Certificate -Other Certificates Date Card B_ Date Card B-1 -- Dat�f and B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: • • ENERGY INSTALLATION CERTIFICATE Building Owner Building Permit # J cv Building Location 39 F B//-C1C jr-?/:w DESCRIPTION OF INSULATION ROOF � - Material it Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) 1 Brand Name Thermal Resistance(R Value)__ Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name 21 Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) ' I hereby certify that the above insulation was installed in the above building, - ..1s consistent with. approved building department -plans, -and attachments -and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME / OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. (FIRM NAME) Please Print) STATE CONTRACTOR'S LICENSE NO. • HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 :x 46 A ti u I ei. 0 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 74 C LZ-, 3- 3/(o7 OWNER PERMIT NO. A routine inspection i 'dicates that the following violations of Butte County Ordinances exist at the above address nd should be corrected. Please notify this office when.correction of work is completed. H u have any questions pertaining to this matter, or need additional explanation, please can, this office immediately. Date �lj Inspector REV 10192 COUNTY OF BUTTE .fi DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-75416 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C �1sQ OWNERPERMIT NO. ' 7 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, plea%e--Qontact this office immediately. ri �ti Date f — / 4 / Inspector, REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill`, Califcnia 95965 -Telephone: 916/538-7541 APPLICATIOWAND PERMIT - _- PERMIT NO. 92-3167 ASSESSOR PARCEL NUMBER 072-290-159 ZONING A 5 BUILDING PERMIT OWNER JOE JACKSON TELEPHONE 589-0385 SO- FT. OCC. BUILDING VALUATIrN OWNER'S MAILING ADDRESS 318 BLACK BART ROAD OROVILLE 95966 1425 R 76,950 440 M 7,9p20 CONTRACTOR'S NAME OWNER TELEPHONE 599 C 7,787 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total valuation $ 94.157 LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 5775.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 287.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20,00 Penalty $ BUILDING ADDRESS 318 BLACK BART ROAD OROVILLE 95966 Permit fee $ 897.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 40,00 Solar or heat pump water heater I 2000. LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7,00 I Each qas water heater or vent 1 7-001 7.00 USE OF STRUCTURE SF[E Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001-5.00 Building sewer 15.00 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New a Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: SF 2 BDRM TO REPLACE MOBILE Permit Fee $ 89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&� OR AODNS. \ ACC. BLOGS. 3.6csq.rt. 65.30 NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS b SINGLE OUTLET cIR. Ex. OCCU p OUTLETS OR FIXTURES zo ped Ex. Occup. OUTLETS II RESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 98, 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating DUAL PACK 9.00 Cooling 3 TON 9.00 Hood 6.50 6,50 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 property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against ties, , d9 'ents, costs, and expenses which may in an w y accrue al&at agid C In conseque�lce of the granting of this pe Di X _ �( Signature of App cant - Owne oniractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and a oliin or construct -ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 CONST PE TOTAL FEE $ 110).30 H DFEES IMP FLOOD COF PARC PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do Y work�indicateve for which fees have been paid. O OF-RUBLIC WORKS By Date l(2-/51 PERMIT EXPIRES Date✓�'`, -[ Receipt No. 123097 PC FEE 367.50 ,Z��3 - 86 o WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, LOENROD-APPLICANT 0 COUNTY OF BUTTE - DEPARTtMENT 0P`U:B LIWORKd PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916•'538-7541 ` APPLICATION h,ND PERMIT 6 ASSESSOR PARCEL NUMBER o7a- zgo- �s- ZONIN '_� BUILDING PERMIT OWNER _ Q-06 AcksoA) TEL HONE _a6_5 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING Pj ESS 31 g J� 1 0 CONTRACTOR'S NAME 06U)ylelk —I TELEPHONE S C CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ L /_57 LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ S- OO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 8m-50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ a.o 00 Penalty $ BUILDING ADDRESS 45'-i )_ C -(h/ tpe-f Permit fee $ 8 � PLUMBING PERMIT Filing Fee 15.00 Each Trap g 5.00 z1o.06 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 _ p� Each qas water heater or vent 7.00 7. (t;� USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S G W 615.001 TYPE OF WORK NewK Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: `S7 s +�2 't n 2 �i,¢(Q Permit Fee $ Pg. 610 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OLESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the .Business and Professions Code and my license is in full force and effect. License No. Classification F -1I, 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 1000A) 37.50 NEW CONST. DWELLING Oc ��jy OR . C(Z7(Q 3.6Qaq.}t. , 34 NEW CONSTR U TI.OUT LET NON.RESID BRANCH CIRCITS @ 5.00POWER APPARATUS b (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 Z 760 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ gp WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ . The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating g1le Q. IoJ Cooling Hood 6.50 Ventilation Jct permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 ccrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of struc u estover 3g stories in height. excavations over 5'0" deep and'demol�itri�on or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 3� — HAz DFEES IMP FLOOD CDF PARC PD HD ISSUE This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do paid. Receipt No. 12307 -- PC t0 e< 3 G_Zee WNITC•D.P. W., YELLOW -ASSESSOR. PIN K-INBPECTOR, GOLDENROD -APPLICANT es 7 — e, —� rf ..�..���t''y.r� f• r 1 .....,.-� ..+ rw,r �L• .. �)�+'Iil. �� ��w. �,�. ..�_ ..... � ter...- ...... i. � v COUNTY OF BUTTE; 'PARTMENT OF PUBLIC WOt BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT OWNER APPLICATION DATA SHEET 07Z- 2 9a - i3`.i A. P. No. "s , , Proposed Building UseBuilding Inspectors Date 1� 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 planV,, 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). .... g. Mobilehom data d manufacturer's installation instructions, 2 sets. . 10. Fees of $'Vo/• . ........ b - - Sz rL 11. Impact fees as shown on attached schedule. .... Pot ....... ' 12. California Department of Forestry plan approval/fees......................... '- e13. Flood elevation letter (100 year flood) by alifornia Engineer . ..............::. . 14. Sanitation and plot plan approval UU Health Department. .. JD-ly-9z c#� 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 (c struction approval required prior to occupancy). .. ... . ✓� 20. Pre -inspection for l re bifMRGE required. ... Building I�specor-2, 0e 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insud3Lnce. . Owner -Builder Verification (Given to owner VC Mail to owner )........... /0`1'r- 77 i 24. Recorded copy of Agricultural Acknowledgemerq Staterwent. .. ........ . Letter of signature authorization. O?WN-eeK. 51 1A.e .f.'.. /.0, : 12-Q .......... 26. Copy of recorded deed of parcel creation and 60`Fight 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 . ...................................... 4 32. Plan check list . ..................................................... 33. 34. Whe ou issue the ermit roods as follows: Mail to owner. Mail o contractor. Telephone �� and hold for pickup at O �� off'ce Deliver with inspector. Other O Say- o aoo Parcel Creation fcJce- Ftaµ>fWt'bo2 //8 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll on Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt d ri t r uan : (C' cl newite not checked above). 1. Index permit for above items N 2. Additional items required: 42, Contractor, designer, owner, was ad,)ised of above required data by _ phone mad Counter by _Dated Contractor, designer, owner, as advised of above require,d data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by cam- DateY Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Deparlllicnt FROM: Environniclltal Health SUBJECT: Sanitation Clearance 3�6 v s (A -c li.11, I SP U�l.r 7 Ilul Plan Atiodml Floor Ilan Amidwd 5km1 In P1, 1), � Own r Location d /(fjo i Plan Approved for: Scwalgc, Disposal LlWater Supply: Clearance forb-19edroom home. ther I'u1)1'1c o ?a -a 0/6-is'9 AP# Private Well 6,11 T--i,i0I rlcnranr,r� (1 K lnr- L-nvironmerfU 8/92 nC2Uu1 0PUUIdll,')r uate 9 .�+M-i' '"f"""".hrii.r."'�`.�r��°� ': .;-y'^.w...,Y`•.a`-`v:4'....�.ar,�'"'tir•'y.�'Wei`�+xbt••`g"�`'wia'tcR�'�+•i7K�t$ibr.*xTnd+^",�,'�°+gt;Kyev'r�wit••p`i+aft:��ya,,��,.�,�,�[rNir.'..""3i"f+:t�t""'"'�rn I ,I - BUTTE COUNTY SCKOOLS.PMPACT FEE CERTIF16ATION FORM (One Form Per Building) School District V�Building Department No. A.P. Number1-a9p' r' 1 �q Jurisdiction City E�Z County Property'Owner J E c 3 i g, Property Location/Address Subdivison Lot No. 0 Residential Development 0 . . L� J Sq. Footage 1 -Z /R4e,5 �/�(�, , ' No. of Living.-.- MHI ;. Addition (Group R) 7®S ydrl.L `�'Zl�t r- Units ;.. Commercial/Industrial yr Nt . Sq. Footage. New Addition (Including Exterior Roofed Areas) Building Departm t Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. 45� 7 �Ycv-,Guy. School District certifies that - (Applicant) ? pp 7 / �L/ 4 (Street Address) ( (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. g /-cJ�-/ T". by payment of,$k � /(r,,3 representing �D� square feet. CLCI School District Representative U Date Paid by Check Number Bank Number Paid. by Cash Remarks: If, subsequent to the School District Representative signing this Butte Ciounty Schools Impact Fee CertificatiohXorm, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),.this, project may be subject. to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow .(building department), Pink (school district) feeformmkt (4/92) �' � r" .s . COUNTY`=OF BUTTE' = -Department' -of -Public 'Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay ih processing and issuing your building permit. No building permit Will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2., I (have/have not) egplt_ signed an application for a building permit for the.proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 'Address City Phone Contractors License No. 4. I plan to provide portions of this wo-rk,--but I have hired the --following person to coordinate, supervise, and provide the major work: Name Address -- - City Phone .. Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. PRE --INSPECTION �' C./G�/ j OWNER • J _fi d A S QA) DATE - t 3 - c/Z LOCATION: �� RC.k �'�-���A . P . # D Z - Z S O' �57P CONTRACTOR: ZONING -----------------------------------------------------%----------------------------/- PRE-INSPECTION FOR:r—MOL"le h©me 191, DATE TO INSPECTOR �o PERMIT HI STORY : NONE [E-ZAS FOLLOWS: ��' 41�'16V 4 2 %' C? o J / TYPE OF OCCUPANCY ZV o le M ��eCfW o iC i0 O / t q FIELD - INFORMATION BUILDING USAGE: a11i✓L TENNANT: [� OCCUPIED ED-�--H-A S ELECTRIC F2�HAS GAS ET<S SANITATION FACILITIES Q HEATED -COOLED OTHER COMMENTS: PERSON CONTACTED 'f -r S i T -E- &LD A- � (2?[ ACTION RECOMMENDED: Ea-1--s-SUE 0 HOLD FOR OTHER: BY DATE / 0 -Ij ��/ RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 8/91 Cad Bldg. Permit # �.Z— OWNER �� A. P. # Gly Plan Checker_ GENERAL Zoningrequirements: (sideyards and number of permitted living units). Valuation. �3 Plans signed by designer. A.�roper description of work on application. ff Existing violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ---.—�Recordnotice of violation. mplete parcel size and -dimensions. etbacks, sideyards, easements, etc. Other buildings or structures. G -ceding, fills, drainage. Flood hazard. Special conditions on creation map, stible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non—comb— Building or utilities across lot lines (Record form). FTMP PT.AN ' Complete to scale plan with dimensions. '�' Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). '--GFCIs in baths, garage, kitchen, and exterior outlets (Article -"' Light fixtures, switches, receptacles, and exterior receptacles �enance of mechanical equipment. . Locations of water heater, heating and cooling equipment, other r gas equipment. arage firewall, door size, and closer (Sec. 503(d)(3)). — 310" exterior exit door (sec. 3304 (f). . Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 210-8). for main— electrical Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. lerestory 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 Roof construction details complete enough to construct building. !Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. :"'Stud heights. 3;r --Adobe soils — special foundation design. Retaining walls requiring design. :'Special Inspection required. building 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). • Proper roof pitch for roof convering (Chapter 32). • Roof covering type - (fire hazard). • Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). t nderfloor access .and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. -4-5!Ehergy design. W -1 -Flashing at all exterior openings. . OF responsible area requirements. 90-5i361 F�eturn, to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMFIff , Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. , The property described herein is adjacent'' 90—.451361 Rec Fee 7. 00:-,- to land or included within an area zoned Cash 7.00" for agricultural purposes, and residents Recorded Y of this property may be subject to incon- Official. Recdrds ts ;•� veniences or discomfort arising from the County of, use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, i Candace 'J . Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including,1 8 09amJ 29 -Nov -90 XX but not limited to cultivation, plowing, .er spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property:- situate in the' County of Butte, State of California, described as follows: I.ey Date: /�..2,Z_99D PROPERTY OWNERS: State of On this the _�7 day of 19_,Pi , before me, the SS. undersigned Notary Public, ersonally appeared County ofj EJPersonally known to me. [R Proved to me on the basis .r.„ OF FICIALN0TAiYs+_FL of satisfactory evidence. LOU ANN MVAR!' RUPP , r� �x Notary P+�i;c—^,-,i;Fmia to be the person(s) whose name(s) 4�;e a '�r:� BUT, C�tm subscribed to the within instrument and acknowledged that my car+,m.F;aires jUL27,t9sa executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. _ a4 - 15- C4 Notary Public EMBiz A 90-5 136 1 8z;- '09, 5395 Beginning at a point in the Fast line of said S.M. 1/4 of the S.N.:1/4 of Section 24, said point being North 00. 029 00•''West* 330.00 feet from the Southeast corner of said S.M. 1/4�of tbe'8.N. 1/4 of Section 24 being the True Point of Beginniut for the herein described parcel of lands thence North 00 -02. 00• Hest along said East line, 458.44 feet thenceleaving said East line, North 67. 47. 000 Nest 236.10 feet;.tbenoe North 68. 22. 006 Nest, 200.00 feet, thence South. 00•.02. 000 East, 628.60 feet nto the North line of the p South )30.00 feet of said S.N. 1/4 of the S.N. 1/4 of Section 404 24=.t2waNorth 88• S9. 10' East along said North line, .4S�,teet to the point of beginning and the end of this description. Containing S.OS acres more or less. wether with and reserving therefrom a 60 foot right of way, Qr.s�oad and public utilities purposes described as follows, "91MLug'it.the Northwesterly most point of the herein described parcel of land; thence North 68. 22. 00• Nest, 163.46 teat t. a point iA the center of Black Bart Road, thence Saito S2' 19. 00• Nest, along the center of said road, 24.33 feat; tbence South 54. 40• list, 46.61 feet; thence leaving said road, South 68. 22. 000 East, 225.13 feet, thence North 00. 02. 00•. Nest, 64.57 feet to the point of beginning and the bi end of ts'description. Also reserving therefrom a 10 toot right of way lying S feet on each sid* of the existing water linea tsar the O.N.I.D. ditto to that certain parcel of land described in a gift deed from "UM "well to Don and Sharon Smith recorded in the office'of the Butte County Recorder in Book 3017 at P84e:255, and that certain parcel of land described in a gift deed from ,elms 8o+iell to Mary Jackson recorded in the Office of the Butte County Recorder in BookZS• S ?9 </ at page This right of way is for the benefit of said Smith and Jackson parcels and shall Insure to the benefit of said parcels, and said Smith and Jacksons heirs, successors or assignees. kND OF DOCUMEM END OF DOCUMENT co O co k-2 0 E.H. USE ONLY ` Plot Plan Attached Floor Plan Attached Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal t Water Supply: Public Private Well 'Clearance for I elling. Other meq.( Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 72. ze Zo RESIDENTIAL :7 72-29-159 3848-90MHI LACEY, Barbar 318 Black Bart Rd, Oroville (installation/MH) JOB FINALE Signature /" 3�— �P/ q� �OFFICE COPY Address)/iJ�/!�C/C l GAS ,,// r Meter By—a— Dated i ELECTRIC �,�,�� I Meter By Date i v=OK O = Not OK -=Not Applicable =Not Ready MOBILE HOMES ' Date MOBIVrHbME UTILITIES Plans OK except It's Zo ' Requirements -Setbacks -Easements . S ; Special MH Support Sketch g. -Sewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) .ricity; Location-Clearences-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap: / /"L"ft. / " at. or/ /"L"ft./ /"LPG Utility Clearance Date ff r�ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except k's 1. ng Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as' H Test-Demand-Valve—Connector . Electricity; MH Test -Crossovers -Breakers -Clearances Dra' H Test -Fall -Flex Connector ater; MH Test -Regulator -Connector -VV-alaend Sewer Connected -C/O to Grade -HD Approval as_and Electricity Tagged xits; Insp -Sketch Cert. of Occuoancv Date, 2*,5jX;r_ard B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'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 4 O O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date -Card-B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Date Card B -1 - Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 fir PERMIT N0, Address or location of mobilehome 3 U �� jel,2 Owner's name .1, 14CC Y, 13,v_zhi2 Owner's address 14 Insignia or hud number A 07f7 Manufacturer's name ® �yy���f� -71 Serial r)ujiber of_V.I.N. �'t Ad ._;�v Year of manufacture ApprolWinstallotion) I (Date i IF.THE MOBILEHOME I MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE WNER / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. AILI eY17-s owus-- Date ✓ �?—q Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road,. Paradise— Phone: 872-6307 CORRECTION NOTICE 4AC a\/ NNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when,,correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �wLr it�6'/Zl-/ .--774-,Dc_' Date �� — -2— % — 5-D Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 'y 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / APPLICATION AND PERMIT r.;SSESSOR PARCEL NUMBER 72-29-159 ZONING I , BUILDING PERMITU OWNER Barbar Lace TELEPHONE 589-1245 .5Q. FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS Rte Bx 318, Black Bart Rd, 0 95966 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 318 Black Bart Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 0.00e ci TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationgx Other ❑ Describe work: MHI existing site Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered / for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 OR ADDNSCONSTDDWEACCLLINBL.GOCCUP.&\ S.I - 2'/2¢sgft N- coNSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES SALeAL930 so EX. Occup. OUTLETS (PRESID.)REA.) 2.00 Temporary service 10.00 Home Mobile H me Facilities 15.00 Misc. g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County ' consequ ce of the granting of this permit. S %� /� Date a — Owner ❑ Contractor ❑ Agent ,�- t -`i�ff ,Q Si tore F to"i An Apeequlre e c vat n ovel7 0" deep and demolition or construct- ion of structuer 3 stori inheight. Mobile Home Installation Fee $ 45.00 Pre— nsp$ occ CONST TYPE TOTAL AL FEE $ 85. 0 0 HA2 CUA PARK EE AR PD HD ISSUE.0 This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR PUBLIC 57 90f BY PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate //_7'/r 7 / Receipt No. 84237 WNI T E-0. P. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 72-29-159 Barbar Lacey 318 Black Bart Rd, Oroville MHI/existing site 3848-90 MHU Clearance called iri"by Bart at 2:45 on Wed. 11/28. 200 Amp 30 Amp Well LPG 3/4 Pipe 60 feet no structural or comp pr ✓`� .-',�,t',Jn =cT"',,,.,.'t'i1,-.� r •..�.,:,„r-�'4 �-�•`�'�'rlI''��y„r",,(�,},'.�"Y`^pj }..till�%%i.'(?ki�L r`)�t.�var:�.�.9,,...+^i�./7''�,,,,�"v �Y^"'�ix:y�...T�11.1}"1"('"i 'J�-,..-.�-_ L'AUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET n n Permit No. OWNER k_;:)a/I l _ ft C, (/ -7 A. P. No. _ Proposed Building Use M6� / E-7457'Building Inspector Date /% At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted.................................... 2. Plot plans in u licat Ia�e signed by preparer of plans ........ 3. Complete plans in duplicate'/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... —� Engineered truss details and layout in duplicate (required prior to plan check) /�4Mobilehome installation data including manufacturer's installation/90 Instructions...................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Park fees aid ........................................ 3. © P_ /I/1 School District fees paid .............. 4. Sanitation approval from e' g C7 Health Department /90 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) c 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 0 Pre -Inspection for E—X 1-5, LIAI S / required . Pre-Inspec. request tq/1A10010 Building Inspector `' Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3jk6 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... �� G Let r of ignat re au horization .. . + e' r.` (. gym,.. – – S When you issue the permit, process as ollows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prir to` I ce (Ci cle new item not checked 1. Index permit for above items No. 11 I ow 2. Additional items required: / ♦may` ' 4 Contractor, designer, owner, was advised of above required data by_phone--nail—counter by—..date— Contractor, y ..date_Contractor, designer, owner, was advised of above required data by_phone_mail/_� counter by date— Plans checked by Date P ns approved by Date!/ _Sets of plans on hold in File cabinet AP folder Copy—DPW D TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance lir /ct Gace %9#1 ���le f� ���i 72- Z -f -lS / owner location AP 4� Driveway permit �d7?2. LZ�GG��G� has been issued for the above property. `si ature date TO Buildina Department FROM: Environn4ntal Health SUBJECT: -S-anitation Clearance Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Lzi2L- 2 Hata sanitarian C - APO Owner Location Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Lzi2L- 2 Hata sanitarian Of COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR RCELM ER —— ZONI BUILDING PERMIT OWN TEL11PHONE? SO. FT. OCC. BUILDING VALUATION OWN E 5 MAILING ADDRESS �nr-- ('Ij[vn �_�� TR CONA 5 A E L� TELEPHONG�ES/Q, ' CONT'RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD G ARES56� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]MobilehomeKl Other �� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00e TYPE OF WORK NewR. Addition ❑ Re{��Qd I ❑ Utilities ❑ Installatiop -2 Other ❑ Describe work: / � I �-- «J� 7 ��- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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) . El i, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCGUP.& OR ADONS. ( ACC. BLDGS.. /2csgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 2AL SOC eoao FIXED APLNS. OR Ex. Occup. OUTLETS P(RESIDA EA.) 1 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — -Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ioof structures overstories in height. Mobile Home Installation ee $ E Pp- k5 $ _ Q occ CONST TYPE TOTAL FEES r �� ALSCHL HAZ CUA PARK I FLo PAR Po HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date 33 LRe',ceipt No. 7� C,1-2- �� D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT s'�61 0 �C/ PRE—INSPECTION /—T +C _L_�j , OWNER: li 7T 7` DATE % LOCATION: 3 G,� A IZ� A.P. # 7 CONTRACTOR: �% (�/����. ZONING ------------------------------------------=------------------------------------------ ``JJ PRE—INSPECTION FOR: / l� �x. �� j 141 6> S J PERMIT HISTORY: NONE Q AS FOLLOWS; DATE TO INSPECTOR It TYPE OF OCCUPANCY --------------------- FIELD — INFORMATION BUILDING USAGE: Z4 j a TENNANT: 'OCCUPIED D' HAS ELECTRIC AS GAS HAS SANITATION FACILITIES ATED—COOLED PERSON CONTACTED OTHER COMMENTS: b 6oZol //i% 5UCGy AX � ��i9e✓7%o7-� 1��z 97b7/Lr 9.4 _rTI &1,.'0IL4 rY PC- a -)C -±V -� HA/C-C C wT- .,fit✓ . ��� ��(Ni"J�1� r lU� %�!L%i L�G2 %�2��Gft'� �L�'72dv� y / � f ACTION RECOMMENDED: ISSUE HOLD FOR y`✓L07 !%ru�i.yJ7�/� �¢,�1� LTLGi��-G� t �3 ge2L4�.2/Z�C �ur3ele_> j 2o�r� lZ /0'7 - OTHER: '--OTHER: BY �� DATE { ` BUTTE'COUNTY SCHOOLS DEVELOPMENT F,EE CERTIFICATION FORM (One Form per .Building) .A. P. Number,. % Z ^��� Building Department No. All, ,,// School DistrictOX'o e,—L,6W City- n County Jurisdiction Property Owner ,A &P &AR _ 1.,4*e-- E Y - ,,' Project Location/Address % ;r . ALA A�2 7-12,0 o Subdivision ,. Lot Number Residential Development: ' ` SqFootage �- � /a • � a. O. .� of ,Living MHI Addition -(Group R) Units Commercial/Industrial: a Sq. Footage New Addition•(Including Exterior Roofed Areas) � . l Buil"ding kDepartment Representative _ Da:te , (Floor Plans reviewed by School'District�Personnel) -District Id No. r , School District certifies that IIS L/�.^• �,! a ."'N.' lr ,+ w w .`• , 1—(App'licant' Name) y ^+, - (Phone Number) V 11�7."i `( Street' Addtess;) ` . . F(Cfty) ` ( State) (Zi'p Code) has complied. with the requirements of Resolution No. .�'Ci_ Cyd n .by the payment of $ +4 representing' 11;i square feet. School Distrildt Representative E Dat e PAID BY CHECK NO._ BANK NO ` PAID BY CASH REMARKS ,� .fi white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ~ All tbAt zeal' :property 'situate in the County of Butte, State of California, described as follows: ' ' �n � � ' ' - Date: PROPERTY OWNERS: State of On this the '7kdoy of 19 -, before me, the ) SS. undersigned Notary Public,red~-- County of �+--~' ' '' ElPersonally known to me. M9rnved to me on the basis OFFI - IAL NOTA Ny SEAL of satisfactory evideoce, nUPP dIDIZ to be the person(s) whose name(s) ` sohacribed tn the wi�bin ius�rumeknowledged that MY Comm. Ex m jUL 27,1994 Pim executed the same for the purposes therein contained, IN WITNESS WHEREOF, I hereunto set my hand and official seal. .'^ Pre�eot P No. mntary�-Public \ ^~ ~~ ' R�tur� to. ~' � , ... FOR RESIDENTIAL DEVELOPMENT .. Section 20-8°1 of Jbe Botte' ^ Code' requires this acknowledgement be | ` prior to issuance of a buifdinB permit. . The property described herein is adjacent 90-051361| | ` Bec Fee 7^00 to land mr included within an area zoned | Cash � 7.00 for agri6uIturaI purposes, and residents Beoondp6 | ` of this property may be subject to iucoo- Official Records | veoieoceo or discomfort arlai.g from the County of | use of agricultural chemicals, including, Butte | but not limited to herbicides, pesticides, Candace J. Grubbs | and fertilizers; and from the pursuit Recorder | of agricultural operations including,' 8:UQam �B-Np�-QO | XX 2 but not limited to cultivation, plowing, � spraying, pruning, and horveatin8' wbicb occasionally generate dust, smoke,. noise, and odor. Butte County has established agricul- tural zones which have.00 a priorityuoe for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All tbAt zeal' :property 'situate in the County of Butte, State of California, described as follows: ' ' �n � � ' ' - Date: PROPERTY OWNERS: State of On this the '7kdoy of 19 -, before me, the ) SS. undersigned Notary Public,red~-- County of �+--~' ' '' ElPersonally known to me. M9rnved to me on the basis OFFI - IAL NOTA Ny SEAL of satisfactory evideoce, nUPP dIDIZ to be the person(s) whose name(s) ` sohacribed tn the wi�bin ius�rumeknowledged that MY Comm. Ex m jUL 27,1994 Pim executed the same for the purposes therein contained, IN WITNESS WHEREOF, I hereunto set my hand and official seal. .'^ Pre�eot P No. mntary�-Public \ ^~ ~~ 8z;— eq) - 85— 5335 a9�aiT A Beginning at a point in the Fast line of said S.M. 1/4 of the S.M.-1/4 of Section 24, said point being North 00. 02• 00• West, 330.00 feet from the Southeast corner of said S.M. 1/4 of the S•M• 1/4 of Section 24 being the True Point of Beginninj for the herein described parcel of land$ thence North 00 02. 00• West along said Bast line, 458.44 feet thence leaving said ,at line, North 67. 47. 00• Hest 236.10 feet: thence North 68. 22. 00• (lest, 200.00 feet$ thence South 00. 02. 00• East, 628.60 feeto the North line of the t South 330.00 feet of said S.N. 1/4 of the S.M. 1/4 of Section 241.tbtnce North 88• S9. 04.4S tett to the point 90• East along said North line, description. of beginning and.the end of this description. Malmo" 5.05 acres more or less. tber with and reserving therefrom a 60 toot right of way of Road and public utilities purposes described as follows$ des"ribed q at the Northwesterly most Point of the herein 163.46 teerco t�to of land$ thence North 68. 22. 000 Hest, Booth 52•*19. 00 Weest* aloIn ng thecenter Centereof Black Bart fte thence South 54. 40• best, 46.61 feet; thence leaving saidaroad, South 68. 22. 000 East, 225.13 feet$ thence North 00. 02. 000 hest, 64.57 feet to the Point of beginning and the end of this description. Also reserving therefrom a 10 foot right of way lying S feet on each side of the existinq water lines from the O.M.i.D. ditch to that certain parcel of land described in a gift deed from telae Howell to Don and Sharon Smith recorded In the office of the Butte County Recorder in Book 3017 at Pate 255, and that certain parcel of land described in a gift deed from telae Nowell to Mary Jackson recorded in the office of the Butte County Recorder in Book_ at page 'this right of way is for the benefit of said Smith and Jackson sels tinsure shall the benefit faid gandaidSmihand Jacksonaheirssccessorsorassinees. END OF DOCUMENT M tans and specifications MUST be This set of p with - t on the job at all times and s onus Imefv tc kept es or alterations make any chang the o part"®rte ®� out written •permissionof Butt. public Works► County 5, • .�r'M lag tr+ cnsh�p fdgoteti,MIS a►1iW �o6 C.fpietsa wl .1 Rec-ggnethe ®mci rnGe boa4or aI Accdolyescri� of, quaPlur�Dincj n9, uni IG A setback of 5 ft. from the Property lines and a setback of 50 ft. from the road centerline shall be clear of structures or equipment•excopt '<'s for a 2 ft, eave overhang, 8't��� A� BUTTE COUNT. UING :DEPART , 6 R 5 SEWER WATER OUTLET �` SUPPLY CLEANOUT MOBILE --I r FLEX COUPLING 3Mox. FLEX CONNECTOR 7 SHUT-OFF VALVE Min 3 2 CONCRETE! j PAD 1 DRAIN TO SEWL`R�^ i OR SEPTIC TANK U �i GAS OUTLET W/METER METER FLEX CONNECTOR SHUT-OFF I VALVE T r- METER 6' Min. SUPPORT 1 + 1 1 'r 1I I1 ;STABILIZER` I 12 Min. 1 � I4 (lin. OUTLET ISEE NOTE UNDER GAS) M0BILEll0ME INSTALLATION U 1 11_ 1 7F I E S NOTE: Contact Utility Company for --- meter locations, clearance over GUIDELINES mobilehome, and other requirements. ELECTRIC PEDESTAL* OR PPL 36"Min. CLEARANCE 36'+ Min. CLEARANCE COPPER rROUND CONDUCTOR W/�ROTECTED rGROUND CLAMP., J M6n'.F6. 1 I `_ -- 1 3CONC — RETE 11 ( I I 2 PAD 1 _XJ,� �i I I 81 GROUND ROD (I CHAPTER 2, TITLE 25 of the California Administrative Code requires: Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the mobile- home.------------------ See (A) opposite and Sections 1184 (Electric), 1222 (Gas). Sewer and water may be located under the mobilehome within 18" of the rear half: --------- dee (A) or (B) and Sections 1256 (Sewer), 1274 (Water) . Electric: Equipment installed to supply power to a mobilehome shall be of not less than 100 amperes rating.* W/over- current protective device and disconnect. (Section 1142(b)(6). Additional loads (well pumps, garage, shops, etc.) will require additional power. An approved power supply cord or feeder assembly shall be used to connect the mobilehome to the mobilehome .service equipment. (Sec. 1352) Travel'Trailer - sized per demand. Gas: An approved adequate sized gas connector not more than 6' in length shall be used to connect the mobilehome to the gas outlet. (Section 1354). Note -. If :gatural gas piping over. 6' from the meter or LPG piping over 50' from the tank, compute demand to establish thesize of: gas pipe required. Sewer: A 3" drain connector consisting of approved -pipe not less than Schedule '40 with'approved fittings and a flex coupling,at the inlet end shall be used to connect the mobilehome drain outlet to the.sewer inlet. (Section 1358). Water: Approved connector or copper tubing .shall. be used. (Section 1282) . V • BUTTE. COUNTY DEPARTMENT OF PUBLIC WORKS r 7.County Center Drive, Oroville, CA PHONE: 538-7541 1. Owner's Name: MOBILEHOME INSTALLATION SHEET 2. Installer's Name: f X k V C( n iJ I Q y F v,y k 3. Is the site currently under permit? Yes F� No mobilehome electrical rating? --------------- (If yes, furnish permit number ) OR Is the site an existing site. Yes k'\l No What is the mobilehome site (If yes, furnish two plot plans.) �. Amps 7. What is the 4. Will the mobilehome be located at least 5 ft. away.from ----- Q septic tank and leach fields and clear of all `setbacks and easements? Yes i No L] (If no, clarify ) 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? -------------Q �. Amps 7. What is the mobilehome site circuit breaker rating? ----- Q Amps 8. Is there any other electric-load.to be served by the ----=------mobilehome Yes No site service? PI)l yes identify the -and 1pad (Load) a/ _(Amps) ) 9. What is the mobilehome site �• gas pipe 'size? ------------- (in.) 10. What is type of -.-.----------------- Natural LPG i the gas service? JI 11. What is the gas pipe length from meter or tank to the mobilehome? -----------------------=c--------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural`gas'or less than 50 ft, on LPG.) MOBILEHOME SUPPORT DATA L �l If other than single wide, Mobilehome Mfr. rlCe+tAx04' furnish Setup Model No. Width/;�-('Lt.) Box LengthTagalong or Expando Size_ Year1l , ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one 1. Concrete block.2. Other (specify) �-- Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line 2� • — — — — — — — — — — — — r 1 in — — — — — Main Beams — — — — :E:2 Tag or Triple Line r Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size-Min.------------------ Spacing-Max - ----------------- Spacing-Max. --------- „ Each Side of Openings From Ends -Max. ------- '_ With Width Over --------- y� Line 2 Piers: �j Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------- �/ "" Size -Min ------------------- Spacing-Max - ------------------Spacing-Max.--------- r_ Spacing -Max ---------------- - From Ends -Max.------- '- From Ends -Max -------------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) Line 4 Piers: Size -Min .------------ Spacing -Max.--------- „ ' From Ends -Max .------- Size -Min. ------------------ „x Spacing -Max.--------------- _ From Ends -Max .------------- " Line 5 Roof Wads: R Size -Min. ------------ "x "x1."x "x "x "x 'x "x Location (From Front) r BUILDING DEPARTMENT APPROVED ELECTRIC GAS Support Struc. Compaction Test eq. ;ervice iize Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION_AND PERMIT / PERMIT NO. —�� &a Z- ASSESSOR PARCEL NUMBER KXRXXRXKX(KKY 72-29-159 ONING A5 BUILDING PERMIT OWNER BARBAR LACEY TELEPHONE 589-1245 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS RT 1 BOX 318, BLACK BART ROAD, OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking 9y g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � Penalty $ BUILDING ADDRESS 318 BLACK BART RD. OROVILLE Permit tee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5,00 Building sewer 5.00 Mobile Home S G W O.00e 20.00 TYPE OF WORK New ❑ Addition ❑ Qemodel ❑ U ' ities [I I stallat)on❑ !O��r ❑ Describe work: � rs S iLn Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VOR AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Of my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.e) OR ACDNS. \ ACC. SLOGS. yz¢sgft NEW CONSTR. MULTI -OUTLET NON•R E SID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES20P50S a ALO 30 FIXED A S. OR EX. Occup. OUT ESID.) EA.) IRES 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g 15.00 E I Permit Fee $ 37.50 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. (Qi I shall not employ any person in any manner so as to become subject )N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and. State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aid County in consequence of the granting of this permit. jThis Date " _�� �� lica�n�'�t�jj,�����Owner l❑l Contractor❑ Agent koe m�t fs 'Gi7e3 r bvat�n ofer 5'0" deep and demolition or construct. ion of structures over 3 stcriess�Vttn height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ 67.50 HAZ CUA PARK EE PAR PD HD ISS permit is hereby issued under sions of the Butte County Code and/or work i ated above f r which f DIR F PU I B PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS D to;1146 Receipt No. S X51 WNI TE-D.P.W., •EL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / � r: i,f' ,. +,� ,....s• R... b: �,. wi.,w .. �N..�.iR :� J, `,:i6�..-.ra2 Y COUNTY OF BUTTE - DEPARTMENTS OF PUBLIC WORKS - BUILDING DIVISION k y 7 COUNTY CENTER DRIVE- OROVILLE, CALIFO.R�;IA 95965- TELEPHONE: 916/538-7541 CON PERMIT APPLICATION DATA SHEET .....-..-.,v Permit No. L_ OWNER _ A7 P . �- � — �✓ Proposed Building Use /'/� Building Inspector l�'� oDate 1 ,�6 r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..:................................................. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land DevelopmentSection DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... �2. Certificate of Workmans Compensation Insurance ......... .. 1. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner)..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... A�j25. Letter of signature authorization .......... ...................... . / " 1 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. d Other /f Applicant ,o Date v Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: f Contractor, designer, owner, was advised of above required data by_phone---nalil—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW fid, a��,ll� m C JOG 9311 THIS DWG. Pnc► xHtU TOP CHORD •2X5 FIR -LARCH 42 BOT CHORD 2X5 FIR -LARCH it WEBS • 2XG r IR -LARCH STANDA%,C. EXCEPT AS SHOWN :141-2X4 F.IR-L APCH 01 ccunECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH REGUIREt•ENTS OF I.C.8.0. RESEARCH FEFORT !2949. ALL PLATES ARE TO BE CENTERED CN THE JOINT, LEFT TO RIGHT ANO TOP TO BOTTOM. EXCEPT WFEN LOCATED BY CIRLLE OR DIMENSION. SEE DRAWING 130 FOR 'PLATE LOCATIONS ON TYPICAL JOINTS.' ALL BOTTOM CHORD SP'-It'ES OCC'JFPING BETWEEN PANEL poENT5 ARE TO BE LOCATED AT APPROXIMATELY_ 114 OF PAREL LENGTH ,FROM PANEL POINT IAITHiu 121 QIV SHOULD NOT, OCCLi IN PANELS NEXT TO A PANEL POINT SPLICE. CONNECTOR PLATES CESIGNED, FOR GREEN LUHSER PER NDS TABLE B.11B_ Note: 2x4 $3 ben -fir or better cootinnaus lateral botta� chord bracing e ," C.C. max. =eeaired. Attach v/2 -16d nails. SracEaq : not aX i? zE red if a rigid ceiling is attached directly to bottom cbord- gracing material to be supplied and attached at bath i ends to a suitable support bw erection contractor. caanection roc 22-0-0 trusses at 240 O.C- to bottom cbazr;: Six4 son 6726- See catalog C -M-1 for sailing sPecificatiors_ - TC X -LCC L --Ft 0.2c 15-_9A 1, . 00 15.:.6 21-71 SC )(-LOC L --F-. 0.20 5.54 11.00 16.06 21.71 SINGLE CUT WEB #-ERC: 3 : ?. ENDS: 1. 5 - BEARING BLOCKS -SAME GRADE ANO.SIZE AS BEARING NE.41BER BAG LOC -1 00-00-00:1 BLOCK 12' LUNG - 7 16d NAILS/BLOCK ERG LOC 2 22-00-00:1 BLOCK 12- LONG - 7 SEC NAILSiBLOCK THIS GIRDER HAS SEEN DESIGNED TO SUPPORT: FROM ONE SLOE -22- 0- OF SPAN FRAMING TO T!-iE GOT CHORD OPPOSITE SIDE— 2' 0' OF SPAN FRAMING TO THE TC/PCC SP;. IT GIVING A TC LOAD OF 52•PLF ANDA BC LOAD OF 315 PLF TOP CHORD SHAL_ BE LATERALLY GRACED wrTH PROPEPLY CONNECTED ?.MINS SPICED AT A MAXIMUM OF 24" O.C. ALL NAILS SFECIFIEO APE_ CC;HMON WIRE NAILS 5X8 t - 5X8 ;. lit �e.00 - 3Y8 3X8 i - u 3X8 8X8 3X8 _ 3X8 3X8 7XS - -' " N& C0431KS . E_,4, 630-93 ;. 11-0-0 11-0-0 2-..-'J , +� i �< 22-0-0 OVER 2 S13PP1OfITS rf =� p R-10 i7f M- 3.50- R-AU478 1t- 3.50- n PLT_ TYP_-ALPIW SES- 11751 F-UVV•aS t A COPY Q¢.L'T F TI -US DESIGN TU EfIECTTOM CVWTA0R REV 15.12 SCALE = 0.2500 ..�+ swou c a,ef _ IOESIt�1 CRt T: UBC ;;EF 8427-408>✓�' 0 o c Q o o if I t�TANT 4* s.r.i Mn E .E4oaaF fa O A33NI NG r �..n Ea easar c, Qk R.=Arae. ss •fs ssec.Tr,�mc a se+c�rTa. a�o.ssf ,.rr-�a s�.as co ��cr TC LL in6 . O P5F DATE �ril i0% p p � qMV. w , "A -0E W dma .E TW= = CU.OWAW AM . � TC DL 1v .0' PS>= 1�6 CUJSi�7 �2�301e p —• ETM DE -90k rlv TSa1Wa w=w P W7 v17w 1tS �a fs •�-9gl< �Hi►' . C o ..E =WWJCrM na ao "8" s�wta s+®_ "caw �� �aa'��►s BC 5-0 P'SF CA -ENG fl oa as � r.s Es+aiBe.o s cap r.0 arm A. aa.a �v o0o mat oar• • • .rue CAsRTr �s�s a WM ram rr f..o. asiw em aeacec ■TTMo+aaTasiv4M*L"TOT _LD. 31 .0 PSF 0/A LEN 22-�-0 9+.�. �M :� � �>L ...vs a0� eoraa. D1JR.FAC. 1.25 PITCH 8.0I 2 # TL® STrlis6 cow=w "so raSatA wwcMM At Si�T7M w al -W nWE Ccs ar ssst ws. vaso 4wwfvc Wera.E V09=6 SPACING SEE ABOVE" TYPE COMN— p C -a fl O O .—we - .ans waE T7�erctwE .a - .atcw� epa. ymsrure. rw .moo slr+wrr>• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICAVION AND PERMIT AS OR PARCEL NU B ZONIN . ._ ..... .. ..--- ..__ . _....._...--�----........ - ::.__. . ......... ......_......_-_-.:.:_...,..BUILDI:NG .PERMIT..__.._.:::.. _ ..... _.._:..__ Dwa r TELEPHONE SO. FT. OCC. BUILDING VALUATION e, >^ e E O 'S, ILINGADDRESS rt DID C[ / I�ACITOR* (S N„AME TELEPHONE CONTRACTOR'S MAILING ADDRESS NEW CONST. \ OR ADDNS. ACC. SLOGS. I Fireplace POWER APPARATUS e SINGLE OUTLET CIR. ( Ex. OCCUp\OUTLETS OR FIXTURES FIXED Ex. Occup. OUTLETS P(RESI D.)RE A.) CONS RUCTION LENDER Mobile Home Facilities UNKNOWN Total Valuation is Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Ventilation Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Mobile Home Installation Fee ARCHI ECT OR ENGINEER occ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermlt 1< r fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S IrG VM I 0.00e O.O TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee Contractor ELECTRICAL PERMIT Main service 11001 OR LESS 100 AMP OR LESS Main service EA, ADD'L 100 AMP CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. \ OR ADDNS. ACC. SLOGS. I NEW CONSTR ULT' -OUTLET NON.R£SID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ( Ex. OCCUp\OUTLETS OR FIXTURES FIXED Ex. Occup. OUTLETS P(RESI D.)RE A.) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Heating Cooling Hood 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 Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE Butte to enter upon the above-mentioned property for Inspection purposes. TOTAL FEE $ C01. J U I also agree to save, indemnify and keep harmless the County of Butte against HAz I CUA I PARK I sCHL I FLD I PAR I PD I HD IssuE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. This permit is nereby issued under the appiicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Receipt No. __-,_ .. ,5<.«ne eCTpv, CCLCEN^00-APeL CAwT PERMIT EXPIRES Date _ Date COUNTY OF BUTTE - Deepartm_ent.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification -is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone .Contractors License No-. 5. I will provide some of the.work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property OwnerS L)0,4 - — Social Security Number NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Certificate of Compliance: Residential Climate Zone 11 Project Title Building Permit Project Addrm �. 5 &azaZX/-/ Checked By / Date Documentation Author Telephone Finfimentent Agency Use Only BUILDING DATA North Glass Area % Glass Condi ' ea �� Number of Stories East S1a Number of:Units —7— South [`Single Family Detached (SFD) [ ] Addition•Alone West (] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi-Family(MF) [ ] Existing -Plus -Addition Total BUILDING SHELL INSULATION Component Insulation Locafinn/Comments Type R -Value (attic, to InAe. i--aL etc.)' Wall .............. Wall............... Roof ............. Roof ............. Floor............. - Floor ............. , Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type interior Exterior Overhang Framing Type Orientation (0) (Rlflple- dnuhtel frnllow ht:nd .rpt >, rew..t_...-r.. _... % ..._...._. 1-11A...__s. NorthNorth ( ) East (.) O East�— South- SOUth ( ) West ( ) West ( ) Skylight....... - THERMAL MASS -. Type/Covering Area Thickness (slab/exposed, tile. etc.) (SO- (inches) Location/Description (kitchm bath, etc.) r HVAC SYSTEMS Minimum Duct Type (fumace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or avotoved equal) Maximum Furnace Heating Output~ Btuh HOT'WATER SYSTEMS Tank Manufacturer/Model # �S�anlzrP � _ SPECIAL FEATURES/REMA (Add extra sheets if necessary)' T Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrisc residential buildings subject to the Standards must contain Ihae measuresregardless of the nom ham approach used. Items marked with an asterisk (•) may be superseded by mare stringent eomplsance requirements listed on the Certifiwe of compliance. When this checklist is incorporatrA into the permit doeumrnts, she features noted shall be considered by all panics as binding minimum component performance speaficalions for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures 62.5352(a): Minimum ceiling insulation R-19 weighted average. 62.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). ` §2.5352(k): slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permhnch. 12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. 62.5317: Infiltration/ExfiltrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. e. Doors and windows weatherstripped: all joints and penetrations caulked and soled §2.5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. 12-5352(d): Installation of Fueplaces I. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots alkywed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 12.5352(h) and 2-5315: Setback thermostat on all applicable heating syswns. • 12-5316(a): Ducts constructed, instalkd and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. 62-5314(e): Gas -furl space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and fauces certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or grater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and ucam condensate return & recirculating piping. §2-53 19(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. 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/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas feed appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. CObeLIANCE STATEM[ENr ' This Certificate of compliance lists the building featlum and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cha*.r2. Subchapter4. Article 1 of the California Administrative code. This _ cerdfitate has been signed by the individual with overall.design responsibi ity and the building owner. who shall main a copy of it and transmit the certificate to any subsequent putdhaser of the building. Designer Name: - TiddFum AVfren: Tekpiwne tic. 0: (signature) (dale) Documentation Author Name: TitkJFirrn Address: Building Owner TitWFYm. Te nc (stgn`attrre) (dat Enforcement Agency Nene: Agency: Tekphonc Ceiling Insulation U -value 0.50 -176 Number of stones -54 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 Wall Insulation - Raised Floor Insulation Single- Single - 0.80 -1 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 37 -26 0.60 0.80 -153 -114 -76 0.50 -91 -68 •46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 - Raised Floor Insulation F2 factor 0.90 Insulation in.Floor -3 -1 0.80 -1 Number of stories 0.70 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -90 37 -26 0.60 -144 -70 -46 0.50 -120 SF 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 25 -46 Number of stories -7 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 3 9 -- Number of Stories -34 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) Specificeb" Points Standard 0 6. Giass Heat Loss Total Stogie- Family Slab Floor Effective Pereeut Glass Raised Floor U -value East i Percent -West Skylight ,51 to Alto .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) Effective Pere4ytt class (percent slaw x SC) Effective Stogie- Family Slab Floor Effective Pereeut Glass Raised Floor %Glass North East South -West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2_ _ 2 8 2 3 5 2 2- 7 1 3 4 2 2_. 6 1 3 4 2 3 5 1 2 4 2 3' 4 0 2 3 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 $. Shading (Shade Closed) ' Stogie- Family Slab Floor Effective Pereeut Glass Raised Floor Mass (percent stem X SQ Stones Effectim Detached Stones Family )CFA One % Gins Noth East SotM West SkyWd 18 -14 -48 -69- -64 - . ne 16 -12 -42 -59 -55- na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 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 . not allowed 3 7 8 10 9. Interior Thermal Mass Interior Stogie- Family Slab Floor Sun of 1-6 Raised Floor Mass Family Stones Mass Detached Stones Family )CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 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 Wall Stogie- Family Srogle- Sun of 1-6 +6 b 16 or Family Multi Mass Detached Attedol 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 SE or 13SPF (assumes duets In attle) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6. 5 4 3 2- 2 12. Cooling Syst"M SEER (&=me;ducts In attic) Sum of 7-10 ,25 or ,24 b r14 b Sun of 1-6 +6 b 16 or SEER less -25 or -24 to -14 to -4 to +6 to 16 or -SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 _ 5 0.90 8.25. 17 15 13 11 9 7.. 0.95 8.71 .20 . Ill- -15. _ 13 11 8 4 3 Effective SE or HSPF 11.0 - (SE or HSPF x duct efficiency) 6 Effective -25 or -24 to -14 lo •4 to +6 b 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 SEER (&=me;ducts In attic) Sum of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories ,25 or ,24 b r14 b •4 b +6 b 16 or SEER less -15 I .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 4 -3 8.9 -5 4 .4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 HWR -18 Eftotive SEER -9 -7 -6- _WSB.. (SEER xauet eMcle ncy) -16 -12 -10 $I ,-n of 7-10 0.2 0.4 Effective -25 or -24 to -14 b -4 b +6 b 16 or SEER lest -15 .6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 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 1.0 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories Ceiling Insulation 2. Wall Insulation I- 3. Raised Floor Insulation One -5 -4 -4 3 -2 -2 Two +. 3 3 .; 2 - 2 2 1 Single -Family ll�lehed and Attached % Glass or i Unit Size ksq Eff. % Glass Water 1.199 M '1700 2200 2700 Heater Credit or q b b - to -or- Type Type less..11M SC 2199 2699 more . SG None 0 1; 0 0... 0 0 or Solar 12 " 8 . 6 5- . 4 HP ' HWR 8 5 4 3 _ 3 WSB 5. 3 3 2 2" POU 8 5 4 3 •3 SE None -37 -24 -18 ' -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6- _WSB.. WSB. -25 -16 -12 -10 -8 - POU 0.2 0.4 -9 _7_ -6 IG None =5 -3 -2 -2 -2 Solar 7. 5 4 3 2. POU 3 2 1 1 1 fE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 .3 MuM-Fatally (individual units) - 4 (s 4.4 4.6 WaUv 699 700 1200 1700 2200 Heater Credt or b b 10 or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 32 2 2 SE None .45 -23 _3 -15 -11 -9 Solar 2 1 1 0 0 HWR -23' -12 -8 -6 -5 WSB -25 -13 -8 -_6 -5 3.4 3.6 3.8 4 4.3 1G None :. -8 , -4 -3 -2 -2 Solar....6 59 3 2 1 1 - POU -_1 1.7 0 0. 0 G IE None -30 •15 - -10 -g 3 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2- Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation I- 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss R -v e [ 11] Interior Mass/CFA = or X R -value [ NJ U -value [0.037] % Glass or � TTK� 11AS6 Eff. % Glass Revalue [0] F2 factor [0.77] - Standard 0 = Type [double) U -value [0.65] % Total Glass [ 161 Sum 1.6 % Glass SC Eff. % Glass _ X. _ 11. 9•urse•4. 61 AREA e a InteriorNnsa/CFA - COND. FLOOR AREA TYPE 2 MASS ♦ TYPE I e1A55 (UIKC & 4.2• ter exposed slab) x s3 = 597 SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] 0% 6% 10% 15% 20% 25% 30% 35% 40% 45Y. 50% 55% 8o% 66fr. 7016 75% tt0% 85% 90% 95% 100% 105% 110% 115% 120% 1251, 0% 0 0.2 0.4 01 0.6 1.1 1.3 1.5 1.7 1.9 21 2.3 2.5 2.7 2.9 32 3.4 3.6 3.6 4 4.2 4.4 4.6- 4,8 S 53 10% 0.2 0.4 0.6 0.6 1 1.2 to 1.6 1.9 2.1 2.3 23 2.7 2.9 3.1 43 3.5 3.1 4 4.2 4.4 4.6 4.6 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 IA 1.6 1.6 2 2.2 24 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 S 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 2.4 26 2.8 3 32 3.5 3.7 3A 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 5.8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1A 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 53 5.7 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 23 27 3 32 3.4 3.6 3.6 4 42 4.4 4,6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 26 3 32 3.5 3.7 3.9 4.1 4.9 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.6 52 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 2A 2.6 2.8 3 3.2 3.4 3.6 3.6 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 IA 2 22 25 27 2.9 3.1 3.3 15 3.7 3.9 4.1 4.3 4.6 4.6 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 2.5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 I, 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 S.6 5.9 6.1 6.3 6S 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 53 '53 5.7 5.9 6.2 6A 6668 95Y. 1.6 1.8 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 6.2 5A 5.6 5.8 6 6.2 6A 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4,9 5.1 S.3 53 5.7 5.9 6.1 6.3 63 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 6.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 24 27 29 3.1 3.3 3.6 3.6 4 41 4.4 4.6 4.8 5 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 22 2.4 2.62.8 9 3.2 3.4 3.6 3.8 4.1 4.3 43 4.7 4.9 5.1 5.3 5.5 5.7 5.9 62 6.4 -6.6 6.8 7 7.2 120% 2 29 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 5A 6.6 68 6 6.2 6.5 6.7 6A 7.1 7.3' 125% 2.1 2.3 25 2.8 3 32 3A 3.8 3.8 4 4.2 4A 4.6 4.9 5.1 S.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation I- 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7.. Shading (Shade Open) a. - North b. East c. South d. West e. Skylight 8. _.Shading (Shade Closed) a. North b: East c. South d. West _ e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures X Point Scores S3r) .� or X R -value [38] U -value [0.030] le Iq or = Y R -v e [ 11] U -value [0.098] = or X R -value [ NJ U -value [0.037] % Glass or SC Eff. % Glass Revalue [0] F2 factor [0.77] - Standard 0 = Type [double) U -value [0.65] % Total Glass [ 161 Sum 1.6 % Glass SC Eff. % Glass Point Total: X X X = X = X % Glass SC Eff. % Glass X - X = X = X =. _ X. _ TYPE 1 MASS AREA e a InteriorNnsa/CFA COND. FLOOR AREA TYPE 2 MASS AREA $ Exterior Wall Masa ND . L OR AREA �- x s3 = 597 SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.S6f5.IS) •f X 5 _.... _ SEER [9S] Duct Efficiency [0.74] Effective SEER [7.031 _icL7 Type [SG] Credit [none] Point Total: