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Home My WebLink About073-260-003' 7 73-26-03 667-89B, P., E, M s `STOUT, Steve &Marlene 11283 Winding ,Way, lot I Lipper Mills?4r (new single famil 73-26=03 1058-90B,P,E,M •STOUT,-Steve & Marlene 1`1283 Winding Way_, Clippe Mills (new single family} �. 73-26- - - Permit#889-91B �) (1st renewal of 1058- a•1,�� r 073-260-003 PERMIT#96- STOUT, Earl S. 11283 Wiriding Way', ClIpper Mills Add Open Deck/SF i Loc 4. mac, ,�,-� Pu 6,,5 �� 9� RESIDENTIAL ; -- 73-26-03 1058-90B,P,E,M STOUT, Steve & Marlene 11283 Winding Way, Clipper Mills 1 (new single family) JOB FINALE Signature i. a , OFFICE COPY Address ' GAS Meter By DateK � IELECTRIC Meter By Date OFFICE COPY Addres�� i co iilrC/j G AS Meter By, Date ELECTRIC`-' //�� Meter By ` 57j Dat JOB FINALE Signature J=OK O = Not OK Not • = Not Reaadyable 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. 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 -Fell -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 •s - \ ` - ♦ ' MISCELLANEOUS bate DECKS, COVERS, CARPORTS, GARAGES, (Plans)Ol_except #'s 1. Zoning Requirements -Setbacks -Easements `` 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses d 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-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -1 - •s - \ ` - ♦ ' MISCELLANEOUS bate DECKS, COVERS, CARPORTS, GARAGES, (Plans)Ol_except #'s 1. Zoning Requirements -Setbacks -Easements `` 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses d 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-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK 0, Not OK - = Not Applicable ' Not Ready RESIDENTIAL = Date UNp RFLOOR Plans OK except #'s V. i ng-Setbac ks-Ease ments-Flood-Slope Ftg ain; Soils-Elec. Grnd.- tg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth URZ 4. F g., Porches & Decks; Soils -Steel-/ /Fig. Depth . Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors Steel -Wrapped rs-Fireplace Ftg.-Steel . 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 (r_ C' r . 0 v- 0 ✓.P Data Card B-1 - Date Card B-1 Data - I I 9rlCard B-1 Date Card B-1 Date PLUMBING (Permit) -OK except #'s ye'Water Htr.; Vent -Access -Combustion Air -Baffle 17—Water Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection 19-8ifo-wer Pan; Test, First Floor -Tub Access 2p,�T-est Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Da Card 8 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-Erc. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Z9rfiar1gurrrr- / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No __a&. -Riser Conductors & Ground -Main Disconnect 44 -Equip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light moke Detector Dare , ,,Card B-1 Date Card B-1 Dare Card B-1 Date Card B-1 Dare MECHANICAL (Permit) OK except #'s r34--A.C. Ducts Insulation & Support X35-- ent Fan; Exhaust above insulation _36. -Condensate Drain & Overflow; Size & Grade 3 urn ent; Access -Comb. Air -Return Air Vent -115 outlet ttic Access & Platform if Furnance in Attic Dat Z q/ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s FIs, Proper Material & Anchors -40--Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ,41--� ring Walls over Girders & Floor Nailing -417 Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub '42"R€aders & Beam -Size & Bearing (Single & _Duplex)' Date FRAMING (Continued) Han ers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. fireplace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Windows or Exiting Doors -Sill Hgt. & Dimensions `�a'rage Fire Protection Framing 5 party Line Firewall & Openings §2�. Doors -One T -Check Garage -3rd Story, 2 Exits Lairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers -&-Siding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access �azing Area -Glass Protection -Skylights -Plastic. ear Walls; Nailing -Bolts ,W -Walls -Ceilings 60. Infiltration -Walls -Windows Date 7- Card B Date Card Pat Date Card B-1 Date C B-1 Date FIN Plans OK exce t #'s Of DL -Steps -Door & Sidelight Protection -Landings .w.-Sqloke Detector Furnace; Vents -Clearance -Comb. Air -Connector - 1 rage; Above Floor -Ducts -Mach. Protection 4. Bed m Exiting ,�G.F,I,&dath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails Fire ace or Stove; Clearances -Hearth -eT.'_E1ec.__0utIets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance e utlets & Receptacles at Kit. Counter G rage Fire Door; Swing -Landing -Closer A . Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection b., Elec. & Mech. Equip. Listed for Location lec. eceptacles in Garage; (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 0 Yes ,X&. -Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 89,4Zriowing instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No tucco; Brown -Finish A.C. it; Disconnect, Electrical, Plumbing ,aa -'Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground ,W.. Ventilation Throughout House las Protection Corrections from Previous Inspections A9. -Gas Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date / r rtard B-1 Date Card B-1 Date C dar B 11 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE � T'-loc.r r" OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or d additional explanation, please contact this office immediately. g��Date` Inspector _ V 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: 872-6367 CORRECTION NOTICE ER T 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.. ,11 f[i T 1 S 1 } Date Inspector ENERGY INSTALLATION CERTIFICATE 1125? %. Building Owner Eat L -3, STd (,aT o Building Permit # l Building Location DESCRIPTION OF INSULATION ROOF Material / Thickness(inches.) -EXTERIOR WALL Material jr�I�p t 2 4 LASS Thickness(inches)yz _ Brand Name Thermal Resistance (R Value) Brand Name4!�2Fps'- (,06Z- mj) Thermal Resistance(R Value)_ t9 (CEILING Batt or Blanket Type RA7"T Brand Name 0141 AIS- Coo,fd)'J2 Thickness(inches)_ Thermal.Resistance(R Value) 3 D Loose Fill Type Brand Name . Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) ,^OOR, ELEVED Material -F) f- a- q LAs5 Thickness(inches) q,VZ FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Named I &-g - Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(k Value) I hereby certify that the above insulation was installed in the above building, -2s consistent- with -approved building-departmenit-plans-and--attachments and con= forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. S" 6 13 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a6 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 s equirements. EA- e -L S- S7—o 'BUILDING CONTRACTOR/OWNER (Please Print) ( -NAPME) S SIGNATURE OF BUILDING /OWNER HVAC FIRM-NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. E STATE CONTRACTOR'S LICENSE NO. 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 8P IT 0. 7 County Center Drive - Orovllle, Call-fo_rnla 9,5965 - Telephone: 916/538-7541 APPLICATION AND ERMIT ASSESSOR_ ftff8LMMB R • ZONING P1 BUILDING PERMIT OWNER Stev(e� & Marlene Stout TEL��FjO�FS30 y,} SQ. FT. OCC. BUILDING VALUATION OWNER'S iSltg'"I1lanzanita Ln. Davis, CA 95616�j CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee i $ ARCHITECT OR EN',INEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS 11283 Winding Way Clipppr Mills, Permit fee $ 162.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 81 SUBDIVISION NAME PARCEL MAP 135-32/34 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF)M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00 ea TYPE OF WORK New Addition F1 Remodel❑ Utilities❑ InstallationEi Other Describe work: 1st renewal of BP#1058=90 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N ACC, BLDGS. � New ,:2sgft MULTI -OUTLET CCO�NiSTR.� A 2/ NON.RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 209501 eAL93o FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. S . y ��— I o� Date Signature of Applicant — OWner ®. Contractor ElAgent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 162.00 HAz. CUn PARK SCHL FLo cDF PAR PD ) HD• IS. E This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid. PU L WORKS DIRE R;=KS BY Date PERMIT EXPIRES Date1j,_1$—q2 Receipt No. WHITE-D.P.W.. YELLOW-ASeES30A. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center ;give, Oroville, CA 95965 Phone: 916=538-7541 OTMR-BUILDER VERIFICATION Attention Property Owner: An "owne•r-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. 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 portion, of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number � = Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.:Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE-,9EPART,MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. S' ASSESSOR PARCEL NUMBER 73-26-03 ZONING R1 BUILDING PERMIT OWNER STEVE AND MARLENE STOUT TELEPHONE 756-9330 SO. FT. OCC. BUILDING VALUATION 1280 R 51,200 OWNER'S MAILING ADDRESS 1518 Manzanita Ln., Davis CA 95616 288 M 4,032 CONTRACTOR'S NAME O wner TELEPHONE 80 Open 400 CONTRACTOR'S MAILING ADDRESS Fireplace A 1,000 CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 56,632 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 304.60 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ 152.00 Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 11283 Winding Way, Clipper Mills Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 81 SUBDIVISION NAME Merry Mtn Village #2 PARCEL MAP 35-32/34 Water piping 5.00 5.00 Each qas water heater or vent 5.00 9-00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 s nn Mobile Home Is G W 10.00 e TYPE OF WORK New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other [X] Describe work: Replaces 1 ermit #667-89 _ Permit Fee $ 46-00 Contractor ELECTRICAL PERMIT Filing Fee Main service 600V OR LESS 100 AMP OR LESS 10.00 k Main service EA. ADD'L 100 AMP 2.50 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 NEW CONST. / DWELLING o e) OR ADDNS. l ACC. BLDGS. � /z2sgft 21-19.20 NEW CONSTR.MULTI-OUTLET, NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e 1SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 50¢ eAL@30 FIXED APPLNS. R EX. Occup. OUTLETS IIRESID.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 71 7n 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 FiIingFee 10.00 Heating Wall furnace 6.00 propane Cooling Hood 3.00 3.00 Ventilation 3.00 permit Fee $ 22.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in onsequ nce of the granting of this permit. n Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Insp ction Fee $ 30.00 occ Z CAONST YPE V TOTAL FEE $ 650.70 HAz .�., �uA* PARK — Sc�e FL PA Ho_ Iss / V This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE TOR OF PUBLIC By PERJT EXPIRES Date��i the applicable provi- resolutions to do have been paid. WORKS Date 11 9� /� Receipt No. �2 00 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY'OF BUTTE -.,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld; California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. A SESSO PARCEL NUMBER l0 3 ZONIN BUILDING PERMIT NER vC- Na0levt� fot,�� TELEPHONE � G-93 © S0. FT. OCC. BUILDING VALUATION � i OWNER'S MAIL( ADDRESS / rt z n ck- `-n v S IS 6 /� u- C� CON©TRACTOR'S NAME Y1, - TELEPHONE ©„�l/ ^ e -L O xio r) Fireplace 1,000 CONTRACTOR'S MAILING ADDRESS CON RUCTION LENDER dna UNKNOWN Total Valuation CJ56 6 Filing Fee S 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3tt ARCH TECT OR ENGINEER d LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ 45. CLQ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESSf Permit fee S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r M ? /A Solar or heat pump water heater 20.00 LO NO. / SUB 1VISION NAME & r r /� l 1/ llOt 0 PARCEL -SMA 3� Water piping 5.00 O Each qas water heater or vent 5.00 USE OF STRUCTLARE SF M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ;s Building sewer 5.00 Mobile Home Is G W 0.00e TYPE OF WORK New ® Addition ❑ ((//femojdjel ❑ Utilities Inst//all tion[]pOther ❑ Describe work: /1�p l(A CCS CO (o -7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VAMP OROR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 Q, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON 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. ( DWELLING OCC OR ADDNS. ACC. BLOGS. 2/20sgft NEW CONSTR. t.1LTI.OU I "I -R ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET Cl.. Ex. Occup(ouTLETs OR FIXTURES 205301 30qt FIXED APPLNS. OR Ex. Occup. OUTLETS (RE SID .) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $2/,20 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating m d ti 6k r C- Cooling Hood 3.00 Ventilation (� Permit Fee $ Contractor 1 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 y Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA tis Qstoraolons over 5'0" deep and demolition or construct- ion of structures over 3esin height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE // n TOTAL FEE $ HAz CUA PARK scHL FLD PAR Po Ho IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC - PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �7 7QO _m_By ! WRITE -D *Vi W., YELLOW -ASSESSOR, PINK -INSPECTOR,. GOLDENROD-APPLi�CANT TO Building Department FROM:* Environmental Health SUBJECT:_ Sanitation Clearance Owner Locat on AP.# Plan Approved for: Hold final for: Sewage Disposal Final clearance O.R. for: Clearance for _bedroom mobil home. Other NOTE *** Water Supply D -C -,LI Water Supply Water Supply (41 — Sanitarian Da 9 COUNTY OF ,BUTTE - DEPARTMENT .OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, OF 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ,,..�. Permit No. Q / OWNER (? U CL Sto u7t A. P. No. Proposed Building Use IA Building Inspector DateCM 9 At time o 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 Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to i Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit process as follows: MaiUo owner. Mail to contractor. Telephone -3 and hold for pickup at fO office. Deliver w. /inspector. Other Applicant Z o Date 1 i0 -90 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: u� 11 Contractor, designer, owner, was advised of above required data by_phone---nail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date �q Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE-- De-partment of Public Works_ 7 County Center Drive, Orovil,le, 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement fo or no) 02. I (have/have not) � R Uy signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to'provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: " Name Address Phone Type of Work Signed: Property Owner Social Security Number Date �= 10 - 9n 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. Ret urn I.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGENE T 005 234 FnR'RES`.[DXNT[-AL DEVI.?LOPMENT Sec I. i on ZG-ti. 1 of Ole BULLe Country .-Code requires this acknowledgement be recorded 1 5 19�q prierr to issuance of a building permit. The property describedherein is adjacent NOT C.0MPAREDVV1iFt to land or. :included within an area zoned O°101Nr�l [ OC�I�AFN� ['.or agri cu I t -ural purposes, and residents of Lhis property may be subject to incon- veniences or discomfort arising 'from the use of ngricu.l.tural chemicals, incl.uding, but not limited to herbicides, pesticides, and fertilizers; and from the 'pursuit of agricultural operations including, but noL limited to cultivation, plowing, spraying, pruning, and harvesting which. occasionally generate dust, smoke, noise, and odor. Butte County has estabI ishod ;,,,ri uI Lural zones which have as a pri.or-ity use fdr productive agricultural purposes, ;Ind w i.Lh in said zones and on adjacent property should be prepared Lo accept. sue h i uc nvc ii i c n or disconform from normal, necessary .farm operations. All, that real propert.y situate in the. County of: Butte, State of Ca.l.i•fornin, doscribc•d. ;i:; f of l Ows : LoT S m�� y000, �t4.1 N ►� �� 5 t��c� l�,s�oN J ;�,�, r z J 45 s e� N � r�% rv► >� P !- 7 k �-� C-C>a AL cq u.�j•j7 0F iii --'I C: S) L oL,PCkfAJ �. 0 N OC o ,' 3D , )96g l� hook 35J Ol' 01P4• - G, j 3 Z, 3 3 3 Dat c: _ 1 Z/ _ PROPERTY OWNERS St.ate of Californi)a On this the 14 day of March ly 89 be I'orc nic ,, SS. the undersigned Notary Public, personall.y appeared ('o(iIILy of POLO ) ** Earl S. Stout and Marlene L. Stout ** O Personally known to me.. x® Proved Lo me on Lhe b;Isi niuunuaamm�umAluammtamtmuhltaulmaunaumm�mcmuu o f .satisfactory evidence. LILIA VCHAVARIN to be the petson(s) whose name(s) ARE NOTARY PUBLICTCALIFONNIA subscribed to the within instrument and acknowl'c(lgecl lh,it �_rI A; PRINCIPAL OFFICE IN YOLO COUNTY executed the same for the purposes Lherei-n cont-a-ined. IN-WITNF,.S- R My Commission Expires September 15, 1989 WHEREOF, I hereunto set m hand and official seal.. Y !) olmwnuuluuu+auuuuulwllmuwucuuuulwwt,mnuwiu�Iuuuuua _ �M� - �� !t Noti:try Full ic• Present A.P. No. �Cr A MARYSVILLE JOINT UNIFIED SCHOOL DISTRICT CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES TO BE COMPLETED BY APPLICANT AND TAKEN TO MJUSD PART I 1919 B Street, Marvsville Property Owner's Name: ` Owner's Address: Project Address: J Parcel No. - Lot No. �� City or County: Building Dept.: / TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction Permit Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home TOTAL NUMBER OF HABITABLE SQUARE FEET:�,',, THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF THE SQUARE FOOTAGE AND/OR TYPE OF CONSTRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE. Applicant's Name: �'�`��)0 s��0 Date: �� / Applicant's Si nature: F, Y g PART II TO BE COMPLETED BY BUILDING DEPARTMENT (Optional) Total number of habitable square feet City of Marysville f'j<—. County of Yuba Signature �,® �,` , � � County of Butte W11` PART III TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): Fees Collected: # square feet x's $1.00 = $ Exempt from fees: Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature: Title: u e Date:ltq 9 �� i Original - School District Yellow - Applicant ` Pink - Building Dept.. , SD: co 3/21/88 RESIDENTIAL,PLAit CHECKING GUIDE (S.F:, DUPLEX & MISC. ONLY) Bldg. Permit ik 6 fol S% OWNER A. P. # 7 3 -- 2 G- 073 GENERAL _.ening requirements: (sideyards V. aluation. 3�lans signed by designer. E�tergy Design and Compliance. Existing violations on property. and number of permitted living units). PLOTT PLAN 1/,C plete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3� er buildings or structures. ading, fills, drainage. 5l- F -hazard. 6 Special conditions on creation map or compliance document. FLOOR PLAN 1 zComplete to scale plan with dimensions. $��tequired windows for light and ventilation (Sec. 1205). 3/ Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). 5� Human impact glass (Sec. 5406). 6,-�Required room sizes, ceiling heights (Sec. 1207). Z,FG.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). $Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. 7/85 maintenance of Locations of water heater, heating and cooling equipment, other electrical or gas /equipment, and plumbing fixtures. 10! Garage firewall, door size, and closer (Sec. 503(d)(3)). 1� 1 - 3'0" exterior exit door (Sec. 3304(e)). 1L/Fireolace and wood stove location. ly"i_-_�Smoke detectors (Sec. 1210). STRUCTURAL DETAILS foundation plan complete enough -:to construct building. Y. Floor construction details complete enough:to construct building. tlevations and wall construction details complete enough to construct building. 4/ Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. 6: Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 111! Exposure I plywood on exposed locations and overhangs. "tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). —3 --Guardrail details (Sec. 1711 & 3306(j)). —4:—Brick or stone veneer (Chapter 30). __-5,Exterior plaster - weep screeds (Sec. 4706). G Proper roof pitch for roof covering (Chapter 32). 7/ Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. dequate bracing. h6---tiving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,Yr—. -Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). -1-2-.--Attic access and ventilation (Sec. 3205). 1B_---�_Underfloor access and ventilation (Sec. 2516). 14 -,"—Wood stoves, clearances, alcoves & 1 -hour shafts. lii/-Combustion air for fuel burning appliances. 1-6 Oise requirements on duplexes. ,L7—i A3bbe soils - special foundation design. detaining walls requiring design. _1-9--U-n'usual shape, size or split level house requiring lateral design. �g7lct�i� cl�,IU�YIc[� r -r -r l+Vz• -vftUT F1w��-TD Frc�4T pd� MWI0I A K041 P& WNL - UP Ta T CCN (z�NIED VPHc- HaToN e Toro wH-L, � mt-vim Nt�w 7 •� M5VICLY�7 CM cog- QkTE.D f0 -4-t-Yi ft4z A-E' � rz a Tc-�--*oIi - (mm- ) GNB wcr� � A. c3. �►t� � T o, v� w/ 4-K8 file �,IN� 1 A1I7. Ott ! Z I� ,I { IGM4 Consulting Engineers i i GERALD A. MELE, CE; SE , MARTIN R. INESS, CE Tcr f� e f�� V41 ( IG) It.4 fob -o qwuo"n WU, mHG DW041 APPROVED QVof �ESti GERALO ME,L.• E S ASSOCIATES 7337 N.' FIRST ST., SUITE 110; FRESNO, CA 93710 (209) 435.1411 FAX (209) 435.1169 z a- A 1110- MVIM9HcrjHrq z Ht FoR MVM NINES —SHOMN cq 'M per4ft1N . IN FLAcE UNTIL rLYW42P �IFATHING1111 "LEV OF -r. _ �— G1 t" VIZ. elm -- x Iia 154WOMMIZ r 10 a ETy. c►a. o -w ewIJN1iqfm VE EIS II EINF'INEt SEE �� E Iye. Cut. oft 1`410 -MOM �bxaXIGtaM--U L-tDPOUTEV TYI'icp►l� II . IIC _wM� Wiz• (CWT.) 9 3d I fteTAININrq V^LL &5ECT10N 43CALE: I/QM-1-p MTAiNINfa WALL 5CHEDULE 'FI' N VeRr. FE1w. MACMN D .Ott �5 AT 5? o.c. M1 CP -OEM WA 'O F R5 .44 32 o.c . MID • ve:rr" Go t" VIZ. elm -- x Iia 154WOMMIZ r 10 a ETy. c►a. o -w ewIJN1iqfm VE EIS II EINF'INEt SEE �� E Iye. Cut. oft 1`410 -MOM �bxaXIGtaM--U L-tDPOUTEV TYI'icp►l� II . IIC _wM� Wiz• (CWT.) 9 3d I fteTAININrq V^LL &5ECT10N 43CALE: I/QM-1-p MTAiNINfa WALL 5CHEDULE 'FI' ver -r- FEINF26. VeRr. FE1w. MACMN D .Ott �5 AT 5? o.c. M1 CP -OEM WA 'O F R5 .44 32 o.c . MID • ve:rr" Go 13. 00 IP 5 MT 's2 o.c. M10- VCrTH 5r--100 It 5 ^T 244 0.c. IY2I C.LP- I� G• b w y PCT 24 o.e. 12 CLI'- . pl 7.0 Or93 N- Icao.c. IVZ" CLf -- 2•p Consulting Englneers _ GERALD A. MELE. CE. SE MARTIN R (NESS. CE 'A NiTTE COUNTY MUiE0C3 DPARrMF-N1 PPROVEI` GERALD MELE & ABBCCIATE3 7337 N. FIRST ST.. SUITE 110 FRESNO. CA 93710 (209) 435.1411 FAX (209) 435.1169 bq -Mca \ Io • + 841 \ F.I:. ^• \ 3 or. STRUCTURAL CALCULATIONS FORT 4v73arnhart �-�roryn almlloMid Corporation w /88/ A Rohlnton.S/ris% Po Boni /176 Orov//G, CA 91963 9/6/134=%9/% CIVIL ENGINEERS • LAND SURVEYORS Mv4HlN61 WALL Foix TO. CVT - i5ib�Ic N biVONoM C 9 BUILDING r DEpARTM AP PR ®' f Q-CFESS/ON NNTHp w mcrti 0. 2663 xp. 1 2 s �fglF ,�CT OCAllE�`��\ GERALD MELS & A88C3CIA-rr= 7337 N. FIRST ST:,.SUItt 110 •y�y tSNO, CA -937j0 . (209) 435 1411 FAX(209)43 Consulting Engineers GERALD A. MELE, CE, SE S MARTIN R. INESS, CE ��• �2�0 'O •�'aCI �C1:/e1•M• r cE ' .�� N f Nle �NP-!_. L . 1 .. 1.1 TO AT -P!,II:� K* 35AT i I 1 •, �"!'l ! �Ma�..r s ;ri?M , t ��iilj J ass 1II7S- Y {! f Ai� i ^�—f I �(o{�I�• 1''tI��Y li i _ !t e 3 � ] y. j I 3 ± � � i t - � , ; .. • .di��y' `�.��i'i^'� s' ��t-` ��j� •�•` � � �.��%��.i J �. ; fi:1/_� �f � .�'./.��.. i } . d I � } � � s ti� SL �j f , d I t ' Consulting EnglnGm.1 em GERALD A. MELS, CE, SE MARTIN R. INESS, CE ' }' PERAWE4.E 8 AO$19bC1�.�►te!B t 7337 N., FIRST ST;, SUITE 110 FRESNO{ CA 9371' "'.(209 435141(" (FAX '(209) 435!11'69 ' e I«I ff µ !r wt 4,_4" YNr',,, i i 1 1 , Y f lrtoo 1 r , 1501;' t • 1 zi: r7� � I ,� .. .gin-,. _.� , �. , ► , � � , � , jj44f 1 1 ` , ilii � 1 j r 1 f{ r J 1 � ! �b -y E Jill"' � 7337:N.IFtAST S"f! SUITE;11 Consultingngineeft GERALD A. MELE, CE, SE { 5 { MARTIN R. INESS, CE kMQ, "CA 03714-1'200' }t $35,�T4,t* FA (2�9)r 435-1169 (F 1 J / } I J F M i i 1 1 , Y f lrtoo 1 r , 1501;' t • 1 zi: r7� � I ,� .. .gin-,. _.� , �. , ► , � � , � , jj44f 1 1 ` , ilii � 1 j r 1 f{ r J 1 � ! �b -y E Jill"' � 7337:N.IFtAST S"f! SUITE;11 Consultingngineeft GERALD A. MELE, CE, SE { 5 { MARTIN R. INESS, CE kMQ, "CA 03714-1'200' }t $35,�T4,t* FA (2�9)r 435-1169 (F 1 ,+ f ; f ' t 76 7�ff' r I� Imo#• H1". ; � � I IV f I-4 wf.�. 115 117 117' I� r ,r1:�pr ID fa�r PL ;z �o'' ' -(1. I i �� ll Imo✓ 2XLP �UIp ��►�. O� j r , M.14 , Consulting Engineers 1 GERALD A. MELE, CE, SIE MARTIN R. INESS, CE f , j * , Yx r i { I GERALD MELEE ASSOCIA'`T;Et3 ' ' ' + 7337 N: FIAT ST„ 3Urm ti0fFRESWO, GA �i11�-{�2b9) 'ldti ;FAX (2b9 �t3S�1169 } r1 t t .E�+ ' ' 1. I .E�+ ' ' 1. .r - SAI: WOODMEN - 6eneral Timber Member Design .Version 1.01 05/25/89 - C4.0 Copyright (C) 1986, Structural Analysis, Inc. Indialantic, FL 32903 (407) 727-1562 User #880021 GERALD A MELE AND ASSOCIATES _ FRESNO CA 93710 Input data filename: a:a126.dat DAT: 10- 3-1989 TIME: 17: 5: 5 JOB TITLE: RUN 1 MEMBER FORCES AND UNBRACED LENGTHS AXIAL ECC TRANS SHEAR KX LUX KY LUY LOAD MOMENT kips in ft -kips kips feet feet 1.84 .00 .00 .00 1.00. 11.50 1.00 - .50 MEMBER GEOMETRY TYPE BMIN BMAX DMIN DMAX SSBINC SSDINC D/T TLAM in in in in in in in 2 1.50 2.00 5.50 6.00 .00 .00 .00 .0V STRESSES AND ELASTICITY FB FC FT FV E DUR FIRE MOIST psi psi psi psi ksi 850 675 375 95 1500 1.15 1.00 1.00 CALCULATION PARAMETERS CLX CLY LE CS CK CF K 72 13X Z3Y 14 XINTX XINTY 25.1 4.0 11.5 5.3- 31.8 1.00 29.5 .76 23.33 .83 1.00 .98 .00 .00 RESULTS IDENTIFIER TYPE B D " FV fVA FB FBA FT FTA FC FCA INT )TOTAL LOAD 2 1.50 5.50 0 109 0 978 224 431 0 0 .52' Itttftttttttttttlttttlttttttttttt MEMBER FORCES AND UNBRACED LENGTHS AXIAL ECC TRANS SHEAR K% LUX KY LUY LOAD MOMENT kips in ft -kips kips feet feet .56 .00 .00 .00 1.00 11.50 1.00 .50 MEMBER GEOMETRY TYPE BMIN BMAX DMIN DMAX SSBINC SSDINC D/T TLAM in in in in in in in 2' 1.50 2.00 5.50 6.00 .00 .00 .00 .00 oinLa:Lo ni.0 cLHDIILLII r FB "FC . FT FV E DUR 'FIRE MOIST " psi psi psi psi ksi 856 675 375 95 1500 1.00 1.00 1.00 CALCULATION PARAMETERS CLX CLY LE CS CK CF K i Z2 Z3X 13Y 14 XINTX XINTY 25.1 4.0 11.5 5.3 34.1 1.00 31.6 .68 23.33 .87 1.00 .85 .00 .00 RESULTS IDENTIFIER TYPE B D FV FVA FB FBA FT FTA FC FCA INT >FLOOR + DEAD 2 1.50 5.50 0 95 0 850 68 375 0 0 .18 trrttftftfttltffrtfftrrfttfttfttf ' MEMBER FORCES AND UNBRACED LENGTHS AXIAL ECC TRANS SHEAR KX LUX KY LUY LOAD MOMENT kips in ft-kips kips feet feet .56 .00 .41 .14 1.00 11.50 1.00 .50 MEMBER GEOMETRY s TYPE BMIN BMAX DMIN AMAX SSBINC SSDINC D/T TLAM in in in in in in in 2 1:50 2.00 5.50 6.00 .00 .00 .00 .00 STRESSES AND ELASTICITY FB FC FT FV E OUR FIRE MOIST psi psi psi psi ksi 850 675 375 95 1500 1.33 1.00 1.00 CALCULATION PARAMETERS CLX CLY LE CS CK CF K i Z2 13X 13Y Z4 XINTX XINTY 25.1 4.0 11.5 5.3 29.5 1.00 27.4 .86 23.33 .77 1.00 1.13 .00 .00 RESULTS IDENTIFIER TYPE B D FV FVA FB FBA FT FTA FC FCA INT >FL + DL + WIND 2 1.50 5.50 26 1Z6 655 1131 68 499 0 0 .72 ftffftrrtfrtrftfftrffrtfftrfrtrtr - END OF NOODMEM Elapsed Time: 0 ®in 7 sec I 1 � i x,12 �1,5t1.5) = 12Z� f , f t • i } � ..i. � � ��•� Ste• f �� I ' `• ' i 1 j � { { r .. � ! 1 •,.- i.; i � rz I ! 1 j1- I I r wL Pt- 2 3 C�oZ� -e-a.1507 { iIIr!11 j CAL oil' �L►1'1 i � � • �� , , f r 1 ' I 122:►c I:s' �8♦� I U NrqcF,n =�wl+ 1. 2z 79 IN 3 �.� �!'-��, 4N�! ►��:D U.� ��1-�t -2� +o, �., vim'• r' GERALD MEL- E E► ASSaOCIATES = I 17337 N FIRST ST; SUITE 110 FRESNO; CA 93710 '(209) 43511411- FAX (209) 435.1169 r,I � r � Consulting Engineers GERALD A. MELE, CE, SE MARTIN R. INESS, CE IS ,IK'REGIS o 4 1133't"l 391 . 50 SHEETS 5 SQUARE' <2182 100 SHEETS 5 QUAPE 200 SHEETS 5 SQUARE qj alt. 391 . 50 SHEETS 5 SQUARE' <2182 100 SHEETS 5 QUAPE 200 SHEETS 5 SQUARE I 000000 too `Z.9 V op (�W i a•2 -meq T%b*, ip of plan "d speciifcasom MUST bb kept on the job at all times and It Is unlawful to make any chaaues or alterations on same wi" vwh n permisson from the Department of PubJk Works, County of iota. NO:—AA Wiaferials & Workmanship..ShaN Accordance with Rocognized Goad Practice, Of a quality prescribed for the SpeciN, d' "use i Uniform ilui;ding, Plumbing $ MechnniaJ Code 49 National Electrical Code, i lin a (tv. .-77 � GU �U Qµ� I CMTWI' - �v \<u:v) civ wv1st,� C f��-SL . (Fl�-�) 7 - BUM AQUI 570' BUILDING DPAN A PPROV and the and '2.781 50 SHEETS 5 SQUARE AWN."'2.582 100 SHEETS 5 SQUARE A 42.589 200 SHEETS 5 SQUARE N � v G.74 C G ✓ w • Gn RE �S* -t oq is V I, I 5vovdtacj 3S " 47 _7r �2 0.050. �-Z S�► ', UO;e OF 1�3 IV s Nqt Cse° o• r �, SFS: 41 T4- i,5 o►� 571L 0 2'sVc� Civ V.4'OF CA o ,12 :�L KOLL 0 113 000 02� ,, . • �3 �� v ?xtn' - , 3 S �1°l � �I> '� •� (�`' �r4,- � ��) � . • ;;tin` N `�-1 (-� 6 O'm rvo i 1►JG� �� C,ti � : �r P ,or F j ,"578 (vim v J' C n d5�y.�.�?�w"�d�+..►:y4?:�AJ�P��`'�f�-v dt`Stli+7o�raz�u'19rb�' itikX 4tr%�r« `�%' � Mrd , '.r 5� . t r .v ;r ♦7-781 SO SHEETS S SOUARE ♦7.787 100 SHEETS S SOIIARE NA Atin 77.789 700 SHEETS S SQUARE cc Tom• G Cv °this set of plans and specifications MUST be B�T�E COUNTY make anon y job at all times and it is unlawful to BUILDING DEPARTMENT -13- �� wri*en Permiss on fronges or m the Departmenterations on same without rc Works, County of PuF� A PPPOV. F°� 6i • RAM -71 6�� j----- ----- 17 ---- �Tor- or cum i�v' .r I PCWME'fER otoll I � SLAb t 1N411 � I W0012 M0101ft i i View SIC.r'.L.L-: 141=11.011 ,7i�NE�L Pl��i; QROFESSIp,� p,NTHp q�F I. Ermp .lwco 4- WASLL Pr-equip ��o ti� . c- j 5EE 51-fEET 4" LAYOUT- w �, r mO.� 2. ELEvAT10Ng INtACAq 7' ON TNIS Pll�I / 6 /92 i P4'PDX. PEP- coN (Fir --W vEPI" sl sIRUCWR�`' qlF OF CA0\3 GERALb MELE & ASSOCIATES 7337 N. FIRST ST., SUITE 110 FRESNO, CA 93710 (209) 435'1411 FAX (209) 435.1169 Consulting Engineers — GERALD MELE, CE, SE MARTIN R.. (NESS, CE 8 1• I Zlo IO. 4'�I 1• 0� y� 1 �s•1 1�., T y SUM COUNTY. BUILDING Dr=PARTMMV APPROVED mvi m sh" INrq FoR MTAI NINCq wel.L —SHoRIN r=I io PemkIN IN rLAc-E UNnL SLfb Ig poure" V 0 T0 4- 5 51 7 01 311 GLf+. M mrrr- TO Vr~HGO Illy ENDEAvaR HOME► MR *+ X41' lap r---- I III VE KT I CAL- f zEIHF0E-CCINCq SEE CvC HEAULE • Iy2N CL.R. of MID •DErM ... 5EE gCHEUULE �I 40 e!011 — axbx IG c.M.U. WALL SOLID CIMUTED — #4 M 32N0.c.H0RI7Z. r(ric^L 4 AT 3211O.C. III 11— II lV Q L--- M *4 HoRIz. (coNT.) AT FTEs. MAININE� WALL. d5ECT10N 5GALE: 1/911=1.0 M-Ph%iNIN6i VERT FEINT WAT 52 o. c. s<15 PT 32 o.c - 5 AT 321 o•c. 5 AT 24 o. c. # g AT 2411 o.c • ''5^T Irollo.c. M�A Consulting Engineers GERALD A. MELE. CE. SE MARTIN R. INESS, CE WALL. 5CNEDULE: Q�o�1 sS/ k�O PNTH0 Fac W W� m m o. 2U3 m E OF-CAI-�F� VERT: DINT mAcMN ID' MID -OEM WA MID . ve-rrH GN MID- DEPTH I-pll IVZI CLR I ro- I IftII CLF-. _ - 01 I 11/211 cLFi• 2-01 GERALD MEL.E & /: BSOC,IATES\ 7337 N. FIRST ST., SUITE 110 FRESNO, CA 93710 (209) 435.1411 FAX (209) 435.1169 8q•I'Lco I0•4•891 F.F-.A. 2 of 4. VWTTE COUNTY i BUILDING DEPARTMEW APPROVED %3 ' WALL N IGJ AT 12110.c. E.N. (31 IBJ T•N. / bl.k. 1/240 x lou A•5. AT 1200.C. HM. 4 WAN 10 of OoFMf- #9- pT 2011o.c. Vt%--RTIcAL Z 4 HqW. (cam) NT•) Tor q bo1ToM Il lel q 311 DLit. � mil jNSi T'rl" IC'A .. Mfl METS FtOPNEzi mix Consulting Engineers GERALD A. MELE. CE, SE MARTIN R. (NESS, CE ReFER To DRAwiwo 6v eoveAmofk FbME FOF - ^LL. MEP- . IN TIO N GERALD MELE & Ai980CIATES 7337 N. FIRST ST., SUITE 110 FRESNO, CA 93710 (209) 435.1411 FAX (209) 435.1169 $9.12Co 10.4.81 F •%� • 3 of 4 PJTTE COUNTY WJWNG DEPARTMENT A'PP-.POVPD.� TNPTAILS FOR.SIZE AND SPACING OF 8x8x IG C.M.U. (50LID. gf20VMP) SEE Mt. lie - fCfz 1"VTORCINEa CONTINUOUS SPREAD FOOTING STEPPED FOOTINGS MAA Consulting Englneers GEnALO A. MELE, CE, SE MAnuri n. INESS. CE GERALD MELE & ASSOCIATES 7337 N. FIRST St., SUITE. 110 FRESNO. CA•93710 (209) 435.141) FAX(209)435-1169 8°I.12� Io • 4� a9 �.A. 4 0� 4 . J f T A PJTTE COUNTY WJWNG DEPARTMENT A'PP-.POVPD.� TNPTAILS FOR.SIZE AND SPACING OF 8x8x IG C.M.U. (50LID. gf20VMP) SEE Mt. lie - fCfz 1"VTORCINEa CONTINUOUS SPREAD FOOTING STEPPED FOOTINGS MAA Consulting Englneers GEnALO A. MELE, CE, SE MAnuri n. INESS. CE GERALD MELE & ASSOCIATES 7337 N. FIRST St., SUITE. 110 FRESNO. CA•93710 (209) 435.141) FAX(209)435-1169 8°I.12� Io • 4� a9 �.A. 4 0� 4 e"d* alJut OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Earl S Stout ADDRESS: 1 518 Manzani to Lane CITY & STATE: Davi s CA 95616 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: April 10 1990 ON REVERSE SIDE nrs.nr cur ccr'civluc nnnm nR SERVICES I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. de of ./ 1�r , 19 C.yr et Q.t.`'' `. . Calif. ..�,L. L L..L ..r% ..`.....1.L �•S�.L! X Dated this y ......... ........ ......................_... S, •••'••'••••'•""""""' Signature of Claimant I, the undersigned, hereby certify that,. to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) for a same. Dated this .l0.th............... day of .... Ap.1;. 1........... 19,9.Q. at .......Oroville . Calif. ............................. ......... . """"' a artment Head or Authori D eputy Dept. /�'. /� Exp. /� n Const. Permits Code ......... I�l.10-002..;.......... Code ..... 2105QQ .......................PAYABLE FROM.................t......,...............s DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY FUND DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT DATE Owner has decided not to do work. Permit #667-89B,P,E,M9 48773- 436306 dated 3/9/89, #44622 dated 8/3/89, #48773 dated 11/8/89. Total Fees Paid--------------- -------------------- 703. Retain Building Permit Filing Fee-----$ 10.00 Retain Plumbing Permit Filing Fee----- 10.00 Retain Electrical Permit Filing Fee---- 10.00 Retain Mechanical Permit Filingee--_-159.50 Retain Plan Checking Fee------------- - Retain Energy Plan Checking Fee------ 15.00, Retain Revised Plan Checking Fee------ 15.00 Retain Revised Plan Checking Fiie------'uu Total Amount Retained---------------------- -------$244.50 TOTAL REFUNDDUE ---------------------------------- . TOTAL $458 70 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. de of ./ 1�r , 19 C.yr et Q.t.`'' `. . Calif. ..�,L. L L..L ..r% ..`.....1.L �•S�.L! X Dated this y ......... ........ ......................_... S, •••'••'••••'•""""""' Signature of Claimant I, the undersigned, hereby certify that,. to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) for a same. Dated this .l0.th............... day of .... Ap.1;. 1........... 19,9.Q. at .......Oroville . Calif. ............................. ......... . """"' a artment Head or Authori D eputy Dept. /�'. /� Exp. /� n Const. Permits Code ......... I�l.10-002..;.......... Code ..... 2105QQ .......................PAYABLE FROM.................t......,...............s DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY FUND DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. Pp� w"5v-ll--u4c1>1ll je,�" -aa �- fi4 L mos r o *a&. -P gd- 6,q- �� California Building Officials PRESIDENT MARTIN ORENYAK Community Development Director City of Carlsbad VICE-PRESIDENT MILTON A. TROMBORG Community Development Director City of Dinuba I TREASURER WARREN V. O'BRIEN Executive Officer Department of Building and Safety City of Los Angeles SECRETARY FRED B. CULLUM Building Official City of San Mateo DIRECTORS FRED NORTON, C.B.O. Chief Building Official 1 County of San Luis Obispo WALTER T. LOPES Deputy Director of Public Works Building Division County of Merced BOB WILBURN City Manager/Building Official City of San Joaquin DONALD L. WOLFE Superintendent of Building County of Los Angeles PAST PRESIDENT JAMES W. BARTHMAN, P.E. Manager, Inspection Services City of Oakland CALBO CONSULTANTS CONNERLY & ASSOCIATES, INC. 2215 21 st Street Sacramento, CA 95818 (916) 457-1103 COUNTY OF BUTTE,.- DEJP*TMEAT OF PUBLIC WORKS 7 County Center Drive - Oroville, Callfornta 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSM PAR L UMBER --- ZONING BUILDING PERMIT OWELE H 6- SQ. FT. OCC. BUILDING VA TIO 4N, f1fY) OWNER'S AILINN DRESS v► ' v ' S CO ACTOR'S NAM T LE HONE CO RACTOr<'S MAILING ADDRESS Fireplace CO T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,OO LENDER'S MAILING ADDRESS Permit Fee $ i AR TECT OR ENGINEER LICENSE NO. Plan Checking Fee $4 Energy Plan Checking Fee $ ARCHI EC OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / 01 Permit fee .$ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LO N 5 IVISION N ro IPARCEL MAP 5 �a 3 I Water piping 5.00 Each qas water heater or nt 5.00 USE OF STR TURE SF t Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 lumtl& 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New YV Addition ❑ Remodel ❑ U mi s ❑ installation[] Other ❑ Describe work: _, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license 1$ In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC '/zQsgft OR ADONS. ACC. BLDGS. 61 NEW CON5TR MULTI -OUTLET 2,50 ea NON-RESID .BRA CH CIRCUITS) /POWER APPARATUS e\ (SINGLE OUTLET CIR. / 20@Ex. OCcup(OUTLETS OR FIXTURES 300 DALOALoSo FIXED APPLNS. OR EX. Occup. OUTLETS IRESIO.1 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 141 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. MECHANICINL PERMIT Filing Fee 10.00 Heating W& — m Cooling ^- Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequen a of the granting of this permit. _p_ J� X Date 1 / o Signature of Applicant — Owner Contractor ❑ Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolit' n or cyst ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ` 2.CCg.I CONST.TYPC SCNo PLaOD / PARCEL PD ND su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O PUBLIC y PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date CEI(O—off d1 Jr 0 Receipt No. ywz� WHITE-D.P.W., TELL0W-A9eEe9oR, PIN INsPLCTOR, GOLDENROD-AP►LIC COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET i V SSf- Permit No. OWNER �61 V e out A. P. No. o%��i.� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . Plot plans in 1-Icpte/ iplicate, signed by preparer of plans........ 3. Complete pl n ate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation . Statement of Intent for Non -Heated and AC Buildings `7. Engineered truss details and layout in duplicate (required prio ) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid .............................................. / t/ School Dist ict fees paid ................. 3. anitation approval from Health Department ... 4. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 1y. Improvements may be required. riveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .. , , Pre-Inspen request to id p �) •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... ___0�2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ Recorded copy of Agricultural Acknowledgment Statement ............ .24. Letter of signature authorization ..................................... 1 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. —� Telephone` 5(2 93W and hold for pickup at Lkb. office. Deliver w/inspector. Other L II11 Applicant X �_��_ Date2 - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted priqtj.tZpermit issuance: (Circle new.item•not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, wa"dvised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by _File cabinet�/ .% r' folder�� Date --1/– % – ic COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) gyp. 2. I (have/have not) signed an application for a building permit for the proposed work.' 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan -to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name V"IWM dAyO,-1 - 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 U 0 k_ V4 Signed: Property Owner �� S . Social Security Number Date 3 —R —P°1 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. Q (FUND CONTROL COPY) RECEIPT - MARYSVILLE JOINT UNIFIED SCHOOL DISTRICT 1919 B STREET MARYSVILLE, CA. 95901 DATE 19 RECEIVED FROM FOR V'3 5- �T S 3 CASH CHECK OTHER AMOUNT �s:f �� yr,V ✓ ' `^"'�'�O1�G+"'�� ` DOLLARS AMOUNT RECEIVED BY (,Q L• FUND RECEIPT NUMBER GEN. P/L BLDG. OTHER 19718 RESIDENTIAL 9G — I,/A& 073-260-003 PERMIT#96-t099- STOUT, Earl S. 11283 Winding Way, Clipper Mills Add Open Deck/SF 1 a r o `' JOB FINALED (Date) Signature V=OK 0 = Not OK Not ' = Not Ready 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/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PL'ft. / /Nat. or/ /'L°ft./ /LPG ISCELLANEOUS Date 7. Well Clearance & Disconnect 8. Utility Clearance Soils -Size -Depth -Spacing -Connectors -Steel ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 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; SizeSpacing-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 Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert of Occupancy 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date DECKjVCOYERS, CARPORTS, GARAGES(Plans) OK except #'s g Requirements -Setbacks -Easements Soils -Size -Depth -Spacing -Connectors -Steel ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans)�OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ------' 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 47':Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties- Purlin-roof Brac-Truss-Shth 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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric: Underaround Date ELECTRICAL (Permit) OK except rr's 22. Fixture & Transformer Clearance -Ins. Protection -- -- ----------------- ---- ---- -------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------------------------------------------------- --- ------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------I.._.... .. 25. Romex Installed Close to Edge of Studs & C.J. -------------...------------------------------------- - - .... 26. Equip Ground made up wrMech. Fastners-Bond Gas & Water ------------------------------------------------- -------- -I......-. 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------- - --------------- . .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------------- ----------------... - ----------.... .. 29. Range Circ. r I ga. Cu or AI -Oven Circ. I r 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 --------------..._................. --- ---- ................ ... ... I... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support - --------------------------- ......................... ---........................... __....- 35. Vent Fan: Exhaust above insulation ----------- ------------- ....... -------------- 36. Condensate Drain & Overflow: Sze & Grade -------------- - -........... . ....................... ..... . . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ----- .............. ... _ ... ... .. 38. Attic Access & Platform if Furnance in Attic ------ -------- --- - - ---- _-- -- Date-- .Date Cartl B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors - .... ... --. ... ... ... ... .... _... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound . .. ._------------- --- 41. Bearing Walls over Girders & Floor Nailing ....... .._................ ... ... .. 42. Draft Stop in Walls (rat proof) ...... -- . - ....... ... .. ............... .... 43. Fire Stops. Furred Ceilings -Stags -Chases -Tub 44. Headers & Beam -Size & Bearing 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: Nailin 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 ✓r's 61. Ext. Steps -Door & Sidelight Protection -Landings -------------------- - 62. Smoke Detector -- ---------- "----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------ 64. Bedroom Exiting ... - -- - - --------------- 65' G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------ ---------------------------- 67. Stags & 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. -----------------------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------- ---- ---------------------------- ------------ 7;. 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, ----80. Following instld.a 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 - - - - . _ ..- - - - - - - --- . _..---------------------------- a4. Water Well: Disconnect. Electrical. Plumbing . .. . .. ... ..... . .....----------------------- --------- --- - 85 Exterior Elec, Trim; G.F.I. Receptacle -Underground - - ----------------------------------- 86 Ventilation Throughout House -- ---------------------------------- 87 ---------- ----------------------a7 Glass Protection _ . .. ....... _..----------- ioec-- -- ----------- aa Corrections from Previous Inspections --- .- ----------- ------ ----------------- TaG- a9 Gas Test -Meters Tagged: as -Electric _. .. ....__...--------------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval . ... .------- --------------------------------- 91 Energy Compliance ante Cert hcate-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: 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B:1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date PLUMBING (Permit),OK except rr'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 rr's 22. Fixture & Transformer Clearance -Ins. Protection -- -- ----------------- ---- ---- -------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------------------------------------------------- --- ------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------I.._.... .. 25. Romex Installed Close to Edge of Studs & C.J. -------------...------------------------------------- - - .... 26. Equip Ground made up wrMech. Fastners-Bond Gas & Water ------------------------------------------------- -------- -I......-. 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------- - --------------- . .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At --------------------------------- ----------------... - ----------.... .. 29. Range Circ. r I ga. Cu or AI -Oven Circ. I r 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 --------------..._................. --- ---- ................ ... ... I... ... ... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support - --------------------------- ......................... ---........................... __....- 35. Vent Fan: Exhaust above insulation ----------- ------------- ....... -------------- 36. Condensate Drain & Overflow: Sze & Grade -------------- - -........... . ....................... ..... . . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ----- .............. ... _ ... ... .. 38. Attic Access & Platform if Furnance in Attic ------ -------- --- - - ---- _-- -- Date-- .Date Cartl B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors - .... ... --. ... ... ... ... .... _... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound . .. ._------------- --- 41. Bearing Walls over Girders & Floor Nailing ....... .._................ ... ... .. 42. Draft Stop in Walls (rat proof) ...... -- . - ....... ... .. ............... .... 43. Fire Stops. Furred Ceilings -Stags -Chases -Tub 44. Headers & Beam -Size & Bearing 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: Nailin 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 ✓r's 61. Ext. Steps -Door & Sidelight Protection -Landings -------------------- - 62. Smoke Detector -- ---------- "----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------ 64. Bedroom Exiting ... - -- - - --------------- 65' G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------ ---------------------------- 67. Stags & 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. -----------------------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------- ---- ---------------------------- ------------ 7;. 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, ----80. Following instld.a 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 - - - - . _ ..- - - - - - - --- . _..---------------------------- a4. Water Well: Disconnect. Electrical. Plumbing . .. . .. ... ..... . .....----------------------- --------- --- - 85 Exterior Elec, Trim; G.F.I. Receptacle -Underground - - ----------------------------------- 86 Ventilation Throughout House -- ---------------------------------- 87 ---------- ----------------------a7 Glass Protection _ . .. ....... _..----------- ioec-- -- ----------- aa Corrections from Previous Inspections --- .- ----------- ------ ----------------- TaG- a9 Gas Test -Meters Tagged: as -Electric _. .. ....__...--------------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval . ... .------- --------------------------------- 91 Energy Compliance ante Cert hcate-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: 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7County Center Drive - Oroville, California 95965 - Telephone APPLICATFON AND PERMIT BUILDING DIVISION (916) 538-7541 /� _ � `PERMIT NO. ASSESSOR PARCEL NUMBER 073-260-003 R1 ZONING BUILDING PERMIT OWNER EARL S STOUT TELEPHONE 675-0655 SO. FT. OCC. BUILDING VALUATION 120 0 840.00 OWNER'S MAILING ADDRESS 11283 WINDING WY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 840.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 11283 WINDING WAY PERMITFEE $ 66.00 PLUMBING PERMIT Filing Fee 20.00 CLIPPER MILLS Each Trap 7.00 LOT NO. SUBDNSX)NS NAME PAR L MAP _IL Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition OZR.model ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6' X 20' DECK (OPEN) Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.00 00 00V OR LESS Main Service .0 ( 200A OR LESS ) 23.00 —0 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ( &ACC. ) 3.5¢ FT. UTLEBWS NEW CCONST. MULTI-OUTLENS. T NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (6 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) BA2e I. L 50 Ex. Occup. (Gums PES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply -th those provisions. X �_ _____ Date �,17 gnature of Applicant - ❑ ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ.D. _ FEES — IMP FLOOD — CDF PARCEL PO HD ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY at�ey PERMITEXPIRESON / (Date) ReceiptNo. 201979 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT d 0 O H A a 0 r 0 3 � oMM V u� d ..r�---- -�♦-.. •rYn+-s-' + •.. vim. �.. �.r �. ,.♦--�+•� ....rv.-..�--•-�r1♦T-.w -IPT r--. _.. . COUNTYOF BUTTE - DEPARTMENTOF DEV LbPMENTSERVICES - BUILDING DIVISION 7COUNTYCENTERDRIVE - OROVILLE, C'LIF,ONIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET �✓ OWNER �U✓� No. (071 t Proposed Building Use 0RL- J_V_A-1,3r- Building Inspector //LL - Date lP o17 `7(O At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 'n DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............:............................. . 6. Energy Design Compliance and supporting documentation . ............ ...... . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flo}�d�,by. California Engineer . .............. . Ov(I12 Sanitation and plot plan approval Health Department . ............'. 15. City of Chico plumbing permit ...... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage ...... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . Pre -Inspection request 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner. . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ........................................ - 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... �► 27. Letter of intent on building use. 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant OA- `s Date f ^z 7 96 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. '1 ire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Z, -)t= Date Setsof plans on hold in File cabinet AP folder Copy - Department of Public Works 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. DI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ >J, NO[ ]. 2 I HAVE jJ SAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: Com' PHONE; CONT'RACTOR'S 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: NA -IME: ADDRESS: ��' PHOS; CONTRACTOR'S LICENSE NO. but I have contracted (hired) the following persons to 5. I will provide some of the work provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY- OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19331 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our ofTice before we are permitted to issue the permit. OVER . t;f i. ., •sy.•, it � CID .•r� I � , �,Q. M 1 it q 0 21 0:4 s C o o m ma 050 0 0 m mmfi cr) cl) ay m m =i m v v 0, (A Ile,i � Lv -- -••- ' "J -•-•-y - 5. Infiltration (Air Leakage) Number of stories Interior Thermal Mass 12. Coolingsystem R -value One Two Three Specification Points exterior Slab Floor ' R-0 -120 -59 -40; Standard � � p Raised Floor SEER - R-19 10 5 Mass Stories Stories (assumes ducts in attic) R-30 .2 _i -0 /CFA One Two Three One Two Three R-38 0 0 0 0.0 -10 -6 -4 -2 -1 -125 or -24 to um 4 to of 1 -4 to +6 to 16 or U -value 6. Glass Heat Loss 0:3 ,8 2 0 0 SEER less .15 5 +5 +15 more 0.50 -200 _99 -66 Total U -value 0.5 -7 .3. -11 2 2 8.0 -6 5 3 2 1 0.30 -118 -59-09 Percent .51 to .41 to .31 to 0.30o 0.7 -6 -2 -1 2 2 3 8.5 •2 .2 -1 -1 0 0 Glass Single Double .60 .50 .40 less 0.9 -5 -1 0 2 3 4 89 0 - 0.10 -02 -16 -11 . p 9 0 0 0 0 [j 0.08 -23 -11 -8 50 -190 -85 -63 -41 .20 11.3 .4 1 2 q 4 4 9.0 1 0 0 0 0 0 0.06 -14 7 5 40 141' 59 42 25 8 8 0.04 -5 -2 1.5 -3 1 3 5 6 6 0.0 6 4 3 2 1 p ( 0.02 5 2 : Z 35 -117 -46 .31 -17 .2 12 20 -1 3 4 6 7 8 10.5 8 6 0.00 14 7 30 93 34 21 9 3 15 25 0 4 6 8 9 11.0 10 8 5 3 2 0 ' - 4 ; 29 -88 , 31 -19 -7 5 16 3.0 1 5 7 9 10 0 120 13 10 8 5 3 0 • 28 -84 -29 -17 -6 6 17 1 3.5 2 6 8 10 11 12 13.0 16 13 9 5 3 0 27 -79 .26 -15 .4 7 17 p fi 2. Wall Insulation _' 26 -75 -24 -13 3 8 18 4.0 3 7 9 11 12 13 t -Single- Single 70 22 11 1 9 19 I 5.0 5 9 11 12 13 14 Effective SEER 24 -65 -19 -9 1 10 19 11 13 14 14 (SEER x duct efficiency) Family Family Multi- I 5.5 6 10 12 14 15 15 R -value Detached Attached Family 51 17 7 2 11 20 6.0 7 11 12 15 56 14 5 4 12 21 16 16 22 6.5 7 11 13 15 16 16 Effective -25 or -24 to um4 to 1 R-0 -102 -4 to +6 to 16 or -{ -77 -51 • 21 � -52 -12 -3 5 13 22 7.0 8 R-11 -11 -8 •5 20 -47 -9 -1 7 15 22 7 12 13 16 17 17 SEER less 15 5 +5 +15 more l R-13 -8 -6 -4 19 43 7 1 8 16 .5 8 12 14 16 17 17 R-19 0 0 0 j 18 -39 -5 3 10 17 24 8.0 8 12 14 16 17 18 5.0 -16 .13 -10 6 -3 0 17 34 2 4 t1 18 24 8.5 9 13 14 17 18 18 6.0 5 4 3 -2 1 p U -value 16 30 0 6 13 19 25 6.6 0 0 0 0 0 0 0.80 212 160 107 15 25 2 8 14 20 7.0 3 2 2 1 1 0 ( 0.50 -132 -100 -67 + 14 -21 5 10 16 21 26 8.0 9 7 5 4 2 0 A. 0.30 -74 -56 -37 •13 -17 7 12 17 22 27 10. Exterior Wall Thermal Mass 100 17 id 10 5. 3 0 0.10 11 8 6 12 12 9 14 19 23 28 0.08 -5 -3 -2 11 -8 12 16 20 24 26 ' Exterior Si,Sigle- Single- 11.0 20 16 12 8 4 p __. 0.06 2 1 1 . _ 10 4 14 18 21 25 29 Wall Family Family Multi - 120 23 18 14 9 5 p { 0.04 9 6 4 9 0 _]6, 19 23- 26 30 Mass Detached Attached Family 13.0 25 20 15 10 5 0 0.02 15 11 8- 8 4 P1 24 27 30 ! 0.00 0 p 0 Zonal Control Adjustment 0.00 22 16 11 0.20 - 0.40 5 4 1 10 8_ 6 4 _2' 0� 0'60 7 6 4 1 No Cooling System Installed 3. Raised Floor Insulation 7. Shading (Shade Open) 0.0800 13 8 5 stories. 10 6 One 0 G 0 0 0 O a Insulation in Floor 1.20 16 12 { Effective Percent Glass ; 1.40 1g 14 9 Two+ 5 ' 4 - 3 2 _ 1 0� i; Number of stories (percent glass x SC) 1.60 22 16 11 13. Water Heating R -value One Two Three Effective i 1.80 22 19 12 �Fa - D,_ 200 22 21 Single -Family Detached and Attached_ - R-0 24 -12 5 Ya Glass North East South West Skylight 14 On -it Siie s R-11 -5 � 1199 1200 1700( 2200 2700 . { R-19 0 0 0 16 9 6 12 4 na eater Credit or t0 to to or i R-30 4 2 1 14 7 6 11 4 na Type TYPe less 1699 2199 2699 more •=� : U -value •- 12 g 6 10 4 na � 11. Heating System 6 9 4 na SG None 0 0 0 0 0 0.60 219 -103 11 5 5 8 4 na SE or HSPF or Solar 12 8 6 5 4 0.50 -180 _85 57 10 4 5 8 4 4 HP HWR 9 6 4 3 3 -55 g q 4 7 ( (assumes ducts in attic) WSB 17 12 9 7 6 '1 0.40 -142 -67 .44 0.30 103 49 32 8 3 4 6 4 5 Sum of 1 6 POU 9 6 4 3 3 1 0.20 -64 -31 .20 g 2 3 4 3 5 25 or -24 to -14 to 4 to +6 to 16 or SE None ai 0.10 .24 _12 -8 5 1 2 6 SE HSPF less -15 -5 +5 +15 more -26 -19 -15 -13 0.08 -17 -8 2 3 Solar -2 -1 1 1 1 0.06 -5 4 1 1 2 1 0.72 6.60 0 0 0 0 0 0 HWR -18 -12 .9 -7 5 t 0.04 j .� 3 0 0 0 0 5 0.75. 6.88 4 4 3 3 3 WSB 2 2 1 1 1 2 -1 .2 -0 .2 4 0.80 7.33 11 10 9 8 7 g i POU 18 12 9 1 6 0.02 6 3 .5 U 1 5 • -0 3 0.85 7.79 16 15 13 12 10 9 0.00 14 7 2 -6 -11 -6 0 0.90 8.25 21 19 17 15 13 11 Solar 10 7 1 1 1 ed 0.95 8.71 26 24 21 19 16 14 Controlled Ventilation Crawlspace na = not allow _--- POU 7 5 3 9 2 ' Effective SE or HSPF Number of stories (SE or HSPF x duct of imicncy) ' IE None .28 -19 -14 -11 -9. R -value One Two Three Effective -25 or -24 to -14 to -4 to +6 to 16 or Solar 10 7 5 4 3 R-0 -15 _107 8. Shading (Shade Closed) SE HSPF less -15 .5 +5 +15 more -_POU .7 _5 -3 -0 .2 -8 -59 R-5 -4 .5 -40.30 2.75 -94 -8576 5 _50 Multi -Family (individual units) R-11 -1 -0 _2 Effective Percent Glass na 3.41 •57 -52 .46 -41 .36 -01 R-19 0 .2 .2 (Percent glass x SC) 0.40 3.67 -43 -39 -35 ' -01 -27 .23 Unit Size (so 0.50 4.58 -13 -12 -11 -10 Water 699 700 1200 1700 2200 I - ' ---•- Effective 0.56 5.13 0 0 0 p p 0 Heater Credit or to to to or iI 4. Slab Edge Insulation %Glass North East South West -Skylight 0.60 5.50 7 6 6 5 q Type Type less 1199 1699 2199 more I Number of Stories 18 -9 -02 -46 -45 0.70 6.42 21 19 17 15 13 1 SG None 0 0 0 R -value One Two Three 16 --a .27 -39 -38 na 0.80 7.33 32 29 26 23 20 17 or Solar 14 7 5 0 0 na 0.90 8.25 40 37 33 29 25 HP HWR 10 5 3 3 2 R 5 -13 -8 -4 12 5 8 25 31 na 1.00 9.17 47 43 38 34 30 25 1 -1 0 na WSB 29 14 10 7 6 POU 10 5 3 3 2 F2 tactor. 0 0 0 11 10 -4 _1q _19 :18 -63 Zonal Control Adjustment 8 -4 -13 -16 -15 -54 System Type SE None -46 -23 -15 -12 -9 0.90 -19 _13 .6 7 -0 10 14 -13 _46 Solar 2 1 1 0 0 0.80 -14 .g _5 -8 -11 -11 '-38 Resistance 10 9 7 6 5 3 HWR -23 -11 -8 .6 -5 0.70 0.60 4 5 -0 5 .1 :-4 5 -6 -30 Other 6 5 4 4 3 2 POU -23 11 -8 •6 5 0.50 0 p p 4 -1 .2 -3 -3 -23 -17 0.40 5 3 2 2 0 t j -1 -11 n None -2 -1 .1 0 0 3 2 1 t 2 3 4 -0 POU 8 4 3 2 2 0 1 4 4 6 0 na = not allowed IE None -28 -14 .9 -7 5 Solar 22 11 7 6 4 POU 4 -2 -1 -1 -1 Interior. Mass/CFA I PASS I t. ).vIK-•.11 't rrPt 1 MAS3 (OInC b 4.2. 1.1 exposed stab) . 0% S% 10% .1S% 20% 2S% 30% 3S% 40% 4S% 50% SS% 60% ISS*. 70% 7S% 60% 85% pp% 9SX t00x tosX 110% ttsx 120% I2S`, 0% 0 0.2 0.4 0f 0.0 1.1 11 1.S 1.7 •1.9 21 23 2S 27 29 32 14 3.6 3.8 4 42 44 4.6 4.8 S 53 10% Q2 0.4 0.6 10.8 1 1.2 1.4 1.6 1.9 21 23 25 27 2.9 it 33 3.5 17 4 4.2 4.4 46 4.3 S 52 51 300% 0.5 17 09 1.1 14 1:6 1t 2f 22 24 16 2e 39 3:2 �S i7 19 I:1 l� 4.3 454�7 4.3 S.1 S.2 5:6 56 40% Q7 0.9 1.1 1J i.S 1.7 i9 22 24 25 2f 3 -32 3A 15 18 4 4.3 4.S 4.7 4.9 5.1 s] SS S.7 s51 9 50% Q9 1.1 1.3 is 1.7 1.9 21 23 25 27 3 32 14 3f Sf 4 42 4,! 4.6 if S1 S3 S.S 5.7. 5.9 6.1 ISS% Q9 1.1 1,4 1.6 1.6 2 22 24 2.6 2f 3 12 3.S 3.7 19 11 42 4.S 1.7 1.9 S1 S3 S6 5.f 6 62 60% 1 1 2 to 1.7 1.9 21 23 2S 21 29 65% 1.3 1.5 1.7 2 22 2 11 13 3.5 3.8 4 4.2 4.4 4.6 4.f ' S 5.2 5.4 5.6 5.9 6.1 63 70% 1.2 1.4 1.6 1.6 2 1.1 4 26 26 3 12 14 36 3.3 4 4.3 45 4.7 4.9 5.1 5.3 5S 5.7 5.9 6. 22 25 27 2.9 11 13 15 17 3.9 4.1 4.3 4.6 4.6 S 52 3.4 5.5 5's -6 1 $4, 6 2 6.4 75% 13 is 1.7 19 21 23 25 27 ] 12 14 ib Sf 4 42 4 4 !.6 4.6 6.1 13 . SS 5.7 5.9 6.1 6.3 65 1155% . 1.4 1.7 1.9 2.1 23 25 'z.7 29 3.1 33 1.5 Is 40 42 4.4 4.6 4.6 SO. S2 Si S.6 S9 6.1 63 6S' 67 95% 1.5 1.7 2 22 24 26 26 3.2 3.4 3.6 3.1 4.1 4.3 4.5 4.7 4.9 S.1 S3 SS 5.7 5.9 62 6! 66 64 62 64 66 1107: 1.6 1.6 2 22 2S 27 29 11 13 ].5 17 1➢ 1.1 41 4.0 4.f S 5.2 S.4 S.6 S.7 6 62 6.4 6.7 69 100% 1,7 19 21 23 25 26 3 32 3A 16 18 4 4.2 4.4 4.6 4.9 S,1 S.] SS 5.7 5.1 6&1 6.3 6.5 6.7 7 105% 1.11 2 22 2.4 26 2f 3 13 3.3 3.7 3.1 4.1 4.3 45 4.7 4.9 5.1 5.4 5.6 S.f 6 62 6.1 6.6 6 6 7 115% 2 21 23 25 27 29 11 13 3.6 3.6 4 4.2 4.4 4.6 4.3 S 5.2 5.4 S.7 S.9 Q1 6] 6.S 6.7 69 1.1 1tSx 2 22 24 2.6 to 3 3.2 14 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.5 5.7 0.9 a.2 6.4 6.6 6.f 7 1.2 1p% 2 23 25 2.7 29 3.1 1] 15 3.7 3.9 1.1 4A 4.6 4.1 S 5.2 5.4 S.6 S6 6 62 6.5 S. 6.9 7.1 7.3 12SY. 21 23 2S 2.f 3 32 3A 16 IS 4 4.2 4A 4.6 49 11 S.] SS 5.7 5.9 6.1 6.3 65 6.7 7 7.2 7.4 Point System Summary: Climate Zone 16', SCORE CARD Measures - Point Scores -" I., Ceiling Insulation - or _ R- aline 138j - U -value (0.030) _ 2. Will Insulation " -�- iir _. _ _ _ ..... y R -v ue (19l U -value [0.066] 3. Raised Floor Insulation Or R-val lef19] U -value [0.037] 4. Slab Edge Insulation or - - _. - --- - - R -value [71 F2 factor [0.51 ] - - - S. Infiltration - - -- _ _ _.. __ _--• - _ -- Standard 6. ,Glass Heat Loss - _ -•- -_--__ __ _.. TYPe[double - 1 U -value [0.65] % otal Glass [16] Sum 1-6 7. Shading (Shade Open) % Glass _.. - .. _ ... '.. .. _. SC ... _ . _ Eff. %Glass a. North �•b. East Z X = 3•it3� - -. p C. $011ih _ - O x = X d. West 0 = -3. RS" + � X _ d e. Skylight_ � x S. Shading (Shade Closed) % Glass. SC Eff. % Glass a. North ,Irk, a X L _ b. EastO X C. South x - _ '3-3 + d. West +f 2 - e. Skylight V x = O = v a _ 9. Interior Thermal MASS TYPE 1 MASS AREA InteriotN�ss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA S ExteriorWauM,15 ND. FLOURR AREA _-7 11. Heating Systemslam 7-10 X a' = 7 t /3 Zonal Control? ( Y / N) SE or %RSPF Duct Efficiency (0.78] Effective SE or (0.7216.6] W ukj 'F-, HSPF 10.5415.151 12. Cooling System - __ Zonal Control?Y N -SEER [8.91 - 6 ( / ) [ 1 Duct Efficiency [0.741 Effective SEER [6.59] 13. Water Heating SG rb{ ' TYPe (SGj Ctsdu (none] +' S Certificate of Compliance: Residential - Component '- cClimate.Zone7l6 Type R -Value (attic. to Swage, typical etc.) - ProjectTlUe 'A R_ Wall .............. Roof ............. Roof ........... #193 w t 7 Project Address �►, ............. Slab Edge..... Buttdut Permit i — — Lzec ted 13y / Date Documentatlon Author I Tekphone Glazin Orient son Fnfortemteru Agency Use Only BUILDING DATA (Sf) (single. double) (roller blind. etc.) fshad&ecrrrn tate N Glass Area % Glass Conditioned Floor Area t Z SO Number of Stories�_ North East Slab/Raised Floor dLl ts. Number of Units South -- [etngle Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (NM [ ] Existing -Plus -Addition Total --- i B UELDING SHELL INSULATION Component '- Insulation Location/Comments Type R -Value (attic. to Swage, typical etc.) - R_ Wall .............. Roof ............. Roof ........... _9 2 3t, — 00 UIV7 � - ............. Slab Edge..... a PPROFloor ED — — GLAZING. . _ . _ _.. Shading Devices Glazin Orient son Area Glass Type Interior • - Exterior Overhang : Framing Type (Sf) (single. double) (roller blind. etc.) fshad&ecrrrn tate N North ( ) _�_ Obi NoNrj= Ktf•:.( North ( ) East East South ( )►_ South ( ) •— West ( ) p WestSkylight ........ --0 I THERMAL MASS - " - Type/Covering Area — Thickness -- (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc.) HVAC SYSTEMS Minimum Duct _ Type (f brae, air Efficiency Location Duct Output __. Manufacturer/ Model # conditioner. heat pump) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Wall FIA0*4dc 7L AOke Maximum Furnace Heating Output: I&SW Btuh HOT WATER SYSTEMS Tank 1„ lanufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) _ c7 TDPari4 s? �di S SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist- Residential MF -1R- NOTE- L ownse residential buildings subject to the Suttdards must contain these Meastuu regardless of the compliance approach used. Items marked with an asterisk (') may De supuxdod by more stringent compliaets requucments listed on the Certificate of Compliance- When this checklist is incorporated into the permit doewnrnu, the (mixes noted shall be considered by all panics its binding minimum component performance spocifiratiau for the mandatory . urcS whether they arc shown else- bce in itne doarmenu or on this ehoek.lin only. DESCRIMON DESIGNER ENFORCEIAENr Building Envelope Measures §2.5352(a): Minimum ceiling ovulation R -19 -righted sversge. 62.5352(bk Loose fill insulation manufacturer's labeled R -Value - 12.5352(c): Minimum will insulation in framed walls R-11 weighted average (does not apply io exterior mass walls). 12.5352ft Slab edge insulation - water absorption ruc no goeater than 0.3%. water vapor transmission rate no gstatu thin 2A perm/ineh. 12-5311: Insulation specified or installed meet California Energy Commission (CEC) quality standards- Indicate type and form. §2.5352(fk Vapor bathers mandatory in Climate Zones 14 and 16 only. §2.5317: InrltrauoNExfdtntion Controls L Doors and windows between conditioned and unconditioned spaces designed to limit au leakage - b. Doors and windows certified. c. Doors and windows weatltcrstrippcd; all joints and penetrations caulked and sealed 12.5352(c): Special infiltration barrier installed to comply with §2.5351 menu CEC quality Standards. §2-5352(d): Installation of Fceplaces 1. Masonry and facuxybui4 fireplaces have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control e Flue damps and coned 2. No continuous burning gas pilots allowed H VAC and Plum bint System Measures 62-5352(g) and 2-5303: Space conditioning equipment siting: auadn calculations. §2-5352(h) and 2-5315: Setback theintoaut on all applicable heating systems, 42-5316(x): Duca cortstrttcted, instilled and insulated per Chapter 10. 1976 UMC. 12-5316(b} Exhaust systems have damper controls. §2-5314(cx Gas-fued space heating equipment has intermittent ignition devices 62-5314: HVAC equipment, water heaters, showerttcads and faucets certified by the CEC §2-53520: Water heater insulation blanket (R-12 or greater) or combined interior/utuior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception !) Pipe insulation on steam and scram condensate return at recirculating piping _. §2.5318(dr Swimming Pool Heating - 1. System here a. Ort/off switch on heater. b. Weatherproof instruction plate on heater. c- Plumbed to allow for solar. 2- 75 percent thermal efficiency. - 3. Pool cover. 4. Time clock. 5. Directional waw inlet Lighting and Appliance Measures u §2-5352(1): Lighting - 25 lumens/wast or greater for general lighting in kitchens and bathrooms. §2.5314(cr Gas fired appliances equipped with intcrmiaent ignition devices. 12.5314(a): Refrigent:rs• refrigerator -freezers• fmacrs ud fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of cotnpliance lists the building features and performance Specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter2. Subchapter 4, Article I of the California Administrative code. Tlli certificate has been Signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the cenificaie to any subsequent purchaser of the building. Designer Nair= TitkJFmts _ mus. Telephone l;c. x (sirnamrc) Documentation Author Nutx: TitWFurtt: (date) Building Owner Name: - Tstk/Firm- Adm: I Telephone J� D s S tt--tee (sitnatusc) (date) Enforcement Agency Name: ALS '