HomeMy WebLinkAbout078-070-024R. B . Jo res 079-0
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Ma/y/
SW corner of Upper a--aermo Rd.& i
Pinecrest Ave., Palermo
Permit #3161-80B(new pri.storage bldg.)
Permit��3614-84B,P,E,M(ne ?//)v6)
F y
3G--36=9 339-91B
SWANEY, Dennis D. ' l
f 2410 Pinecrest;" Oroville�
(vinyl siding/SF) AMRE a,1
�011.597}
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�SWANEY,DENNIS'�ej A "" r��._ C
,2410 .PINE CREST RD:- �OROV -LLE
CONT: UNIVERSAL ROOFIN7C11
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e,,,6, 0 ol-1597
3&
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 It NO.
(Rev. 12/96) APPLICATION AND PERMIT r
ASSESSOR PARCEL NUMBER •
�,. 3 -- o
ZONING
BUILDING PERMIT
OWNER
:tk:,
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
n�%/ -
CONTRACTOR'S NAME
- . tc
TELEPHONE
CO TORS &WUNG ADDRES
CO TRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS LWUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS .� IL
Energy Plan Checking Fee $
PERMIT FEE t
7Y.,
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
�1
Describe Work: �/X'r+�.,��T{� /•'xs<.%.x <r.a..•,r�ex,�,1a.��F�<.,�
-,.,�I r'�rii'j _�11„l�d" jr.c( I`lt �� G`,.. -riffs
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
. PERMIT FEE S
iL
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoo. oA mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
�j(�
License Class ('._"' �'J Lic. No. PS i� t< '
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO +000A
46.00NEW
CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS.
3.5 '
QSo.
NON.REOSID MULTI-OLlTLET
97,50
P OWER APUS
6 SINGLE OUTLETPARAT
CIR.
Ej(, OCCU OUTLET OR FOCTURES
� ' 50
2L 00
FIXI
Ex. Occup.OUT�rs R D.OF
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
El' I 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 :- A, i, I('.. . _,�r,_s �'.e. ' "C, C X:L •
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
ki;
Policy Number /c/dh r r -/a0
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject 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/ with -those provisions.
�.:../ i
X 7, __ ! - � Date r � ��- /-)I _
Signature of Applicant - O Owner 0 -Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structurs over 3 stories in height. p
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D FEES
IMP
FLOOD
CDF
PARCEL
-
PO
-
HD
ISSUE,
1/✓/
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
PERMIT EXPIRES ON
eta
Receipt No. -3,L Y7Sd 17.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEV LOPMENT SERVICES - BUILDING DIVISION
�• 7 County Center Drive a Ori lle, California 95965 • Telephone (530) 538-7541 P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT - -/99 "ll
ASSESSOR PARCEL NUMBER 3.0`_
zoMNp
BUILDING PERMIT
OWNER
T �LEPHONE F
$O, FT, OCC. BUILDING VALUATION
OWNFA8-MUUNO ADDRF�B //
Cy
CONTRACTOR'S NAME
TELEPHONE
CO TORS MAILING ADD S J
-7 / • (� Y
CO TRUCTION LENDER '
LENDER'S MAIUNG ADDRESS
I
ARCHITECT OR ENGINEER UCENSJ U.
Fireplace
Total Valuation b
Fila Fee $2Q,QQ
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
f ��
Pian Checking Fee $
BUILDINQADDRESS ,., ( Itc
�'
Energy Plan Checking Fee b
$
PERMIT FEE
LOT No.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
i,"
Describe Work: ey:_ �a-t (�'kj��.0 !�]eYc �.,.. E1_•f ,r_
( •r -� <
Each as water heater or vent •
15.00
Gas pipind system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service OOOV OR LESS
zow OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. <
License Class _- i�1 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the roe
property, rty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale
❑ 1, as owner of the property, am exclusively contracting with licensedcontractors
to construct the project. I
❑ 1 am exempt under Sec. Business and Professions Code for this
reason 1:1
WORKERS' COMPENSATION DECLARATION -(
1 hereby affirm under penalty of perjury one of the following declarations:,
O 1 have and will maintain a certificate of consent to self -insure for workers'Coolin
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
FT I 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 <;i-44—�j: (, L., 4: _., �- �� x�
Policy Number /uy� �p 1 �--
--r V
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if 1 should become subject to the
workers' com ensation. -
p provisions of section 3700 of the; Labor Code, I shall
forthwith comply�ittT'those'provisions.
-!_•`�
X Date
Signsture of Applicant - ❑ Owner £ontrector ❑Agent
An OSHA"permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO IOooA 46.00
NEW CONST. DWELLMq . SO
OR ADDNS. ( �• .0c CS
S• 3.5dFT: .� t
N °NS Mutrl•ouTLt�
NON•RESIo. 97.50
POr APPARATUS
SINGLE AP=
CIR.
Ex. Occup. OUTLET OR FOnURES 20 ® 1.00
BAL 0 .50
Ex. OCCU lAPPLNS. OR
OUTLETS RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST.rPE TOTAL FEE Z 7L - u'
NAZ•
_..._.
D. FEES IMP
FLOOD
cDF
_•,•__
PARCEL
PO
H04,r>
This permit is hereby issued under the applicable
of the` Butte County Code and/or Resolutions
Indicated above for which fees have been
l ,✓ /'�}
By /` Lei ! ' ' "'/pate
PERMIT EXPIRES ON
(Data)
provisions
to do work
paid.
) �/
Receipt No. YL Y7 3 ts 77 11. 30
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
.4Y.: r.._..,.rsaT�—•-'"!i-�v:Kw"+a+'Swri'k,dr ;rt. s. r-v�1'ri +l'f�"¢�'YS�rt. ,c(ipr+Y..'s�'t' r= .s � �..../�.?ti+'+2.....-r''a^";.- -.,,.^ •�.. Y`
36-30-09 339-91B
SWANEY, Dennis D.
2410 Pinecrest, Oroville
(vinyl siding/SF) AMRE*
t
1
f�j t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, C lifornia 95965 - Telephone: 916/538-7541,
APPLICATION AD PERMIT If
ASSESSOR PARCEL NUMBER
RA„- nq
ZONING
Q1
BUILDING PERMIT
DWennis D. Swaney
E
SQ. FT. OCC. BUILDING VALUATION
-fit
est.
OW 5 ,LING ADDRESS
4�U necrest, Oroville, CA 95966
`D tib `!IIraS sA uthorized Contractor West 916Mff6f5i
CO ACT R'S MAILING A E S Suite D @Sacramento CA 95691
��0 Enterprise WV ., J 1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 104.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2410 Pinecreast, Oroville
Permit fee
$ 114.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [it( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.002
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other [
Describe work: vinyl siding _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA, AOD'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 BUSIneS$
and Professions Code and my license is in full and effect.
ff /�
License No.%�dd 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 OCCUPM
OR ADONIS. ACC. BLDGS. /
YzQsgft
NEW CONSTR.ULTI.OUTLET
NO N•R ESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
IR
(SINGLE OUTLET CJ
Ex. Occup(OUTLETS OR FIXTURES
2ALO 30
20@030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ 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 I consequence of the granting of this permit.
am
X y /%� Date
Sig/41-F1work
of Applicant — Owner Contractor ❑ Agent �
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over, 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
114.5(
HAz
CUA
PARK
I SCHL
I FLO
I PAR
PD
HD
I ISsu
Th:s permit is nereby issued under
sions of the Butte County Code and/or
indicated above for which fees
ff
DIRE OF P B 1C
/
By
PER IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
pture
WORKS
^
Date Y
.
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, .i;�alifoinia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
_,,,PERMIT NO.
ASSESSOR PARCEL NUMBER
_ong
ZONING
Ql
BUILDING PERMIT
DWlJennis D. Swaney
Tj�1LyE
SQ. FT. OCC. BUILDING VALUATION
est. 75
OW R'S MAILING ADDRESS
10 Pinecrest, Oroville, CA 95966
CONTRACTOR'S NAME
AMRE-Sears Authorized Contractor 916
P
MI
CONTRACTOR'S MAILING ADDRESS
1900 Enterprise Blvd., Suite D, acramento, CA 95691
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10_00
LENDER'S MAILING ADDRESS
Permit Fee
$ 104.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2410 Pinecreast, Oroville
Permit fee
$ 114.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas -water heater or vent
5.00
USE OF STRUCTURE
SF a Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S TG W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other (
Describe work: vinyl siding _
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):
LEY I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in fullforceand effect.
License No. 9:736 Q�� Classification '7
El 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.&
OR ADDNS. ( ACC. SLOGS.
21h QSq ft
NEW CONSTR. ULT'.OUTLET
N ON.RES'D BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050C
9AL® 30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
rX I have placed on file with the County of Butte Building Department
U a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Conlin g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sal aunty i consequ�ence�Ihegra�ntin, of this permit.
X Date
Si nature of Applicant — Owner ❑ Contractor ❑ Agent a/
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 $
AL
114.5
HA2
CUA
PARK
EE
PAR
PD
HD
'ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRE OF P
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
83 0
Receipt No.
WN,T6-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilleei Gahiornia 95965 - Telephone: 91,6/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS04 PARCEL NUMBER
— 3Dt7--O
ZONI
BUILDING PERMIT
OWNER r -
e V
TELEPHONE
1-53-3 -iia
SO. FT. OCC. BUILDING VALUATION
OWN R'S MAILI GDRESS
RSI � 61 Ca_ 596
CONTRA AME
e C a s Y
TELEPHONE
9 37
CONTRACTOR'S MAILING ADDRESS /
G jrv�J
Fireplace
CONSTRUCTION WENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.W
Permit Fee
Plan Checking Fee
$ oy
$ yyr
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
S/r,k Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00
TYPE OF WORK
New ❑ Addition Remodeltilities ❑ Installation[] Other
I r r
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR SLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
r�lar P y p l y (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full for and effect.
License No. Classification
❑ y e R
i, as the owner, or s with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. ( OWELLING OCcuP.tk
OR ADDNS. ` ACC. SLOGS.
, /z¢sgft
NEW CONSTR MULTI -OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
(PO ER APPARATUS e)
1SINGLE OUTLET CIR.
Ex. OccU P(OUTLETS OR FIXTURES
e20050c
ALO 300
FIXED
Ex. Occup. OUTLETS PRESID.IRE A.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for S100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty consequence of the granting of this permit.
X Date
Sign -ture of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Ion of structures over 3 stories in height. -
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
SCHL
I coo
I PAR
PO
HD
IssuE
Th's permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the appiicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
-WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
a
PERMIT NO. 3614-84B,P,E,M
PERMIT EXPIRES
14AA
OWNER R.B. & MARIE JONES
It CONTR. owner
f!
`y ASSESSOR PARCEL 36-30-09
x LOCATION SW Pinecrest,& Upper Palermo Rd, Pal
tti
xo E'COPYA
IQ
Al tit
�r . Address kv
f�T �'kYrltlf 4�r,R}j'
t
II
Temp. Power Pole '
r '
Called PG&E
Temp. Eiec. Service ;
CCalled PG&E
le .
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
-
F Signature F^
= OK
Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts- Beams- Rflrs.-Con nec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors ,
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
I/ = OK
0 =, Not OK
= Not `Applicable
Not Ready RESIDENTIAL (Sin°gle and Duplex)
� = `
Date UNDERFLOOR(P s OK except #'s
Date FRA G Continued
o ing requirements -Setbacks Easements
4e.
PrgWrty Line Firewall & Openings
tg., Main; Soils -Steel- nd.- /1'!I/" Ftg. Depth
49e-g-xt.
Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / /" Ftg. Depth-
oom-Rise-Run-Landing-Fire Protection
4. F g., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Stemwalls, Main; Steel-Blockouts-Wrappe abs
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab55esh-Dnp
Screed-Fdn. Vents-Underfir. Access
7. Piers -Fireplace F . -Steel
g Area -Mass Protection -Skylights -Plastic
-'/.W.V.: Fall- it ' s way C/O -Sewer Testar
Walls; Nailing -Bolts
M.as Pipe; Size- nchors
10. Water Pipe; Test-Anchors-Regulator-Seryice Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13.KGirders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date 7 and -BI Date
Card -BI
Date Card -BI Date
BI Dat i , B _ Card -BI Date
Date FIN
tans) OK except q's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
Ext. Steps -Door & Sidelight Protection -Landings
Ae.
§p6e Detector
W ter Ht.; Vent -Access -Combustion Air
5
Fur ce; Vents -Clearance -Comb. Air -Connector -
Garage;_Above Floor-Ducts-Mech. Protection
W ter Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
r Exiting
QISAower Pan; Test, First Floor -Tub Access
6
I. & Bath Fixtures & Tub Access
1 r, 2nd Floor -Tub Access
6 .
EI . Trim gnel; Breaker Sizes -Labels
tairs & Rails
,39.-977'PTPT-8i•ze & Anchors
i ace or Stove; Clearances -Hearth
Outlets at Wood Panel; Int. & Ext.
Card -BI Date t, - Card -BI Date
Card -BI Date Card -BI Date
6
. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
EI utlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
6740OGarage
Fire Door; Swing -Landing -Closer
amper
20. Fi re & Transformer Clearance -Ins. Protection
6'9.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
rage; Above Floor-Mech. Protection
Receptacles Spacing -Lights &Switches at Doors
Siz & No. of Conductors-Stapled
7t
p lec. & Mech. Equip. Listed for Location
I
mex Installed
nst Close to Edge of Studs & C.J.
7
Elec. Receptacles in Garage; (G.F.I.)- Protec.
,ayip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation-Feent•CVoked in Attic ❑Yes
Deck Construction -Post Caps
2057 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
nage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range Circ. / / ga. C or AI -Oven Circ. / ga Cu r Al,
I sulated Neu ral es ❑No
75.
Following instld.: Drive es o; Walks E] Yes No;
Planters []Yes ❑ Wo
38"-§.ervice-Riser Conductors & Ground -Main Disconnect
h
Equip. Clearances; Panels-Motors-Mech. Equip.
77
A, it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
78.
VegMrgbove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7
I; Disconnect, Electrical, Plumbing
80.
E lec. Trim; G.F.I. Receptacle -Underground
Card B-1 Date Card -BI Date
Ventilation throughout House
rotection
Card B- Date l`, Card -BI Date
Date MECH ICAL (Permit) OK except q's
83
orrections from Previous Inspections
t=Meters Tagged; Gas -Electric
A. . Ducts; Insulation & Support
Wa Sewer Connected -C/0 to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
32 -'Vent Fan; Exhaust above Insulation
89. Ge de sate Bratri3 & Overflow; Size &Grade
- ccess-Comb. Air -Return Air Vent -115V outlet
atform if Furnace in Attic
Card -BI
Card -BI
to J a Card -BI Date
Aate Card -BI Date
Card -BI Date 6-/R--a<-card-Bl Date
Card -BI n Date)Date
Card -BI
ate ` and -BI Date
T_9-:Card-Bl
Date FRAMI lans OK except #'s
Comments at Final:
ills; Proper Material & Anchors
37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
36. 4iaaFing over Girders & Floor Nailing
,99r-44&"Iop in IIs (rat proof)
. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44!Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
431 Cing. Joist-Rftr. Ties-Purlin-Roof Brac -TrussShthng.-Rfng. _
Fire a Ties or Fi
Type A Flue -replace Throat
(41�ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4 d. Windows or Exiting Doors -Sill Hgt. & Dimensions
4 Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
c
53,2 - C?
6','1 wa 4 ,cr.-P 1_
S �"@ r�t»»c nxYt� , yrQ2"i� � - �.-e /ISP i✓�l
�s�� C-wl�r
Inspector�1>p Date --�'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Oroville - Phone: 534-4541
Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
/ q
,WNER // PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
—4 ^-A 0 0 d
r A A-, /Ill 11
l J>, lily_ /'YYV A A Jlt-D iiia—, -%./-S"
A
Dt YO -t-" J� 7���� - ,:y..P,ane
"7,'KJV.-� 9
Inspector fir. Ci Date I c`
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER TTERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
't 'c 0010
. / L
r -
Inspector r l -. ��t �'' Date
41
Owner: i p 4 Permit No.
ENERGY C'ERVIFICATION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type k3,0
Minimum Thickness(Inches)
Area covered(ft:2) .,a, a"—
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
A. P. No.
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags �,� Wt. per bag 4J�2 lb.
Thermal Resistance(R Value) 3g9
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIG TURF OF QIFs CRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER I
.-
/ 1 G I
L/ 2
BUILDING PERMIT
OWNE
TELEPHONE
SQ. FT. OCC. BUILDING VAL ION
OWNER'S MAI IN ADDRESS
5
CONTRA TORS NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$ J^
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
1X N
Q—
Each Trap
2.00 as
Solar Water Heater
20.00 Q
PA 91
&RCEL
Water piping
5.00 6r DID
LOT NO.
SUBDIVISION NAME MAP
Each qas water heater o t
5.00
Gas piping system 1 - 5
5.00
-/ USE OF STRUCTURE
SF [� Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: vi Tra
Permit Fee
$ r O
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 R
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWE I &
OR ADDNS. ACC D S
I
2/20Sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
10/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 CONSTR.(UL I.o TLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR I POWER APPARATUS &
NON.RESID. %SINGLE OUTLET CIR.
Ex. OCCu 5AL030
P OR FIXTURES aAL®30
FIXED A
FIXED APPLNS. OR
Ex. QCCUp. OUTLETS IRESID.1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
ibf 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.
Heating TU
y Vv�
Cooling
Hood 3.00 �1
Ventilation
Permit Fee $ A<Wo
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against id C my in consequence of the granting of this permit.
�' ���bV
X Date
Signature of Applic — Owner El Contractor ❑ gent
An OSHA permit is required for excavations oyer 5'0'�I'ition or construct-
ion of structures over 3 stories in he' ht. �!
Mobile Home Installation Fee $
TOTAL PERMIT $
OCCUP. GROUP
/�
TY OF CONST.
T
PAR L
PD
HD
SSU F/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PER EXPIRES Date7�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
����
Receipt No.
WHITE-D.P.W., A , PINK SP OR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENTrOF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, GALIFOP,NIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET r
�y Permit No. �?
OWNER �F PAS, J A. P. No.
Proposed Building Used/
Permit Fee Based Upon: —Complete Contract Price c iDPW Valuation
Other (Explain)
Building Inspector. `',/y Date
At time of permit application, I As)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. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
�9.. Letter of signature authorization. . . . . . . . . . .
l 10..�Sanitation approval from 7)-,4-) Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to ownerE])
15. Improvements may be required. . . . . . . . . . ...
16. Mobilehome Installation Data. . . . . . . .
•
17. Pre -Inspection for Pre-Inspec. request to
Required- Building Inspector (Date)
18- Recordddcopy of Agricultural Acknowledgment Statement.
,- Other
When you issue the permit, process as follows: _2�_Mail to owner. Mail to contractor.
Telephone an4hold for pickup at office. Deliver w./inspector. .
Other n
Applicant �� Date i � / V
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time obapplication, cirFle item.)
1. Index permit for above Items NO. �/lliEr2fi , eotilf-/AAICE (C44-%LAS/s7mj
2. Additional items required: a%//,�
(Contractor, Desi ser, n as advised of above required dat " Telephone Mail Other, r
ByDate 30 - Nbj • 8�
Plans checked by Date�Wv 8
Plans approved by Date SDE 8
Other: 601A PLVjS OAJ Ft L,C- C*8 Ik 16.7;
Copy—DPW
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
.i
Owner ."" Pocation
Plan Approved for: Semge Disposal
Hold Final for:
Final Clearance O.K. for:
Clearance for �� bedroom house/ bilehome or other
NOTE * * *
Water Supply
Water Supply
Water Supply „
r (
Return to DPW AGRICULTURAL gX&rJWMFNr QF AAi4�30WL�DCEMR fiF
FOR RESIDENTIAL DEVELOP;:.
84-421.44
Section 26-8.1 of the Butte County Code requires this acknowledgement OFFIGAL RECORD
be recorded prior to issuance of a building permit. OdylTE COUNTY -t AUF.
It;��CtCJ�3 FdkG1�F:sl'E. ��.
The property described herein is adjacent to land or included P $HQ
within an area zoned for agricultural purposes, and residents of this Nov St)6 1''e9a''
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicic �ip$ti
and fertilizers; and from the pursuit of agricultural operations including, lent not lim
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
I
Lot 4 in Block 11,2 as shown on the Hap of ADDITION TO SUBDIVISION NO. 1
of the PALERMO CITkUS TRACT according to the Official Hap thereof,
filed in the office of the hecorder of the County of Butte, State of
California, July 23, 1888.
Date: VX
State of � t,1 ) On this
- ) SS. me, the
County of )
PROPERTY OWNERS:
the / day of
undersigned Notary
, 19 before
lic, personally appeared
/ /Personally known to me. Proved to me on the basis
OFFICIAL SEAL of satisfactory evidence.
DOROTHY A. VASE to be the person(s) whose names) s bscribed to
Y ®
Notary the within instrument and acknowledged that
executed the same for the purposes therein contain d.
� MycO"""'Exp. Aug. 8, 12ft IN WITNESS WHEREOF, I hereunto set my hand and official seal.
otary Public
Present A.P. No .
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM '
Owner q. 8. fCAJES Climate Zone �� Permit No.
Floor Area 2S3&
Compliance path: Package ❑ A ❑ B ❑ C .Point System []Budget ❑ Other
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION•
Roof/Ceiling 30.00
Wall • GD
❑ Slab Floor Perimeter
❑ Raised Floor
(2) INFILTRATION•
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D)
Continuous infiltration
barrier
❑
(E)
Electrical outlet plate
gasket
❑
(F)
Air-to-air heat exchanger
(3) GLAZING:
(A)
Location
Area Glazing
%,Floor Area
Single Double Triple
Total Bldg 372.30_
North 11510.0
Z
�—
�,
East *9•c�
2,+/(�
X_
South leo 3. 0
A
West
_
X
❑
Skylights 0.047
---�
(B)
Shading
Shading
Coefficient Description
East
South
®.
West
❑
Skylights
❑
(C)
South Overhang
Length of projection
ft. Description
❑
(D)
Moveable insulation: Area ftz
Description
(E)
Thermal mass
❑
Type 60AIC . Y U4 6
- Area�Ft . 2 HC R-. Z
MC='%�j Location I
R4 �
� r/,e 5 HS.
❑
Type
- Area
Ft. Z.HC= R=
MC= Location
❑
Type
- Area
Ft.2 HC= R=
MC= Location
❑
Type
- Area
Ft. HC=- R=
MC= Location
❑
Type
- Area
Ft.2 HC= R=
MC= Location
❑
Type
- Area
Ft.2 HC= R=
MC= Location
7/83
ED
11
FORM
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
Accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING. VENTILATING. AIR CONDITIONING SYSTEM
(A):Heating
Central Gas Furnace %
(brand and model number)
Btu/hr
(heating capacity)
SE
Heat Pump 7.5 -
(brand
S(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar _
Collector brand and
ft2
collector area collector
model number
orientation
type .(liquid or air)
solar fraction
collector tilt
. Wep- CE)�
rated y -intercept
rated slope
Q
Other
(describe)
*1
(B)
Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
_
Electric Heat Pump �% S
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe) ,
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
❑
(D)
AN'AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
❑
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
e•
gas cooking appliances.
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G)
DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
„
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976.Edition.
7/83
.2
❑u
4*2
(6) DOMESTIC WATER SYSTEM
(.A) Gas Only
FORM 1
Gallons
(brand and model number) (tank size)
Heat Pump w/Electric,Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Q Location of Solar Panels
❑ Other
(Describe) ,
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSUTATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards -and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature 42V °, elevation 4/00te ', heating load SV, BTU
elevation factor Jvo x heating load = maximum outlet capacity gas furnace
3 T� 4QU BTU t
Cooling: Summer design temperature%f°, cooling load 3X9100 BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels. USE ONLY AS SIZING GUIDE,
COOLING MAY BE INADEQUATE
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 241, Part 2, Chapter 2-53 of the California Administration Code.
L�
7/83 SIGNATUREOF BING DESIGNER OR APPLICANT
3
ZONE 11
OWNER S,QQ e% POINTS
PERMIT NO. ^ ASSIGNED ACTUAL
1. SLAB - INSULATION NONE -5
2. RAISED FLOOR - R-19
3. CEILING - R-30- 3o` oc
4. WALL - R-19 141100 O
5. NORTH GLAZING - 2.4-3.6% ''qt -4
6. EAST GLAZING - 2.5-3.6%
7. SOUTH GLAZING - 1.6-3.6% (0 1 ��
8. WEST GLAZING - 2.9-3.6% 03 + 4
9. SKYLIGHT - 0-1.3% 0.00 O
10. SHADING (Exclude Overhang) Aib- 0
EAST - .67-.82
SOUTH - .19-.42 .(U
WEST - .13-.36
.SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2'41
12. I-IOVABLE INSULATION - NONE _
13. INFILTRATION (Standard=0)(Tight=+12) O
14. THERMAL MASS 3 2S SF
15. GAS FURNACE (SE) 71-76%
16. '.TEAT PU11P (EER) 7.5-7.9% +3
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
13. ACTIVE SOLAR 60% MIN (NONE)
19. ZONALLY CONTROLLED ELECTRIC
20. SOLAR WITH sem' BACKUP (HW)
21. OW -e- 4V 'ELECTRIC (HW) Q
AtTrl,c. tGe 7o ♦ 3
ITEMS SHOWN - ZERO POINTS Q
ble 3-1. Slab Floor Points
Table 3-2. Raised Floor Points
Incgla- I R -Value of Insvlstion I
! E -Value of
tlun I I
I Insulation
Depth, I I I --T
�
Inches 1 0-2 1 3-4 15-6 I' 7+ I
I 2 of
I I I I I
1 below 3
Trpl,
I Floor
0-111-5 t-5 I-3 1-5 I
! S-7
12 - 15 1 -5 I -3 I -2 I -1 I
1 8 - 12
16- 19 I -3 I -2 I -1 I 0!
! 13-18
20 + I -5 i -1 1 0 1 +1 I
1 •19+
7/7/83
Points
-12
-6
4'
72
0
Table 3-3a. Ceiling Insulation
E -Value of Insulation I Points
19 I -4
30 0
38 I +2
49 I +4
Table 3-4a. Wall Insulation Poin
I R -Value of Insulation I Points
11 1 - -7
19 I 0
24 i +2
30 I +3
Table 3-5. North -Facing Glazing Pte
I
I Glazing Type
I
I Total
I
+1
I
I 2 of
I Sngl,
Dbl,
Trpl,
I Floor
I U
l U- I
U. I
I Area
10.66
10.42- 10.41
I
I
11.10
10.65 I
down I
0
♦ 4
-&
+d
( 0.1- 1.2 I
4
! +4
I +6
I 1.3- 2.3 I
+1
1 +2
I +2
I 2.4- 3.6 I
-2
I 0
1 +1
I 3.7- 4.g I
-4
i -2
I -1 I
I 4.9- 6.1 !
-7
I 0
! -3
I 6`x'19 1
-
-6
I -5 I
I 7.4- 8.2 i
-12
1 -8
I -7 1
I 8.3- 9.7 I
-14
I -10
1 -8 I
I 9.8-10.8 I
-17
I -12
I -10 i
110.9-12.0 I
-19
I -14
I -12 I
112.1-13.2 I
-22 I
-16
I -13
113.3-14.5 I
-24 I
-18
I -15 I
14.6-15.3 i
-27 i
-20
i -17
Table 3-6. East-Facine Glazing Pts.
I I Glazing Type I
-- I Total I i
I Z of I Sngl, I Dbl, Trpl,
I Floor I (U - I (U - I (U - 1
i Area 1 1.10) 1 0.65).1 0.41)1
points 1 olnts 19A 1
1 up to 1.3 II + 3 I ++4 I 4 1
I 1.4- 2.4 t +1 +2 I
1 2. - -2 O I
I 3.7- 4.6 I -5 I -2 I -1 I
I 4.7- 5.6 1 -8 1 -4 I -3 1
I 5.7- 6.7 I -10 i -6 i -5
1 6.8- 7.7 I -13 I -8 1 -7 1
! 1.8- 8.7 I -15 1 -10 I -8 '1
( 8.8- 9.7 1 -17 I -12 1 -10 I
I 9.8-11.2 I -21 1.-15 1 -13 t
( 11.3-12.7 1 -25 i -18 •1 -15 I
112.8-14.0 I -28 I -21 1 -18 I
14.1-15.3 I -32 I -24 1 -20 I
Table 3-7. So.th-Facina Glazing Pte
I . ) Glazing -Type 1
1 Total I I
( Z of I Sngl, Dbl, Trpl,
I Floor I 0 - I (U - I (u - I
I Area ; 11.10) 10.65) 1 0.41)1
I Ioints I oints I ointsl
0 +! +3 1 •3
I up to 1.5 I +2 I +2 1 +2 I
I 1.6- 3.6 I -1 I 0 1 0 1
I 3.7- 5.2 1 -4 I -2 1 -2 I
I 5.3- 6.5 I -6 I -4 I -3 I
I 6.6- 7.7 I -9 I-
I - 8.9 - -8 I -7 I
I 9.0-10.0 I -13 I -10 .1 -9
10.1-11.5 I -17 1 -13 I -11 I
11.6-13.0 I -21 1 =16 I -14 I
13.1-14.5 I -25 I -19 I -16 I
14.6-16.0 i -28 1 -22 I -19 I
iaoie .3 -a. -facing (;lazing Pts.
( I Glazing Type 1
I Total I 1
I Z of I Sngl, I Dbl, Trpl,
i Floor I (U - ! (U . I (U - I
I Area 11.10) 1 0.65) 1 0.41)1
I (pointe (points Ipointsl
I' 0
1 •6
1 +6
I +6
I up to 1.3 1
+5
1 +6
1 +6 1
I 1.47 2.2
+3I
I -4
1 +5 1
I 2. 8 I
0
,
+2
I +3
I 2.9- 3.6 I
-3
I 0
1 +1 I
I 3.7- 4.2 I
-5
I -2
( 0 1
I 4.3- 5.0 1
-8
I -4
I -2
1 5.1- 5.6 I
-10
I -6
1 -4
1 5.7- 6.2 I
-13
1 -8
1 -6 I
I 6.3- 6.9 1
-15
1 -10
1 -7 I
1 7.0- 7.6 1
-18
1 -12
I -9 !
1 7.7- 8.2 I
-20
I -14
I -11 I
I 8.3- 8.8 I
-22
I -16
I -13 I
i 8.9- 9.5 1
-25
I -18
I -15 I
I 9.6-10.1 I
-27
-20
I -16 I
110.2-11.0 1
-29 I
-23
I -17 !
1 11.1-11.8 I
-35 I
-26
1 -21 1
1 11.9-12.7 I
-38 1
-29
I -24' !
12.8-13.5 I
-42 1
-32
1 -27 1
13.6-14.3 I
-46 1
-35
I -29 I
14.4-15.2 1
-50 i
-38
i -32
+2
I +3
I .19-.42 1
0
Table 3-9. Skvl1
I - Glazing Type I
Total I I
Z of 7 Sngl, I Dbl, Trpl,
Floor I U- I U- I U- I
Area 10.66- 1 0.42- 10.41 1
11.10 10.65 I down I
up to 1.3 i
-1
1 0
I 0
1.4- 2.2 I
-3
I -2
I -1
2.3- 2.8 I
-6
I -4
I -3
2.9- 3.6 I
-9
I -6
I -5
3.7- 4.2 1
-11
i -8
I -6
4.3- 5.0 I
-14
I -10
1 -8
5.1- 5.6 I
-16
i -12
1 -10
5.7- 6.2 I
-19
I -14
I -12
6.3- 6.9 I
-21
1 -16
1 -13
7.0- 7.6 I
-24
I -18
1 -15
7.7- 8.2 I
-26
I -20
I -17
8.3- 8.8 I
-28
I -22
( -19
8.9- 9.5 I
-31
1 -24 1
-21 1
9.6-10.1 1
-33
1 -26 1
-22 I
---1-
0
--- J-
-- �
Table 3-10.
Shading Coefficient Points
I SC by
1 .
I Orten-
!
Z Floor Area
tatlon
1 East
1 F3.20
-3.1o
16.4
up
I -moi
6.3
( 0 -.19
1 0
( +1 I
+2
I .20-.36
1 01
0 I
-1
1 .37-.66
i 0
I 0 !
0
I .67-.82 I
0
I 0 I
-1
.83 up 1
0
1 -1 I
1
-2
I South 1
0
1 3.2 1�4
I I
to
I to -to i
to
I up
13.1
16.3 19.5
I
I 0 -.18 1
0
1 +1 1 +2 !
+2
I +3
I .19-.42 1
0
1 0 1 1
0
1 0
I .43-.66 I-0�1 -11
a2
I -3
•moi
0
1--2 i -4 I
-4
I -6
West I
.1
IC -6 3.2 16.4
I s-0
I
to
I to I
to
I up
I
I
1.5
6.3 I
Imo• I I
7.9
I
I
0-.12 I
0
1 +1 I +3 1
+6
I +7
.13-.36 1
.0
I 0 1 0 1
0
1 0
.37-.57 I
0
1 -1 I -3 I
-6
I -7
.58-•82_)_.-1
I -6 1
-12
1 -15
UP
I
-
- i -8 1
I I I
-16
1 70
I
Skylight I
.1
I .8 1 1.6 13.2
1 4.0
I
to
i to I to I
to
I to
1�1_S
13.1 13.9
I 5.2
0-.12 1
0
1 +1 I +3 I
+6
i +7
.13-.36 1
0
1 0 1 0 1
0
1 0
.37-.57 1
0
1 -1 1 -3 I
-6
I -
.58-•82 (
-1
I -3 1 -6 1
-12
I -,
.83 up I
-2
1 -4 1 -8 1
-16
1 -20
Table 3-11. Horizontal South
Overhang Pointe
South Glazing
I Length Out 1 Area, Z of Floor I
from Wall I I
I ft r
1 I 0-6.3 1 6.4 up
I 1 I I
-6- 0.5
10.6 - 1.0 I -2
11.1 - 1.9 I -1 ! F !
I 2.0 up I 0 I 0 !
I i I I
Table 3-12. Movable Insulation
Points
1 Moveable Insulation -I !
I Area, S of Floor I Points
I I I
I
1 0- s.s I 0 1
I 5.6 - 11.5 I +2 i
I 11.6 - 17.5 ! +4 1
I 17.6 - 23.5 I +6 1
I >23.6+ 1 +8 1
Table 3-13• lttf!tttation Control
Fer.tures Points
Control Features I Point* I
I I 1
I Standard I 0 1
1 I I
19.9 air changes per hr 1 I
I I 1
T-
Tight i +12
10.6 air changes per hr I' I
I I I
Table 3-15. Cas Furnace Without
Reirimeratlon Ccol!re Points
I Seasonal Efficiency I
Points I
I (SE), X
I
(EER)
I 71 - 76 I
0 1
1 77 - 82 I
+2 I
I 83 - 88 I
+4 I
J 89 - 94 1
+6 1
95 up i
+8
1 8.8 -
9.1
Table 3-16. Heat Pumo Points
I Energy Efficiency
I Points I
I Ratio
(EER)
1 I
I 7.5 -
7.9
I +3 I
1 3.0 -
8.3
1 +6 I
I 8.4 -
3.7
I +9 1
1 8.8 -
9.1
I +12 I
I 9.2 -
9.6 I
+15 1
I 9.7 -
10.2 I
+18 I
I -10,3 -
10.8 I
+21 1
i 10.9 -
11.3 I
+24 I
I 11.6 -
12.3 J
+27 1
I 12.4 -
I
13.2 I
I
+30 I
1
Table 3-17. Cas Furnace With
Refriveration Coollne Points
14efrigeraeionl Gas Furnace I
I Cooling I SE Z I
I171-177-183-169-79-577
I 1 761 821 881 941 u I
1 8.0 - 8.3 1 01 +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +81+10 1
1 8.8 - 9.2 1 +41 +61 +81+101+12 1
1 9.? - 9.7 1 +61 +81+101+121+14 1
1 9.8 - 10.3 1 +31.1()1+121+141+16 1
1 10.4 - 10.9 I+1GI+L2i+141+161+18 i
1 11.0 - 11.5 1+121+1.I+1614.181+'20 1
I I I I I i
7/7/83
ZONE i)
TABLE 3-11 (ADAPTED) - iNTER,IOR THERMAL MASS POINTS
4ASS DWELLING ARFA SQUARE FOOT
AREA 1,000 1.500 2.000 2.500 I 3,000 ! 3.500 1,000I 4 Soo S,000 I
SQ. FT. A B C 0 A 8 C D A B C D A 8 C D A 8 C 0 A 8 C 0 A 8 C 0 I A 8 C D a 8 C
50 2 2 2 2 2 2 2 01 2 2 2 0 0 0 0 0 0 0 0 0 0. 0 0 0 0 0 0 0 0 0 0 0 0. D 0 0
100• 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 Z 2 0 0 2 2 0 01 0 0 0 01
iSO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 ? 2 2 2 2 2 ! 2 2 2 0 2. 2 2 0 2 2 2 0
200 6 8 6 4 6 6 4 2 4 4 4 2 4 4 2. 2 2 2 .2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2'
250 10 10 8 6 6 6 6 4 6 6 4' 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7 Z.
3Z3 X350 14 14 12 8 to 10 8 6 5 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 7 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 3
T 507 2 18 16 10 12 12 10 6 10 10 8 6 R 8 6 1 6 6 6 1 6 6 6 2 6 6 4 2 4 4 4 2 4 4 4 i 1
`Ir 603 22 20 18 12 l4 14 12 8 12 12 10 6 10 10 8 6 8 8 6 1 8 C 6 1 6 6 6 4 6 6, 1 2 I• 6 6 J 2
MO 24 24 20 lA 18 16 18 10 14 14 12 0 10 10 10 6 10 10 8 6 8 B 6 4 8 6. 6 4 6 6 6 41 6 6 6 2
270 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 ? 6 6 4 8 6 6 OI 6 6 6 4
900 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 18 8 '8 1 B 8
6 41 L 8 6 e,
1,010 30 00 26 18 ?2 20 20 14 IS 18 16 10 14 14 12 8 12 17. to 6 12 10 10 6 10 1D 8 6 8 8 0 4 I .^, a 6 4 i
1,100 32 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 I10 10 10 6 1n 10 8 F1 1J t L
1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 '12 12 10 6 to 10 8 6. 1n to 8 6
1,300 37 34 32 22 28 26 24 16 22 22 20 12 18 18 It 10 1.;14 11 8 14 12 12 8 12 12 10 6 12 t0 10 6i 10 ln. P. 6 I
1,400 34 -34 32 24 28 28 26 18 24 24 20 It 120 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 12 :G 6; 10 10 17 6 I
1,i10 36 34 34 24 30 30 26 18 21 24 22 14 22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 B 17 1: 10 (1 12 12 1: e i
2,000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 16 i4 6 14 14 12 L I
2,509 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22. 14 22 22 13 :2 20 20 18 I:I 19 15 16 '0
J,C00 34 32 30 22 30 30 26 18 28 26 24 16 I24 24 22 14 22 27 20 14�
3,500 32 32 30 20 30 30 26 18 28 28 24 )6 26 24 22 It 1 ±4 ;4 20 14
4,700 32 32 30 20 ! 30 30 26 18 70 28 24 if 26 2.5 2: IF
1,500 132 32 28 20 30 30 26 St j iti c.• ?-- lE
S, 000 II )2 t7 2r 20j 1J -,G .6 1=
A) 1. 31y` Concrete Slab: HC -8.93; R-.29; Factor -7.3
2. 3 3/4- Thick Common Brick: IIC-7.125; R-.13; Factor -7.3
8) 1. Sk` Concrete Slab: HC•14.106; 1•.458; Foctor-7.1
C 1. 8- Solid Filled Block: HL•20.63; R-1.93; Factor•6.1
2. 8` Solid Filled Bloc' With Both Sides Exposed To Conditioned Air.
HOTS: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: HC -10.164; R-.96„ Factor -6.1
DI I- Thick Concrete/Tile: ItC-2.SS; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Rest�tancs
Space Heating Points
I Yotat*for this measure will I 'Table 3-20
1 be completed after the CSC i
I has approved an Alternative 1
I Component Package for Resistance I
I Beat. 1
Table 3-15. Active Solar Space
I Net Solar Fraction
(NSF), z
I Points I
I
get Solar Fraction (NSF). Z
P.c un+c,
fc2.
I 7 - 14
I +2 I
I 15 - 23
I +4 i
I 24 - 30
I +6 I
I 31 - 39
I +8
1 40 - 47 1
: +10
I 48 - 55 i
+12 I
I 56 - 63 I
+14 1
I. 64 - 71 I
+18 . I'
I 72 up I
1 1
• +20 I
�
wood stove #33 points'(no back up)
casablanca fan + 1 point
M•ultifamil (per unitpoints)
Floor Area
get Solar Fraction (NSF). Z
P.c un+c,
fc2.
I System Type I
I
Points I
1
I
"T
Gas Only i
0 i
Beat Pump
0
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
1.000-1.499
1.300-1.999
2,(100 and u
0
0
0
0'
+3
+2
+1
+1
+5
+4
+3
+2
+8
+6
+4
+4
+11
+8
+6
+3
+14
+10
+7
1 +6
+16
+12
+8
+7
+19
+14
+10
+9
All others (Pe buildingpoints)
8U0-899
900-999
0
0
+5
+4
+10
+9
+14
+13
+19
+17
+24
+it
+�9 +34
+26 +30
1.00o-•1,199
1.2PFr1.499
1,500-1.999
2,0110-:.999
3,000 ar.d us
0
0
0
0
0
+4
+3
+2
+2
+1
.+7
+6
+5
+3
+3
+11
+9
+7
+5
+4
+15
+12
+9
+7
+3
+19
+15
+12
+8
4.7
+22 +26
+18 +21
+14 +Lc
+10 +11
+9 +10
1
Table 3-21. Other Hater
Heating Pt*.
I System Type I
I
Points I
1
I
"T
Gas Only i
0 i
Beat Pump
0
I
I Solar With Electric I
1
I
I Resistance Backup 1
i
I Meeting the Require I
I
I cents iu Part 2 I
I
0 i
I
I Electric Resistance I
I
I
I Only i
-40 1
OWNER 7'1� • I M ARA E SOMES
A. GENERAL
Zoning requirements
Valuation.
i3: Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc.
,.1 Other buildings or structures.
4. Grading, fills, drainage.
Bldg.
A. P.
Permit # 36p4-- Y
# U- 30-07
C. FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s'in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment,:and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke detectors'(Sec. 1413).
D. STRUCTURAL DETAILS
Z . Foundation:plan complete enough to construct building.
Floor construction details complete enough to construct building.
!-Elevations and wall construction details complete enough to construct building.
/4s! Roof construction details complete enough to construct building.
ireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
�3. Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
�• Proper roof pitch for roof covering (Chapter 32).
• Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
,-Q-.-'Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
k
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
R.B. & Marie Jones
6568 Maple Drive
Dublin, CA 94568
With reference to the above subject:
�1 Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
f&1 We need the following information:
PHONE: 916-534-4541
DATE November 30, 1984
RE: Building Permit Application 43614-84
A.P. # 36-30-09
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
.0roville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
X OTHER The proposed electric resistance water heater will not permit compliance with
current energy regulations for residential construction. Please contact this office
for alternative water heating methods.
Should you have any questions concerning the above, please contact this office.
JFG/a j
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERfIA T NO.
85
ASSESSOR PARCEL NUMBER
36-30-09
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. DCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
68 Ma le Dr. Dublin CA 94568
CONTRACTO 'S NAME
owner
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
C9 LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee FEE
$ 168 .75
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 178.75
PLUMBING PERMIT
Filing Fee 10.00
Palermo Rd
Each Trap
2.00
Palermo
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [R Duplex[] Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
f�
W
Mobile HomeET�
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: _
1st' renewal permit 43614-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service JDOV OR LESS
00 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalt of perjury (check one):NEw'Eb0TR
El am licensed under provisions of Chapt. 9, Div. 3 Of the Buslnes$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I. as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this r ason
NEW CONST. DWELLING Occ UP.8d ,
OR ADDNS. ( ACC. SLOGS. /Zdsgft
U TI.OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS !1\
(POWER
OUTLET CIR. /
Ex. OCCUp�OUTLETS OR FIXTURES 209SOt
eAL030
Ex. OCCUp. OU LETS P(RESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
penult 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 propertWfor 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
inst said County in consequence of the granting of this permit. Date
X esions
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 178.75
occu P,
CONST,TTPc
I I
FLOOD
PARCEL
I PD
1 No
1 ISSUE
This permit is hereby issued under the applicable provi-
of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR,OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date 12-5-86
Receipt No.
WMITE-D.P.W.. TELLOW-ASeEeSOR. PILAR -INSPECTOR, GOLD ENROO-APPLICANT
�Y HERMIT NO. 3161-80B
PERMIT EXPIRES �, Q e �•
{
OWNER R. B. Jones
owner
CONTR.
36-30-9
LOCATION (A.P: )
SW corner of Upper Palermo Rd. & Pinecrest
., Palermo Ave.
C
I
`1
8,
i
j
• rst^
Temp. Power Pole
Called PG&.E�
Temp. Elec..- erv.
Called PG&E
Temp/Gas Serv.
,ailed PG&E
JOB
FINALED (((JJJ
Za,
ature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback fro
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Flo
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage eg
Fdn. Vents
Fixtures
Footings L,
Stemwa l l
Garage Vents
Insulation
Water Htr./
Heaters
Slab
Carport
p
Footings
Prov. for physically
handicapped
Conformance of ex.
structureTem
ADDliances
Gas Piping& T st
. Gas
Slab
Final �^ �" i'
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
E ECTRICAL
Masonry Walls
Throat ;
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
Flo SPRINKLERS
Motors
Framina --.)-+-
Tact
Wntar FMr
Stucco Final Subpanels
Mesh . ME'qtANICAL Gird. Fault Pr t.
Scratch Heating Service /
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOMEUTILIT S ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
7/ /
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLIGATIOW AND PERMIT
PERM 'T N
ASS R PA CEL NUMBE
< UM
ZO ING
BUILDING PERMI
OW
,c
a
TELEPHONE
SQ. FT. OCC. BUILDING V UATION
.l
OWN MAILING DDRES
14,
ON RACTORSA
IV
EL PHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
$ —�
Penalty
$
ARCHITECT OR ENGINEER'S MAILING AD ESS
Permit fee
$
BUILDI G ADDRE s
1�
PLUMBING PERMIT
Filing Fee 3.00
\h
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF S UCTURE
SF ❑ Duplex❑ Mobilehome❑ O hr` i At ?
Spi;ylpie
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New�Addition❑ Remodel❑ Utilities❑ Insallation❑ Other ❑
Describe work: I —
r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 60AMP 00 LESS
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST DWELING
OR ADDNS. ( ACCLBLDGS.CCUP.&)
22 sq ft
'CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET
—NO N-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@t 04
Ex. Occu FIXED APPLES. OR
p•( OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 25
6.
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3. 0
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.
Heating
Cooling
Hood
2.00
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 osts, and expenses which may in any way accrue
again 'd County i o equence of the granting of this p rmit.
X LZ Date
Signature of Apph a — Owner Contractor ❑ Agent ❑
An OSHA perm' is required for excova ions over 5'0" deep and demolition or construct-
ion of structur 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
oc UP. GROUP
.. I
I TYPE OF CONST.
� ��
PARC L
P^
of ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE C OF PUBLIC
By
RMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date %�/'—�J
��
��oggver
Receipt No. .7 f ?`1
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,& MISC. ONLY)
.U. zoo tz
A. GENERAL
—��./�,Zoning requirements (sideyards and parking). A
2o.' 1kaluation.
aoloo ignature by R.C.E. or Architect (if required).
B.X,WW PLAN
omplete parcel size and dimensions.
,4 etback.5, sideyards, easements, etc.
.Other buildings or -structures.
Grading, fills, drainage.
Bldg.
A. P.
Permit # 71
# Va
C. FLO R PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
3� Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
5Required room sizes, ceiling heights (Sec. 1407).
in baths and exterior outlets (Sec. 210-8).
BV___,�,G.F.C.I.'s
Light fixtures, switches, receptacles; and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
/ equipment, and plumbing fixtures.
W. Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 /1 - 3°0" exterior exit door (Sec. 3303d).
12! Fireplace location.
1 Smo1__e detectors (Sec. 1413).
D. STRUCTURAL DETAILS
oundation plan complete enough to construct building.
e1oor construction details complete enough to construct building.
levations and wall construction details complete enough to construct
hoof construction details complete enough to construct building.
-Fireplace construction details and calcs if over one-story in height.
6ufficient data and,details to satisfy energy insulation requirements
E. MISCF.LL_ANF.OUS ITEMS TO LOOK OUT FOR
�VCCX plywood on exposed locations and overhangs.
2� Stair'aay details (Sec. 3305).
Cu rd'rail details (Sec. 1716).
Brick o:: stone veneer (Chapter 30).
�Enterior plaster - weep screeds (Sec. 4706 & 4708).
6.pe,'Proper roof pitch for roof covering (Chapter 32).
7-
.., --Rafter ties or bearing ridge beam.
8,,o—Garage door or porch header sizes.
9_,orA_dequate bracing.
building.
(State law).
IN
10;.-' Living area over garage - complete 1 -hour separation required including supporting
ole�w111s an -d posts, etc. t.
IT Two (2) exits on three-story dwellings (Sec. 3302).
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