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HomeMy WebLinkAbout078-070-024R. B . Jo res 079-0 / V 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} o �SWANEY,DENNIS'�ej A "" r��._ C ,2410 .PINE CREST RD:- �OROV -LLE CONT: UNIVERSAL ROOFIN7C11 + RE ROOF-- - -• - -7 % 3 e .i c -- __ = - , -- _ 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). Xb AB• 1'r ' �X6 ' 3b' 1" � X A'. D O' .?I" {'i i 1 i, �, � �� i•; . ,� 1, i r '. i . i' r. ., � - � l` -. w, ,'' ,: � �.,. ,.... ,. ��r �. ...E 'i t __ti�Til ill�l�liillu��ii�ii��llllillltiiliillllllliiilll illilllllilliUllllliililNliillilllililllliil�ilililill illhillllll5i� _il