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HomeMy WebLinkAbout078-120-05736-75-57 Wynoka Homes - 5819 Autrey Lane, lot 57, Vista Del Cerro#3, Oroville Permit #3681=81B,P,E,M(new single family) 36-75-57 2309-90B,P,E,M LOSEKE, Ann 5819 Autrey Lane, Oroville Contr: Gravison Construction (addition & remodel/sf ), Q I 036.-75_0_057 LOSEKE, Ann L. 95-2019 B 5819.Autrey Lane (reroof/SF) CD Oroville.' Const' 97 • o 036=.750-057 _ '. #98=1649 'LOSEKE, ANN' 5819'AUTRY.g.LANE,YOROVILL"E/- ^�:CONT:--QUALITY CONST. ADDITION, OF FAMILY ROOM o�8-izo-a67 67 k 'f ti 36-75-57 Wynoka Homes - 5819 Autrey Lane, lot 57, Vista Del Cerro#3, Oroville Permit #3681=81B,P,E,M(new single family) 36-75-57 2309-90B,P,E,M LOSEKE, Ann 5819 Autrey Lane, Oroville Contr: Gravison Construction (addition & remodel/sf ), Q I 036.-75_0_057 LOSEKE, Ann L. 95-2019 B 5819.Autrey Lane (reroof/SF) CD Oroville.' Const' 97 • o 036=.750-057 _ '. #98=1649 'LOSEKE, ANN' 5819'AUTRY.g.LANE,YOROVILL"E/- ^�:CONT:--QUALITY CONST. ADDITION, OF FAMILY ROOM o�8-izo-a67 67 �� _ I An ®I ! ■_. M . Y 036-750-057 #98-1649 RESIDENTIAL LOSEKE, ANN 5819 AUTRY LANE, OROVILLE. CONT: QUALITY CONST. ADDITION OF FAMILY ROOM PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION =i �i f CHECKED, BY i SRA FLOOD CERTIFICATE REQ. f FIRE SPRINKLERS REQ. r r SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E r Temp. Gas Service Called PG&E JOB FINAL (Date) i' r '�t - Signature k V=OK O = Not OK Notble • = t eady NoRMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements - Setbacks - Easements POOLS (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer, Location -Test -Fall -C/O -Concrete 2. Soils; Compaction -Structure Stability 4. Water, Location -Test -Easement Needed (Sketch) 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 4. Elec.; Receptacles and Lighting, Distance -GR 6. Gas; Location -Test -Wrap; / JUL / /NaL or/ /l -'ft./ /LPG 5. Elec.; Pool Lighting; 15 Volts-GFI 7. Well Clearance & Disconnect 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Utility Clearance 7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test-DemandVaMeConnector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date • Card B -T 4 MISCELLANEOUS' Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Watef Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = "tot OK - = Not Applicable = Not Ready Date 14DERFLOOR (Plans) OK except #s ngSetbacks-Easments-FloodSlope tg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Perm' OK except #'s Water Htr; Vent - e -ss -Combustion Air Baffle 18. r Pipe; t & Anchor -Nail Protection 19. D.W.V., t Fittings & Anchor -Nail Protection 20. Sho r Pa • Test, First Floor -Tub Access 21. Xst Tub & ShoWer, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s .--29-fixture & Transformer Clearance -Ins. Protection 21_10ecREceptacles Spacing -Lights & Switches at Doors es No. of Conductors Stapled a-RmrtZx Gstalled Close to Edge of Studs & C.J. rp. Ground made up w/Mech Fastners-Bond Gas & Water -28-2i4ppliance Circuts in Kitchen & Conductor Size GA -qqe9:-9nbfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al -,29a-fienge Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No service -Riser Conductors & Ground -Main Disconect qu . Clearances Panels -Motors -Meth. Epuip. `33-C o es Closet Light -Shower Light -Spa Light -34-9moke Detector Dat Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support -1w. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade . Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic RESIDENTIAL (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _,FRAMING (Plans) OK except #s Sit oper Materials & Anchors Wa tuds-Nailing Spacing & Braces -Plates -Sound 4 . earing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 44rftre Plops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) 4(_.Ltaagcrs-Post Caps -Anchors -Connectors 4;-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring. --4&.-Fireplace Ties or Type A Flue -Fireplace Throat clearance -49 -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _50.-8drm. Windows or Exiting Doors -Sill Hgt. & Dimensions X61 -Garage Fire Protection Framing -92.'-15roperty Line Firewall & Openings -IV--& ..-Boors-One 3' -Check Garage 3rd Story, 2 Exits ��ir • Width -Headroom -Rise -Run -Landing -Fire Protection on Roof Overhang -Attic Vents -Rafter Outriggers 56.Aiding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Gla?jog Area -Glass Protection -Skylights -Plastic hear Walls ai irig f 60. Brace I or erior 01 Panels r 61. Insulation - a5 ling - 62. Infiltration -Wal l saNindows Date 6A.1-9 Card 13-1 Date Card B-1 Date Card 13-1.,,M Date Card B-1 Date/ +fNAL (Plans) OK except #'s qe'Ext Steps -Door & Sidelight Protection -Landings 64. oke Detector Fu ce; Vents -Clearance -Comb, Air-Conector- n Garaae: Above Floor -Ducts -Meth. Protection / G.F.I. & Bath Fixtures & Tub Access -Spa 68. EI . im & Subpanel, Breaker Sizes & Labels 6 tairs Rails 70. Fir ace or Stove, Clearance -Hearth 71. ec. Outlets at Wood Panel, Int. 8 Ext. Kit. Fixt. &Appliance; Ground. -Air Gap -Cooking Clearance 73. EleceOutlets & Rece ticales at Kit. Counter 7 arage Fire Door; Swing -Landing -Closure 75. .C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. a a e; Above Floor -Meeh. Protection Plb., Elec. & Mech. Equip. Listed for Location 78. Elec ece tacles in Garage G.F.I. -Romex Protection 79. sulation-Foam-Looked in Attic Guard rails & Deck Construction -Post Caps 81. F ents & Crawl Hale Door Drainage & Wood -Earth Cles,rance Looked under Floor 0 Yes 82. F I j nstld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No cco Brown -Finish di 84. A.C. Unit Disconnect, Electrical -Plumbing 85: V s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings r Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Venliklfon Throught House 0' 89. lass Protection Corr ns from Previous Inspections 9 a est -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date and B-1 Date Card B-1 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact.this offjjq&jmmediately._ Date REV 10/92 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 5819 Autrey Ln. Oroville Number and StreetCity County Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Fiberglass Batts Brand Name Johns Manville Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. .659 Ib. Minimum Thickness 16.25" inches. ' Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material Fiberglass Batts Brand Name Johns Manville Thickness (inches) �� 6.5 Thermal Resistance (R -Value) R19 ( ) 4. RAISED FLOOR. Material Fiberglass Batts Brand Name Johns Manville Thickness (inches) Thermal Resistance (R -Value) 5. SLAB FLOOR / PERIMETER Material Brand Name Thickness Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficient Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150 LOERKE INSULATION CO., INC. Items iCfnaftJrcY, ate OCT 0 9 1998 Installing Subcontractor Co. Name Or General Contractor (Co. Name) Or Owner Item #s Signature, -Date Installing Subcontractor Co. Name) Or General Contractor (Co.Name) Or Owner Item #s Signature, Date Installing Subcont �N ctor_ {Co. N amOr General Contractor Co. ame Or Owner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ag �(°� ASSESSOR PARCEL NUMBER 036-750-057 ZONING R-1 BUILDINGPERMIT OWNER ANN LOSEKE TELEPHONE SO. FT. OCC. BUILDING VALUATION 616 R 33,264 OWNERS MA"'T 1plYssAUTREY LN. OROVILLE 95966 f 446- —2,2288. —9;j- cONT` CONST. +- 489 2 34. CONTRACTOR'S MAILING ADDRESS 559 OAKVALE AVE. OROVILLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ' 5 S% ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 323.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 210.25 BUILDINGADDRESS 5819 AUTRY LN. Energy Plan Checking Fee $ 23.00 $ OROVILLE PERMIT FEE $ 576.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX 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 ❑Buildin Describe Work: ADDITON OF FAMILY ROOM Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.pq pp .gs 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 f I force and effect. `� _ License Class Lic. NO. �5/ 3 � � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole cbmpensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatioq,insfance carrier`pnd polic number are: Carrier 6 / IQ / 6 e (,D M0 Policy Number 5 t, :z (The above sections need not be completed if the permd 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 f I should become subject to the workerA' compensation rovisions of section 3700 of the Labor Code, I shall forthwithcomply with th ' e rovisions. X - Date % Signatu a of App cant - ❑ Owner ❑ Contractor ❑ Aged I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. SO , OR ADDNS. ( a ACC. Bins. 3.50,. NON-RESID. MULTI -OUTLET g7.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 .00 EX. Occup. OUnFT OR FIXTURES BAL O x,.50 Ex. Occup. OUTLEEDrs R6ID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 6 99.30 HAZ. D. IMP FLO0 COF PARCEL PD HD ISS 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. t'� / By �7/All PERMIT EXPIRES ON ate Receipt No. 244662 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541R lT o. G (Rev. 12/96) APPLICATION AND PERMIT g- RXq ASSESSOR PARCEL MJMBEAs /_ _ �--y1 � (�-- �,e ZONING BUILDING PERMIT OWNER 1/7 k _ICJ2� TELEPHONE 8O. FT, OCC. BUILDING VA UATION OWNERS MAID nDp D� COX - a 0 O TACTORS Qua T NE CONTRACTORS NG DRESS �L9✓\ CONSTRUCTION LEND EA LENDER'S MAKING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filina Fee 20.00 Permit Fee S 3, ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUI D W G ADDRESS Energy Plan Checking Fee $ o2 $ PERMIT FEE _ $ IDT NO. SUBDN6pNSNAME PARCEL MAP PLUMBING PERMIT Filing Fee' 20.00 USEOFSTRUCTURE SF)( Duplex ❑ Mobllehome ❑ Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utirruse ❑ installation ❑ other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Allain Service =ORR r 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 Lac. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this pennit Is Issued. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height Main Service 20011 TO 1000A 46,00 NEW CONST. DNELLM OCCUR SQ OR ADDNS. a ACC. BLDS. 3.5eFT. NON-RESID. MULTwIRANCH R UITS 07.50 P.0wmE APPARATUS a ovnEr as Ex. Occup. CUTLET OR MURES BA2L .®1.0w0 Ex. Occup. MOR E" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Feel20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEL $ CD Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE TOTAL FEESo D PAZ. ES IYP amD CAP PARC PARCELD. PD RID This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ro ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��+�'°r:�'r!t��liL��r�' +rt `"i�rc.;�jy:rra'R ,¢�i.�;iL �t �:�`�iY t�f ti"s�.ki' :ice �;��y; � r ter. t> � +i ,�,�, •:;4 .i' ' S- „ltii.+:1r1 �`a ,;�; --��.,a3e_a...o.'..�;��. .l ,ll d.� :i.,y 'Ts_ •�°::iai�. COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �LL 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ` ^ PERMIT APPLICATION DATA SHEET OWNER: ISS / ASSESSOR PARCEL ER: 11 S Proposed Building Use: - Building Inspector: Date: At time of permit application, I was advised the following data must be su mrtted prior to permit p ocess' g and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 113. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. g44 eered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- eered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 4 11 ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El19. Fees of $ --------------------------1-w---------------------------------------------------------- . 1. Impact fees as shown on the attached schedule. ------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.-------- ------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 0 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. -----------------------------------------=----------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- (Date) When you issue the permit pr sassas follows ❑ Mail to owner, ❑Mail to jontractor. E Telephone GZ -`�' E r and hold for pickup at t" P ffiice. ❑ De •ver with inspector. Applicant: Date: 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, weer, wa ised the abover aired data by ❑ phone, ❑ mail, 11 red D ion anter, by te: Plans reviewed by: Date: Plans approved by: Date: Sets of plans o hold ' Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �.:,,�.Z^► �.+'.-•v.••^.t"`�'''-'`�.1•,,,,•Y.-',,,,�"'.rr"'^��:`.wl�v�1�...�.T-.—......•.�".vi-..+v'+1'�'Y':•-•--"r'..:.:•.,7.;;;�...�+L-�r'ty�r•;.e..,.��.,�r.-�i'+.{+�-w"^^'`'ti".-.:r,,_.�Crv�s..,...ss.•.-�-•...•:. ti... t • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) u School District Omol Buildin Department No. A.P. Number O -I JZ) / Jurisdiction: � City I County roperty Owner h r w Property Location/Address UI l Subdivision Lot No. Residential Development ©� Sq. Footage 1f,3 No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial 0 New Addition • ,% District Identification No. 990015. Sq. Footage (including Exterior Ro •fed Areas) Date ' DY N 1 'fl n A4kSchool District certifies that Ann Lo SQ C12-, (Applicant) (Street Address) (Phone Number) Qvov lie C_ (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing l!J square feet. VJ I? (, /C/,q School District Representative ID -5— 9D by payment of $ J�B 2926 $ ULL MITIGATION $G Date rf] Paid by Check # Remarks: 0 -Lo 1, l[jy7jhCUG -b &A Co K/A U!5 In . -e , &l1c Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition,,of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning�Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm s •. APPLICANT: OWNER '. PERNITT �. A. P. PR�CT PROCESSINGR�ORD WORE DESCRIPTION: DATE DES C1tIpTION OF STEP — Gic 7 . i -A Ell -1-2, 0 -'� Date: August 11, 1998 offs eouafq LAND O F N A T U R A L W E A L T H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Permit Applicant: Ann Loseke Permit Number: 98-1649 5819 Autry Lane Assessor Parcel #: 036---7-50 Oroville, CA 95966 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations n (� [ ] Red Marked Plans ( ] Other 1 l Action Required: [X] Comply with Plan Chec List [ ] Resubmit Plans withvisions As Required [ ] Return All Original Materqials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, �Dil'rdon cc: Steve Nelson I Hall Drive Oroville, 95966 Date. August 11, 1998 Permit Applicant: Ann Loseke Permit Number: 98-1649 5819 Autrey Lane Assessor Parcel #: 036-750-057 Oroville, CA 95966 The above referenced building plans were received by this office'. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Per Section 2326.5.4.2 UBC your building meets the definition for unusual shape. When a section of roof is not laterally support by braced wall lines on all edges. Redesign or provide lateral analysis by design professional. Professional is also to review and approve trusses per the lateral design. Plans are to show all requirements from engineered calcs and plans must be stamped and signed by professional. Provide continuous support for gable end truss at exiting / new roof. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: � t n iq C -o 5-e�K e- PLAN CHECKER. mJ Y4 BUILDINGP ER: A. P. NUMBER: Zoning requirements: (side yards and number of permitted living units).: _ Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). �T Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. ,2! Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. 6. Special conditions on creation map (Noise, SA.A., Fire Sprinklers, Water Tender,Trees, etc.). 7. F.A.U. & F.A.S. road setback. 8. Building or utilities across lot lines (Record form). FLOOR PLAN: I1! Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). 5. Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F. C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one TO" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: 112 Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). 2. Standard bracing or engineered design (Section 2326.11.3): 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building.. 8. Roof construction details complete enough to construct building. 9. Rafter ties or bearing ridge beam. 10. Fireplace construction details and calc. if necessary. 11. Garage door and/or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection requirements. 16. Header size. June 1997 3.2 NESCELLANEOUS ITEMS TO LOL_. UT FOR: .10 Ir Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). �3! Brick or stone veneer' (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). 6� Roof covering type - (fire hazard). Foam insulation•= protection. S! 36" halls and stairways. Living area over garage -complete 1 -hour separation required on garage side including supporting walls and posts. k0. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Y3' Combustion air for fuel burning appliances - L.P.G. requirements. ..1-/ Noise requirements on duplexes. • Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. 18. Automatic Fire Sprinkler Systems (Section 310.10) 19. For Inspection Jacket: Flood Hazar&Elevation Certificate SRA Requirements Special Inspection Requirements Automatic Fire Sprinklers - y June 1997 3.2 O•r 1 j ! ' I . . . . �. -' i !• + I l l , l i i 1 1 i i i 1 1 1 1 •i i• l i} ' { I I I' ...I f i r _,! r it - .-__..._ I• ._...__ ! ..i' ' �-.t__: , ... I ' I I i_� t I_i i '_ `, I_ -I ;_; i I i � I _'_... i 1 � } __.__-.._.. .. WkLtS, Ab... �i - .owa Rte, . ..... : LeS�. S�D�! � ; '_. •�,c.)��, �l l �i, DC'�1-r�� .�- :..SGS �' �'�s l � _,--.._, _. _, ._ '_.:_.,. ,__}-._..-_. _ , _._-._ _,_ _ 17 25, ... ..... .. .... _' _. _.`. .i.._,.... _I ' r i � I 1 . �1 7 -. '-' - -t'-j , �'�• 1 i� 1 1 �'i 7T ; i I."`,"_1 �` , 'i'-: __. . , .. : . : :��.i . Qom... .,�� ;� l i , �1 2�4..;�. .�C�..C`.' _ _;_� i � I ; , ;.,- ,' ,_:.-.-,- '- • :_:..: i' 7-1 . } ' I'i 'jt i i .1 I I 1._I 1 !-I ,�. f i_I.}.�•i ! 1 i , I I ' I ' ' ' ' l ' I . :.:.'i I_; 111' t ,li,�j;! '11�•i--, ••I I � _y., 1�1 .;_;•:: ry A6 . I j-• i I i I I i I j I t I ' ! Ii !. . _.. ____ •'.-.-^'-j •_,_ .y.. I,..r .:•r•--• Wit._'_:_ ..-. ,-.._.. ,._r-'--'.;..�_-.-I_.�_ i-,- i-'Y"I �_.)_•�_.' '-'•�'-1-•_._,_..._ ! `_,._...,_•_., ...-. r ! .I, _,. I �` �•_I I I i i I I_. ! i I� 1 I I i I( ' I_ -! I '_..---' . ..__- .__ - ._--• j--._.._._.._--r-i-j-"--1-�•'-'-7__,- ,_"_• ,-� , I _, ;_i_ t _•I r_r_�._., .i ;. ,...,._t-r_.._1_„_L., ,_�_,- ,_. . ! � � , , , I !. r ! •'I j 11 I ... ...:.,.: rl; • ,,: ; .111:,•1 ;!I ;•1111;., .,,. .. - I; ,' , t •i ;� I i i I! i I , i I ,.,i ! 11 I i I i 1 i __ -._. ... _... --tom.{-!-Y.r ._�. !.-f•- ,--+-.- j - _•.•_I_'+_ -I_.;_...,.....(_+ _,_._,_111,--•-r--+----a:=.-r-i _.r.,-,_.._ _. _.-._. � 1 Iii � ^.,I IiI I I _' `iI i�� 1 ! ) •._. . , 1 1 t f , MICHAEL MOONEY 5A MADRoNEAvE CIVIL ENGINEER ORovILLE, CA 95966 RCE 20647 (916) 533-2131 Butte County August 12, 1998 Building Inspection Department 1 County Center Drive Oroville, CA 95966 .. '. :... _:. ..•_w.a•... 1.4i:.�... ,..u,:} L t ..o:�_, :c. i.•,.1.... :.:ic':. a.7.,i1:'..,�..�...f5a.^.�iWCCO..:,.:.:.ah,iilt.t,^uU::ludL :t i:. RE. Building Permit �-,-Ann`f; ,Los—ke I have reviewed the trusses for this project and they are adequate for my design. Thank you for your consideration. Yours., i Michael Mooney My license expires 9-30-01 �,V,OFESS 0>1`� \G�AE L 020647 ZO P� �9TF C/V I L C� CHLIF 3 I ,;:a...,oq�?�:�,^i.'6IT1.�'�ff�a..+..R.ynr�'!"S"sen!R.�R�*.�c�r6fgTgrarW'eyM �<..w-yirl'���f�'$'; �9H!r..ylcr�jsv w ,...�, — vs•.x. ...srr's.... _ . `� nn • � t 036-75-0-057 95-2019 B LOSEKE, Ann L. 5819 Autrey'Lane, Oroville n(reroof/SF) CD Const / r' COUNTY OF BUTTE -DEPARTMENT OFDI�VfLOPMENTSERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 05965 - Telephone (916) 538-7541--1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-750--057 ZONING. R11 BUILDINGPERMIT OWNER ANN L. LOSES 33 -5838 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5819 AUTREY CONTRACTOR'S NAME C D CONSTRUCTION TELEPHONE 589-2220 CONTRACTORS MAILING ADDRES43 EXECUTIVE AVE MovnLE, 95966 Fireplace CONSTRUCTION LENDER I UNIOJOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5819 AUTREY LN PERMITFEE $ OROVIUE, „ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 01 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets f 15.00 Building sewer / 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other �l Describe work: REROOF W/COMP Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a00V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. l i�5��7!�!� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( 8 ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .so FIXED Ex. Occup. OUTLETS RESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X�� f .+" .=/ Date ^ �? / ' '' Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.C..4-vDate Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 51.00 HAZ. I D. FEES I IMP FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued'under ne applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo for whit Mees have been paid. / / S i PERMITEXPIRESON (Date) Receipt No. 18098$ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,4California 95965 - Telephone (916) 538-754kne— � PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-750-057 R1 ZONING BUILDING PERMIT T_ OWNER ANN L. LOSEKE TELEPHONE 533-5838 SO. Fr. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESSn 5819 AUTREY 21 6n 1,260-00 CONTRACTOR'S NAME C D CONSTRUCTION TELEPHONE 589-2220 CONTRACTORS MAIUNG ADDRESS 43 EXECUTIVE AVE OROVILLE, 95966 Fireplace CONSTRUCTION LENDER UNINOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 5819 AUTREY LN PERMITFEE S 51.00 OROVILLE PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑K Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15!00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other IN Describe Work: _ REROOF W/COMP Mobile Home I S I GI W 1 @20.00 PERMITFEE 3 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. ,�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BIDS. ) SO. 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES) 20 Q L.00 SAL .SO Ex. Occup. ( OUTLEETSAPPLNS. R D.)EA / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 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. �j n X �����0.%,1Date ,T 9 Signature of Applicant - O Owner O nTrractor ❑ Agent � An OSHA permit is required for excavations over 60" deep and demolition or constructionWA of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 51.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte C unty Code and/or Resolutions to do work indicated abw. for whit f shave been paid. IL 0— aate PERMITEXPIRESON (Date Receipt No. 180988 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 36-75-57 2309-90B,P,E,T- LOSEKE, Ann 5819 Autrey Lane, Oroville Contr: Gravison Construction (addition & remodel/sf) ,t k ;W/r WKM�i X141 -f6 w/f /cs z,�' / JOB FINALE Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch)' 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / ' /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date 'Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements `-. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3.. Decks; Griders and/or Joists- Decking-Bracing'Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDER OR Plans OK except #'s ,4 -Setbacks -Easements -Flood -Slope 2._Ew, 01eirrSoils Flet. Grnd.-/ /" Ftg. Depth 3.54q-6arage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Etg_Sler'ehes & Decks; Soils -Steel-/ /Ftg. Depth 5-SlawAveffe-Main; Steel -Bloc kouts-Wrapped 6 Stem GUa.Garage; Steel-Blockouts-Wrapped owns and Special Anchors _ ab; Steel -Wrapped 8,4n refs -Fireplace Ftg.-Steel .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size -Anchors Water Pipe; Test -Anchor -Regulator -Service Test 1* -?!?Mute•; Underground & Ducts; Clearance -Material -Support -Ins. 1 ' -Sills-Anchor Bolts -Joists -Vents -Cripples nsulation Dat - Z a Card B-1 Date Card B-1 Da - Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19: Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ra sformer Clearance -Ins. Protection �cptacles Spacing -Lights & Switches at Doors ize B xes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. *,-1rq`u1p. Ground made up w/Mech. Fastners-Bond Gas & Water 94-l?-App1t"ce Circuts in Kitchen & Conductor Size/GFI fft-SU M -d -Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. ' c. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ce- is Conductors & Ground -Main Disconnect & Fn�!cR nces Panels-Motors-Mech. Equip. 3-ENeeet Light -Shower Light -Spa Light motor Date" --5D Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM!,NG (Plans) OK except #'s ils, Proper Material & Anchors 40 alls Studs -Nailing, Spacing & Bracing -Plates -Sound 44-09'earjWWalls over Girders & Floor Nailing raf,op jn Walls (rat proof) ire ps; Furred Ceilings -Stairs -Chases -Tub eaders & Beam -Size & Bearing Date FRAMING (Continued) 4&r+farrg-ens-Post Caps -Anchors -Connectors 40.: Ctrlg7Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. Type A Flue -Fireplace Throat clearance 4B-Rffic Access: Size & Romex Protection -Draft Stop -Ins. Baffles ndows or Exiting Doors -Sill Hgt. & Dimensions rp,Garage Fire Protection Framing rewall & Openings 5 . '-Check Garage -3rd Story, 2 Exits 5 i th-Headroom-Rise-Run-Landing-Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Veneer Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic. ailing -Bolts nsula - ails -Ceilings 6 . iltration-Walls-Windows Dater &-ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL Plans OK except #'s Ext. Steps -Door & Sidelight Protection -Landings ,325 -Smoke Detector §3-Fusaaca;.3�nts-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection (tHisilToem Exiting 55, 6 .L & Bath Fixtures & Tub Access -Spa 6kiec: Trim & Subpanel; Breaker Sizes & Labels �-Speirs-d-FFails .6a-Fkeptce or Stove; Clearances -Hearth 69-�tlets at Wood Panel; Int. & Ext. Z0,_KiLEixt. & Appliance; Grnd.-Air, Gap -Cooking Clearance �i-EtOutlets & Receptacles at Kit. Counter 7 rage Fire Door; Swing -Landing -Closer 73 -fl -e thml in Garage -Damper 74-VVnr7Firr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection r25-Wb-Elec. & Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic Yes 7 ai s & Deck Construction -Post Caps 79.-fdn- VerrM & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - owing instld.; Drive 0 Yes O No; Walks 0 Yes O No; Pla ters 0 Yes O No IK'Stucco; Brown -Finish Disconnect, Electrical, Plumbing 421"Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to penin s ater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Venpation Throughout House las tection Corr ctions from Previous Inspections eT-G-as T 1 -Meters Tagged; Gas -Electric -9071�ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Qertificate-Other Certificates Dat OzeylCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 J 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Z��e��� 3oi- 5c -s 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 matt or need additional explanation, please contact this office immediately. b i t Inspector Date,Datel 2 3`) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CenterArive - Oroville, C41iforrsa,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2309-90 ASSESSOR PARCEL NUMBER , 36-75-97 _I ZONING BUILDING PERM OWNER nspkp TELEPHONE S0. FT. OCC. BUILDING W ATION 162 M 2,268 OWNER'S MAILING ADDRESS - 45 1-60 CONTRACTOR'S AME TELEPHONE 589-3457 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ / Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 17.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 90.751 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 6_ NAME 15 "'CG iW PA ?MAP � _6 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Ek Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition MX Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: $tnrra o—r0r1n _eddi tin t ronv ofg nrngp to hath Permit Fee $ 26.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 port — M 8001 OR LESS main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW p y I y (check one): I declare under penalty of perjury ) I am licensed under provisions Of Chapt. 9, Div. 3 of the Business force and effect. and Professions Code and my license is in full( License No. " Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e` OR ADONS. ( ACC. BLDGS. I , 2/z¢sgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS d� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120 9ALOg30 FIXED PR Ex. Occup. OUTLETS (RESID 1EA.1 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 becomesubject 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 3.00 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 again aid County in consequence of the granting of this permit. �_ /� Q/1 X Date (� iv Signature of Appllcont — Owner ❑ Contractor N Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in e'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ -0.00 o C CONS TYPE �fr�% TOTAL FEE $ 163.80 HAz CUA PARK scH FLO PA JPD H Iss E This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dated IL. Receipt No. 69999-- fv�- WHITE-D.P.W., YELLOW -ASSESSOR, P N -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP'ARTMENT 0l, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY gENTER DRIVE - OR VIL , 1ALIF6'RNIA 95965 - TELEPHONE: 916/538-7541 PERkA" PL CATION DATA SHEET Permit No OWNER duaafl L cLe A. P. No. U.�3le - 7T6- OY 7 Proposed Building Use 2w%(/� Building Inspector Date -67- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. G—omp�leTe`I- ans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. 13. Park fees paid .................................................... School District fees paid .............. . 14. Sanitation approval from 0/70 Health Department 1,5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _-:::�Telephone - and hold for pickup at office. Deliver w/inspector. Other a1-0 m ey' Applicant Date 1- 6- �ti Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised ot,,above required data by_phone_mail—counter by ..date Contractor, designer, owner, was advised of move required data by —phone _maII—counter by date Plans checked by Date Plans approved by�� Date �7=:!::�,Z� K Sets of plans n hold in - File cabinet AP folder Copy—DPW T H S. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Q26 l), 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Z,.3©9 Q ASSESSOR PARCEL NUMBER _0, 50 ZONING le_( BUILDING PERMIT OWNER L o TELEPHONE SO. FT. OCC. BUILDING VALUATION 2 2 OWNER'S MAILING ADDRESS 5 PJ I Cy orc) 12. S-0 CONTRACTOR'S NAME TELEPHONE 5e9.3 CONTRACTORIS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN ' Total Valuation Is T7 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ Belo ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS — 8tl rPLUMBING Permit fee $ •0.00 PERMIT Filin9Fee 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 SFW Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 ci Mobile Home Is G W 0.00e TYPE OF WORK New ❑ Addition'A Remodel ❑ Utilities ❑ Installation❑ Other ( Describe work: (Z� Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service BOOV 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): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)+�_ ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELA-ING OCCUP.&\ OR ADDNS. ACC. BLDGS. ! /z¢sgft 4. OS NEW CON5TR ULT' -OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 00 eA 0530Q FAPP LNS. OR FI Ex. Occup. oED A L SID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Q 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 3.66 3-611 Permit Fee $ ,� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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 $ 9 , occ CONST TYPE TOTAL FEE $ [63,6d HAz CUA PARK scHL FLD PAR PD 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 applicable provi- resolutions to do have been paid. WORKS Date Receipt No. f� t0 qq 1 WM,TE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT gimme"i'�'�.zrr-.�.�r�.A'a--.�....--.p,P- 4r� . _r�T�.c��'`+'�G. `;��i`"►�4`��T�����zi•�ti.p'�' BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM O34 _ �_��T�(one Forin per Building) A.P. Number J(o 7 �`� Building Department No. School District Or\Q UK,8 City County t4 Jurisdiction Property Owner WOU Project Location/Address 3 1 /Y t.4Tr'O-' v U Subdivision Lot N mber o Residential Development:. — � a "1,� �� Sq. Fo tage # of Living MHI Addi ion 1Group-R) Unitse Gi rl eL phv2r'� P01\ t O n 162 a)- Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) Build g "epartment Representative Date (Floor Plans reviewed by School District Personnel) r ♦rt/1 1 District Id No AP -Pp ricam 2 ('Street Address kcity) has complied with the requir by tAe payment of �k School District certifies that (Phone Number) (State) '(Zip Code) nts of Resolution No. _J representing _square feet. J 7 -/3- M School District/Representative Date PAID BY CHECK NO. REMARKS: i BANK NO PAID BY CASH l/ ;.white -applicant, yellow -building department, pink -school district SCHOOL'.FEE (8/88) M] 5/89 RESIDENTIAL TLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) .�x�Cerior plaster - weep screeds (Sec. 4706). 5� y/ Proper roof pitch for roof _covering (Chapter 32). FaAdequate er ties or bearing ridge beam. rage door or porch header sizes... bracing. in T4—lng—az-e� arage - complete 1 -hour separation required on garage side ting walls and posts, etc. exits on three-story dwellings (Sec. 3303-& see Mezannines - 1716). Attic access and ventilation (Sec. 3205). 13. U a �ce ' and ventilation (Sec. 2516). (S 14 Combustion air for fuel burning appliances. 1 remen s on duplexes. 5 �� 1 -special foundation design. 1 is requiring design. size, or split level house requiring lateral design. lashing at all exterior openings. /= �,y�-Grp wti cco ZD .,7 , �/kf /tet GL' c,,,r RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX.& MISC. ONLY) , . Bldg. Permit # � �y OWNER �l,(/ �O ,S,z�G� A. P. # �7 J — 7 S GENERAL 1! �.��,-ng requirements: (sideyards �j/ V-__- tion. raZrs-szgne��igner . Energy Design and Compliance. ng . a PLOT PLAN and number of permitted living units). C mplete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. gs or structures. �g�-lis, drainage. Flood hazard. co-aton creation map or compliance document. road setback. FLOOR p'lete to scale plan with dimensions. uired windows for light and ventilation (Sec.. 1205). 5/89 hapter 34 & Sec. 5207). uman impact glass (Sec. 5406). Ey/I� red room zes, ling heights (Sec. 1207). 7/ s in b s, gZage, and exterior outlets (Article 210-8). F Li fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater, heating and coolin . equipment, other electrical or '� s equipment, and plumbing fixtures. �� Q�£ G-�L• W. G age firewall, door size, and closer (Sec. 503(d)(3 �). 1-l. 1 - 3'0" exterior exit door (Sec. 3304(e)). ep ace an woo s o e , alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 14! Foundation plan complete enough to construct building. �-- or construction details complete enough to construct building. c8! evations and wall construction details complete enough to construct building. onstruction details complete enough to construct building. 5. ils and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 4::; � may etails: landings, rise and run, head clearance, handrails (Sec. 3306). uar rai details (Sec. 1711 & 3306(j)). one veneer (Chapter 30). PERMIT NO. 3681-81B,P, I A PERMIT EXPIRES OWNER Wynoka--Homes CONTR. owner ASSESSOR PARCEL — 36-;-75-57 LOCATION 5819 Autwj Ln.,.1ot,57,Vista Del Cerro #3, oroville Temp. Power Pole Called PG&E Temp. Elec. Service_!; Called PG&E /4 2, -ie Temp. Gas Service Z-0 Called PG&E UV JOB FINA/ED(Date) Signature i J OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"i[/ P'Nat. or/ /"L"ft./ LPG 7. Utility Clearance 6. Carports; Windows -Doors 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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -B-1 Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements - 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector ! t 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distance's-GFI 5. Drain; MH Test -Fall -Flex Connector 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 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 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDER LOOK P s OK except # s Date FRAMING Continued ;0.oning requirements -Setbacks Easements 4 Property Line Firewall & Openings t ,Main; Soils -Steel- - / /" 4K5xt. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel -A/ /' tg. idth-Headroom-Rise-Run- Land ing-Fire Protection 4. F!.%., Porches & Decks; Soils -Steel- / /" Ftg. Depth 14 --Plywood on Roof Overhang -Attic Vents -Rafter Outriggers walls, Main; Steel-Blockouts-Wrapped-S 52 - iding-Nailing-Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Pier -Fireplace Ftg.-Steel I ing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples OEMI C -BI Date - _ and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI Dat 2 Q Date FINA (P" -n-.) OK except q's Card -BIS Date ,p2_3 rQJ Card -BI Date �v Date c PLUM ING (Pew) OK except q's 5 Ext._Steps-Door & Sidelight Protection -Landings 5 mo e. Detector 1 Water Ht.; Vent -Access -Combustion Air 5 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection �room Exiting W ter Pipe; Test & Anchors -Nail Protection 1 D.W.V.; Test-Fttngs & Anchors -Nail Protection Ppn; Test, First Floor -Tub Access 60- & Bath Fixtures & Tub Access & Shower, 2nd Floor -Tub Access 6%,-Elec. Trim & Subpanel; Breaker Sizes -Labels -Gas Pipe; Size & Anchors 62 _19 or Stove; Clearances -Hearth _ lec. Outlets at Wood Panel; Int. & Ext. C rd -B Date --/2-_"ard-BI Date 65 it. F'xt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL P � OK except p's 61.—'Garage Fire Door; Swing -Landing -Closer 6 Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled R ex Installed Close to Edge of Studs & C.J. 7 .1b•, Elec. &Mech. Equip. Listed for Location 71�Elec. Receptacles in Garage; (G.F.I.)-R ex Protec. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ZYes 2 Appliance Circuits in Kitchen & Conductor Size 73._Gverdyi9Trs--T Deck Construction -Post Caps 26. Subfeed Wire Size.// ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Ve ole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / �o_/ ga. Cu orOven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes o 75. Following inssJd.: Drive Yes ❑ No; Walks es ❑ No; Planters Y IJ No Service -Riser Conductors &Ground -Main Disconnect 761 Stucco; Br n-Fi 2RIpuip. Clearances; Panels-Motors-Mech. Equip. . A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3b -Clothes Closet Light -Shower Light 7 . Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. A_t tr±OL ,,,p,iaconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground _ and -BI Date Ventilation throughout House Card B -I Date Card -BI Date Glass Protection Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts; Insulation & Support _ Corrections from Previous Inspections 84. est -Meters Tagged; Gas -Electric 5. r W & Se nnected-C o Grade -HD Approval 32. Vent Fan; Exhaust above Insulation energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade Ud -Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI -/ Date `r and -BI 'Date C d -BI 01ate _ rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI G(P s) OK except q's Comments at Final: 36 _ills; Proper Material & Anchors _ 37 --Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 e_aring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub der & Beam -size ..& Bearing _ 42J/Fi gers-Post Caps -Anchors -Connectors 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 4a+--F4,reP+8CV_'Nes or Type A Flue -Fireplace Throat _ 45 tic ccess; Size & Romex Protection -Draft Stop -Ins. Baffles - 46. dr Windows or Exiting Doors -Sill Hgt. & Dimensions 47..LQrarage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 13 RESIDENTIAL ENERGY CONSERVATION STANDARDS. CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Unit- #3 Lot• #57 (location) _ BUILDING PERMIT NO. ��j `60'/B P E/� A. P. NO.3�p - 7�"� THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) APPROVED WTR.HTR.- I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF TRIS CERTIFICATE AS SUBMITTED. - Insulation Applicator Name H wkine Inaulation Co Inc (please print) Signature of Insulation Applicator State Contractors Lic e n �se No. 378407 General Contractor/Owner, Name %/�! VIV01� / iYIf=S .StiC.. • (- e print) Signature of General Contractor/Owner Date 3/31/82: :State Contractors License No. THIS CERT IF ICATE- MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINALsINSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING.' INSULATION: GLA7AM Slab Edge. NA Single Glazed NA Fdn. Walls Special (Insulated) NA Floors INK.. -CERT.:.,,&. LABELED WDS. Walls C R=11 947 & SUDI tQG. DRS. NA Ceiling/RoofK-`D 1"�n`* 0 WEATHERSTRIPPED DRS.. NA Ducts NA BACK DAMPERED'FANS NA Circulating Pipes NA INTERMITTENT IGNITION DEVICES NA APPROVED HEATER A CERT. APPLIANCES NA APPROVED WTR.HTR.- I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF TRIS CERTIFICATE AS SUBMITTED. - Insulation Applicator Name H wkine Inaulation Co Inc (please print) Signature of Insulation Applicator State Contractors Lic e n �se No. 378407 General Contractor/Owner, Name %/�! VIV01� / iYIf=S .StiC.. • (- e print) Signature of General Contractor/Owner Date 3/31/82: :State Contractors License No. THIS CERT IF ICATE- MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINALsINSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING.' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO I 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 APPLICATION AND PERMIT cv ASSESSOR PARCEL NUMBER 36-7.5-57 ZONING ILDING PERMIT OWNER WYNOKA HOMES064 TJELEPHONE SQ. FT. OCC. BUILDING VALUATION R 34048.00 OWNER'S MAILING ADDRESS 315 M 3150.00 CONTRACTOR'S NAME W noka Homes Inc. TELEPHONE 10 COV 0 • 00 60.00 V CON RACTOR'S MAILING ADDRESS P.O.Box 1600, Oroville 95965 Fireplace CONSTRUCTION LENDERUNKNOWN None Total Valuation $ 37258.00 Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 151.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 10 -00 - Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 171.00 BUILDING✓ �E/S PLUMBING PERMIT Filing Fee 10.00 Each Trap 5 2.00 10.00 Repair drainage or vent piping 5.00 Water piping 5.00 LOT NO. 57 SUBDIVISION NAME Vista Del -,'Cerro #3 PARCEL MAP Each qas water heater or vent 5.00 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Lawn sprinkler system 5.00 TYPE OF WORK NeWN0 Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Master #48-76 Permit Fee $ 40 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 S 00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCT7,e§ OR ADDNS. ( ACC. BLDGS. j7�27.55 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. ��EA. License No. C(p.� Classification A01� ❑ 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 i2 -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR, SO@2Sc Ex. Occup OUTLETS OR FIXTURES BAL010S Ex. Occup.(ouTL. 2.00 TSIXED P(RESID )R Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 42.55 Contractor MECHANICAL PERMIT FiIirig Fee 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 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. Heating48M 5.00 Wall gas Cooling Evap 5.00 Hood 3.00 3.00 Ventilation Permit Fee S 23-50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, dgments, costs, and expenses which may in any way accrue against s d my in copse of the granting of this permi . X Date Signatureof Applicant - Owneri;�L. Con actoVISL Agent ❑ An OSHA permit is required for excavatio r 5'0" deep and demolition or construct- ion of structures over 3 stories in hei Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 276.55 oc CROUP _ 3 TYPE OF CONST. �,,,_� PARCE P HD ISSUE This permit is hereby issued under ions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By P IT EXPI ES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7'-3.'Pl `7 Z. Receipt No. J56 ,5S �G 0 <% WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR, GOLDENROD -APPLICANT j!4 f Telephone '533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 123-81 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: WYNOKA HOMES, INC. Applicant Address: P. 0. BOX 1600, OROVILLE, CA 95965 Applicant Phone No.- 533-2738 Property Location (s): 5819 AUTREY LANE VISTA DEL CERRO - UNIT 3 - LOT 57 A. P. No. (s): 036-75-0-057-0 Fees Paid: $250.00 N , B _ P - TT D - CONNECTION FEE AND $90000 SC -OR 0000SC-OR FACILITY CHARGE DUE. Application for service approved: 1,4 SEPTEMBER 28, 1981 'North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: M North Burbank Public Utility District release to close permit: Date: By: qua I i NOTE =All Materials & Workmanship Shall Be in Accordance with Reco^;ni-ied -Good Practices and of a c3uality prescribed -for fhe Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specifications MUST 1;d kept on the job at all +irne;s and it is unlnwfnl to make any changes or r. ltnro4lnns on samo without written permission from the Department of Public Works, County of Butte. 47 1 47 A setback of 5 ft. f a sett els property lines and of 50ft. from the road V centerline shall ui clear of See Master Plan on file for bwlding structures or equipment except plans. orI for a 2 ft. eave overhang. .. • - o © o n SAD �•`� I. 20 3SL- Ii 1 I vi G 0 'GILDING DEPARTME c,106WALK APPR®V� AvTR� LariE. u pG o(Zovit-t e SUBDIVISION .Nt,P� t7 SEWER Ow1 0 WATER PGE ELECTRIC CITY se GVTTEI S7 I COUNTY LOT NO. 916.533.2736 .._o .vu. IHOMES,INC. 1"20, P.O. BOX 16 SCALE OROVILLE, CAL. 95965 0 AGRICULTURAL SOZATA7Nj OF AC KNOt, LEDGEMENT FOR RESIDENTIAL DEVELOPMENT -;U__r _% 18 4 P. FORM % ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �i�/it% ��_S c� /Gc' Climate Zone / Permit # O Y2% Floor Area S � The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included.- APPLIES ncluded. APPLIES TO NEW AREA 0 CEILING 0 WALL FLOOR SLAB ' GLAZING ZONE 11 ZO E 16 R-30 R-38 R-11 R-19 R-11 -19 R-7 /R-7 U-.65 (Dual) -.65 (D �1) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE- Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION'SHALL.BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 (cooling capacity at 95'F) ❑ Other (describe)-,_ DOMESTIC WATER SYSTEM C3 .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/ElectricBackup (brand and model number) Gallons *2 (tank size) ❑ Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature elevation heating load BTU elevation factor _ x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU 2 Submit T.I.P.S.E-.-chart . or other - appr . oved system (form #5) to document sizing of solar panel -s. [M DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF OfLDING DESIGNER OR APPLICANT HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace X (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) 13 Active Solar type (liquid or air) Collector brand and ft2. model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope 13 Other (describe) (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) M Electric Heat Pump EER Btu/hr (cooling capacity at 95'F) ❑ Other (describe)-,_ DOMESTIC WATER SYSTEM C3 .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/ElectricBackup (brand and model number) Gallons *2 (tank size) ❑ Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature elevation heating load BTU elevation factor _ x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU 2 Submit T.I.P.S.E-.-chart . or other - appr . oved system (form #5) to document sizing of solar panel -s. 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