HomeMy WebLinkAbout078-230-0060
RAY SHIPMAN
47 Rosita Way, Oroville
ContR: Mountain Aix
Permit#3288-88M(renlace fur.nacelSF___
Permit#3310-88L, ,fE a.d family room)
SF
Permit#2402-91B
(partitions & enclose washe rage
C
PERMIT#96-0077
SHIPMAN, Ray
47 Rosita'Way, Oroville ' V
Cont; Advance Heating /
Replace Wall 4tr/SF
i
WYNOKA HOMES INC. 306-71B,
431-71 P (vent)361-71 P
36 - lE
47 Rosita Way, Oroville (Lot 46
(new single family) �� � / � u/71
tp4'.47•!l_Vg .7. •P+Qi��Y'••�-3a•�-Si•�mbF 6n?G;•1}.?rFi`Hiu S•.ns y. .n,5.r< ,W^r:-a,.�,xr, u.'r ..' -�•'cn Tir r.--..•+'�..c w .«... .. w... w .- �
036=560-006 r';, PERMIT#96=0077
SHIPMAN Ray-
-47
ay "47 Rosita Way,'.:Oroville }`
Coht; Advance Heating
Replace Wall Htr/SF<' ;'�'I U iq °�
a
N
v ��
.. .'y ;a; ,r^w.a-.�c�pn1�.nrF*4. t .-,T �„C'',T'�'��c�,'�'�..°t4�!- r:w7
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI014
7 County Center Drive - Oroville,'California 95965 - Telephone (916) 538-754 /!O - PERMIT NO.
APPLICATION AND PERMIT ( 77
ASSESSOR PARCEL NUMBER 36-56-006
ZONING R1
BUILDIN6 PERMIT .
OWNER RAV �+LITt',LM
i1t11 J[Lir 1tS1\
TELEPHONE 534-7455
SO' FT' OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS /
47 ROSITA WAY OPOVILLE 95966
CONTRACTOR'S NAME
ADVANCE HEATING 70
I TELEPHONE
428-3242
ooNTRACTOAs�Mai� �ADotRI75�I$ Wl6LXF AVII, FAIRI EMto
Fire lace
r -. p
CONSTRUCTIQN LEDER -, \ '� UNIDNOWN -
Y / 1 J - � +.JC � �tl r � //
r Z
otal Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee'
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
47 ROSiTA WAYPLUMBINGPERMIT
PERMITFEE
$
OROVIIIE, 95966
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SFY❑ Duplex ❑ Mabilehome ❑ 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 ❑ Utilities ❑ Installation Other ❑
Describe Work: PEPLACF, W:1II. ,` A'Ti?R 35,r f}W E."T
Mobile Home I S I GI W 1
920.00
PERMITFEEs
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service a00V OR LESS
( 200A GR 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 C.- 2-4) Lic. No. S -Z 7—(A ito I
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.
OR ADDNS. ( d ACC. BLOS. )
SD.
3.50 F7.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( b POWER APPARATUS )
SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
RAL so
FIXED APPWS. OR
Ex. Occup. (OUTLETS (RESID.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
WORKERS' COMPENSATION DECLARATION
I 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.
VKI 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 nu bar are:
Carrier ..TF.2GJF- T-I—t Jr*,eA % e -C- >/Lr//C C t
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
15.00
Cooling
Hood
6.50
Ventilation
PERMITFEE
$ 15.00
Contractor
Policy Number /4C _P S'C.J JJ//
(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 --
forthwith comply with those provisions.
X _ Date(��- ��_
Signature of Applicant - ❑Owner ❑Contractor ls�^F1gen�"
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
1 D. FEES
I IMP I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By �1 t ("�
�/� 7nr v
i
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No. 90787
WHITE-D.D.S.-EI.Q. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
pso tt
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D1;6
101
(, 7 County Center Drive - Oroville,.:,Wifornia 95965 - Telephone (916) 538-75PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 36-56-006
Rl ZONING
BUILDING PERMIT
OWNER
RAY SHIPS IAN
TELEPHONE
534-7455
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 47 ROSITA WAY OROVILLE, 95966
CONTRACTOR'S NAME ITELEPHONE
ADVANCE HEATING (707)428-3242
CONTRACTORS MAILING ADDRESS
1755—B WOOLNER AVE FAIRFIELD. 94533
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
47 ROSITA WAY
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
OROVILLL 95966
Each Trap
7.00
LOT NO.SUBDNISK)N'S
NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF1'0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: RFPT.AGE WATT. 4FATER 35,000 BTI
Mobile Home I S I G W I
@20.00
PERMITFEE
t
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service a V OR LESS
( z00 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. �� �/
AA
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 OCCUP.
OR ACDNS. ( 8 ACC. BLDS. )
SO.
3.5¢ FT.
NEW CONST.LTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FUTURES )
20 Q 1.00
BAL .00
FIXED APPWS. OR
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.
19-I'l 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 nu ber are:
Carrier �A.4rE /,.parr LitJ�it�tr4+�7G1g �21//CSS
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
15.00
Cooling
Hood
6.50
Ventilation
PERMITFEE
$ 35.00
Contractor
Policy Number /C .f0 a3//
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, 1 shallTOTAL
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 rovisions.
X _Date Q�L— ��_
—��'
Signature of Applicant - ❑ Owner ❑ Contractor gen
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
FEE $
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES O
I
applicable provisions
Resolutions to do work
been paid.
Date 77 /
I —— %
(Date)
Receipt No. 190787
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
HEATING AND AIR CONDITIONING
December 1995
City Officials
Please be advised this agent for Richard Heath & Associates is acting on our behalf to
pull permits and or Business licenses in your fine City
If you need confirmation you may call us at (707) 428-3242
Thank you in advance for your cooperation
Sincerely
y "
Christopher Bommarito
Sec/Treas �Aw
cc: file
1755-B Woolner Ave. Fairfield, CA 94533 (707) 428-3242 Lic. 1532661
Pern;it#3288-88
Pay Shipirian
47 Ro-sita Way, ORoville
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541a �(%�
APPLICATION AICD PERMIT
ASSESSOR PARCEL NUMBER
-41,
ZONING
K %
BUILDING PERMIT
OWNER
'
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'SiMAILING ADDRESS
4 v PrO 5 , JCA- ,tJ� , /7k41,;
CONTRACTOR'S NAME
4fel t, -,, T e,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
q?o a,,k .4,, '."te- J,/,r Cdf, CAxl`�fl
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2,00
—C
Sol ar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5,00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF[Duplex[] Mobilehome❑ theG`e-
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities] Installation❑ Other
Describe work: rg -A, r .,p
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 800V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
%/� -2/
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.51,
OR ACDNS. ACC. BLDGS. /z¢sgft
LET
NEW CONSTR. UU 2,50 ea
BRANCH
NO N.R ESID CIRCUITS
ITS
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 1111 50t
eALeao
FIXED APPLNS. OR \
Ex. Occup. OUTLETS (RESID.) EA.J 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. lyirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
,0- I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this,, statement, should you become subject
to the W. C. provisions of,the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
:3 ,U—t?—t+j 61 LA
Cooling
9
Hood 3.00
Ventilation
Permit Fee ;,�,� $
Contractor r
I certify that I have read this 14pl•ication arid'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.
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 - n `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 Instal lation,Fee $
Energy Inspection Fee ' $
TOTAL PERMIT FEE $ C;) U—t�
OCCuP.
CONST.TYPE
JSC1IOOLJ1LOO.JP..1rLJ
PO
ND
's7
V/
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
rwhich fees have been paid.
work indicated above for which
/ ,DIRECTOfi F PUBL,iCIORKS
B /.,'t f% ,�/�f
y ' M� A �1��DatQ
PERMIT EXPIRES Date
Receipt No. OZ �n � ?l t
WHITE-D.P.W., YELLOW-ASSES3011, PINK -INSPECTOR. GOLDENROD -APPLICANT
;J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO.
- 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 3
APPLICATION.AUD PERMIT
IiA
ASSESSOR PARCEL NUMBER
•/
ZONI,ys34,
BUILDING PERMIT
Ow R
a Lish `4A
TELEPHONE
53f -1--7q55
SQ. FT. OCC. BUILDING VALUAT ON
OWNER' MAILING A"PRESS
CONT ACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
9-)0 Ufa• -k Aze 51n:l-e GL e L'4L✓'��
Fireplace
CONSTRUCTION LENDER I
UN OWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
�� %
U S i W Q
Each Trap
2.00
v -k-
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 L`,,—S Duplex❑ Mobilehome❑ t!D her7
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
Main service 11001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Codeand my license is in full force and effect.
License N. /_� Classification —Sv ���
❑ 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.6
OR ADONS. ( ACC. BLDGS. , /4sgft
NEW RESID, U C. CIRET 2,50 ea
NON.R ESID .BRA CH CIRC ITS
/POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES eLO 30 2AL@11
Ex. Occup. OUTLETS P(RESID )FIXED ALNS. REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
36 a -p --V 6t kA
�d O
Cooling
g
Hood
3.00
Ventilation
Permit Fee F
$
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 liabiliti s, judgments, costs, and expenses which may in any way accrue
against sai County in consequence of a granting of this permit.
Date
Signature of ApViicant Owner❑ Contractor ❑ Agent ❑
An OSHA permired 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 $ �. tTL�
OCCUP.
CONST.TY
SCHOOL
FLOOD
PARCEL
PD
ND
159
This permit is hereby issued under
sions of the Butte County Code and/or
work indi d above for which
IREC PUB
B
PERMIT EXPIRE Date
the applicable provi-
resolutions to do
fee have been paid.
ORKS
Dat
Receipt No. a 3 1
NITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
j
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION '
7 COUNTY CENTER DRIVE - OROVILLEj1;CALYF_QRNIA 95965 - TELEPHONE: 916/538-7541
PERUT-APPLICATION DATA SHEET
1_ Permit No.
OWNER ��S v` /Vld ,V A. P. No.
Proposed Building Use��f ura.16`e EeIA-11lL4 Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
,1017' l2. Certificate of Workmen's Compensation Insurance. . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_15. Improvements may be required. . . . . . . . . . ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: —Mail to owner, I to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other /
Appl ica
e Z-2 ` A ,�
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone—inail_couriter by date
Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date
Plans checked
Copy—DPW
Sets of plans on hold in
Date Plans approved
File cabinet AP folder
Date
RESIDENTIAL
36-56-06 2402-91
SHIPMAN, Ray
47 Rosita Way, Oroville
(partitions & enclose washer/garage)
3a &
JOB FINAL
Signature
J=OK
O = Not OK
Applic
NO Readyable MOBILE HOMES -
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
45gela
MISCELLANEOUS
Date DECP, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
Zoning Requirements -Setbacks -Easements
Ings; 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
tic
rmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -landings
42 0
Date - Card B-VDate Card B-1
Date Card B -1G Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
=N tReadyable RESIDENTIAL (Single,&
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
rkra�
Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti'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 ti's
22. Fixture & Transformer Clearance -Ins. Protection
------- --------------- - ------------- -------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- -------------- --------------------------------- -------------
24. Size Boxes & No. of Conductors -Stapled
--------- -------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-------------------------------------------------- - ---------------
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
----------------------------------- - -------------------------------------------- -
27.
---------- ---------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-----------------------------------------------------------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ! ga.
Cu or At
------------------------------------------------------------------
29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
-------------------------------------------------------------------------------
- 31 Equip_ Clearances Panels-Motors-Mech. Equip.
---------- ----------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
-----------------------------------------------
--
---------------------------33. Smoke Detector
--------------------------------------------- ----------------------------------
Date Card B-1 Date Card - B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
35. Vent Fan: Exhaust above insulation
-------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
--- ------ -------------------------------------------------------------------
38 Attic Access & Platform if Furnance in Attic
---------------------------------------- --------------------------------------
Date Card -B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
39. Sils, Proper Material & Anchors
------ -- -
---------------------------------- --------------- ----------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------- -- - ----------------------------- - -- ---------------
41 Bearing Walls over Girders & Floor Nailing
----------- --- -----------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
----------- -----------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
-------------- -- --- -------------- --------------------------------------
44. Headers & Beam -Size & Bearing
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
-------------------------------
53. Stairs: Width -Head room -Rise-Run-Landino-Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
_ 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
-------------------------- -
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
_ 61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------------ -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
--------------
64.
---------- 64. Bedroom Exiting
------------------------ -----
65. G.F.I. & Bath Fixtures & Tub Access -Spa
___________ 66. Elec. Trim & Subp_anel: Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
----------- -----------------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance
----------_----------------
71.
-----.-....----------------71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
--------------------------------- --- -
73. A.C. Duct in Garage -Damper
-- ----- -------------- -------- __
-------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
------------------------------------
75. Plb.. Elec. & Mech. Equip. Listed for Location
76.- Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-----------------------------------------
7;. Insulation -Foam -Looked in Attic ❑ Yes
-- ----------- 78. Guard Rails & Deck Construction -Post Caps
-----------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
------------------------------------------------- -
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes -❑ No --
81. Stucco: Brown -Finish
------- ------------------------- --
82. A.C. Unit: Disconnect, Electrical, Plumbing
--------------------------------
83.
-----------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
--------------------------------------- --
84. Water Well: Disconnect, Electrical, Plumbing
---------------
85.
- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
---------------
86.
---- 86. Ventilation Throughout House
- - -- --------------------
87.
-- - -----------------------------------------
87. Glass Protection
- --------- --------
88. Corrections from Previous Inspections
------------- --------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
----------------- --------------- ---- ----
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
---------------------------------------
----- --- -
Date Card B-1 Date Card B-1
------------------------------------------ - -----
Date Card B-1 Date Card B-1
---------------------------- ------- -
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
36-56-06
ZONING
R-1
BUILDING PERMIT
OWNER
RAY SHIPMAN
TELEPHONE
534-7455
,SQ, FT. OCC. BUILDING VALUATION
CONT EST 500
OWNER'S MAILING ADDRESS
47 ROSITA WAY OROVILLE
NAAME 77TTELEPHONE
CONTRACTOR'S NAME
ER
CONTRACTOOR'SV MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
—
LENDER'S MAILING ADDRESS
Permit Fee
$ 10.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
47ROSITA WAY OROVILLE
Permit tee
$ 35.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other [
Describe work: TNSTAT.T. PARTITION WAIT, IN GARAGE AND
ENCLOSE WASHER
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale..(Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. BLDGS.
, /20sgft
NEWCONSTR. U TI.OUTLET
NON .RESID BRANCH CIRC ITS
2.50 ea,
POWER APPARATUS 2
SINGLE OUTLET CIR.
Ex. Occu p OUTLETS OR FIXTURES
SALO30
200030
FIXED APPLNS. OR
EX. OCCUp. OUTLETS L SID.) EA.I
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin 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.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such3100
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, �0e,ereby authorize representatives of the County of
Butte to enter upon the atentioned property for inspection purposes.
I also agree to save, �nify and keep harmless the County of Butte against
all liabilities, judg t ,sts, and expenses which may in any way accrue
ai aid County onquence of the granting of this ermit.
Date f/ /
– Owner Contractor ❑ Ag ❑
Signature of Arover
An OSHA perquired for excavations over 5'0" deep and demo (tion or construct-
ion of structur stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
o
c PE
TOTAL FEE $ 35.00
HAz. cuA PARK SCHL
FLD coF
PAR Po I HD•
I
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR F UBLIC WORKS
BY Date
PERM XPIRES Date ?'�^�
Receipt No. 94564
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
.._�. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - gROVELEC•, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. /
OWNER /% i(/e T 1f / /��/�/(/ A. P o. 7 l6
Proposed Building Use,,I"4610— Jk -LC.� Building Inspector. 4 Date l0
At time o ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
M
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..................................'....... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When Issue the ermi r cess follows: Mai t er. Mail to contractor.
Y P P _ /��°
Telephone and hold for pickup at �" offic Deliver w/inspector.
Other I /
Applicant / i1�t �v//�,� _ Date
_DCop7r51*&WQ("nt Health Dept. Fire Dep� 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,
Contractor, designer, owner, was advised of above required data by_phone_rnaiI—counter by .date
Contractor, designer, owner, was advised of above required data by—phone _maII—counAer,by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESS EL NUMBER
-5- -- 0
75
ZONING
BUILDING PERMIT
0 N 01
Sof
TELEPHONE
s3 7J5_5_
SO. FT. OCC. BUILDING VALUATION
CS S
OWNER'S MAILI ADDRESS
1 % oS r V\)CONTRACTOR'S
NAME///
for L
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION 1 -ENDER
UNKNOWN
Total Valuation $
LENOER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 0-dU
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S' ov
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
L1/
/�/
permit fee
0
PLUMBING PERMIT
-i-3-5-
Filing Fee 1 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
SFX Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Otherlu
Describe work:-.7—lUS�-All Mnoe-l; /-mA) zt/A+// %/y 6/-I ieAG
_ 11644 !%C415(f 0_1A,<A er
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fe,V 10.00
Main service 8000 AMP 1 OR ORSLESS
I 1 -00
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 my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.�
OR ADONS. ( ACC. BLDGS.
Z,/vZsq ft
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC IT
12.50 ea 1
POWER APPARAT e
(SINGLE OUTLET IR,
Ex. OCCUp(OUTLETS OR XXTURES
Ex. Occup. OUTLETS P ESID IRE A.)
2.00 j
Temporary service
10.00
Mobile Home Fa lilies
15.00
Misc. Wiring
15.00
Permit Fee
$ Z�,, 1
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
g
Hood
3,00
Ventilation
Permit Fee
Contractor 7
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County or
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XThis
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 $
occ CONST TYPE
TOTAL FEES
HAc LUA I PAHK SCHL FLO coF I AR Po
I I
permit is hereby issued unaer
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 7Z1 ZPL
nNITC-O.P.W., T£LLOW--3SF330R. PINK -INSPECTOR, GOLDENROD-APPLICANr
1 4
I
COUNTY OF BUTTE, Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) t42,
2. I (have/have not) JAA,� signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I hgve hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date l &, /a19
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
-T
-+:n�.va^Ev�.-tRfaM°�'rr+.Hrr, wrAa�c�:u�nN'�.sear�.vp"tKel',SLM3.5�1'H�cin "_�lMf � ... L .. . „gyl�wmt+a,ryW
`P� '/4"?'M�tA.vi'•� 'r4s�a.a 'y�.,'.M.^pn� � ►:�*tfy: _ M:R�ecsEi:§4�4WP�r M� .:Wa.s�,'x+wv...,.�...
Thb of Of Plane and speoiSaaUons MMI T be
kept On the fob at all times and it is unlawful to
make atky ahauges or alterations on same without
written permission fjrom the Department of Public.
Works, County of Butte.
lam: All Materials & Workmanship Shall Be In
Accordance with Recognized Good Practices and
of a Quality Prescribed for the Specified use
in the Uniform Building, Plumbing & Mechanical
Codes and the National Eiectrical Coda.
T
P°o r
J
(N035le-
24o2 -9l
13UTTG Cour
� ���APPROVED..
N(�-,NrEfloit PARTITION�..--- -,- - Air co•ncl• - - - - --.
cUPS
RbtlGD S fLl, I�NCi�S T. S 1 L t: Ick-.
kop
S+oroy
u �
2' 1I6'' • d o ov�y F�
ki4�� TD �QOf 3 ; 0 oor +a WAIT
13UrrF. COUN f
BIJILDiNDEPARTMEi
APPROVED
.&rc�se Door-
PERMIT NO. ) — M
p PERMIT EXPIRES
OWNER RAY HIPMAN
CONTR. owner
ASSESSOR PARCEL 36-56-06
LOCATION 47 Rosita Way, Oroville
Tz
I
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
=OK
0 = Not OK
- = Not Applicable
' = Not Ready
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch
5. Electricity; Location-Clearances-Grnd.-/ / Am
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Utility Clearance
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; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
icrete Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -81 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -81
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -61 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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 -Enc losures-Panel boards- Ins. to Main in Conduit
Card -B1 Date Card -61 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -61
Date Card -131 Date
Card -61
Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready '
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Sup prt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -81 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Card -81 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9965 -Telephone: 916/538-7541
APPLICATION AND PERMIT
MIT NO. �
ASSESSOR PARCEL NUMBER
36-
ZONING
BUILDING PERMIT
OWNER
a 5 ,4Aa.AJ
TELEPHONE
SYt1/5"5
S0. FT. OCC. BUILDING VALUATION
95 5
OWNER'S M LING ADORESp
CONTRACTOR'S NAMET
61711 7t 1= a` DW.Ar ,
LEPHONE
CONT R�1fi j�0y'j,�lM iLING ADDRESS s
�I�A /;;�✓//f6 ?'
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
a
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ , SU
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ,
Energy Plan Checking Fee
$ / 0�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ • '75
PLUMBING PERMIT
Filing Fee 10.00
�A Q
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SU/BDI�VISION NAME
c�J A%991)�
RCEL MAP
Dg'
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 Jam, Pfl
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: p/
1-4," O X a a
Permit Fee
$ l ,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
le" / .�� �' �- aNer - S!Q
Main 600V OR LESS
ain service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTOR 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.
)cense No. Classification
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y
OR AODNS. ACC. BLDGS. , /20sgft 91 43 7
NEW CONS"
NON- BRA CH CIRC ITS Z.SOea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. Occu o 20 a 50C
Occup(OUTLETS OR FIXTURES eAL030
FIXED ALNS.
Ex. OCCup. OUTLETS P(RESID )REA.) 1 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
Misc. Wirin g 15.00
Permit Fee $1(7,89
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
1 Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
perm it Fee
$ lo•�
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 Coun in consequence of the granting of this permit.
X Date /Q -/D- cyo
Signature f Applica — Owner F-1 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 $ yo --p
TOTAL P RMIT FEE
occuP,
cox T.T c
�%�
Y
ecNoo FLooD
PARCEL
PD
7H
9 E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/`_io.p.P
Date
• /'����
Receipt No. a e
WHITE-D.P.W.. YELLOW-A369390R. PINK -INSPECTOR. GOLDENROD -APPLICANT
ea�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
' I, PUBLIC
t7
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
s <
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Cl 1A�V►r MQ� A. P. No.�"6 '- d
Proposed Buildin Use � %� � } 1041 Building Inspector X - Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5 Plans with Energy Design Compliance Statement. . . . . .
Chou/141--' School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9.
10.
11.
12.
13.
14.
—15.
16.
17.
18.
19.
20.
W'
22.
Letter of signature authorizat'o ..
Sanitation approval from ' r � "E— Health Dept.
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec..request to (Dat i
Pre -Inspection for Required. Building Inspector i
Recorded copy of Agricultural Acknowledgment Statement. -
Driveway Permit.
Plot plan approval from city of
Engineered trusses in du licate (required prior to plan check).
When ou issue the perm it process as follows: Mail to owner, Mail to contractor.
Telephone 5_3 l`W5.5- and hold for pickup atmoffice, Deliver w/inspector.
Other
Applicant
Date - .O, -P
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted
1. Index permit for above items No. -
2.
o._2. Additional items required: Liz
r to 4jrmit issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked b,��—Date IbIl% Plans approved
Sets of plans on hold in File cabinet AP folder
Copv—DPW
Date
COUNTY OF BUTTE -Department of Public Works
7 County Center Drive, Oroville,. CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no).
2. I (have/have not) signed an application for a building permit
for the proposed wor'
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions o this work, but'I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: '
Name Address Phone Type of Work
, )AI// i aLt- �K 4 % ZX t Tint
Signed: /
Property Owner
Social Security Numbe(r
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
?'�rE� s, ;.� -d�' `}� a fi �S'��i` ti' ,�'�i s7�,.jt tVY�t�4. t �' •" �i {r..ti`# +. . •r�1.t.T y� t, ` �, t
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A. P. Number6-0 ,Building Department No.
School Di strict. Onov" n{_ City Q County ®'Jurisdiction
Property Owner
VW /�
Project Location/Address q`% �i b si g &)o IA / r-hU/
Subdivision Lot Number
Residential Development: �,,,.,�
Sq. Footage 3 5 •
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
A
uilaing uep
epresentative
Date
*******************************************************************
District Id No.
School District certifies that
s n.
r
�(A•plican Name) (Phone Number)
(Street Address)
Ah)-( o Dv
(City) (State) (Zip Code)
has complied with the requirements of Resolution��-
by the payment of $ AAK representing 9S' square feet.
/oleAy
School Distfgeydt Representative Date
PAID BY CHECK NO. REMARKS:'
BANK NO D
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88) c
INSTALLED
N
FORM '7
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT No. �-—' PACKAGE "A" (Additions)
NAME SQUARE FOOTAGE
JOB ADDRESS Existing Residence
TYPE OF WORK New Addition 39,s
New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans 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 ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 \R11
2 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 \R-9
WALL R-11 FLOOR R-11 SLAB R- 7 GLAZING >65
SHADING
SOUTH -OPTIMUM OVERHANG
or .36 S.C,
WEST - .36 S.C.
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
DUCTS PER UMC - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIrNM GLAZING 16% OF AREA PLUS REMOVED GLA
NEW HVAC AND HOT WATER IN CONJUNCTION WITIITI _ COMPLY
AND FILL, OUT DATA ON BACK OF THIS SHEET
7/83
k4-*�4
*1 ' HEATING VENTIIATING. AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace 7
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
' EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ • (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 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)
❑ 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(8), 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 approved system (form #5) to document sizing of
.solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
• SIGNAT F BOLDING DESIGNER OR APPLICANT
N
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