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HomeMy WebLinkAbout079-080-01736-80-17 (Recorded Ag Statement) '.,":, _ "` x'10,6 -91B," BOSTICK;Jack x327 Crane Ave, Orovil;le,` ('retaining wall`)Elm III I ?:�v-ov''� •`` r��' 350-91B,P,E' BOSTICK Jack' ' • - �2�,q2 R�,327 Crane°'Drive,.'Or(jvillew- (new• -single family.%JVB Ent Inc.) N i I RESIDENTIAL r` 36-80-17 350-91B$P,E,M BOSTICK, Jack 327 Crane Drive, Oroville I (new single family/JVB Ent. Inc.) 3-4--9. r "r H ;r 1r •� OFFICE COPY .. Address r} 1 GAS Meter By Date/ Z ELECT Meter 6y Date OFFICE COPY u Address GAS— j Meter By Date 1 <, ELECTRI pa c • Meter By C j013 mum vn tndt;�' Signature SAY S FON aureno ROSBORO LUMBER COMPANY ',( P.O. Box 20 • Springfield, OR 97477 PHONE: (503) 746-8411 • FAX: (503) 726-8919 (JI1X)I:_I� r^d;IU�I(:)idl._Ii:J�(:;I I'll:i:hl' I�tJf3r{Ul'�i.J (:il._l.l L..fal'I 1'-`I i(Jhl.)r113 :T113 11 576'.5 (' (3.. 1._Li:I)J,l c, C;fll•II -11,IY 11,10: f:il'l:i. l:; 'T a K `k?K?K'dc �}:?K>k;k:X:N.?,C YF :X �c :,� �k:4+:4::4c:>X ;K:�k �K :lc:4C �k �k?K:K Rt �:•K Hs?K:k �K �K %k:4C %K �K?X?K:K:i(>X'dc y(:.K?K �: �k:* :K �K H(�K.�K?K �K �K?K?k?K �K'f :K:K �K N<:K RC SC �K �K � �X ::11 clear' 1)<a'k.F::�4/:Lc;:'•+1. F:<:xa ` F7:i.r, 1)�Z.i..c�.. �d/:LF>; >;I. F�ev:i.s i.orl 0/00/00 I.Z':':Tob 111 R(.?`J:I.iii. (71'1 I`Il..l(n F�ol.l L'i•:1 F'i.clh•L C'hy;:i 1.4Y 01'FIEFd3 ' l'earin:i 2:% :IQ I)A03„ l�IG='T' : 0 (Jc7rnh `3vrnhc7l:: 11f3 i�l(:1'T'I-:)) :n�iF>t,c l:i.an (al='�iiI:IAIf:; .I:nt:il:)c:•�(::-L•:i.C)I-I f-'';vi.cl Ely I:%0!:>ri0R0 +titit11:ati t-iiiisi10":11'111,14 ititiutIttitti«a►$itsIts its $111111 tit t. APPEARANCE PROT SPC ST BEAM PROFIL LINEAL IRK QTY WIDTH DEPTH FEET IN FRACT RADIUS GRADE MODIFY -ECT FN CIE GR COMB. SECT L R FEET /I -3126 14 03-1/2 X 12 16,09 1000 Arch. I S N EN A l N S f 224 •3136 7 03-1/2 X 13-1i2 16 09 2000 Arch. I S N EN A l N S 112 510 4 05-1/8 X_10-1/2 60 02 2000 Arch. I S D V4 240OF A 1 N S 240 ; 512 8, 05-1/8 X 12 60 02 2000 Arch. I S D V4 240OF A .1 N S 480 513 9 05-1/B X 13-1/2 60 02 2000 Arch. 1 S D V4 240OF A l W S 240 515 4 05-1/8 X 15 60 02 2000 Arch. I': S D J4 240OF A 1 WS 2411 615 2 66-3/4 X 15 60 02 2000 Arch, I S D V4 240OF A l N S 120 616 2 06-3/4 X 16-1/2 60 02 2000 Arch. I S D V4 240OF A l W S 120 619 2 06-3/4 X 19-112 60 02 2000 Arch, i S D V4 240OF A l W S 120 S. 512R 4 05-1/8 X 12 44 02 2000 Arch. I S D V4 240OF A l W S 116 4 513R 4 05-1/8 X 13-1/2 44 02 515R 4 "05=118'1 15 '' ' '44 02 2000 Arch. 2000 Arch. 1 S D V4 240OF A l W S 176 4 1 S D V4 240OF A l N S 176 ; -ER ACKNOWLEDGMENT r INVOICE TERMS AND CONDITIONS Please support all freight deductions with original height bills. ROSBORO 11 Association rules to appy on claims of grade, tally S manufacture. CUSTOMER'S ORDER IS SUBJECT Past due accounts will be assessed a service charge of 11h% per month (18% per annum). TO -ALL OF THE TERMS AND Customer agrees to Indemnity Rosboro Lumber Company for all expenses incurred In connection CONDITIONS STATED HEREIN. with the collodion of amounts due hereunder, Including all court costs and attorney's fees Incurred at the trial level and on any appeal. An litigation concerning this order will take place In Lane County, Oregon. Should Inconsistencies In terms be found between this acknowledgment and customer purchase. girder, this acknowledgment takes precedence in all cases. ••1 MVP M APA c r ry Certificate of Conforinance' Certificate N? 1236 -91 THE UNDERSIGNED MANUFACTURER, HEREBY CERTIFIES that the structural wood products . identified below and marked with a collective mark of American Wood Systems (AWS) were man- ' ufactured in _accordance with the specifications indicated below. Rk ANSI Standard A190.1-1983, .for Structural Glued Laminated Timber ,lob Name' .� PALMER G. LEWIS COMPANY INC .lob Location SCRAMENTO CA Customer's Order No. 301-21847 Date 4116191 Mfgr's Order No. 5761-C ,PROOP LOADED END JOINTS Signature ��✓�� ' Title QUALITY CONTROL Company ROSBORO LUMBER CO Address SPRINGFIELD.. OR Date 5/9/41 IT IS HERESY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems; such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy.of glue bond. ••��WOOp'°ao ` A10 POR r•.�t1'r� . /� (�•' �j/ �t r` A A y lip �( SEAL ? N: b Michael R. O'Halloran �,4i '* •,•' Executive Vice President %. AMERICAN WOOD SYSTEMS - A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION •vol 606E 6URRO ROSDORO LUMBER COMPANY' P.O. Box 20 o Springfiald, OR ID7477 PHONE: (503) 746.8411 • FAY: (503) 726.6519 F. +it#YYttitt#;t#tTitlff:ilf�Yi#iyt#!#tYi#tiillttiitS:tl::tttt;i::iliii:#r:S:tol�IYf7S!ffY!:tiYlil#YtilaS:ta �;•�:nF.?.:'J�:c �:�? oi'L :T BEAM �f;GF:_ r�AAi: 47Y K!D�h D ?;R F'.=.' :it fRAr.? UD:US Si;A;' 'I��., . G. - Cep GR COME 5_C? u `.1a 2000 ;f_.. b' EW A 1 IS i WDCONDITION9 ROSHI 00 C? la4l,l bine. J4 [4i 61 N W S'J:� Y t]Yti�i .1 :2 SJ 07 2 C,0 Arch. S D :Y4 2115F A 1! = CONDITIONS STATED k1E90N. 4 0'-I!S• ; 11-11? . 61, 62 20u+; Fr_�. 5-5i'9 { !i•; -1 '� .f lh (' . tsi al�.. !�: .. ! [ � r{ 211 - IJ .';lei � .�-... •r '): ...':I .,,.,. � .. _.:'.'� � r , WDCONDITION9 ROSHI la4l,l bine. rM1uie. CU5IOMER'S ORDER IS SUBJECT •nr nloM� 1�89b 00, anourc,!. TO ALL OF THE IE44MS ANC •wo inavrroo m connocl•n 1 CONDITIONS STATED k1E90N. 14MnAy'6 fees 16 ' 19a F _ _ 09.: 3 P( -L 2LDk_ FRUD? • o oo� _ FAAAAurrio. e i.of c ance., ----------------- N? 1285 Certificate al wood THE UhIDERSIUNED NiAPIUFAc,'YURFR HEREQY . AmPr�can Nood Sy%temsr(AWS) were dman identified be!o N and marked with a collective marls of ufactured in accordance with the Specifications Indicated below. KI ANSI Standard A190.1 -19n for Structural Glued Laminated Timber 10 Job Name Palmer G_ -Lewis Job rotation Sacramento CA 6 2$ 1 _, _ Mtgr's f)rder No. 5991-(: Date Customer's Order No. r--- — Pr f Loaded End Jolnts -- -� ,— u��ity control Title —� Signature _ 7.1 Roxboro Lumber Co .__ Ad�iresS Sorinefi e ld QR_.____ Date corrpany .. IT IS HE CERTIFIED that the strucluml glued laminated limber production of the above-named manufs;cturer which carries a C011eCtJo mark of Ameri`:atMod of the inspstems ection wAWSeasonab esubject frequency audit by American Wood Systems, such audit consisting p of the manufacturing process, with adequate sanlpling to verify the quality of gluiam construction and the adequacy of glue bond. .e M .,.. * -11 . Z44 r; •, r'' phi by I _ •t s Michael R. O'Halloran AL i Executive vice President � �ASHItaG��� a t�U C':1'u jai Cs AMUICAN ?:_y\NUQC� FS�'��INCIQfJ J=OK O = Not OK = Not o Rot eadyable 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. / P'Nat. or/ /" L"ft./ /"LPG 7. Utilitv Clearance Date Card B-1 Date Card -B-1 Date Card B-1 Data 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-Sizb-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/oi Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Coi'umns-Connections-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Sidi ng;'NaiIing-Veneer-Stucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit I 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 = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s ming -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth g. Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ,5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pier fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dat! _% S 4j,,Card B-1 Date Card B -1B-1 Date Card B-1 Date x-7-9 ff Card B-1 T Date Card B-1B-1�Date Card B-1 Date PLUM ING Permit OK except #'s . Water Htr.: Vent -Access -Combustion Air -Baffle ori- Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection an; est, First Floor -Tub Access est & Shower, Second Floor -Tub Access as Pipe; Size & Anchors Dat r Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ormer Clearance -Ins. Protection 23-ET—ecReceptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Xonductors-Stapled 2 omex Installed se to Edge of Studs & C.J. 26. Equip. u ade,ud w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al •29. Range Circ. / gaAI-Oven Circ. / / ga. Cu or Al. Insulated Neutral v 0 Yes 0 No Service- iser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3 moke Detector Date - Card B-1//Date Card B-1 Date Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s A.C.ycts Insulation & Support ent n; Exhaust above insulation Condensate Drain & Overflow; Size & Grade 3 u ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38'Attic Access & Platform if Furnance in Attic Dat Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s -q roper Material & Anchors W s Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing ra Stop in Walls (rat proof) 4 . it Stops; Furred Ceilings -Stairs -Chases -Tub aders & Beam -Size & Bearing Date FRAMING (Continued) 4 ngers-Post Caps -Anchors -Connectors ng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ��ge Fire Protection Framing Property Line Firewall & Openings oors-One T -Check Garage -3rd Story, 2 Exits . Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywoo on Roof Overhang -Attic Vents -Rafter Outriggers ng -Nailing Veneer bfi---SWoee-Mesh-DTfrScreed-Fd. Vents-Underflr. Access ,y, -Glass Protection -Skylights -Plastic f Walls: Nailing -Bolts 1, nsulation-Walls-Ceilings b 60. Infiltration -Walls -Windows Date Card B Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ns OK except #'s xt. Steps -Door & Sidelight Protection -Landings moke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting Bath Fixtures & Tub Access -Spa e Trim & Subpanel; Breaker Sizes & Labels Sta' Rails ireplace or Stove; Clearances -Hearth 69 -fl -e-, . Outlets at Wood Panel; Int. & Ext. rt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ec.,Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer A.C. D ct in Garage -Damper U-WiT Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Ib. lec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protection dation-Foam-Looked in Attic 11 Yes uard Rails & Deck Construction -Post Caps we-f,dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Cle ance Looked under Floor, 0 Yes ST -Following instld.; Drive es El No; Walkses 0 No; Planters 0 Yes co; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing Sa-le'nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ,84 isconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground ftilation Throughout House Glass Protection 8. Correcti s from Previqous Inspection 89. Te Meters T ed; Gas-Ele c . Water & Sewer Connected -C/O to Grade -HD Approval 1 ergy Compliance Certificate -Other Certificates Date Card B- Date Card B-1 Dater) -- Card B-1 Date Card B-1 Date)- .241 - Card B 1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) ENERGY CERTIFICATION - ---- _-- LOCA T I ON A. P. NO. ROOF Material Tl�i.cknesh EXTLRIOR WALL'*'---""-----*-"---"-"--'--*'-"'-- . Material_ FIBERGLASS Thickness (inches)_ CEILING Batt -jr Blanket Type F.IBERGL6SS___. hickness (Inches)_I.�p ,ocse Fill Type.... FIBERGLASS---_...._.._ Minimum Thickness_ (lii_c.hes•)-- --- _i Ar'eai Covered (Sq. Ft. FLOOR,ELEVATED - Material._ -_FIBERGLASS Thickness Inches) FLOOR, SLAB ---� Material - - . _.._.....----- - -.-_ ---_.. . Thickness ( .l.uches)------_ FOUNDATION HALT. - Mater.i.al..— Thickness (Inches)____ Brnnd Name Thermal Re:nistance� (R Value)__.. Brand Name CERTAINTEED_ .Thermal Resistance (R Value)__T Brand Name CERTAINTEED _ Thermal Resistance (R Value) Brand Name CERTAINTEED yo. of Bags-, _^ Weight/Bag Z5 ­ . .Thermal Resistance (R Value)_.__-_ Brand Name CERTAINTEED_ .Thermal Resistance'(R Value)_ Brand Name Thermal Resistance (R Value)__._. Brand Name Thermal Resistance (R Valvae) I HEREBY CERTIFY THAT THE ABOVE INSUL.ATIOLI WAS INSTALL.F.)) IN THE ALCOVE BUILDING IN CONFORIIANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ____IIAWKLN.S_rINDU$TgIES.ING—____. __ _ 622184 Firm tiame./Owner State Contractor's License No. - ---�..... 7 �9 u _ _ Date I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. Firm tiarne/Owner v- -� --- _ _ - - -- ----- :nature Gen. Contractor/Owner Date T Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION .NOTICE a PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is. completed. If you have any.question pertaining to this, matter, or need additional explanation_, please contact this, office immediately. . �- 41, - ti. a; 7 � s i� °o Date /� inspector z. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial/Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE c OWNER PERMIT C 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 ma r, r need additional exexplanation, please contact this office immediately. Date / / Inspector L/ 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 36-80-17 ZONING AR BUILDING PERMIT OWNER Jack Bostick TELEPHONE 272-3652 SQ. FT. OCC. BUILDING VALUATION 63,000 OWNER'S MAILING ADDRESS 268 Barby Dr., Grass Valley, CA 959456,/20 -V CONTRACTOR'S NAME JVB Ent. Inc. TELEPHONE 91 O- 91u ' CONTRACTOR'S MAILING ADDRESS Same Fireplace i,uuu CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ivone LICENSE NO. Plan Checking Fee $ 174-50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 327 Crane Dr.', Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO. 17 SUBDIVISION NAME Copley Acres Unit #3 PARCEL MAP d - Cf Water piping 5.00 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFJU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New yX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 BR _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS10.00 10.00 Main service EA. ADD'L 1000 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): / Pool' Po 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. 3T� C� Classification f'j ❑ 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 oR ADDNS. ( ACCLBLDGS.LV JS&) 2'/20sgft 51.35 NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 2 0®30C SAL®ao Ex. Occup. OUTLETS FIXED PRESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin 9 15.00 Permit Fee $ 73.85 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating natura gas Cooling 6.00 Hood 3.00 Ventilation Permit Fee $ iz, nn 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 ofo 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 14abilities, judgments, costs, and expenses which may in any way accrue ag i st said CAunty consequenc of the granting of this permit. X ^/ Date �``J^ 9/ Si ature of Applicant - Owner I� Contractor [!?"Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- rover 3 stories in height. Mobile Home Installation Fee $ Energy Inspect'on Fee ijuUU - c COVT Y TOTAL FEE 732.35 HAz I CUA I PARK - I SCHA FL I PK !!]:HD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DI E OR F PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate [ion =ofstuNctures 83444 YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT (t i `A s. _. COUNTY OF BUTTE - DEPARTMEN S1.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -OROVIhLE, gALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT OPLICATION DATA SHEET '1 Permit No. 2 OWNER 0—CLeJ." 608t),c- �'� € P. o. v6 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ...... ............... 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 ���aid �. ,I�. � . 13. CJ [ School pistr�Ct fes paid .............. 14. Sanitation approval from �APuQ Tn �1 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) I� 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ,Certificate of Workmans Compensation Insurance .................. s/ 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ��-24. Recorded copy of Agricultural Ackwledgment Statement 25. Letter of signature authorization ..& ............................. 26. 27. When y issue the follows Mai !,,to owner. - t Ir office. Mail to contractor. _Deliver w. /inspector. Date o -/I - ?/ 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 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_—ttaiI—counter by ..date Contractor, designel, owner, was advised of above required data by—phone —mal l—counter by date Plans_therked by Sets of plans on h, Copy—DPW Date Plans approved by Date 3— TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance \,. ACID a OSTI C1L � owner Driveway permit 9 / (D ` �) .Z3 E- si ature cR-Gn� location 03L Roo —of AP # has been issued for the above property. /�� g date `�• RESIDENTIAL PLAN -CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNERlfht A. P. #_ Plan Checker S GENERAL f ning requirements: (sideyards and number of -permitted living units). uation. ans signed by designer. per description of work on application. sting violations on property. ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). orded notice of violation. PLOT PLAN -4---Complete parcel size and dimensions. 4 -/Setbacks, sideyards, easements; etc. Wither buildings or structures. ,07 Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb= - Building or utilities across lot lines (Record form). ,,,<omplete to scale plan with dimensions. ',J�equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- �enance of mechanical equipment. Locations of water heater, heating an cooling equipment, other electrical or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). � —1- 3'0" exterior exit door (sec. 3304 (f). !Fireplace and wood stove location, alcoves, and clearance. ',Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) y Unusual shape, size, or split level house requiring lateral design. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. —"Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. LpRafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. dobe soils - special foundation design. Retaining walls requiring design. ecial Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof convening (Chapter 32). oof covering type - (fire hazard). Foam insulation - protection. 6" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Eexits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ic access and ventilation (Sec. 3205). oor access and ventilation (Sec. 2516). b tion air for fuel burning appliances - L.P.G. requirements. se requirements on duplexes. 1�-r Energy design. ashing at all exterior openings. . CDF responsible area requirements. )+,+.%;n..�� ,-.�,,��i.,a;r,.q"ir�'y`I� #�..t_.r,rur.4►+•,c,�sa,. ..o,../r-.ra"w.rT7'+•-v�'` r � ►. .-, �:'���r„�;r�,i"L. jyy..9�•;:,r...,�ti.�„�%�.: "1..=..,;:j4y�`5. R BUTTE COUNTY SCHOOLS DEVELOPMENT FEE -CERTIFICATION FORM 4' ;• mac. Q : s (/One Form per Building) `A.P. Number Building .Department No'. School District D('p � W) City County Jurisdiction Property OwnerQ Project Location/Address ��QhE 1 VP. Oro V //(-I- Subdivision Lot Number _ Residential Development: '-. Addition Footage # of Living MHI Addition (Group R) f Units ~' s >11 #` Commercial/Industrial: Sq.' 6otage New Addition ( Including Exterior: Roofed Areas) X 6.1 fl . 0 Building Department R presentative aDate'.r. ' L (Floor Plans reviewed by'School District Personnel') . District Id No. , School District certifies that (Applicant Name) (Phone Number), 3.27 (Street Address) 91 (City) (State) (Zip Code) has complied with the requirements of Resolution No. �`�-J4 --0 by the payment of $ o?�fg, �= representing �S%Ssquare feet. School District Repr sentative Date PAID BY CHECK NO. � BANK NO PAID BY CASH REMARKS : �F- V. coat' le-�... �` . F ' . white -applicant, yellow -building department;"pink-school district SCHOOL.FEE (8/88) n STATE COMPENSATION INSURANCE FUND Dear Applicant 3-91 IN REPLY REFER TO: Your new policy will offer continuous coverage and will renew each year unless a written request to cancel is received. The deposit we have requested will automatically transfer forward each year to validate your coverage. The total amount due prior to the inception of this policy is $ ) o03.a4/. This includes $ 10M. bo deposit, CIGA surcharge, ander— WCA surcharge. Your policy will require rnapi-1* t, payroll reporting and premium payments. Payroll reports will be sent to you utomatically and must be returned on a timely basis even if you have no payroll to report. The minimum premium on your policy is $ 57.0 0 . This is the least amount you will pay per year or any portion of a year. The terms outlined above do not include coverage for corporate officers/partners based on your indication that you wished to exclude them from coverage. Our policy contract automatically covers working officers/partners unless an approved exclusion letter has been signed by each individual officer/partner requesting exclusion, which enables us to amend the policy contract by endorsement. Please obtain proper signatures on the enclosed exclusion letter and return to this office within 10 days. If the signed exclusion letter is not returned as requested, we will assume that you have elected to cover these officers/partners and your policy will be corrected to reflect their coverage. This coverage will be endorsed under the governing classification of your policy. Theremium will be calculated using an agreed minimum annual payroll of $ pp, per officer/partner and will require an additional depositof $I 7't .ov, CIGA surcharge of $ �' and WCA surcharge of $ -5) will be billed automatically if the signed exclusion letter is not returned. Please sign and date the bottom of both pages of the application and the bottom of this letter. This acknowledges your awareness of the need to return the signed exclusion letter timely to avoid additional premium and deposit charges. Sincerely Account Representative, (916) 924-50 ;z— of& -i - ""01- z 3- 9 i LICYHOLDER SIGNATURE TITLE DATE 2275 Gateway Oaks Drive • Sacramento, CA 95833-3255 (916) 924-5100 Fax (916) 924-6888 JOB DESCRIPTION LOCATION: WORK REQUIRED: Units MATERIAL USED Meter No. Reading Plus % p' JOB ORDER ACCOUNT No.. oroville-Wyandotte Irrigation District DATE a 1 NAME ADDRESS _�•_ PHONE CITY �y�{ TATE ZIPq�� EACH TOTAL PROPERTY DESCRIPTION 2534 .I-,- LOCATION: , -• • •�7— UIPMENT USED LABOR EQUIPMENTTOTAL�■LABOR TOTAL�■ TOTALS I hereby authorize the District to proceed with the herein SYSTEM CONNECTION described work, and for this purpose' please acknowledge CHARGE receipt of my deposit in the amount of INCLUSION FEES $ - O MATERIALS Date: ' �(4"'l _' � p EQUIPMENT 1= -NATURE) LABOR MISC. SUBTOTAL DEPOSIT (— ) DATE COMPLETED PERMIT NO: 2-91 Dake Or®ville.Area Public Utility District 1960 Erin Strut OROVILLE, CALIFORNIA 95966 533-2000 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 Lake Oroville Area Public Utility District, must be submitted to Butte County. January 2, 1991 Date: Applicant: JVB Enterprise, Inc, 268 Barby Drive, Grass Valley, CA 95945 Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees due: 272-3652 327 Crane Avenue, Oroville, CA 95966 Copley Acres Subd., Phase I, Unit 3, Lot 17 36-80-17 ALL FEES PAID Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: M J' APPLICATION FOR SWM CONNB::TION AND SERVICE FROM LAKE OROVILLE ARIA PUBLIC UTILITY DISTRICT hereinafter referred Was 'Applic nt",g e property owner or owner's agent desiring sewer vice, hereby requ is Lake Oroville Area Public Utility District, herein- after referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sew��iia 7'er system} and to provide sewerage service. Location of pro rty:-✓l%G - A. P.' Subdivision: Lot # //_ Block $ [Pr�roperty Annex No. of E.D.U.'s this permit:_ [ ] Property Not Annexed / (] Property Annexation n ogress Multiplication Factor: K}p&-of Service: Is �Q � **Monthly Charges: [ J Residential [ j Residence of Owner Connection Feer_ [) Rental (single family) [ J Rental (duplex) [ ] Apartment SC -OR Facility urge: () Industrial [ J Commercial Total Amount Payable This Permit: -C-3 Remarks: The service applied for hereby shall be in accordance with the conditions here- inafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service t rates and charges as are established by District from time to time. Sig u e of A licant Name of Owner if not Applicant 4 J. Mailing ss of Applicant y. Mailing Address of Owner Phone # of Applicant Phone $ of Owner CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. In accepting this application, District does not hold itself liable to Applicant for failure to perform any of the obligations imposed upon it or as- sumed by it under this application if such failure be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the sewage or any other cause beyond rea- sonable control of District. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. Applicant shall secure permits) as necessary from the County of Butte prior to doing any work, including.encroachment permits when work is within county right of way. 4. Installation of the subject sewer service line shall be at the sole cost and expense of Applicant. 5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by District staff. . 6. All work shall be inspected and approved by District. 7. This permit is valid for one year. If work is not completed within said year, permit renewal will be required, together with payment of any in- crease in connection fee and/or Sr—OR Facility Charge. R. District verification form must be issued with this permit. Payment of Fees/Charges required. prior to final inspection. Payment G received by [ ]cash [ ]check # $ Date Date:-17Lc% mite ** Payable in the amount current at time payment is made. ' ^1-11 WTv OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ^---= ^alitnrnia 95965 - Telephone: 916/538-7541 36-80-17 ND PERMIT f BOSTICK, Jack _ 350-91B,P,E,M AR BUILDING PERMIT I__&- 27 Crane Drive, Or652 (new oville S0. FT. OCC. BUILDING VALUATION single famil - - Y/JVB OWNER'S Ent. Inc.) ' 268 Barby Dr . ; �z a.. CONTRACTOR'S NAME _ IONE JVB Ent. Inc. ov CONTRACT-OR'S MAILING ADDRESS Same Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation Is 71 r%ln None Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ None Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty g BUILDING ADDRESS 327 Crane Dr., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.00 Solar or heat pump water heater 20.00 Water piping 5.00 5.00 LOT NO.SUBDIVISION NAME Copley Acres Unit #3 PARCEL MAP 5.00 17 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 5. 07 USE OF STRUCTURE 5.00 5.00 SFJ� Duplex❑ Mobilehome❑ Other Building sewer 0.00e SPECIFY Mobile Home S G W TYPE OF WORK New Ld_. Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee $ .00 scribe work: _ 3 BR Contractor - ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP C/�� 2.50 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING oa5�� OR ADDNS. ACC. BLDGS. Yzdsgft 51.35 1 declare under penalty of perjury (check one): NEW_CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea P1111, am licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS e (SINGLE OUTLETCIR. and Professions, Code and my license is in full orce and effect. /� Classification Ex. Occup( OUTLETS OR FIXTURES Zoesoe SAL@30 License No. "J ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure Is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ 73.85 for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating nn I have placed on file with the County of Butte Building Department natural gas a Certificate of Workmen's Compensation Insurance or a Certificate Cooling 6-00 of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 770"T to the W. C. laws of California. Ventilation q_00 Notice to Applicant: If after making this statement, should you become subject perrnit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee S occ -co-11 TYPE 732.35 to building construction, and hereby authorize representatives of the Countyot utte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ Iso agree to save, indemnify and keep harmless the County of Butte against HAz CUA PARK SCHL FLo P,AR Po HD ISSUE abilities, judgments, costs, and expenses which may in any way accrue ag i st said unty . consequent of the granting of this permit. - T.is permit is nereby Issuea under the appiicabie provi- X Date `" 1J- 91 sions of the Butte County Code and/or resolutions to do . Owner Contractor Agent ❑ work indicated above for which fees have been paid. Si azure of Applicant - - DIRECTOR OFPUBLIC WORKS An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. By Date Receipt No. Ri44� - Dc10111T-cvD1gFc nate _- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 PERMIT N0. APPLICATION AND PERMIT ASSESSOR PARCE}}_j UMBER ZONIN BUILDING PERMIT 0 ' t�k e- EL TEPHON - FT. OCC. BUILDING SQ. NG VALUATION OWNE 5 MAI ING DOR ESS af, Yt r''a s5 %a Q-A CONTRAC R'S 'MIZ7l' N TELEPHONE 1 , l o 0C,v 0 G SRACTOR'S MAILING ADDRESS VR CJL CONS RUCTION LENDER UNKNOWN Fireplace I ILArt�Q Total Valuation c LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee g ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee fW O A CHI ECT OR ENGINEER'S MAILING ADDRESS I Energy Plan Checking Fee $ Penalty $ BUILDI G ADOR sf r r(9 Permit fee $ t PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 ©p Solar or heat pump water heater 20.00 LOT NO. SUB (VISI N NAM E�% "� i t �[ PARCEL MAP Water piping 5.00 0 Each qas water heater or vent 5,00 D USE OF STRUCTURE SF (X Duple,[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W 44! TYPE OF WORK New Addition ❑ Remode Ilities Jl��'� ❑ Installation❑ Other ❑ Describe work: \ Permit Fee $ 69 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV ORSLESS 10.00 %� ego CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, 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, ADO'L 100 AMP 2,50 S NEW ADDNST DWEAC LLING_ LOGS. � '/2tsgft 5j, NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 20150t P eAL& Sot ED APLNS Ex. Occup. OU LETS(RESID )"EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $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 (P t9 Cooling G Hood 3,00 Ventilation (ifs cT it Fee ee $ 0 09 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property 'for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dr occ CONST TYPE TOTAL FEE $ HAZ CUA I PARK I SCHL I FLo I PAR PO HD IssuE This permit is hereby 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 93 Receipt No.3'7"T / WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT RESIDENTIAL. r ? 36-80-17 ��� j - -- 106-91B. - --- -� BOSTICK, Jack y 327 Crane Ave, Oroville (retaining wall) g JOB FINALE Signature J=dk O=Not OK =N tReadyable 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. / P'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 4'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 MISCMANEOUS Date DECK$; COOLERS; CARPORTS, GARAGES, (Plans)OK except #'s rs-Steel -Stairs-Rails 4. Wood Awn.; Po4ts71Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Colymns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-poors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps-boors=L#ndings Date .l Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Data POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptaclesi nd Lighting, Distances-GFI 5. Elec.; Pool Lighting;':15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Bad.; 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 - = Not Applicable RESIDENTIAL (Single, = Not Ready & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 1 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 11 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card 8-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made 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 36-80-17 ZONING AR IF a BUILDING PERMIT OWNER Jack Bostick TELEPHONE 272-3652 S0. FT. OCC. BUILDING VALUATION est. 2,580.00 OWNER'S MAILING ADDRESS 268 Barb Dr. Grass Valle CA 5 45 CONTRACTOR SNA ME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN e� Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Nonp Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ 38.50 $ 19.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 327 Crane .Avenue, Oroville Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 17 SUBDIVISION NAME Copley Acres Unit #3 PARCEL MAP po_ S,r Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other• retainin 1Building SP I FrTa Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home JSJGJW 10-00ea TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B OR ADDNS. ACC. BLDGS. 2�,20sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS a� SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 2ALM 30 800030 EX. OCCUp. OUTLETSPIRESID.IFIXED APLNS.REA./ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $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. U;�wI 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 FiIirig Fee 10.00 Heating Ili 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, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all I bilities, judgments, costs, and expenses which may in any way accrue ag n t said ounty consequenc of the granting of this permit. X /�/ 9 Date !` 1 Siature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 67.75 AL HAZ .— CUA — PARK -- FLD PA PD HD ISSUE ... This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR T OF P B By f PERMIT EXPIRES Dalie the applicable provi- resolutions to do have been paid. WORKS Date ` Receipt No. 83937 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT J ,�7•'�':^I ' 'ri' i-tti+t,iA!. ..n- ri rrdd ;�r.+.e ' .►` 'r �I1.'t'++..s`4.Y?� COUNTY OF BUTTE - DEPARTME.NT OF PUBLIC WORKS - BUILDING DIVISION {, 7 COUNTY CENTER DRIVE--'OROVILLER CALIFORNIA 95965 - TELEPHONE: 916/538-7541 F _ PERMIT APPLICATION DATA SHEET � O ' Permit No. q, OWNERVUC.!'C OS f�,c P .No.� S'O' Proposed Building Use 4tht [n Q Building�lnspector ADate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: y DATE RECEIVED APPROVED 1. All items have been submitted. . 2. Plot plans in duplicate/triplicate, signed by preparer of plans ......... ' 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from (L22(K-[uf? 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 P'e-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 o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ........ ........................... . 26. 27. WhenIssue the permit, process as follows: -_-. Mai o owner. Mail to contractor. Telephone and hold for pickup at r© office. Deliver w./inspector. Other O / Applicant Date 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 of above required data by_phone---nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date LI- 9/ Plans approved by_�Qflk Date 1-/7-9/ Copy—DPW Sets of plans on hold in File cabinet AP folder _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) vex 2. I (have/have not) H,V E signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the.proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the.work but I have contracted (hired) the following persons to provide the work. indicated: Name Address Phone Type of Work Signed: Property Owner A P Social Security ber Date I /`f - !JJ 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: ff COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR P R EL NUMBE W O R ` O ZNING _ -R TELEPHONE - . .... -_.- -- ....� - BUILDING PERMIT= SO. FT. OCC. BUILDING VALUATION OWNER'S MA ING DD S C/O�f1 TRACTOR'S NA E �� ���� 1 C4 ���� VKJwt Y^ TELEPHONE s CONTRACTOR'S MAILING ADDRESS Fireplace CorISIRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCH ECT OR ENGINEER d LICENSE NO. Plan Checking F an ngee $ 9, �S ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING Aoo sY' n n /� Permit fee $ Jr— PLUMBING PERMIT FiIingFee 10.00 Each Trap 2400 Solar or heat pump water heater 20.00 LOT O. SUBDIVI ION NAM PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTE SF ❑ Duplex ❑ Mobilehome❑ Other Q sP IFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G' W O.00e TYPE OF WORK New, Addition❑ Remodel❑ Utilities[] Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LE SLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . I am licensed under provisions Of Chapt. 9, Div. 3 Of the BUSIne$$ 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 100 AMP 2.50 NEW CONST. DWELLING OCCUP.E OR ADONS. ( ACC. BLOGS. , h¢sgft NEW CONST R.MULTI-OUTLET --NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20050t BALM 30 P LHS. OR Ex. Occup. OUTLETS IRESIFIXED APO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $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 Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 1 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 I CONSTTYPE n n TOTAL FEE $ HAZ CUA PARK I SCHL I FLO I PAR PO HD ISSUE permit is hereby 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. WHITE-D.P.W.. YELLOW-ASDES;OR, PIN -INSPECTOR. GOLDENROD -APPLICANT —N. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �_ -- / - ---- --- - - - �..- APPLICATION AND -PERMIT- ASSESSOR PARCEL NUMBER 36-80-17 ZONING AR BUILDING PERMIT OWNER _ Jack Bostick TELEPHONE 272-3652 SO. FT. OCC. BUILDING VALUATION- - -- est. 2,580.0 OWNER'S MAILING ADDRESS 268 Barb Dr. Grass Valle CA 95945 CONTRACTOR SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN_ _ Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 327 Crane .Avenue, Oroville Permit tee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 17 SUBOIVISION NAME Copley Acres Unit #3 PARCEL MAP Oo_ ST Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other retaiiiJiT11 sP I Fv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK Addition ❑ Remodel❑ Utilities❑ Installation❑ Other E]Permit Ocribe work' Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v 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): ❑ 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 91 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-C-ONST. // DWELLING OCCUP.a OR ADONS:---\ ACC. SLOGS. ) , /20sgft NEW CONSTNON.RESID R BRANCH CIRCUITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX, OCCUp OUTLETS OR FIXTURES ezoALo030soe FIXED Ex. Occup. OUTLETS P(RE SID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ . The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. GVeo-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 such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot utte to enter upon the above-mentioned property for inspection purposes. Iso agree to save, indemnify and keep harmless the County of Butte against I ILbilities, judgments, costs, and expenses which may in any way accrue ag nd ounty . consequenc of the granting of this permit. /L/ 7 X Date ( S* atura 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 67.75 TOTAL FEE $ HAz CUA PARK SCHL FLO PA PD Ho ISSUE Th's permit is hereby issued under Zris of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By - the applicable provi- resolutions to do have been paid. WORKS Date faor•aint Nn 83937 00–U1 I J RECORDEn IN OFFICIAL RECORDS Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT C•FBUTTE COUNTY. CALIFORNIA FOR RESIDENTIAL DEVELOPMENT. AT THE REQUEST OF MID VALLEY TITLE CO. Section 26-8.1 of.the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86- 7750 1986 MAR 12 AM 11: SU The property described herein is adjacent to land or included :LEANOR.M. BECISER within an area zoned for agricultural purposes, and residents of thiXERK-RECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals' including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited'pages to cultivation, -plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 1 through 70 as shown on that certain Map entitled, "COPLEY ACRES SUBDIVISION UNIT NO. 3". Date: -3 — / 21 8 �7 STATE OF CALIFORNIA PROPERTY OWNERS: 19 , before `-, pally appeared. COUNTY OF Butte I ss. 1 \ On_MarCh--ll 19861 , before me, the undersigned, a Notary Public in and for said State, personally appeared— 505 -MARTIN known to me to be the person whose name is subscribed to the within instrument as the Attorney in Fact of FRIEDA HART MARTIN and acknowledged that thereto as principal own name as Attoyge in WITNESS my Signature _ DANIEL F. HUNT Name (Typed or Printed) the name of, OFFICIAL SEAL >r • DANIEL F. �':�_:�._: ✓., ,.. HUM' NOTARY PUBLIC - CALIFORNIA :'= •' ' PRINCIPAL OFFICE IN ' BUTTE COUNTY M7 COMMISSION EXPIRES OCT, 1, 1986 (This area for ofciat notarial seal) I me on the basis Eactory evidence. subscribed to It .I contained land official seal. Public EN,f) OF S�E�- -- �Z. I -G�z 1, - -W AcG To 2E•s / sT l .. • �L � D � NG f'E � EJ�IG/IvE'EIZ� o- , �► N C P # lob- 9/ f p ' � N S�E�- -- �Z. I -G�z 1, - -W AcG To 2E•s / sT l .. • �L � D � NG f'E � EJ�IG/IvE'EIZ� o- , �► N C P # lob- 9/ { � Ir, 49' I 4 L, S, 4c 2 lG z- V' W ac� zj��Z Z b, 73 z D QCs w 4 01 l �0 CAt 1. Ceiling Insulation v0.50 v -176 Number of stories -54 R -value One Two Three R-0 -103 -49 32 R-19 -8 4 2 R30 -2 -1 -1 R38• 0 0 0 v0.50 v -176 -84 -54 0.30 -102 -49 32 = 0.10 .26 -13 - , .-8 ` 0.08 -18 -9 • 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 -14 --0.60. 444 2. Wall Insulation _ -46 I -120 Single- Single - 0.40 ' -95 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 _R-13 2 2 1 R-19 8 6 4 U -value 0 0 0.02 - - - _fX80 . , -153... ;.-.114. t- :--76 0x50-__--91.___-68 5 -. 46 _. 0.30 -47 36 -24 -_.0.10 0 0 0 - 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 •14 10 0.00 24 18 12 3. Raised Floor Insulation -4 r 4 Insulation In Floor .1 .1 0 0.70 Number of stories 2 1 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 .1 R-19 0 0 0 R-30 3 1 1 U -value 37 -26 -14 --0.60. 444 -70 _ -46 0.50 -120 .58 38 0.40 ' -95 -46 •30 0.30 39 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 3 -4 - 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 `4Contr6iled Ventilation Crawlspace -46 -14 Number of stories 0 R -value One Two Three R-0 -11 -7 .5 R•5 4 -4 3 R-11 -2 2 .2 R-19 -1 : -2 .2 4. Slab Edge Insulation 9 15 - � Number of Stories -7 R -value One Two Three •. R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 . 0.80 .1 .1 0 0.70 .2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 9 4 S.Inriltration (Air Leakage).---- -•-- Specification Points Standard 0 Total -5 -2 Effective Peremt Glass 1 U -value East Percent '.West Skylight .51 to Alto .31 to 0.30 or Glass Single Double .60 .50 .40 less - 50 -121 -53 -39 •24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 h 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 - 2 8 15 u 22 37 •9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 •4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 - 15 ' -i7 --14 1 6 10 14 17 i4 10 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 . 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 _ 12 14 161 18 20 7. Shading (Shade Open) Effeetlie Percent Class (parcent &hors x SC) Effective -5 -2 Effective Peremt Glass 1 %Glass North East South '.West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na'`' 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 .2 2 8 2 3 5 2 2 7 1 3 4 .2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 -1 -1 2 0 -1 .2 -4 -2 0 na = not allowed -23 3 0 -4 f6. Shading (Shade Closed) -5 -2 Effective Peremt Glass 1 2 (Peircmt blase x SC) 0.9 Effectin -1 0 2 3 3 %Gbsb Nods Ead Sotto West Skyli& 18 -14 48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 -29 -40 37 na 11 -7 -26 •36 -33 na 10 -6 -23 31 .29 -74 9 .5 -20 -27 -25 -65 8 .5 -17 .23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 .-14 38 9 11 12 11 17 5 4 -1 -6 11 12 12 1 -23 3 0 -4 12 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0" 2 3 4 3 0 ea - not allowed 14 14 •. 8.0 7 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Stories Stories /CFA One Two Three One Two Three 0.0 - -8 -5 4 -2 -t -1 0.1 -8 -5 3 -1 0 0 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 -...1.1 -4 -1 1- : 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5' 5 8 9 11 12 12 1 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 •. 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single. Wall Family Family Multi Masa Detad►ed MmchW Family 0.00 0 0 r 0 12. Cooling Syst•-m SEER 3 2 5 4 1 3 i (assumei duets In attic) 0.60 0.80 8 - 6 10 8 Stitt of 7.10 , A -25 or 24 In 14 b -4 b +610 5-. 160r • =.S 8.0 -Jac -14 . _ _. -12 -10 8 -6 -4 8.5 -9 -7 -6 3 -4 3 ' L 13 12 8 9.0 -4 3 3 2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 '. 11.0 10 " 9 7 6 4 3 12.0 J3.0 15 20 13 11 17 14 9 7 9 5 6 -5 .4 ' .4 _12 -2 -2 200 10 11 Effetive SEER 13 1 :Two + 3 (SEER xdud eMclency) 2 2 2 Star of 7-10 11. Heating System 1 Effective -5a 24 to -141* -41c 46 b 16 or SEER lest 45 l.6 +5 +15 more 5.0 30 -25 -21 -17 43 -9 6.0 -12 -11. -9 -7 •6 4 6.6 -5 -4 ' -4 •3 --2 •2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 ' 11.0 26 _ 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 0.00 0 0 0 0.20 0.40 3 2 5 4 1 3 i Zonal Control Adjustment 0.60 0.80 8 - 6 10 8 4 5{I , 10 8 7 6 4 3, - 1.00 13 10 7 MASS t11t/1C b 4.2• tat exposed slab) 1.20 13 12 8 0% S% _ No Cooling System Installed 2S% 1.40 12 13 45Y. 9 i 60% 06 70% 7S% 10% 8S% tim 1.60 10 13 0% 11.. 0.2 0.4 0.6 0.6 1.1 1.3 1.5 1.7 1.80 10 _ 12 _ . 12 f One -5 .4 ' .4 3 -2 -2 200 10 11 4_LJ 13 1 :Two + 3 3 2 2 2 1 11. Heating System 1 0.3 0.6 ..� Single-Fatnlly I itached and Attached V 1.2 1.4 1.6 1.6 2 _ - 2.4 2.1 2.9 3.1 13 1S 17 SE or ASPF 4.1 4.3 4.S - S 5.2 Unit Size (so 56 _ (assumes duets Is atNe)_ 0.7 0.9 Water 1.4 i 199 ;1200 1700 2200 2700 !_Sum of 1� 3 3.2 3.5 Heater, Type. Credit Type or • less. b 1699 to 2199 to 2699 or .. more -25 or -24 to -14 to -4 to +6 to 16 or ; SG None 0 0 0.. ^0 0 SE HSPF less -15 . -5 +5 +15 more • or Solar 12 8 6 5 4 0.72 6.60 0 0 0 0 0 0 HP HWR 8 5 4 3 3 0.75 6.88 3 3 3 2 2 1 25 WSB 5 3 3 2 2 0.80 -7.33 8 - 7 6 5 4 3 S.1 POU 8 5 4 3 •3 0.85 7.79 13 11 10 8 .7 5 SE None 37 -24 -18 -15 _-12- 0.90 8.25 17 15 13 11 9 7 �, Solar -1 .1 -1 0 0 0.95 8.71 _20 18 -15- 13 11 8 1.4 HWR -18 -12 -9 -7 -6 29 Effective SE or HSPF 3.5 3.1 WSB . -25 -16 -12 -10 -8 (SE or HSPF x duct efficiency) 5.4 5.6 POU ,1-8 63 -9 1.1 -6 Effective -25 or -24 to -14 to -4 to +6 to 16 or IG None __12 '-& -3 -2 _-7 .2 . -2 SE HSPF less -15 -5 +5 +15 more 3.6 Solar 7, 5 -4 3 2 0.30 2.75 -73 -64 -56 -47 -38 -30 6.4 POU .3 _- . 2 _ 1 1 1 na 3.41 -45 -39 -34 -29 -24 -18 E None -28 -19 -14 -11 .9 0.40 3.67 -34 30 -26 -22 -18 -14 58 Solar 8 5 4 3 1.5 0.50 4.58 -10 -9 -8 -7 -5 •J 2.7 POU -10 -6 -5 -4 .3 -3 0.56 5.13 0 0 0 0 0 0 5.3 MuIU•Faml (Individual 69 0.60 5.50 5 5 4 3 3 2 1.6 1.1 nnita) _4 �ze s [ 2.2 2.4 0.70 6.42 0.80 7.33 17 15 13 25 22 19 11 16 9 13 7 - 10 Water 3.9 699 1700 1200 1700 2aoo 0.90 8.25 32 28 24 20 17 13 Heater Type Credit Type or less t b .1199 b 1689 b 2199 a 1.00 9.17 37 32 28 24 19 15 SG _ None 0 r 0 0 0 more 0 Zonal Control Adjustment 4.8 5 or HP Solar HWR 9 9 7 , 5 5 3 4 2 3 2 System Type WY." 1.5 1.7 2 2.2 WSB POU _ 9 9 . 4 5 3 3 - 2 2 _ 2 2 Resistance 10 9 7 6 4 3 SE None 45 -23 -15 .11 19 Other 6 •5 4 3 2 2 1.6 Solar 2 1 .1 0 0 3.1 33 3.5 17 31 4.1 HWR -23 -12 -8 .6 _-.5. 5.6 5.6 6 t2 6.4 6.7 WSB -25 -13 -8 -6 -5 2.S 2.6 3 12 3.4 POU . _23 12 -8 3 -5 4.9 S.1 5.3 SS 5.7 IG Nglie --8 1 -4 -3 •3 10S% 1.1 2 22 2.4 2.6 21 Soar -6.. 3 '2 1 'i i 4.3 4.5 4.7 4.9 5.1 5.4 POU 1'. 0 - 0 0- 0- 60 7 110% 1.9 21 E None - 0 . -15 ' -10 '~-8 ':--6 , 3.6 _ 4 4.2 4.4 4.6 Solar 18 9 6 4 4 6.1 t3 6.5 6.7 69 -' POU - : -8 -4 - 3 -2 - -2 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 Interior Mass/CFA -- . TTFx 2 IHSS , It.T.n,xe•..21 Ic.avaW .1e l 4 TYPE 1 MASS t11t/1C b 4.2• tat exposed slab) 0% S% 10% 15% 20% 2S% 30% 3S% 40% 45Y. 50% 55% 60% 06 70% 7S% 10% 8S% tim 95% 100% 1115% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.6 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 29 3.2 14 3.6 3.6 4 4.2 4.4 4.6 4_LJ S 3._ -•-- o%-02-04=01-0:.5+it1.2- 1.4�1.6�1.9- 21�'23�2S=-2:7-T4�ll 73 I `3T=4= 2r/:4=71r"i"11=3-SZ--S4 20% 0.3 0.6 0.6 1 1.2 1.4 1.6 1.6 2 2.2 2.4 2.1 2.9 3.1 13 1S 17 19 4.1 4.3 4.S 4.6 S 5.2 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 2.6 26 3 3.2 3.5 17 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 So • 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.6 3 3.2 3.4 16 3.8 4 4.3 4.5 4.7 4.9 5.1 135.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 2.1Z3 25 2.7 3 32 14 3.8 18 4 42 4.4 4.6 4.6 S.1 5.3-- S.S_ 5.7-- 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.6 2 2.2 24 2:6 26 3 32 3.5 31 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 S.9 6 6.2 60% 1 1.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 29 11 13 3.5 3.1 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 12 24 10 2.6 3 3.2 14 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 S.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 2S 27 2.9 11 13 3.5 3.7 3.9 4.1 4.3 4.6 4.6 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 2.1 23 23 2.7 3 3.2 14 16 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 5.S 5.7 69 6.1 6.3 6.5 WY. 1.4 1.6 1.1 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.1 4.0 5.1 5.4 5.6 5.6 6 6.2 64 66 05% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 WY." 1.5 1.7 2 2.2 2.4 2.6 2.6 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 t2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 17 31 4.1 4.3 4.6 4.6 S 5.2 5.4 5.6 5.6 6 t2 6.4 6.7 6.9 1009• 1.7 1.9 21 2.3 2.S 2.6 3 12 3.4 18 16 4 4.2 4.4 4.6 4.9 S.1 5.3 SS 5.7 SA tt t3 6.5 6.1 7 10S% 1.1 2 22 2.4 2.6 21 3 13 3.5 17 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 U t4 6.6 60 7 110% 1.9 21 2.3 2.5 27 29 11 3.3 3.6 3.0 4 4.2 4.4 4.6 4.6 S 5.2 5.4 5.7 5.9 6.1 t3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.83 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.0 6.2 6.4 46 6.6 7 7.2 120% 2 2.3 2.S 2.7 29 11 13 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 12S% 11 23 2.5 2.8 3 3.2 14 16 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 El t3 6S t7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation R 3 V or R -value [38] U -value (0.030] 2. Wall Insulation I or R -value [I1] U -value [0.098] 3. Raised Floor Insulation Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) or R•value[19] U -value [0.037] or R -value [0] Standard Type [double] U -value [0.651 M1 Point Scores - - ---off % Total Glass (16] % Glass - SC Eff. % Glass a. North 3.0 X _ • 3 b. East 2.1 x c. South Yf• 41 X = • y 7 d. Westx = a e. Skylight � x = 0 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass % Glass SC Eff. % Glass 3 X �.� _ /• 9 X = �J Y X 0 XLL- TYPE 1 MASS AREA /0% InteriorWissJCFA COND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass t-UND. FLOOR AREA 11: Heating System x Zonal Control? ( Y / N) SE or HSPF Duet Efficiency [0.78] Effective SE or _ [0.72/6.6] _ _ _ HSPF 10.5W. 151 _~12. Cooling SystemMo f Zuutll Control? (Y / N) s -(9.s Y _ Dict�-lerency [0.74] Effective SEER 7.03] 13. Water Heating Type- [SG] �i . s Credit [none] 0 3 Sum 1 4 -1 Sum 7-10 V Point Total: ...L . Certificate of Compliance: Residential Climate Zone 11 Project Tide J- 3 91 BUILDING DATA tinned Floor Area Number of Stories a 'sed Floor Number of ,Units Ingle Family Detached (SFD) [ ] Addition•Alone ( ] Single Family Attached (SFA) [ ] Existing Building (] Multi-Family(MF) ( ] Existing -Plus -Addition BUILDING SHELL INSULATION• Component . - Insulation Locatianrr/Comments Type R -Value (attic. .to Farago minor. etc- ---- �— Che&edBy/Data - Building Envelope Measures _Roof ............. Enforoanent Agency Use Only Roof ............. 42-5352(b)'• Loose fill insulation manufacturer's labeled R -Value. Floor ............. - - Glas�s/lea % Glass North -1.1 3,0 East, Glazing - -- Area Glass Type Interior Exterior Overhang Framing Type South West 1A_ R -Value Skylight or approvedequal) Total `- East ( ) Wall .............. K !i Wall ............. - Building Envelope Measures _Roof ............. • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. Roof ............. 42-5352(b)'• Loose fill insulation manufacturer's labeled R -Value. Floor ............. - - Floor ............. exterior mass walls). Slab Edge..... §2-5352(ky Slab edge insulation -water absorption rate no greater than 0.3%. water vapor ... �:-GLAZING Shading Devices Glazing - -- Area Glass Type Interior Exterior Overhang Framing Type = Orientation (Sf) (singK double) (roller blind. etc.) (shddescrece, etc.) (yesmo) (metaltWtrood) R -Value North ( ) or approvedequal) East `- East ( ) South ( )� S.- . 13 .117 Sou tit ( ) West ( ) West ( ) Skylight....... _ THERMAL MASS Type/Covering Area Thickness 1,17 1!�_ - Building Envelope Measures •� d • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. 42-5352(b)'• Loose fill insulation manufacturer's labeled R -Value. HVAC SYSTEMS Minimum Duct • 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply n exterior mass walls). §2-5352(ky Slab edge insulation -water absorption rate no greater than 0.3%. water vapor Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SF SEER,HSPF) (attic, etc.) R -Value tuh or approvedequal) §2.5317: lnfiltration/ExrtliradonContmis `- i fl S.- . 13 .117 40 c. Doors and windows watherstripped; all joints and penetrations caulked and sealed Maximum Furnace Heating Output: standards. Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or aDaroved equal) �V`LD1�G Snecial Featured -1 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by mare stringent compliance requ atments fisted on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features rated shall be considered by all parties as binding minimum component performance specifications for the mandatory measures - _ - scwhere in the documents or -on -this checklist DESCR1PTiON DESIGNER ENFORCEMENT - Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. 42-5352(b)'• Loose fill insulation manufacturer's labeled R -Value. • 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply n exterior mass walls). §2-5352(ky Slab edge insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no grater than 2.0 pemtfwch. 12.5311: Insulation specified or installed meets California Energy Commission (=quality standards. Indicate type and form. 02-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: lnfiltration/ExrtliradonContmis L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows watherstripped; all joints and penetrations caulked and sealed 62-5352(e): Special infiltration barrier installed to comply with §2-5351 matt CEC quality standards. §2-5352(dy Installation of Futplaces I. Masonry and factory -built ftroplaces have L Tight fitting, closable metal or glass door b. Outside au intake with damper and control c Flue damper and control 2- No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach aku4dons. 02-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ° §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC 12-5316(b}. Exhaust system: have damper controls. 12-5314(c): Gas -feed space heating equipment has intermittent ignition devices. V 12-5314: HVAC equipment, water haters. showerheads and faucets certified by the CEC . __ : _ -.., , _ §2-5352(1): Water hater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate mum & recirculating piping. _ §2.5318(d): Swimming Pool Hating 1. System has - a. On/off switch on Anter. - b. Weatherproof instruction plate on hater: e. Plumbed to allow for solar. - 2. 75 percent thermal efficiency. 3. Pool cover. _ 4. Time clock. - - - - 5. Directional water inlet. Lighting and Appliance Measures t §2-5352(1): Lighting - 25 lumenstwatt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and nuorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT 9 This certificate of compliance lists the building features and perfonnance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. (lukr2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transtnit the certificate to any subsequent purchaser of the building, Designer Building Owner Name: Name rak/Frrm Address: Address: Tekpianc Tekphonc tic. N: ~(date) (signamm) (date) (sig ) Documentation Author Enforcement Agency Name: Name: rttk/Fum: Agawy. Addn=: Telephone s#yrs- - _ _i -` _ E _ - - 7 "S 10 puic I IV 0 Y C) tto syr U 10 ID fir j��, 14 X 77 j) rA 4k, - 0 �l ! - 1� 7 LEGC�� D 0 r^ �o Po'- M i 4 iY.Ni Lc6LA'i t 6 o No OA 'k u • (00 EW) 6, L�A" 1,4T W66, .;.YY 73 (6� lfi r,M LL5 o�o 4; �'o I p)j. I � �� I 1 0 , PW t In, i I sV r Ao­IA T; . . . . . . .CY) S y5 N L M.51ti c) I L lJW l\e_W%M:0,j DrOrin \j P,r _j, 1.�J5 60 OD V -A, 27 '44 1 jh i, W'E rmc A o PHK Tz6,l( Do G, OK U UNIT, �Yi, ACRE S - 're 4 ON L ANQ S 11 1 96 W, 4\RT FRIEDA, E, J4 lb"10, Acra. BE j00 o rrp, El OFISEC110 2 q N',g�, N R A� G E�,4 jP6:kA7TG:'O;i A��bV: LAY." 5 U N, Ty, c �1 Ii17, lV. 1, To FrtlD, I r H I- V W M'C yof r f VO."IL X,01t"CC W 77, I OA 0