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HomeMy WebLinkAbout079-080-07334' 00r,'E OV79,molows r MARTIN, Frieda Hart f' 44- Hart Drive,-Orovil e (pri,-',gaFage/sf Permit#956-90B, P, Vj M�, f amilY) 00-2473 RICKER, ROBERT D. 44 HART DRIVE, OROVILLE--.. CONTR: CHUCKS ELECTRICAL. 7 ELECTRICAL FOR PORTABLE SPA 01-26.04 -NUGENT- 44 HARX-DR5� OR-OV11 -/0//-7 CONSTRUCTION C & G CO CONT: C14NG STOVE ELEC To GAS 05-1875 RUCKER, ROBERT. 44 HART DR, OROVILLE CONT: OWNER ELEC CIRCUITS (4),.GAS � LINE 05-1903 RUCKER, DAVID 44 HART DR, CIROVILLE Cont: ALPINE LANSCAPE PERGOLA( 2) qC0 so a w11 - .. ►.y . NOTES RESIDENTIAL f s - PERMIT NO. OS-1903 9/;�5 lt' r�J� �� CY/ •.� .% A 036-800-013 .. RUCKER, DAVID OROVILLE - 44 HAR TDR, Cont: ALPINE LANSCAPE R . PERGOLA(12) `tom•` $ •. SPECIAL CONDITIONS ~ - CHECKED �g BY ' • S'�• SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. • . ; .-= . _ SPECIAL INSPECTION ITEMS x VERIFY • . - ,`: USE PERMIT CONDITIONS ' ,=f SUB-STANDARD HOUSING LETTER JOB FINALED (Date)• - ll Is Signature zk OK =Not OK = Not Applicable MOBILE HOMES = Not Ready 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft.' / P Nat or/ /" L "ftJ P 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., Tie Downs -Type -Installation Cert. 10. Exits;, Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M1,5_C- - LANEOUS Date DEC,. OVERS, PORTS, GARAGES (Plans) OK except #'s Zo ' quirements-Setbacks-Easements j/ Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg=Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric / r 8,�Fmg.; Sills-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Roof; g- 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date pp Card 13-1 �. Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining -4. Elec.; Receptacles and Lighting, Distance-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-Paiielboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche " 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 = OK = Not OK = Not Appricable = Not Ready RESIDENTIAL. (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card 9-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Sutfeed Wire Size/ /ga. Cu or AI -AC. Win; Sizer /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ_ / !ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Ca -d B-1 Date Card B-1 Date Cad B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsddJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last,pame First Name VI Address Address 41Y Y4tZT J94 City o/zoState No Zip Phone D Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name oglul Address SRA Address 210 9 No City Zip State Zip Fax E mail CA State License Number Phone Fax E-mail Lic. # _T Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name oglul Address SRA City No State Zip Phone Map Book Fax E mail Pi a r� State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name oglul Address SRA City No State Zip Phone Map Book Fax E-mail Pi a r� APPLICANT SIGNATURE X For office use only: Zoning 1UZFlood Zone >C I SRA VeQj No Occ. Type Const. Subdivision Name CJS l_r onev, Map Book Page Lot # Pi a r� Datpb• 6 OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # jz' LOCATION AP# Q3 6 _ g0,� �_y� ` 7 -t C / Prop rty Address ? }� City Cross Stree WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: �i Pc -&6e, -)C,¢ S /Zx l�- Sq. Footage ❑ Structure Built without Permi ❑ Proposed Change of Occupan (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: �v Bldg SRA Receipt #: 1 J ��I Sheriff / SMIP r � " Date: Other � (� r Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. El6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 11 ❑ 7. Metal bldgs: (A)` Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 r.i.-y-.'<..-..�.r:,...;. �5.�.-:•M....:.«..,,,,;r`:--'t. -�.-.'�v-:.ivT'h'.�_�.�.`^L.h.Fg.-.. ysf.-_'fir_ ,...,,,�...,,�v,,...K y� s�--�=•.••-':.� « � -•-• ,.i. ,. �.:- � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �V G�CC�� ASSESSOR PARCEL NUMBER 036- goO O% Proposed Building Use: �" C %y� S 21 12- Permit Technician: �!47 Date: -7r Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ,�I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. l 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13: `Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ 20 ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21.. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forest Ian approval ❑ paid. Sent by: 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: 66 ... c� a ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ �1) 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: \ ' When issued Telephone 4>"7o /C 64&-72 03 Id for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ®� �c�-'�%'� �� �G Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, design ,.owner' as advised of the above data by hone, ❑ mail, ❑ counter, by Date: ' Contractor, design& , was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: `�-- Structural reviewed b Date: ctural approved by. Date: J Note transfer by: Date: Yellow: Building D' ision BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51903 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Sd 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business Date: 13 —121 - C14-0- wrier: 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ I 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 09/12/2005 APN: 036-800-073-000 Site Address: 44 HART DR ORO Map Index: Description: 2 PERGOLAS 12X12 (288) Owner: NUGENT CHARLI S ETAL RUCKER, R. DAVID 44 HART DRIVE OROVILLE, CA 95966 (530)533-2204 Applicant: NUGENT CHARLI S ETAL RUCKER, R. DAVID 44 HART DR OROVILLE, CA 95966 (530)533-2204 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: t 9 0, 00. �3�G0� q- 1?-- (05 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti n to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 12_ 05 Name: By: Date: Address: PERMIT EXPIRES ON: -1,2 ~( / ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: /, 10,(aI%/}7 n./,(C'L.<IF- fI I Signature: Date: 9 — iZ O,5 ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER.��y�L� PROPOSED BUILDING USEy /�>(E/2 60` ` S 2 X 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units . Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ ' # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # ?�73 DATE 7-1 RECEIPT # DATE REC. X1-12'_ 0 -IS At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT zze!f DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Department of Public Vlorks C'o u n t y o f B U t t e i1 ':,'_,✓ LAND DEVELOPMENT DIVISION =' ® J. Michail Crump, Director Storm Water Management Program ' ® 7 County Center Drive c0 U N�� / Oroville, CA 95965 A 5 (530) 538-7266 �LIC WCF� (FAX) 538-7171 National Pollutant Discharge Elimination System. (NPDES) Phase 11 Construction Storm Water Permit and Storm Wafer Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 9 ACRE Project Description: Pe -12- �' 0 p. ) 12 0/0 t Project Location andlor Parcel Number: p go C� D 7 3 By signing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. ; I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project - that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: - Date: ;,•.v>e: w�,.-'.•c', ::a':: r: �.� � ti's^•$:�e�C;�' � — i`F > lv ti.s 4'G. Fi}� -��, .-_ Sp: _-.."t'.�:r...�_=��`.': �h`�:i�•isF'�.:;ml�l.• ..F;�.: �<;,. 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 pernut will be issued until this verification is received. �1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [><-] NO [ ]. 2. I HAVE HAVE NOT [ ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S 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 DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd )1 /4/2004 Butte County Department of Developlaent Services ADMINISTRATIO14 t BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile ¢.c i rte.- a'^1 t"-L�1L�.=�?T•..�'u'�--^�r•�t��••-. �.M.a�._v„ Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially -serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Sma)1 Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 3020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retumed. MicVael C. Vieirl C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO51875 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 07/15/2005 APN: 036-800-072-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 44 HART DR ORO License Class: License Number: Map Index: Date: Contractor: Description: install gas line, install 4 elec circuits OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RUCKER & NUGENT FAMILY. LIVI:NG TRUST .• . permit to construct, alter, improve, demolish, or repair any structure, prior. < _ 7 to its issuance,;also requires the applicant for such permit to file'a `' =->``•=• signed staterment.that'he or she is licensed pufsuant,t'o the.pr&sions of> .. ,>+ "°. 7` . . •NC/O RUCKER ROBERT D & CHARLIE S the Contractor's State -License Law (Chapter 9 -commencing wdh Section NUGENT T 7000) of Dlvi§ion° 3,of .the Business and Professions Code) or that he or she is exempt therefrom and the basis,-for;thetalleged,exempbon. Any- i. a 'i , f ' 4,4;HART DRIVE •. violation of Secton,„7631.5 by any applicant for a permlt.subjects thp3 , J' ;OROVILLE,'CA 95966-9108 applicant to a civil.penalty of not more than five hundred ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ,�intepded,or,offered.for,sale•(Sec..,7.094,,,Business•and Professions,, Code: The Contractors' -State -License -Law does not apply to an„- owner;of propeRy who„builds oc,improvesahereon„aP0.who does Applicant: RUCKER &NUGENT FAMILY LIVING TRUST .such.wo.rk himseltor;he{self;octhrough-his or her own. employees, PP are not.intended,or,.offered. for .,provided,that.such.improvements sale. If however,`the building or improvements are sold within one C/O RUCKER ROBERT D & CHARLIE S year of completion, the owner -builder will have the burden of proving 1 that -he or she didnotbuild 'oririiprove for the -purpose of NUGENT T sale.). 44 HART DRIVE _ as..,owner..;of,.the„ property—am.,.exclusively..,.contracting„with,. OROVILLE, CA 95966-9.108 licensed contractors:to corfttruct-the project (Sec. 7044, Business and Professions Code..,; The Contractors! State License Law does not apply to an owner of .property who builds or improves thereon, and who -contracts for,such projects with a contractor(s) licensed -•, pursuant to the.Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the, Business and.Profession.s Code? r, Coritractor: -o Date: 7 is'all :'a -- V ' WORKERS'-COMPENSATION-DECLARATION '?. ; I hereby affirm under penalty of perjury one of the following declarations ❑ •.I 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 License #: is issued. _ _ _ ❑ I have -and will'.maintain:workers'-compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which, this permit, is issued: -My workers' compensation .insurance parrier,and,policy:number are; Architect: Carrier:Engineer: Policy #: ._ :.. -.yam, - >. ,,..... . ..... ... .... . . I certify that in the perforrimancenof the Work for which this permit is^ issued. I -not 'as Total S Ft: 0 S.F. OaSquare shall employ any person in any manner so to become* subject todhe laws California, workers' compensation of and agree that • if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall Valuation: $0.00 �.. ,. Census Code: I IIIJJJ forthwith comply with, those. provisions. Date:—,',' Applicant: 1 WARNING: Failure to secure workers' compensation coverage is- unlawful, and shall_subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and. attorney's fees.. CONSTRUCTION LENDING AGENCY This permit is h by issu u � r the p ab e,provisions of the Butte County Cods anrVor I hereby affirm that there is a construction lending agency for the performance of the work for which this is issued (Sec 3097 Civ.) Resolutions t do w Edi ed abo a for w ch fees have been paid, permit Name: By: Date: PERM XPIRES Address:- ON: Date D I hereby certity that the use of this:fac'ility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.. D Attached are copies of the required E.P.A. notification forms. I hereby certify that I have.read this application., that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction: • I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to -enter upon the above mentioned property for inspection purposes. Print Name: �%/LT CJi� ✓/,0, _%ZU C iv z i'L signature: Dater Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT }APPLICATION AND SUBMITTAL REQUIREA'IENTS g� 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 . CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TWE OFAPPLICA TION BIN # Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name First Name Address City 0 910 V/ State CA Zip c&26 Phone Fax . E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name A LP I Aj F /0 Address SRA City ig City CIV y C o State eA Zip Phone C 2o Fax E-mail Phone Lic. # 9 lass a"cl E-mail APPLICANT SIGNATURE X For office use only: ARCHITECTIENGINEER Name Flood Zone Address SRA City I No State Zip Phone Zip Fax E-mail CA State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Cross Street// SRA Address I No City Type Const. State Zip Page Lot # CA Date Approved: Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Properte� Vss /4 _ �2 Flood Zone Cross Street// SRA i Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION / AP# 093CO —072— Properte� Vss /4 _ �2 City6��� Cross Street// WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Z_//�L� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action, on an application after expiration, a new application, plans and fee will be Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: (J ygb Bldg V" \0 SRA Receipt #- Sheriff SMIP Other Date / I Total REV 2-24-05 II SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate.. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 1_W_ odt.•_?i iY':^G:7i,.� i 60 ERRI 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 material for construction of this proposed property improvement: YES [>(I NO [ ]. --2. I HAVE HAVE NOT [ ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: CONTRACTOR'S 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: l— DATE: Z -- /S' - O -e, — NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. } Rev'd 11/42004 Butte County Department of Development Services ADMINISTRATION `BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by properly owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic7hel C. Vieir4 C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-80-42 & 43 ZONING AR BUILDING PERMIT OWNER Frieda Hart Martin TELEPHONE SO. FT. OCC. BUILDING VALUATION 900 M 12,606-00 OWNER'S MAILING ADDRESS 1Oroville 95966 CONTRALTO 'S NAME same TELEPHONE CONTRACTOR'S MAILING ADDRESS F'repla e CONSTRUCTION LENDER UNKNOWN otal luation $ 12,600.00 Filigree $ 10,00 ER LENDER'S MAILING ADDRESS Pe i t Fee $ so ARCHITECT OR ENGINEER98 LICE E No. JWan 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 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 ECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 49q� TYPE OF WORK New X Addition Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: 30x30 Pvt. Garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): Q 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 Fl 1, as the owner, or my employees with wages as their sole compen- will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADDNS. l ACC. BLDGS. yZ¢sgft 22.50 TLET NEW CONSTRESID. RANCH CIRCUITS) NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20®60Q 9AL@3o FIXED PR EX. Occup. OUTLETS (RESID IEA.) sation, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 32.50 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 Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _�/`f 14_ Z/cf /9a Date Signature of Applicant — Owner ❑ Contractor 0 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 $ 190.25 HAZ CUA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �O �� WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �!v.�-...r<.�;.-.-wv�.��.•T�...ti... �"r..-.a.wc..-•,:"'..��1i ,,...--- � ,— -. .,y �"1-.r`-� ,,a,�,. _V .. R.�.��,�:-•.fir-. ,✓...r.... ' \ r COUNTY OF BUTTE - DEPARTMENT OF PU-SLIC WORKS - BUILDING DIVISION ,�. ' 7 COUNTY CENTER DRIVE70[AVILLE, CALORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET i Permit No. lL7 OWNER %2�n l�_412T 4100 -7 -LAI A. P. No. :TC— Proposed Building Use 1—�_4427Qlf Building Inspector-.0ZDate 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 .............. 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 .............. r 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 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... i95. Letter of si na�rization................................... . B L rx 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 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. g` 2. Additional items required: /'Ap (8o rTtrn, o F X59 C� Contractor, designer, owner, was advised of above required data by_phone_jnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTM,ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, 6alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING BUILDING PERMIT OWNER TEAEL. EP o E SO. FT. OCC. BUILDING VALUATION 2� OWNER'S MAILING ADDRESS ('� , 5 �j 91 `n OP— CO ACTOR'S NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONSTRUCION LENDER UNKNOWN Total VdIUaIIOn $ �- Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ C& ,9v— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /S5. 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 070246(;. SPECIFY Gas piping system 1_75 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.006 TYPE OF WORK Ne'A Addition❑ Remodel❑ Utilities [I Installation❑ Other ❑ Describework: 3oX3O Gaea Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 — Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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.& A l LOGS. New 2'h¢sgft CONSTR.( ULTCC.BI.OUTLET NON•RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS n (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20060e eAL@30 FIXED Ex. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. Vj I have placed on file with the County of Butte Building Department /V 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X DateThis Signature of Applicant — Owner ❑ Contractors Agent ❑ I 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 �5 TOTAL FEE $ HAz I CUA PARK scHL FLD I PAR PD [Hb ISSUE permit is hereby issued under sions or 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-O.P-W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLD ENPOO-APPLICANT RE iJ N''TO PUBLIC WORKS ,�' 90=017264 'Rec. Y{Fee, ,. 7'"OOi� w '•' Check `'7,:00 *s Recorded yr Of,ficial Records County of *; Butte .Candace J. Grubbs- •iAx .S AP NO. 'Recorder . 8:01am 30 -Apr -90 CD., `:2s . NOTICE OF CONSTRUCTION AFFECTING AEUTOINING PROPERTY r The undersigned, • z5je/E[6.- C 1111 T 7-1 A) •- _. do.hereby declare as follows: 1. I am, (We are), the,owner(s) of that certain.real'property.situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold ... .,separately,.-.. DATED: -_ 1M 42;�� Signature of owner of record Signature of o er of record STATE OF CALIFORNIA - ss. COUNTY OF BUTTE - On /-� /v� `� 19_16 ,.before me, the. undersigned, A Notary Public in and for the State -of -California, residing therein, duly commissioned and sworn, personally appeared Ff216-Dig C. i(;!/27- t%%fI2/%/l/ known to me to be the person whose named subscribed to the within instrument and acknowledged that She, executed the same. WITNESS my hand and offical-seal. pFFpa,,EAL Signature SANDY•A. STACK f NOTARY PUBLIbrCALIFORNIA "OW g no* in BUTM county '� Name typed or printed ..., AFTER COMPLETION. THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) EXHIBIT "A" ,go --1 7260 THE REAL PROPERTY IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOTS 3.8 AND 39, -AS SHOWN ON THAT CERTAIN.?MA:P. ENTITLED, "PHASE II COPLEY ACRES UNIT 3;, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE,OF CALIFORNIA, ON FEBRUARY 24., 1988, IN BOOK 10.8, OF. MAPS; AT PAGES 74 AND 75. PARCEL II: A RIGHT OF WAY FOR ROAD, PURPOSES' OVER.AND ACROSS LOT 315, AS SHOWN ON .THAT CERTAIN MAP ENTT.TLED, "OFFICIAL,MAP OF OROVILLE- WYANDOTTE FRUIT LANDS UNIT NO.. 6", WHICH MAP WAS RECORDED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 8, 1929, IN BOOK 10 OF MAPS, AT PAGES 3A,,4A AND 5A. ND OF DOCUMENT G rgoo- r30 O c� � � J O Q 'y �J O � o� y.` _ ,.. 036-800-072 01-1260.4 NUGENT, CHARLI 44 HART DR; OROVILILE CONT: C & G, CONSTRUCTION • CHNG STOVE ELEC TO GAS, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT !- �r �' ASSESSOR PARCEL NUMBER O�,i••�CJ--U72 ZONING BUILDING PERMIT OWNER rk; i,i CSA-ti.� TELEPHONE 5�:�-•?�%Ga SO, FT, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS CONTRACTORS NAME_-, , C/ � A TELEPHONE CONTRACTORS MAILING ADDRESS 6 G r CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �,.:,:(V' C_'e;'d1Li E C� 955"50 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. r 7. SUBDIVISION'S NAME c �12,v u:: PARCEL MAP ��._ �� PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBIi6es ❑ Installation ❑ Other ❑ Describe Work: $ i U� 1.. TCC �.r '=- �' CJl 'W C^b Gas piping system 1 - 5 outlets 15.00 'i 5.LJ Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ .,J.�♦.� ELECTRICAL PERMIT Fling Fee 20.00 Main Service oa'ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATIONj 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. p I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the'performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions -of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 4, Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent' ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO + 46.00 WEE200A NEW CONST. DWELLNG OCCUP. SO U OR ADDNS. ( & ACC. BLDS. 3.50FT. NON-REOSINEW D. ' MULTI.OOM UTLETRC @7,50 APPARATUS a sINOLE oLmFT cIR. 20 .00 EX. Occup. OUTLET OR FIXTURES BAL ®+.50 Ex. Occup. ouTLEEOrs R=.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation s PERMIT FEPE $ Mobile Home Installation Fee 1 $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 3!).CU HAZ. I D. FEES IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �. �'f� By /��•�/ '.r 111 Date f�J L PERMIT EXPIRES ON I pate) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AN D P ERM'[T ASSESSOR PARCEL NUMBER 036-800-072 ZONING BUILDING PERMIT OWNER NUGENT CHARLI TELEPHONE 533-2204 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 44 HART DRIVE OROVILLE CA 95966 CONTRACTOR'S NAME C& G const. TELEPHONE CONTRACTORS MAILING ADDRESS 1950 KITRICH SUITE B OROVILLE CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 44 D Energy Plan Checking Fee $ PERMIT FEE S LOT NO. 7 SUBDIVISIONS NAME cople acres PARCEL MAP 036-800 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STOVE TOP CHANGE OUT ELECTRIC TO GAS Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W IQ20.00 PERMIT FEE t 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 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 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �[ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Y� Date A> Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWErG OCCUP. 3.50SQ OR ( NEW CONST. MUL�rcou�TLEsT NON.RESID. 97.50 PSO APPARATUS ..0 MTU CIR. h SINGLE Ex. Occup. OUTLET OR FIXTURES .00 BAL p I.50 MED APP .OR OR 5 DO Ex. Occup. ovnErs REslo. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit Is hereby issued under the applicable provisions of the Butte County Co d/or Resolutions to do work Indic ove for w ch fe s have been paid. y Date %z v P RMIT EXPIRES ON S�noz ate ReceiptNo. 336632 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califoirnia'95965 • Telephone (530) 538-7541 PE MIT o. (Rev. 12/96) /1,ac �,n J APPLICATION AND PERMIT - ��-���� ASSESSORPARCEL NUMBER 3 r. - - 6 9 2 - ZONI"G BUILDING PERMIT OWNER r,IC-A)r TELEPHONE SO. FT. OCC. BUILDING VALUATIf3'N OWNERS MAILING ADDRESS /-Y,6&7- o Q6 CONTRACTO 'S NAME d TELEPHONE CONTRACTORS MAILING ADDRESS /.q CAk- /Lo U S'9 C G CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuatlon b ARCHRECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee S ARCHRECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / 2.% Energy Plan Checking Fee S ©i2o L CA 3,!�;-q S PERMIT FEE $ OT NO. :L'Cr:YIS�VS NAME 2 cr PARC@L MAP s - o PLUMB7ivo PERMIT A!rg Fee 20.00 12 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.ou Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 PIP/,,J& Describe Work:_ �o (j Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S, ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 600v OR Ess 200A OR LESS 23.00 • • *PERMIT FEE P.Alb S SRA SHERIFF $ OTHER i AMOUNT RECEIVED � i / 1 t1 *RECM ,Y MM K 3� * TO Be PVT XWO COMPUTER Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 35¢SO. . OR ADONS. ( & ACC. BUDS. FT. NON•RES D. MULTFOUTI.ET @7,50 POWER APPARATUS 8 SWOLE OUTLET CIR OUTLET OR FOCTURES ® 1'00 EX. OCCU SAL .S0 INSEx. Occup. °��,D.° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 S . D. FEES IMP FLOOD CDF P ARCEL PO HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON !e •C3 i 0 LL U W n m V✓u�/ OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Freida Hart Martin ADDRESS: 44 Hart Drive CITY & STATE: Oroville, CA IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: Apr -11 4, 1999L ON REVERSE SIDE cita"ir rt At" rn nFaeRTUENT RECEIVING GOODS OR SERVICES 1 DATE DESCRIPTION OF CLAIM '(DESCRIBE FULLY O AVOID LAY) I AMOUNT Owner has decided not to do work. Permit 95-9OB,P,E , AP#=36-80=42=& 43! Receipt #58671, dated Total Permit Fees Paid ------------------------------- $884.75 Retain Building Permit Filing Fee--------- $10.00 Retain Plumbing Permit Filing Fee--------- 10.00 Retain Electrical Permit Filing Fee------ 10.00 Retain Mechanical Permit Filing Fee------- 10.00 Total Fees Retained---------------------------------- 40.00 ota a un ue-------------------------------------$844.75 i TOTAL 44 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correcj as stated' Dated this......... day of ..........Calif .................................. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval ❑ (Check one) for th�sam ........................e Authorized ty Dated this .............day of .,April..,.,,,,,,,, 19J.Qat OrovilleCalif. ...... ...................... .�iH�ead� Dept. 440-002 Esp 4210.500 PAYABLE FROM ��++ . D Code............................................ Code ................................................ ......1r.......1.01...?Jelmit$ ...................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. DATE ENCUMB. GROSS AMT. 7NO* Owner: Permit No. ENERGY CERT IF ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value)_______j Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Enemy; Requirements, FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNIER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' �.,, Jan+iary 1,984 -== 36-80-42 & 4357 395-90-PAR-f'MENT Permit# - ..� , OF PUBLIC WORKS (new Sf� i -county Center Drive - Oroville, California 95965 - Telephone: 916/538-7541, APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-80-42 &-43 ZONING AR - BUILDING PERMIT OWNER FREIDA HART MARTIN_ TELEPHONE SO. FT. OCC. BUILDING VALUATION 2 132 R 85'280 OWNER'S MAILING ADDRESS - 91 Canyon Dr, Oroville a 95966' 517 M 7,2)38 CONTRACTOR'S NAME SAME • ' TELEPHONE 202 Cov lJ 2,020 CONTRACTOR'S MAILING ADDRESS e - - Fireplace CONSTRUCTION LENDER UNKNOWN - Total Valuation $ Filing Fee 91 $ 0,00 LEND AILING ADDRESS - Permit Fee $ 421.00 ARCHITECT OR ENGINEER A . LICENSE NO. Plan Checking Fee $ _ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .r Hart Drive "Oroville Permit fee $ 671.50 PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 22,00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ]PARCEL MAP Water piping ,5.00 Each•gas water heater or vent 5.00 1 9 -on USE OF STRUCTURE SF ❑X Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW110.00e - TYPE OF WORK New ❑XXXddition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: $edrgems: Tc) Be Mastered _ Permit Fee $ 57.00 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 I declare under penalty ur p y of perjury j y (check one): � 1 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license Is In full force and effect. License -No. � 9��7 Classification El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am'exempt under Sec. , Business and Professions Code for this reason' - NEW CONST. DWELLING OCC P. OR ADDNS. ACC. BLDGS. 2 , /z¢sgft NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU p OUTLETS OR FIXTURES 20050C BAL930 Ex. OCCUp- OUTLETS P(RESID )FIXED APLNS.REA.) 2.00 Temporary service 1,10.00 10.00 1 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE , I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. raj I have placed on file with the County of Butte .Building Department 4•� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ -any person in any manner so as.to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,.should,you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 5.00 Forced Air Cooling 4 Ton 11.00 Hood 3.00 3.00 Ventilation Permit Fee $ Contractor 38 ' 00 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 C6unty 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 liabilities, judgments, costs, and expenses -which may in any way accrue, against said County in consequence of the granting of this permit. X���� 9o' Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 OCC CONST TYPE ALL TOTAL FEE $ 884 75 HAz CUAI. PARK FLD PA P Ho• Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ,eO J Receipt No. -71 ` WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 - COUNTY OF BUTTE - DE PAR TMEF4T-idF PUBLIC WORKS - BUILDING DIVISION tJ 7 COUNTY CENTER DRIVE - OROVILLE„'CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT'APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Permit No. / A. P/lo. 36—S�C� 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 . .................................... 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 ....................................... Park fees paid.....................................:::X� .. co School District fees paid ........... ... __jZ�Sanitation approval from ” W. 2 C> 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) 2T -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 .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... ;2:6 •L . n9 gficz z a 7. WWhyou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone S33 93Z�and hold for pickup at 09-0 office. Deliver w/inspector. Other Applicant Date Z/7/9a 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. 3 — 7 3 _/V 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW is COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.754 PERMIT NO. (Rev.1M6) APPLICATION AND PERMIT ASSESSORPARCELNUblER zoNNv BUILDING PERMIT OWfl11 TELEP"Ofte_ SO. FT. OCC. BUILDING VALUATION 3s' -- GP7 OWNERS NALOO ADDRESS A _7' MUVIF OpMRAOR`S HAM TELEPHONE ' L CONTTLICMR'S IYISINO ADDRESS CONSTRUCTION Umat Fireplace UNDERS LUNO ADoAEsB Total Valuation 5 ARCHrtECT OR ENGINEER LICENSE NO. Filing Fee E 20—.0-0-1. ARCWTECT OR ENONEERS NAJUNO ADDRESS Permit Fee S II Plan Checking Fee S BULDNOADORESs, Energy Plan Checking Fee E s j PERMIT FEE _ LOT NO. SUBDNISIONSHME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heel pump water heater 23.00 SFIZ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 BP�'Y Each as water heater or vent 15.00 TYPE OF WORK t Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Insta_Ution ❑ Otherf ❑ Building sewer 15.00 ( mobile Home S G W @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service xwoaLESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONSTOWEU.M OCCUR 3.50 OR ADONS. A A. UDS. CC. FT. ONS . MULTFOUTLET NON-RES10. @7.50 POWER APPAAATU$ 8 SNOLE OUTLET CIR. ESC. Occup. OUTLU OR FIXTURES SAL ®'_S0 PIXEO APPLNS OR Ex. Occup. ovnEs Eslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 O PERMIT FEE : *PERMIT FEE PAID MECHANICAL PERMIT Fling Fee 1 20.00 Heating SRA $ Cooling SHERIFF $ Hood e.so Ventilation OTHER $ $ PERMIT FEI: i Mobile Home Installation Fee S $ Energy Inspection Fee S occ coNST. TrvE TOTAL FEE S AMOUNT RECEIVED $ ;iZ no W70 I DOF PARde. PO No cul *RECEIPT NUMBER `6 6) * TO BE PUT INTO COMPUTER This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By % f )22� ✓4 Date/ a PERMIT EXPIRES ON r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT M "&2:!� - ASSESSOR PARCEL NUMBER 03G-800-073 ZONING BUILDING PERMIT OWNER ROBERT D. RICYER /CHARRI NUGENT TELEPHONE 533-2204 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 44 HART DRIVE OROVILLE CA CONTRACTOR'S NAME CHUCKS ELECTRICAL TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MPJUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS A. Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: F,T.E.C:TRTC'AT. FQP SPA-pntiTABLE_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z.*oon oR '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DW IG OCCUP. OR ADDNS. ( a ADC. S. SO 3.5¢'_ NO.R.IDT' RANCHMULT.UTLET @7,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @': o Ex. Occu . oFl„TLEE°TS APP OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE S 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construc n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. p, FEES IMP FLOOD COF PARCEL PO HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bo7fhich fees have been paid. /D'at d —t `--© PERMIT XP[RES ON zi Date Receipt No. WHITE-D.D.S.-I .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT h f- PERMIT NO: 40-90 Lake Oroville Area Public Utility District 1980 Erin Street 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. Date: April 24, 1990 Applicant: Frieda E. Hart Martin Applicant Address: 195 Parson Lane, Oroville, CA 95966 Applicant Phone No.: 533-9323 Property Location (S): 44 Hart Drive Copley Acres No. II - Lot 38 A. P. No. (s): 36-80-42 Fees due: $275.00 Connection Fee and $900.00 SC -OR Facility Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: In Date: Lake Oroville Area Public Utility District release to close permit: Date: By: - _ COUNTY OF BUTTE - DEE COUNTY CENTER DRI\ PE,RN OWNERQ2Tr� Proposed Building Use ,,NT:OF PUBLIC WORKS - BUILDING DIVISION MLLE, CALIFORNIA 95965 - TELEPHONE: 916/538-1541 % a 14�PRMAMN DATA'j',SH-&ET , *` Permit No. A. P. No. K 90:429e,4S ,.`Building Inspector;/fir/ 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 ....................................... 1, Park fees paid 3., zoli�rict�s paid. �anitationapproval fromi ealth Department 91� •.� 15. City of Chico plumbing permit ......................:.............. 16. Plot plan and business license approval from City of t (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 1 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 signa re authorization .................................... 27. .W en you issue the permit, process as follows: Mail to owner. Mail to contractor.' Telephoneand hold for pickup at 017'0 office. Deliver w/inspector.t� Other Applicant -&k Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Aid Pollution Date Copy of plans sent Health Dept. Fire Dept. -Other Date By The following data must -be submitted prior to per it iss e- (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designe owner, as advised of above required data by_phone_6nail_counter byT:>(_- ate , Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date[ Plans checked by ")SIL Date4���-yfl Plans approved by�L� Date C 2� � Sets of plans on hold in °'rile cabinet AP folder Copy—DPW CON* TY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Orov' 4Aie, California 95965 - PUBLIC WORKS Telephone: 916/538-7541 APPL CATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-80-42( & 43 ZONING AR BUILDING PERMIT OWNER•� Frieda Hart Martin' TELEPHONES 589-4759 SO. FT. OCC. BUILDING VALUATION 2790 R 111600 OWNER'S MAILING ADDRESS - 91 Canyon dr, Oroville CONTRACTOR'S NAME Same:'' , TELEPHONE 1 598 M 8372 277 277E) CONTRACTOR'S MAILING ADDRESS Fireplace 1 1000 CONSTRUCTION LENDER ,ADDRI S` UNKNOWN Total Valuation $ 125742 Filin Fee g $ 10•(]0 LENDER'S MAILING �ADDRESyS Permit Fee $ 49 3.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 246.50 Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 44 -14aFt Dr, Ofeville Permit fee $ 764.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1AJ 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 ;Pd' T SUBDIVISION NAME t P –3 PARCEL MAP ` 7,1 Water piping 5.00 Each qas water heater or vent 5.00 5 00 USE OF STRUCTURE SFZ] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 r� Inn Building sewer -F 5.00 Mobile Home I S I G I W 10.00e TYPE OF WORK New ® Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 4 BE _ Permit Fee $ 58 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V DR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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 i� Code and my license is in full force and effect. License No. d1/ 3 47 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.&) OR ADDNS. ACC. SLOGS. 2yzQsgft 84.70 NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS (SINGLE OUTLET CIR.& Ex. Occup(OUTLETS OR FIXTURES aAL&30 FIXED Ex. OCCUp. OUTLETS P(RESID )LINIS REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ 117.20 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �y 1 have placed on file with the County of Butte Building Department �4 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating QO,000 6-00 Cooling 4T Hood 3.00 3. t Ventilation permit Fee $ 3-3-00 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 /�� %�� Date -OK13/ ;1® Signature of Applicant — Owner ❑ Contractor ❑ Agent 6? 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 $D.�� cc CONST TYPE TOTAL $ A L FEE 1002.70 HAZ �fA PARK '— FE AR o H Issu Th;s permit is hereby issued under sions or the Butte County Code and/or work indicated abo a for which fees D E OR PUBLIC By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Dae .I Receipt No. 63830 WNI TE-D.P.W., YELLOW-ASS[$SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT v: RESIDENTIAL I 36-80-42 & 43 ; : J MARTIN, Frieda Hart 44 Hart Dr,Oroville { "(new single family);. 956-90B,P,E,M OFFICE COPY Address GAS � Meter B Datev!f g, ELECTRIC -i Meter By Date m i ,i, JOB FINALED/ Slgnature , v` OFFFIICCE COPY r Address I GAS Meter By Date ELEC RIC 7-� Meter B Date J=OK O = Not OK , - = Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirerpents-Setbacks-Easements 2. Soils; Special MH Support Sketch 1 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: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card.B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ilm -A V MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 4., 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists- Dec king-Bracing-Stairs=Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing ti 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -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 ,1 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 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 1 J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (; ' =_ Date UNDERFLDOR Plans OK exce t 's ,VV-oninc-Setbacks-Easemen -Flood-Slope . Ftg., Main; Soils-Elec. G d.- T' Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd., /" Ftg. Depth 4. Ftg., Pxches & Decks; Soils -Steel-/ /Ftg. Depth 5 temw3lls, Main; Steel -Bloc kouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped Hold [-owns 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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date 14-3 b Card B-1 )44 t. Date Card B-1 Date Card B-1 Date Card B-1 Date LUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle j'17. Water Pipe; Test & Anchor -Nail Protection a8. D.W.V.; Test -Fittings & Anchor -Nail Protection wer_Pan; Test, First Floor -Tub Access efa-meet-Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Datg,; • Card B-1 i Date Card B-1 Date - j -Yard B-1 w C'i Date Card B-1 Date gk ELECTRICAL (Permit) OK except #'s ,V_9,,F-ixture & Transformer Clearance -Ins. Protection kas'Eiec. Receptacles Spacing -Lights & Switches at Doors Vw'size BoKes & No. of Conductors -Stapled ex installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech. Fastners-Bond Qaf& W 2 Appliance Circuts in Kitchen & Conductor Size/GFI .28. Subfeec Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or'AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No �rvice-riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. jWdtithes Closet Light -Shower Light -Spa Light If moke Detector Date _Z - p Card B-1 Date Card B-1 Date and 8-1 4 ' Date Card B-1 Date MECHANICAL Permit) OK except #'s C. Ducts Insulation & Support Vent Few; Exhaust above insulation Condensate Drain & Overflow; Size & Grade -QW-f-amanca-Vent; Access -Comb. Air -Return Air Vent -115 outlet 63$.+•R iic Ac:ess & Platform if Furnance in Attic Date,<j__X JD Card 8-170Date Card B-1 Date,& -2,) t Card B- < Date Card B-1 Date FRAMING (Plans) OK except #'s -89-15ils, Proper Material & Anchors ally -Studs -Nailing, Spacing & Bracing-Plates-6eaad- 4 g aUall,21$ailitll� t S cp in Walls (rat proof) 3 tops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing ►ingliA & Duplex) Date FRAMING (Continued) 45. ers-Post Caps -Anchors -Connectors Ing. 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 X49.-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing 51. Firewall & Openings xt. Doors -One T -Check Garage-@f4f3tory-Y-E*its- 53.-Bta4&-Width-Headroom -Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer OVI-tucco, Mesh -Drip Screed -Fd. Vents-Underflr. Access -SP�.Gr' g Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts Insulation-Walls-Ceilingss 60. Infiltration -Walls -Windows Date tS Card 13-1 Date J7 Card B-1 Dat Card B-1 Date Card B-1 Date FINAL Plans OK except #'s d1 -15-t Steps -Door & Sidelight Protection -Landings moke etector nace; Vents -Clearance -Comb. Air -Connector - In G ; Above Floor-Ducts-Mech. Protection ed xiting G.F.I. & Bath Fixtures & Tub Access -Spa ec. im & Subpanel; Breaker Sizes & Labels fairs Rails Coe -place or Stove; Clearances -Hearth &--Erc. Outlets at Wood Panel; Int. & Ext. ;Q_K F.Fnd'& Appliance; Grnd.-Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter !!�A�ge Fire Door; Swing -Landing -Closer Duct in Garage -Damper r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 76rf4tT-Efec. & Mech. Equip. Listed for Location 74 -E165 -Receptacles in Garage; (G.F.I.)-Romex Protection ulati -Foam-Looked in Attices uard Rails & Deck Construction -Post Caps 7Q tea^ XggL%B.fGrawI Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes owing instld.; Drive es ❑ No; Walkses O No; Plaqj= 0 Yes 0 No tucco; Brown -Finish Unit; Disconnect, Electrical, Plumbing 86. VeMTAbove Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings connect, Electrical, Plumbing orfFlec. Trim; G.F.I. Receptacle -Underground ntilation Throughout House ass Protection 88. Corr — fromvious Inspe ons a est-Metevrs Tagged;s-Electric 90. Water Sewer Connected -C/O to Grade -HD Approval Wu.en'ergy Compliance Certificate -Other Certificates Date ' Card B-1 Date Card B-1 Date _ L_ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) R 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 iA,' 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 ma�er, or need additional _explanation, please contact this office immediately. /� ����v r . T Date '� Inspector4J r =: 7i h Date '� Inspector4J r =: 7i ER COUNTY OF BUTTE 'it , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 ; - CORRECTION NOTICE 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, need additional explanation, please contact this office immediately. Date L �! 1�� %/� Inspector 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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. /ROv/i�e 11 N P1v - L) 5, P1,4 ti a4; 1�0 �- "1-19 Q � ea9 X Date �� oy Inspector /'/�?�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: '891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE MA 2Tin,) )WNER ,. PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact .this office immediately. Inspector Date 1 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 OWNtRI 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, matte!, --or need additional explanation, please contact this office immediately. W1 0 ' aw1 G ii 1, ri �� ! it S)T. S i Ale PP-A))V AUST )UA-Uff PEAU(Cx/s Cc9kFcT!vw S Date -9— —3 1 `U Inspector �"Iyl l I I• COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VNER - 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. r �....�� di Datea Inspector 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 VNER 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. k• Ce jW r. j: t, . '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 L CORRECTION NOTICE E f: 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. X 0( ``Ta I- ?'\? '\ /n . A4Z , 7-/� 19�:� - et--�7.--�'7'e" h.. -M --�- Date �� .�)a�/ Inspector 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 j OWNER PERMIT -NO.. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when cor ection of work is completed. If you have any question pertaining to this`" matter, or need additional explanation, please contact.this office immediately. Date Inspector 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 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. n Date �J Inspector '/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Llm,er- !�` V R -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, /oj/need additional explanation, please contact this office immediately. /A e A — /7 A _% - - A t mss L: Date (Y t— r7 y Inspector i L IL:I;c;Y 1NSIALLAI'LON C:LRTIF'ICATE Building Owner Fuilding Permit # Building Location /% 360 � DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness (inches CEILING Batt or Blanket Type Thickness(inches Loose Fill Type Minimum Thickness(Inches) /4' Area covered(ft.2) 7a0 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Brand Name Thermal Resistance (R Value) .. Brand Name OGS Thermal Resistance(R Value) e a Brand Name Thermal Resistance(R.Value) Brand Name . Number of Bags r 3o Wt.- per bag AY Ib . Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R.Value) I•hereby certify that the above insulation was installed in'the above building;' is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of.California Energy Requirement FIRM NAME / OWNER STATE CONTRACTOR'S LICENSE NO. ,. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment; as shown on the approved Building Department plans and attachments have been installed and conform to.the_appli- ance standards and Chapter 2-53 of the State of California Energy.,.equirements:: ie 7 BUILDING CONTRAOTOR74W#NW (Please Print) STATE CONTRACTOR'S LICENSE NO.-:' FIRM NA�M17 ) SIGNATURE OF BUILDING CON TRACTOR/OWM HVAC FIRM NAME/OWNER (Please Print) SIGN URE OF HVAC CONTRACTOR/OWNER 9 90 DATE STATE CONTRACTOR'S LICENSE NO:' DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPLNON—_\ APPROVAL AND A COPY SHALL BE POSTED WITHIN TH BUILDING. I DING. RETURN TO PUBLIC IJOR+KS AP NSD. 36 - eo - 4,g ,. ACCEPTED FOR RECORDINC-, AT 8:01 A.M. APR 3 0 . NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, lc �e-wl /// M l 111A.& V I A] do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain.real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to'said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit: A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: Xz S— 0 Signature of owner of record Signature of o er of record STATE OF CALIFORNIA ss. , COUNTY OF BUTTE " On /v�� 19_1�L, before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared / f2 /6--p/q C /(;?!le.% /%%i9/e--71V known to me to be the person whose name_Ij subscribed to the within instrument and acknowledged that S h e, executed the same. WITNESS my hand and.offical seal. a OFFICIAL SEAL SANDY•A. STACK NOTARY PUBLIC -CALIFORNIA Prtn0* Offke In BUTTE County Commission Ex res DEC? 1993 000 0 0 ©. o m® Signature woy Name typed or printed AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED_IN THE OFFICE OF TIME COUNTY RECORDER. LD 1540 (5/88) arz EXHIBIT "A" THE REAL PROPERTY IN THE COUNTY OF,BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOTS 38 AND 39,.AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PHASE II COPLEY ACRES UNIT 3",WHICH MAP WAS'RECORDED IN THE OFFICE OF THE.RECORDER OF.THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 24, 1988, IN BOOK 108,, OF MAPS, AT PAGES 74.AND 75. PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES OVER AND ACROSS-LOT 315, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF OROVILLE- WYANDOTTE FRUIT LANDS UNIT NO. 6", WHICH MAP WAS RECORDED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 8, 1929, IN BOOK 10 OF MAPS, AT PAGES 3A,-4A AND 5A. JOWNER'S NAME: QA AeE V—% -V RECEIVED ,y PERMIT, NUMBER : A . P . # : M3DATE RESIDENTIAL NON RESIDENTIAL RECEIVED BY TIME i O REQUIRED PRIOR TO PERMIT ISSUANCE ---------- FROM DATA SHEET REQUESTED BY PLAN CHECKER OTHER ----------=---------------------------- REQUESTED BY CORRECTION NOTICE Q YES Q NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. . Deliver.with.next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive, Oroville, CA 9,5965 PHONE:. 916-538-7541 20pril Frieda Hart .Martin' DATE A _ .� a 1990 9f Canyon Drive Oroville, CA 95966 RE: Building -Permit apin #956-90 for new single family A.P. # 36-80-42 & 43 With reference to,the.above subject: L� Attached is: Application for permit Mobilehome Utilities Installation Sheet. Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to 'Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. _ Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico (Lake Oroville Area Public 7 County Center Dr., Oroville Utility District) Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural.acknowledgement statement. VWWNM A'S Should you have any questions concerning the above, please contact Dan Kirin of this office. (538-7541 between 3--5pm) Yours very truly, r William Cheff Director of Public Works %%J.F. Glander JFG/aj Chief Building Inspector 1. Document for building over lot line is required. 2. Provide site plan of how lots are w/o boundry line modifications until modifications are approved. Specify connections for rotation @ bearing points for trusses B 10 H (T-6)/ AH 13'(T-1.5)/ AHP 5 (T-17)/ DGR (T-19) and garage truss (CHB SGT 16) 4. .Specify connection for Horizontal load on trusses: BCOF (T-10)/ B (T-11)/ BCTI (T-12)/ BCAT (T-13)/ AS`'i? (T-18)/ 5. .Specify hangers on girder trusses to carry tie-in trusses. Truss A (GT -7) for garage..does not show a point load from truss RI (GT -2) Eng. details and calcs are required for retaining walls. '-81. Lateral design is required for the front wall of this house or revise to .IA . comply with Uniform Building Code Section 2517. T - oonJc- y a:w:he i.Gh. +hsf:"'T'tb : - �_;r.t _ 7 £il?ti7C.5rvS �."�:'"7".-.w�v: rt......-•+,+-. r.�,4.., '..•ew-.r t .BUTTE COUNTY SCHOOLS. -DEVELOPMENT FEE CERTIFICATION FORM .(One Form per Building), A.P.- Number j-Q�29� Building Department No. , School District'�n.. �-C City County Q Jurisdiction $Property Owner 2: / �"'T AIIA227 Project Location/Address 44 z2R, z�,Q, , Subdivision Lot Number V _ Residential Development: Sq. Footageo�(_) # of Living MHI Addition (Group R) Units' Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) t Buildi`hg DepartmenRepresentative ' /Date (Floor Plans reviewed by School District Personnel) District Id No. ,_37 -7 School District certifies that (Applicant -Name (Street Address Phone Number (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment "of $ representing 02',796 square/ feet. School Distr!ct Representative' Date 'PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: a white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) V4 -k. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA 95965 PHONE:.916-538-7541 C1 ,' F(Zj i4 hiA2T �AAOtr, c( O DATE CA i���rn�1 CD2 OkOV ILLE1 CA .. RE.: C) A. P. # 3 - 8c> With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER j We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico _X 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 77OTHER 1. Sc.+AooL� 1—E&S Should you have any questions concerning the above, please contact �A ty Ki�i�, of this office. Yours very truly, JFG/aj William Cheff Director of Public Works Glander / Chief Building Inspector i 5/89 RESIDENTIAL PLAN CHECKING GUIDE ,MISCELLANEOUS ITEMS TO LOOK 'OUT-FOR (CONT'D) , ,;I •~ Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for,roof covering (Chapter 32). Roof covering type'- (fire hazard). a. Rafter ties or bearing ridge beam. ' J181Unusual arage door or porch header sizes. dequate bracing. ` 4 iving area over garage - complete 1-hour separation required on garage side . ncluding supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 &.see Mezannines - 1716). Attic access and ventilation (Sec.•3205).. Underfloor access and ventilation (Sec. 2516). Combustion air'for fuel burning appliances.Noise requirements on duplexes.Adobe soils--special•foundation design. Retaining walls requiring design. shape, size, or split level house requiring lateral design. Flashing at all exterior openings.. �Z' Od�k Lo7- �; NE i S pet;) ry A . 2 , P/�O u + 0 � S � TE �,4"r.� O � f-�•o w L c71'S f� R E w/ s Goy (T�o) �T�►�/ ' POO B C_ A-r- -31/A S (e) Or TRussrZS 7_0 CARR J Y ' �p T''►�'7�02 G-ARAje DoE,, No-r s4.L-' J, ,4 Pt) y NT CO A�) �, E c�5 ei4LCs, A 2-� ��Q , i� Imo© /2 ��TA i NL . 9 F-66-1 WJ/ ��cr.2S17, ILI 6) , t Styr von Som J RESIDENTIAL PLAN CH$CKING GUIDE 5/8°7'+t (S.F., DUPLEX & MISC.•ONLY) Q ,'A� • Bldg. Permit # '56'90 OWNER/zI Sg4 T'►'RRA A.P. # �(� GENERAL Zoning requirements: (sideyards and number of permitted living units). il! Valuation. .3/ Plans signed by designer. .1," Energy Design and Compliance. Existing violations on property. 6. Items on data sheet. PLOT PLAN (� B Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. �3— Other buildings or structures. -4'. Grading, fills, drainage. �! Flood hazard. ,-6 Special conditions on creation map or compliance document. a' FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1'204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCTs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling, equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). ,Fireplace and wood stove location, alcoves, and clearance. Smoke detect,ors,(Sec_.,1210). STRUCTURAL DETAILS -/� Foundation plan complete enough to construct building. �Z. 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. f>! Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). BU�COUNTT.Y qO - u- BUILDING DEPAI:iTI MN? r - arw -ZA as , q3 �~ ,fir � - - .. - .-.-•-.,-v : `l:j=�.� L= `: t-- =ice ------------------------ Cowl" OWNER'S NAME: /" /7 -T I ! - -FZ/ E, -U -A 1,4k -r RECEIVED PERMIT NUMBER: [ �V A . P . # : 56-0-42 -y3 DATE RESIDENTIAL F-1 NON RESIDENTIAL RECEIVED BY T<7 TIME REQUIRED PRIOR TO PERMIT ISSUANCE 0 FROM DATA SHEET n REQUESTED BY PLAN CHECKER OTHER --------------------------------------- REQUESTED BY CORRECTION NOTICE XrYES Q NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: �� ��F WHEN APPROVED, PROCESS AS FOLLOWS: ----------------- --- Mail to owner (Address) Mail to contractor Call Name and Address) and hold for pickup at office. Deliver with next inspection., QAt� REVISED PLAN CHECK FEES PAID: $15.0 $30.00 Additional Fees Not Required r , ' t ; MICHAEL MOONEY CIVIL ENGINEER RCE 20647 Butte County April 24, 1990, Building Inspection Dept. 7 County Center Drive Oroville, CA 95965 Rea Martin Plan Ore . Lot 39/39 /�/ The trenches cut fo the stem wall were not excavated the required 12" into undisturbed s il. They,'are excavated into rock a minimum of 7". The difficulty ar sing from�the lot having.been graded prior to construction, and 12 to 19" of undisturbed soil having been'removed. Th lateral bear` value for silty soil is 0.25, and that for the existing oundati on 'rock varies from .35 to ..79. Using a' mean of .57 ,times 7/12 ft-equals 0.33, which is greater that 0.25 times lfoot. In my opinion this condition ,(7" footing', into rock 'foundation) I eets or exceeds the code requirement for lateral bearing (12"). Thank you for.your consideration. f Yours, Michael Mooney 5 Madrone Ave Suite A Q FESS t Oroville, CA 95966- 916-533-.2131 5966916-53.3-2131 F 0206f7 My license.expires,9/30/93 1 vf' ��c''. � ��Ey�i'• �� :it'd`~\ tf 1 •ter - }� ,-lfjjj ENGINEERING 220 GRAND AVENUE V/ SURVEYING G�0ROVILLE, CA. 95965 PLANNING 1916157}2048 C BloX 3-30-96 ��2X fSaox p•?�co.gtx �j�'rysr3�z = 10,Szo r- 781Or`fi�d�C U Ses- t -9-e, � G ✓e -rt I,- 5-e- 3 z 14vlZ A FooTi it /,/, 41,A �' ✓B I�/� TOE- Q /-/ 6 248 z X o, 6'T - 54c, X Z - 1 LGZ •94- /oev = 9(63 1,340 Mo = ro�o 2 4�Z 9 D, 5'2- g 'Z 2 qi6 L Xb • S /2 41-'1'-e_ lqJ 020647 RaJUT (WAIL. �vi� �Q tiOF gg axc 7r- rc0/CAre- 0 /) 71 LL - 03 w wn 1�� > 13g �� C1� W w.o� c��ru�s• our i couNtv BUILDING DGPAIZ' HgW APPROVED `�YZtr3 � (LOAVO LST CLCUA-xf )�MU� U2 x 33 /s sIz- Fj2�vJ`j' Wo"1 wry/�7 �r eWaA4f �.olie-t! w � $ 6 �1 G s 5Pa-a-,e —2P /rl/VtVPJ '-07- y3 e"I• S-� L 22 4G 4r e 2 s 2 3 �s s O G.rrL �Q /� GcJa,¢� zZs-a l (/it/ 41 vE tial `," /�rrLT s l/� �oZB�IaJ �",G •� s C> Fr67 C9, 00 l - � t _ 1q:,v IAA:�- - Return to DPW Section 26-8.1 of.the be recorded prior to U U U I I v U RECORDED IN OFFICIAL RECORDS AGRICULTURAL STATEMEn OF ACKNOWLEDGEMENT OF BUTTE COUNTY. CALIFORNIA FOR RESIDL•NTIAL DEVELOPMENT AI'TMEREQUEST OF MID VAI I-[..IIILt: CO. Butte County;Code�requires this acknowledgement issuance of a building permit MAR MAP 12 AM 11' gn 66 7750 � / The property described herein is adjacent to land or included :LEANOR K BECKER within an area zoned for agricultural purposes, and residents of th,�'�,ERK�-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. It I 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. 311. 6 00 ' �_o Date: STATE OF CALIFORNIA PROPERTY OWNERS: COUNTY OF Butte } ss. On_Marc h 1-1, , 1 996 , before me, the undersigned, a Notary Public in and for said State, personally appeared BOB 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 he FRIEDA HAR — TIN thereto as principal and own name as Atto a in F ct. WITNESS my ha d o al s al. Signature _ DANIEL -F. HUNT Name (Typed or Printed) ibed the name '. OFFICIAL SEAL ° DANIEL F. HUNT NOTARY PUBLIC • CALIFORNIA =< y" PRINCIPAL OFFICE IN r. `r BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1, 1986 (This area for official notarial seal) 19 , before illy appeared. t me on the basis Eactory evidence. subscribed to 3t i contained:: I and official seal. Public W COUNTY OF BUTTE '?6 �� (� Y �•'~"o DEPARTMENT OrPUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County -Center Drive,,Oroville — Phone: 538-7541 747 Elliott -Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 m r, or need additional explanation, please contact this office immediately. ��s a, NL" 'J',J'k— '�— . ,4"r b"V ,, at. C. t,� Date '� 1, Inspector '"3 ' 9$Z 3 N f ' Lj w� ell 0C'� S n1 ° 01 4/� 3 z t` 41 COUNTY OF BUTTE J6 DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mnr, or need additional explanation, please contact this office immediately. �� LL L "� /tel 'L •Y i^•.:v - j\l i.:`l'L•L 6L•� �.�..: � ti �..� '.l: G=•�••'�. '.q /w�\ '2' ' F •` ¢ .. f t C'Cs11-'i�; I'll.. b' _ < t)% u;�._iL (amu 1\� ( '�Z::.n (�'� /�"^• \ Date_ % �' / t�� 6,L.. Inspector �� 11 ^ 5`4 3 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 03G-800-073 ZONING R-.1 BUILDING PERMIT OWNER ROPER1, D. RICKER /CHARRI NUCENT ONE 53")-2204 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 44 HART DRIVE OROVILLE CA CONTRACTOR'S NAME CHUCKS ELECTRICAL TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS SAME Energy Plan Checking Fee $ $ . PERMIT FEE $ LAT NO. SUBDNLSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF OKDuplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: F'f,F.GTFiTC;AT. t~'t7R CPQ —Pf'11x'1"ART.F— Gas piping stem t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 ORLE aoo�Main Service .A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR 3.5QF°: ( ACCO. BMS. ORw D CONST. M T NON -REBID. @7.50 POWER LfTLET APPARATUS a SINGLE OCIR. OUTLET OR FIXTURES 20 @ x'50 Ex. Occu SAL p .so Ex. Occup. oLITIEEis AEESID.OFR.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construcfion of structures over 3 stories in height. �'`- MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD COF PARCEL Po HD .tS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedabove for—Which fees have been paid. ). Date + PERMIT EXPIRES ON ! "' Date Receipt No. , " <' 4 rrl " �/ ��- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .T.--gawxr.-t,-x�iY..*:wN+rKM^s+,•nDs:4fwwMa+".S.i4ia `•'-"�+v?i'w r 6-800-073 00-2473 CKER, ROBERT D. HART DRIVE, OROVILLE NTR: CHUCKS ELECTRICAL,ECTRICAL FOR PORTABLE SPA I r N 1 .T.--gawxr.-t,-x�iY..*:wN+rKM^s+,•nDs:4fwwMa+".S.i4ia `•'-"�+v?i'w r 6-800-073 00-2473 CKER, ROBERT D. HART DRIVE, OROVILLE NTR: CHUCKS ELECTRICAL,ECTRICAL FOR PORTABLE SPA I r .T.--gawxr.-t,-x�iY..*:wN+rKM^s+,•nDs:4fwwMa+".S.i4ia `•'-"�+v?i'w r 6-800-073 00-2473 CKER, ROBERT D. HART DRIVE, OROVILLE NTR: CHUCKS ELECTRICAL,ECTRICAL FOR PORTABLE SPA Certificate of Compliance: Residential a Climate Zone 11 Project Title — Building Permit 0 Project Address Checked By /Date Documentation Author Telephone Enforcement Agency Use Only Glass Area 95 GIass BUILDING DATA Conditioned Floor Area Slab/Raised Floor [ ] Single Family Detached (SFD) [ ] Single Family Arached (SFA) [ J Multi -Family (? fF) I ' BUILDING SHELL RiSULATION North Number of Stories garage, ^/Ricr etc.) East Number of .Units Wail .............. South [ J Addition Alone West [ ] Existing Building Floor ............. Skylight (] Existing -Plus -Addition r Total ' BUILDING SHELL RiSULATION Component Insulation Loca6on/Camme:2ts Tvee R -Value (attic, to garage, ^/Ricr etc.) Wall.. ........ Wail .............. Roof ........... Roof ............. Floor ............. t Floor ............. r Slab Edge..... GLAZING Shading Devices Glazing Area_ Glas3Type Interior atetior Overhang Framing Type . '.. Odentation (sf) (single, double) (Toilet blind, e(c.) (shadescreen euJ (ym'no) (metal/wood) North ( ) East ( ) East ( ) Sou Ch ( ) ' West ( .) t West. ( ) Skyliht....... THERMAL MASS Type/Covering Area Thickness (slab/exoosed. tile, etc) (sf) (inches) Location/Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct. Output Manufacturer / Model # conditioner, heat pump) (SE, SEER HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh .Mandatory iMeasures Checklist: Residential INtF-1R n `rOTF- la -r= rrsidencal buildings subicct a the Stu dards mus wntain ticse mr3srrr3 m;X d!4 .4 of the chips. rice approach —11 Items marked with an &Iwuk (') may be supa-xAlcd by more stringait complunce requutmenn listed on t'ne Cwfieasc of Compliance When taus checklist is incorporated into the pamn documents- toe Imurics nand shall be considered by ill partes as binding minimum component paformu+a rpock-Ldons for the mandsacry meuua whetMr uncy are shown cjscwhcm in use documeus or on this c,eeklis only. DESCUPTION 0ESIGN-tit L"Fox mvrr Buildint Envelope Mcasurrs • §2.3352(3): Minimum coling insulation R-19 w.cightcd aver3Se §2-5352(b)r Loose fill insulation marnufacturrs's labeled R•Value §2.5352(e): Minimum . all insulation in famed r%1ts R•11 weighted avenge (docs not apply to catcno( nuts walls). 12.5352(x): Slab edge insulation - water 3bsorpuon rate no greater than 03%, water vapor transmission rate no grater than 2.0 pcmJvxh. §2-5311: Insulation specified or installed mats California Enagy Commission (CECT quality Standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in CUrnaut Zrna 14 and 16 only. §2.5317: tnfiltration/EafiltnuonConaott a. Doors and windows between conditioned and tat+conditioned spaces designed to limit air leakage b. Doors and windows certified ... C. Doon and winldowa wtatherstrtpped' sV joints tried peneaauons caulked arid sea5ed. ' ' 12.5352(c): Special infiltntion barrier 4=alkd to comply with §2.5351 mocu GC quality sta,darCt 12.5352(d): Installation of Fveolaces 1. Masonry and factory -built ru Uc= have L. Tight fining, closable metal or Slats door b. Outride air intake with damper and control c Flue damper and conuol 2. No conunuous burning gas pilon allaw HVAC and Plumbing Sy -Aum Measure j §2-5352(8) and 2.5303: Space conditioning equipment sizing: attach eJeulations. §2.53520) and 2.5315: Sethaek awsr>ostz en all appliable heating systems. " • 42.5316(a): Duets constructed, installed and insulated per chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper contrott §2-5314(c): Gas-fired space hating equipment has intermittent ignition devices. i §2-5314: HVAC equipment. waterheaters, showahnds and faucets eeatifsed by the (MC. 42.5352(i): W at - N--= insulation blanket (R• 12 orgreater) or combined intuiorkatuior -- insulation (P.• 16 or ynter)r fust 5 lees of pipes closes to tank insulated (R-3 or greater). §2.5312(Eaeeption 1): Pipe insulation on steam and secant condcruac return A recirculating '• P;Uing. .. t §2.5318(d): Swimming Pool Heating I1. System has: a. On/off switch on hater. b. Weatherproof instruction plate tan hater. e. Plumbed to allow for solar. _ 2. 75 percent thermal efrxiencj. 3. Pool cover. 4• Time clock. . . I 5. Directional watts inlet t Lighting and Appliance Mrasurts - ' 12-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2•5314(c): Gu rued appliances equipped with intcrmiaent ignition dc.ica. : §2-5314(2): Refrigerators. refrigcntor•freest ers. freezers and (luorrxballuu cnt lamp certified j by the CEC. Indicate snake and model number. COMPLIANCE STATEAUmNT This etrtifieste of compliance I= ter, bu>ldiag fea(ms and performance s=fications needed to comply with Title 24, Chapter 2-53 and Title 20, Ltaptcr 2, Subctu;-Ier 4, Article I of the California Administrative code. This =rti.f'catc has been signed by the individual with overall deign respcnsibtlt-ty and the building owner, who shall retain a copy of it and transmit the cenif)cate to my subsequent purcliz=r of the budding. Designer Building Owner Name Name •.TitkJF"tart; Titk1Fvm: Addace: Address: Tck7bonc tx. 1: •. �' Tctcpiaonc HOT WATER SYSTEMS Tank Manufacturer/Model # - - System Type (storage gas. etc.) Capacity (or approved equal) Soecial Feature(s) (at6rtaaare) (datc> (at6nattac) Documentation Author Enforcement Agency thinner. - SPECIAL FEATURES/REMARKS. (Add extra sheets if necessary) (date) 1. Ceiling Iasulation Spoafim6on Starx�r0 - Interior. Number cf s=ries 6. Glass Heat Loss R -value One Two Three R-0 -1C3 -t9 32 R-19 -6 na -2 R-30 -2 1 -1 Rab 0 0 0 U -value -121 -53 -39 -24 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 a O.CB -18 -9 a . O.C6 -11 -5 -4 O.C4 -4 .2 •1 O.C2 4 2 1 O.CO 11 5 3 2. Wall Insulation -92 -17 .0 2 Single- Sing!e- 26 9 •15 Famlry Family Multi - R -value Detached Ara&.ed Famliy R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -3 3 9 0.80 •153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 Us .. 9 7 5 0.04 14 11' 7 0.02 19 .14 10 0.00 24 18 12 3. Raised Floor Insulation 1 6 Insulation In Floor M 17 Number of s=ries 7 R -value One Two Three R-0 -17 -8 5 R-11 -3 -9 6 9 R-19 0 0 • 0 R-30 3 1 1 U -value 10 3 9 it --- 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 a9 34 .22 0.20 -l3 -21 .-14 0.10 -17 -8 _5 0.08 -11 -6 -4 ' 0.06 -6 _3 •2 0.04 .1 0 0 0.02 4 2 1 O.CO 10 5 3 Controlled Ventilation Crawlspace 1 Number of stories •1 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 - 2 0.70 6.42 �� Number of Stories 9 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R•7 8 6 3 F2 factor .`-10 :-8 ._...-a Resistance 0.90 -4 3 •1 0.80 i .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5."Inriltradon (Air. Leakage) 7."Shading (Shade Open) Etrective Ptreeht Gist (percent Ylass x SC) Effective Spoafim6on Starx�r0 - Interior. Points 0 Mass 6. Glass Heat Loss North East South Total Skylight 18 5 U -value 4 Percent na .51 b .41 to .31 to 0.30 or Glass Single Ocuble .EO .50 ,40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 S 75 29 19 -9 1 10 30 ai -21 -13 -t 4 12 29 -58 -20 -12 3 5 12 28 •55 -18 .10 -2 5 13 27 -92 -17 .0 2 6 13 26 9 •15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -13 .12 -5 1 8 14 23 -40 -11 -4 2 8 15 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 it 16 18 -26 3 2 7 12 i6 _.17 . - -23 -1 3 8 12 17 " 16 -20 0 4 9 13 17 15 ....-17 1 6 10 M 17 14 -14 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 it 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7."Shading (Shade Open) Etrective Ptreeht Gist (percent Ylass x SC) Effective %GIass SC Interior. Slab Floor Raised Boor Mass %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 d .2 0 na - not allowed 16 or SEER Wall Family Family $. Shading (Shade Closed) A1ass Cetac7ed Attacined Efr Uvt Pts cetI. Clam 0.00 0 0 (Pe cmt Ylasa x SC) 020 Edet�e 1 .11, -9 0.40 5 4. 3 %Gleu North East South West Skylight 18 -14 -48 •69 -64 na 16 -12 -42 -59 -55 na It 14 -10 35 -50 -46 na 12 -8 -29 -. -A0 37 • . na 11 -7 -26 . - 36 33 na 10 a .23 31 .29 -74 9 -5 -20 -27 -25 a5 8 -5 .17 •23 -21' -56 7 • 4 -14 -19 -18 -47 6 3 -11 -15 •14 38 5 -2 .9 -11 -10 -30 a - -1 -6 a -7 -23 3 0 -4 -5 -4 -16 2 1 1 2 •1 .9 1 1 1 1 1 -4 0 2 3 4 3, 0 rta . net mowed -4 0.56 5"13 0 0 0 0 0 9. Interior Thermal Mass %GIass SC Interior. Slab Floor Raised Boor Mass Sbries Sbries 120 0 /CFA One Two Three One Two Three 0.0 -8 -5 -t .2 •1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 .4 -2 0 1 1 0.5 -6 3 -i 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 5 i 0 2 3 3 1.1 -d •1 1 3 d d 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 A.5 :i 7 8 10 it 11 5.0 4 7 9 11 12 12 5.5 5 8 9 l i 12 12 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 it 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass EAer're-25 cr -24 to -14 b Ezerior Single- Single - 16 or SEER Wall Family Family Muth A1ass Cetac7ed Attacined Famly 0.00 0 0 0 -13 020 3 2 1 .11, -9 0.40 5 4. 3 6.6 0.60 8 6 4 -2 0.80 10 8 5 0 0 1.00 13 10 7 8.0 1.220 13 12 8 4 1.40 12 13 9 14 12 1.60 10 13 11 .., 1.80 10 12 12 10 200 10 11 ' ._ 13 23 19 11. Heating System 12 8 120 SE or HSFF 26 22 18 (assumes ducts so attic) 9 13.0 33 Sum of la 20 15 10 25 or -24 b .14 to :4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0. 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 -7.33 8 7 6 5 4. 3 0.85 7.79 13 11 10 . 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 -23 Eff'ecdve SE or HSPF -11 (SE or fiSPF x duct efficiency) Effective -25 or -24 to -14 b .4 to +6 b 16 or SE HSPF less -15 •5 +5 +15 more 1 0.30 275 -73 ad -56 -17 .38 -30 na 3.41 -45 _39 -34 -29 -24 .18 0.40 3.67 34 30 -26 .22 .18 .14 0.50 4.58 -10 -9 a -7 •5 -4 0.56 5"13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 it 9 7 0.80 7.33. 25 22 19 16 13 10 0.90 825 32 28 24 20 17 13 1.00. 9.17-. 37 32 28 24 . 19 15 t Zonal Control Adjustment None System Type -' .`-10 :-8 ._...-a Resistance _ 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System %GIass SC , a. North Water SEER _1199 120 0 1700 2200 2700 (aaurnG ducts In attic) or . • to to Stm of 7-10 or _Type Type less -25 or -24 to -14 b -4 b +6 to 16 or SEER less -15 -s +5 +15 more 8.0 -14 -12 -10 a -6 -4 8.5 -9 -7 -6 .5 4 3 8.9 -5 -4 -t 3 .2 -2 9.0 -t -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 d 3 - 120 15 13 11 9 7 5 13.4 20 17 14 12 9 6 _:12 -9 Etitrml ve 3EER a IG None (SEER xduct efficiency) .3 -2 -2 Stm of 7-10 3 11 7.2 13 14 S.^!ar 7 EAer're-25 cr -24 to -14 b _4b +6 b 16 or SEER {ass •15 3 +5 +15 more 5.0 30 -25 -21 -i7 -13 -9 6.0 -12 .11, -9 -7 a -4 6.6 -5 -A -t 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 i6 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 or Zonal Control Adjustment 14 7 10 8 7 6 4 3 9 No Cooling System Installed - 3 Stories 2 WS8 9 4 One -5 .4 -4 3 .2 -2 Two + 3 3. 2 2 2 1 Single-Famn7 Detached and Attached Interior Mass/CFA \ rT 7 .ASS %GIass SC Unit Size (so a. North Water x _ _1199 120 0 1700 2200 2700 Healer Crede or . • to to to or _Type Type less _1699 2199 2699 more SG None 0 0 0. 0 0 or Sclar 12 ' ' 8 6 5 4 HP HWR 8 5 4 3 3 0% WS8 5 3 3 2 2 35% POU 8 5 4 3 3 SE None 37� -24 -18 -15 .12 0 0.2 03 0.5 0.7 0.9 Solar •i -1 -1 0 0 1.5 1.8 1.6 2 22 23 HWR -18 -12 -9 -7 -6 2.9 11 3.3 3.5 35 18 WS8. -25 -16 -12 -10• -8 44 46 48 4 9 SI 5.1 POU -18 _:12 -9 -7 a IG None -5 .3 -2 -2 -2 3 11 7.2 13 14 S.^!ar 7 5 4 3 2 4.5 4.5 4.7 4.8 4.8 POU 3 2 1 1 1 !E None -28 -19 -14 -11 .9 Z6 2.7 2.3 29 3 Solar 8 5 4 3 3 4.1 42 4.3 4.3 4"4 POU -10 -6 -5 -4 _3 S6 56 5.7 58 f.0 MuIU-Famlly (individual 6 61 62 6.2 5.2 units) 1057. 110`: LIST. 120% 1257. 1.8 1.9 2 2 21 2 21 22 2.3 23 22 2.3 2.4 ZS 25 Unit Size (so 2.6 27 26 29 3 Water 3 11 3.2 3.3 14 699 700 1200 1700 2X0 Healer Gell or b to to a Type T7Gd less 1199 1699 2190 mac SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 - - 3 2 2 WS8 9 4 ' 1 -, 2- 2 POU 9 5 r3: ''2 2 SE None -45 -23 -15 -11 •9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6-5 WS8 -25 • -13 -8 -6 -5 _EQU -23 _ 13_8 _ 6 -5 IG None -8 -t -3 -2 1 .2 Solar 6 3 -.2 1 1 POU 1 _0".0..' 0 ..'.g IE None 30 _ -15 ' .`-10 :-8 ._...-a Solar 18 9 - 6 : 4 4.. POU • -8 -4 -3 .2 •2 Interior Mass/CFA \ rT 7 .ASS %GIass SC Eff. % Glass a. North x _ b. East x = c. "South x = d. West x = e. Skylight x = 8. Shading(Shade Closed) 11. )wSK•.. 11 le..o...e .1_e1 C°0 GIass SC Eff. (7a Glass a. North t TTPC 1 MSS tUTNC• ► 4.2• fie: - e.00sed sl4b1 c. South x = d. West x _ 0% Sx 10% 15% 20% 2M 30% 35% 40x 4SY. 50x 55% 60% 61z 70x 75% X% 857. 90x 95X 1037: IOSX 110`: 115X 1. 011. 101. M 30x 40% 50% 0 0.2 03 0.5 0.7 0.9 0.2 0.4 06 0.7 0.9 1.1 0.4 0.6 0.8 ' 0.9 1.1 1.3 0.6 0.8 1 1.1 1.3 1S 0.8 1 1.2 1"4 1.S 1.7 1.1 1.2 1.4 1.6 1.7 1.9 1.3 1.4 1.6 1"8 1.9 Zt 1.5 1.8 1.6 2 22 23 1.7 1.9 2 22 24 25 1.9 Zt 22 24 Z6 2 7 21 Z3 24 26 2.s 3 Z3 Z5 21 Z! 3 31 15 Z7 Z9 3 32 3.4 2.7 2.9 3.1 32 3.4 3.8 2.9 11 3.3 3.5 35 18 3.1 33 15 3.7 3.8 4 3.4 7.5 11 3.9 t 42 38 17 3.9 4.1 4.3 1.1 3.8 t 4,1 4.3 t 5 4,5 4 !2 43 4.5 l.) 4.6 4.2 4.4 4.5 4.7 1.9 it 44 46 48 4 9 SI 5.1 4.6 t8 5 5.1 S] 5.5 t8 5 S 5 52 5 5 3 5! 5.5 5 5.7 5 S5x 6076 65x 70% 75% 0.9 1 1.1 1.2 1.3 1.1 1.2 1.3 1.4 13 1.4 1.4 1.5 1.6 1.7 1.6 1.7 1.7 1.8 1.9 1.8 1.9 1.9 2 21 2 1.1 Z2 Z2 23 22 Z3 24 Z5 . 2.5 24 ZS 26 27 Z7 26 2.7 Z8 Z9 3 Z8 Z9 3 11 12 3 11 7.2 13 14 12 3.3 14 3.5 16 35 33 35 3.1 3.8 37 3.8 3.8 3.9 4 3.9 4 4 4.1 4.2 4"1 4.2 4.3 4.3 4.4 4.3 4.4 45 4.6 4.6 4.5 4.5 4.7 4.8 4.8 4.7 4.8 ' 4.9 S 5.1 4.9 S 5.1 52 5.3 5.1 S2 53 5.4 5S 53 5.4 55 56 5.7 56 56 5.7 58 5.9 58 6 5.9 1 5.9 66 6 6; 6.1 6.: M. 85T. 907.' 9i is 1009: 1.4 1.4 1.5 1.0 1.7 1.6 1.7 1.7 1.8 1.9 1.1 1.9 2 2 2.1 2 2.1 2.2 2:3 2.3 Z2 2.3 24 15 Z5 2.4 25 Z5 77 Z6 Z6 2.7 2.3 29 3 2.1 2 9 3 3,1 12 3 3.1 31 33 3.4 33 33 14 5 6 3.S 3.5 3.5 17 18 37 31 34 3.9 4 3.9 4 4.1 4.1 4.2 4.1 42 4.3 4.3 4"4 4.3 44 4,5 4.8 1"6 4.5 46 4,7 48 4,1 4.7 48 49 S 3.1 4.9 S 5.1 5.2 5.3 5.1 52 53 5.4 SS 54 St 5S 5.6 1:7 S6 56 5.7 58 f.0 58 59 59 6 4.1 6 61 62 6.2 5.2 62 64 63 65 64 66 6.4 67 9,5 6 7 1057. 110`: LIST. 120% 1257. 1.8 1.9 2 2 21 2 21 22 2.3 23 22 2.3 2.4 ZS 25 2.4 2.5 2.6 Z7 28 2.6 27 26 29 3 28 29 3 3.1 3.2 3 11 3.2 3.3 14 3.3 13 11 3.5 18 1S 36 3.5 3.7 3.1 3.7 38 3.8 19 4 3.9 1 4.1 4.1 41 4.1 4.2 4.3 4.4 4.4 4.3 4.4 4.5 4.6 4.5 4.5 4,6 4.7 4.8 4.9 1"7 4.8 4.9 5 5.1 4.9 S 5.1 5.2 5.3 5.1 52 5.3 S.4 5.5 S.4 5.4 5.5 S.6 5.7 5 6 57 5.7 S 1 5.9 5 8 5.9" 5.9 6 6.1 6 6.1 6.2 61 43 6.2 6.3 6.4 6.5 6S 6 4 6.5 6.5 . 6.7 6.7 6 6 6 8 6.7 E9 6.8 7" 6.9 7.1 7 7.2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. GIass Heat Loss 7. Shading -(Shade Open) Point Scores Or R-value[381 U -value (0.0301 or R-vau.c(11] U•valuc (0.0981 or R-valoe[191 U -value (0.037] _ R - Or value (01 F2 factor (0.771 'Standard 0 -- Type "_Type (double] U-vaiue [0.65] 90 Total G1. (161 Sum %GIass SC Eff. % Glass a. North x _ b. East x = c. "South x = d. West x = e. Skylight x = 8. Shading(Shade Closed) C°0 GIass SC Eff. (7a Glass a. North x = b. East x = c. South x = d. West x _ e.. Skylight x = 9. Interior Thermal Mass TYPE 1 MASS AREA IntcriorN.vsfCFA GOND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS 'AREA _ B�terior 9t/au :Hass g COND. FLOOR -AREA _ Sum J 11. Heating System Zonal Control? (Y/.N) -10.71/6:61 SE or HSPF Duct Efficiency (0.781 Effective S£ or _• - - '_.: HSPF 10.5w. 151 12. Cooling System X . _ Zonal Control? (Y / N) SEER [9.5] Duct Efficiency [0.741 Effective SEER 17.031. 13. Water Heating- TrPe (�I .._ :'✓,.. Credit [aone] 1. Ceiling Insulation Insulation in Floor -48 -69 Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value 0.40 -95 -46 30 0.5 -176 -84 -54 0.30 -102 -49 32 0.10 -26 • -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 .4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -52 -17 -9 Single- Single - 3 -1 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 4 8 15 0.80 -153 -114 -76 0.50 -91 -68 -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 5. Infiltration (Air Leakage) Specification • Points Standard 0 6. Glass Heat Loss Total Insulation in Floor -48 -69 Number of stories Number of stories 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 -53 R-11 - -- .0.60 . 0.50 -144 -70 -120 -58 -46 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -43 -21 14 f 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 5. Infiltration (Air Leakage) Specification • Points Standard 0 6. Glass Heat Loss Total Controlled Ventilation Crawispace -48 -69 -s4 Number of stories East Percent R -value One Two Three j R-0 -11 -7 -5 .50 R-5 -4 -4 3 -53 R-11 -2 .2 -2 40 R-19 ." -1 a -2 -2 3 4. Slab Edge Insulation 35 i -29 -19 Number of Stories 1 10 R -value One Two Three -4 R-0 0 0 0 s' R-5 8 5 2 'i R-7 8 6 3 5 F2 factor ' 27 -52 -17 -9 X0.90 -4 3 -1 �. -0.80 -1 .1 0 14 0.70 2 2 1 0 0.60 6 4 2 -12 0.50 9 6 3 1 0.40 12 8 4 5. Infiltration (Air Leakage) Specification • Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -s4 U -value East Percent •West Skylight .51 to All to .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 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 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 -17 1 6 10 14 17 14 -14 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 16 18 20 --23' -12 -8 -6 •.5. 1.5 WSB -25 -13 7. Shading (Shade Open) _-EffecOve Pa Gatti class. (percent Plast x SC) Effective -14 -48 -69 -s4 %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 2 3 4 i 3 i6. Shading (Shade Closed) Effective Pesceat Glass om=t casts x SC) Effective Glass North Ent South West Sloot 18 -14 -48 -69 -s4 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 5 .2 -9 -11 -10 -30 4 .1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 .-9 1 1 =1- _ 1' 1. -4 0'' 2 3 4 i 3 0 1 4 6 8 8 9 ria . not allowed 5 7 9 9 9. Interior Thermal Mass Interior Exterior Wall Slab Floor Raised Floor Mass _ Stories Family MU16 Stories Detached 1CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 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 2.0 -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 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 Wall Single• Single - 16 or _ Family Family MU16 Mass Detached Attached Fame 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11... . 1.80 10 12 12 200 10 11 13 I 11. Heating System SE or 1TSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume: ducts In attic) Stm of 7.10 -25 or -24 to 44 t0 4 to Sum of 1-6 16 or _ less 15 :.6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8' 7 6 5 4 3 0.85 7.79 13 11 10 8 7 S. 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 17 14 12 Effective SE or HSPF 6 3 SE (SE Qr HSPF x duct efficiency) -15 Effective -25 or -24 to -14 to .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more +6b 0.30 275 -73 -64 -56 47 -38 -30 na 3.41 45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 . 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 1 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume: ducts In attic) Stm of 7.10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories One -25 or -24 to 44 t0 4 to +6 to 16 or SEER less 15 :.6 +5 +15 more 8.0 -14 .12 -10 -8 3 -4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 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 `-• 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 3 SE ERedlve SEER -37 -24 -18 -15 (SEER xduct efficiency) 30% Solar -1 -1 Sim of 7-10 0 0 Effective -25 or -24 to •1410 -4 to +6b 16 or SEER lest: -15 -5 +5 +15 more 5.0 30 -25 -21 -17 -13 -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 1 8.0 9 8 6 5 -14 -11 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 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories One -5 -4 4 -3 -2 -2 Two + 3 3 :� 2 2 2 1 d. West Interior Mass/CFA R -value [38] U -value [0.030] 2. Wall Insulation Single -Family Detached and Attached TYPE 1 MASS AREA F Unit Size (sQ U -value [0.098] Water Raised Floor Insulation ii99 • 12M 1700 2200 2700 Heater Credit or .' to to to or Type. Type less 1699 2199 2699 more SG None 0 0. 0. 0 0 or Solar 12 '' 8 6 5 4 < HP -HWR 8 5 4 3 3 (UIMC a 4.2• WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 .12 30% Solar -1 -1 -1 0 0 60% HWR -18 -12 -9 -7 -6 90% WSB.:--25 -16 -12 -10 -8 0.4 POU _ -18 ---12 -9 -7 -6 IG None '-5 -3 -2 -2 -2 2.9 Soiar 7 5 4 3 2 4.2 POU 3 _- " 2 1 1 1 E None -28 -19 -14 -11 -9 1.2 Solar 8 5 4 3 3 25 POU .10 -6 -5 4 -3 ; 3.7 Multi -Family (Individual units) 4.4 Water 4.8 ` Unit Size (s 699 t 700 1200 1700 2200 Heater Credit or to, to b or Type _ Type less_ 1199 1w9 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 1 HP HWR 9 5 3 2 2 0.7 WSB 9 4 3 2 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 4.5 Solar .2 1 1 0 0 5 8 HWR --23' -12 -8 -6 •.5. 1.5 WSB -25 -13 -8 .6 '-5 2.8 EQU_.-23 -12 -8 3 -5 . IG None Solar -8 -4 6 3 -3 '2 a -2 1-.2- • . 5.3 := POU " :1 0 _; 0 ._ 0 • 0 ; r tE NoneF 30 -15 • -10 _ - -8 3 1 y' r <-Solar= 25 :18 9 6 -.4 -..4 ., z ry .� POU . -8 -4 . _ . ?. -3 : Z _ 2 1 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass a. _ North 4.1 x 7 Measures 2.1 x 1. Ceiling Insulation or 2,3 d. West Interior Mass/CFA R -value [38] U -value [0.030] 2. Wall Insulation 0- 11 or TYPE 1 MASS AREA R-value[III U -value [0.098] 3. Raised Floor Insulation or y R -value 1191 U -value [0.037] 4. `Slab Edge Insulation or Sum 7-10 _0 R -value (0] F2 factor [0.77] 5. Infiltration Standard 6.. Glass Heat Loss ���•,- ��`3 X ,q? = .. ?.�V tt'i.s,wc�..It tearpeted .160) Type [double] U -value [0.651 % Toud Glass [ 161 Type ISG] Credit [none] t TYPE'; KASS (UIMC a 4.2• Se: exposed•slab) ' 0% 5% 10% 15% 20% 2S% 30% 3S% 40%.45% 50% 55% 60% 6514 70% 75% 80% 85% 90% 95% 10D% 105% 110Y. 115% 1207: 125`, 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 55 3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 21 2.3 25 27 2.9 3.1 3.3 3.5 3.7 4 4.2. 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 5 6 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5 8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 28 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50Y. 0.9 1.1 1.3 1S 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 92 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 $5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 80% 1.4 16 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 S4 56 5.9 6.1 63 65 67 90%' 1.5 1.7 2 2.2 24 2.6 2.8 3 3.2 3.4 3.8 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.8 1.8 2 2.2 2.5 27 ' 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28. 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 5.4 5.6 50 6 6.2 6.S 6.7 6.9 7.1. 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.1 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass a. _ North 4.1 x 7 Measures 2.1 x 1. Ceiling Insulation or 2,3 d. West x R -value [38] U -value [0.030] 2. Wall Insulation 0- 11 or TYPE 1 MASS AREA R-value[III U -value [0.098] 3. Raised Floor Insulation or y R -value 1191 U -value [0.037] 4. `Slab Edge Insulation or Sum 7-10 _0 R -value (0] F2 factor [0.77] 5. Infiltration Standard 6.. Glass Heat Loss ���•,- ��`3 X ,q? = .. ?.�V y Type [double] U -value [0.651 % Toud Glass [ 161 7. Shading (Shade Open) 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) `12. Cooling System .. Zonal Control? ( Y / N ) 13. Water Heating Point Scores 0 C 0 t7 4s - Sum 1-6 ,J % Glass 4.r % Glass SC Eff. % Glass a. _ North 4.1 x 7 b. East 2.1 x O c. South 34 x = 2. f 2,3 d. West x e. Skylight 0 x 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) `12. Cooling System .. Zonal Control? ( Y / N ) 13. Water Heating Point Scores 0 C 0 t7 4s - Sum 1-6 ,J % Glass 4.r SC Eff. % Glass X .cam _ Z"-?, 2.I X I = rr,s 6 O 3.o x 2. x X 6 TYPE 1 MASS AREA Interior W. COND: ,FLOOR AREA y TYPE 2 MASS AREA ND. L OR AREA =� O "' Exterior Wall Maas Sum 7-10 .72 . x _ f3 .. SE or HSPF Duct Efficiency [0.78] Effective SE or 10.72/p6A HSPF [0.5615.15] 8. X ,q? = .. ?.�V y SEER [9-5] Duct Effffiicien [0.74] Effective SEER [7.03] Type ISG] Credit [none] - Point Total. Certificate of Compliance: Residential Climate Zone 11 FRSAQ'IA H AIn ^4 704 ProjectTlde 44 u ARV PA. Project Address �'i 4)'5(a-90 Building Permit N Che ked By / Date Fidoroement Agency Use Only Glass Area % Glass BUILDING DATA North 44 Conditioned Floor Area 2790 Number of Stories J_ East -201_ aFloor Number of •Units I South �0--- West 24 Single Family Detached (SFO) [ ] Addition Alone Skylight O (] Single Family Attached (SFA) [ ] Existing Building Total— (] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION,' - Component Insulation Locaflon/Comments T R -Value (attic, to ace. e, r isasl. etc.) Wall .............. 6VAU S ( ) (date) West Roof ............ Names West Roof ............. C� Skylight....... Floor ............. C�— Floor. ... Slab Edge...... GLAZING . ming Devices Glazing Area GlassType ype Interior Exterior Orientation - . (sf) (single, double) (roller blind. etc.) (shndesereen, etc.) North (ri 114 -North • East ( ) (� . East South ( ) (� South ( ) (date) West (� Names West ( ) C� Skylight....... _.. C�— THERMAL MASS Type/Covering Area Thickness �Y Overhang FramingType :r c en''W �-"+ Btu /c.Aliiclt'Ry�K:r,'�NocK/ Nests HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Locadon Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Jk�. Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS - Tank Manufacturer/Model # d4: 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 more stringent compliance regwrements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features rotes- shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPrION DESIGNER ENFORCEMENT Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352f . Loose fill insulation mamtfactums*s labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. 12.5352(p: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infnitration/Ex fil t ation Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and pencaations caulked and soled §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. 12.5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: L Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2.530): Space conditioning equipment siring: attach alculatiom. 12-5352(h) and 2-5315: Setback t wimostat on all applicable heating systems. • §2.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62.5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters, showenctads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greats) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Escepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: 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 62.5352(1): Lighting - 25 lunwiWwatt 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 fluorescent tamp ballasts certified by the CEC. Indicate make and model number. ti' COMPLIANCE STATENIE9 This certificate of compliance lists tin. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, (2mptcr 2, Subchapter 4. Article I 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 transmit the certificate to any subsequent purcimser of the building. - Designer Name: TUWFum- Addrem- Tekowmc l.ic. if: (signature) _ (date) Documentation Author Nam= s 3 'r,Wru7m Address: Building Owner Name: t T, Tekpitone: (sign ) (date) Enforcement Agency _ r Names ,.... .-.c._x .sae.. Age C� Telephone: _.. ` -C-B TRATE APP:ROUED SCALE]ISHEET,.- sU TE28� i =1'5-90' ijg6"=I' OF .9z1Q �?�_,i►_ �'�/ , � +Si,� "v 92101 4x4= ! !O B rC 2"400, IO=00-00 _ 23 -Oa -OD r ' 4s4c 6x6=Z.4x43L;11-01-i3' BC aw x R LH SL 11 -OI --13 awww+►:wwwswxwsw s' LEFT RIGHT s NOTES: r _ .3-PLY-SP.i`+SS OIX, - 4Sfi 0111 - 4SX VERIFY-PLATTW.LUES WITH, 1.. TRUSSES MANUFACTURED BY ♦www+r wa;ww#www TRUSSTE£L DARROSJJYARIfELL itOOD, FROItUC ,Y M'MHEEi F3RCES (LBS) - EACH PLY GRIP: BASED ON. -:SFL LUMBER 2. CONFORMS TO T01-85. CSS SIZE: LUMBERFB : SOP 'CHORDS GRIPPING VALUES BASED, ON 3_ YIE- N LOADS SHOWN 'WITHOUT TOP- .-}' 2AC 6 DELH02 '325{3 -- ?L=J - 5678 C L' B : "- 5rs34. fi GROS`S AREi�'TcST IiETKOB. DAlSAGE TO TRUSS'. BTT' X89- 2A 6 ZFLRO2 22.50' 8-R = 6792 C K -L = 7346 C PZAT£s - 2Si GAUGE R -T-1 4. PREVENT ',':RUBS_ ROTATION AT _ 9sS .G$ - -2A 4' PiFBTRKD 475-- L -ii = 7346 C tSrC 6792 C WaPPSNG 432-295 PSIR' , PEFAIR. ALP�'BEARIHG LOCATIOHS.(,�j % .: E7CCEPTZON3 C -K ; 5534 C X -D, 5678-C INCLUDES`, 25.0$'INCREASE 5< k VIDE DRAIRAGE TO :-. 2X 6"DFLMOY gSQa BOTTOM CHORDS" TENSION 987- 890 PIX PER PAIR .:PREVENT WATER FONDTNG. iL B -pc X -F t 5503 T FST _ 4978:7 W c1l) -Fi H -G 5.ium AS S -R 6792 T H -G: - 6742 2 CALIFORNIA. HYP' IiECO2iSi - 825. G-� : _ 49?$ T E -D SI,B S JT TYPE PLAT- SIZE 7: �l' -SEYBt.CK 10: *r O` G -C S:'3�iE Ate' 9 S" ,, A 2001 S::OQ. 3C 6.04 .9-0 5 5: -HIP "PAFTER ALONG I GE' Lv ABER srRE55 SDGE EASEz 2s..Q J -F; -= 14% C .F -H =. 189 L' H -535G 9'.OQ ']C20-Qa 5.6 2.Pr i:. !4STE.*i EACH: PLY TO EKE 224.5 T I -K = 1-234-z D 2.8 0 LAT£RFirt D FiCI Ci: R ii.' = 702 T Pr -L _ " 776, C D 2001 6.00 z 6.61P. 9.0 5.5 �INCHES O -C. THRUOUT- TOP CHORD - CO1422NiJOUS. ii -t!:' a ?02 :' G -M. _ 1234. C E. IC50 4.00 JC cod C2R CTR ALL CHORDS AND WEBS. BTI- CHORD - COVTINUOUS: c -c 224.E r :z -,c 199 T R 1(S3o 4.oQ SC 4.oi)• cFR CTR FASTEN' 'EACfi BCtrTom CMD. VZTH, TRUSS-SPA.CI?7G - 24.Q IiSr E-: = 14'9 C H SOiO 4.QQ X $'_QO. CSR' CTAZ LROV(S) lod 2tA22:5 AT IS - J` 1001 .2`-- .3 4.00CTP? CTAS IIiCIiES O.C. INTO EACH LOADzrr S:S9y DEAD' (PLFY DULL DEFIB- _ .73" IN S -3S K I05Q 4.00 7C 4.00 C7R 4=B= - 4x4= #6tI rC 2"400, IO=00-00 _ 23 -Oa -OD Yii-w-oo BC 43-00-00 awww+►:wwwswxwsw s' LEFT RIGHT PLATING CONFORMS 10 TPI NOTES: r _ .3-PLY-SP.i`+SS OIX, - 4Sfi 0111 - 4SX VERIFY-PLATTW.LUES WITH, 1.. TRUSSES MANUFACTURED BY ♦www+r wa;ww#www TRUSSTE£L DARROSJJYARIfELL itOOD, FROItUC ,Y M'MHEEi F3RCES (LBS) - EACH PLY GRIP: BASED ON. -:SFL LUMBER 2. CONFORMS TO T01-85. CSS SIZE: LUMBERFB : SOP 'CHORDS GRIPPING VALUES BASED, ON 3_ YIE- N LOADS SHOWN 'WITHOUT TOP- .-}' 2AC 6 DELH02 '325{3 -- ?L=J - 5678 C L' B : "- 5rs34. fi GROS`S AREi�'TcST IiETKOB. DAlSAGE TO TRUSS'. BTT' X89- 2A 6 ZFLRO2 22.50' 8-R = 6792 C K -L = 7346 C PZAT£s - 2Si GAUGE R -T-1 4. PREVENT ',':RUBS_ ROTATION AT _ 9sS .G$ - -2A 4' PiFBTRKD 475-- L -ii = 7346 C tSrC 6792 C WaPPSNG 432-295 PSIR' , PEFAIR. ALP�'BEARIHG LOCATIOHS.(,�j % .: E7CCEPTZON3 C -K ; 5534 C X -D, 5678-C INCLUDES`, 25.0$'INCREASE 5< k VIDE DRAIRAGE TO :-. 2X 6"DFLMOY gSQa BOTTOM CHORDS" TENSION 987- 890 PIX PER PAIR .:PREVENT WATER FONDTNG. iL B -pc X -F t 5503 T FST _ 4978:7 SHEAR 824- 371 PLI, PER PAIR; S. GIADER-CONDIS30N; -Fi H -G 5.ium AS S -R 6792 T H -G: - 6742 2 CALIFORNIA. HYP' IiECO2iSi - 825. G-� : _ 49?$ T E -D SI,B S JT TYPE PLAT- SIZE 7: �l' -SEYBt.CK 10: *r O` G -C S:'3�iE Ate' 9 S" TJE?3S°. A 2001 S::OQ. 3C 6.04 .9-0 5 5: -HIP "PAFTER ALONG I GE' Lv ABER srRE55 SDGE EASEz 2s..Q J -F; -= 14% C .F -H =. 189 L' H -535G 9'.OQ ']C20-Qa 5.6 2.Pr i:. !4STE.*i EACH: PLY TO EKE 224.5 T I -K = 1-234-z C 5250 9.00, X10Q9G 5,.0 2.8 _ WEX V TH. Mt, NAILS -Ar LAT£RFirt D FiCI Ci: R ii.' = 702 T Pr -L _ " 776, C D 2001 6.00 z 6.61P. 9.0 5.5 �INCHES O -C. THRUOUT- TOP CHORD - CO1422NiJOUS. ii -t!:' a ?02 :' G -M. _ 1234. C E. IC50 4.00 JC cod C2R CTR ALL CHORDS AND WEBS. BTI- CHORD - COVTINUOUS: c -c 224.E r :z -,c 199 T R 1(S3o 4.oQ SC 4.oi)• cFR CTR FASTEN' 'EACfi BCtrTom CMD. VZTH, TRUSS-SPA.CI?7G - 24.Q IiSr E-: = 14'9 C H SOiO 4.QQ X $'_QO. CSR' CTAZ LROV(S) lod 2tA22:5 AT IS - J` 1001 .2`-- .3 4.00CTP? CTAS IIiCIiES O.C. INTO EACH LOADzrr S:S9y DEAD' (PLFY DULL DEFIB- _ .73" IN S -3S K I05Q 4.00 7C 4.00 C7R CTX CHORV :OF EACH PLY.. TCP' -CMD 32-CL2&-Q-LL DEFL .39` < S/36D: L- IZ02 6.00 lC 6:00 3-.0 A ii. H. STAGGEkt RAILS- TO AVOID - BTPS CHly .0' 3i3,Q' S/DL}LL-AEFLw7Q4°r SIDEPTH- 3.3 ! 1010 4.00 7G :.DL3 CTR CTR. SPL:ITTINC OF wOD_ TOTAL 32Z.a si 4 90.0 r 1061. 2.QQ X 4.00 CTR, CTR- EXCEPTIONaz - PLATES ARE FOR, EACH" PLY. ON. 3I . "TZ. ss B -G 141.3- 123.7 E' PLATES - IE GAUGR-,T-III �7a31 _- - GRIPPING 507-39-5 RSI PER PAIR'` {• '# a J� 10 5a5= B C w SL 24-00-07 - s= 24-60-07. 4x41 I M X 2x4"li N 6I(�`Y�2�- 6x6 11-03-06; " [`� 6xfi 4` _ x AL pulr $pA D 4x6= F 2G4= J 3x4= 4;611 I H O 2x41 4z611 P' �/C 5=5= 6x`10= 2x411 y 5 t. jt - TC `2400 _ 21-06-0021-:06-00- SC" 3-08-12 20212: 21-00-00' 20112. 23-10-12 - t z C1 43-00--00 ~ �± cs- SIZE LUMBER 1.15F8' LEFT RICHT- LL DEEL {C71HE) _ C C/1$0 - NOTRS . m TOP .45 2X.6 DFLN02 1450 HEEL DIN - 353:`. QZN - 3SX? _:.Q? S/DL+LL DEFL�999 -S/DEPTH- 3.7 _ 1. TRUSSES- MANUFACTURED:BY 0.7 BTM:.46 ?X 4 DFLNOI 2050 DARROWYARNELL WOOD PRODUC 1 WBS .97 2X 4 HFSTAND 350 MEMBR ;CSI P(LBS) M@3.ST-M@2ND PLATING CONFORMS TO TPI O TPI -85- REPETITIVE MEMBER STRESS USED.: TOP CHORDS VERIFY PLATE VALUES WITH 3_ ANCHOR TRUSS FOR .A TOTAL - A -K T23' 366 T 0 -2240:- TRUSST£EL HORIZONTAL LOAD OF :.340 LBS LATERAL DRACINGI K -L _19 : 219 C- 2240 O GRIP _EASED DN DFL -LUMBER: 'D.LTE:. TOP CHORD- CONTINUOUS L -M .17. 87 T' 0: --2736 GRIPPING VALUES BASED OR 3-15 0 YERSION3 31..0- 8TM 'CHORD - CONTINUOUS M -S .22" 1$7 T 2736 a GROSS AREA `TEST METHOD. 1�a K -P P -B 9-1. �"�- B -N .37 647 C 0 -4045 PLATES - 26 'GAUGE: H -T-1 c f TRESS SPACING > - 24.0 IN. N -Q .35 604 C 4045 Q` GRIPPING 432-295 F5Z PER. .PAIR :45 1111 C' 0' 0 INCLUDES 25.0% INCREASE LOAD CASE Al LUMBER STRESS INCREASE: 25.0% A -R BOTTOM CHORDS .11 226 C 0 -653' TENSION 987- 890 PLI PER SHEAR: 824- 371 PLI PER FAIR PAIS ; €5 LOADING 1,11E DEAD (PSF) R -G -10 122 T 653 0 4� 30P CHI! 16.0 14.0 F J .20 I8o T 0- -2331 JT TYPE .PLATE SIZE X: BTM CHD .0" S.Q J -E .20 1176T' 33'.? - D A 2001. 4_08 36 6:D0 6.0 3.5 TOT 16.D 19.0 35.Q AL D -P .46 4 C A -3565 B 3010 SUO X ,5.;00 CTR CTR SUPPORT CRITERIA. 'WIDTH P-0., -46 12 T- 3565 432 C 2001 4:00 X.6.00 6_0' 3 JT REACT WIDTH JT REACT O -I .33 12 T' -432 0 D 4000 4-00 X 6.00 3.0 1.7 LBS SN -SN LBS IN -SR I -H .34 . 865 T 0 -2019 E 8010 3.00 3C 4 -GO CTR CTR R 701 3- $ P 1538 3- 8 X-C .39 865 T 2079 0'- F 1001 2.00 X. 4.00 GTR GTR C 749' 3- $ WEBS G 4000 4_00 X 6OQ 3.Q 1�7VCi 1_$]J[ f x 4� L4�1" -2030--_ 0.._ H '30Q -L_2.0 - LOAD CASE. 92: LUMBER STRESS INCRENSE: 25.0$ G -F D -E .97 4:C: 42 C 0 2030 0 609 I I270 6.00 X10.00 CTR J 1030 3.00,X,4-00 CTI;' CTR CTRjG J f, V LOADING LIVE DEAD (PSF) 'E -M ,30 _40 206 T" -509 0 K 1070 4.00 X 8.00 CTR. CTP. TOP CHD 14;.0 iz--x 819 C ?C-.7 83 C 5. 1251 6.OU A' 6.DO 3.4 4.0 L 1 vi .0 STM, CHD 10...0 5.0 Zi -L 207 -T L -E 333 C. M 1050 4.00 7C 4_00 CTR�� TOTAL :Q.O 19;0 24.4 ?S P 546 C P-8 a 91Q C N 1001 2.00 x 4.00' CTR. 31 y SUPPORT' CRITERIA E-1 ■-_ 985 'T I -N 517 C O '-* JT REACT "WIDTH JT "REACT 'WIDTH. I -Q 445 G H -Q _ 260 T P 1'L L` 5.00 X 5.00 CTR CT � LES IN -SX LBS" SN-Sx Q 1271 '6.D0 X 6.Oo 3.4' 44A CA 8 R 585 ?- F 1267 3- 8 IOI.00 ]4.:00 A+ C 62;3 3- B LL DEFL .21- t S/860 � p� P -.�j 9 - JOB ; , JPAT PIPPRCtti SCALZ Si ET Li33i} _ ? 8-9th $�. *` �� r._ _;,_ .fir- �j- �_ �� 4r _ WA CE.._ TC Zsec}cy s-oo-a7 t _ € 6" -00 -04 -it -t33 D Aw t r 1 „ 1 d x to „. v. _ { + ti .,�..._.... .. IIIIIII. t�VI, IIIIIIIIitIItIIIIIiIIIiIItIIIIIIIIIItI41� 4� A itIItI14 IIitAgo IIa, TA r- IS IIIIII IIIItitI�54 IIIIIIIII64' I4 IIAP 4r�, 49 *ftwo,00 �f Al� AL -L- F141-SR16A, WALL$ IIIIPF III49 f;6vo., IIif IIIItIIIIIItIITIIIIIIIIw I CH ............. J IIIIIA IIIIIItI�4 4 F, A;4 '04 /Utz I*TO III$AND IIiIVOR IIIIIIIIel N t� A M W A Ail. IIIIIIIIm O N, lUT5 tIIIitNO= EWAMWA IIIJO IIIIP Pal itIIIIIIIII y d r v I yr 4 ,. �.. '�.��g i�'��'. .�. ,. ,�, �Y14h, _,M.,. .,.q..e .<. a .,i�.w ., �. �: a, d.� .: ..f.Vxk ,, m.. o- ':.�h. ,. �: .:. �.a_: _.., ..,,.,-e .....,r.9...,.,,. _..� _ .,. '_I ,.. .� �..✓.M...,_ ..�. ,.n�..,. A._,�„__-L-,�����,'3'Jae£'�..v.._d...L.w?,..._.,k_..«u^h. . ...e in. _. .. � ,. .. t.... ..__.__.,._.._.__.__._.1L.__r_......�d_.u..._.P_S'a'le.M_, t.a .. ,.. _,.....L >..k.,__.a:kc.. ,. m..fid �....,.r.,:.,�.2.-.1R__..-____.�,_�},�.