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079-120-003
0 7. KOSCH,, Jim • 55 Morrel Cir, Oroville Contr: Ron Holland -(new sf) KOSCH, MARIAN CONTR: UNKNOWN L 55 MORREL CIRCLE, OROVIL WOODSTOVE/SF 3A KOSCH MARIAN, REV TRUST .` '55AMORREL CIR, OROVILLE . „r• Q&gg" kQ0FING HVAC C/O .. Baa -3 r;m 30 4iiP mXe , --.03 i OC�3 tv4l 40 Inn) 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. BPO53218 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 licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 12/07/2005 APN: 036-610-003-000 the Business and Professions Code, and my license is in full force and effect. License Class : CZ Zo C 5.8 License N,,umber:l 1 -I'3`3 Site Address: 55 MORREL CIR ORO Date:l Contractoh.� Q1 La ke-y-S 14VA Map Index: Description: HVAC, CHANGE OUT 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: KOSCH MARIAN V REVOCABLE TRUST 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 KOSCH MARIAN V TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 5293 7000) of Division 3 of thQ Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966-0293 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).): ❑ 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 Applicant: GALLAGHER'S HEATING &AIR pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 35 provided that such improvements are not intended or offered for LOS MOLINAS, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of ALL ABOUT PERMITS JENNIFER GRUBER proving that he or she did not build or improve for the purpose of 96055 sale.). 800-892-3556 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prdfessions 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.). Contractor: GALLAGHER'S HEATING & AIR ❑ 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 35 Date: owner: LOS MOLINAS, CA 96055 800-892-3556 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 License #: 777334 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0- 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: •3 � 3 S� Policy #: 1 w� O Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ply ith those provisions. forthwith cFaos I Z- Date: Applican/r. WARN14 . Failure o 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 hereby issued un a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re olutio to do work indica d ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: 13 Dater Address: PERMIT EXPIRES ON: - Date ❑ 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 to enter upon the above mentioned property for inspection oses. e n n l p �� `C-1rLub"-"y Print Name: � Signature: Date: ) !i {o Q -Owner 0 Contractor 0 Agent for Owner i❑Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ANIS SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 536-7536 • CHICO: (530) 841-2834 OFFICE #: (S30) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.aetldds **PLEASE PRINT CLEARLY** OWNER Last Name I,/ _SCk1. o �( gjn Address 5 U re. I Cr City r e, "'CA zip Phone 5 5 Fax E-mail For office use CONTRACTOR Name r` Ghia hers Address �(_ City C?S State Zi �5 Phone Fax E-mail E-mail Lic. #lass -1 -7 3 q o . For office use ARCHITECT/ENGINEER Name S kVqC, Address 3S City j State Zp Phone Phone L44 Fax E-mail E-mail State License Number For office use APPLICANT NAME Name G j La S kVqC, Address pALY 3S City � j • . 5 StateLtA Page Phone L44 4 Fax E-mail For office use AP# O �1 i Zo clo r7'�--- Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Carrier S+,ct +,e �uurvd Map Book Page Lot # Planner Date Approved: PERIMIT NO. BP BIN sY I LOCATION AP# O �1 i Zo clo r7'�--- Property Address i Cross Street WORKER'S COMPENSATION Policy Number -113 061 3 S S S Carrier S+,ct +,e �uurvd 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: Sq. Footage O Structure Built without Permits 0 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 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. U Received by:-IQAmount: G Bldg 3ej(o V SRA Receipt #: 0ftW/ -% Sherif! Date: 4 7_0S Other W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT P RMIT NO. ASSESSOR PAR COEL NU BE_ Rt v ZONIN"� J. BUILDING PERMIT OWNER MRIM ROST l dE_ ,may SO. FT." OCC. BUILDING VALUATION _,•' OWNER'S MAILI G *6600fiby 5293 OROVILLE 5 CONTRACTOR'S_jJ MA F Jt �r TELEPHONE t CONTRACTOR'S MAILING ADDRESS Fireplace "Alt 1 500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 3000 ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS `� 55 HDRREL CIRCLE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 ` Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE i SF A Duplex❑ Mobilehome❑ Other iiit SPECIFY 1 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ 'Other ❑ Describe work: WOOD STOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 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 withlicensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO I000A) 37.50 NEW CONST. ( DWELLING OCCUPM OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW REST-.CONSTBRANCH NON•R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS IN SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 S 76 FIXED APPLN Ex. OCCUp. OUT ETS (R E SID,)RE., I 3.00 Temporary. service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ 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 tZ. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL'PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 327 + < +- 71 26::��+ A 'Date � � �` -� e - � � T ��� c 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ k5•0O HAz 1 0FEES I IMP I FLOOD I COF I PARCEL I PD I HD ISS.UE/ v This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DI1 EC%R OF PUBLIC,WORKS BY / V r PERMIT EXPIRES Date iv-moo-� ' applicable provi- resolutions to do have been paid. Date /O- SU -W Receipt No. 103013 WNITC-D.r. W., YELLOW-ASeE7eOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT NO. ACELSSESSO PAR 036.610 003 �MBER��IN AQR€ BUILDING PERMIT OWNER MARIAN KOSCH T 53~y�.79 4 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS f P.O. BOX 5293 OROVILLE CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace i "A" 1.500 CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $30.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDS MORREL CIRCLE OROVILLE 55 Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME LOT NO. SUBDIVISION NAME _TARCEL PARCEL MAP MAP Water piping 1 7.00 Each qas water heater or vent 7.00 ri USE OF STRUCTURE SFu Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: WOOD STOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR V OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes and Professions Code and my license is in full force and effect. License No. Classification F] 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) 06 I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. / DWELLING OCCUPM OR ADONS. ACC. BLDGS. 1 3.6Q sq.ft. NEW CONSTR MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 11A[ P 46 FIXED Ex. OCCUp. OUTTS (RESID.)REA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -� ��Z Date ��� �3 d Signoture of Applicant — owner ry u Contractor ❑ Agent ❑ An OSHA ion of structures tover 39stories oin excavations ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz I DFEES I IMP I FLOOD cDF PARCEL PD HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicate above for which fees 91RELCAOR OF PUBLIC By PER ITE PIKES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103013 WHITE•D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING 0 — — 4 �� Jr, ' —2 BUILDING PERMIT OWNERp on TELE HONEc455 C� SO. FT. OCC. BUILDING VALUATION OWNER'P�AILJ.N A.C..Z ,?-3 015%5 CONTRACTOR'S NAM N ND O TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace � S6 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS bC�, 5-S rie �� C) Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF,R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition E] Re/�odel❑ Utilities❑ Installation❑ Other,f Describe work: Gvo-: . -,r6i, � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000A, 37.50 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.( ACC. BLDGS. DWELLING OCCUP.�I � 3.6Qsq.ft. NEW CONSTR. ULTI-OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e1 \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES\` 20 764 FIXED APLN Ex. Occup. OUTLETS PIRESID,IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 1 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerElControctor Agent ❑ ❑ An OSHA ttlons over S'0" deep and demolition or construct- ion of structures toverr39storiee�soiinn height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 6a HAz 1 DFEES I IMP I FLOOD I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. VJ 0' 3 WHITE-D.P.W., TELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT o jJRESIDENTIAL 36-61-03 3210-90B,P,E,M KOSCH, Jim. 55 Morrel Cir, Oroville ;A Contr: Ron Holland (new sf ) 11b f . err u OFFICE COPY I �S OW �-�' . � i Address I GAS e6 Meter By Dat ELECTRIC Meter By Date 1 OFFICE COPY Addres&f "— �L i GAS Meter By r—' Date ELECTRIC Meter By Date IJOS FINALE ^ I' Signature J=OK O = Not OK = Not Applicable Not Ready RESIQENTIAL (S ' = Date UND FLOOR (Plans) OK except #'s �1 T Zoning -Setbacks -Easements -Flood -Slope g., Main; Soils-Elec. Grnd.-O " Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/%/-.L" Ftg. Depth �(t, 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ingle & Duplex) e Date FRAMING (Continued) 45. npwPost Caps -Anchors -Connectors Ing. Joist-Rftr. ties- Pu rlin —roof Brac-Truss-Shthng.-Rfng. a ac ies or Type A Flue -Fireplace Throat clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Blockouts-Wrapped 8-3femwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pie replace Ftg.-Steel 9115'W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 1 ers-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date ING Permit OK except #'s Water Htr.: Vent -Access -Combustion Air -Baffle r ' e; Test & Anchor -Nail Protection V.; Test -Fittings & Anchor -Nail Protection Test, First Floor -Tub Access 2 est Tub & Shower, Second Floor -Tub Access 1. Pipe; Size & Anchors Date- Card B-1 Datey!: - Card B-1 DateA ' /"f/ Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ?2 -Fixsre-1�sformer Clearance -Ins. Protection ec. ceptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled P_Fromex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ZLZL<feed Wire Size / ga. Cu -A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / ga. Cu AI- en Circ. / !/,g I. Insu d N utral Yes Serv' - iser Conductors & Ground -Main Disconnect _qi'—Eqyj,L Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date - S` / Card B-1 Date Card B-1 5 Date Card B-1 Date Card B-1 Date MECHANI L (Permit) OK except #'s C. Ducts Insulation & Support 6nt Fan; Exhaust above insulation ondensate Drain & Overflow; Size & Grade r ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet 3 . Attic Access & Platform if Furnance in Attic Date _ _� Card B-1 Date Card B-1 Date' Card B-1 Date Card B-1 Date FRAMI (Plans) OK except #'s it Proper Material & Anchors Wa suds -Nailing, Spacing & Bracing -Plates -Sound BLing Walls over Girders & Floor Nailing Q—raft Stop in Walls (rat proof) e Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing lir flows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing mine Firewall & Openings Doors -One T -Check Garage -3rd Story, 2 Exits 3- Lairs; Width -Headroom -Rise -Run -Landing -Fire Protection wood on Roof Overhang -Attic Vents -Rafter Outriggers 55 idinq-Nailinq Veneer Screed -Fd. Vents-Underflr. Access 7 zing_Asea-Glass Protection -Skylights -Plastic r Walls; Nailing -Bolts sulation-Walls-Ceilings 60. infiltration -Walls -Windows Date - l Card B-1 Datey., Card B-1 Dat Y_ g / Card B-1 Date Card B-1 Date AL (Plans) OK except #'s 61 xtySteps-Door & Sidelight Protection -Landings S e Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 6. .I. & Bath Fixtures & Tub Access -Spa qC. Trim & Subpanel; Breaker Sizes & Labels '/ tairs & Rails or Stove; Clearances -Hearth it lec. ets at Wood Panel; Int. & Ext. 7 it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance `lY EI . Outlets & Receptacles at Kit. Counter arag�Zire Door; Swing -Landing -Closer uct in Garaqe-Damper "Ar. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location lec. eceptacles in Garage; (G.F.I.)-Romex Protection ion -Foam -Looked in Attic f5l Yes ��GVArd Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes 0 No; Planters 11 Yes 11 No inish Unit; Disconnect, Electrical, Plumbing 8 . n s Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8 . -t, Electrical, Plumbing' erior Elec. Trim; G.F.I. Receptacle -Underground 8 ntilation Throughout House 87-.�ass Protection orrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates s-�q_ q( Date Card B-1 Date Card B-1 Date2/ fir/ Card B-1 C-5 J Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t r � Q NJtfG $ 2/ s iL S. r (NOTE: An entry must be made each time you visit job site) v=ok O=Not OK Not =NotRealdyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ' - Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 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 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-Panelboards-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 ^w-Y'-.._.li'+v ^�`\..:.�..:�. i^.I..•�C"iYf���'�w..'�^yJ ..r4- T• � r...---lrr+ `tCi`}gyy+y� f• COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 .r 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �s Tz to - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I',' 'V, "�-C"J, de . Date 2� % Inspector �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS v 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 t CORRECTION NOTICE sd� ER W73 Im A routine inspection indicates that the following violations of County Ordinance exist at t above address and should be corrected. Please notify this office when cor ction of work is completed. If you have any question pertaining to this matt r need additional explanation, please contact this office immediately. S Date C/% 5T- 1 / I Inspector - a .._. a.^�l''''�..'�S�r�+"zi�-,*-{--r+''�`^3 .`a:.�'�._.`i�"+rr`^--•ti-r r•'= �= w4ra _-.3...r+v=r�'�!. 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 0 -5C - R 2/0 - 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. LA D— Le u A-0 E Date' 2-� 5;/ Inspector4% I E N E R G Y ;S Morrel Circle, M, Ca. LOCATION Permit No. l — D C E R T I F I C A T I O N 136-61-0 A. P. 119. DESCRIPTION OF INSULATION ROOF Brand Name Material Thermal Resistance (R V41V9 T_,,,�,..-1— Thicknesa(inches) gxmiOR WALL.Material FIBERGLASS BATTS Brand Name OWENS-CORNING Thermal Resistance(R Va149 1—,, - Thickness (inches)__ 61" CEILING FTKH ASS t3ATTS Brand Name OWENS-CORNIN Batt or Blanket Type 91.. Thermal Resistance(R ValuO.. Thickness( incites) Brand Name Loose Fill Type Minimum Thickneal nches),_^__ Number of Baga Wt• per bag Thermal Resistance(R Value) .,. Area covered (f ) . FLOOR, ELEVATED - Material FIBERGLASS BAITS Tit icknesa(incite s) 61" FLOOR, SLAB Material Thickness(incl�ea) width(inches) VOUNDATION WALL Material Thickness ( inc11es) Brand Name OWENS-CORNING Thermal Reaistance(R Value) R1.�r,�-- Brand Name Thermal Resistanco(R Value)�..,r.. ' Brand Name Thermal Reetstatlg0 OG �,,,,,..,....,• I hereby certify that the above insulation vas installed is the *WV9 building to Conformance with the State of California snargN Raqulres►epto• 499150 OERKE INSULATION CO. INC. FIRM NAME/OWNER CTSTATE CONTRAOR 8 I.IOENBE 110. April 19, 1991 �T�•�+ �,,,,, SIGNATURE OF INSiTALLATION AppLICATOR DATE - I hereby certify the above insulation and all required itaaN of •halm OR the Building Department approved plans and attochpaents have been installed as required by tike State of California Energy Requirements. A11 equipment, devices and materials are of the quality prescribed or aro specifically approved by the State of California. N STATE CONTRACTOR 8 1.10081 No. FIRM /OWNER (Please Tint) SIGNA RE OF OE RAL CONT DATE OWNER ` . THIS CERTIFICATE MUST BA BE FILE SIl�1.L.118ETHE E BUILDINGSTED DNPTANT BILAI NIIIO t TO VINA INSPECTION APPROVAi. AN Janalary 1984 COUNTY OF BUTTE - DEPARTMEI., OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �3zL IL✓ �7 ` A%SSOR PARCEL NUMBER 36-61-03 ZONING AR BUILDING PERMIT OWNER ,Tim Kosch TELEPHONE a Q� SO.. FT. OCC. BUILDING VALUATION 2786.5 R 111,440 OWNER'S MAIL NG ADDRESS 529 M 7,406 CON'TRACTOR'S NAME /� Ron Holland t:J �0 U l TELE P NE 589-1531 378 CON, C7 3,780 CONTRACTOR'S MAILING ADDRESS ' 403 Bald Rock Rd. Berry Creek 95916 Fireplace 1 A 2,000 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 124 626 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 495.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 2/.7.75 J Energy Plan Checking Fee $ 1 O ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 55 Morrel Cir. Permit fee $ 768.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap j2 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. 54 SUBDIVISION NAME PARCEL MAP '3D Water piping 5.00 5.00 Each qas water heater or vent 5.00 U E OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 4BR Permit Fee $ 54-00 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-f�oorce and effect. License No. 7� �, /�V Classification ❑ 1, as the owner, or my employees with wages as their sole-compen- sation,FIXED will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. BLDGS. 2/20sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu o Occup(OUTLETS OR FIXTURES 20@030 BAL930 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee Contractor $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �( 1 have placed on file with the County of Butte Building Department YAG 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 6.00 dual pak Cooling 5T 11.00 Hood 3.00 3,00 Ventilation Permit Fee $ 30.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes.TOTAL 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 aga' id County in ns ence of a granting of this permit X/ Q< l3 O Date Agent ❑ Signature of Applicant — Owncr ❑ Canrraa;5' An OSHA permit is required for excavations over 446, ep demolition or construct- ion of structures over 3 stories in height.. (p Mobile Home Installation Fee $ Energy Inspection Fee $ -�() cc CONST TYPE FEE $ 987.60 HAZ I CUA I PARK I SCHL PLo PAR HD Iss This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DI ECTOR OFPUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ,) Date 7� v Receipt No. 73674 ' fo Q 7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPEa R, G LD PL CANT TO: Building Department FROM: Encroachdfent Permit Section RE: Driveway Clearance iSS �o���� C, / 3� ��-off owner location AP # Driveway permit % l 3 3 E has been issued for the above property. :1 si ature date OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ita 7 COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 JA- 4--; r,, PERMIT APPLICATION DATA SHEET IV/ Permit No. J/ OWNER 2Z� _/`� SC/'l A. P. o. Proposed Building Use Ste" Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2 Park fee paid ........................................ 82 C �L_ School District fees paid .............. _4. Sanitation approval from i-ooi 49vp Health Department. 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: ...... ^' Improvements may be required. Contact Land Development Section DPW 42-�briveway permit (construction approval required prior to occupancy) �ZA-L7= 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 .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 25. -Letter of sl nature authorizatto Ocv.,y,� 5 r►�� t-lG s`1=7jK ESS' .1,47 7. When yo Issue the permit, processas follows: Mai l©�vner. Mail to contractor. ___Telephone �lsi*/573 and hold for pickup at �.®'` office. Deliver w/inspector. Other ; G Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedgr to permit issuance: (Circle new item not checked above),. 1. Index permit for above items No. 2. Additional items required: r Contractor, designer, owner, was advised of above required data by_phone---naii_counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall ur by date Plants checked by Date Plans approved by Date 1 Sets of pla s,g�1h I i. File cabinet AP folder �J,7s , 0 Copy—DPW L. Iq COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANN PERMIT PERMIT NO. ASSESSOR PA3RCEL N�BE� rte/_BUILDING zONI G PERMIT O WNEE�..//,AC/ --1 TELEPHONE SO. FT. ACC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7 CONO �Fj'S NAME TELEPHONE /' '2 l- ,-J 6 CON/TA7ICrT/!O//R'S A INC ADDRESS v 3 ��G �� place CONSTRUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 7 Energy Plan Checking Fee $ 60 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS_ / C� Permit fee $ 7 PLUMBING PERMIT FiiingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOO.' �'�''!1�`/L,/�1//-- SUBDIVISION NAME PARCEL MAP Water piping 5.00 �'� Each qas water heater or vent 5.00 d USE OF STRUCTURE SFXI� Duplex❑ Mobilehome❑ Other T SPECIFY Gas piping system 1 - 5 outlets 5.00 _0 0 Building sewer 5.00 ' O (� Mobile Home _FSTG W 1 110-00e }�+ TYPE OF WORK New- I Addition❑�/ Remoodel❑y�U�tlil�iities ❑ instaliation❑ Other ❑ Describe work: `-�'� )�i��y/ Permit Fee $ 15 / Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 00 10.Or O Main service EA. AOD'L 100 AMP 2.50 , CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EE OR ADONS. ( ACC. SLOGS. ) /2Csgft NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2090¢ e AL930¢ FIXED EX. OCCUp. 'OUTLETS PLNS R tRESlO )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should'you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating C) Cooling -j- / Q(� Hood 3.00 1 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q occ CONST TYPE / TOTAL FEE $ 'qpp -7r Cp� HAz I CUA I PARK I SCHL I FLD PAR PD HD ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date / Receipt No. 3 07!1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 7 �.`.� BUTTE COUNTY SCHOOLS DEVELOPMENT`FEE CERTIFICATION FORM (One Form 'per' Building) A.P. Number 36 -W- 03 Building Department No. School Distric+—a I LY -0.1 %, City = County `Q Jurisdiction " Property Owner ti, K (YwA, r. Project Location/Address Subdivision Lot Number Residential Development: a � Sq. Footage � 7 �'!� • %Z # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel)' District %� �Id No. �b l`f`W tt{.u}�9,... U4171ts�-,� School District certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 33 by the payment of $ L140 3 representing _�'7y� ,y.Jsq,uare feet. School Dit' ct Representative Date PAID BY CHECK NO. REMARKS : BANK NO 1 I - 70,13 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Certificate of Compliance: Residential �s Pr ieci Title o Project Address Documentation Author Telephone BUILDING DATA Conditioned Floor Area Number of Stories 1 Slab/Raised Floor A-11-_ Number of .Units / V%ingle Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building [ ] Muld-Family (MFS [ ] Existing -Plus -Addition BUILDING SHELL INSULAT16N- Component - Insulation LocaffonlComments Type R-VaIue (atuic, .to garages r seal. Climate Zone 11 /® — O Buil ' itN /o a Checked By / Date Enforcement Agency Use Only Wall .............. Glass Area % Glass North fir 7 East —3.1 .2 •7 South West 3 Skylight / 1 Total Ja1'4 !o. Wall .............. /7 Wall .............. Roof ............. 3 0 Roof ......::..... Floor ............. Floor. ..... Slab Edge..... GLAZING Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) koUer blind. etc.) (shadescreen, etc.) (yes/no) (metal(wood) North ( ) ®6 North ( ) East v East SOULh Sou th ( ) p West ( ) i N i a West ( ) p Skylight....... THERMAL MASS ' T— Type/Covering Area Thickness (stab/exposed, lire, etc.) (sf) (inches) Location/DCSCription (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: 77 Btuh. HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) � r li•R• J SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R C NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance I j approach used Items marked with an asterisk (•) may be superseded by more stringent compliance mgwrements listed 61j on the Certificate of Compliance. When this ctucklist is incorporated into the permit documents, the features noted 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. + 1 DESCRIPTION DESIGNER ENFORCEMENT {( Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted average. E §2.5352(b): Loose fill insulation manufactures s labeled R -Value. ( ' 42.3352(c): Minimum wall insulation in framed walls R•11 weighted average (does tot apply t0 - § exterior mass walls). r 62.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 penn/iinch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality _ standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317:Infiltration/ExfiltrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. 1 c. Doors and windows weatherstri I DDS: all joints and penetrations caulked and sealed. r { 02.5352(e): Special infiltration barrier installed to comply with §2.5351 meets CEC quality standards t §2.5352(d): Installation of Fireplaces } 1. Masonry and factory -built fireplaces have: I a. Tight fitting• closeable meld or glass door b. Outside au intake with damper and control e. Flue damper and contra 2. No continuous burning gas pilots allowed f' HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed• installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. T M1 1 §2.5352(i): Water heater insulation blanket (R• 12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return dt recirculating piping. §2.5318(d): Swimming Pool Heating {{{j 1. System has: a. Orn/off switch on heater. I b. Weatherproof instruction plate on heater: t c. Plumbed to allow for solar. j 2. 75 percent thermal efficiency. 1 3. Pool cover. i 4. Time clock. 5. Directional water inlet. + Lighting and Appliance Measures §2-5352(1): Lighting . 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped witNintermiucnt ignition devices. §2.5314(a): Refrigerators• refrigerator -freezers, freezers and fluorescent lamp ballasts certified 4 by the CEC. Indicate make and model number. 1 i I COMPLIANCE STAT Uffilq r This certificate of compliance lists thx building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Cfiapte r 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 ptucitaser of the building. Designer Building Owner 1 i Name: Name _ .. � TuklFirm: Titk/Furre . Addna: Address: Telephone Tekphonc I 3d (sign. lure) (date)_ (signature) (date) Documentation Author Enforcement Agency Name: Name.: •t .. TitkJFirm: A - - - -- - - —. - - -. - , - - — _ 7 Tek*= -- , i - Address: 1. Ceiling Insulation 2. Wall Insulation Single -Single Number of stories I 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 8 6 4 0.50 -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 3. Raised Floor Insulation Insulation in.Floor Single -Single - Number of es R -value 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 -144 -70 -46 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 Insulation in.Floor Controlled Ventilation Crawispace Single- Number of stories Number of es 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 0 0.70 2 2 - . 0.60 - -144 -70 -46 0.50 -120 -58 -38 0.40 -95. -46 30 0.30 -69 -34 -22 0.20 -43 -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 0.00 10 5 3 Controlled Ventilation Crawispace i. Slab Edge Insulation Single- Number of stories Number of es 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 i. Slab Edge Insulation Single- Slab Floor Number of es Effective Pescent Class R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor less 50 0.90 -4 3 -1 0.80 .1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard .0 . 6. Glass Heat Loan Total Single- Slab Floor Raised Floor Effective Pescent Class U -value East Percent .West Skylight .51 to .41 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 -06 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 40 -11 -4 2 8 15 y 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 7..Shading (Shade Open) Efleetie Percent Class (percent glass x SC) Effective • Single- Slab Floor Raised Floor Effective Pescent Class %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 -4 -16 2 1 1B. Shading (Shade Closed) Single- Slab Floor Raised Floor Effective Pescent Class Family Stories (percent glass x SC) Mass Effective %Glees North East South West Sky%ht 18 -14 48 -69 -64 ._ na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 =29-74 1 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 3 0 na . not allowed 8 9 10 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories MUTE Mass swas Attached /CFA 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 d -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 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 1 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 i 7.0 6 9 11 13 13 14 , 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 14 Wall Family Family MUTE Mass Detached Attached Fame 0.00 0 0 0 1 0.20 0.40 3 5 2 4 1 3 0.60 0.80 8 10 6 8 4 5 1.00 1.20 13 13 10 12 7 8 1.40 12 13 9 1.60 10 13 11.. • . 1.80 10 12 12 i 2.00 10 11 13 11. Heating System SE or ASPF (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 Syst•!an R -value (0] Sum of 14 Standard a. North 7 C SEER -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 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 7 6 5 Effective SE or HSPF 3 2' (SE or HSPF x duct efficiency) 9 7 6 Effective -25 or -24 to -14 b -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -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 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 Syst•!an R -value (0] F2factor [0.77] Standard a. North 7 C SEER -5 -4 -4 -3 (assumes ducts t In attic) Two + 3 . 3 :. Stm of 7-10 2 2 1 Single -Family 6etached and -25 or -24 to r14 to -410 +6 to 16 or SEER less -15 i .6 +5 +15 more 8.0 -14 -12 -10 -8' -6 -4 ,.. 8.5 -9 -7 -6 5 4 3 8.9 -5 d -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 `- 12.0 15 13 11 9 7 5 13.0 20 .17 .), 14 12 9 6I -1 -1 Effeetive SEER 0 0 0.4 (SEER xduct efficiency) -18 -12 -9 Slam of 7-10 -6 1.9 WSB Effective -25 or -24110 -14 to -4to +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 -4 6.6 -5 -4 -4 -3 .. -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12' 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23. 19 15 12 8 12.0 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 11 -Stories or R -value (0] F2factor [0.77] Standard a. North 7 One -5 -4 -4 -3 -2 -2 Two + 3 . 3 :. 2 2 2 1 Single -Family 6etached and Attached (A _ /.o <. I' '1200 Unit Size (sQ (l. 7ZINCa4.2) Water 9. Interior Thermal Mass i139 1700 2200 2700 Heater Credit or • j b to to or Type. Type less ,1699 AREA = e 2199 2699 more SG None 0 0 0.. 0 0 or Salar 12 '' 8 6 5 4 HP -HWR 8 5 4 3 3 x WSB 5 3 3 2 2 5% POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 85% Solar -1 -1 -1 0 0 0.4 HWR -18 -12 -9 -7 -6 1.9 WSB -25 -16 -12 -10' -8 3.4 POU -18 __-12 4 -9 _-7_ -6 n None -5 -3 -2 -2 -2 0.8 Solar 7 5 4 3 2 2.3 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 5.2. Solar 8 5 4 3 3 1.2 POU -10 -6 -5 -4 -3 27 Multi -Family (Individual 9.1 units) 3.5 3.7 3.9 4.1 Unit Size (sq 4.5 Water 5 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 26 WSB 9 4 3 2 2 4 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1.5 Solar 2 1 1 0 0 3 HWR --23 -12 .8 -6 -5 4.4 WSB -25 -13 -8 -6 -5 5.9 -EQU _23 ---.:LZ---8 0.9 -.- 6 -5 IG None -8 -4 .3 -2 ; -2 9.2 Solar 6 3 2 1 1 4.7 POU 1 _ 0 - 0 0 0_ IE None -30 15 -10 _ -8 -6 21 Solar 18 9 6 4- . 4 _ POU -8 -4 -3 -2 -2 Interior Mass/CFA t TYPE 2 Mss or R -value (0] F2factor [0.77] Standard a. North 7 x r 7 = Type [double) U -value [0.65] x t 77 = ;?- x 4'r = 1,7 ,� x x -5, d. West /, G x (A _ /.o <. e. Skylight (l. 7ZINCa4.2) • 7a = -3/ 9. Interior Thermal Mass TYPE 1 MASS AREA = e t TYPE 1 KASS (UIXC & 4.2, is: exposed COND. FLOOR slab) 10. Exterior Wall Mass TYPE 2 MASS AREA = e Icarpeted slab) ND. L OR AREA 11. Heating System , 7 �k- x • P' 3 = r Zonal Control? ( Y / N) [o o!6 6j F Duct Efficiency 10.78] EffectiveS or HSPF .151 12. Cooling System S $� x Y =• Zonal Control? ( Y / N) SEER 19-51. 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45%. 50% 55%- 60% 65x 70% 75% 80% 85% 110% 95% 100% 105% 110% 115% 120% 125` 0y. 0 0.2 0.4 0.6 0.0 1.1 1.3 1.5 1.7 1.9 21 23 2S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 tore 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 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 0.0 0.8 1 1.2 1.4 1.6 1 a 2 2.2 24 27 29 9.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5 8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 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 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.8 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 9.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 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 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.6 2 2.2 25 27 2.9 3.1 3.3 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 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.8 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 aw. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 54 5.6 5.9 6.1 63 65 67 WY." 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 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% 1.6 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 4.6 5 5.2 5.4 5.6 5.6 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 5.5 5.7 5.9 6,1 6.3 6.5 6.1 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.S 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 110Y. 1.9 21 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 4.6 4.8 S 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6-5 6.1 7 7.2. 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures ,; O or R -value [38] U -value (0.030) I 9 or R -value [11] U -value [0.098] 9 or RR-valT U -value [0.037] Point Scores 0 3 %Total Glass [16] Sum 1-6 % Glass or R -value (0] F2factor [0.77] Standard a. North 7 x r 7 = Type [double) U -value [0.65] Point Scores 0 3 %Total Glass [16] Sum 1-6 % Glass SC Eff. % Glass SC Eff. % Glass a. North 7 x r 7 = • �� �. x t 77 = ;?- x 4'r = 1,7 ,� x x C4J -.I- 14 14 Sum 7-10 o Point Total:l % Glass SC Eff. % Glass a. North 3, / x , (",G b. East ?. % x 4'r = 1,7 c. South 3, / x -5, d. West /, G x (A _ /.o <. e. Skylight x • 7a = -3/ 9. Interior Thermal Mass TYPE 1 MASS AREA = e Interior IN'1ss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = e Exterior Wall Mass ND. L OR AREA 11. Heating System , 7 �k- x • P' 3 = r Zonal Control? ( Y / N) [o o!6 6j F Duct Efficiency 10.78] EffectiveS or HSPF .151 12. Cooling System S $� x Y =• Zonal Control? ( Y / N) SEER 19-51. Duct Efficiency 10.74] Effective SEER 17.031 13. Water Heating Type IsGI.,._Credit [none] C4J -.I- 14 14 Sum 7-10 o Point Total:l Return to DPW AGRICULTURAL STA �,NT OF ACRNOWLEDGI'%= 0851 l FOR RESfb_ AL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 90-040851 Rec Fee 500 to land or included within an area zoned Cash 5.`00. for agricultural purposes, and residents Recorded of this property may be subject to incon- f Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte .' but not limited to herbicides, pesticides, Candace J ., Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 8:01am 24 -Sep -90 CD'. ;1. but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. A]_1 th=at real :prop'erty.,.situate in the.County of Butte, State of California, described as follows: �� 74s s iwa- cT ams -7-N.*7' L° m.4,,O EA; T -;-rt &J� ,LeT ff/LK 114 P WX95 FIDE-� G76S SU r�.D / ✓ IS /,0 or '31LJT rG i, 7W45 DF O,4L/FD1zA/Iq Aot*US'?" 14 T Date: / PROPERTY OWNERS: State of �r oR On this the a / day of SQ /� �eM Q�yL 19 FO , before me, the SS. undersigned Notary Public, personally appeared County of �u� ) Personally known to me. roved to me on the basis BMANNSE N1NER of satisfactory evidence. o be the person whose name(.8- !S MyOonvr subscribed to the within instrument and acknowledged that FFeebn�ry25.1494 executed the same for the purposes therein contained. IN L4ITNESS -WHEREOF, I hereunto set my hand and official seal. Present A.P. No. -36 —61-00 u /J� N6tary Public D O DOCUMENT m AX PERMIT NO: 121-90 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BU I LDI NG 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: September 21 , 1990 Applicant: Marian V. Kosch (Ron Holland) Applicant Address: 78 willow Dr., Oroville, CA 95965 Applicant Phone No.: 532-9519 589-1531 Property Location (s): 55 Morrel Circle Copley Acres Subd. No. I - Lot 54 A. P. No. (s): 36-61-03 Fees due: All fees paid. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: