HomeMy WebLinkAboutMERGE (2)0
061-48-0-057 93-874.B,P,E,M
MADSEN, Karen
85 Sunday Drive, Berry Creek
(new single family)
061-48-0-057. 93-1418 B,
MADSEN, KAREN'
85 SUNDAY DR, BERRY CREEK
CONTR: HUGHES
FIRE.SPRINKLERS/SF
061-48-0-057 93-3368 B
MADSEN, KAREN
85 SUNDAY DR, BERRY CREEK
CONTR : ` DAMBERGER CONST
EXTEND:DECK/SF
F85
80-057 PERMIT#94-.2486.
N, KAREN
UNDAY DR.,: BERRY CREEK: RE DAMBERG$R /COVERED DECK/SF I,
061-48-0-057 #98-2643
MADSEN, KAREN,
85 SUNDAY DR.,OROVIL---
OWNER
WOODSTOVE
061-480-057 02-OOh3
MADSEN, KAREN
85 SUNDAY D
CONT: TOM HIL (�
FREESTANDING OPEI�Y ECK
061-480-057 04-W20
MADSEN, KARENVW,
85 SUNDAY DR, BE
Cont: OWNER
ONE TIME TO FINAL 2-
061-480-057 - 04-3221
MADSEN, KAREN
86 SUNDAY DR, BERRY
Cont: OWNER
RE -ROOF W/METAL
,
O/fl
C. 0�-q 4 ro 4 ..
I 1 r
COUNTY OF BUTTE - DEPARTMENT OF DEkLOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) - - APPLICATION AND PERMIT n9 -0n93 -
ASSESSOR PARCEL NUMBER
061-480-057
ZONING
U
BUILDING PERMIT
OWNER
KAREN MADSEN
TELEPHONE
589-5427
SO. FT, OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
PO BOX 207 BERRY CREEK 95916
400 ?.ROO.00
CONTRACTOR'S NAME
TOM HILL CELL
TELEPHONE
321-9594
CONTRACTORS MAILING ADDRESS
LOOP,10 REGENT ROV LLE 95966
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $ Ron,
ro
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
85 SUNDAY DR, _RERRY CREEK$
Energy Plan Checking Fee
$
PERMIT FEE
$ _10'j - 1
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF IR 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 ❑ Ulilities ❑ Installation ❑ Other b
Describe Work: OPEN DECK
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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 ' full force and effect. ^p
License Class Lic. No. �® e v_ 0 J
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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.)
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 omply with those rovisions.
( (� Date ""� �"'ZyOZ
Signature of Applicant - ❑Owner ❑Contractor g Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in'height,
Main Service 200A TO 1000A 46.00
NEW CONST. 07. UNG OCCUP. so
OR ADDNS. ( a ACC. BLDS. 3.50FT;
NNON-pESID.T. MULTI.OUTLET @7.50
POWER APPARATUS
a SINGLE 0'T. CIR.
Ex. Occup. OUTLET OR FIXTURES
Ex. Occup. o�� PESSIID° A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET= $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsT. TJ'TOTALFEE $x_09.' 0
HAZ.
v
D. MP
FL000
i
cDF
p EL
H
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date j qj� Dz
6 d o
e
Receipt No. : 3 /09���
WHITE-D.D.S.-B.D. CANA Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'ev 12/96) ,
a NO
:OMMCTO� '
.owwrpx7 NO AOOM11
i
:OM r ih.OTgN t1�O Efa
-c to 5 -WUNG ADDRESS
w�..n CCT OTi ENWKEA
inty Center Drive • Oroville, California 95965 • Telephone (530) 538 7541SION
APPLICATION AND PERMIT _yD.6G�RM1T NO
rj �NMo V BUILDING PERMIT
Tao+cvE SO. FT. OCC. BUILDING
VA
�O � I LUATION
().A 9 5
C 9/�" i a
Ow E"Ov.0ml W JUNO AOORES3
Ortio I •UemeONS WE
USEOFSTRUCTURE
.F,V Duplex O Mobilehome ❑ Other
TYPE OF WORK
few O Addition O Remodel O Utilities ❑ installation ❑ Other
>escribe Work: �7
V
9/VA
VERaAIT FEE PAU>
SRA • .
SHERIFF
OTHER
AJKOVNT RECQYEb
E 40
Fireplace
Total Valuation E
Filinq Fee E
Permit Fee E
Plan Checking Fee E
Energy Plan Checking Fee E
E
PERMIT FEE S
PLUMBING PERMIT
Each
Soler or hes m water heater
Water, i in
Each as water heater or van
Gas piping system 1 • 5 outlets
Building sewer
Mobile Home
PERMIT FEE I S
20 00
3311.60
,ling Fee 20.00
7.00
23.00
15.00
15.00
15.00
00
@20.00
ELECTRICAL PERMIT
Flin Fee 20.00
Main Service
EOOV OR LESS
200A ON LESS
23.00
Me Service
20" TO 10 -MA
48.00
NEW C T. (
OR AOONS.
OwULAp OCCUP.
L ACC. aL)9.
3.St;°
MOwAE5i0
YULTLoune
Qo 7.50
Ex. Occu . Oul ,.00
aAL .!0
Ex. Occup. OSS 61,416 IO 5.0O
Temporary Service 23.001
Mobile Home Facilities nn
23.
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heatin
Coolina I
PERMIT FEB S
Mobile Home Installation Fee S
Energy Inspection Fee E
«c WZO�.
PE TOTAL FEES V
E!RooO COI
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.
NtE IM WARM 3:3 15--�
w TO 9E Kff INTO CO#By oats
AM
PERMIT EXPIRES ON
Pole)
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: C/ ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: V G"'`' e Date: (a �U�
Items required in order to apply for a permi . All boxes MUST be checked OR marked NA in order to apply.
❑ 1.. Plat plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 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 faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review: If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Food Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Pot 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other .
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 18.
❑ 19.
❑ 20.
❑ 21.
❑ 22.
❑ 23.
❑ 24.
❑ 25.
❑ 26.
❑ 27.
❑ 28.
❑ 29.
❑ 30.
Fees as shown on the attached Schedule of Fees Due Sheet.....
Statement of Intent for Non -heated and A/C Buildings ........................................
Sanitation and plot plan approval from the Environmental Health Department in
City of Chico Plumbing permit ................................................. `............I..........
California Department of Forestry plan approval ❑ paid. ' Sent by: . ......................
Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
Pre -Inspection for required ................
Contractor's license information. (Number, Name Style, Classification) ......................
4
Worker's Compensation Carrier and Policy Number ............... ;4 .. �;:....,.....................
owner-Builde vVerification (❑ Given to owner, ❑ Mailed to owner)..`.: ...........
Letter of Signature authorization.....................................................!':.............
Recorded copy of Agricultural Acknowledgment Statement ....................................
Manufactured home utility clearance...............................................................
existing violations and/or expired permits.........................................................
i❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone
hold for pickup.
I have been ' ormed of the above ite and requirements for obtaining a building permit.
�JQ7�� a. �- t S- Zoo -2 -
Date:
Applicant: Date.
JN
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, 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: Ohl Date: / 7,
Structu-al reviewed by: ;Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
i `eI
E.M. USE ONLY
Plot Plan Attached
Floor Plan Attached
l Sant to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
4<Ocen S�L� 'Dr I - 48c�) - C)
Owner Locati n AP#
Plan Approved for: Sewage Disposal � Wa � sup ly: Public
Clearance for dwelling. Other ,-b nal) '�4�\1
Hold final, for:
Final clearance O.K. for:
NOTE:
Private Well
(14 � q-" P,
Environmental Health Specialist Date
.. 2
8/96 J <
RECEIVED
JAN 16 2002
BUTTE COUNTY
BUILDING DIVISION
/— / `f— o oZ,,
ALL STRUCTURES AND EQUIPMENT INCLUDING
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF FT. FROM THE SIDE AND
FT. FROM THE REAR PROPERTY LINES AND
Fr. FROM THE ROAD CENTERLINE SHALL ISE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 FT. SAVE OVERHANG. - �0/ ro ,
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Karen Madsen
85 Sunday Drive
P D, Box 207
Berry Creek, CA 95916
530-589-5427
APN# 061--480-057
Builder) Tori Hill Construction
20x20' Free Standing Deck
36' Handrails
Deck surface Level with Ground Elevation
in front where concrete pearch will be poured,
Posts are anchored with stimpson brackets and
1/2'x4 1/2 Bolts and nuts,
Scale 1/4'=1'
6c�
PAMELA A BAKER
29 GLENESS DR
OROVILLE CA 95966-9423
59'� 3 a-S-�,
iqq-) W OG
3'-' il'
P e r See, 50q
---Location of
concrete
pearch for
front support
r4lA/ 2 ground level,
iNt° 6
u �d�sEu>tieJ O &c9 3
BUTTE COUNTY
3UILDING DEPARTMEN11'
APPROVED
R8.
Foundation Plan
Scale 1/4'=1'
Gerders are DF 4x6
Joists are DF ffgx6
Foundation piers—is7
poured concrete
18x18x12'
rAax
it zo�-
OU NTY
8UIU IMG DEPAK I M Iv
2 F RPROVED
Decking Plan BUTTE COUNTY
Scale 1/4'=1'
3UIL®ING ®EPARTMEO"
APPROVED
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net%dds
PERMIT NO.
BP043220
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
Issued Date: 11/04/2004 APN• 061-480-057-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 85 SUNDAY DR BCK
Date: Contractor.
Map Index:
Description: ONE TIME TO FINAL BP 02-0093
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: MADSEN KAREN ELIZABETH REV LIVING
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
TRUST
signed statement that he or she is licensed pursuant to the provisions of
MADSEN KAREN ELIZABETH TRUSTEE
the Contractors State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
P O BOX 207
she is exempt therefrom and the basis for the alleged exemption. Any
BERRY CREEK, CA 95916
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: MADSEN KAREN ELIZABETH REV LIVING
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
TRUST
provided that such improvements are not intended or offered for
MADSEN KAREN ELIZABETH TRUSTEE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
P O BOX 207
proving that he or she did not build or improve for the purpose of
BERRY CREEK, CA 95916
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.).
Contractor:
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date' V—v 4 Owner:'
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
License #:
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
../
Gl I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued. 1 shall not employ any person in any manner so as to
Code:
become subject to the workers' compensation laws of California,
Census
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:` f
_//—q_-0
Applicant: !`l1- t - y\_
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
0 in addition
hundred thousand dollars($100,000),the cost of
provided for 0
compensation, damages as provided for in Section 3706 of the Labor
1 jv�11,�►/
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is he eby issued under the applicable provisions of the Butte County Coda ancyO
Resolut indicated for fees have been
I hereby affirm that there is a construction lending agency for the
s o work above which paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
0
�f4--v
Name:
By: Date:
PERMIT EXPI ES N:
Address:
Date
❑ 1 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 pu es.
Print Name: m g p 5,7 /y Signature:
Date: /— z/ — o /
.Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
;
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE At: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP043221
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
Issued Date: 11/04/2004 APN: 061-480-057-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 85 SUNDAY DR BCK
Date: Contractor.
Map Index:
Description: REROOF W/METAL 30 SID
OWNER43UILDER 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: MADSEN KAREN ELIZABETH REV LIVING
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
_ TRUST
signed statement that he or she is licensed pursuant to the provisions of
MADSEN KAREN ELIZABETH TRUSTEE
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
P O BOX 207
she is exempt therefrom and the basis for the alleged exemption. Any
BERRY CREEK, CA 95916
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).):
lid 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: MADSEN KAREN ELIZABETH REV LIVING
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
TRUST
provided that such improvements are not intended or offered for
MADSEN KAREN ELIZABETH TRUSTEE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
P O BOX 207
proving that he or she did not build or improve for the purpose of
BERRY CREEK, CA 95916
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.).
Contractor'
❑ I am Exempt under Article of the Business and Professions Code
/3
Date: Owner:'
WORKERS' COMPENSATION DECLARATION
ereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect'
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carder and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation' $0.00
issued. 1 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
forthwith comply with those provisions.
Date: l — 6--o �l
Applicant: )6-,
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
I I^J
111
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit' h eby 'ssued under the applicable provisions of the Butte County Cody anNOr
�c
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolufo s`t do indicated above for which fees have been paid.
/.
Name:
By:Date:
1 U
PERMIT EXPIRE ON: ' U
Address:
Date
❑ 1 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 r documen�Butte County. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purp ses.
Print Name: / l R C IV C= - %i1 AD S cel/ Signature: -
Date:
err ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor
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"
ARCHITECT/ENGINEER
OWNER
Last Name
to
First,N,ame E
Address
City
Cltv
[—
State e
ZipS!`��
Phones
o $z?9
Fax
E-mail
Lic. #
ARCHITECT/ENGINEER
ONTRACTOR
Name
to
Address
Phone
City
yy
t to
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class
ARCHITECT/ENGINEER
Name
Address
City State
Zip
Phone
E-mail State Licens umber
0
APPLICANT NAME
Nam q/ „ h c—'Pj
Property Address
85 5A,)-N)A-
Address
35 Sv
Cross Street
SRA
State,
yy
Phone5S9
Fax
E-mail
Book
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
85 5A,)-N)A-
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page70-5—
Address
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
_ [ .
BP
ell -V W
BIN #
LOCATION
AP#
1,?o-6'S7-000
Property Address
85 5A,)-N)A-
City
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
or Scope
❑ 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
required.
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.
Page 1 of 2
Re by:
Receipt #:
Date 1
Amount: —Bldg
SRA
Sheriff
SMIP
Other
Total
REV 7-27-04
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. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and 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).
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
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, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application 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 7-27-04
I
SIDENTIAL'
061-48-0-057 93-874 B,P,E,M
MADSEN, Karen
85 Sunday Drive, Berry Creek
(new single family) R.E. Damberger
OFFICE COPY
V=OK
O = Not OK
-=Not Applicable
Not Reedy MOBILE HOMES
=
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Solis; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5.' Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a
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
J. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columna -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/Initials POOLS (Plans) OK except #'a
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
V=OK
0 = Not OK
- = Not Applicable
= Not Ready
Date/Initials UNG,ERFLOOR (Plans) OK except #'s
RESIDENTIAL (Single & Duplex)
jA-FtqeMain; Soils-Elec. Grnd.- 7.6"Ftg. Depth
tg., Garage; Soils -Steel -Else. Grnd.- Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth
tf. Stemwalis, Main; Steel-Blockouts-Wrapped
iSr'§iernwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
T. Slab; Steel -Wrapped
Piers -Fireplace tg.-Steel ^-
D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test
0. UF. as Pipe; Size -Anchors - yard gas piping: size -test
�' •1r star Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
e ums & Ducta; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date In' Is PLUMBING Permit OK except #'s
a Htr.; Vent -Access -Combustion Air -Baffle
Water Pipe; Test & Anchor -Neil Protection
Test -Fittings & Anchor -Nail Protection
Sho e(Pan; Test, First Floor -Tub Access
ub & Shower, Second Floor -Tub Access
i . Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
2 c. Receptacles Spacing -Lights & Switches at Doors
erJr-S—ize Boxes & No. of Conductors -Stapled
O'ex Installed Close to Edge of Studs & C.J.
26'Equi . Ground made up w/Meth. Fastners-Bond Gas & Water
Appliance Circuts in Kitchen & Conductor Size/GFI
u feed Wire Size tdJ ga. Cu o AI .C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Mein Disconnect
,qt--Eq_uip. Clearances Panels -Motors -Meth. Equip.
CI es Closet Light-Shoher Light -Spa Light
Smoke Detector
� I
Date/lgrftials MECHANICAL Permit OK except #'s
C_.Ducts Insulation & Support
.36�Vent Fan; Exhaust above insulation
ndensate Drain & Overflow; Size & Grade
. urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
ttorm if Furnance in Attic
_Date/Initials FRAMING (Plans) OK except #'s
-99"Sil`s Proper Material & Anchors
ACr Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
_-41_3earing Walls over Girders & Floor Nailing
eft Stop in Walls (rat proof)
Stops; Furred Ceilings -Stairs -Chases -Tub
ceders & Beam -Size & Bearing
Date/Initials • FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
4 . Ing. Joist-Rftr. tles-Purlinj-roof B - russ-Shthn�f
42,-FirepftrffTiea or Type A Flue -Fireplace Throat clearance
48,-11 is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
fge Fire Protection Framing
5<Pr—opeq y Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
St idth-Headroom-Rise-Run-Landing-Fire Protection
5 . plpyed'i -on Roof Overhang -Attic Vents -Rafter Outriggers
,,,V'Siding-Nailing Veneer
-Drip Screed -Fd. Vents-Underflr. Access
g Wj Glazing Area -Glass Protection -Skylights -Plastic
X58. Pear Walls; ailing -Bolts OA
. Insulatio -Wall -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FAML Plans OK except #'a
Steps -Door & Sidelight Protection -Landings
Smoke Detector
6 urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
B droom Exiting
5. G.F. -Bath Fixtures & Tub Access -Spa
e. Trim & Subpanel; Breaker Sizes & Labels
8 Stairs & Rails
arStove; Clearances -Hearth
C49 --EI O_u#dts at Wood Panel; Int. & Ext.
ixt. & Appliance; Grnd: Air Gap -Cooking Clearance
1 lec. Outlets & Receptacles at Kit. Counter
Garage Fire Door, Swing -Landing -Closer
F,rTA.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In arage; Above Floor -Meth. Protection
PP. Elec. & Mech. Equip. Listed for Location
L;TC Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77.'1nTaTi fion-Foam-Looked in Attic ❑ Yea
Guard Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive as o; Walks 0 Yes ,
Planters 11 Yes ZNo
ucco; Brown -Finish
A C. Unit; Disconnect, Electrical, Plumbing
Z,WrVents Above Roof; Plbg: Applience-Fireplace.-Clearance to
��lh!Watell; Disconnect, Electrical, Plumbing
136!I<terior Elec. Trim; G.F.I. Receptacle-Underaround
/_AW.- Ventilation Throughout House
jze,61ass Protection
88. Corrections from Previous Inspections
89. 6ae4eel-Meters Teaaed Gds -EI
90._WSfer & Sewer Connected -C/O to Grade -HD Approval
Comment, at Final:
Certlficate-Other
COUNTY OF BUTTE - DEPARTWENT. F PUBL R
Q S PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Teleph7541 _
APPLICATION AND PERMIT t!y-
ASSESSORPARCEL NUMBER
061-480=057
OWNER
ZONING
U
'/
BUILDING PERMIT
Karen Madsen
TELEPHONE
589-5427
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O.BoA 207 Berry Creek 95916
CONTRACTOR'S NAME TELEPHONE
R. E. Dumber er 589-0700
1 836 R 99,144.00
504 M 9,072.00
25 C 325.00
CONTRACTOR'S MAILING ADDRESS
240 Sunday Dr. Berry Creek 95916
122 0 854.00
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation J $109,39
LENDER'S MAILING ADDRESS
Filing Fee $ 155.00
Permit Fee $ 32.
ARCHITECT OR ENGINEER
None
LICENSE No.
Plan Checking Fee $316.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ 20,00
Penalty $
BUILDING ADDRESS
Permit fee $983.75
RS SiindiV Dr J3a=y Creek
PLUMBING PERMIT Filing Fee 15.00
Each Trap 12 5.00 60.00
Solar or heat pump water heater 1 20.00 20.00
LOT 4
4
SU9DIVISION NAME
PARCEL MAP
125-55/57
Water piping 1 7.00 7.00
Each pas water heater or vent 1 7.00 7,00
USE OF STRUCTURE
SF EJ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00 5,00
Building sewer 1 15.00 15.00
Mobile Home S I G J W @ 15.00
TYPE OF WORK
New] Addition❑ Remodel❑ Utilities [:] Instal lation❑ Other E]
Describe work: New 2 Bedroom Single Family
Permit Fee $109.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 1 18.50 18.50
CONTRACTORS LICENSE LAW
I declare under enalt of er ur
penalty perjury y (check one):
F]i am I censed under provisions of Chapt. 9, Div. 3 of the BUS Ines$
and P-ofessions Codd /e and my license is in fullforceand effect.
License No. •x!913 77Classification r�j.31
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
F] 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI 37.50
NEW CONST. DWELLING 0CC}f141 3.64sq.ft. 81 .90
OR ADONS. ( ACC. BLDGS. LJ4V
NEW CONSTR. MULT'-OUTLET
NON.RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 20 76
FIXED APPLNS. OR
EX. 3.00
QCCUp. OUTLETS IRESID.1 EA.7
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Permit Fee $ 115.40
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 Cert.ficate 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 to
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 1 15.00
Heating 119.001 9.00
Forced it
Cooling 1 9.00 9.00
Hood 1 6.50 6.S0
Ventilation
Fee $39.50
Contractor
I certify that I I -ave 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, jidgments, costs, and expenses which may in any way accrue
agai stt said nt consequence of the granting of this permit. (�
X " " -" Date Al 13
Signature of Applicant - Owner F]sions
❑ Contractor Agent
An OSHA truct-
permit is required for excavations over S'0" deep and d of�dio r s
ion of structures ower 3 stories in height. -r j'
Mobile Home Installation Fee S
Energy Inspection Fee $ 40.00
OCC
R-3
CONST TYPE
VN
11 TOTAL FEE $ 1,28796 5
HAz
�-
DFEE
IMP
FL o
cDF
PARCEL
P H '
This permit is hereby issued under the applicable provi-
of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIREC=U LIC WORKS
By Dae •G-/
PERMIT EXPIRES
Receipt No. 140426//$20.00 Rev. 1 DC-)
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICA
. ` 7-• a ... .. u. , .F-,,,'�.. �n r'`.'.1..�-.�''w v .� , •,�Y r' l i ,.. • .' ' • V
. 1 • t.
COUNTYOF BUTTE - DEPARTMENT OF DE, EtOPWNTSER y S - BUILDING DIVISION
7COUNTYyCENTERDRIVE - OROVILLE, CALIF9RNIA95965 -PHO (916) 538-7541
• ' "A Y
PERMIT APPLICATIQN DATA SHEET
4
OWNER Yl
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
2.
3,
.4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14:
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31
07
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans. r
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form. ........................................ .
Energy Design Compliance and supporting documentation ....................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $ . .........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ...............:. ........ `
Flood elevation letter (100 year floonov.,116
y Cfornia Engineer . .... ........... .
Sanitation and plot plan approval Health Department . ............ �7
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). ...`...
Pre -ins ection for Pre -Inspection request'
p required. . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification). ....... r�'
Certificate of Workmans Compensation Insurance. ......
Owner -Builder Verification (Given to owner Mail to owner ). ......... .
Recorded copy of Agricultural Acknowledgement Statement . ..................�
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... a
Letter of intent on building use . .........................................
Mobilehome utility clearance . ......................................... .
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed i
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
131— -k—L, 1;�f 1
Parcel Greatlon
Acreage Applicant Date 7 3
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Di
Copy of plans sent Health Dept. Fire Dept. Other Date
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
item not checked above):
Z
Contractor, designer �e�jras advised of above required data byv phone _ mail Counter by� Date ` � -
Contractor, designer, as advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by 45K�;)--- Date
Sets of plans on hold in File cabine� .. ^-;� AP folder _ Oft
Copy - Department of Public Wo
I, 1� �
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
IS.II, (ISIS f)NL'
I'lul flim Altu�hcd
Door flan Aluielml�
5kalt to I1, U,
sll nailOwner Location
Plan Approved for: Sewa,;e Disposal Water Supply: Public ))__
Clearance for bedroom n home. Othcr R)[
Hold final for:
Final clearance O.K. for:
NOTE:
co!F)Lk b Milk
Environmental Health Specialist
8/92
AP#
Private Well
. .-`.-.- _..-.yc �'--.,M,..�.ic«,;�;1�t--w.�:y••iy-"�Y�"],�~."F.�..---fs+.iY-,i•4+'°-ivy-.r7c•-vY'^�-^--..r.,�,.:;�`...c++'
"l COUNTY OF BUTTE
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES
y;
•1469 Humboldt Road, Chico, CA - I(916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 _
- 747 Elliott Road, Paradise, CA = (916) 872=6307
C.1
CORRECTION NOTICE
OWNER PERMIT NO.,:'�-#
A routine inspection indicates that the following violations of Butte County Ordinances exist at`+�
the above ad cess and should be corrected. Please notify this office when correction of work
is-
. If you have any questions pertaining to this matter, or need additional explanation,'. v:
,P1.:.0z.P!!tontactthis office immediately.,
_n
n
cQ:
Date 3 Inspector _
REV 10/9
�= ;4
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
$ E A/
oVMM
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
iscorr.pleted. ffyouhave any questions pertaining to this matter, or need additional explanation,
please contma this office immediately.
1 '%4--
u
Date tl � Inspector
REV 10192
COUNTY OF BUTTE'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (9.16) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
IV t ns. s t✓ A 9,3 --8 7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
pleaseontact this office immediately.
Locl/L., •
i
Date Inspector
REV 1 92
COUNTY OF BUTTE .
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations. of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is corr.pleud. ff you have any questions pertaining to this matter, or need additional explanation,
please costa this office immediately.
Date
REV 1OW
Inspector
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF'DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
�s-d�s
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. Hyou have any questions pertaining to this matter, or need additional explanation,
please contathis office immediately.
���-tli
Date 4
REV low
Inspector
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469'Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
3 -
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please cc..oJlntact this office immediately.
I
Date l 2,) q 3 Inspector AM=
REV 10/92
FOUNDATION WALL
Material Brand Name
Thickness (inches)Thermal
Resistance(R Value) -
I hereby certify that the above inaulstibb iwss installed in the above building
in conformance'with the.SfAte of Calff6tnla En"arty Requirements.
"0 CA,
LOERKE INSULATION CO., INC
499150
F M NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
..October 13, 1993
SIGNAtURE OF INSTALL ON APPLICATOR DATE
TV,
I hereby certify the Ab6ve inattlatiati and all'tequired items as shown on .the
fluildi.og Department approved have been installed as'
required by .the *State of California gfidigy-Riiquitementsi'
All equipment, devices and materials Are of thequalityprescribed or are.
specifically approved1by the gtiti''%,of 'California.
ZI -9)
FIRM NAME/OWNER (Please print)- -STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF (IENERAL,005tRACTOR/OWNER ,,,;tif,.,.�;,, ]JATE
THIS ftRuinCATE MUST BE ON FILE WITH tfit WILDING DEPARTMENT PRIOR TO FINAL
INSPEC TiION. APPROVAL AM A COPY AlMt'ft POSTED WITHIN THE BUILDING
Januaryi984!
DWTOWT"E'.) E N It R.0111;019 I C A T I.0 14
85 Sunday ,Drive, _Berry . Creek, Ca,
A.P.LOCATION No.
DESCRIPTION
O#JNSULATION
ROOF
Material
Brand Name
Thickne-ss(inches)
141, Thermal Resistance (R Value)
EXTER16i'OALL
0'.
Mateieial FIBERGLASS BATTS
rdod Name OWENS-CORNING
Thftkhess(indhes)., 52.:'
,Thermal Resistance(R Value) g?l
CEILING
If
Batt or Blanket Type
Brand Name
Thkkndds(inches)
I . Thermal Resistance(R value)
Loos4l Fill Type FIBERGLASS.,
-Brand 'Name OWENS-CORNING
Minimum thickheag(Inchei).-
iNttmbot of Bags 35 Wt. per bag 35 lb,
Are4k cdvered(tt. 1:750--,-,-,,,--
4Thermal Resistance(R Value) R3
F Ott
LO ; ELEVATED
Matetioll.. FIBERGLASS BATTS,
#tabd Name OWENS-CORNING
Thi6kno6s (inchts)�,TherMal
Resistance(R Value) R19
FLOOR ISL17
Material
btihd Name
Thickness(inches)
Thermal Resistance(R Value)
Width(inchea)--
FOUNDATION WALL
Material Brand Name
Thickness (inches)Thermal
Resistance(R Value) -
I hereby certify that the above inaulstibb iwss installed in the above building
in conformance'with the.SfAte of Calff6tnla En"arty Requirements.
"0 CA,
LOERKE INSULATION CO., INC
499150
F M NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
..October 13, 1993
SIGNAtURE OF INSTALL ON APPLICATOR DATE
TV,
I hereby certify the Ab6ve inattlatiati and all'tequired items as shown on .the
fluildi.og Department approved have been installed as'
required by .the *State of California gfidigy-Riiquitementsi'
All equipment, devices and materials Are of thequalityprescribed or are.
specifically approved1by the gtiti''%,of 'California.
ZI -9)
FIRM NAME/OWNER (Please print)- -STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF (IENERAL,005tRACTOR/OWNER ,,,;tif,.,.�;,, ]JATE
THIS ftRuinCATE MUST BE ON FILE WITH tfit WILDING DEPARTMENT PRIOR TO FINAL
INSPEC TiION. APPROVAL AM A COPY AlMt'ft POSTED WITHIN THE BUILDING
Januaryi984!
COUNTY OF
BUTTE - DEPARTMENT
OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER
DRIVE - OROVILLE,
CALIFORNIA 95965 - TELEPHONE
(916)5387541
OWNER X12 re- vi
AQ' sC ri
A. P. NO.
PROPOSED ' BUILDING USE �@ to �� �/� DATE 411 z9�
REC. # DATE REC
/� -J
School District Fees /` n 1� /
S 3
(paid. at District Office) .. , ... _ . , �l 9
f2. Sheriff Fees
(paid at Building Department) /.
Residential ........... ��� =$ 14113q
unit amt.
Commercial(per sq.f t-.) X
sq.ft. amt.
3._ Urban --Area Fees.
(paid.at Building Department-
Residential
epartmentResidential (per-unit) X _$
# units amt..
Commerical(per- sq . f t-.) X =$
sq.ft. amt.
4. Recreation--District-Fees
�(paid
ecreation DistrictFees
(paid at -District -Office)
5. Drainage District Fees
(Contact Land Development) .
.6. Other
7. Other
At time' of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,,& MISC. ONLY)
OWNER
aha; ,._.........._ �_... �... _':.._—' `Aldg. Permit #
P. # -
Plan .Checker
GENERAL
f.Zoning
requirements: (sideyards and number
L
tion.
Pl-signed by designer.
Proper description of work on application.
Existing violations on property.
PLOT
of permit ed living units).
Items on data sheet. (W.C., fees, Health, Developer
Recorded notice of violation.
P
lete parcel size and dimensions.
acks, sideyards•, easements, etc.
r buildings or structures.
-ng, fills, drainage.
d hazard.ial conditions.oncreation map,.
ble, and foundations).
AU & FAS road setback.
8/91
Fees, L1 ease law, etc).
(noise, C ,_fire sprinklers,,''- n n,cbmb-
Building or utilities across lot lines (Record form): `
OOR PLAN
�: mplete to scale plan with dimensions.
required windows for light and ventilation (Sec..1205).
/Required windows for second exit .(Sec. 1204).
�kylights (Chapter 34 & Sec. 5207).
. �iuman impact glass (Sec. 5406).
/ Required room sizes„ ceiling heights (Sec. 1207).
_GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main=
1--tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
gas equipment.
D. Garage firewall, door size, and closer (Sec. 503(d)(3)).
r1 - 3'0" exterior exit door (sec. 3304 (f).
fireplace and wood stove location, alcoves, and clearance.
?.--`Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
51
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
' Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
Fireplace construction details and talcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
. Stud heights.
. Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS Tdi&K OUT FOR
Stairway details*:_, ,.,landings.,., tise and. run,. head clearance, handrails
ec. 3306). JJ''
• Guardrail details (Sec. 1711 & 3306(j).
• Brick or stone veneer (Chapter 30).
erior plaster - weep screeds (Sec. 4706).
P er rPgf;pitch for roof. convering (Chapter 32).
oof covering type - (fire hazard).
insulation - protection.
" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
o exits on three-story dwellings (sec. 3303 & see:,X,zannines - 1716).
tic access and ventilation (Sec. 3205). r
. U rf loor access and ventilation (Sec. 2516).
• Combustion air for fuel burning appliances - L.P.G. requirements.
Q pe requirements on duplexes. -F; no aao
rgy` design.
ing at all exterior openings. -.
.
OF responsible area requirements.
C-� j
4e Cr
a-
Doa
01
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
,
School District_ i�Q ion C
A.P. Number, Jurisdiction
Property Owner.
Property Locatic
C661 L1 AVW
Building Department No. �dao��aro�
aA tiI,NA®a
City County
Subdivison p.. Lot No.
Residential Development] Sq. Footage
No. of Living MHI Addition (.roup R)
Units
,____,.,...,.Commercial/Industrial
0 Sq. Footage
New ,." ' Addition
(Floor Plans reviewed by School District Personnel)
Date
District Identification No. 9007 1 2
l4%j� ol,� School District certifies that 4� aJA�
(Applicant)
(Including Exterior
Roofed Areas)
(Street Address) v (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ d a 4 y0
representing , g io square feet.
School District Representative'.. Date
Paid by Check Number �,� " Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Duality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92)
Return t DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL 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
93-014439'1
to
land or included within an area zoned
for
agricultural purposes, and residents
I
Recorded
of
this property may be subject to incon-
Official Records
veniences
or discomfort arising from the
County of
use
of agricultural chemicals, including,
but
not limited to herbicides, pesticides,
Butte
and
fertilizers; and from the pursuit
Candace J. Grubbs I
of
agricultural operations including,
Recorder
but
not limited to cultivate on lowir
1: 48pm 13 -Apr -93 1
ss-iaa3s �
Rec Fee 11.00
Check 11.00
PUBL XX- 3
_ , p g,
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.
All E1rat real :property'. -situate in.the, County of Butte, State of California, described as
follows:
SEE ATTACHED LEGAL DESCRIPTION
Date: 4/13/93
State of CA )
) SS
County of BUTTE )
• OFFICIAL SEAL
® ANGELA 0.MASTELOTTO
• t!OTARY PUBLIC -CALIFORNIA
o Principal Office in BUTTE County
® My Commission Expires SEPT. 14,19
o • e
c eu�ooeP >?F
APR 1 ; 1993
PROPERTY OWNERS:
On this the 13 day of APRIL , 19_23_, before me, the
undersigned Notary Public, personally appeared .
KAREN E. MADSEN****
Personally known to me. n Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) IS
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. (��j! I `T(,JV �V✓ ?� `.
-_ _,, i tary Public
93-14439
ORDER NO. BU -132876-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I•
PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON FEBRUARY 28, 1992, IN BOOK 125 OF MAPS, AT PAGE(S)
55, 56 AND 57.
RESERVING THEREFROM THOSE CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENTS
FOR ROAD AND PUBLIC UTILITY PURPOSES AS'SHOWN ON SAID PARCEL MAP.
ALSO RESERVING THEREFROM THOSE CERTAIN 60 FOOT RIGHT OF WAYS FOR
ROAD AND PUBLIC UTILITIES SHOWN AS BELL RANCH ROAD, AS SHOWN ON
SAID PARCEL MAP.
SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED
FEBRUARY 28, 1992, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-
8635.
PARCEL I -A-
A 60.00 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC
UTILITIES OVER BELL RANCH ROAD, AS SHOWN ON THAT CERTAIN PARCEL
MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF
MAPS, AT PAGE(S) 60, 61, 62, 63 AND 64.
PARCEL I -B-
A 60.00 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY
PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 60,
61, 62, 63 AND 64.
PARCEL I -C•
A NON-EXCLUSIVE EASEMENT 60 FEET IN WIDTH FOR ROAD AND PUBLIC
UTILITY PURPOSES, INCLUDING BUT NOT LIMITED TO EASEMENTS TO
PACIFIC GAS AND ELECTRIC COMPANY AND PACIFIC TELEPHONE AND
TELEGRAPH FOR SERVICES TO THE GENERAL PUBLIC, THE RIGHT FROM TIME
TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH GAS AND
ELECTRIC FACILITIES BOTH ABOVE GROUND AND UNDER GROUND, AS IT MAY
DEEM NECESSARY OVER, UNDER ABOVE AND WITHIN THE STRIP, AS SHOWN
ON PARCEL 3 OF THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF
THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON NOVEMBER 6,
1978 I.N BOOK 68 OF MAPS, AT PAGE 66.
CONTINUED
93-14439 3
_-._..............�.,.«....._.._.....,.�...-.,.......-.,�,�:a»>:n4,rea-tztmr,.•.xa .r��r.%lae�a;.ra'rr+tr „a;e -.... �Avxry=cv. -.. �.; •.:.. .��.:-... ...-..w.»,
ORDER NO. BU -132876-3
PARCEL I -D:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60
FEET IN WIDTH OVER BELL RANCH ROAD, LOCATED WITHIN THE EAST HALF
OF SECTION 71 TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M., AS
SAID ROAD IS SHOWN ON THAT CERTAIN RECORD OF SURVEY MAP, RECORDED
IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE,, STATE OF
CALIFORNIA, ON JUNE 221 1979 IN BOOK 69 OF MAPS, AT PAGE 80.
PARCEL I -E•
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES,
OVER A PORTION OF THE NORTHEAST QUARTER OF,SECTION 7, TOWNSHIP 20
NORTH, RANGE 5 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTHWEST CORNER OF SAID NORTHEAST QUARTER, AS
SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 151
1988, IN BOOK 111 OF MAPS, AT PAGE(S) 60, 61, 62, 63 AND 64, SAID
CORNER BEING'THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED
EASEMENT; THENCE NORTH 01 DEG. 20' 45" WEST, ALONG THE WEST LINE
OF SAID QUARTER, 67.90 FEET; THENCE NORTH 84 DEG. 01' 11" EAST,
LEAVING SAID WEST LINE, 97.23 FEET, TO A POINT ON THE CENTERLINE
OF THAT CERTAIN 60.00 FOOT WIDE EASEMENT AS DESCRIBED IN DEED
RECORDED UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-23547, AND
SHOWN ON SAID MAP; THENCE SOUTH 47 DEG. 00' 00" EAST, ALONG SAID
CENTERLINE, 97.03 FEET TO A POINT ON THE SOUTH LINE OF SAID
QUARTER; THENCE SOUTH 85 DEG. 55' 23" WEST, ALONG SAID SOUTH
LINE, 166.49 FEET, TO THE POINT OF BEGINNING.
rimnof CMUMENT
CERTIFICATE OF COMPLIANCE: RESIDENTIAL. Page 1 CF -1R
Project Title.......... Residence for Madsen Date........ 05/10/93
Protect Adure_ss........ Sunday Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone.............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
GENERAL INFORMATION
Conditioned Floor Area..... 1836 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 170 deg (S)
Number of Dwelling Units... 1
Number of Stories.......... 1
Floor Construction Type.... Raised Floor (Package E)
Component
Type
Wall
Door
Wall
Floor
Roof
BUILDING SHELL INSULATION
Insulation Assembly
R -value U -Value Location/Comments
CiQ_9� 0.062 FRONT, RIGHT, BACK, LEFT
R=„0 0.330 FRONT ENTRY, TO GARAGE
rfz-l§l 0.063 TO GARAGE
IR -19 0.037 TO CRAWLSPACE
R-30 0.031 FLAT CEILING
FENESTRATION
Over -
Area U- # of Interior Exterior hang/ Framing
Orientation (sf) Value Panes Shading Shading Fins Type
Window
Front
(S)
30.00.650
2
Drapes.Std
Window
Right
(E)
74.00.650
2
Drapes.Std
Door
Right
(E)
40.0'0.650
2
Drapes.Std
Window
Left
(W)
142.01/0.650
2
Drapes.Std
Door
Left
(W)
40.0-10.650
2
Drapes.Std
HVAC SYSTEMS
Minimum Duct
Equipment Type Efficiency Location
HPSplit.8HSPF `Crawlspace
HPSplit n .'0'0`SEERC Crawlspace
Bug Screen None
Bug Screen Yes
Bug Screen Yes
Bug Screen Yes`�,
Bug Screen Y`®
co
Ivy6rmofANOF
-` -�����back
-5.7 etback
Metal
Metal
Metal
Metal"
Metal
CERTIFICATE OF'COMPLIANCE:
RESIDENTIAL
Page 2
CF -1R
Project Title.......... Residence for Madsen
Date........
05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Tank Type
Storage
WATER HEATING SYSTEMS
Number Tank
in Energy Size
;Heater Type Distribution Type System Factor (gal)
�:07atPump Standard 1 3 EF 46.8
SPECIAL FEATURES/REMARKS
R-5.7 duct insulation required
R-19 floor insulation required
R-19 wall insulation required
R-30 ceiling insulation required
Dual -pane glazing U -value 0.65 acceptable until June 1993
STATE SSV521HP4 electric heat pump hot water heater
6
External
Insulation
R -value
R- 12
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title'.......... Residence for Madsen Date........ 05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM CF-1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features/
Remarks section.
Name....
Company.
Address.
Phone...
License.
Signed..
Name....
Title...
Agency..
Phone...
DESIGNER or OWNER
Ron Damberger Name....
Company.
240 Sunday Dr. Address.
Berry Creek, CA 95916
(916) 589-4761 Phone...
RAN Signed. .
ENFORCEMENT AGENCY
Signed..
(date)
DOCUMENTATION AUTHOR
Neal Kuopus
CALCTECH
Drawer G
Feather Falls, California
(916) 589-4219
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R
Project Title.......... Residence for Madsen Date........ 05/10/93
Project Address........' Sunday Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company................ CALCTECH
Telephone .............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone.,.......... 11
Building Permit
Plan Check Date
Field Check/ Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZllS92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
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 requirements listed
on the Certificate of Compliance. When this checklist 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 are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. 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.
MANDATORY MEASURES
CHECKLIST: RESIDENTIAL
Page 2
MF -1R
Project Title.......... Residence for Madsen
Date........
05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run -Proposed Residence
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(1): Setback thermostat on all applicable heating systems.
150(j): Pipe.and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping insulated between heating source and indirect
hot water tank.
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within_
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof.operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.).
LIGHTING MEASURES
Design- Enforce-
er . ment
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved.
COMPUTER METHOD SUMMARY Page 1 C -2R
Project Title.......... Residence for Madsen Date........ 05/10/93
Project Address........ Sunday Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company..... ......... CALCTECH
Telephone... ......... (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
MICROPAS4 ENERGY USE SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating..........
13.82
13.93
-0.11
Space Cooling..........
13.32
18.26
-4.94
Water Heating..........
12.48
6.26
6.22
Total
39.62
38.45
1.17
Zone Type
HOUSE
Residence
*** Building complies with Computer Performance ***
GENERAL INFORMATION
'Conditioned Floor Area.....
.Building Type ..............
.Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
,Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area .............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height.....
1836 sf
Single Family Detached
New
Front Facing 170 deg (S)
1
1
ReducedYear
Raised -Floor
1
14688 cf
1836 sf
1836 sf
0 sf
17.8 % of FA
8 ft
BUILDING ZONE INFORMATION
Floor # of
Area Volume Dwell Cond-
(sf) (cf) Units itioned
(Package E)
Vent Special
Thermostat Height Vent Area
Type (ft) (sf)
1836 14688 1.00 Yes Setback 2.0 n/a
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title.......... Residence for Madsen Date........ 05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
OPAQUE SURFACES
Area
U- Insul
Act
Solar
Form 3
Location/
Surface
(sf)
value R-val
Azm Tilt Gains
Reference
Comments
HOUSE
1
Wall
54
0.062 R-19
170
90 Yes
WM.19.2X6.16
FRONT
2
Door
20
0.330 R-0
170
90 Yes
None
FRONT ENTRY
3
Wall
150
0.063 R-19
170
90 No
GW.19.2X6.16
TO GARAGE
4
Door
18
0.330 R-0
170
90 No
None
TO GARAGE
5
Wall
318
0.062 R-19
80
90 Yes
WM.19.2X6.16
RIGHT
6
Wall
272
0.062 R-19
350
90 Yes
WM.19.2X6.16
BACK
7
Wall
250
0.062 R-19
260
90 Yes
WM.19.2X6.16
LEFT
8
Floor
1836
0.037 R-19
0
0 No
FC.19.2X6.16
TO CRAWLSPACE
9
Roof
1836
0.031 R-30
0
0 Yes
R.30.2X4.24
FLAT CEILING
FENESTRATION
SURFACES
SC
SC Interior
Area
# of
Frame
Open
U- Act
Glass
Int Shade
Surface
(sf)
Panes Type
Type
value Azm
Tilt
Only
Shade Description
HOUSE
1
Window
30.0
2
Metal
Slider
0.65 170
90
0.88
0.78 Drapes.Std
2
Window
6.0
2
Metal
Slider
0.65 80
90
0.88
0.78 Drapes.Std
3
Window
40.0
2
Metal
Slider
0.65 80
90
0.88
0.78 Drapes.Std
4
Door
40.0
2
Metal
Slider
0.65. 80
90
0.88
0.78 Drapes.Std
5
Window
4.0
2
Metal
Slider
0.65 80
90
0.88
0.78 Drapes.Std
6
Window
24.0
2
Metal
Slider
0.65 80
90
0.88
0.78 Drapes.Std
7
Window
25.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std
8
Window
25.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std .
9
Window
12.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std
10
Window
20.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std
11
Window
30.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std
12
Door
40.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std
13
Window
30.0
2
Metal
Slider
0.65 260
90
0.88
0.78 Drapes.Std
f
3 �fo
OVERHANGS AND SIDE FINS
Window- Overhang
Left Fin
Right Fin -
Area
Left Rght
Surface
(sf)
Hght
Wdth Dpth Hght
Ext Ext
Ext
Dpth
Hght Ext Dpth Hght
HOUSE
2
Window
6.0
2
3 2
0.7
27 48
n/a
n/a
n/a n/a n/a n/a
3
Window
40.0
5
8 2
0.7
35 35
n/a
n/a
n/a n/a n/a n/a
4
Door
40.0
6.7
6 2
0.7
49 23
n/a
n/a
n/a n/a n/a n/a
5
Window
4.0
1
4 2
0
58 17
n/a
n/a
n/a n/a n/a n/a
6
Window
24.0
4
6 2
0.7
66 6
n/a
n/a
n/a n/a n/a n/a
7
Window
25.0
5
5 2
0.7
1.5 47.5
n/a
n/a
n/a n/a n/a n/a
8
Window
25.0
5
5 2
0.7
9 39.5
n/a
n/a
n/a n/a n/a n/a
9
Window
12.0
3
4 2
0.7
19.5 30.5
n/a
n/a
n/a n/a n/a n/a
10
Window
20.0
5
4 2
0.7
25.5 24.5
n/a
n/a
n/a n/a n/a n/a
11
Window
30.0
5
6 2
0.7
31.5 16.5
n/a
n/a
n/a n/a n/a n/a
12
Door.
40.0
6.7
6 2
0.7
39 9
n/a
n/a
n/a n/a n/a n/a
13
Window
30.0
5
6 2
0.7
46.5 1.5
n/a
n/a
n/a n/a n/a n/a
COMPUTER METHOD SUMMARY_
y
Page 3
C -2R
Project Title..........
Residence for Madsen
Date........
05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Surface
EXTERIOR SHADING
Area Shading SC of
(sf) Type Ext Shade
HOUSE
Number
Tank
External
1
Window
30.0
Bug
Screen
0.84
2
Window
6.0
Bug
Screen
0.84
3
Window
40.0
Bug
Screen
0.84
4
Door
40.0
Bug
Screen
0.84
5
Window
4.0
Bug
Screen
0.84
6
Window
24.0
Bug
Screen
0.84
7
Window
25.0
Bug
Screen
0.84
8
Window
25.0
Bug
Screen
0.84
9
Window
12.0
Bug
Screen
0.84
10
Window
20.0
Bug
Screen
0.84
11
Window
30.0
Bug
Screen
0.84
12
Door
40.0
Bug
Screen
0.84
13
Window
30.0
Bug
Screen
0.84
HVAC SYSTEMS
System Type
HOUSE
HPSplit
HPSplit
Minimum Duct
Efficiency Location
6.8 HSPF Crawlspace
10.00 SEER Crawlspace
WATER HEATING SYSTEMS
Duct Duct
R -value Efficiency
R-5.7 0.837
R-5.7 0.867
Number
Tank
External
in
Energy
Size
Insulation
Tank Type Heater Type Distribution Type
System
Factor
(gal)
R -value
1 Storage HeatPump Standard
1
3
46.8
R-12
SPECIAL FEATURES/REMARKS
R-5.7 duct insulation required
'
R-19 floor insulation required
R-19 wall insulation required
R-30 ceiling insulation required
Dual -pane glazing U -value 0.65 acceptable until June
1993
STATE SSV521HP4 electric heat pump hot water
heater
CONSTRUCTION ASSEMBLY ' Page 1 3R
Project Title'.......... Residence for Madsen Date........ 05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . WM.19.2X6.16
Description .... Wall R-19 2x6 16oc
Type ........... Wall
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Cavity
Frame
Name
Description
R -Value
R -Value
0.
FILM.EXI
Exterior air film: winter value
0.17
0.17
1.
PART.BD.0.63
0.625 in particle board
0.82
0.82
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3c.
BATT.R19
R-19 batt insul (cavity = 5.5 in)
17.80
--
3f.
FIR.2X6
2x6 in fir framing
--
5.45
4.
GYP.0.50
0.50 in gypsum or plaster board
0.45
0.45
I.
FILM.IN.WLL
Inside air film: heat sideways
0.68
0.68
Total Unadjusted R -Values
19.98
7.62
FRAMING
ADJUSTMENT
CALCULATION
Cavity Framing
Total
U -Value:
(1 / 19.98 x 0.85) + (1 / 7.62 x 0.15) =
0.062 Btuh/sf-F
Total
R -Value:
1 / 0.062 =
16.07 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 2 3R
Project Title.......... Residence for Madsen Date........ 05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
;User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . GW.19.2X6.16
Description .... Wall R-19 2x6 16oc
Type ........... Wall
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of. Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Cavity
Frame
Name,
Description
R -Value
R -Value
0.
FILM.EX
Exterior air film: winter value
0.17
0.17
1.
GYP.01.63.
0.625 in gypsum or plaster board
0.62
0.62
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3c.
BATT.R19
R-19 batt insul (cavity = 5.5 in)
17.80
--
3f.
FIR.2X6
2x6 in fir framing
--
5.45
4.
GYP.0.50
0.50 in gypsum or plaster board
0.45
0.45
I.
FILM.IN.WLL
Inside air film: heat sideways
0.68
0.68
Total Unadjusted R -Values 19.78
7.•42
FRAMING
ADJUSTMENT
CALCULATION
Cavity Framing
Total
U -Value: (1 / 19.78 x 0.85) + (1 / 7.42 x 0.15) =
0.063 Btuh/sf-F
Total
R -Value:
1 / 0.063 =
15.83 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 3 3R
Project Title:......... Residence for Madsen Date........ 05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . FC.19.2X6.16
Description .... Floor Crwl R-19 2x6 16oc
Type ........... Floor
R -Value ........ 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.10
Sketch of Construction Assembly
t
LIST OF CONSTRUCTION COMPONENTS
Material
Dame Description
0. FILM..EX; Exterior air film: winter value
1. CRAWLSPACE Effective R -value of vented crawlspace
2c. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in)
2f. FIR.2X6 2x6 in fir framing
3. PLY.0.75 0.75 in plywood
4. CARPET Carpet & pad
I. FILM.IN.FLR Inside air film: heat flow down
Total Unadjusted R -Values
FRAMING ADJUSTMENT CALCULATION
Cavity Framing
Cavity Frame
R -Value R -Value
U.17
6.00
19.00
0.93
2:08
0.92
29.10
Total
U -Value: (1'/ 29.10 x 0.90) + (1 / 15.55 x 0.10) = 0.037 Btuh/sf-F
Total R -Value: 1 / 0.037 = 26.77 sf-F/Btuh
U.17
6.00
5.45
0.93
2.08,
0.92
15.55
CONSTRUCTION ASSEMBLY Page 4 3R
Project Title.......... Residence for Madsen Date........ 05/10/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
1 User#-MP1320 User-CALCTECH Run -Proposed Residence
Reference Name . R.30.2X4.24
Description .... Roof R-30 2x4 24oc
Type ........... Roof
R -Value ........ 30 sf-F/Btuh
Framing
Material ..... FIR.2X4
Spacing ...... 24 inches on center
Fraction ..... 0.07
Sketch of. Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
Cavity Frame
R -Value R -Value
0:
FILM.EX ;
Exterior air film: winter value
0.17
0.17
1.
SHNGL.ASPHLT
Asphault shingle roofing
0.44
0.44
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3.
PLY.O.50'
0.50 in plywood
0.62
0.62
4.
AIR.RF.3.50
3.5 in & greater air space: heat flow up
0.80
0.80
5.
BATT.R19'.0
R-19 batt insul (cavity > 5.5 in)
19.00
19.00
6c.
BATT..Rll
R-11 batt insul (cavity = 3.5 in)
11.00
--
6f.
FIR.2X4
2x4 in fir framing
--
3.46
7.
GYP.C.63'
0.625 in gypsum or plaster board
0.62
0.62
I.
FILM.IN.RF
Inside air film: heat flow straight up
0.61
0.61
FRAMING ADJUSTMENT CALCULATION
Cavity
U -Value: (1 /
Total R -Value:
Total Unadjusted R -Values 33.32 25.79
Framing
Total
33.32 x 0.93) + (1 / 25.79 x 0.07) = 0.031 Btuh/sf-F
1 / 0.031 = 32.65 sf-F/Btuh
HVAC SIZING Page 1 HVAC
Project Title.......... Residence for Madsen Date........ 05/10/93
d
Project Address........ Sun ay Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company................. CALCTECH
Telephone............... (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -HVAC SIZING
User#-MP1320 User-CALCTECH Run -Proposed Residence
GENERAL INFORMATION
Floor Area ................. 1836 sf
Volume.. ............ 14688 cf
Front Orientation.......... Front Facing
Sizing Location............ OROVILLE RS
Latitude... ......... 39.5 degrees
Winter Outside Design...... 30 F
Winter Inside Design....... 70 F
Summer Outside Design...... 104 F
Summer Inside Design....... 78 F
Summer Range..... ..... 37 F
Interior Shading Used No
Exterior Shading Used...... No
Overhang Shading Used...... No
Latent Load Fraction....... 0.20
Description
HEATING AND COOLING LOAD SUMMARY
170 deg (S)
Heating Cooling
(Btuh) (Btuh)
Opaque Conduction and Solar...... 8096 4307
Glazing Conduction ............... 8476 5509
Glazing Solar .................... n/a 17293
Infiltration ..................... 8355 3430
Internal Gain .................... n/a 1875
Ducts ............................ 2493 1621
Sensible Load ....................
LatentLoad ......................
27419
n/a
34035
Minimum Total Load 27419 40842
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant. design factors such as air flow
requirements, outdoor design temperatures, coil sizing, availability of
equipment, oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
5�
RESIDENTIAL
061-48-0-057 93-3368 B
MADSEN , KAREN,,
85 SUNDAY DR,IBERRY CREEK
1 CONTR: DAMBERGER CONST
1 EXTEND DECK/SF
V=OK
O = Not OK
Not = Not Ready MOBILE
MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s
-1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Locatlon-Test-Fall-C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Nat. or/ P'L" ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials 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
S. 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
MISCELLANEOUS
Date/Initial DEC COVERS CARPORTS GARAGES Plana OK except #'a
g Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
" cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftrs-Connectors
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. Rogpsjhthg-Roofing
xt.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane lboards- Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/Initials PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties- Puri ln'--roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector-'•
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kiffixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/0 to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
J,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive'- Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION ANO PERMIT -a�Mg
ASSESSOR PARCEL NUMBER 061-480-057
ZONING -�U
BUILDING PERMIT
kt-.
OWNER
KAREN MADSEN
TELEPHONE
SQ, FT, OCC. BUILDING VALUATWh
OWNER'S MAILING ADDRESS
TI
89 STINDAY DR BEER
158 0
CONTRACTOR'S NAME
T
I TELEPHONE
CONTRACTOR'S MAILING ADDRESS
916
Fireplace
CONSTRUCTION LENDER
UNIW WN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
2-300
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 85 SUNDAY DR BERRY CREEK
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New Q Addition ElRemodel ❑ Utilities 1:1Installation ❑ Other ❑
Describe Work: EXTEND DECK AREA
PERMIT FEE g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 'OVOR LESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING CCUP.
OR ADDNS. ( & ACC. BLOS. )
3.50 FST0..
CONTRACTORS LICENSE LAW
I decl a under penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Cod and m license is in full force d effect.
License No. `3 I Classification JJJ -1
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
1:11 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESID. I BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20AL. @ H.00
Ex. Occu FIXED APINS. OR
p' ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
fafhave placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X R,�_ Date 10-11-93
Signature of Applicant - ❑ Clwner CrContractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 72.00
11
HA2•
D. FEES
I IMP
I FLOOD CDF
PARCEL I PD
VD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated abWe for which fees have been paid.
al:RTET OR F BLIC WORKS
By ate
PERMIT EXPIRES ON
(Dere)
Receipt 153210
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
- DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA -P (9T61i91-2751
7 County-Center Drive, Oroville, CA - (916) 538-7541
747 ElliottRoad, Paradise, CA - (9.16) 872-6307 ,
CORRECTION NOTICE
r
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify thistoffice when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. =+
c Z�—
V( p 1
%_q
S
-i
Date Inspector
REV 10/6
'Fht'#'lX•�[})i.'�1-v�`l.4G�.:o.st�G��a:;�,s>�-:.
r
COUN. YOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
1r
7 COUNTY CENTER DRIVE - OROVILLE, CALI$ RNIAr95965 = TELEPHONE (916) 538-7541 ,
PERMIT APP,LICATIONDATASHEET ;1V
OWNER - / A P. C/ �"" � G
Proposed Building Usel Building Inspector Date
At time of permit application, I was advised the followingT�data must be submitted prior to permit processing and/or issuance:
f)� DATE RECEIVED BY
�-AII items h e been submitted. ~.... KS
2� lans4 sets, signed by prepar
Plot per of plans. .... ..... a ...... ?
3, Complete pans, 3/4 sets, signed by -preparer of plans.
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ' . r ... .. ...................................-
6. Energy Design Compliance and supporting documentation . .......... ...... .
7. Statement of Intent for Non -Heated and A/C Buildings. ........... .
8. Engineered truss details and layout in duplicate (required prior to plan the k). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $........................................ -'
11. Impact fees as shown on attached schedule. ..
12. California Department of ForestryIan a rova ees.
3- Flood elevation letter (100 year flood) by California ngineer. ..................
Sanitation and plot plan approval Health Department . ............ / /�-
15. City of Chico plumbing permit . .......................... ........... .
16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy).. .
20. Pre -inspection for required. .. ;e"Id g nspecboA �
(Date)
21. Contractor's license information. (No., Name Style, Classification) .............. .
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road...... 4.
27. Letter of intent on building use. ........................................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access. .....................
30. Documentation of 50% subdivision developed or (A) Road improvements completed i
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ......................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and -hold for pickup at office. _ Deliver with inspector.
Other
Parcel Creation
Acreage Applicant ate
Copy of Haz-Mat form sent Health Dept. Fire Dept. _� Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. 9iher Date By
The following data must be submitted prior to permit
1. Index permit for above items No.
2. Additional items required:
new item not checked above).
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 _ mail Counter by _ Date
Plans checked by Date Plans approved by DateZ,/}
L`'�
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
CogtA'D Opve
p PT
� 1993
F.11.IIsFt)\I. f�
I'Ld ITm Attached _
I Inar ITm Atuched _
Sent to IS. U.
AP//
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dr
Hold Final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
&"MWIMMAMMA j.
�Iwvxl- �mm I
I
611
L loll
tA
------------------
I
611
q3
RESIDENTIAL
061-480-057 PERM # -2486
MADSEN, KAREN
85 SUNDAY DR.; BERRY CREEK
I CONT: RE DAMBERGER
ADD COVERED DECK/ SF
JOB FINALED (Date)
Signature
V= OK
O=Not OK
-=Not Applicable
=Not Ready "MOBILE HOMES
'
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Locatlon-Test-Fell-C/0 Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials 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 -Fell -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DEC COVERS CARPORTS GARAGES, Plans OK except #'s
Jit'gAing Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. cks; Graders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts-Beams-Rftrs.-Connectors
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/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead 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
V=OK
O=Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd./ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nall Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Mein Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMINW(Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Wells -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instid.; Drive ❑ Yes ❑ No; Walks Cl Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califorgia 951965 - Telephone (916) 538-7541 PERMIT NO
` APPLICATION AND PERMIT q _.2
ASSESSOR PARCEL NUMBER 61-480-057
ZONING U
BUILDING PERMIT
OWNER
KAREN MADSEN
TELEPHONE
589-5427
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 85 SUNDAY DR BERRY CREEK
1112 7 11. 00
CONTRACTOR'S NAME
RE DAMBERGER
TE
589-4761
CONTRACTOR'S MAILING ADDRESS
240 SUNDAY DR BERRY CREEK
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE N0.
Plan Checking Fee $
21 09
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 85 SUNDAY DR
PERMIT FEE $
64.00
BERRY CREEK
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: COVER DECK RE #93-3368
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceBOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST.(DWELLING OCCUP.
OR ADDNS. & ACC. BLOS. )
SO.
3.5C FT.
CONTRACTORS LICENSE LAW
I dec re under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Cod a m license is in full forced effect.
License No. Classification
❑ I, as the owner, or my employees with wages asTheir sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWINER APPARATUS
& )
SGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.00000
Ex. Occup.FIXED (REST .OR
(OUTLETS IRESID.1 EA. )
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ Zhis permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation L '
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
in con ence of the granting of this permit.
i
Date 1p ^
Signature of Applicant - ❑ OwnerContractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
QQ
HAZ.
I D. FEES
I IMP
I FLOOD
1 C4 PARCEL PD
'�"
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" b =�
PERMIT EXPIRES ON
lOet
Receipt No.167558
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. .rr• c .... _ ' -.. Y' .. t -/ r .n .. .h n •ar..., .... .r r^"3.F .h_'w.Y v.l �:K'Z.' +•h"r•S'r• vi., 1"�-r z�... "sr....,. -.---ti .a. r t
f er' •.,y..Y..
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMITAPPLICTION DATASHEET j
OWNER
s
Proposed Building Use
Building Inspector
A. P, N9.
At timL
of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1" All items have been submitted . .............. .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $........................................ .
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ..................
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Pre -Inspection request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access. _ '--
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. d/" Mail to contractor.
Tel phone and hold for pickup at office. Deliver with inspector.
Otl-er
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index pe7mit for above items No.
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 _ mail Counter by _ Date
Plans checked by Date Plans approved by Datea;�2W
Sats of plans on hold in File cabinet AP folder
Copy - Department of Public Works
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LATTIC.0 'DCT, -i IL- Fog- P-avivcz
DC -CK PLA4 SRH iT 93-3316e
OW ntCp— - K/A►2rN MADSCt,'J
Conrr'RACTolt.'R,L- .DAM4frw-& a*-Co4ST,
3g18117
ProWde $
axto NAIL -FIS yXy PoSrS . TAAD"&N DEeK- _
J i�99
This set Of plans and s
kept on t. �s job Gi a!! ti pecif�a��ons MUST be
make ally mes and it is unlawful to
written yliange `'' "!'` ; atiorw on same without
permission from the Department of Public
Works, County Of Butie.
NOTE:—All I\ozateria Is & Workmanship Sha I Be in
Accordance tavith Recognized (:;ood Practices and
of a quality prescribed for Ow Suecified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
= OK
O = Not OK
- = Not Applicable
Not Ready MOBILE HOMES
' =
Date/Initials 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 -Teat -Wrap: / /"L"ft.
/ /"Net. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectore-Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftre: Connectors
Shthg -Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8.' Frmg; Sils-Anchors-Studs-Rftre-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials 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 •
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plana) OK except M's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/Initials PLUMBING (Permit) OK except M's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas iiPipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except 8'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except q's
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except q's
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baff lea
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Collings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plana) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone: 38- 41
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
061-480-057
ZONING
U I
BUILDING PERMIT
OWNER
Karen Madsen
TELEPHONE
589-5427
SO. FT. OCC. BUILDING VALUATION
1 836 @ 1.60 2,937.00
OWNER'S MAILING ADDRESS
P.O. Box 207 Berry Creek 95916
CONTRACTOR'S NAME
Hi hes Fire Protection
TELEPHONE
893-0110
CONTRA TOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2,937.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$82,50
PLUMBING PERMIT
Filing Fee 15.00
R9 qiindng Dr, Berry Creek
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 [J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition U Remodel ❑ Uti lities ❑ Installation❑ Other [N
Describe work: Fire Sprinklers
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 20CATOI000AI
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I 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)
02"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 AODNS. ACC. BLOGS.
_37.50
3.64sq.ft.
NEW CONST_ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5,00
POWER APPARATUS h\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20 764
FIXED
Ex. Occup. OUTLETS P(RESID )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin 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
I Consent to Self -Insure.
II 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 tris permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Perrnit 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
a said Co in con equence of the granting of this permit
X Date v /7/93
Signature of Applicant— Owns Contractor ❑ Agent
An OSHA permit is required for exc vations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
�1
CONST TYPE
'�'—'
TOTAL FEE
$ 82,50
HAz
I DFEES I
--
IMP
I FLOOD
---
I CDF
—
PARCEL
-,
PO
--
HD
--
S E
This permit is hereby issued under the
sions of the Butte Count de and/or
work indicate abo or hich fees
R FP
PUBLIC
By
PER I- EXPIR S Date
applicable provi-
resolutions to do
have been paid.
WORKS
ate
Z
11
Receipt No. 141345 -- c
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
A .
COUNTY OF BUTTE -DEPARTMENT F D V O� PMENTSERV - UILDING DIVISION
7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEP (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
OWNER Ae t.1 A. P. No. 196/- O
Proposed Building Use ('re_ .S ij CC 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 BY
1.
2.
3,
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . .........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans,/ sets, signed by preparer of plans . ....................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
Hazardous Material Form . ..................... .
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ... .
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $.........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees.........................
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit . ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. .. ... .
Pre -ins eCtlOn for Pre -Inspection request
p required. . to Building Inspector. (Date)
Contractor's license information. (No., Name Style, Classification). `............. .
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _)............
Recorded copy of Agricultural Acknowledgement Statement . .................
Letter of signature authorization.........................................�
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .......................................................
When you issue the permit, rocess as follows: Mail to owner. Mail to contractor.
_i Telephone and hold for pickup at 04& office. Deliver with inspector.
Other s 9-6-Tpa
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou t _ Date
Plans checked by Date Plans approved by Date 2
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
I
)
} L\ /i � l � 1. J •i - � � I a \ � '
�
\ - �Buttg County De\pt ' °-� \ '/ `' '\
,Building . \'•(-. ; - -
i f
1
7,+County Drive
\ i OrovilIe., Ca.' 95965'(
Attn: Building" Dept:
�TKaren Madsen authorizes Ron'ald.Dambexger to�sign,buiLding
_ I permit for .�f ire sprinkler,.
' �$incerely�`,
Karen M•d's,en' ,, + r\ " y ; '
` � \ 1 r' / � -i / r4 1 it � .. 1 ;
♦ � 1 ,. \
ri
� l
1
i
Lj
i
-i
� �,lr / 1, i I ✓ 1 � t f��l � Y _ ♦ /-� ,•\-\ �
r
Butte County Building, Dept., t j \ p
; \
7 Courity tDriv6S
Orovi.l- Ca.,959;65
;1
At ; 'Building \Dept . • , 1; I ; ` /
%I`Karen-Madse'n .authorizes Ronald,,D•amberge;r�,to, si�gn� builing'
`d
permit `,for fire +-sprinkler.
v Sincyferel
/
\ �\ /caves/cam � ✓ , Y r!. •
/ .�� •'� � �_/ � /� %111/ ` 1 �+ t i % � t�` ` , ` - � I r\ ,' il/ / I'.
"Karen Madsen-
v�
r-
/ , 1 /A ' 1 '
\ l� V
\
` Butte.\County Building Dept,.
i,7 County Drive
1
_ OrovilIL- Ca. '9596,5
'Attn: Building Dept-..
v Karen Madsen atuthorizes Ronald .Damberger to; sign building,-.
permit --for fire 'sprink/lery�
Sincerely, y� ,�� , / �_ �;
\
'` �,• ti
t la /.
c� \
IN
- Karen
r , .Madsen
i �
i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL - Page 1 CF -1R
Project Title.......... Residence for Madsen Date........ 08/23/93
Project Address........ Sunday Dr.
Berry Creek
Documentation Author... Neal Kuopus Building Permit
Company ................ CALCTECH
Telephone .............. (916) 589-4219 Plan Check Date
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........ . 11
Field Check/ Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Stories..........
Floor Construction Type....
Component
Type
1836 sf
Single Family Detached
New
Front Facing 170 deg (S)
1
1
Raised Floor (Package E)
BUILDING SHELL INSULATION
Insulation Assembly
R -value U -Value Location/Comments
Wall R-21 0.057 FRONT, TO GARAGE, RIGHT, BACK, LEFT
Door R-0 0.330 FRONT ENTRY, TO GARAGE
Floor R-19 0.037 TO CRAWLSPACE
Roof R-38 0.025 FLAT CEILING
Wall R-21 0.060 TO ATTIC
FENESTRATION
Over -
Area U- # of Interior Exterior hang/ Framing
Orientation (sf) Value Panes Shading Shading Fins Type
Window Front (S) 30.0 0.510 2 Drapes.Std None None Vinyl
Window Right (E) 74.0 0.510 2 Drapes.Std None Yes Vinyl
Door Right (E) 40.0 0.510 2 Drapes.Std None Yes Vinyl
Window Left (W) 142.0 0.510 2 Drapes.Std None Yes Vinyl
Door Left (W) 40.0 0.510 2 Drapes.Std None Yes Vinyl
Skylight Horz 4.0 0.510 2 None None None Wood
HVAC SYSTEMS
Minimum Duct Duct Thermostat
Equipment Type Efficiency Location R -value .'Type
HPSplit 9.4 HSPF Crawlspace R-4.2 Setback
HPSplit 15.05 SEER Crawlspac,. R-4.2 Setback
�''
PISCOUNTY OF BUTT
BUILDING DEPT
�i
d
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 2
CF -1R
Project Title.......... Residence for Madsen
Date..:.....
08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
WATER HEATING SYSTEMS
Number
in Energy
Tank Type Heater Type Distribution Type System Factor
Storage, HeatPump Standard 1 1.9 EF
SPECIAL FEATURES/REMARKS
R-4.2 duct 'insulation required
R-19 floor insulation required
R-21 wall, insulation required per Form _3s
R-38 ceiling',insulation required per Form 3
Viking 8000 series vinyl frame with clear & clear glazing
STATE 850 SS8-52-1AHP electric heat pump hot .water heater
TRANE XV 1500 Variable Speed Weathertron Heat Pump
HP OUTDOOR UNIT: TRANE TWX748A100A
HP AIR HANDLER: TRANE TWV064E15-C
HP.9.4.SPLIT: 9.40 HSPF at 43500 Btu/hr.
HP.15.SPLIT: 15.05 SEER at 48000 Btu/hr.
t
Tank External
Size Insulation
(gal) R -value
46.8 R- 16.
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 3
CF -1R
Project Title.......... IResidence for_Madsen
Date........
08/23/93
MIC'R_OPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California. Code of Regulations, and the administrative regulations to
implementthem. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features/
Remarks section.
DESIGNER or OWNER
Name.... Ron Damberger
Company.
Address. 240 Sunday Dr.
Berry Creek, CA 95916
Phone... (916 589-4761
License. C
Signed..
ate)
ENFORCEMENT AGENCY
Name....
Title...
Agency..
Phone...
Signed..
(date)
DOCUMENTATION AUTHOR
Name.... Neal Kuopus
Company. CALCTECH
Address. Drawer G
Feather Falls, California
Phone... (916) 589-4219
.A
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R
Project Title.......... Residence for Madsen Date........ 08/23/93
Project Address........ Sunday Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company.. .............. CALCTECH
Telephone .............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Building Permit
Plan Check 7 Date
Field Check/ Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
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 requirements listed
on the Certificate of Compliance. When this checklist 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 are shown elsewhere in the documents or on this. checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. 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.
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R
Project Title.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(1): Setback thermostat on all applicable heating systems.
150(j): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping'insulated between heating source and indirect
hot water tank.
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.).
LIGHTING MEASURES
Design- Enforce-
er ment
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved.
COMPUTER METHOD SUMMARY Page 1 C -2R
Project Title.......... Residence for Madsen Date........ 08/23/93
Project Address........ Sunday Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone... ............. (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
MICROPAS4 ENERGY USE SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating..........
13.86
8.63
5.23
Space Cooling..........
13.35
10.80
2.55
,Water Heating..........
12.48
10.03
2.45
Total
39.69
29.46
10.23
*** Building complies with Computer Performance ***
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area .............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height.....
1836 sf
Single Family Detached
New
Front Facing 170 deg (S)
1
1
ReducedYear
Raised Floor (Package E)
1
14688 cf
1836 sf
1836 sf
0 sf
18 % of FA
8 ft
BUILDING ZONE INFORMATION
Floor
# of
Vent
Special
Area
Volume Dwell Cond- Thermostat
Height
Vent Area
Zone Type (sf)
(cf) Units itioned Type
(ft)
(sf)
HOUSE
Residence 1836
14688 1.00 Yes Setback
2.0
n/a
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM C -2R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
OPAQUE SURFACES
Area
U- Insul
Act
Solar
Form 3 Location/
Surface
(sf)
value R-val
Azm Tilt Gains
Reference Comments
HOUSE
1
Wall
54
0.057 R-21
170
90 Yes
WM.21.2X6.16 FRONT
2
Door
20
0.330 R-0
170
90 Yes
None
FRONT ENTRY
3
Wall
150
0.057 R-21
170
90 No
WG.21.2X6.16 TO GARAGE
4
Door
18
0.330 R-0
170
90 No
None
TO GARAGE
5
Wall
318
0.057 R-21
80
90 Yes
WM.21.2X6.16 RIGHT
6
Wall
272
0.057 R-21
350
90 Yes
WM.21.2X6.16 BACK
7
Wall
250
0.057 R-21
260
90 Yes
WM.21.2X6.16 LEFT
8
Floor
1836
0.037 R-19
0
0 No
FC.19.2X6.16 TO CRAWLSPACE
9
Roof
1832
0.025 R-38
0
0 Yes
R.38.2X4.24 FLAT CEILING
10
Wall
16
0.060 R-21
170
90 Yes
WA.21.2X6.16 TO ATTIC
FENESTRATION
SURFACES
SC Sc Interior
Area
# of
Frame
Open
U- Act
Glass Int Shade
Surface
(sf)
Panes
Type
Type
value Azm
Tilt
Only Shade Description
HOUSE
1
Window
30.0
2
Vinyl
Slider
0.51 170
90
0.88 0.78 Drapes.Std
2
Window
6.0
2
Vinyl
Slider
0.51 80
90
0.88 0.78 Drapes.Std
3
Window
40.0
2
Vinyl
Slider
0.51 80
90
0.88 0.78 Drapes.Std
4
Door
40.0
2
Vinyl
Slider
0.51 80
90
0.88 0.78 Drapes.Std
5
Window
4.0
2
Vinyl
Slider
0.51 80
90
0.88 0.78 Drapes.Std
6
Window
24.0
2
Vinyl
Slider
0.51 80
90
0.88 0.78 Drapes.Std
7
Window
25.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
8
Window
25.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
9
Window
12.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
10
Window
20.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
11
Window
30.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
12
Door
40.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
13
Window
30.0
2
Vinyl
Slider
0.51 260
90
0.88 0.78 Drapes.Std
14
Skylight
4.0
2
Wood
Fixed
0.51 170
0
0.88 0.88 None
OVERHANGS AND SIDE FINS
Window- Overhang
Left Fin Right Fin -
Area
Left Rght
Surface
(sf)
Hght
Wdth Dpth Hght
Ext Ext
Ext
Dpth Hght Ext Dpth Hght
HOUSE
2
Window
6.0
2
3 2
0.7
27 48
n/a
n/a n/a n/a n/a n/a
3
Window
40.0
5
8 2
0.7
35 35
n/a
n/a n/a n/a n/a n/a
4
Door
40.0
6.7
6 2
0.7
49 23
n/a
n/a n/a n/a n/a n/a
5
Window
4.0
1
4 2
0
58 17
n/a
n/a n/a n/a n/a n/a
6
Window
24.0
4
6 2
0.7
66 6
n/a
n/a n/a n/a n/a n/a
7
Window
25.0
5
5 2
0.7
1.5 47.5
n/a
n/a n/a n/a n/a n/a
8
Window
25.0
5
5 2
0.7
9 39.5
n/a
n/a n/a n/a n/a n/a
9
Window
12.0
3
4 2
0.7
19.530.5
n/a
n/a n/a n/a n/a n/a
10
Window
20.0
5
4 2
0.7
25.5 24.5
n/a
n/a n/a n/a n/a n/a
11
Window
30.0
5
6 2
0.7
31.5 16.5
n/a
n/a n/a n/a n/a n/a
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM C -2R
" User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
OVERHANGS AND SIDE FINS
Window— Overhang Left Fin Right Fin—
Area Left Rght
Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght
12 Door 40.0 6.7 6 2 0.7 39 9 n/a n/a n/a n/a n/a n/a
13 Window 30.0 5 6 2 0.7 46.5 1.5 n/a n/a n/a n/a n/a n/a
HVAC SYSTEMS
Minimum Duct Duct Duct
System Type Efficiency Location R -value Efficiency
HOUSE
HPSplit 9.4 HSPF Crawlspace R-4.2 0.830
HPSplit 15.05 SEER Crawlspace R-4.2 0.860
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
1 Storage HeatPump Standard 1 1.9 46.8 R-16.7
SPECIAL FEATURES/REMARKS
R-4.2 duct insulation required
R-19 floor insulation required
R-21 wall insulation required per Form 3s
R-38 ceiling insulation required per Form 3
Viking 8000 series vinyl frame with clear & clear glazing
STATE 850 SS8-52-1AHP electric heat pump hot water heater
TRANE XV 1500 Variable Speed Weathertron Heat Pump
HP OUTDOOR UNIT: TRANE TWX748A100A
HP AIR HANDLER: TRANE TWV064E15-C
HP.9.4.SPLIT: 9.40 HSPF at 43500 Btu/hr.
HP.15.SPLIT: 15.05 SEER at 48000 Btu/hr.
CONSTRUCTION ASSEMBLY Page 1 3R
Project T.itle.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
Reference Name . WM.21.2X6.16
Description .... Wall R-21 2x6 16oc
Type ........... Wall
R -Value ........ 21 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Total R -Value: 1 / 0.057 = 17.49 sf-F/Btuh
Material
_Cavity
Frame
Name
Description
R -Value
R -Value
0.
FILM.EX
Exterior air film: winter value
0.17
0.17
1.
PLY.0.50
0.50 in plywood
0.62
0.62
2.
BLDG.PAPER
Building paper (felt)
0.06
0.06
3c.
BATT.R21
R-21 batt insul (cavity = 5.5 in)
21.00
--
3f.
FIR.2X6
2x6 in fir framing
--
5.45
4.
GYP.0.50
0.50 in gypsum or plaster board
0.45
0.45
I.
FILM.IN.WLL
Inside air film: heat sideways
0.68
0.68
Total Unadjusted R -Values 22.98
7.42
FRAMING ADJUSTMENT
CALCULATION
Cavity Framing
Total
U -Value: (1 / 22.98 x 0.85) + (1 / 7.42 x 0.15) =
0.057 Btuh/sf-F
Total R -Value: 1 / 0.057 = 17.49 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 2 3R
Project Title.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
Reference Name . WG.21.2X6.16
Description .... Wall R-21 2x6 16oc
Type ........... Wall
R -Value ........ 21 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.15
Sketch of Construction Assembly
LIST
OF CONSTRUCTION COMPONENTS
R -Value
Material
0.17
0.62
Name
Description
0.
FILM.EX
Exterior air film: winter value
1.
GYP.0.63
0.625 in gypsum or plaster board
2.
BLDG.PAPER
Building paper'(felt)
3c.
BATT.R21
R-21 batt insul (cavity = 5.5 in)
3f.
FIR.2X6
2x6 in fir framing
4.
GYP.0.50
0.50 in gypsum or plaster board
I.
FILM.IN.WLL
Inside air film: heat sideways -
Total Unadjusted R -Values
FRAMING ADJUSTMENT
CALCULATION
Cavity Framing
Cavity
Frame
R -Value
R -Value
0.17
0.17
0.62
0.62
0.06
0.06
21.00
--
--
5.45
0.45
0.45
0.68
0.68
22.98
7.42
Total
U -Value: (1'/ 22.98 x 0.85) + (1 / 7.42 x 0.15) = 0.057 Btuh/sf-F
Total R -Value:
1 / 0.057 = 17.49 sf-F/Btuh
CONSTRUCTION ASSEMBLY Page 3 3R
Project Title.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
Reference Name . FC.19.2X6.16
Description .... Floor Crwl R-19 2x6 16oc
Type ........... Floor
R -Value ....... 19 sf-F/Btuh
Framing
Material ..... FIR.2X6
Spacing ...... 16 inches on center
Fraction ..... 0.10
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
0. FILM.EX Exterior air film: winter value
1. CRAWLSPACE Effective R -value of vented crawlspace
2c. BATT.RI9'.0 R-19 batt insul (cavity > 5.5 in)
2f. FIR.2X6 2x6 in fir framing
3. PLY.C.75 0.75 in plywood
4. CARPET Carpet & pad
I. FILM.IN.FLR Inside air film: heat flow down
Total Unadjusted R -Values
FRAMING ADJUSTMENT CALCULATION
' Cavity
U -Value: (1 % 29.10 x 0.90) + (1 /
i
Total R -Value:
Cavity Frame
R -Value R -Value
0.17
0.17
6.00
6.00
19.00
--
--
5.45
0.93
0.93
2.08
2.08
0.92
0.92
L9.IU 15.55
Framing Total
15.55 x 0.10) = 0.037 Btuh/sf-F
1 / 0.037 = 26.77 sf-F/Btuh
CONSTRUCTION'ASSEMBLY Page 4 3R
Project Title.......... Residence for Madsen Date........ 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth=CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
Reference Name . R.38.2X4.24
Description .... Roof R-38 2x4 24oc
Type ........... Roof
R -Value ......... 38 sf-F/Btuh
Framing
Material ..... FIR.2X4-
Spacing ...... 24 inches on center
Fraction ..... 0.07
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Name Description
0.
FILM.EX
Exterior air film: winter value
1.
SHNGL.ASPHLT
Asphault shingle roofing
2.
BLDG.:PAPER
Building paper (felt)
3.
PLY.0.50
0.50 in plywood
4.
AIR.RF.3.50
3.5 in & greater air space: heat flow up
5.
BATT.R27.0
R-27 batt insulation
6c.
BATT.RII.0
R-11 batt insul (cavity > 3.5 in)
6f.
FIR.2X4
2x4 in fir framing
7.
GYP.01.50
0.50 in gypsum or plaster board
I.
FILM.1N.RF
Inside air film: heat flow straight up
FRAMING ADJUSTMENT CALCULATION
U -Value: (1
Cavity
Total Unadjusted R -Values
Framing
Cavity
Frame
R -Value
R -Value
0.17
0.17
0.44
0.44
0.06
0.06
0.62
0.62
0.80
0.80
27.00
27.00
11.00
--
--
3.46
0.45
0.45
0.61
0.61
41.15
33.62
Total
41.15 x 0.93) + (1 / 33.62 x 0.07) = 0.025 Btuh/sf-F
Total R -Value: 1 / 0.025 = 40.51 sf-F/Btuh
n I�
CONSTRUCTION ASSEMBLY Page 5 3R
Project Title.......... Residence for Madsen Date......... 08/23/93
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -FORM 3R
User#-MP1320 User-CALCTECH Run-A.P.# 061-480-057
Reference Name . WA.21.2X6.16
Description .... Wall R-21 2x6 16oc
Type ........... Wall
R -Value ........
21 sf-F/Btuh
Framing
Material .....
FIR.2X6
Spacing ......
16 inches
on center
Fraction .....
0.15
Sketch of Construction Assembly
LIST OF CONSTRUCTION COMPONENTS
Material
Cavity
Frame
Name
Description
R -Value
R -Value
0. FILM.EX
Exterior air film: winter value
0.17
0.17
1. BLDG.PAPER
Building paper (felt)
0.06
0.06
2c. BATT.R21
R-21 batt insul (cavity = 5.5 in)
21.00
--
2f. FIR.2X6
2x6 in fir framing
--
5.45
3. GYP.0.50
0.50 in gypsum or plaster board
0.45
0.45
I. FILM.,IN.WLL
Inside air film: heat sideways
0.68
0.68
Total Unadjusted R -Values
22.36
6.80
FRAMING ADJUSTMENT
i
CALCULATION
Cavity Framing
Total
U -Value: (1 / 22.36 x 0.85) + (1 / 6.80 x 0.15)
= 0.060
Btuh/sf-F
Total R -Value':
E
0
1 / 0.060
= 16.65
sf-F/Btuh
J
u 1
f
HVAC SIZING Page 1 HVAC
Project Title.......... Residence for Madsen Date........ 08/23/93
dd d
Project 'm n ress........ Suay Dr.
Berry Creek
Documentation Author... Neal Kuopus
Company ................ CALCTECH
Telephone... ......... (916) 589-4219
Compliance Method...... MICROPAS4 by Enercomp, Inc.
Climate Zone........... 11
Field Check/ Date
MICROPAS4 v4.01 File-MADSENCO Wth-CTZ11S92 Program -HVAC SIZING
User#-MP1320 User-CALCTECH Run-A.P;.# 061-480-057
GENERAL INFORMATION
Floor Area .................
1836 sf
Volume .. ..... ...........
14688 cf
Front Orientation..........
Front Facing
170 deg (S)
Sizing Location............
OROVILLE RS
Latitude... .. ........
39.5 degrees
Winter Outside Design......
30 F
Winter Inside Design.......
70 F
Summer Outside Design......
104 F.
Summer Inside Design.......
78 F
Summer Range. ...... .....
37 F
Interior Shading Used......
No
Exterior Shading Used......
No
Overhang Shading Used......
No
Latent Load Fraction.......
0.20
HEATING AND COOLING
LOAD SUMMARY
Heating
Cooling
Description
(Btuh)
(Btuh)
Opaque Conduction and Solar......
7479
3710
Glazing Conduction ...............
6732
4376
Glazing Solar ....................
n/a
15778
Infiltration .....................
8355
3430
Internal Gain ....................
n/a
1875
Ducts ............................
2257
1458
Sensible Load ....................
24822
30628
Latent Load ......................
n/a
6126
Minimum Total Load
24822
36753
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors such as air flow
requirements, outdoor design temperatures, coil sizing, availability of
equipment, oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
Yna), L41�
�I�
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
o 1�—%tii
ZONING
T
BUILDING PERMIT
OWNER
"A'1111-.1 -. 11AME-1
TELEPHONE
- rV t
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
rn ^(1P )n7, P T'm c
CONTRACTOR'S NAME - - -
(" --w M,
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGgD
t'� .T)AY M, , TROVTUJ.
Ener Plan Checking Fee $
sY 9
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each qas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 15
Describe Work: e roTrT1VT
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W_[_ @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
R LES
Main Service 2o.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
1 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.8
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.
o 9t I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 20" TO NOooA 46.00NEW
CONST. DWELLING OCCUR SO
OR ADDNS. ( a Acc. BLOs. 3.5QFT;
NNJON•REESID. MUL 14 CiIRCUITS LET @7,50
PSINGLE OUTLET OOWER APPARATUS
IR.
oLrrLFT OR FaruREs so ®,.00
Ex. Occu BAL 0 .so
Ex. Occup. DU7LETS pa D,O� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Policy Number
(The above sections need not be completed R the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Lf 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 H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ' '• �" • ' u Date / — / - •'
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction/
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ S5 flfl
HAZ.
D. FEES IMP
FLAOD
CDF
PARCEL
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 k ., i. 4 <, Date
PERMIT EXPIRES ON
Date
Receipt No. . / `j
WHITE-D.D.S.-B.D. 'CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 -7541 IV
,
(Rev. 12/96) - APPLICATION AND PERMIT ���� `�
ASSESSOR PARCEL NUMBER
061-480-057
ZONING
11
B)AILDINGPERMIT
KAREN T
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
P D
CONTRACTOR'S NAME ' -
41A.
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSENO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUIL.DINGADDRESS T�
85 SUNDAY !R., OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 ❑ Utilities ❑ Installation ❑ Other I
1400STOVE
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LE
Main Service 20.AORLESS
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.POWEPUS
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.
6, 1,3 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 1000A
46.00
NEW CONST. DWELLING UP.
OR ADDNS. a Acc. eLDS.
SO
3.5QNT:
NOµA CONST. -OUTLET
97,50
8 SINGLER AOUTLETPARATCIR.
EX. Occup. OUTLET OR FIXTURES
00
BA0 p 1 0
OFIX� S RESSID OR"
Ex. Occup.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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.)
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 'Iti�L �+--�''_ Date 1 %- 1a -g8
Si n ture of App ant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ ss nn
HAZ.
D FEES IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT E/PIR SON
the applicable provisions
Resolutions to do work
been paid.
Date
Z
Dete
Receipt No. 9 5'//'x"7
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 /IN PE�t
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER o&� — �G
ZONING (A—
BUILDING PERMIT
OWNER
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS C%� I /
• 6
coNr R's NAME
TELEPHONE
CONTRACTORS MAJ UNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace -
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
S 20.00
Permit Fee
$ J ` c o
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
b
BUILDING ADDRESS
Energy Plan Checking Fee
$
D✓1�
$
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF JZI�, Duplex ❑ Mobilehome ❑ Other
BPECFy
Each Trn
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 ❑ tAlitiss ❑ Installation O Other ❑
Describe Work: �A� rx�S _�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
(g?20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service pw ua LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole 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 permitis 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 50' deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO 1000A 46.00
NEW CONST. DWEl1W0 OCCUP. 3.5¢F°:
OR
NFW CQ MULTFOUTLES.T
NON-RESID. @7.50
POWER APPARATus
& SINGLE ovrLE7 CIR.
.00
EX. Occup. OUTLET OR FUTURES BAL Q 1.50
Ex. Occup. % o'er 5.00
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 FEt: $
Mobile Home Installation Fee $
Energy Inspection Fee b
occ
CONST. TYPE
TOTAL FEE $5,
HAL
1 D FEES IMP
FLOOD
I COF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
ra
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
HYDRAULIC CALCULATIONS
FOR
85 SUNDAY DRIVE
BERRY CREEK, CA.
CALCULATION AREA ------ SINGLE FAMILY RESIDENCE
OCCUPANCY CLASSIFICATION ------LIGHT HAZARD
NUMBER OF SPRINKLERS CALCULATED-----
AREA PER SPRINKLER ------16 X 16 SQUARE FEET MAXIMUM
DOMESTIC ALLOWANCE:------ 0 GPM,
WATER SUPPLY: ------------WELL
SPRINKLERS MAKE: STAR GALAXY SG -PENDANT K=4.3, 155 DEGREES
------------------------------------------------=-------------------------
CALCULATION SUMMARY
TOTAL SPRINKLER WATER FLOW: Ila GPM
FLOW AND PRESSURE (AT BASE OF RISER) AT 2lo.lv'£
X93-l�18
BUTTE OOUNTY
BUILDING OEPARTAAW
APPROVED
✓Rii �izj93
FM- ECOPY
eouW' Y OF 8UnE
BUILDING DEPT
MAY I � 1993
jj,i )'Jay
I Y"Vt
' SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 1
'
Date: 07/17/9007/17/90. SUN
JOB TITLE: sun
WATER
SUPPLY DATA
18.0
GPM
TOTAL
HOSE STREAM ALLOWANCE AT SOURCE
SOURCE
STATIC
RESID. FLOW
AVAIL.
TOTAL
REQ'D
NODE
PRESS.
PRESS. @
PRESS. @
DEMAND
PRESS.
TAG '
(PSI)
(PSI) .(GPM)
(PSI)
(GPM)
(PSI)
�
Am m
�s'0 35.0
38.5
18.0
26.6
--'- -
AGGREGATE FLOW ANALYSIS:
TOTAL
FLOW AT SOURCE
18.0
GPM
TOTAL
HOSE STREAM ALLOWANCE AT SOURCE
0.0
GPM
OTHER
HOSE STREAM ALLOWANCES
0.0
GPM
TOTAL
DISCHARGE FROM ACTIVE SPRINKLERS
18.0
GPM
NODE ANALYSIS DATA
NODE TAG
ELEVATION NODE.TYPE
PRESSURE`
DISCHARGE
(FT)
(PSI) .
(GPM).
6
0.0 SOURCE,
26.6
18.0
K= 4.30
17.5
18.0
2 '
8.m - - � -
18.7
- - -
3
8-0 - - - -
19.4
- - -
4 '
8.0 - - - -
21.1
- - -
5
0.0 - - - -
`
' 25.1
- - -
• SPRINKLER SYSTEM HYDRAULIC ANALYSIS
,TOB
TITLE:
sun
DIA(IN) LENGTH
PIPE
DATA
DISC.
VEL(FPS) HW(C)
PIPE
TAG
SUM.
END
(GPM)
ELEV.
NCIZ.
IdUDE::S
(FT)
(K)
Pipe:
'1
PL
1
PF
8.0
4.:
2
6.0
8.0
0.1
7.00
Pipe:
2
18.7
0.0
810
0.1
3
PV
8.0
0. Q
.Pipe:
3
PL
3
PF
8.0
0. Q
4
6.0
8.0
0. i
Pipe:,4
4 8. 0 0. 0
5 0.0 0.0
Pipe: 5
Page 2
=;. 0. 0 0.0 25.1 0.0 3.9 120 FTG EECG PE 0.0.
6 0.0 Sf?f._E 26.6 (N/A) 0.028 TL 54.00 PV 0.1
NOTES:
(1) Calculations were performed by the HASS 5.4.0 computer program
under license no. 613L342 granted by
HRS Systems, Inc.,
2193 Ranchwood Dr. , N. E.
Atlanta, GA 30345
(2) The system has been balanced to provide an average
imbalance at each node of 0.027 gpm and a maximum
imbalance at any node of 0.132 gpm.
(3) Velocity pressures are printed for information only, and are
not used in balancing the system. Maximum water velocity in
any pipe is 6.0 ft/sec.
Q(GPM)
DIA(IN) LENGTH
PRESS.
PT
DISC.
VEL(FPS) HW(C)
(FT)
SUM.
(PSI)
(GPM)
F.L./FT
(PSI)
-18.0
1.109
PL
15.00
PF
1.2
17.5
18.0
6.0
150
FTG
7.00
PE'
0.0
18.7
0.0
0.054
TL
ate•.00
PV
0.2
-18.0
1.109
PL
7.00.
PF
0.6
18.7
0.0-
6.0
150
FTG
5.00
PE
0. 0
19.4
0.0
0.054
TL
12.00
PV
0.2
-18.0
1.400
AL
60:75
PF
117
19.4
0.0
3.8
150-
FTG
• 38.00
PE
0.0
21.1
0.0
0.01.7
TL
98.75
PV
0.1
-18. 0''
1.386
PL'.
9.00
PF
0.6
21. 1
0.0
3.9
120
FTG
ECG
PE
3.5
25.1
0. 0
0. 028
TL
20.00
PV
0.1
-18.0
1.360
PL
40.00
PF
A.5.
=;. 0. 0 0.0 25.1 0.0 3.9 120 FTG EECG PE 0.0.
6 0.0 Sf?f._E 26.6 (N/A) 0.028 TL 54.00 PV 0.1
NOTES:
(1) Calculations were performed by the HASS 5.4.0 computer program
under license no. 613L342 granted by
HRS Systems, Inc.,
2193 Ranchwood Dr. , N. E.
Atlanta, GA 30345
(2) The system has been balanced to provide an average
imbalance at each node of 0.027 gpm and a maximum
imbalance at any node of 0.132 gpm.
(3) Velocity pressures are printed for information only, and are
not used in balancing the system. Maximum water velocity in
any pipe is 6.0 ft/sec.
SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 4
.JUP T T 7 LE : sun
WATER SUPPLY CURVE
60+
I
I
55+.
I
'
I
50+
I
4;=+
P
40
R
0
S
35*
4-35.0 psi @ 35 gpm
U
I
Flaw Test Point
R
I
C
I
;affil+
(
. �
I
S
X
125+
f
20+
I
1
i
Ji -
154-
i0+
10+
LEGEND
"
I
X = Required Water
Supply "
1
26.63 psi 18.0
gpm "
J+
u
1
0 _.Available Water
Supply "
1
:38.53 psi @ 18.0
gpm "
l%l----------------------------------------------------------
---------+
200 300 400 500
600 700 600 900 1000
FLOW (GPM)
HYDRAULIC CALCULATIONS
FOR
85 SUNDAY DRIVE
BERRY CREEK, CA.
CALCULATION AREA ------ SINGLE FAMILY RESIDENCE C24FAV* AT 1(o C ft4/14Z&b)
OCCUPANCY CLASSIFICATION ------LIGHT' HAZARD
NUMBER OF SPRINKLERS CALCULATED---
AREA FUER SPRINKLER ------16 X 16 SQUARE FEET MAXIMUM
DOMESTIC ALLOWANCE:------ 0 GPM
WATER SUPPLY: ------------WELL
SPRINKLERS MAKE: STAR GALAXY SG—PENDANT K=4.3, 155 DEGREES
CALCULATION SUMMARY
TOTAL SPRINKLER WATER FLOWa 's2.$ CiPH
FLOW AND PRESSURE ( AT RASE OF RISER) . ?jd ,2 QS T Kr .152.0aPO-
CBLDG P TTEUIp
MAY 1 9 1993.
SPRINKLE=R SYSTEM HYDRAULIC ANALYSIS
Page '1
Date:
07/17/90
SUNDAY
'JOB
OTLE: sunday drive
.
WATER
SUPPLY DATA
SOURCE
STATIC RESID. FLOW
AVAIL.
TOTAL
REQ' D
NODE
PRESS. PRESS. @
PRESS. ra
DE=MAND
PRESS.
TAG
(PSI) (PSI) ;GPM)
(RSI)
(GPM)
(PSI)
6
40.0 35.0 35.0
35.6
32.8
32.2
AGGREGATE: FLOW ANALYSIS:
TOTAL_ FLOW AT- SOURCE
32.8
GPM
'T'i..)TAL HOSE STREAM ALLOWANCE
AT SOURCE.
0
GPM
OTHER HOSE_ STREAM ALLOWANCES
0.0
GPM
TOTAL DISCHARGE FROM ACTIVE
SPRINKLERS
32.8
GPM
NODE
ANALYSIS DATA
NODE'
TAG ELEVATION NODE TYPE
PRESSURE
DISCHARGE
(FT)
(F SI)
(GPM)
1
9.0 K= 4.30
13.8
16. 0
8.0 K- 4.30
15.2
16.8
3
8.0 — — — —
17.2
— — —
4
0.0 — — — —
25.9
— — —
`J
0.0 — — — -
2/.6
— — —
6
0. 0 SOURCE
32.2
32.8
SPRINKLER SYSTEM HYDRAULIC ANALYSIS
.l'OB TITLES sunday drive
PIPE DATA
PIPE TAG
END ELEV. NOZ.
NODES (FT) (K)
Pipe: 1
1
9.0 4.3
2 8.0 4.:?
Pipe: 5
6.0 4.
8.0 0.0
Pipe: 3
4 0.0 0.0
Pipe,: 4
4 0.0 0.0
5 0.0 0.0
Pipe,.: 5
Page is
5 0.0 0.0 57.6 0.0 7.0 120 FTG 2ECG PE W. 0
6 0.0 SRCE 32.2 (N/A) 0.066 TL 54..00 PV 0.3
NOTES:
(1) Calculations were performed by the HASS 5.4.0 computer program
under license no. 613L.345 granted by
HRS .Systems, Inc.
5193 Ranchwood Dr., N. E.
Atlanta, GA 30345
(5) The system has, been balanced to provide an average
imbalance at each node of 0.056 gpm and a maximum
imbalance at any node of 0.132 gpm.
(3) Velocity pressures are printed for information only, and are
not used in balancing the system. Maximum water velocity in
any pipe is 10.9 ft/sec.
Q(GPM)
DIA(IN) LENGTH.
PRESS.
PT
DISC.
VEL(FPS) HW(C)
(FT)
SUM.
(PSI)
(GPM)
F.L./FT
. (FSI )
-16.0
1.159
PL
15: 00
PF
1.0'
13.8
16.0
5.3
150
FTG
7.00
PE
0.4
15.5
16.8
5.043
TL_
25.00
PV
0.2j
-35.8
1.109
PL
7.00
PF
5.0
15 2
16.8
10.9
150
FTG
5.00
PE
0.0
17.5
0.0
0. 164.
TL
15.00
PV
0.8
-32.8
1. 400
PL
60.75
PF
5.2
17.2'
0.0
6.8
150
FTG
38.00
PE
3.5
55.9
0.0
0.053
TL
98.75
PV
0.3.
-35.8
1.360
PL
9.00
PF
1.7
25.9
0.0
7.0
150
FTG
ECG
PE
0.0
57.6
0.0
0. 0L5
TL
20.00
PV
0.3
-35.8
1.380
PL
40.00
PF
4.6
5 0.0 0.0 57.6 0.0 7.0 120 FTG 2ECG PE W. 0
6 0.0 SRCE 32.2 (N/A) 0.066 TL 54..00 PV 0.3
NOTES:
(1) Calculations were performed by the HASS 5.4.0 computer program
under license no. 613L.345 granted by
HRS .Systems, Inc.
5193 Ranchwood Dr., N. E.
Atlanta, GA 30345
(5) The system has, been balanced to provide an average
imbalance at each node of 0.056 gpm and a maximum
imbalance at any node of 0.132 gpm.
(3) Velocity pressures are printed for information only, and are
not used in balancing the system. Maximum water velocity in
any pipe is 10.9 ft/sec.
SPRINKLER .SYSTEM HYDRAULIC ANALYSIS Paf3e 4
JOB TITLE: sunday drive, '
WATER SUPPLY CURVE
60+
1
•
1
55+
1
,
1
I
50+
1
,
P
45+
P
40*
R
E
�.
S
S
350
<-35.0 psi @ 35 gpm
U
I
Flow Test"Point
P.
y
E
,
30+
(
P
I
S
I
25+
204-
.1 5—
I
1 =------------.___._____—_—_—_-__
10+
LEGEND
"
I
I
X. = Required Water
SLIpply
"
1
32.19 psi @ 32.8
gpm
"
S{
n
10,=
Available Water
Supply
"
1
35.56 psi Cd 32.8
gpm
"
0++—+---+----+-----+-------+--------+--------
200 300 400 500
600
700 800 900 1000
FLOW
(GPM)
NOTES
RESIDENTIAL
PERMIT N0. _l,. 1 2v . of
,�mo
—0G'-7
Coln eti1 nb6h
J
Ore TCme a) �FtM[ ,Bpcp -oc)93
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) O
Signature �/�`" g 74,z�
J=OK
0 = Not OK
. = NotReadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
r.
Zoning Requirements -Setbacks -Easements
Gas; MH Test -Demand -Valve -Connector
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Water; MH Test -Regulator -Connector
4.
Water; Location -Test -Easement Needed (Sketch)
8.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Tie Downs -Type -Installation Cert.
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
11.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date 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. Blockinq
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
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors=Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-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 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
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL. (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Garage Fire Protection Framing -RC Channel
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Siding -Nailing Veneer
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
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
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
65.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
66.
18.
Water Pipe; Test & Anchor -Nail Protection
67.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
68.
20.
Shower Pan; Test, First Floor -Tub Access
69.
21.
Test Tub & Shower, Second Floor -Tub Access
70.
22.
Gas Pipe; Sixe & Anchors
71.
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Card B-1 Date Card B-1
Date
Elec. Outlets & Receptacles at Kit. Counter
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
79.
27.
Romex Installed Close to Edge of Studs & C.J.
80.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
81.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
82.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At
Insulated Neutral ❑ Yes ❑ No
83.
32.
Service -Riser Conductors & Ground Main Disconnect
84.
33.
Equip. Clearances Panels-Motors-Mech. Equip.
85.
34.
Clothes Closet Light -Shower Light -Spa Light
86.
35.
Smoke Detector
87.
Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
91.
36.
A.C. Ducts Insulation & Support
92.
37.
Vent Fan, Exhaust above insulation
93.
38.
Condensate Drain & Overflow, Size & Grade
94.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
95.
40.
Attic Access & Platform if Furnace in Attic
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Comments at Final:
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 A Flue -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
Card 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 (F.F.I.)-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 ❑ Yes
_
83.
Following Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters U Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Pibg-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.
Fire 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
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
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).):
❑ 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 and Professions Code
Dater ' - Owner: '611
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
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 carrier and policy number are:
Carrier:
Policy #:
'E 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: // — `•( — c
Applicant: /'t l- G,v\,
PERMIT NO.
BP043220
Issued Date: 11/04/2004 APN: 061480-057-000
Site Address: 85 SUNDAY DR BCK
Map Index:
Description: ONE TIME TO. FINAL BP 02-0093
Owner: MADSEN KAREN ELIZABETH REV LIVING
TRUST
MADSEN KAREN ELIZABETH TRUSTEE
P O BOX 207 .
BERRY CREEK, CA 95916
Applicant: MADSEN KAREN ELIZABETH REV LIVING
TRUST
MADSEN KAREN ELIZABETH TRUSTEE
P O BOX 207
BERRY CREEK, CA 95916
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollarsin addition to the cost of
compensation, damages as provided
for in Section 3706 of the Labor [�► jv` �f►/ (�J,
code, interest, and attorney's fees. f f
- - CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
Address:
permit is heby issued under the applicable provisions of the Bntte Crn
luf6 s o work indicated above for which fees have been paid.. f j
.P� nate. / 1'
PERMIT
❑ 1 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 pu ses.
Print Name: K� C /1� L i'k A 7 Sts= /\/ Signature:
Date: 0
AR Owner
13 Contractor
❑ Agent for Owner
❑ Agent for Contractor
NOTES RESIDENTIAL
PERMIT N0. o.+Z _ !_ C4��� L
-7
I
}
1
i
i
i
f
f
4
4
j�
f
S
JOB FINALED Date t�
Signature
�QP�x�'cul me�.l 3c��
11 SPECIAL CONDITIONS II
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date MC BILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2., Soils;'Special MH Support Sketch
3., Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
MISCELLANEOUS
Date
7. Well Clearance & Disconnect
8. Utility Clearance
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
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
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
2: Footings; Size -Spacing -Marriage Line
6.
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Electric
5. Drain; MH Test -Fall -Flex Connector
8.
& Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
Siding; Nailing -Veneer -Stucco -Mesh
P Gas and Electricity Tagged
10.
E Tie Downs -Type -Installation Cert.
1C. Exits; Insp.-Sketch
Ext.; Steps -Doors -Landings
11. Cert. of Occupancy
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
Zoning Requirements -Setbacks -Easements
POOLS (Plans) OK except #'s
�. Footings; Size -Spacing -Marriage Line
1.
3. Blocking
4. Gas; MH Test -Demand -Valve
Soils; Compaction -Structure Stability
5. Electricity; MH Test
3.
6. Water; MH Test
'. Water and Sewer Connected
Elec.; Receptacles and Lighting, Distance-GFI
3. Gas and Electricity Tagged
5.
9. Exits
13. License Decals
Elec.; Enclosures; Conduit Entries -Terminals -Listed
11. Verify #'s with Office
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
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, 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
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main 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
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -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 B-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.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At
Insulated Neutral ❑ Yes ❑ 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
FRAMING (Continued)
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
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.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
55.
Card B-1 Date Card B-1
Date
56.
Card 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
Card B-1 Date Card B-1
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -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
Card 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 (F.F.I.)-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 ❑ Yes
83.
Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ 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.
Fire 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
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP043221
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
Issued Date: 11/04/2004' APN• 061-480-057-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 85 SUNDAY DR BCK
Date: Contractor:
IAap Index:
y
Description: REROOF W/METAL 30 SQ
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: MADSEN KAREN ELIZABETH REV LIVING
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
TRUST
signed statement that he or she is licensed pursuant to the provisions of
MADSEN KAREN ELIZABETH TRUSTEE
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
P O BOX 207
she is exempt therefrom and the basis for the alleged exemption. Any
BERRY CREEK, CA 95916
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
APP Meant: MADSEN KAREN ELIZABETH REV LIVING
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
TRUST
provided that such improvements are not intended or offered for
MADSEN KAREN ELIZABETH TRUSTEE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
P O BOX 207
proving that he or she did not build or improve for the purpose of
BERRY CREEK, CA 95916
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.).
Contractor:
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date:!/ - �- �I' Owner: &,"c"*`
WORKERS' COMPENSATION DECLARATION
ereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for
License #:
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
Architect'
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
I 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
Census Code:
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 ($10000), in addition to the cost of
l /
Compensation, damages as provided for in Section 3706 of the Labor
I r
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is het\by issued under the applicable provisions of the Btitte Cnunty Cody ?ncvcl
I hereby affirm that there is a construction lending agency for the
Resolul_o sVc o indicated above for which fees have been paid.
L
performance of the work for which this permit is issued (Sec 3097 Civ.)
/,
Name:
BY: ate: v
PERMIT EXPIRE ON:
Address:
Date
❑ 1 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 r document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purp ses.
Print Name: /� 74' R C.- IV i_ • ILIA D S Signature:
Date:
'Owner 13 Contractor 13 Agent for Owner 0 Agent for Contractor
i
NOTES, j RESIDENTIAL
061-480-057 02-009�3��
PERMIT NW MADSEN,FKAREN..
85 SUNDAY DR, BERRY CRK
CONT: TOM HILL '
FREESTANDING OPEN DECK
441
II SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
a
t�
k JOB FINALED (Date)
v Signature�-
CHECKED
BY
COUNTY OF BUTTE
BUILDING DIVISIONrs
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
'`'; 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
E
PERMIT
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
have an you If com leted.
p y y questions pertaining to this matter, or need additional explanation,
= please contact this office immediately.
J Date ��7 , c Inspector
REV 10/92 /
COUNTY OF BUTTE
BUILDING DIVISION
3V
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE•
aC eti,
OWNER PERMIT NO.
A routine insaection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
p: completed. 11 you have any questions pertaining to this matter, or need additional explanation,
- f please contact this office immediately.
'..` � fit' � r/ � �t• �C.ca_. L�� O i
� a• vf.
2
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) • .D APPLICATION AND PERMIT n,)_ moa
ASSESSOR PARCEL NUMBER
061-450-057
ZONING IJ
BUILDING PERMIT
OWNER
KAREN MADSEN
TELEPHONE
559-5427
SO. Fr, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
O BOX 207 BERRY CREEK 95916
CONTRACTOR'S NAME
TM, HILL CELL
TELEPHONE
321-C94
CONTRACTORS KWUNG ADDRESS
10 RE1111 I' IAAP • OROMLE 95%6
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ x+• W
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ -�� • 11%
BUILDING ADDRESS
AS R BER EEK
Energy Plan Checking Fee $
$
PERMIT FEE $ YVJ. jLU
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF P. 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 VGas
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ,M
Describe Work: OPEN DECK
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 Filing Fee 20.00
O*OVOR LE
Main Service 200A 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. 3D C�`y %
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 1000A 46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. a Acc. S. 3.5¢FT:
NOµgDSID BRANCH MULTI -OUTLET
RCUT @7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES B20 ®1 0
Ex. Occup. DUTLtTs R. D °�2, 5.00
TemPorary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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.)
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.
;' I (� 1 j I — ( � ! ? 00 Z
Xs.._(Sr..A �L h I �+L.� Date
Signature of Applicant - ❑ Owner ❑ Contractor g Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE 109
A0
]HA
0. FEES IMP
FLOOD
CDF
d„
PARCEL
PD`
��
HD
I
ISSUE
`>
This permit is hereby Issued under the applicable provisions
in the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/1;!`t1i V "J�
By /1 r Date
PERMIT EXPIRES ON
ate +
Receipt No. _q Irl ra *7(-i•/0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,/ = OK
0 = Not OK
- = Not Applicable
' =Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
Electric
7.
Well Clearance 8 Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
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
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Can.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
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; 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
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable
• = Not Ready
RESIDENTIAL (:
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rffr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
2.
Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel- Bloc kouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor Q Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive :J Yes ] No/Walks J Yes J No/Planters Yes J No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive :J Yes ] No/Walks J Yes J No/Planters Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
-00
4
J
51
X�-
I
V4
Environmental Heaiin
:r— 11b. rlMAY 17 1993
Oroville, California
M T44 0 114 I.N 4