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039-460-004
39- SSG. f< A. -P JACK �THORPE 4e s/s Burdick Rd. 5th hse. from Dayton -Durham HWY., Durham Permit 1415-73B,P,E ". (swimming pool) 'TEWART, Curtis Jr. 3221B 039=460-004 }-.; 34-0694B,P,E 2697E HAY; GARY & KITTY, 335. _ 2527 BURDICK RD.j- DURHA�MI l CONT Lot 4, Tracy Sub., Burdick Lae, Durham (new, single gamily) Lane, AL COCKRELL . ADD. FAMILY ROOM,BUILT W/O. PERiv1ITS - 9- 41 SG t i �� O -RVSIDF.NTIAL 039-460-004 94-0694B,P,E ' -IENRY , GARY & KITTY 2527 BURDICK RD., DURHAM CONT: AL COCKRELL ADD FAMILY ROOM BUILT W/0 PERMITS JOB FINALEO (Date) Signature V=OK O = Not OKNot ' = Not Ready Applicable 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 -Teat -Fall -C/O Concrete 4. Water; Location -Teat -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 Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -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 -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connectione-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh t 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-GF1 S. 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-Ina. 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., Mein; 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.; Fell -Fitting -Test -2 Way C/O -Sewer Test "! 0. 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 #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Neil 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 -Ina. 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 Cl No 30. Service -Riser Conductors & Ground -Mein 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 #'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 #'a 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 Cepa-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. 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 Wells; Nailing -Bolts 59. Insulation -Wal Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINA�.(Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector X63 use; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 84-43odroom Exiting Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels airs ails -BE�FirOace or Stove; Clearances -Hearth - 49. -Elee..Outlets at Wood Panel; Int. & Ext. -?Arl(if:fixt. & Appliance; Grnd: Air Gap -Cooking Clearance `ff-BeG Outlets & Receptacles at Kit. Counter h . Garage Fire Door, Swing -Landing -Closer 78. A.G. Duct in Garage -Damper Tar Vfr7Rtr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I arage; Above Floor -Mach. Protection LV"Plb., Elec. & Mach. Equip. Listed for Location --f --Efec. Receptacles in Garage; (G.F.I.)-Romex Protection -.7 . Insulation -Foam -Looked in Attic ❑ Yes -74.-Gusfd-Rails & Deck Construction -Post Caps 79-FU'n- 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 88-7ents Above Roof; Plbg.-Appliance-Fireplace :Clearance to Openings °�. _er Well; Disconnect, Electrical, Plumbing °5 Exrerior Elec. Trim; G.F.I. Receptacle -Underground 86.006ntilation Throughout House V wAtliss Protection 89 -Corrections from Previous Inspections 89-0" Test -Meters Tagged; Gas -Electric 14911 -Water & Sewer Connected -C/O to Grade -HD Approval 41. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELVPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Catifornia .,5965 - Telephone (916) 538-754 P RM T NO. APPLICATION AND PERMIT � �- ASSESSOR PARCEL NUMBER 039-460-004 ZONING R1 BUILDING PERMIT 6WNER T y ARY & ,,BITTY HENRY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2527 BURDICK ROAD, DURHAM 95938 350 R 18 900 CONTRACTOR'S NAME AL COCKRELL TELEPHONE 894-3260 CONTRACTOR'S MAILING ADDRESS PO BOX 1417 CHICO 95927-1417 Fireplace A 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 216.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 140.40 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2527 BURDICK ROAD PERMIT FEE $ 399.40 PLUMBING PERMIT Filing Fee 20.00 Each Trap 4 1 7.00 21.00 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 SIX Duplex O 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 ❑ Addition dX Remodel ❑ Utilities ❑ Installation El Other O Describe Work: ADDITION OF FAMILY ROOM PERMIT FEE $ 41.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 BUILT W/O PERMITS APPROX 1985-1986 R LESS Main Service( 260 00AOOV R ) LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OCCUP' OR ADDNSCONST.? ( D BEACLLIC BLOS. ) 3.5. so. 12.25 CONTRACTORS LICENSE LAW I de a under penalty of perjury (check one) I arri a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an nse is in full force �gd effect. f4 License No. O Classification J ❑ 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) Cl 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 ( POWER APPARATUS) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @1.60 Ex. Occu FIXED (RESID) E p' (OUTLETS (flESID.I 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. ❑ I ha placed on file with the County of Butte Dept. of Development Services, ding Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. IShallnotemployanypersoninanymannersoastobecomesubjecttotheWorker'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 $ 32.25 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting o is permit. q XDate �� / Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46 .00 occ CONST. TYPE TOTAL FEE $ 8.65 HAZ. D. FEES IMP FLOOD CD PARCEL M ISS —� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. /, BY �7/ 1/ Date 'Y PERMIT EXPIRES ON /Date/ [Re:ce4,%NO. 156365 .D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `n i;'t1'iMrr N o : , ----Tr,' AV' COUNTY OF BUTTE -DEPARTMENT OF DEV 6bPMENTSERVICES -BUILDING DIVISION ) 7 COUNTY CENTER DRIVE-. OROVILLE, CALIFORNIA 95965 - TELEP, HONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET : OWNER Uq Proposed Building car✓ A. P. No. / Building Inspector go 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. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by prepaier of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. zardous 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. Mobil home data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ G�nool s O N 11. Impact fees as shown on attached schedule. .5...........(�................ . 12. California Department of Forestry plan approval/fees. ........:.............. . 13. Flood elevation letter (100 year flooW--c> California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ -Siff 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 Drive -n ermit (constru( tion approval required prior to occupancy) y p Freanspection requee 20. Pre -inspection for required. .. to Building Inspedor (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 . ........................................ S 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 ou issue the_permit, process as follows: Mai ,o owner. Mail to contractor. Telephone and hold for pi( office. Deliver with inspector. Other Parcel Creation 1c� 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. 94'� '� ' o -'�'�� �• ��✓ � , �A� 6� nE � Z. 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 Coun r by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r•,n n�li tl.1 Hot flan Almelled I1nor I'lun Amidwd _ TO: /f r, Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ownel location AP# Plan Approved for: Sewaoc Disposal Water Supply: Public•. Private Well Clearance for bedroom mobile home. Other QmC-4QhDRn Hold final for: Final clearance O.K. for: NOTE Enviro mental Health Specialist 8/92 Date . Insulation Certificate BUILDING OWNER: e BUILDING PERMIT #: BUILDING LOCATION: Description of Installation ROOF Material Brand Brand Name Thickness (inches) ` Thermal Resistance (R -Value) �— -CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) �© Loose Fill Type Brand Name Contractor's minimum installed weight/h� lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material i [-n2CCC Brand Name Thickness (inches) � `„t_ Thermal Resistance (R -Value) — RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) v Deciaration Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. „L C0Cr41-/4-0L--2-L- co/vs�- y%o�cq,S Goner ontractor�Buiider) License Number Signature and Title Date Sub-Conaactor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Ins -allation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and - that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS low ° Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. - Heating Equip. CEC Certffled Actual Distribution- Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment heat pump, etc.) Model Number (AFUE. etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) CEC Certifled - Cooling Equip. Compressor Unit' Actual Distribution Duct or . Type (air cond., Manuf. Make & Efficiency Type and PI Ing . heat oumo. etc.) Model Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date WATER HEATING SYSTEMS HVAC Subontractor (Co. Name) or General Contractor or Owner Energy External Water Heating CEC Cart ifled Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas, etc.) Model Number or Btuh) (gallons) Efflciency Loss (%) R -Value 1. For small gas storage (rated input15 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. Farinstantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerneads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Part 6, Subchapter 2, Section 111. Signature Date Plumping Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE: MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 SMOKE DETECTOR INSTALLATION CERTIFICATE 2n/ g BUILDING OWNER 11-v� PERMIT # BUILDING LOCATION 3 6 q-' � — bO 049 When the valuation of an addition, alteration, or repair to a Group R Occupancy(dwelling units, hotels and apartment houses,) exceeds $1,000 and a permit is required, or when one or more sleeping rooms are added or created in existing Group R Occupancies, smoke detectors shall be installed in accordance with the 1991 Uniform Building Code, section 1210 (a). In general, section 1210 (a) specifies that in new construction a smoke detector be installed in: (1) Each sleeping room, and at a point centrally located in the corridor or area giving access to each separate sleeping area. Where the ceiling height of a room open to the hallway serving the bedrooms exceeds that of the hallway by twenty-four (24) inches or more, smoke detectors shall be installed in the hallway and in the adjacent room. (2) In each story and in basements, and on each level containing a sleeping area. . Such detector(s) shall receive their primary power from the building wiring and be equipped with a battery backup. I When the valuation of an addition, alteration or repair to a residence exceeds $1000 and a permit is required, smoke detectors shall be installed in each existing sleeping room, and centrally located within each sleeping area if one is not currently installed. Suchdetectors may be solely battery operated. A repair, alteration or addition applies to a deck addition, wood stove installation, re -roof, vinyl or aluminum siding, and remodel or additional square footage to an existing residence. Declaration I hereby certify that the above smoke detector (s) were installed in the building at the above location in conformance with the 199.1 Uniform Building Code, section 1210 (a). Building Contractor/Owner (Please Print) State Contractors License No. Signature of Contractor/Owner Date This completed certificate must be provided to the building department prior to final. EIiTI FICATE OF COMPLIANCE: Residential -------------------------------------------------- Page 1 CF -1R roject Title: HENRY HOUSE ADDITION --------------------------- Run: 160 22 -Mar -94 Tbject Address: 2527 BURDICK HENRI' HOUSE ADDI'T'ION iall Unconditioned DURHAM, CA. �:1Outside uilding Title: HENRY HOUSE ADDITION Building Permit 4 )ocument Author: BOB METZGER :elephone: Plan Check / Date 'ompliance Method: CEC CALRES, Version 1.10 Field Check / Date 'limat.e Zone: 11 ;ENERAL INFORMATION .onditioned Floor Area: 527 ft2 ,wilding Type: SFD Single Family Detached Wilding Front Orientation: 0 deg (North) -cumber of Dwelling Units: 1 Floor Construction Type: Raised floor infiltration Control: CEC Standard uUILDING SHELL INSULATION :omponent Insul 1'ype R -value Location/Comments --------- )oor ------ ------------------------------ 0 Unconditioned .:Door 0 Outside iall Unconditioned ,;all �:1Outside eiling ]9T' Attic Floor PA36rawlspace FLAZING _lazing Drientation ------------- Window South Skylight Area (ft2) Panes 80� Owa.2 THERMAL MASS Area type Exposed? (ft2) None z 'VAC SYSTEMS Glass Interior Exterior Type Shading Shading ClearYenetn B1dNone Clear .Veneta Bld= Nome Thick (in) Location/Description ' `P(( Efficiency ----------------------------- nr•ur,ce 0.80 SE i r Coliditior,er' 10.00 SEER. Duct Location and R -value ------------- attic R-4-2 Attic R-4.2 ' :xim,.,rr furnace heating output';; :;11:1::000 Btvh BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D Overhang Frame and Fins Type Overhang Metal None Metal Output Manufacturer/Madel =` (Btuh) (or aj)proved equal.) ------- ----------------------- 48000 ;1000 i:: ii 'I I�I'1c:.'I'1 (�l• 1.:�.U;l'(.1 :1\'c'I<: li,•=.ici:�ul i::;i I'a��,• `� ('E�-lli ieut. '1'i L.lu: HENki ' IIUUSI•: . DIr1T1011, R.ut,: 160 22 -Mar -9.1 '-,ATER HEATING SYSTEMS Tank fVat�arity System Type (gal) V ------------------------- 3torage Gas 40 _Atan,if a�ti�rFr/Alnrlal i� (or approved equal) ----------------------- REMARKS, NOTES, AND EXCEPTIONAL FEATURES Special Futures/ Credits 1. HOUSE INCLUDES 350 S. F. ADDITION & 177 S. F. EXISTING ADJACENT AREA ,TOTAL AREA = 527 S. F. -------------------------------------- COMPLIANCE )STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative,Code. This certificate has beer' signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is. submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Remarks, Notes, and Exceptional Features section. DESIGNER GARY KITTY HENRY 2527 BURDICK DURHAM, CA. 894-7720 Lic 4: Signed DOCUMENTATION AUTHOR BOB METZGER OWNER. GARY KITTY HENRY 2527 BURDICK DURHAM, CA. 894-7720 Date Signed ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date Silted Date Da to !'reject: Title: HENRY HOUSE ADDITION Run: 160 22 -Mar -91 Project Address: 2527 BURDICK HENRY HORSE ADDITION DURHAM, CA ':.wilding Title: HENRY HOUSE ADDITION Building Permit# Document Author: BOB METZGER Telephone: Plan Check / Dat.e. Compliance Method: CEC CALRES, Version 1.10 Field Check / Date Climate Zone: 11 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 25.58 Space Cooling 28.12 Water Heating 38.71 Total (02) ------- 92.41 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: Proposed Design --------------- 24.27 32.28 35.68 -------- Complies 92.23 Yes 527 ft2 SFD Single Family Detached 0 deg (North) 1 1 Floor Construction Type: Raised floor Number of Conditioned Zones: 1 Total Conditioned Volume: 5534 ft3 Conditioned Footprint Area: 527 ft2 Ground Floor Area: 527 ft2 BUILDING ZONE INFORMATION Floor Zone Area Volume Name (02) (ft3) STANDARD 527 5534 OPAQUE SURFACES Type Conditioned Infiltration Control Type ------------ CEC_Standard Surface Area Insul True Solar Form 3 Location/ Type ----------- (02) ------- U -value ------- R-val ----- Atm ---- Tilt ---- Gains Reference Comments Zone = STANDARD ----- ------------ ------------- Door 16.7 0.330 0 0 90 No 2668Wood Unconditioned Door 16.7 0.330 0 180 90 Yes 2668Wood Outside Wall 172.3 0.098 11 0 90 No CEG_R11-16oc Unconditioned Wall 153.0 0.098 11 90 90 Yes CEC_R11-16oc Outside Wall 182.3 0.098 11 180 90 Yes CEC_R11-16oc Outside Ceiling 511.0 0.049 19 0 0 Yes CFC_R19-24oc Attic Floor 527.0 0.101 0 0 00 No CEC_20 00 Cra lspac•e .'r1�1i't"II�.Ii 11L1!i(�I� Sl?1'•i:',:;'� F';._'�: � C-_., ProjO'ct. Title: HENRY HOUSE' ADDITION Run: 160 22-�i.,l•-94 PERIMETER LOSSES Perimeter Length F2 InsuI Insul Location/ Type (ft) Factor R-val Depth (in) Comments ----------- -------- ------ ----= ---------- ------------- None GLAZING SURFACES SC with FMF Glazing ------------- Glazing Area True Open Frame Charactr Shades Shades Name Type (ft.2) Azm Tilt Type Type Name Open Closed -------------- ---- ----- ---- ---- ----=--------------------- ------ ------ Zone = STANDARD W1-SI-SGD Wind 80.0 180 90 Slider Metal DBLw/BLINDS 0.77 0.49 SL1-C1 Skyl 8.0 0 0 Fixed Metal DBLw/BLINDS 0.77 0.49 SL2-C1 Skyl 8.0 0 0 Fixed Metal DBLw/BLINDS 0.77 0.49 GLAZING'CHARACTERISTICS SC w/o FMF Glazing ------------- Interior SC Exterior Charactr Glazing # of Glass w/Int Shade Ext Shade Name Type Panes U-val Only Shades Type Shade Type DBLw/BLINDS Clear 2 0.65 0.88 0.56 Venetn Bld 1.00 None OVERHANGS Glazing Glazing ------------- Above Left Right Name Height Width Depth Glazing Extension Extension -------------- ------ ------ -------- ----- ------------------ W1-SI-SGD 618" 1210" 4'10" 114" 810" 31.8" FINS Left Fin Right Fin Glazing Exten Dist Exten Dist Glazing ------------- Fin Fin above to Fin Fin `above to Name Height Width Depth Height glzng glzing Depth Height glzng glzing ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS Vol Cond- Area. Thick Heat duct- Form 3 Inside Location/ Mass Name Type (ft2) (in) Cap ivity Reference R-val Description -------------- --------- ----- ----- ---- ----------------- ------ ------------ None SOLAR GAIN DISTRIBUTION Glazing Winter Summer Targetted Name Fraction Fraction Thermal Mass Location/Description ---------------------------------------- ------------------------------ None HVAC SYSTEMS Duct Location System Name System Type Efficiency and R -value -Credits ----------------------------------------------------------------------- Zone = STANDARD r GasFurn.80 Furnace 0.80 SE Attic R-4.2 AC10.0 Air Conditioner 10.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Tank Rated Pilot Special. it of Capacity Rated Standby Input Size Features/ System Type Heaters (gal) Efficiency Loss (Btuh) (Btuh) Credits ----------------- ------- -------- ---------- ------- ------ ------ ------------ Storage Gas 1 40 0.80 RE 3.00% 28000 -- REMARKS, NOTES, AND EXCEPTIONAL FEATURES 1. HOUSE INCLUDES 350 S. F. ADDITION & 177 S. F. EXISTING ADJACENT AREA ,TOTAL AREA = 527 S. F. -------------------------------------------------------------------------------- I''ru,j�ct. Tit.. Ie 1;LNNY IIUt;SE ADI) 1'I•]ON Ruri: I60 22,-Di:rr-9i SOLAR GAIN DISTRIBUTION Glazing Winter Summer Targetted Name Fraction Fraction Thermal Mass Location/Description ---------------------------------------- ------------------------------ None HVAC SYSTEMS Duct Location System Name System Type Efficiency and R -value -Credits ----------------------------------------------------------------------- Zone = STANDARD r GasFurn.80 Furnace 0.80 SE Attic R-4.2 AC10.0 Air Conditioner 10.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Tank Rated Pilot Special. it of Capacity Rated Standby Input Size Features/ System Type Heaters (gal) Efficiency Loss (Btuh) (Btuh) Credits ----------------- ------- -------- ---------- ------- ------ ------ ------------ Storage Gas 1 40 0.80 RE 3.00% 28000 -- REMARKS, NOTES, AND EXCEPTIONAL FEATURES 1. HOUSE INCLUDES 350 S. F. ADDITION & 177 S. F. EXISTING ADJACENT AREA ,TOTAL AREA = 527 S. F. -------------------------------------------------------------------------------- Tvi IF APPLIES GENERAL NOTES SHEET E 1. ALL PENETRATIONS THRU THE BUILDING ENVELOPE (CLG. WALLS AND FLOORS)TD bE CAULKED, SEALED OR WEATHER STRIPPED. SHIM SPACES AROUND EXTERIOR DOORS OF THE BUILDING ENVELOPE TO BE INSULATED. 2. ALL EXTERIOR PANELS EDGES TO BE CAULKED. 3. ANY ACCESSESS TO ATTIC SPACE OR CRAWL SPACE FROM CONDITIONED SPACE TO BE FULLY WEATHER STRIPPED. 4. EXHAUST FANS TO HAVE BACKDRAFT DAMPERS. 5. FIRE PLACES TO HAVE. a) O.S. COMBUSTABLE AIR TO F.P. BOX W/ MIN. DUCT CROSS-SECTIONAL AREA OF 6 SO. INCHES b) DAMPERS TO 'DUCT ACCESSABLE FROM INSIDE F.P. AREA c) FLUE -DAMPER .-TIGHT-F I TTI NG 8 READILY ACCESSABLE d) TIGHT -FITTING F.P. DOORS OR HEAT CIRCULATING DEVICE. 6. A/C DUCTS TO BE INSTALLED PER IORV U.M.C. 8 INSULATED 0- INSUL.- GAS EQUIP.) S (2- INSUL.-HEATPUMP EQUIP.) 15# DENSITY TYP. � s�cr+'�. 7. MAIN LIGHTING SOURCE IN ALL BATHS 8 KITCHEN TO BE FLOURESCENT OF. 40 LUMENS/WATTS OR GRATER. 8. FAUCETS & SHOWER HEADS TO BE WATER SAVING TYPE 8 CERTIFIED BY C.E.C. • 9. W. H. TO HAVE. a) 11-6" H I GHT PLATFORM. b) . VENT T HRU ROOF.. c) ADEQUATED CONBUSTABLE AIR VENTING. ^d) R-4 INSULATION 5'-0- TO & FROM UNCOND. SPACE. e) R-12 INSULATION WRAPPING. f) R=i� INSULATION ON CIRCULATING SYSTEM. s) CERTIFIED BY C.E.C. 10. GAS COOKING APPLIANCES NOT TO HAVE CONTINUOUS BURNING PILOT LIGHT. 11. A/C UNIT TO HAVE a) SIZED 8 CERTIFIED BY C.E.C. b) SET -BACK THERMOSTATS. 12. INSULATION INSTALLER TO BE CERTIFIED BY STATE 8 LOOSE FILL INSULAT- ION TO HAVE MANUFRS. LABLED R -VALUE 13 BUILDER TO SUPPLY TO OWNER ALL INFO. PERTAINING TO THE OPERATION OR TREATMENT OF ALL APPLIANCES & DEVICES RELATED TO ENERGY OR WATER USE. 14. ALL WOOS. @ CONDITIONED SPACED DUAL -PANE. DOORS & WDOS. TO BE FUL- LY WEATHER STRIPPED. 15. CAULK BETWEEN'BOTTOM PLATE AND CONC. FLOOR. 16. PROVIDE INSULATION BAFFLES @ EAVE BLOCK VENTS. 17. USE ELECT. OUTLET GASKETS @ O.S. WALLS. 18 WATER HEATER TO HAVE P -T VALVE WITH DISCHARGE TO OUT SIDE. 19. REF. FRZRS. FLUR. LAMP BALLAST TO BE CERTIFIED BY C.E.C. CON TRACT- OR -OWNER TO SUPPLY MAKE AND MODEL. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 A /L. MF -1R ---------------------- Project Title.......... MASTER PLAN Date........ 01/01/93 Project Address........ MASTER PLAN --------------------- CHICO, CA. Documentation Author... BOB METZGER 865-9688 ; Building Permit 0 ; Company ................ BOB METZGER 0 D S Telephone .............. 865-9688 or 342-9688 ; Plan Check / Date ; Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date ; Climate Zone........... 11 --------------------- --------- - MICROPAS4 v4.01 File-. Wth-CTZllS92 ----------------- Program -FORM MF -1R User#-MP1000 User -BOB METZGER 0 D S Run- S- ------------------------------------------------------------------------------- 1 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 j whether they are shown elsewhere -in the -documents or on this checklist omly. BUILDING ENVELOPE MEASURES �esi�Nn- � -------------------------- _, nforce- er went *150(a): Minimum R-19 ceiling insulation. L� 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. E-� 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(8): 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 , i c. Flue damper and control- 2. ontrol 2. No continuous burning gas pilots allowed. E :0 1 C- , f_4- 'Z Y 110-13: HVAC equipment, water heate'r's; r-,howerneaas ana faucets certified by the CEC. ' 150(i): Setback thermostat on all applicable heating systems. -ll 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.). C lL LIGHTING MEASURES ----------------- Design- Enforce- er Dent 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling ixtures.IC (insulation cover) approved. Be aware that glazing units (inc-luding doors with glass) must.have permanent NFRC labels. Glazing labels will be checked against the Title 24 calculations at the time of framing inspection. If the installed U -value is of a lesser value, the Title 24 calculations must be redone, and appropriate changes made to the' structure (e.g., this may include additional insulation, -addition of screening devices, reduction of window sizes, etc.). Note that an Installation'Certification Form CF -6R is required to be posted at the residence proper to the'issuance of a Certificate of Occupancy. This is in addition to the Insulation Certificate. NORTHSTAR ENGINEERING 20 Declaration Drive Chico, CA 95926 .(916) 893-1600 FAX (916) 893-2113 STRUCTURAL CALCULATIONS PROJECT G R�•y I V( A N A L JOB NO. I8O LOCATION Z -2Z% 6URDIGK , DUP�NAr-1 DATE - Z4 A+ CODES: Uniform Building Code, 1991 Edition AISC, Manual of Steel Construction, 9th Edition ACI, Manual of Concrete Practice, 1988 Edition AITC, Timber Construction Manual MATERIALS: Concrete: f I c = 2500 psi @ 28 Days Masonry: f'm = 1500 psi ,Mortar: f'c = 1800 psi, Type "S" Grout: f'c = 2500 psi @ 28 days Steel Reinforcing: A-615 Grade 40 for #4 and smaller A-615 Grade 60 for #5 and larger Structural Steel: ASTM A-36 Steel Pipe: ASTM A53 Grade B Steel Tubing: ASTM A500 Grade A or B Machine Bolts: ASTM A307 Grade A Anchor Bolts: ASTM A307 Grade A Wood Connectors: Simpson Strong -Tie or equal. Type "B" Holdown anchorage. Wood: Light Framing: Const Grade Douglas Fir Struct Lt Framing: #2 Grade D.F. Joists & Planks: #2 Grade D.F. Beams & Stringers: #1 Grade D.F. Posts & Timbers: #1 Grade D.F. Plywood: A.P.A. Rated Sheathing, Grade CD, UBC Std 25-9 Glue -Lam Timber: ANSI/AITC A190.1-1988 & UBC Std 25-10 Simple Spans: 24F -V4 Combination Cantilevers: 24F -V8 Combination ARE SPECIAL INSPECTIONS REQUIRED ? Iy LOADS: Roof Live Load (psf ) 160 Floor Live Load (psf) �� Q^• ' Seismic Zone PR o. C3.4'57 Wind Speed (mph) : — BUTTE -0. E NI it Bearing BUILDING D I f (psf ) 4 "P, 0 V 19E Page 1 of Exposure GII E. 32.7 7 BY: DATE: JOB NO: ENGINEERING �j PAGE 2 OF Civil Engineers • Planners • Surveyors F' 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 __�_. Air - } 7� I I I I I L�_ A V_ A N -A R _� I T Y _ I� i I L S^ __Y ! _�_._ S I , �. _- _��_A O I�._L_�_ r� I Y__� I i Z _ Z "k �p - FIX & G F1 LI T I_U o�NP TiH__E,II R, ► R �Ti�y i T+T _Fd12 � x � ► 308_.8 �4�Q,_z _� =. {a. ��: i �I -� � -� +,.F! 1 _l D x8_ - z.8 C.� i� I. i::: PAF NO. 425 �N _� x = { - j fJy--I- _i - !� fIi I i CAI\F�� ,q 57 34257, — i _ ._.�.__J.. L L BY: .Lr'j No thSt1r DATE: 7194 ENGINEERING JOB NO: 4j I80 PAGE 7J OF Civil Engineers • Planners • Surveyors 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 mmummmommo - - ---� J- --� 1 )�- i 7 Fid 0 117 01 N ZOO I —� � �<—�•�-. , -- 449 7) I ' I � � �. J�---�- I K 1rtz .'�.-' I `�• d-._ t ; tom- _-�- ixT411- Y ` •+ t q d 7 r -�.., e�-�.rn r 14^W ttW—w�..a W —t te a .,- ..+�.++ ..rir *r� . �.-.r– --r-•• - - ...e -�r � q , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM y (One Form Per Building) School District � � � /)L(. �% � Building Department No. A.P. Number 3C[ �(, " Jurisdiction 0' City County n ,I Property Owner (-s� IL/ FN KU L ;� Property Location/Address Subdivison Lot No. Residential Development 0 0 Sq. Footage No. of Living' MHI Addition (Group R) Units Commercial/Industrial 0; 0 Sq. Footage New .: Addition (Including Exterior Roofed Areas) 3((o Building Department Representative Date ;i (Floor Plans reviewed by School District Personnel) DistriIdent' cation No. School District certifies that (Applicant) 21-3Q& o (Street Address) (Phone Number) (City) (State) 93,3 (Zip Code) has complied with the requirements of Resolution No. by payment of $ exeln representing ' r �3 square feet. School District Representative Date Paid by Check Number Remarks: n rl((,t Bank Number Paid by Cash ,_ wd.4� { 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 Quality 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.wk1,(4/s2) PERMIT NUMBER _ g 1415-73B,P,E ' r s P ( E �7 PERMIT EXPIRES '6 1 --74— ,,`OWNER' Jack Thorpe I e K CONTR: owner !343- S ZS Z LOCATION (A. P. 39-25-29 Ra , }: s/s Burdick Rd. 5th hse. from Dayton -Durham Hwy., Durham r r r� ti tt r J h t r - COUNTY XF BUTTE R Department of Public Works BUILDING IN'OPE,C`i>i'ON RECORD 1 _7 Zoning - Setback it ate% - Forms S� Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel��% `--7 Gas Piping &. Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final +' Final DATE REMARKS OR CORRECTIONS / JC-, Ma T pro,, 20 )�f 00 3 b w r COUNTY OF BUTTE — DPARTMENT OF PUBLIC WORKS 7 County Center Drive :Oroville, California 95965 Tel ephon0k: 53„4-4941 APPLICATION AND PERMIT ` BUILDING Owner SO. FT. OCC. BUILDING VALUATION 4Q. ci o -R , tl Mailing Address 0 13o Y4 -SCS— Telephone No. 3'4 70 Fireplace Contractor �;� Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address C PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2 " G %— Each Trap 1.50 `� Repair drainage or vent piping 1.50 Water piping 1.50 LC sof Each gas water heater or vent 1.50 aGas A. P. No. 3 Z sJ �, Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feeq W.6. Sanitation EOA Parking Parcel Plans Declaration Fire Dept. FireZone Use Permit Building sewer 5.00 Map p 60' R/W Im rovements P Lawn sprinkler system 2.00 Bld Plan Recd2 g. , 0 Parcel pproval Plans pproval Permit Fee � � S NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 13 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal__LO �20��22�3 Receps., swi 43hes & fix ou lets:::6 b. CONTRACTORS -LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee j 60 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®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 Workmen's Compensation Laws of California. S MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee , 1 certify that I have read this application and state that the above information is correct. I agree to comply to all -County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE. authorize representatives of the County of Butte to enter upon the above-mentioned property f pection purposes. Date 5 —1— 7 5 Signature of Per itee or Agent Receipt No. !Q White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work InGated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date �^ l�--7 a_ Building permit expires Date' y....�