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HomeMy WebLinkAbout026-080-048AP 26-08-48 nn Taylor �n e,� 8 Fulton Ave. P Palermo COMPLAINT TO INSPECTOR 68 _ -V Permit 3293-80E 5,cl (elec.serv.change/sf) 026-080-048 03-2815 SHAMBI11N, EMERY 7068 FULTON AVE, PALERMO ADD KITCH, LIV RM, DIN RM J 1p 6r2- 1VI� �I if n.. :.. .... .. 1 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75AJ VPERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-080-048 ZONING BUILDING PERMIT OWNER EMERY S14AMRT JN TELEPHONE 534-3213 SO. FT. OCC. BUILDING VALUATION 26,784.00 . OWNERS MAILING ADDRESS PQ 94, PATEIRMO 95968 - U 10 368.00 CONTRACTOR'S NAME OWNER TELEPHONE 62 C 80[0 • 00 0300.00 EST CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 38 258.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 343.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 222.95 BUILDING ADDRESS 7068 El AU, 1241 11 -WO Energy Plan Checking Fee $ 23.00 $ -11-1-M PERMIT FEE S 608.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)< Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 41 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Yl Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD KITCHEN, LIV ROOM & DINING ROOM,L GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15-00 Mobile Home S G W IT@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600R UE Main Service zo.A VOOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: © I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) D 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 pro ' ' S. X Date 3 --- co _ Signature o Appli ant - ❑ wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hlht. Main Service 200A TO IOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.50- -17-90 EW OUTLET CIRCUITS @7,50 O1MULTI. —N POWER APPARATUS 8 SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA2L@''0° L @ .SO Ex. Occup. GFIx�EIF,APP IES o OR5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 1 115.00 Cooling Hood 6.50 6,50 Ventilation PERMIT FEI_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 846.95 HAZ. D. FE MP FL CDF PAtR V/ - D Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated aboveAr which fees have been paid. By Date PERMIT EXPIRES O 10 /HITE-D.D.S.-B. Defe rReceipt No. i CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L � w i F l � � m 1 r _ V 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: �i f � 1�%� -A 8 \ ASSESSOR PARCEL NUMBER Proposed Building Use: AC ? !_ Counter Technician: Date: iV2 ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. [. 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. !;K ❑ 4. Engineered truss details and layouts in duplicate. No faxes! - ' 5. Energy compliance design and supporting documentation in duplicate. j 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. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. ❑ 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........ ❑ 12. Hazardous Material Form .................:................................... ❑ 13. Fire Sprinklers.................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Sent by Date Received By MR �' ' g items needed to issue the permit. (May require additional plan review upon receipt of the following items.) s as shown on the attached Schedule of Fees Due Sheet ....................................... ik� . Statement of Intent for Non -heated and A/C Buildings ................................ .... Y1. .. 11( . Sanitation and site plan approval from the Environmental Health Department i0IVC 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: D IZ (B)Parking: (C) Parcel Check:-22-� ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (N mber, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier rfd Policy Number ............................................. 28. Owner -Builder Verification (ik�. Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have been informed of the abovitrems and reements for obtaining a building permit. ay, Applicant: Date: 1. Index permit appu ation for the above items numbered: Plan Check Letter 2. Additional items re u d Contractor, design i owne was advised of the above data by phone, ❑ mail, ❑ counter, by Date: I D Contractor, design caner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by:Date: */. Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r E.H USE CAVY 'Slot Ran Attechad�� Floor Ran Ataachad Sena to ®.D. —Y---, / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �� 'd 6 L � �� J\ -)2G --G& 7 L) V OwKer Location AP# \ Plan Approved for: Sewage Disposals ,,/ _/ Water Supply: Pubic Private WeII 1 Clearance for dwelling. Other .AI IY t 4 J--) ?I — P,/ WV -)0 j- Hold final for: Final clearance O.K. for: NOTE: _'111 t 1) 1 � ( i� /Q.1 rn� > �� / � XtO , JA Environmental Health Specialist 8/96 Date. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER �\ �._. A.P. 4C�(P PROPROSED BUILDING USE 1-- DATE I �� 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ Revise Checking Fee.... $ `1 Sc ISTRICT FEES �(pa4S at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking proce APPLICANT DATE Pursuant to Government Code Section 6020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) OWNER -BUILDER VERIFICATIO N Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. �1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 13 NO 0 I HAVE 9 HAVE NOT 0 signed an application for a building permit for the proposed work. 3�,.l have contracted with the following person (firm) to provide the proposed construction: ADDI�ESS• CITY; CONTRACTOR'S LICENSE NO. f'plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide work indicated: ADDRESS PHONE TYPE OF WORK SIGNED: X PROPERTYOWNERX \ NOTE. This Owner Builder Ver0kation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUII,DER INFORMATION Dear Property Owner. O.B.- An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourselt; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from time city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 1300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wodcers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to work's compensation insurance. ♦ For more specific intonation about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Inf oration about licensed contractors may be obtained by contracting the Contractors State License Boardin your commtmity or at 1020 N Street, Sacramento, CA.. 95914. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these mattars. The building permit will not be issued until the verification is returned. �� \ Iyy MIC ] C. Vi ira, C3.0. er, Building Inspection NOTE. This Owner -Builder Information is required by Section 19930 of the California Health and Safety Code. OVER »= �' BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District L,-, tk-{ Building Department No. A.P. Number v 'G' �� Jurisdiction: city County Property Owner V J Property Location/Address Subdivision Residential Development Lot No. i ................................................................................................ 0 0 0 No of Living Mobile Home dd'Rio upplemental to Units Installation Conversion Permit # '(No foundation inspection): ......................... ................ ......................................................................... . Commercial/Industrial Building Department Represent; 0 New Addition (Floor Plans reviewed by School District Sq. Footage4q / (Group R) Sq. Footage District Identification No. 04-0080 anicilk—Unm�AQkSchool District certifies that (Applicant) !(Street -Address) (Phone Number) (City) (State) �/ (Zip Code) r has complied with the requirements of Resolution No. 6 v r by payment of $ /\,� . representing �� square feet. B 2926 $ FULL MITIGATION $ School District Representative U C , l Paid by Check # Remarks: ' Date 0 Notice You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. -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.xls 110/98)dmm (Including Exterior Roofed Areas Date District Identification No. 04-0080 anicilk—Unm�AQkSchool District certifies that (Applicant) !(Street -Address) (Phone Number) (City) (State) �/ (Zip Code) r has complied with the requirements of Resolution No. 6 v r by payment of $ /\,� . representing �� square feet. B 2926 $ FULL MITIGATION $ School District Representative U C , l Paid by Check # Remarks: ' Date 0 Notice You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. -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.xls 110/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • , 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rezv.12/96): APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER © T G Z BUILDING PERMIT OWNER TELEP " O. FT. OCC. BUILDING VALUATION nerp Dw ADDRESB C % V CONTRACTOR'! NAME TEL TELEPHONE ^ /'f ifs 1 - Q ��J V — boo CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace I LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee 20.00 Permit Fee $' ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee ' $ BUILDINGADDRESS \^ d ' Energy Plan Checking Fee $ 'j 3. O $ i PERMIT FEE $ ton • LAT NO. SUBDIVISIONSME ` S 3�i-— PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 - Each Trap 7.00 USEOFSTRUCTURE SF r Duplex ❑ Mobilehome [I15.00 Other SPECIFY Solar or heat pump water heater 23.00 Water piping , C5 (7 Each gas water heater or vent 15.00 �• \ 1 TYPE OF WORK New ❑ Addition I Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: /� V n` d U Com. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 /S,00 Mobile Home S G W @20.00 PERMIT FEE $ ati ELECTRICAL PERMIT Fling Fee 20.00 R LES Main Service 200A OR LESS 23.00 ©� _ _ S ik lk Saftay.00111111111111111 O 1- �T �,�� /� r4k� s ` X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent Main Service 200A TO 1000A 46.00 NEW CONST. DW LINO oCCUP. 3,5¢SFTT 3 OR ADDNS. 3 ACC. BU)S. NEW CONS MULTI.OIJTLET NON•RESID. C @7.50 POWER APPARATUS S SINGLE OUTLET MR. Ex. Occup. OUTLET OR FDCrURES 20 @ 1.00 BAL @ .50 FIXED APPLPS. OR EX. Occup. ovnE�, RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ S MECHANICAL PERMIT Fling Fee 20.00 Heating f j. CSO Cooling Hood 6.50 Ventilation PERMIT FEE $ . Sa Mobile Home Installation Fee $ Energy Inspection Fee $ Q0 OCc TO AL FEE $ Q' �CO;NST. f Y7 I T/ D CDF P Q 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. 1 /\II VJfIA Fl Cllllll lA ICt{VIIGV IVI CAVA YQlIV11J Vvcl ..v uccTJ OI�V Vo111vuuV11 VI VVllau ubuvll of structures over 3 stories in height. BY I DtNo. PERMIT EXPIRES ON -D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R Project Title: Emery Shamblin Run: 004 11 -Sep -03 Project Address: 7068 Fulton Ave Emery Shamblin Palermo Building Title: Emery Shamblin Building Permit # Document Author: Don Freemyers Telephone: 530*533-9365 Plan Check / Date Compliance Method: CALRES2 1.4.04 Field Check / Date Climate Zone: 11 GENERAL INFORMATION Conditioned Floor Area: 512 ft2 Average Ceiling Height: 810" ft -in Building Type: SFD Single Family Detached Building Front Orientation: 90 deg (East) Glazing Area, % of Floor Area: 11.1% Average Fenestration U-Value:0.34 and Fins Average Fenestration SHGC: 0.32 Number of Stories: 1 Number of Dwelling Units: 0.45 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- ------------------------- Slab 512 Yes Grade FENESTRATION Cavity Sheathing Fenestration Exterior Overhang Component Insul Insul Total Assembly and Fins Type --------------- R -value -------- R -value ---'----- R -value -------- U -value Location/Comments Door 0 -- 3.03 -------- 0.330 ----------------------- Unconditioned Door 0 -- 3.03 0.330 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Unconditioned Ceiling 38 0 41.67 0.024 Attic Floor 0 0 3.38 0.295 Grade FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- ------------------------- Slab 512 Yes Grade FENESTRATION Area Fenestration Fenestration Exterior Overhang Type/Orientation ----------------- ,(ft2) ----- U -factor SHGC Shading and Fins Window East 32.0 ------------ 0.34 ------------ 0.33 ---------- BugScrn -------- None Window North 9.0 0.34 0.33 BugScrn None Window West 16.0 0.34 0.33 BugScrn None CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: Emery Shamblin Run: 004 11 -Sep -03 THERMAL MASS Area Thick Type Cover (ft2) (in) Location/Comments -----------,------------ ----- ----- --------------------------------------- None HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency Airflow TXV and R -value -------------------------- ---------- ----------- ------------------- Furnace 0.80 AFUE N/A Evap. cooling - direct 11.00 SEER No No ducts HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design of fan cfm) Fan CFM -------------------------------------------------------------- None WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type ------------ -------- Heater Name ------------ Heater Type ----------------- Htrs'Factor (gal) Gas.62EF Standard GAS.62EF Storage gas ---- ------ 0 0.62 ------ 40 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------------------------------------------ Gas.62EF -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ GAS.62EF 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: Emery Shamblin Run: 004 11 -Sep -03 SPECIAL FEATURES, REMARKS, AND NOTES None COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in 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, and Notes section. DESIGNER OR OWNER DOCUMENTATION AUTHOR Don Freemyers Freemyers Design 575 Nelson Ave., Oroville, CA 530*533-9365 Certification ##: q -11-e9 3 Signed V Date Signed Date ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date V COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: Emery Shamblin Run: 004 11 -Sep -03 Project Address: 7068 Fulton Ave Emery Shamblin Palermo Building Title: Emery Shamblin Building Permit # Document Author: Don Freemyers Telephone: 530*533-9365 Plan Check / Date Compliance Method: CALRES2 1.4.04 Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr)' Energy Use Standard Design Space Heating 13.03 Space Cooling 11.62 Water Heating 19.24 Total Wall 43.88 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditioned Volume: BUILDING ZONE INFORMATION Proposed Design --------------- 9.43 5.35 15.92 -------- Complies 30.70 Yes 512 ft2 8'0" ft -in SFD Single Family Detached 90 deg (East) 11.1% 0.34 0.32 0.45 1 Slab on grade 1 4096 ft3 Floor Vent Zone Area Volume Thermostat Height Name (ft2) (ft3) Type Type (ft) ------------ ------- -------- ------------- ------------ ------ Addition 512 4096 Conditioned CEC Standard 210" OPAQUE SURFACES Surface Area Type ---------- (ft2) Zone = ------ Addition Door 20.0 Door 20.0 Wall 76.0 Wall 55.0 Wall 112.0 U- Insl Total Tru Slr Construction factor Rval Rval Azm Tlt Gns Type Location/Comments ------ ---- ----- --- --- --------------- ------------------- 0.330 0 3 180 90 No CEC_30-Wood Unconditioned 0.330 0 3 90 90 Yes CEC30-Wood Outside 0.088 13 11 90 90 Yes W13_2x4.16 Outside 0.088 13 11 0 90 Yes W13.2x4.16 Outside 0.088 13 11 270 90 Yes W13.2x4.16 Outside COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: Emery Shamblin Run: 004 11 -Sep -03 OPAQUE SURFACES continued Surface Area U- Insl Total Tru Slr Construction Over - Type ---------- (ft2) ------ factor ------ Rval ---- Rval ----- Azm Tlt --- Gns Type Location/Comments Wall 236.0 0.088 13 11 --- 180 90 --- No ------------ W13.2x4.16 ------------------- Unconditioned Ceiling 512.0 0.024 38 42 -- 0 Yes R38.2x4.24 Attic Floor 512.0 -- 0 -- -- 180 No S1ab140C Grade PERIMETER LOSSES Perimeter Length F2 Insul Type (ft) Factor R-val ------------------- ------ ----- None FENESTRATION SURFACES Insul Depth (in) Location/Comments ------ ---------------------------------- OVERHANGS Fenestration -------------------------- Length Height Left Right Name, Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Digt Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS Vol Cond- Area Thick Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- None Fenestration Exterior Shade Over - Fenestration Area --------------- Tru ----------------- hang Name -------------- Type (ft2) U -factor SHGC Azm Tilt Type SHGC /Fins ------ Zone = Addition ----- --------- ------ --- ---- ---------- ------ ------ Front -E-1 Window 16..0 0.34 0.32 90 90 BugScrn 0.76 None E-2 Window 16.0 0.34 0.32 90 90 BugScrn 0.76 None Right -N-1 Window 9.0 0.34 0.32 0 90 BugScrn 0.76 None Back -W-1 Window 16.0 0.34 0.32 270 90 BugScrn 0.76 None OVERHANGS Fenestration -------------------------- Length Height Left Right Name, Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Digt Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS Vol Cond- Area Thick Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- None COMPUTER METHOD SUMMARY Page 3 C -2R Project 'Title: Emery Shamblin Run: 004 11 -Sep -03 SOLAR GAIN DISTRIBUTION Fenestration Name ------------ None HVAC SYSTEMS Winter Summer Targetted Fraction Fraction Thermal Mass Comments System Name System Type ------------ -------------------------- Zone = Addition GasFur.80 Furnace DirEvapCoo Evap. cooling - direct HVAC DISTRIBUTION EFFICIENCY DETAILS Refrigerant Minimum Charge and Equipment Duct Location Airflow TXV Efficiency and R -value ----------- ---------- ------------- N/A 0.80 AFUE No 11.00 SEER No ducts Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------------------------------------------------------------- None WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type ------------ -------- Heater Name ------------ Heater Type Htrs Factor (gal) Gas.62EF Standard GAS.62EF ------ - ---------- Storage gas ---- 0 ------ 0.62 ------ 40 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------------------------------------------ Gas.62EF -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ GAS.62EF 76% -- 36.00 -- -- __ COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: Emery Shamblin Run: 004 11 -Sep -03 HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES None MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page i of 2) MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (0) 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 minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: • §150(a): Minimum R-19 ceiling insulation. § 150(6): Loose fill insulation manufacturer's labeled R•Value. • § 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls does not apply to exterior mass walls). • § 150(d): Minimum R-13 raised floor insulation in framed floors. § 150(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 ern -/inch. § 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. § 116.17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. 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(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. I. 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 pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110+13: 113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. § 150(i): Setback thermostat on all applicable heating and/or cooling systems. § 1500): Pipe and tank insulation I. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55° F insulated. 6. Piping insulated between heating source and indirect hot water tank. January 4, 2001 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) MF -IR Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance 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 minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) ' § 150(m): Ducts and Fans I. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections 601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R-4,2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, k manually opera ed dam ers. § 114: Pool and Spa Heating Systems and Equipment. I. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no —continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr Lighting Measures: §150(k)l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. § 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in § 150(k)2.; and recessed ceiling fixtures are IC insulation cover approved. January 4, 2001 0— COUNTY OF-BUTTE='DEP.A' TMENT OF PUBLIC WORKS 7 County Center Drive - CZroville, Cal ornia-95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONIN• . BUILDING PERMIT OWNER TELE HONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS is , CONTRACTOR'SNAME TELE ONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ' UNKN 'N Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ucEr•= No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - PLUMBING PERMIT Filin Fee 3.00 9 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARC ;MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities [I InstallationC Pther❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ACDNS. ( ACCLBLDGS. OCCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- fation, will do the work,and the structure is not intended it offered or sale. (Sec. 7044) ❑ 1, 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 CO ID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS 8,NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(50@25C TS OR FIXTURES gAL@10S (FIXEO FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑` I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X� Date Signature of Applicant — Owner ❑` Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition at construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY ''`' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Pholie: 891 -?751, 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_` ��iX '� Date__ — / M =ti COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891.2751• 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ) �, a, V ) SIV_ , . J ? )1111� IX 11 �✓ ., rY'f'a.. t -'l. '�' � :'ala "'Y' � 1 ( - )� �' Q 1.4 Inspector - I Date COUNTY OF BUTTE - DEP.ARTMENT OF PUBLIC WORKS PEg�ll�iy' T�vo. 7 County Center Drive - Oroville�, California 95965 - Telephone 916/534-4 !/��d APPLICATION AND PERMIT 0 ASSESSOR PARCEL.NMBER tD /Vy sJ ZONG BUILDING PERMIT OWNgR_ _�tv %A yL0� C/��G/►�� TELEPHO E,/ X LEP SO. FT. OCC. BUILDING ALUATION 66 ii/J!!r O/_. V. MA60 ADD�ES` C4 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S AILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR I EER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI Ca, A E55 (J1 70 / �� a (/// N PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 OOnq �Cjt_F,l Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR SLESS 5.00 rO0 Main service EA. ADD'L too AMP 2.50 NEW CONST.DWELING OR ADDNS. ` ACCLBLOGS.CCUP,&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification M/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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTNON. RESID R BRANCH CIRCUITS 2.50 ea NEW C ONST F;L POWER APPARATUS a\ NON-RESID, SINGLE OUTLET CIR. 1 LE ExOESID. urN , OR FIXTURES 50 @250 BAL@toe EX. OCCU FIXED APPLNS, OR p. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 f Consent to Self -Insure. LJ ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 aid County in cons uenc of the granting of this permit. Q' X Date "�(!� o� Signature of Applic t — ner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sto ' s in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ . ZS OCCUP. GROUP I TYPE OF CONST. PARCEL 7 HD I ISSUE This permit is hereby issued under sions he Butte County Code and/or work ind Gated above for which fees I E T�R OF PUBLIC By PERMIT EXPIRES Date the applicable provi-_ resolutions to do .have been paid. WORKS ate �e Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT'dF PUBLIC WORKS - BUILDING DIVISION ;k.. �. r 7 County Center Drive—'0roville, Califoania 95`965 — Telephone: 534.4541 ft •f r PERMIT APPLICATION DATA SHEET 1 fM Permit No. OWNER �7L ��v T� A.P. No.:2& -0-3^4/zf , Proposed Building Use ELEL-?• S�v�//� �� �' Permit fee based upon Complete Contract Price DPW Valuation Ao"er (explal n) Building Inspector / Date 2�O At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. . 12. �WtictAs:-Reense Wo men's Compensation Insurance ,!!Xr3. C-ontr-act ) Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow).... .............s..,......................................................................:. /115. Pre -inspection fo. required. bldg.,spec.requestto bldg. inspector (date) 16. Other Whenyou issue the permit, process as follows: Mail to owner Mail to contractor. Telephone 5"3 3 5 an ho .d for pickup at 6t/L,0 office. Deliver w/inspection. Other 3 eq i Applicant 414,)Xet, .�` •�ll�J� Date t17 cO U Copy of plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit. issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: 1 1 Copy/DPW �o� � COUNTY OF BUTTE - Department of Public Works 7 County.Center Drive, Oroville, CA.. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) i 2.I (have/ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name lPi Address �iA City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name_/ aJ�i Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit- Date Lt� . NOTE:'This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.- . CQUNTY OF BUTTE = DEP_U1Z_ ENT OF PUBLIC WORKS PERMIT NO. 7 C;::ntyC%nter Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AIND PERMIT ASSESSOR PARCEL N MBER Cj$"tf�-M ZONING: BUILDING PERMIT OWN_ RW LO T9 LIL 0 jC TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION /� Oa'S MAI L,�NOG ADD�ESS �0 S7 57&, (/J_3 CONTRACTOR-5UNAME TELYE PHONE CONTRACTOR'S NfAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR 1 EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU L A ESS v� �N AVC - PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 PA o Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ( ities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 3.00 OR LESS Main service t 100 AMP OR LESS ^oov 5.00 Cv� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( DWELLING OCUP. CC. BLDG&) 2Q, Sq ft ORS LICENSE LAW I declare under pe ty ry (check one): I am IIcen d provisions of Chapt. 9, Div. 3 of the Business Fder and Prof si Code and m license is in full f ce and effect. y License N CI jZ3 Qt�- s their sole compen- �I, ash ne , r my oy7Wcf� sa bn� ill t r ,and te is not intended or offered ,lof fe. ( 7t 4 Y s th e m x sively contr ct'ng with licensed contract- ors. (S , 4 I am a der Sec. si ss and Professions Code for s r o , NEY! CONSTR. K U TI -OUT. LET NON-RESID- BRANCH CIRC ITS 2.50 ea NEWCONSTR. POWER APPARATUSNON-RESID. (SINGLE OUTLET CIR❑ =0 @ 25, s OR FIXTURES BAL@10z Ex. OCCUP. AXED FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 6.ZS7 Permit Fee $ Z Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATI N SURANCE 1 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 f Consent to Self -Insure. LJ ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fse $ t ) .----_.__ ___— 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 purpoLes. 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 aid County in cons uenc of the granting of this permit. X/ _�� _. Lf 421A, D Signature of Applic t — ner J Contractor ❑ Agent ❑I An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stc s in height. Mobile Home Installation Fee S Land Development Fee $ .� TOTAL PERMIT FEE $ . 2j OCCUP. CROUP I TYPE OF CONST, PARCEL PD 11 ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 153 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLOENROO-APPLICANT r. uttecounty LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director s a , 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 6� g Telephone: (916) 534-4541 H. W. McDONALD Deputy Director September 28, 1981 RE: EJJ%tA*1Na1Permit # Glenn Taylor 7A0.PXV= 3293-80 P.O. Box 163 26-08-48 Palermo, CA. 95968 (7068 Fulton Ave., Palermo) Dear Mr. Taylor: With reference to the above subject, we have been advised by one of our building inspectors that there are items requiring corrections for the work which you have done as follows: Electric service change with the following corrections: 1. Remove exterior romex feed to washer or install in conduit. 2. Remove temporary jumper to old meter. 3. Plug knockouts in service equipment. 4. Permit expired 6/27/81.' Since these items must be corrected before we can final the job or issue the required Certificate of Occupancy, please make the above corrections and contact this office within ten (10) days of the date of this letter and request final inspection. or it F444 A9bFffN XYiX0rAkX9pn# fWsPei449 in a timely manner will certainly be appreciated. Should you•have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Publiz-MQrks � V. Glander JFG:dd Assistant Director Building Inspector Oroville CERTIFIED MAIL Glenn Taylor P.O. Box 163 Palermo, CA. 95968 i utteCounty LAND OF NATURAL WEALTH AND BEAUTY - - ------ . jjj DEPARTMENT OF PUBLIC WORKS ��• CLAY CASTLEBERRY, Director. 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 t Telephone: (916) 534-4541 H. W. McDONALD November 23, 1981 Deputy Director Electrical Permit #3293-80 RE: ��fXHisIXX ; A.P. # 26-08-48 i (7068 Fulton Ave.,'Palermo) 1_ With reference to the above subject, we have been advised by .one of our building inspectors that there are items requiring corrections for the work which you have done as follows: r. Electric service change with the following corrections: 1. Remove exterior romex feed to washer or install in conduit. 2. Remove temporary jumper to old meter. 3. Plug knockouts in service equipment. 4. Permit expired 6/27/81. Since these items must be corrected before we can final the job �jr please make the above corrections and contact this office within ten (10) days of the date of this letter and request final inspection., or it will be necessary to obtain a new permit. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:dd c Building Inspector , Oroville Yours very truly, Clay Castleberry Director of Publ rks Glander Chief Building Inspector County o{ Butte DEPARTMENT OF PUBLIC WORKS 99r'AI e°+s Chico 7 County Center Dr., Oroville - Skyway and Elliott Rd. P,aradise 534-4541 _ CORRECTION NOTICE ,: �'A 5uildi ......i...... roperty ress A routine inspection Pindicates d that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction have of work is completed. If you any question' pertaining to this matter, or need additional explanation, please contact this office immediately. Z1-1. . l+ ,r.�-. .... . ........ �Tf........................................ ...........:.................................... ....... Date//- .,,�,r:,.: ...... Inspector , Do Not RemoveThis Tagg _ (400-4) I -'L_ BUTTE COUNTY M, V hLU1rlv1v iN i Jnx v 1% Complainant: l Phone Number: Other Comments: 7 +•i•. i f•'b :: �:• .•f . S S. . .. .. . .... ... . .. .. •'TSL.: �%Y'r•�'ririRw ri:��s,r'wnMl:•e�tt'ii�ii�:�d'b'�tYi��•��;�.�iiiiSf6-�� Y:;e__ _fc...... _._._... ...._......... . Inspector must draw a plot plan with all building locations: Additional Comments1rom Inspector: 2 JL 9 .1 — — 5 0 z Agr �Cr-j PCarr 'CAsTAb 4 A. tp DINO" ,t) §"- .,b 11 19 Alt rA rO ..Fr opt;; BUTTE C isi N APPROVED i Jt;L I R I tip o > C) G) a— G) z rn X C-) 0 C) 0. <;z C: rj Z 0 4- I 1- A Ca. �z ®M 0 0 z 0 IN �h Ns I aull OD N lh C3 CM r- C 0 -0.5! ;o C) 0,00 < .. c 0 65 Z MS.i.-ftli 0 z T a es