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HomeMy WebLinkAbout040-280-099~` ^ " . - - ---' - ' - - -' -------'9007 MIDWAY ":NEW SINGLE 0 FA I - -� l-------- ' - -------------- ' ' \ . � , ~` ^ " . - - ---' - ' - - -' -------'9007 MIDWAY ":NEW SINGLE 0 FA I - ;,®:, � • � ._._� . �,A�: t ENTIAL r U4U-28-U-U99 91-3812"- '' GOBEL, TIM/DEBRA CONTR: DEADMOND, G.W. 9007 MIDWAY, DURHAM NEW SINGLE FAMILY 3 --I - I ' OFFICE COPY'h i ' IAddress00 GAS 1 Meter By A �.3e3_ Date,3014 , I ELECTRIC Meter By — Date OFFICE COPY I Address G Ib, Al ' ' I GAS– Meter By t Date— ELECTRIC ate ELECTRIC Meter By %� n�,�.�-� Date InO `R2+ JOB FINALED (Date) Signature ✓=QK d = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = 0 Dale UND RFLOOR (Plans) OK except #'s Zon ing-Setbacks-Easemen is -Flood -Slope Ftg., Main; Soils-Elec. Orrttt-/e" Ftg. Depth .Ftg., Garage; Soils-Steel-Elec. Coirdl-r( " Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth YStemwalls, Main; Steel -Bloc kouts-Wrapped B'Stemwalls, Garage; Steel-Blockouts-Wrapped I 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel y!D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 14-tW-Gas Pipe; Size -Anchors - yard gas piping: size -test 1j^Nater Pipe; Test -Anchor -Regulator -Service Test lRi Electric; Underground "3 12'a -urns & Ducts; Clearance -Material -Support -Ins. Jec Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Aces & Ventilation 16. Insulation Date 2,(y.a� ( Card B-1 Date Card B-1 Date j Z-\%vR'k Card B-1 QC..., Date Card B-1 Date PLUMBING (Permit),OK except #'s 6 Wa er Htr - t ccess-Combustion Air -Baffle _ ter P' e: T & Anchor- Protection -- D.W.V , est- ittings & Ancho Nail ection - ---- -- — - 14-41 we Pan: Test, First Floor -Tub Access 2&.--T s Tub & Shower, Second Floor -Tub Access ----------- ------------ -- - ---_-as pe: ze & ors Date - ^?_ Card B-1 Date _ _ Card B-1 Date j-2AA12.Card B-1 GC Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ae'Fixture & Transformer Clearance -Ins. Protection --------------------- ----- -------- ----------------- -- Pe . Receptacles Spacing -Light, & Switches at Doors ------------- - S -c ----------------- ----------------------------- Size Boxes & No. o nduc rs-Stapled ------- --- ------------- -- - ------------------------- 8C� mex Inst d Close to Edge of Studs & C.J. -- ui r and made u w ech. F trier o Gas & err - --- ----------------- 2 p I' ' ce Circuts in schen Conductor Size/GFl --------------- ---- ---- ---'------------------------- S feed Wire Size �r ga. Cu orSA.C. Wire Size (� / ga. - - Cu or AI -------- -- ----- -- --------------------------- 29'-ftr1>3e Circ. ( r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated N utral ❑ Yes ❑ No ------------- -- -- ------------------ - ---- -- - --- - ----- - - - ---------- - --- - ----- - - - ---- erv' - ser Conductors & Ground -Main Disconnect -- ------- - - ---- -- -------------- ------------------------------ - Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light ----- --- -- -- Smoke Delecfor ------------------------------------------------------------ -- ---- -- -- Date k:jaj.CZ Card B-1 Gds Date Card B-1 -` --- Date ------------- -Z$ �jZCard B-1 ' Date Card B-1 Date MECHANICAL (Permit) OK except #'s ---,34'-A_C_Ducts Insulation & Support n`---------------- ----- ------ -- - ,; Vent Fan: Exhaust above insulation ----- - -- -- - - -------------- ---------------- Conden ate Drain & Overflow: Size & Grade �Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ----------------------------------------------------- -- --- - ---- - --- ----- -------- /� Attic Accesslas om if Furnance in Attic ------------F1 -------------- ----------------------------------------------- --------------------------------- --- --- - ---------- ------------ - -- -- ----- --- - Date `�',-GiZCard B-1 GG Dale Card B-1 -- - --- - - ------•------ ------------------------------------ --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s ls. Proper Mater al n or Walls Studs -Nailing Spacing � r -Plates-Sound ---- - - --- ---- - - ------ ----------------------- -- - - - Bearing Walls over Girders & Floor Nailing t Stop m Walls (rat proof) - - -- - --- ------------------------- ire Stops Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing & Duplex) r -- Date ' FRAMING (Continued) lzzzers- ost Caps -Anchors -Connectors - Cing. Joist-Rftr. ties-Purlin-roof Brac ss Shthng.-Ring. Fireplace Ties or a e -F' ac Throat clearance -- 4a."'Altic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -------- 4,9!Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --- _ garage Fire Protection Framing - ----5�perty Line Firewall & Openings ---- 5 Ext_Doors=One 3' -Check Garage -3rd Story, 2 Exits -- --- - 53�-STNts; Width -Headroom -Rise -Run -Landing -Fire Protection 5 . plywood on Roof Overhang -Attic Vents -Rafter Outriggers jCs5. Siding -Nailing Veneer ----------------------- -- _ _ 56-S4aeco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic _year Walls; Nailing -Bolls r10------------ -- /nor -V — g 6 Infiltr iafon-WCF s Date t�Pj- Card B_1 a -G Dalek_zQ-0 z Card B-1 G Date I -Z$ -4V_ Card B-1 GG Date Card B-1 Date FINA fans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings ------------- --- S - -- — ke Detector ------------------ -- Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection - __________-/gedroom Exiting 05. G .I & Bath Fixtures & Tub Access -Spa --------------- — ------------ Trim & Subpanel; Breaker Sizes X --- - Fire c or Stove: Clearances -Hearth --------- Outlets at Wood Panel; Int. & Ext. Ki Ri 1. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter ------------------ ------------- - ---________ r Garage Fire Door Swing -Landing -Closer 77A C. Duct in Garage -Damper VA Wlr. Hlr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --- -------------- _ �I--b..--Elec.----&---Mech.----_Equip.----— Listed for Location ;4eElec. Receptacles in Garage: (G.F.I.)-Romex Protection --- - ;;!Insulation -Foam -Looked in Attic ❑ Yes -------------------------------- -- ),p� Guard Rails & Deck Construction -Post Caps Ww W. -Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 11 Yes SO. Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - 8r.-3lvcco: Brown -Finish ------ --- A_C.. Unit_ Disconnect_ Electrical, Plumbing — 42!Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to penings -W er Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim: G F.I_Receptacl- der— enta�i----- Throughout House - -------------------- _ .Glass Protection Corrections from Previous Inspections d(.Gas-Tptf. -meters-Tagged; Gc Electric - -- - V� --_��W ter & Sewer Connected -C/O to Grade -HD Approval -- A Energy Compliance Certificate -Other Certificates - -------------------- - --------- -------- --- ---- Date2,,eq- Card B_1 Ga, -Date — Card B-1 Date 11 Card B-1 F Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 `a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements - y 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 -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing - 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool,Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test - r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ` r L I �t uTE OF TIM ejl �t �SI. �•. x 4 %, i 14 a ,�' , f c ., t I � �3 < � •�17t'JS t!4',b� 1;1 I :'ii ,' e IYi 1: ' �`� 1 tI, r '•'.�t` !! kr) c c �Ij f►i � I I^ '" t W o V'j%l= CER IFICATE,:% 1 0F�CON F.0 R.M A R E "ii d ,Idf I I I , - HE U/VDERS/GNED MANUFA C TURER HEREB Y i `CERT/f/ that the products identified below and on attached sheets Nos. 'aye marked ked:. with the Collective Mark' of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and -were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture ,I ! ' been at our plant In;, ct��o ture has ity con'trol system approved by the Inspection Bureau o the AMERICAN INSTITUTE which plant OF TIMBER( CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. I JOB NAME: - JOB LOCATION 900.7'Mid ay Durtlam, Ca } � 1. PO#685 4-18-91 { CUSTOMER'S ORDER N0. j h DATE MFGR'S ORDER NO. 8864—D .. i I. r• • i t b i 24F -V4 WP Glue Arch A Indy Wra I ' SIGNATURE YtiL'G—;C.!/(�r.1 .�,'.If.t. _ _ a !• -' r.'�� �` COMPANY �Q 1� {' 4ill (TITLE Quality Contrnl ADDRESS_ PO 9�� �Wl QSI1f)TIIP - OR OATS 5-3-91 .:' I c I A/TC HEREBY CERT/FES . that the said company at its said plant is licensedr ;. AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Ma�knrespect ,ria. of products which comply With applicable provisions of said Standard, that the adequacy of the quality C system in effect at said plant is periodically inspected and verified by the Inspection. Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, �4 'a .•', said company is capable of complying with applicable manufacturing and testing provisions of said .t.: Standard in respect of products manufactured at said plant. Conformance with the Standard in respect k { of an p p p Fal J y specific or articular product is the sole responsibility of the an AITCs guarantee i (,,'•;;: ' hereunder being that the said company is qualified to produce a product meeting the said Standard • and that its plant is periodical) I= 'f I_ , y inspected and verified by the AITC Inspection Bureau. AITC Certificate No. ' 7 4 2 5 7 AMERICAN .INSTITUTE OF TIMBER CONSTRUCTION IT • 7, , j RECEIVED 14 ��•'`' 'sof r � r ° Fr I � I S �1 L tf 1 rl c 1Pr iA 0 71991 yat� - r " °i O 1983 AMERICAN INSTITUTE OF T tvl�KEL� ' F ` !� AITC FORM IBCA �•' x `� ` Permit No. E N E R G Y. C E R T I F I C A T I O N 9007 midway, Durham Ca. A.P. No. LOCATION DESCRIPTION OF INSULATION ROOF Brand Name Material Thermal Resistance (R Value) Thickneae se(inches) EXTERIOR WALL Value)_ Brand Nam Material e Thermal ReeletanGeOWENS-CORNING _ 64FIBERGLASS BATTS 19_ Thickness(inches) .. (R __R___._.. CEILING Batt or Blanket., Type FIBERGLASS Thermal BATTS Brand Name OWE:NS-CORNIN R30 'rhickneas(inchesThermal Resistance(R Value)^ Loose Fill Type FIBERCIASS Brand Name Minimum Thickness(Inches) 1Z 214- NWnber of Bags 29 Wt. per bagR—Lb. Area covered(ft.i) 1840 Thermal Resistance(R Value) FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness (inches 61" FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thicknese(inches) Brand Name T I►erma 1 OWENS-CORNING Resistance(R Value). R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal ResistAROG R Value i hereby certf�ic`�hat he`istateabove ofiCaliforn-.ansulation WBnertytRequiri"nte•� q the ave building in conformance CCIFRKF TN� II AT T flN CN , T NC _ FIRM NAME/OW R STATE CONTRACTOR 8 LICENSEti0, - - �� March 24 1992 - DATE :88IGURE OF INS ALLATI9 J APPLICATOR I hereby certify the above insulation and all required lteae as shown on the Building DeparemS�atepofoCallfornlaand EnergyaRequirements have ente.been installed as required by tl► All equipment, dev es and materials are of the quality prescribed or are specificillly app o ed by the State of California. FI NAME/OWE R (Please print) STATE CONrRACTOR'8 LICENSE NO. SIGNATURE OF QENERAI. CONTRACTOR OWNER , DATE THIS SPECTIONFAPPROVAL ANDEA COPYFILE SHALL`IBETHE POSTED WITHINPTHE THEBUILDING� TO FINAi. IN January 1984 ^. .� ... .a- rx.._,.rti�.is 4i^�^^'wcfro•y» "^-.y f4.,. _• ;"�.�-..,, 4�:. Ki.'ajtv'lr a^a: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 13 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE G(—) R c. q 1-35 le OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please Matt this office immediately. _ Gr:t 'Z—n' trjc v\nll��crL I5Ckf\l O? . Ail, R+�c1 PricC(s kl T- . 1 ScA Jhs. ov>~2 ILLI Al Er L i4C, A i Act 2C1 Fr2fwZ SKITS. r Pic, r'. M ri j ,A (r r r i !it ("V6 i,A) r 4 Pled -toy- r-ct2 Con, Aer t/// Sv =1 I' n Pent 'b of BTT . Date 3-24 -ci Z Inspector 'n 'Z-1,.�,.�. REV 11/81 ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico-- Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541' 1 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE C'(-)9,FL 91-3,�rz OMER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter. or need additional explanation, please contact this office immediately. RoVFtZo4'5-I,> T R�,s , i C A nl S A Al T KI C \h GNZ (rtnl> SILL I(V G,A(r,c 6.L_Q[r21c lopP20«%CT- T(Z N "r r17 ,e S4=RimefZ(Srr-(L. .Jo/ Itj Ake G(' ?I irk Date • �7 -�Z Inspector'^' �""� J ' COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 / 747 Elliott Road, Paradise— Phone: 872-6307 / CORRECTION NOTICE 91 t-38iz OMER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance- Qist at The above address and should be corrected. Please notify this office vben correction of work is completed. If you have any question pertaining to this m/at'low. or Deed additional explanation, please contact this office immediately. T2cr00-' L•R, �- D\-�.0 1�S N •�t � Qfa MCLi� � - 51�T�c Dale - % --9,----Inspector Cjrj . �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlhe, Call1?ornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR'PARCEL NUMBER 40-280-099 ZONING•r A 5 BUILDING PERMIT OWNER TIM &DEBRA GOBEL TELEPHONE BUILDING VALUATIO R 119.238 OWNER'S MAILING ADDRESS 890 BAYWOOD STREET WILLOWS 95988 WSQ.FT.00C. M 14,040 CONTRACTOR'S NAME G.W. DEADMOND TELEPHONE 343-8384 150 C 1,950 CONTRACTOR'S MAILING ADDRESS'jar196 3311 NORD AVE CHICO 95926 1,372 Fireplace 1 5OO CONSTRUCTION LENDER �. UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - - Filing Fee $ 15,00 Permit Fee $ 734.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS QQ MIDWAY DURHAM Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 70.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 8 NAME iD & H HUTTON SUB PARCEL MAP Water piping 7.00 7,00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New FX] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3 BDRM Permit Fee $ 119 .00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): 71 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is in full for a and effect. License No. � Classification r_1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&� OR ADDNS. ACC. BLDGS. 3.60sq.f[. 109.10 NEWCONSTR ULTI-OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76 Ex. Occup. OUTLETS PRESID IKEA.) I 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 157.60 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating A PACK DUAL g 4 TON 16.50 Hood 6.50 6,90 Ventilation 13.90 Permit Fee $-50 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 Cou of Butte to enter upon the above-mentioned property for inspection purpose I also agree to save, indemnify and keep harmless the County of B t all liabilities, . ments, cost and expenses which may in yv� against id u yin conseq nce of the granting of this per t. / X at ner ❑ ntractor Agent ❑ Signature of Applicant - /��! An OSHA permit is re wirede v to er 5'0.� d liti�PP,,,�DIR ion of structures over 3 tori es Mobile Home Installation Fee S Energy Inspection Fee 5 40.00 CONST YP / TOTAL F $ 1513.10 I,Az DFEE IMP Poo CDT PARCEIi �// H Issu This permit is hereby issued under the sions of the Butte County Code and/or ated above for which fees 0 OF IC ��(Ir By. PERMI E : ESto-��T- applicable provi- resolutions to do have been paid. WORKS Date Receipt No. '49 ® WNIT!-D.P.W., 7ELL0 W -AS SOK, P -INSPECTOR, OLDENROD-APPLICANT i•al� C I COUNTY OF BUTTE - DEPARTMENT OF PUBLI WORKS 7 County Center Drive - Orovilie, CalifUrnia 95965 - Telephone: 916.'538-7541 o c� APPLICATION AND PERMIT PERMIT N/0. _q AssEssoR CEL R ZONI G BUILDING PERMIT OWNER' �� TELEPHONE S0, FT. OCC. BUILDING VALUATION OW R'S MAIL N ADD E55oop AW COr RACTOR'S NAM Fy. O T '(/ TELEPHONE CON O R'S MAI LINOA2 ESS / j C-cq 7C�- CONSTRUCTION LENDER /UNKNOWN '/`// FI ep ace Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checkina Fee I $ O Energy Plan Checking Fee 1$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING D�D�ESS / V Permit fee $ Q PLUMBING PERMIT Fili gFee 15.00 Each Trap 5.001 7,69,10 Solar or heat pump water heater::!v 20.00 L,Q-T, NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY- Gas piping system 1 - 5 outlets 5.00 ,CIO Building sewer 15.00 Mobile Home S I G I W 615.001 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 49 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ClassificationF El I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. 3.54sq.ft ( DWELLING OCCUPM . OR AD DNS. 1 ACC. BLDGS. I NEWCONSTRMULTI-OUTLET /� NON .RESID, BRANCH CIRC ITS ` 5.00 POWER APPARATUS (SINGLE OUTLET CIR.s Ex. Occup(OUTLETS OR FIXTURES20 @0 76d AL FIXED APPLNS. OR EX. OCCUp. OUTLETS IRESID.I EA.) I 3.00 Temporary service 01 fell, Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E]I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ' MECHANICAL PERMIT FiIingFee 1 15.00 Heating�© Coolin 9 • Hood Ventilation pertnit Fee $ r Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.co I also agree to save, indemnify and keep harmless the County of Butte againstpl� all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ sTT PE TOT L FEE $ , HA21DFIEESJ IMP FL00 CDF PAR HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. "'� WHITE-D.P.W., YELLOW -AS SE9SOR, PI k -INSPECTOR, GOLDENROD -APPLICANT (11 v a TO Buildinv Department y i FROM: Environmental Health SUBJECT: Sanitation Clearance A Aj f,J4.T Llo --28-cu Owner Location AP# Plan Approved for: o Hold final for: Sewaqe Disposal �� Water Supply/ Final clearance O.R. for: Clearance for bedroom mobile home. Other NOTE * * * Water Supply Water Supply Sanitarian Date TO: Building Department �t FROM: Encroachment Permit Section RE: Driveway Clearance" location AP # owner ' Driveway permit �,� has been issued for the above property. _ date Si ature �v OWNER COUNTY OF BUTTE - DEPARTMENT dF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. 4 60�� t 1'• Proposed Building Use Building Inspector Date v r Aet-ime of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... / 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... CAJ_�8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. / ��(o..,,............. 10. Fees of $ / ........................ �. 11. Chico Urban Area fees paid [.. ....................................... 12. Park fe s paid ....................................... School Di isfees paid ............. 5 7- J / s *1eCity Sanitation approval from �%tp Health Department of Chico plumbing permit ..................................... 6 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW a 11 -Z-7 _''79. Driveway permit (construction approval required prior to occupancy) a 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. f wner-Builder Verification (Given to owner ❑, Mail to owner ❑) 4. Recorded copy of Agricultural Acknowledgment Statement t .. % q 25. Letter of si nature authoriz igD , ........ . T2s. T �--�� lit c 'T1E73S.. Q 27. Whe you sue"the permit, process as follows: Mai�1,9, Mail to contract5r. Telephone and hold for pickup at fice. Deliver w/inspector. Other Ii Applicant Date ��� c/y Copy of Haz-Mat form sent Health Dept. Fire ept.it Pollution Date _ Copy of plans sent Health Dept. Fire Dept. Other; Date By. The following data must be sub mi a for to permit issuance: (Cir a ne ite not checked -above). 1. Index permit for above items N 01 2. Additional items required: Plans checked by Date Plans approved by Si Date -Copy-DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER 0 (/ A. P. NO. / PROPOSED BUILDING USE. DATE 19 REC. # DATE REC l/ 1. School Distric Fees P USD (paid at District Office) Sheriff Fees (paid at. Building Department) Residential; .........._ X 3(p 0 =$ unit amt. Commercial(per sq.ft.). X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.ft.) X =$ sq.ft.. amt. 4. ,.Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. -Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT S �`:.b f,PvRY� "•¢' �j�,,yr1'1;..-il'tr'r*'SR:�,�•a/^'d;�.�Cf"'�v►s"�y`z�'lrt�'"+sH;'�`"�'�"%��""'"Fw'��i•',�"cr.T�..;j�ti't"�}t'�'��r`�,'ai'IStT�'i"='�1('Vg="'X`'+'��....y�prTrrr7Cc�'"tw+`r�+•��vrj,:�.;,'�1�`+-4a4`B"'���� r - .i..y d BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ff (One Form per -.Building) A. P•. Number �d _Zb"��9 Building Department No. School District D U S L.e/ City [:D County [�Jurisdiction -TProperty Owner '` P'r.o,j ect Location/Address I" I D W �`� v I� 1-1 / 7 SubdivisionDA -1-1-0/vSSUj Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed seas) 10,2 uilding epartment Representative Dat '+ (Floor Plans reviewed by School District Personnel);, District Id 'No. L School District certifies that d (Applicant Name Phone Number (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No'. by the payment of $ ;f l y% �Lj representing, square feet. yam $.drool District Representative Date PAID BY CHECK NO. BANK NO4/ PAID BY CASH REMARKS: d`gfi white-appli1a�nt y'el.low3;)Duilding department, pink -school district E SCHOOL.FEE (8/88) W� RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # o� OWNER A.P. # --� Plan Checker GENERAL v�. Zoning requirements: (sideyards and number of permitted living units). Valuation. i3�Plans signed by designer. i4 -.—Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law., etc). X16. Recorded notice of violation. PLOT PLAN •Gom�lete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. .Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). PT.0r)R PT -AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). , equired windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). _ Human impact glass (Sec. 5406).' Required room sizes; ceiling heights ,(Sec. 1207). GFCIs in baths,.garage, kitchen, and exterior outlets (Article 210-8). Light`fixtures, switches, receptacles., and exterior receptacles for main- tenance of'mechanical equipment. ` Locations of water heater,-'heating.and-cooling equipment, other electrical or gas equipment. . G rage firewall, door size, and closer (Sec. 503(d)(3)). --3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. moke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. - Elevations and wall construction details complete enough to construct building . Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Pr Garage door or porch header sizes. ud'heights. Adobe soils - special foundation design. j_�Retaining walls requiring design. 5 -.—Special -Inspection required. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). —Frick or stone veneer (Chapter 30). -Exterior plaster - weep screeds (Sec. 4706). —groper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). —Foam insulation - protection. ;---36" halls and stairways. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. o exits on three-story dwellings (sec. 3303 & see Mezannines P.A .tic access and ventilation (Sec. 3205). derf loor access and ventilation (Sec. 2516). 8/91 on garage side - 1716). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. S."Energy design. ashing at all exterior openings. CDF responsible area requirements. f o �J :41 i COUNTY OF BUTTE AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT OROVILLE,. CA RECEIVED FROM TREASURER DESCRIPTION --------------- --CREDIT DEP.--' CKS'RTD BY BANK MCMC=C-! I CO :. -1124 N I CODEMU - 853 MA.TTHEWS SCHOOLSa -3191 HEFNER CLERK: -3856 BACH -1 �Oc7 1E£STER -SAME- TAX COLL: - 1 i 1 KNIGHT - ' S, fERRICK -1198 WEST. SIERRA, CONSTR COLLECTIONS: - 41771 11ACDONALD INV . # FUND TITLE FUND DEPT. CODE CODE. CHCC JUD SUS 1001 CHCO JUD SUS 1001 CSSF 3001 GENL 0010 GENL 0010 CLKS- M SC TR 1001 CURB SECURED 1001 CiRR SECURED 1001 BLDG INSPC 0:790 GENL 001;.► DATE 11121191 ACCOUNT CASH CODE CODE ------------- 280 1011170< 280 1011170: 285 1013850; 4612511 101601 4711903 101001 < 280 '1011640; 230 1015810< 280 1015810: 4210500 101001 < 4611205 101001 < TOTAL No. 2B21B AMOUNT 0.00 0.00 0.00 -239.00= -510.007 0.00 -135.70: 0.00 -14.00: -9.507 -9.00> 0.00 776.3e> -569.62'= 0.00 0.00 -447.00",- 0.00. 447.00:0.00. -17.50> 0.00 `T>;-2 , 747.70 Approved by: Received by: AUDITOR -CONTROLLER TREASU R By-� ------------------------ By------ =- ----------------- DEPUTY TR SURER OR DEPUTY Page i Of 1 W i te=Treasures Pi-nk=Auditor ' Go- l den Rod=F i l s I ; 16 PAY TO THE ORDER OF D ,l0-2 ar ' 7 MEMORANDUM T O FROM:, ELAINE FREITAS, BUTTE COUNTY TREASURER -DATE: 1 /6 SUBJECT: CREDIT DEPOSIT CHECK ----------------------------------------------------------------- A check deposited by your department has been returned by the bank and cannot be redeposited. A copy of the check is enclosed. It will be charged back to you on a credit deposit within the next two weeks. ' Within the next -three working days, please provide the informa- tion as to which funds to charge. If we are not provided with the information from you, we wil.l charge the check to the fund we feel is correct. You can then verify the credit deposit when received and if the ,fund is incorrect, process a transfer. The procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. If you have; any questions, please --------------------------------- -TO: ELAINE FREITAS--TREASURER'S AMOUNT: i%,00 r. CHECK: /�� NAME AND DEPART,)ENT DATE: h/00/9 I I WESTERN SIERRA CONSTRUCTION G.W. DEADMOND STEVE DEADMOND 3311 NORD AVE. ^ CHICO, CA 35926 � � _ P) L 345-99 i ` TRI -COUNTIES BANK PILLSBURY ROAD OFFICE ; CHICO. CALIFORNIA 95926 IIennLLgRu• I:L21111350451: 2 2000 2 1131: call me at (538-7350) -------------------------------- OFFICE /n1 MAKER: bLA JeV n FUND #: - 9 0 ' u ld t� " ? 1 19 8 90-3504/1211 PAYROLL CHECK CHECK AMOUNT 'ON ­�soosit :.,,mmzaa s4m7e oI'00000L.4700,1� 0 26963911' .1'0000044700.1' -_+ r 9 1 " 0.33:0 Return,.to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. All that real -propperty.situate in -the County of Butte, State of California, described as follows: V ............................................, - OPIC1AL SEAL KATHRYN WILLIAMS NOTARY PUBLIC -- .o CAIIFORPIIA �,. PRINCIPAL OFFICE IN BUTTE COUNTY My Commission Expires Sep. 20, 1993 ................................. ......... Date: %TZ -19-%/ .................................:...:......, OFFICIAL SEAL a m KATHRYN WILLIAMS * NOTARY PUBLIC — CAL IFORNIA ; PRINCIPAL OFFICE IN BUTTECOUNTY • MY Commission Expires Sep. 20, 1. _ + .................eggs............ ... PROPERTY OWNERS: State of ) On this the (Tw_day of I J �V e�Vld �i�i✓ , 19before me, the SS. undersigned Notary Public, personally appeared � County of �U-4) , EJ Personally known to me. U Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that V%., executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r Present A.P. No. "Z�O `2g=0 No ' -'-y Public 91-050330 I Rec Fee 7.00 The property described herein is adjacent I I STFChe 1.00 to land or included within an area zoned Recorded I Check 8.00 for agricultural purposes, and residents Official Records I of this property may be subject to incon- I County of 1 veniences or discomfort arising from the use of agricultural chemicals, including, Butte but not limited to herbicides-, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder I of agricultural operations including, I 8:01am 6 -Dec -91 I CD 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real -propperty.situate in -the County of Butte, State of California, described as follows: V ............................................, - OPIC1AL SEAL KATHRYN WILLIAMS NOTARY PUBLIC -- .o CAIIFORPIIA �,. PRINCIPAL OFFICE IN BUTTE COUNTY My Commission Expires Sep. 20, 1993 ................................. ......... Date: %TZ -19-%/ .................................:...:......, OFFICIAL SEAL a m KATHRYN WILLIAMS * NOTARY PUBLIC — CAL IFORNIA ; PRINCIPAL OFFICE IN BUTTECOUNTY • MY Commission Expires Sep. 20, 1. _ + .................eggs............ ... PROPERTY OWNERS: State of ) On this the (Tw_day of I J �V e�Vld �i�i✓ , 19before me, the SS. undersigned Notary Public, personally appeared � County of �U-4) , EJ Personally known to me. U Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that V%., executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r Present A.P. No. "Z�O `2g=0 No ' -'-y Public 1.50330 ' a ORDER NO. BU -105365 TB DESCRIPTION: ALL THAT' CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY -OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "D. & H. HUTTON SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 23, 1988, IN BOOK 108 OF MAPS, AT PAGE(S) 92, 93 AND 94. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MAY. 23, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-16005, AND RE—RECORDED JUNE 17, 1988, UNDER. -BUTTE COUNTY RECORDER'S SERIAL NO. 88-19584. PARCEL II• A COMMON DRIVEWAY ACCESS EASEMENT OVER LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "D. & H. HUTTON SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 23, 1988, IN BOOK 108 OF MAPS, AT PAGE(S). 92, 93 -AND 94. - - PAGE 4 END OF DOCUMENT <..CI 1I11l.dLC Vl L.VJ,1A4l�a+-++�'"• a��.aati+�,aaaaQa ver a acalC L�ULiC 11 Project Title •.N / _ _ /' . _ / n Author BL'II.DING DATA o CD ea $ •sed Floo Single Family Detached (SFD) (] Single Family A=ched (SFA) (] Multi -Family (N17) Number of Stories Number of Units [ ] Addition Alone [ l Existing Building (] Existing -Pius -Addition Bua.DLNG SHELL INSULATION Component Insulation Lrxation/C:,taraa:2ts Tyne R -Value (atria :a garage. CrDi=L ere.) Wall .............. Wall .............. Roof .......... Roof .. ....... Floor ............. Floor ............. . SIa9'Ed ge ..... GLA'dZ-UNG Shading Deyi= 9/. 3fI, Buddurg Pcemit"i merited B .Dace Fstfortemeait Agency Use Only S. Glass Area ...°b Glaze ., , North Y... a East South West Skylight Total Gia: in g Area Glass Type Interior Exterior Overhang Framing Type . Orientation (sr-) (single, double) (ToUer blind, etc.) (shadc=reen, etc.) (yeamol) (MCMUwood) Nor -ah ( ) Nonh ( ) �a��' .East.. ( ) ' �• SOD � � ► n East' '( ) `'' South 4 SOl3 th ( ) - West ( )_ h West Skylight....... THERMAL MASS Type/Covering Area _. Thickness (stab/exoesed, tile. etc:) ? (Sf) f (inches) �L'oation/DCScliodon (kitchen, bath, etc.) �- - 4 HVAC SYSTEMT-7--Ni ^.imum Duct Type. (iitr,tace, air \ Efficiency Location Duct q Output Manufacturer /Model # conditioner. hent vumv) . (SE eEER.HSPF) ,3_ 7 A(attic. etc.) R•Valuel • (Bruh) (or at) roved equal) . N >It�j /• % e�4 T N 5-7 ,p },, Maximum Futnace•Heating Output: Btuh_- HOT WATER SYSTEMS t _ ,=j° :C%;�`+ ,_•<``•, Tank Manufa=mr/Model # �,,, •_ s z< Z. System Type (storage.gas, etc.) Capacity_ (or aoomved eoual) Soecial Feaitfre(s) n •,,, ri .7 't SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential ,. ` MF -IR plarC Lownez, readaiaal buildings atbma u sic Starteuds must contain Ume seeaaaea mpntka of she t oeseod aa= spptoacIs usoL Item mamed -inn an saw" (•) may be eagw-Ord by intoe at 9-9 corelptLocc raeluatvroo Geed on use Cntlficane of C analaneL Whin Cho chwkt•a u incomoAurd into I=re perenet dwumaru. the featu is Sovietsstrlt be connoaed by all po=ntes as balding mtaunoen canp,n I pafoeatant= speaGtatiotn for the truerldaery trroaaea f -hats= entry am Mora dwwftm N the docuenants or an thus L110CIL1131 only. DFSCIUrnom I DESIt-M I DffMIZEMOtr 6uildint Envelope Measures • 12.5352(a): Min -um coling MuLumn R-19-otnted 8.e1`119e. 12.5352fbr Lame rill inatutm manufactum's "Wed R -Value • 12.5352(c): Maumm wall insulatem in learned walls R. 1 I w eeghttd average (dots trot apply to esonor mass walls). i2.5352(t): Slab edge insulation - walla ahsaratwt rate no gseatrr shan OSS. +rasa +agar wmurnumon n¢ no pour than 2.0 pernJanch. 12.5311: Insulauee spenGed or instalGd tinea California Enrgr Commission (CEC) quality I aanoardL Indicme type and form. 12.5352(* Vapr yrs terry in Climate Zonis 14 and 16 only. 12.5317: lnft(brauoni sfllcaoorecaloofs a. poor: and w%now n bower a c:ononeoned and urconditioned spoea designed to Limit air leakage b. Doors and winaerwe eemrted. e Doors and wuroows wausersaipped an joins and pawaz6ons eaolksa and sealed ;2.'53521er SpaoaJ inrshsauon bw. ice ttutslkd to comply with 12.5351 maria CEC quality stanmrds. 12.5352(dk lnsn►lation of Fu o=rs 1. Masonry and factory -ball rueptaces have L Tighe ruung. closeable metal or Sian door b. Outside air moke wish dampr and tmnod e Flue darnow and conool 2. No continuous oturunt yes pefots aliowed. HVAC aero Plumbing syaes. Measurer 12-5352(y and 2-5303: Spore eondisionint egmpmtsi smog; 12.5752(b) and 2.5315: Scueact aunnnstat on all applicable bcaLint rrncc= I •_12-5316(a)- Duets a avantnea. insnf led and insulated per Chapter 10. 1976 UMC 12-5316(bt Exhaust syaans have damp= controls. 12-53 Wc): Gas rued space Awing equipment has iarmiaru iptWm devices 12-531x: HVAC cqupmcm water heaters. sbowcMeads and faucets entified by Una CEC 12.5352(ek water heatr insulation Manta (R• 12 r grater) or combined interiormaterior insulation (R-16 or polar rust 5 fest of pipes ctasest w tank insulated (R-3 or pot=). 12.3312(Eacepeim rk Pipe insulation ou stem and ateam eondaeaue msum ds rcorevlating ! pmng. ) i 12.5318(d)- Swimman Pool Hc2ting 1. System has: a. Orvoff switch on nota. b. weatnapeoa insanawn plate on hater. - r- Plumbed m allow for solar. 2. 75 peseeae uicetnal elfiaeney. - 3. Pool coves. 4. Time clock. . 5. Mmcuonai watr i nWL t Lighting and Appliance hiasures 1 12.53520 Ughung - 25 (umetstw= or grema for gesraal tighting in kitch= and batlroorsnz 12.5314(e): Gas rued appfiarcr equippe i with intcemilstsu ignition devices 12.5314(a): Refrigerators. alrigerato►d oczers. teens and 0uotezeau lamp balluu entified by use CEC- lndtate maks and mood sumer. C0WLL NCE STATEbU T This O=Ufic= of compliance lists th, buildin feawcs and performance specifications needed to comply with Tide 24. C2lapter 2-53 and Title 20. Cmrwr 2. SubChl;= 4. Article 1 of the Califomia Adminis=tive code. This certificate has been signed by the individual with ovo-Z design rrsper=bMcy and tete building owner. who shall retain a copy of it and transmit the =rtiffate to say stibsequemt purdtaser of the bund -mg. Designer Name Addm= Tekpleone lic. s - (signature) (date) Documentation Author Narrx: TTtivF,rrn: Adder=: Building Owner Name TaJJtk/��Ftnn: r♦..dn= Tekpiaone (sienatum) (date) Enforcement Agency Name Agrnc7: J a 2. Wall Insulation Floor Insulation Numoer of sones Number of swries R -value One Two Three R-0 -103 d9 32 R-19 Aa= -:ed Family R-0 Rao -51 34 R-11 R38 0 0 0 U -value 2 1 -5 0.r0 •176 _U -54 0.30 -102 .49 32 0.10 -26 •13 -8 Us .18 •9 -6. Us -11 .5 -4 O.C4 -t .2 .1 0.02 4 2 1 O.CO 11 5 3 2. Wall Insulation Floor Insulation 0 Number of swries Single- Single. .70. Number of szries Famtry Family MUI& R•value Deta ned Aa= -:ed Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 -5 0.08 -11 .._ . -6 -4 0.06 -6 _ .3 •' _, X0.80 -----153 - ... --114 ------76 0.50 31 38 -46 1:0 - 36 24 0.10 0 3 0 0.08 4 3 2 Us 9 7 5 0.04 14 2 7 1 0.02 9 6 10 - O.co 0.50 3 12 ::-3. Raised Floor Insulation 0 Number of swries Insulation in Floor 4 .70. Number of szries -i 0.50 R -value One Two Three R-0 -17 -8 -5 R-11 3 .2 -1 R-19 0 0 0 _4 .21 U -value a 0 Number of swries --_0.60. -544 .70. 46 -i 0.50 -fro -Se 38 0.40 -95 -is vro 0.30 39 -CA 22 010 • _4 .21 -14 0.10 .17 -8 -5 0.08 -11 .._ . -6 -4 0.06 -6 _ .3 -2 O.C4 .1 0 0 0.02 4 2 R-7 O.CO 10 5 3 Controlled Ventilation Crawispaee a 0 Number of swries ESeCIva Pes, t Class R -value One Two Three R-0 -11 _ .7 -S R-5 -4 r .4 SO R-11 - .2 -2 2 R -i 9 ..1 ° " .2 .2 d. SIab Edge Insulation 40 -90 37 Number of Stones .14 R -value One Two Three • a-0 o 0 0 R-5 8 5 2 R-7 8 6 3 F2'aczr •58 -20 -12 0.90 -t -3 -1 O.EO -1 •1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 J• tnlutraboa (Aar LCaxaeC) Sp x3 imwn Points Standard 0 6. Glass Heat Loss '. Total a 0 Interior ESeCIva Pes, t Class U•value Glass Peer -ant East .51 S7 .41 to .11 to 0.30 or Glass Single Double .60 SO .40 less 50 -121 -53 39 -24 -10 4 40 -90 37 -26 .14 3 8 35 -75 •29 -19 •9 1 10 30 -01 -21 -13 -4 4 12 29 •58 -20 -12 3 5 12 28 -55 -18 -10 .2 5 13 27 •52 -17 -9 .2 6 13 25 •49 -15 :3 .1 7 14 25 .L6 -14 •7 0 7 14 24 43 -12 .5 1 8 14 23 40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 3 0 5 10 16 19 -29 -t 1 6 11 16 _18--:.-26 11 3 - 1 - 7 12 16 17 .23 .1 3 8 12 17 16 -20 0 4 9 13 17 .t5 -17 1 6 10 14 17 14 .14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 . 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 • 15 17 20 8 2 12 14 16 `18 20 2 2 1.1 13 9 4 3 7..Shading (Shade Open) Errective Pereett Class (Pavwt glass x SC) ESec ve a 0 Interior ESeCIva Pes, t Class Stab Floor Glass North East South 'West Skyright 18 5 1 4 1 na 15 4.,..x.2. 5 _. 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na -- 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 .5 •17 .23 •21 2 3 5 _t 2 4 2 3 4 0 2 3 1 3 3 0 1 2 t 3 2 0 0 1 0 3 0 -t -5 -1 .1 2 1 t 2 -1 •1 0 na not allowed 1 1 i 1 8. Shading (Shade Closed) a 0 Interior ESeCIva Pes, t Class Stab Floor Raised Roor Mass -(Poe t stasextsc) Stones 4 3 Sbries 8 ICfA One %Qu North East Scat Wast Uyfi* 18 -14 -A8 -69 -04 na 16 •12 -42 -59 -55 na 14 .10 35 -50 -t6 na 12 3 -29 -t0 37 na 11 -7 -26 36 33 na 10 -6 23 31 -29 •74 9 •5 -20 -27 -25 -65 8 .5 •17 .23 •21 •56 7 -t -14 -19 718 .47 6 3 -11 .15 .14 38 5 2 g it -10 -30 d 1 0 3 •7 M 3 0 -t -5 -t .16 2 1 t 2 t 9 1 1 1 1 i 1 0 2 3 4 3 0 ne . not allc-ad 4.5 3 7 8 7. ,lltcrnor l nermal ;Klass a 0 Interior am Stab Floor Raised Roor Mass 0.40 Stones 4 3 Sbries 8 ICfA One Two Three One Two Three 0.0 -8 .5 -4 .2 -1 -1 0.1 -8 •5 3 .1 0 0 0.3 -7 .4 .2 0 1 1 03 3 3 -1 1 1 2 0.7 -5 •2 .1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 3 0 2 3 4 5 1.5 3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3S 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 to 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Enerior F��Wad art!mule 6t2sa Detached Aftw+wd • 9-16 0.00 a 0 0 am ' 3 2 1 0.40 5 4 3 0.60 8 6 4 O.t:O 10 8 5 1.00 13 10 7 1.20 13 12 8' 1.40 12 13 9 1.60 10 13 it.. . 1.80 10 12 12 Z.00 10 11 13 I 11. Heating System SE or ESFF ' (sssume s ducts Its &Me) Zonal Control Adjustment System Type Resisance 10 9 7 6 4 3 Other 6 5 4 3 2 2 1 . COOUBg Syst•:m SEER (&=Me$ducts In attic) Stan of 7-10 -25 or 24 In ►u to -4 b Sum of 1-0 16 or SEER . { -15 1 .6 •25 or -24 to 44 to 4 to +610 16 or SE HSPF less •15 •5 +.5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.28 3 3 3 2 2 1 0.80 7.33- 8 T 6 5 4 3 OAS 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 095 8.11 20 18 15 13 11 8 17 14 12 Effective SE or HSPF 6 3 (SE or HSPF x duds etlidene7) 2 Effec$id -25 or •24 to -14 b .4 to +610 16 or SE HSPF Ies6 -15 -s +5 +15 more 0.30 Z75 -73 -64 .56 -47 38 -M na 3.41 -.15 -39 -34 -29 -24 .18 0.40 167 -34 30 -26 -22 .18 -14 0.50 4.58 -10 -9 -8 -7 -5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 �i6 13 10 0.90 815 32 28 24 Z0 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resisance 10 9 7 6 4 3 Other 6 5 4 3 2 2 1 . COOUBg Syst•:m SEER (&=Me$ducts In attic) Stan of 7-10 Zonal Caatroi Adjustment 10 8 7 6 4 3 No Coolie System Installed • -Stories -25 or 24 In ►u to -4 b +6 to 16 or SEER . { -15 1 .6 +5 +15 mom 8.0 -id -12 -10 3 -6 .4 8.5 g -7 3 -5 .d 3 8.9 .S .4 -4 3 •2 -2 9.0 4 3 -3 -2 .2 .1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2- 1 los 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 t5 13 11 9 7 5 13.0 3 17 14 12 9 6 3 3 j 2 POU 8 5 Effeadve SEER 3 3 SE (SEER xdact eff ciMK7) 37 24 -18 4:1t of 7-10 -12 ' Efter ve-25 or -24 b -t4 b -4 b +6 to 16 or SEER Vert -15 -5 . +5 +15 mom 5.0 30 -25 21 -17 -13 -9 6.0 -12 -11 -9 -7 3 4 6.6 -5 -t .4 3 -2 •2 7.0 0 0 a 0 0 . 0 8.0 3 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 - 22 19 16 13 10 7 11.0 26 23 19 15 12 8 1Z.0 '0 26 22 18 14 9 13.0 M 29 24 20 15 10 Zonal Caatroi Adjustment 10 8 7 6 4 3 No Coolie System Installed • -Stories North b. East c. South , One •5 -1 -1 3 -2 -2 Two + 3 3 ., 2 2 2 1 Slagle-Famfly Detached and Attached i.....w ._.� I Ultsize (sq Water :199 1200 17CO 2200 2700 Heater credit Or -1 b to to . or Type Type less !16M 2199 2699 more SG None 0 d 0 0. 0 0 or Solar 12 ' 1 8 6 5 4 - HP HWR 8 5 4 3 3 WSS 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 24 -18 -15 -12 ' Soiar -1 .1 -1 0 a 0% HWR -18 -12 •9 .7 -6 13 WS3 -25 -16 -12 -10' -a 21 POA -18 _42 -9 -7. -6 n Nona -5 -3 -2 .2 •2 0.4 Solar 7 : 5 •4 3 2 1.9 POU 3 2 -79-- 1 1 1 IE None -28 4 1 4 -11 .9 .-4.6 I.S. Solar 5 ,-6s 13 as tit 1 1.2 .c -4 aPOU Z4 Muhl -Fatally (Individual units) it 13 15 al It Uric Size (sq 4.1 Water Heater Credit 699 700 1200 1700 2200 Type Type or less b 1199 to 1699 b 2194 or more SG Nona 0 0 0 0 0 or Solar 14 7 5 4 3 HP vSs 9 5 3 2 2 1.1 13 9 4 3 2 2 ZS POU 9 5 3 2 2 Sc None -4 -23 -15 •11 .9 5.3 Sclar 2 1 1 0 0 1.7 Y/58 -23 .12 -8 -6 •5 12 14 25 .13 -8 -6 -5 4.6 -RQU None3 .23 12 -8 .6 .2 S .2 Soar 6 3 2 1 1 POU 1 0 0 0 0 IE None 30 15 -:0Solar d ii FOU a -4 5 a 4 Interior Ma&VCFA . me 7 w.ss North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) HSPF [a_ws.1S R -value J 19 U -Value (0.M or SEra (9-51 R -vault (Ol F2 factor (0.771 Standard Credit (neat) i.....w ._.� Tr►e I MASS MAC • 4.2. 1.. •:oosed •Lbl oft Ss 10% 15% :11% 2571: J07t. 3S7G M.A 5076 5576 M iA 70% 75' 0% 85% 90% 9S' 1007: los' 11o' IISY. 120% 0% 0 02 04 0.6 Qa 1.1 13 1S 1.7 1.9 2.1 23 25 21 2f 32 14 I6 I8 4 42 44 107. 02 0.4 06 0.6 1 1.2 1.4 1.6 1.9 2:1 Z3 ZS Z7 Zf 11 13 33 17 4 4.2 4.4 46 .-4.6 I.S. .4.8 5 5 20% 13 as tit 1 1.2 1.4 1J i.t 2 22 Z4 77 29 it 13 15 al 19 4.1 43 4.5 4.8 S 52 301E 15 ill &9 1.1 1.4 1.6 t.t 2 22 U Z5 Zt 3 12 15 17 32 ti 43 4.5 4.7 49 5.1 52 5.4 407". tl7 03 1.1 13 1.5 1.7 iJ 22 Z4 ZS Zt 3 12 14 16 it 4 43 4.5 4.7 49 5.1 13 5.3 56 W% U 1.1 U 13 1.7 19 V Z3 ZS Z7 3 12 14 3J IS 4 42 44 4.6 tt S1 53 5.7 5.3 SS 5.7 19 S5% 119 11 1.4 1.6 1.8 2 22 Z4 Z6 ZS 3 12 35 17 19 4-1 42 4.5 4.7 4.9 11 53 $6 5.3 6076 1 12 1.4 1.7 1.9 2.1 Z3 25 Z7 Z9 11 13 is it 4 42 t4 4.6 4.t ' S 12 5.4 S. 5.9 6 63% •1.1 U 1.5 1.7 1.9 22 14 Z6 Z8 3 12 14 36 1t 4 43 AS 4.7 4.9 it 33 SS 5.7 S.9 6 1 70' 12 1.1 1.6 1.1 2 22 Z5 Z7 2f 11 13 35 17 Is 11 43 4i 11 5 5.2 5.4 5.6 58 6 61 75% 13 1s u 13 21 2.3 M ZI 3 12 U 3.5 at 4 42 t4 4A It 5.1 53 5S 5.7 62 -S1 19 0.1 6.3 W. 1.4 1.1 1.1 2 22 24 26 21 3 13 13 17 19 4.1 4.3 AS 4.7 t9 5.1 S4 5.8 6 62 64 15y. 20T6" 1.4 1.5 1.7 1_7 1.3 2 Zt 22 Z3 Z4 25 ZG Z7 ZI Z! 3 it 22 13 14 SS as 18 Its 4 li 4.2 t4 l6 to S 52 54 56 59 U 43 65 95% 1.8 .1J 2 Z2 ZS 27 Z9 11 33 1S 17 12 t1 43 43 4.5 4.5 4.7 U to 5 5.1 52 33 5.4 . &S 5.6 i75.9 it 6.2 64 66 100>. 1.7 tj 21 Z] Z5 Za 3 32 U 29 It 4 42 t4 tt t9 it 53 SS 17 i9 6 6.2 6.4 6.1 6.1 6.3 6S 6.1 105% 1.8 2 U 2-4 26 Zt 3 23 IS 17 19 4.1 4.3 43 4.7 4-1 It 14 39 18 6 6.2 6.4 66 go 110% 1.9 Zt Z3 15 17 19 3.1 13 36 3.8 4 42 4.4 tt 4.8 S 53 5.4 3.7 19 R1 U 65 6.7 69 1157 2 u 24 If Z8 3 12 14 18 to 4.1 4.3 4.5 47 4.9 it 13 53 5.7 3.9 6.2 6.4 6 6 0..6 7 120x. 2 Z] 2S 27 29 11 13 0.5 ST 29 4.1 4,4 4.e 4.8 S i2 14 i6 So 6&Z 0..S 6.7 6.9 7.1 125% U 23 25 U 3 12 14 as St 4 4.2 44 tt t9 ii 13 55 U S.9 R1 U 65 6.7 7 7.2 , 'Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2- Wall Insulation 3. Raised Floor insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Lass 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. • W= e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures N D. FLUOR PID or . 7OI• x R 1 A U -value (0.0301 1381 A or Duds Efficiency (0.781 R)rai{ie(111 U•vaiue (0.0981 Is< 0 or HSPF [a_ws.1S R -value J 19 U -Value (0.M or SEra (9-51 R -vault (Ol F2 factor (0.771 Standard Credit (neat) Type (doublet U -value (0.651 % Total Glaze (161 90 Glass SC Eff. % Glass x = 7 O. 7 x = _ x = !L' 7 x = mo Glass SC Eff. To Glass -� x4 x x = x r = 1• x TYPE 1 KASS AREA _ LttulorMuuCFA CONO. FLOOR AREA TYPE 2 MASS AREA , Point Scores 0 4 t Ezt�ex Wa<t tilsss N D. FLUOR AREA . 7OI• x SE or HSPF Duds Efficiency (0.781 Effective SE or (0.7216.61 HSPF [a_ws.1S r, / x dL SEra (9-51 Dao Effiricncy (0.741 Fsfezu.. S (7.031 TYpe SSGi Credit (neat) Pninr Tntal: '%