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028-230-020
v '028-23 O Ga@- . 93`=1989 •BPEM SARNECKI, #KEN &.` VICKI 900 LOS,'NERJELES,.. BANGOR : ti NEW SF FR 8-230-0'2fr (p� PERMIT#94-1780 NECKI, KEN & VICKI 0 LOS VERJELES�RD., BANGOR 7 1ST RENEWAL'BP#93-1989 /x► .YR v 028 '230 SUMMARY SHEET FOR LAND DIVISIONS; Ken Sarnecki . - Los Verjeles Rd., Bangor' 7/7 TENTATIVE PARCEL MAPS z ki i i v '028-23 O Ga@- . 93`=1989 •BPEM SARNECKI, #KEN &.` VICKI 900 LOS,'NERJELES,.. BANGOR : ti NEW SF FR 8-230-0'2fr (p� PERMIT#94-1780 NECKI, KEN & VICKI 0 LOS VERJELES�RD., BANGOR 7 1ST RENEWAL'BP#93-1989 /x► .YR v 028 '230 SUMMARY SHEET FOR LAND DIVISIONS; Ken Sarnecki . - Los Verjeles Rd., Bangor' 7/7 TENTATIVE PARCEL MAPS z ki J i M RESIDENTIAL . 028-23-0-020 93-1989 BPEM SARNECKI'KEN & VICKI 900 LOS VERJELES, BANGOR • i NEW SF E" ter ub t t i OFFICE COPY Address r GAS �// t Meter By p Jey i „ ELECTRIC Meter By y�. y 408 FINALSD (D: �) Signature Ij k_ V=OK O = Not OK Noll = Not Ready Applicafile MOBILE HOMES = Date/Initials MOBILE HOME'UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Teat-Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG .7. Well Clearance & Disconnect 8. Utility Clearance ' Date/Initials MOBILE NOME 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 t 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm.-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 �1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability ' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip: Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready OK except #'s 2. RESIDENTIAL (Slogle & Duplex) 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftp. Depth v �'__ 5. Stemwalis, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped !.era replace Ftg.-Steel 10'-9. D.W.V.; Fell -Fitting -Teat -2 Way C/O -Sewer Test 10. OF Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test lectric; Underground Hums & Ducts; Clearance -Material -Support -Ins. 14 rders-Sills-Anchor Bolts -Joists -Vents -Cripples ! 15. Access & Ventilation 16: Ins lation Date/Initials PLOMBING Permit OK except #'s ater Htr.; Vent -Access -Combustion Air -Baffle 01-khTter Pipe; Test & Anchor -Nail Protection 8 .W.V.; Test -Fittings & Anchor -Nail Protection --+9.-1tf5we an; Test, First Floor -Tub Access Tub & Shower, Second Floor -Tub Access 1 Gas Pipe; Size & Anchors L/p. Future & Transformer Clearance -Ins. Protection & Switches at Doors ,_,00�24. SizeBpxes & No. of Conductors -Stapled Amex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Meth. Fastners-Bond Gas &Water 1 , Z - 2 Appliance-Circuts in Kitchen & Conductor Size/GFI ., X28-5ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. v 1 Cu or Al ange Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral ❑ Yes ❑ No 30.' ervice-Riser Conductors & Ground -Mein Disconnect Q1. quip. Clearances Panels -Motors -Mach. Equip. o es. oset Light -Shower Light -Spa Light Smoke Detector Date/Initials MEC ICAL Permit OK except #'s C. Ducts Insulation & Support ant Fan; Exhaust above insulation nsate Drain & Overflow; Size & Grade Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Access & Platform if Furnance in Attic Date/Initials FRAMI O Plana OK except #'s . Sils. Proper Material & Anchors tO Bring Wells over Girders & Floor Nailing 142.2raft Stop in Walls (rat proof) jt2.,'jjr tops; Furred Ceilings -Stairs -Chases -Tub Date/Initials FRAMING (Continued) L. l . angers -Post Caps -Anchors -Connectors g. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. d�. Fireplace Ties or Type A Flue -Fireplace Throat clearance ass; Size & Romex Protection -Draft Stop -Ins. Baffles Jindows or Exiting Doors-SIII Hgt. & Dimensions Fire Protection Shy Line Firewall & Openings Dors-One 3' -Check Garage -3rd Story, 2 Exits 53. Stai • Width -Headroom -Rise -Run -Landing -Fire Protection %-A4'.plywopd on Roof Overhang -Attic Vents -Rafter Outriggers ,+ _§,L aklrng-Nalling Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 lazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts 59. Insulation-Walle-Ceilings Itration-Walls- ndows T Date/Initial INAL Plana OK except #'a 81.E Steps -Door & Sidelight Protection -Landings 2. Smoke "Detector 8 rnace; Vents -Clearance -Comb. Air -Connector - In Gauge; Above Floor -Ducts -Meth. Protection G.F.I. & Bath Fixtures & Tub Access -Spa 6 rim & Subpanel; Breaker Sizes & Labels a or Stove; Clearances -Hearth tf at Wood Panel; Int. & Ext. & Appliance; Grnd -Air Gap -Cooking Clearance 71. §W_Gvtt6Fs & Receptacles at Kit. Counter In 7 r�Vents-Clearance-Comb. Air-Connector-P.R.V. era ova Floor -Mach. Protection '- PI , lec. & Mech. Equip. Listed for Location Elec. eptacl -in "Garage; (G.F.I.)-Romex Protection 7 sulati Dam -Loo ed in Attic. ❑ Yes 78 and R ' Deck Construction -Post Caps %79�Vents Crawl Hole Door-DrainaO & Wood-Earth CCaranc ed under Floor Yes 80. wing ins Id.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Plante❑ --Yes _P -No Electrical, PI Pibg.-Appliance-Fireplace.-Clearance to WatpjW§II;Plsconnect, Electrical, Plumbing !:t, ' lerim; G.F.I. Receptacle -Underground ge-VepWat'ion Throyghout House frs Tagged; Gas -Electric r Connected -C/O to Grade -HD liance Certificate -Other Certific 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 98- 41 q_3 _ IL(7 _ 9 APPLICATIA AND.kRMIT "� / ASSESSOR PARCEL NUMBER ZONI R G 028-230-020 A-5 BUILDING PERMIT OWNER TELEPHONE Ken & VIcki Sarnecki 81 993-3635 SO. FT. OCC. BUILDING VALUATION 1,540 R 83,160.00 OWNER'S MAILING ADDRESS 19137 Cahse St., Northridge 91324 896 M 16,128.00 CONTRACTOR'S NAME Owner TELEPHONE 886 C 11,518.00 CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 112,306.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 643.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 321.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $999.50 PLUMBING PERMIT Filing Fee 15.00 900 Los Ver 'eles Bangor Each Trap 9 1 5.00 45.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 11 7.00 7.00 Each qas water heater or vent 7.00 7.00 f USE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00SFu J11 Building sewer 15.00 E Mobile Home Is G W @ 15.00 TYPE OF WORK New r Addition LJ Remodel ❑ Utilities ❑ Installation Ell Other ❑ Describe work: New 3 Bedroom Single FAmi 1 y _ Permit Fee $ 4 .00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18,50 Main service 20GATO1000A) 37.50 CONTRACTORS LICENSE LAW 1 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 1, as the owner, or my employees with wages as their Sole compen- Xsation, 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.!!e\ X 3.6Q OR ADDNS. 1 sq.ft. 85,25 ACC. BLDGS. // NEW =ONSTR ULT' -OUTLET @ 5,00 NON•RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761) FIXED APP LHS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $118.75 - 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 /�f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Attic 1 9.00 9.00 Split/ Coolin g 1 9.00 9.00 Hood 1 6.50 6,50 Ventilation permit Fee $ 39.50 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save demnify a keep harmless the County of Butte against Uunts, cos nd expenses which may in y wa accrue all Iia9sa' agai copse ce of the granting of this per itX �i L Date Signature of Applicant - Owner Contractor ElAgent 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 $ 40.00, 0 - CONST TYPE TOTAL FEE $1,29/1 .75 HAz DFEES IMP FLOOD CDF PAR L PD H IS 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 fe_ es have_been paid. DI FIEC101 PUB C WORKS BY Dae z 9' PERMIT EXPIRES Date 2 g 4-4 Receipt No. 143424 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754141 PERMIT NO APPLICATION AND PERMIT `t (� ASSESSOR PARCEL NUMBER 028-230-020 A-5 ZONING BUILDING PERMIT OWNER KEN & VICKI SARNECKI '� 818 T993N 3635 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 19137 CHASE ST NORTHRIDGE, CA 91324 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee — ORIGINAL $ 321.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 00 L VER L PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ElUtilities ❑ Installation ElOther ❑ Describework: IST RENEWAL OF B.P. #93-1989 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV Ofl LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penal f perjury (check one) ❑ I am a licensed underprovisibris-Gf—�p ter 9, Division 3 of the Business and fessions Code and my license is in full force and effect. 'cense No. Classification asthe owner, or my employees with wages as their sole compensation, will do work, and the structure is not intended or offered for sale. (Sec 7044) . fl,! , ..the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reas n NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 is 1.00 BAL. 1@ .50 Ex. Occup. ( FIXED APPLNS. OR OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00e Mobile Home Facilities 20.00 Misc. Wiring 23.00 ORKER'S COMPENSATION INSURANCE 1 declare under en y of perjury (check one): ❑ This permit is for $100.00 va ua Ion or ess. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, wilding Division 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 Worker's Compensation laws of California. .lice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep he less the County of Butte against all liabilities, judg ants, costs, and exp s -w ch may i5,3)1V way accrue against aid County i sequenc g of Is permit. ate Sig a re of Applican - Owner ❑ Contractor ❑ Agent An OSHA permit is quired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ O --c CONST. TYPE TOTAL FEE $ 341.50 HAZ• D. FEES IMP FLOOD CDF PARCEL PD HD 1 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. /�DIRECTOR OF PUBLIC WOR70#1 BY ✓�j��'v � Date PERMIT EXPIRES ON 8/y/95 IDetel Receipt No. 1 6 3993 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;- > *F COUNTY; OF BUTTE BUILDING•DIVISION Y' DEPARTMENT OF DEVtLOPMtNT SERVICES 1469 Humboldt Road, ChiCb1CA -; "(9:16) 891-2751 y `t 7 County Center Drive, Oroville, CA - (916) 538-7541 f 747 Elliott Road, Paradise, CA - (916) 572-_6307 lr-c CORRECTION NOTICE OWNER PERMIT O n TIM, W e I I I ski, 20F��__ r 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 contact this office immediately. Ale if REV 10/92 N r COUNTY OF BUTTE r BUILDING DIVISION r% In A rl"MM \'r ^� Ml --11c1 ~1\Nr\1T n1rini►�n. YcrMRI ltrl cl\ 1 V(- YCISCLVi1rIG1\ 1 JLRYllr C17 �?, 1469 Humboldt Road, Chico, CA - (916) 891-275.1 7 County Center Drive, Oroville, CA - (916) 538-7541 , 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE =' h lFc l OWNS PERMW N6. 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, . • a.� t; 1 i • f jY r' ;.3 •rk REV 1 �yt Inspector .`,�,�y..� ti-.�Tf`+"",�y"'"7��.i—�""`=►w„s`W-��`'S�+'F�=.^-i"+.�-"�'i+`*�r�"zi�a/+°Y"='i,3"—i�'"''".S-�.,:.-e7� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 1469 Humboldt Road, Chico, CA'- (916) 891-2751 i' 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road., Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIC NO. A routine inspection indicates t)t�following violations of Butte County Ordinances exist at the above addrepi, and should be°corrected. Please notify this office when correction of work is completed_,,, you'have any questions pertaining to this matter, or need additional explanation, please co ct this'office imm d ately-~' ,Date —1 REV 10/92 1�+�.:-'• . �..�, �a'iif�aY�-,F,;�s�.,""'i_� _ �r ,=.:�c�':3i:i -,.:_ Y ;� t Lam; v �;'sa`.�'_a`,ah COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVE)_OPMBNT SERVICES 1469 Humboldt Road, Chico-, CA - (91 6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -/�14 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 contact this office immediately. s\ ` \Date Inspector REV 10192 Insulation Certificate BUILDING OWNER: l e' V �G -1 BUILDING PERMIT# : ( C BUILDING LOCATION E Description of installation ROOF Material Thickness (inches) Brand Name ' Thermal Resistance (R -Value) 1LING j Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) r Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickne.5s_ inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) L XTERIOR WALL Material Thickness (inches) _ 2— A[SED FLOOR Material Thickness (inches) L � SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) t2 L'I Brand l':arrte Thermal Resistance (R -Value) 1� Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I herebv certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. C� Gn Contractor (13uiiaer) Licema ber C ,�, Signature and Title c+ Date S ub-Cuntracwr (tttsulauon Imtailcr) - Signature and Tile THIS CERTIFICATE MUST BE PROVIDED TO THE -BUILDING DEPARTMENT APPROVAL AND A COPY SHALL BE POSTED WITHIN `I7iE BUILDING. JANUARY 1993 License Number Date PRIOR TO FINAL INSPECTION COUNTY OF BUTTE Department of Develpgment Services Bu ildine,Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION 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 pl to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not) 3i6ued ai. a-pplicaLdon for a-viiildirjg perm;i for 'Uhe pro -posed work. 3. I have contracted Nam Address Phone the following person (firm) to provide the proposed construction: City Contractor's 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 Name Address City Phone Contractor's 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: 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. ... .,rt« ...+�'--•� D! •2lsva•;,'r . :.- . ^;�+.:.agv1•.;,. «:-.v'RP"...'P a ' ' rPM' COUNTY OF BUTTE . ff PARTM NL;OF PUBLIC WORILDING DIVISION✓7 COUNTY CENTER DRIVE - OROVILL-E,'CALIFORNIA 95965 - TELE (916) 538-7541 �r PERMIT APPLICATION DATA SHEET OWNER(/ IGS/"TaN GIG A P Proposed Building Use / Building Inspector Date r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ..................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed Wirer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, w(h wet signature on plans . ............. f� 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . . ............... . 7. Statement of Intent for Non -Heated an?,yC,Bu�lgings. ...... :............... 8. Engineered truss details and layout in duplica a required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 6�Feesof$ .......................................... 1. Impact fees as shown on attached schedule . ..............................9 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) b California Engineer. ................ 14. Sanitation and plot plan approval Q%L Health Department. .....:.... 7//�4 15. City of Chico plumbing permit. .................................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: .......... _,18. Contact Land Development about (A) Improvements (B) Drainage. .......... 19. Driveway permit (construction approval required prior to occupancy). .. ..� 20. Pre -inspection for to Building Ins re for required. . to Building Inspector ([late) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 71 -Builder Verification (Given to owner Mail to owner ). . L - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 8 A- 9 5 Y 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: 4//Mail to owner. Mail to contractor. Telephone and hold for pickup at o e. Deliver with inspector. Other Parcel Creation % Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit 1. Index permit for above items No. 2. Additional items required: Circlq go item not checked above). Contractor, designe wner as advised of above required data by _phone --- mail P --Counter b `� ate Contractor, designer, owner, was -advised of above required data by _ phones mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in i� File cabinet AP folder N Copy - Department of Public Works 1C)4`771 ' --93 T0: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 1 Z 3-zo location owner ��Q %2� `� has been issued for the above property. Driveway permit . date ._ 4siture IS, I1. IISE. O,"I,Y(I.I,' Hot Han nllnchud my _jE Floor Han Aluichvd _ hill Io II, U mj TO: Building Departmcrtt COUNTY OFBUTTIII COUNTY QF BUTTE BUILDING DEPT FROM: Environmental Health BUILDING DEPT SUBJECT: Sanitation Clearance ,; 11 "i i;.-; �;IeN ► Too Lis 7aic-:5 Owner Location 6 ckle-- Plan Approved for: Sewage Disposal Water Supply: I'ubhc. Clearance for 3 bedroom home. her Final clearance O.K. Environmental Health Specialist 8/92 --c;23 :;-.6 AI'il Private Well COUNTY OF BUTTE - DEPARIMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER PROPOSED BUILDING USE hool District Fees aid at District Office) eriff Fees Braid at Building Department) A.P. NO.DyS --')3-0 _0 2- eo DATE REC. # DATE REC d zl-45 Residential ..........X� v =$�� A/3Ci3 unit amt. Commercial(per sq -ft.) X- _$ 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 DATE ��/ T .,.+� ' � f`•.., .4 , ,. t r .� .y' ti .R i . '.y�"�''.t�., •, dZ�r� �'�"""�'s x`k" BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District %%�2 U L Building Department No. A.P. Numbero -Y ",�3-0-Q-, -O* Jurisdiction City F-(..�^''-kunty Property Owner 021 Property Location/Address SU`7 V LJ- K r_1 J=2 A �F- j Subdivison Lot No. Residential Development 0 Sq. Footage No. o Living MHI r Addition _1_5-4D (Group R) . Units Commercial/Industrial ,, 0 Sq. Footage r New Addition (Including Exterior Roofed Areas) Building Departmertt`Represen ative Date (Floor Plans reviewed by School District Personnel) District Ideritification No. ^ 4School'District certifies that (Applicant) (Street Address) (Phone Number) Q) C � (City) (State) (Zip Code) has complied with the requirements of Resolution No. S' U by payment of $ Oy � s representing % �/ �_ square feet. \ School District Representative Date Paid by Check Number Bank Number Paid by Cash I Remarks: Ib -- LI If, subsequent to'the School�DistricVRepresentative 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 `pp additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92),- �"� yt� (I R urn to pkitciin AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT )IN _�g FOR RESIDENTIAL DEVELOPMENT (V j., n #Section.26-8.1' of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent �J - --- — to land or included within an area zoned 93-032837 for agricultural purposes, and residents--' of this property may be subject to incon- from the veniences or.discomfort arising 0%1G 4PAR� use of agricultural chemicals, including, F CU�'jFNT but not limited to herbicides; pesticides, and fertilizers; and from the pursuit of agricultural operations including, 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. Ill. flat .Leal .:pro.perty`_'situate in . the . County of Butte, State of California, :'described as €ollows: 1 ate of ) SS. unty of ) resent A.P. No.' On this the. day of 19" before. me, the undersigned Notary Public, personally appeared ElPersonally known to me. E] 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 -executed- the: same, for .,the purposes therein contained -IN WITNESS_ - WHEREOF;"I hereunto set my hand and official seal. - Notary Public STATE OF CALIFORNIA Agricultural Statement of Acknowledgement _ COUNTY OF La • Angel Pa On _ July 02, 1993 before me, Maritza Vasquez Notary Public, personally appeared *Vicki Sarnecki* * * * * PVL%XKPph,j3acdoxxXor proved to me on the basis of s is/`subscribed to the within instrument and acknowledg to me that f Kshe/tt* executed the same in */her/O authorized capacity(i$), and that by t16' /her/tomsignature on the instrument the person(s), or the entity upon behalf which the person(s) acted, executed the instrument. WITNESS r4 handland o7fici20ba1 I Signature evidence) to be the persono(whose name( OFRCIAL SEAL MARITZA. YASQUEZ ? NOTARY PUBLIC -CALIFORNIA PRINCIPAL OFFICE IN LOS ANGELES COUNTY My Commission Expires Dec. 17. 1993 (Seal) SF -9474-8 (Rev. A - 11/90) (CA) Agricultural Statement of Acknowledgement STATE OF CALIFQRNIAngeles COUNTY OF LOS On July 1, 1993 before me, Marianne Jones Notary Public, personally appeared * ELIZABETH MAMNE MURDOCK & KENNETH R _ sARNFrT<T * * personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity( es), and that by his/her/their si nature(s) on the instrument t person(s), or the entity upo behalf of which ;he person(s) icted, executed the instrume i WITNESS my hand knd official sgal. Signature SF -9474-8 (Rev. A -11/90) (CA) o.- r OFFICIAL SEAL sE" t_-�, MARIANNE JONES u�tf NOTARY PUBLIC-CALIFORNfIA Y� r Y11; ,�?;-, d.� PRINCIPAL OFFICE IN LOS ANGELES COUNTY °it'FOR"'� My Commission Expires Sept. 29. 1995 (Seal) a Order No. C-53858 -TO Page . 7 S C H E D U L E C The land referred to herein is described as follows: 91-30484 '2 - All that certain real property situate in the County of Butte, Unincorporated, State of California, described as follows: PARCEL I: All that portion of the Northeast quarter of Fractional Section 2, Township 17 North, range 5 East, M.D.B. & M. lying within Butte County. PARCEL II: All that portion of the South half of the Southeast quarter, Northwest quarter of Southeast quarter and all that part of the Southwest quarter of the Northeast quarter and the Northwest quarter of the Northeast quarter and the Southeast quarter of Northeast quarter and of Northeast quarter of Southeast quarter of Section 35, Township 18 North, Range 5, East, M.D.B. & M., which lies Southwesterly of Los Verjeles Road, as said road is described in deed to County of Butte, recorded April 24, 1968 in Book 1514 of Official Records, at. page 560, records of County of Butte, State of California and lies South and East of the following described line: COMMENCING at a point on The South boundary line of said Section 35, which point bears East on said line a distance of 1060.13 feet from the South quarter corner of said Section 35; thence from said point or beginning, North 000 15' East, parallel to the West boundary of the East half of said Section 35, a distance of 1753.30 feet to a post; thence North 480 03' East, parallel to the North boundary of that certain parcel of land described in Deed to Francis William Cain, recorder! May 8, 1915 in Book 150 of Deeds at page 353, a distance of 626.x',2 feet more or less to a point in the West boundary of the Los Verjeles Road and the end of said line. EXCEPTING THEREFROM, any portion thereof, lying within Yuba County. ALSO EXCEPTING THEREFROM, all that portion conveyed from W.E. Rominger, et ux to the County of Butte dated April 12, 1968, and recorded April 24, 1958 in Butte County. Official Records, in Book - 1514 at Page 560. A SUMMARY SHEET- -FOR. LAND DIVISIONS APPLICANT KEN SARNECKI I ADDRESS 19137 Chase St.. North Ridge. CA 91324 COUNTY OF 30TTE OWNER Same eUILDNG i)ERT COUNTYOFgPT BUTTE EQ PROJECT DESCRIPTION TENTATIVE PARCEL MAP BUIr.r., Jc9v.� AU LOCATION Creating 4 parcels on the southwest sic?e'`d Los Verieles Road at the County line.. Bangor area. ASSESSOR'S PARCEL NUMBER(S) 28-09-05 / 28-23-20 ZONING A-5 GENERAL PLAN A�.- Resi. PROJECT CONSISTENT? YES GENERAL PLAN CONFORMANCE REPORT July 7. 1993 LAND CONSERVATION ACT CONTRACTS? NO DATE APPLICATION RECEIVED July 7, 1993 AGENT/SURVEYOR/CIVIL ENGINEER Ron Graves & Associates ADDRESS P.O. Box 986. Oroville. CA 95965 DATE PLANNING DIRECTOR'S REPORT PREPARED ENVIRONMENTAL CATEGORICAL F-MIPTION - DATE FILED DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED ENV.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW COMMITTEE HEARING DATE ►amu*As" i; BOARD ACTION t APPEAL HEARING DATE COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO RECEIPT NUMBE LD 1005 (11/92) DIS Apj APPR©� i3u++a A �� ture- Environmentai Health JUN 2 41993 ofoville, California ?2,�iaE COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 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 ano materials for construction of the proposed property improvement (yes or no) --2. I (have/have not) 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: X/ ��p Name �`�— Address City - Phone Contractors License No. 4: I plan to provide portions of this work, .but I.have hired-tbe following person to coordinate, sup�re, and provide the major work: Name Address City Phone Contractors License No'. 5. I will provide some of the work but I have contracted (hired) the following persons topro ide .the work indicated Name ,.f/ _ Address Phone Type of Work Signed: Property Owner Social Secure' Numb r Date /. / _/ 7iz 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 per- mitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPL X & MISG. ONLY) OWNER �����• GENERAL oning requirements: (sideyards and number aluation. P s signed by designer. Proper description of work on application. Existing violations on property. Bldg. Permit # A.P. # - Plan Checker S of permitted living units). 8/91 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN f.Flood omplete.parcel size and dimensions. tbacks, sideyards, easements, etc. her buildings or structures. rading, fills, drainage. hazard. pecial conditions on creation map, (noise, CDF, fire sprinklers, non-comb- stible, and foundations). AU & FAS road setback.uilding or utilities across,,lot lines (,Record form). FTINIR PLAN �omplete to scale plan with dimensionsa . � quired windows for light and ventilation (•Sec.71205) Required windows for,second..exit (Sec. 120.4). _ Skylights (Chapter 34 & Sec. 5207). ��Jxrman impact glass (Sec. 5406).- -� - �equired room sizes, ceil'in'g'heights-(Sec.•:-1207): GFCIs in baths, garage, kitchen, and exterior outlets-(Art-icle-210-8)..:__= Light fixtures, switches, receptacles, and exterior receptacles for main- ; enance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. j Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). ,Filreplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) �_Anusual shape, size, or split level house requiring lateral design. AC.erestory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. /Fou dation plan complete enough to construct building. oor 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. replace construction details and calcs if necessary. ter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining wal4 s requiring design. Special Inspection required. 8/91 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). .rick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). P oper roof pitch for roof convering (Chapter 32). oof covering type - (fire hazard). oam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 1.5:rEnergy design. Flashing at all exterior openings. CDF responsible area requirements. P - 6/16/95 KEN & VICKI SARNECKI 19137 CHASE ST NORTHRIDGE; CA 91324 -�` Eatte Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 RE: Building Permit # 94-1780 Expiration Date: 8/2/95 A. P. # 028-230-020 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. IF No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the 0201111LE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michfael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 Point System Summary: Climate Zone 11 1t . Ceiling Insulation g or R -v ue (381 U -value [0.028[ 2. Wall Insulation S or R-vW (19J U -value [0.0651 3. Raised Floor Insulation }(/ q-- or R -v ue [t J U -value 10.0371 Point Scores 4. Slab Edge Insulation or R -value [01 F2 factor 10.751 B. Infiltration Any Ducts in Unconditioned ce? ( Y / N ) [Y] 6. Fenestration Heat Loss • W 15.4 1 Type U -value (0.651 Total % Fenes. (161 7. Fenestration Heat Gain Ext Wali 433 % Fenestration SCShade open Eff. % Fenes. North � x R -o = � , a� East x Duct Effie. 11 story: , 1,9 A South X [789 or 6.81 o 17 •QV West f9 x -1 �l0 SEER (10.0( Skylight V x Eftecave SEER 0 Overhangs? ( Y / N 0.81: 2+ story: 0.871 2. Wall Insulation 8. Interior Thermal Mass Nurnow of stones or R -value % Exp. Slab 1201 Int Mass/CFA 9. Exterior Wall Mass Shade Eff. Ratti _*4_ -. Ext Wali 433 R -value 10. Heating System . 2� x R -o -74 AFUE or HSPF Duct Effie. 11 story: Effective AFUE 11. Cooling System [789 or 6.81 0.83: 2+ story: 0.881 x . T1 - or HSPF Z. -1 �l0 SEER (10.0( Duct Effic. (1 story: Eftecave SEER 0 0 0.81: 2+ story: 0.871 2. Wall Insulation 12 Water Heating Nurnow of stones .61 R -value System 1_H��D Singte- , y -14 -9 eater Type Energy actor Ext I s. R -value Auniiary Input (SGSO) [0.531 (121 (None( System 2 Heater Type (None( Energy FZ-mr 1. Ceiling Insulation R -0 Numner of stones 433 R -value One Two TTiteey R -o -74 -48 -27 R-19 -5 -4 .2 R•30 -1 -1 0 R-38 0 0 0 2. Wall Insulation .71 Nurnow of stones .61 R -value single- Singte- R-0 -14 -9 Family Family Wall - R -0 -72 -57 433 R-11 -7 -6 -4 R-13 -5 -4 .3 R-15 -4 -3 -2 R-19 0 0 0 R•21 1 1 1 3. Raised Floor Insulation 1.01 .91 Insulation in Floor .76 .71 Nurnow of stones .61 R -value One Two Three R-0 -14 -9 -5 R-11 -3 -2 -1 R•19 0 0 0 R-30 2 1 to Zonal Cantml Adjustment (01 zonai.C6019106 Adjustment (01 57? Distribution (STDI Ext Ins. R -value Auxwuary Input Distntwnon c) Point Total: 4. Slab Edge Insulation Number of Stones R -value One Two Three R-0 0 0 0 5. Infiltration (Duct Air Leakage) R-5 6 4 2 Ducts to Unconditioned Space 0 R-7 7 4 2 No Dui in Uncoeartioned Soace 3 6. Fenestration Heat Loss 7. Fenestration Heat Gain (cased on Snaoe Effecweness Rano) Ell % Fen- antra• non Noah .87 .67 .,52 or to to more .86 .66 S1 or less East .87 .67 .52 or to to more .86 .66 .51 or less .87 or more South .67 S2 to to .86 .66 .51 or less U-vwue .51 or less Skylight .67 .66 or or more less 18% .5 -4 .3 •2 Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to to to to to to to to to to to or "IFenestrdaon more 130 1.20 1.10 .1.00 .90 .80 .75 .70 65 .60 55 .50 45 40 less 50'/.' •r 100 -76 •69 -62 -55 -48 -41 •38 .34 •31 .27 .24 .20 .17 -13 -10 40% 1hr-77. -58 -52 -47 -41 •36 -30 -27 -25 •22 -19 -16 .13 -11 -6 .5 135% "�i 49 -td .39 -34 •29 •25 •22 .20 •17 •15 •12 •10 •7 -5 -3 301. -54 -40 -36 -31 -27 -23 -19 -17 -15 •13 •11 -8 -6 -4 •2 0 287. -,j-50 -36 -32 -28 -25 -21 •17 -15 •13 •11 -9 -7 .5 .3 .1 1 - 26% -45 - -33, •29 -25 -22 .18 •14 -13 .11 -9 -7 -5 -4 -2 0 2 24% -tt -29 -26 -22 -19 -16 -12 -11 -9 -7 -6 -t •2 •1 1 3 22% -36 -25 -22 -19 -16 -13 -10 -8 -7 -5 -4 -2 •1 1 2 4 20% -31 -22 -19 •16 -13 -11 -8 .6 .5 -4 -2 -1 1 2 3 5 18% •27 -18 -16 -13 -11 -8 -6 -t -3 -2 •1 1 2 3 4 6 16% •22 •14 -12 --10 -8 -6 -3 -2 -1 0 1 2 3 4 6 7 14% -18 -11 •9 -7 -5 -3 -1 0 1 2 3 4 5 6 7 8 12% -13 -7 -6 -t -2 -1 1 2 3 4 4 5 6 7 8 9 1011. -8 -t -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 81. -4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (cased on Snaoe Effecweness Rano) Ell % Fen- antra• non Noah .87 .67 .,52 or to to more .86 .66 S1 or less East .87 .67 .52 or to to more .86 .66 .51 or less .87 or more South .67 S2 to to .86 .66 .51 or less Wast .87 .67 .52 or to, to more .86 .66 .51 or less Skylight .67 .66 or or more less 18% .5 -4 .3 •2 •21 -20 •15 •12 -26 -23 -16 •12 .36 .32 .23 .16 •75 .50 16% -4 -4 .2 -1 •18 •16 •13 •10 -21 •19 -13 -9 •31 .27 .19 .14 45 -44 14A -4 •3 .2 .1 -14 •13 .11 -8 •16 •14 -10 -7 .26 .23 •16 -11 -S5 •38 129: -3 •2 .1 •1 -11 -10 -8 •6 -12 .10 .7 -4 •21 .18 •13 -8 •46 •31 11% •2 -2 •1 0 -10 -9 •7 -6 -10 -8 •5 .3 •19 -16 •11 •7 -41 -28 100/. •2 -2 -1 0 -8 -8 -0 -5 -8 •7 .4 •2 -16 -14 •9 -6 •37 -25 90/. '-2 -1 -1 0 -7 •7 -5 -4 •6 -5 -3 •1 14 -12 -8 -5 -32 -22 8% -1 •1 •1 0 -6 •S .4 .4 .4 .4 -2 0 .11 -10 -6 -4 -28 -19 7% .1 -1 0 0 -5 -4 -4 -3 3 3 .1 0 -10 -8 -5 -3 -24 .17 6% -1 •1 0 0 -4 -4 -3 -2 -2 8 •1 0 -8 •7 -4 -2 -20 -14 5% -1 0 0 0 -3 -3 •2 -2 •2 •1 0 0 -6 -5 -3 •1 -16 •12 4% 0 0 0 0 •2 -2 -1 •1 •1 -1 0 1 -4 .4 •2 0 •12 -10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 •2 -2 0 1 •9 .7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 2 -6 •5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 03 3 3 0 0 8. Interior Thermal Mass House Exterior Method A (Slalh-on-grade Construction Only) Percm Famity One Family Two Three Exposed Ston 0.00 Stones Stories 0 0.20 .3 3 .2 0.40 .1 10 4 -2 9 .1 6 -1 20 10 0 1.00 0 12 0 30 17 1 10 1 18 1 . 40 1.60 3 17 2 1.80 1 50 14 4 24 3 14 2 60 1. 5 0 3 7.4 2 70 4 6 2 4 1 2 80 7.6 8 7 5 4 3 g0 95% 9 8.0 6 9 3 100 4 10 1001. 6 8.5 4 11 9 Method B 2 +6 to Ira Effective AFUE or HSPF Slab Floor less Raised Floor Mass +5 Stones more One Story House Stones Sum of 1-0 /CFA One Two Three One Two Three 0.0 •11 -8 -0 .1 .1 0 0.1 -10 -7 -6 0 0 0 0.3 -9 -0 •5 1 1 1 0.5 -8 •5 -4 2 2 2. 1.0 -6 -3 .1 4 4 5 1.5 -4 .1 1 6 6 6 2.0 -2 2 4 8 8 8 25 1 3 5 9 9 9 3.0 3 '6 . 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass House Exterior Single- Single Mufti Wall Famity Family Family Mass Oetacred Attacned -25 or 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 Z3 18 14 2-00 24 19 14 10. Heating -System House With Ducts (R-4.2) Winer Heamtg VW SEEK Poen Score Houses With Ducts (R-12) Sum of 7.9 .90 47 Soln Ptxg -25 or •24 to Sum of 1.6 +6 to. 16 or Gas Split Pkg -25 -24 -14 .4 +6 16 AFUE HP HP or to to to to or - HSPF HSPF less -15 •5 +5 +15 more 7816 6.8 6.6 0 0 0 0 0 0 801. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 95% 8.3 8.0 11 9 7 5 4 2 1001. 8.7 8.5 13 11 9 7 4 2 +6 to 16 or Effective AFUE or HSPF AC less •15 (AFUE or HSPF x duct efficiency) +5 Effective more One Story House Sum of 1-0 -17 -0 -13 Gas Solit Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 6.8 HSPF HSPF less -15 •5 +5 +15 mote One Story.. House -1 - 0 0 0 0 0 33% Z.9 28 -62- -53 -N -34 -2$ -16 401. 3.5 3.4 -40 -34 -28 -22 -16 -10 501. 4.4 4.2 -19 -16 •13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 •2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 801. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -3 0 7.0 6.8 -11 33% 2.9 2.8 -69 •58 48 -37 -26 •15 40% 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 .20 •16 •13 .9 .5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 _ 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 900/. 7.8 7.6 15 13 10 8 6 3 to". 8.7 8.5 20 17 14 11 8 4 Zonal Control Adtustmem 11. Cooling System System Type Resistance 6 4 3 2 1 0 ; 3 3 2 1 1 0 Adjustment for No Tank Iomlattoo Number of Water His=ses WaterHeater Tvoe One TWO SG50 .2 •5 SG75 -3 -6 SE -5 -9 HP -2 -4 Hoose Sh a Adjustment Hasa Size (t1=) Suetotal House With Ducts (R-4.2) Winer Heamtg VW SEEK Poen Score 1000 Sum of 7.9 .90 47 Soln Ptxg -25 or •24 to -14 to .4 to +6 to. 16 or AC AC less •15 -5 +5 .15 more 10.0 9.7 0 0 0 0 . 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4. 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 4 8 Effective SEER N 0.48 -2 1 -1 (SEER x duct efficiency) -7 .2 Eh SEER ase 3 6 5 Sum of 7-9 -1 I'I Split Pckg -25 or -24 to .14 to -4 to +6 to 16 or AC AC less •15 -5 +5 .15 more One Story House 0.93 -17 -0 -13 38 5.0 4.9 •29 •23 •17 -11 -4 0 6.0 5.8 -16 •13 -9 -6 -2 0 7.0 6.8 -7 -6 -4 .3 -1 • 0 8.0 7.8 -1 - 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 120 11.6 15 12 9 6 2 0 13.0 12.6 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House .4 -1 •3 5.0 4.9 •35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 -3 0 7.0 6.8 -11 A -7 -4 .2 0 8.0 7.8 -4 -3 •2 1 .1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 System Type Resistance 6 4 3 2 1 0 ; 3 3 2 1 1 0 Adjustment for No Tank Iomlattoo Number of Water His=ses WaterHeater Tvoe One TWO SG50 .2 •5 SG75 -3 -6 SE -5 -9 HP -2 -4 Hoose Sh a Adjustment Hasa Size (t1=) Suetotal was 1000 Winer Heamtg VW to Poen Score 1000 1499 .90 47 .5 25 .14 .4 -20 -11 •3 -15 -0 .3 -10 -6 .2 .5 -3 1 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 . 14 4 House Sh1e Adjustment House sae (it) subtotal ism 2000 Water Het+ang to or Pont Score 1999 more 30 0 3 -25 0 2 .20 0 2 -15 0 1 .10 0 t .5 0 0 0 0 0 5 0 0 10 0 -1 15 0 1 2D 0 •2 25 0 -2 Zonal Controi Adjustarent All 6 5 4 2 1 0 12. Water Heating Ow W ata Heats - No AnzMary Credits Dlanouot Syoam2 PAA Svstems Water Q+mam EmM STD HWR Pepe No Thar Dated Heater Tvoel Zones Factor POU Imul Cbl SGW AS 0.53 0 3 1 -0 -5 0 0.63 5 8 6 .4 0 5 0.73 8 11 9 0 4 8 SG75 N 0.48 -2 1 -1 -12 -7 .2 ase 3 6 5 -5 -1 a am 7 10 8 -1 3 7 SE N 0.87 -20 -12 -17 -41 -32 -19 0.93 -17 -0 -13 38 -28 .16 IG' AN 0.110 2 5 3 IE N 093 -21 -12 MP 6.11.13.15 1.80 4 7 5 -5 -1 4 Two Water Heaters - No AnzMary Creditor 51350 N am .7 .4 •6 -17 -12 -7 0.63 1 5 3 4 .4 1 0.73 6 10 8 -2 2 7 SG75 N 0.48 -12 4 -11 -22 -17 -12 ase -1 3 0 -11 -0 -1 0.68 6 9 7 .4 1 6 SE A9 0.87 -22 -14 -19 -46 -35 -22 093 -16 -7 -12 -39 -28 -15 .G N 0.80 .4 -1 •3 IE N 0.93 -21 -12 MP 6.11.13.15 1.80 -1 3 1 -10 0 Mandatory Measures Checklist: Residential MF -1R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewnere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I Building Envelope Measures • §150(a): Minimum R-19 ceilino insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum R.13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 20 oermimcn. §118: Insulation specified or installed meets Cahlornia Energy Commission quality standards. indicate type and form. §116.17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls a_ Doors ana windows between conditioned and unconditioned spaces oesioned to limit air leakage. b. Manufactured fenestration products have label with certified U -value. and infiltration certificapon. c. Exterior doors and windows weathersmpped: all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission duality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC eduioment, water heaters, showerheaos and faucets certified by the Commission. §150(i): Setback tnermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation I . Indirect hot water tanks (e.g., unfired storage tanKs or backuo solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenorrexterior insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank, non-recirculatino systems. insulated (R-4 or greater). 3. All buried or exposeo Piping insulated in recirculating sections of hot water system. 4. Cooling system piping oelow 55OF insulated. 5. Piping insulated oerween heating source and indirect hot water tank. • §150(m): Ducts and Fans 1. Ducts constructed. installed and seabed to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum insimled value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust tan systems nave oackdrah or automatic dampers 3. Gravity venmatino systems serving conditioned space have either automatic or readily accessible. manually operated dampers.. §114: Pool and Soa Heating Systems and Equipment 1. System is certifieo witn 78% thermal efficiency, on -ori switch. weatherproof operating instructions, no electric resistance neatind and no Pilot light. 2 System is installed with: a. At least 36' cide between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system nas cirectionai inlets and a circulation Dump time switch. §115: Gas -tired centra; furnace. pool heater, spa neater or housenold cooKino appitance nave no continuously ourino p,iot tient. (Exception: Non -electrical cooking appliance with pilot < 150 Btwhr.) Lighting Measures §t 50(k): 40 lumenswar, cr areater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures iC ;insulation coven approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications deeded to compl with Title 24, Parts 1 and 6. or the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. when this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Buetneee s Profinelons code) Name: Tide/Firm: Address: Telephone: Lic. s: (signaaire) (dare) Enforcement Agency Name: Title: Agency: Tewpnone: (signature/stamp) (gate) Documentation Author. Name: Tide/Firm: Address: Teleph i (signature) V (data) Certificate of Compliance: Residential Climate Zone 11 14oject'Tluel- 1W DD tion Author Building Permit M / Checked By/ Date Enforcement Agency Use Only B UMDING SHELL INSULATION Component Insulation Locatfon,rfbmments Type R -Value (tide, to gwage, -e:, etc,) Roof ............. Roof............. a Floor............! Floor ............. _ Slab Edge ....: FENESTRATION Sing Devices -Eenestration Area Type Interior . Exterior Overhang Framing Type Nofth ( ) �-- North ( ) Fenestration East ( )� BUILDING DATA / North Area & V °/ SOU th ( ) Conditi ea Slab sed Flop Number of Stories Number of .Units _� East South West ( ) — Skylight....... [' Single Family Detached (SFD) [ ] Addition Alone West Type/Covering a (slab/cxoosed. tile, etc) (sf) (inches) Location/DCscriotion (kitchen. bath. etc.) [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Muld-Family (MF) [ ] Existing -Plus -Addition Total B UMDING SHELL INSULATION Component Insulation Locatfon,rfbmments Type R -Value (tide, to gwage, -e:, etc,) Roof ............. Roof............. a Floor............! Floor ............. _ Slab Edge ....: FENESTRATION Sing Devices -Eenestration Area Type Interior . Exterior Overhang Framing Type Nofth ( ) �-- North ( ) East ( )� East ( )If South ( ) SOU th ( ) West ( ) West ( ) Skylight....... �— THERMAL MASS Type/Covering Area Thickness (slab/cxoosed. tile, etc) (sf) (inches) Location/DCscriotion (kitchen. bath. etc.) IiVAC SYSTEMS tiiinimum Type (furnace, air Efficiency conditioner. hentVutnp) (AFUE,SEER.HSPF) %-7L • ?,p Duct Location Duct Heat Pump (atdc, etc.) R -Value Therm '� (split t or nkg ) - /I Al - HOT NVATER SYSTEMS Tank Svstem Type (storage gas. etc.) Capacity Number SPECIAL FEATURES/REMARKS A R Value Energy Mor Ext- Tank Ing- M ctri h„t; nr,