HomeMy WebLinkAbout028-310-059,
28- 31-AKJOHN H�LVERSON '59'W/S Laporte Rd, app 12- mV N of
�Upham Rd, BangorPer.Mlt#1902-79B,P,E,M(new SIF)
�Y8gb§TLaqSH 28-31-59orte Rd, BangorPermit#1227-86B(new garage)Ba
07 86B new
� 8lFinaled 7/8/86
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| ' �28 31-59
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0//y��b' Nay rlea- , i .��C iA'S eef-lo,N 2/3,
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N PERMIT NO. M
PERMIT EXPIRES /44
OWNER REPT 1 QSH
CONTR. ewner
ti
ASSESSOR PARCEL 28-31-59
LOCATION 10503 LaPorte Rd, Bangor
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Temp. Power Pol
Called PG&E
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Temp. Elec. Servi
Called PG&E
i
Temp. Gas Servic
Called PG&E
JOB FINALED (C
Signature _
= OK
0 Not OK
yable MOBILE HOMES
Not ` = Not Ready
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s '
i Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)Ok.pxcept #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -61 Date
10. Roof; Shthg-Roofing
Card -811
Date Card -81 Date
11. Ext.; Steps -Doors -Landings
Date
MOSILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -61 Date Card -81 Date
Card -131
Date Card -61 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -61 Date
Card -81
Date Card -131 Date
= OK
0=Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready '
Date UND LOOK (Plans) OK except #'s
o -Setbacks;-Ease s - Flood -Slope
tg_ Main; Soils- -Elec. Grnd.-/ 2J" F
/" Ftg. Depth
=4. Ftg. Porches & Decks; Soils -Steel-/ P'F
temwalls, Main; Steel -Bloc kouts-Wrapped
.&.-3tervrwa+ts-Garage; Steel- Bloc kouts-Wrapp
Fall -Fittings -Test -2 way C/O -Sewer Test
.T G s Pipe; Size Anchors
ater Pipe; Test -Anchors -Regulator -Service Test
12. nd
13. s; Clearance-Material-Supprt-Ins.
UA, -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Dat /g g8 Card -131 Date
Card -B1 4,L$ Datof Card -81 Date
Date PLUMBING (Permit) OK except #'s
f) - 16. Water Ht. Vent -Access -Combustion Air -Baffle
Water Pipe; Test & Anchors -Nail Protection
C117D.W.V.; Test-Fttngs & Anchors -Nail Protection
1.9._Sh,owe;--Perr, TUst, First Floor -Tub Access
29-Test-Tub-&-Sh-ver, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Card -61 Date and -(31 Date
Card -131 Date 1 ,) Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. F xture & Transformer Clearance -Ins. Protection
c. Receptacles pacin Lights & Switches at Doors
ize Boxes & No. o uctors-Stapled
omex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28: / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
-29.-'R3n2ga Ctrc--' / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
nsulated Neutral Yes No
Service -Riser Conductors & Ground -Main Disconnect
rances Panels-Motors-Mech. Equip.
_ _ et,Light-Shower Light -Spa Light
moke Detector
Card -81 Date Card -B1 Date
Card -B1 Date 0,949, Mard-131 Date
ki
Date MECHANICAL (Permit) OK except #'s
34--A-E-Bncts-t Tsurff ion & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
Furnace -V Ac -Comb. A441et et
38. Attic Access & Platform if Furnace in Attic
Card-B14,�-2 Date)/ilk Card -B1 Date
Card -131 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
Sills, Proper Material & Anchors
,I' ails Studs -Nailing, Spacing & Bracing -Plates -Sound
1. Baling Walls over Girders & Floor Nailing
42!Dr ft Stop in Walls (rat proof)
/(, Mops; Furred Ceilings -St
Header & Beam -Size & Bearin
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
e A Flue -Fireplace Throat Clearance
It, yA L48±ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
L4�. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
ction Framing
all & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
& . - ea rarom-Rise-Run-Landing-Fire Protection
PI ood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
56 StuGG9 - ed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
-5 . ear Walls; Nailing -Bolts
59, Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date/lam/g•�and-B1 Date
Card -B1 Date j,Z Card -B1 Date
Date F AL (Plans) OK except #'s
Pot >xt. Steps -Door & Sidelight Protection -Landings
2. §moke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
Garage; Above Floor-Ducts-Mech. Protection
L-164. B room Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
panel; Breaker Sizes -Labels
Clearances -Hearth
169 ood Panel; Int. & Ext.
Ll'ft Kit ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
7 oor; wing -Landing -Closer
D e -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In rage; Above Floor-Mech. Protection
J Ib., Elec. & Mech. Equip. Listed for Location
7 ge; (G.F.I.)-Romex•Protec.
7. Ins lation-Foam-Looked in Attic es
Guard. Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive D No; Walks D Yes D No;
Planters D Yes ❑ No
A. . Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Op ings.
ter Well; Disconnect, Electrical, Plumbing
rior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
C87 -161 -ass Protection
rrections from Previous Inpections
Gas Test -Meters Tagged; Gas -Electric
0. Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
,92. Reefing G ificate
Card -81 Date' � and -B1 Date
Card -81 Date Card -61 Date
Card -61 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
!��,.�tyr7'+r-l�y�'�'4E "'k.�y�. ati♦as.,,i.`jJc..S{y.+�';.rj=,by '.,,./:-•i.y..�-.
COUNTY OF BUTTE
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
R
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.
0
/ ace. rt? �00-r SD CL C a "-r-
1A
InspectofIA56C-11 6, Date 4 X
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
1 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector
Building Owner
Building Location
ENERGY INSTALLATION CERTIFICATE
Building Permit # l
DESCRIPTION OF INSULATION
ROOF
Materialne&
Thickness (inch )
EXTERIOR WALL
Material
Thickness(inches) 't
C
Batt Blanket Type
ickness(inches) D
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)__
Brand Name
Thermal Resistance(R Value)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name CeXA� h
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
is consistent with approved building department plans and attachments and con-
form i h re it nts of C apter 2=5 of State of California Energy Requirements.
FIRM NAME/ WNE. STATE CONTRACTOR'S LICENSE NO.
SfGINATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the required features, devices, and equipment, ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
BUILDING CONTRACTOR OWNER Please Print)
(FIi NAM1E)
G�77�1'`�/ ✓'1 l Q�G� �/
SIGNATURE OF BUILDING CONTRACT WN
i AMIE/OWNER (Please Print)
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTO OWN DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
PRIOR TO FINAL INSPECTION
i
COUNTY OF BUTTE - DEPARTMENT OF
7 County Center Drive - Oroville. California 95965 - '
APPLICATION -AND PERMI
PUBLIC WORKS PEI NO.
elephone: 916/538-75
T
ASSESSOR PARCEL NUMBER
;11?- _ c)
ZONING
A t -
'
BUILDING PERMIT
OW ER
PO +
TELEPHONE
67 7
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS t
e—A Porte
CONTRAO'�
CTOR'S/NAME
�V
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace �
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
O
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ '7 ,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ w
Energy Plan Checking Fee
$ OD
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty
$
BUILDING ADDRESS Q
A
L. V O
Permit fee Y
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 ,
`uA P3 GO 1 �y 50)1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 DA
Each qas water heater or vent
5.00 o
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
sPECI FY
Gas piping.system 1 - 5 outlets
5.00 00
Building sewer
5.00 00
Mobile Home S G W
10.00ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10100
Main service 600V OR LESS
100 AMP OR LESS
00 //�� 'a
10,�/J ,.
Main Service EA. ADD'L 100 AMP
2.5.0
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
(cense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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.a
OR ADDNS. ACC. BLDGS.
1 Os
22SQft I
NEW CONSTR. MULTI -OUTLET
NON-RESID .BRA C CIRCU' ITS
2,50 ea
POWER APPARATUS S
(SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES
2 0050t
eAL030
FIXED APLNS.
EX. OCCUp. OUTLETS P(RESID )REAJ
2.00
Temporary service
10.00 —�
Mobile Home Facilities
15.00
Misc. Wising
15.00
Permit Fee
$ ec!
Contractor
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 ShaII not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating N
n`
Cooling
g
Hood
3.00 Q
Ventilation
Permit Fee
$ O 0 J�A
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte againstoceup
all Iia ' 'ties, judgments, costs, and expenses which may in any way accrue
agaf t s d Coun y in o eque f the anting of this permit.
�^
X Date 0 o o
Signa re of Applicant — Owner Mo<ontractor ❑ A❑
An OSHA permit is required for excavations over 5'0" deep d demolition or construct-
ion of structures over 3 stories In height.
Mobile Home Installation Fee $
Energy Inspection Fee $ �,
TOTAL PERMIT FEE %.xr$
.T.TrPE
, `3�JJ
SOHO L PLoo PARCE
P
ND
139UE
This permit is hereby i sued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
By 1,
MIT
P EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date s'—�1—
Receipt No. / 7 �/
WHITE-D.P.W.. YELLOW-ASeC380R. PINK -INSPECTOR. GOLDENROD-AP►LI CANT
tir'' -r•••'•'--. wr• �' :(_+.na-".av :Yii .,y,./•'�'ii�..,.� r�s.5;»�,• r-T;-r-rna 2�,. ;:^C +n r..;..,......, ..v'.sY.� ,%r. d-' h,'ti_.r r, .. .
- COUNTY OF BUTTE - DEPARTMENT OF' PUBLIC WORKS - BUILDING} DIVISION
7 COUNTY CENTER DRIVE - OROVILLE FAL-I 0#1NIA 95965 - TELEPHONE: 916/538-754 .
PERMIT APPLICATION DATA SHEET
1 /' Permit No. Q
OWNER �Gb�r 1 K LOS(n, A. P. No.
�t
Proposed Building Use 'k- Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
42. Plot plans i duplicat /triplicate, signed by preparer of plans.
q 3. Complete plans duplicate. triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of /In/tent for Non -Heated and AC Buildings.
rte- 8. Fees of $ �`� %• �S , , , , , .,
9. Letter of signature authorization. �-
Sanitation approval from d�'OC>t �- L Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
4&1'3. Contractor's License Information (ho., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑)
—15. Improvements may be required. . . . . . . , , , , ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to
Pre -Inspection for Required. Building Inspector (Date)
8. Recorded copy of A_gr-icultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
1. Engi eeped trusses*i ,dupli ate (required prior to pl n check). +
When you issue the permit, process as follows: Mail to owner, Mail to contractor c
Telephone and hold'for pickup at office, Deliver w/inspector.
- Other
Applicant! �/f ` Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone ail counter by date S— 1 - 88
Contractor, designer, owner, advised of above required data by_phone_mall_c ter by date
Plans checked by Date Plans approved by Date
R Sets of plans on hold in File cabinet AP folder
A
Copy—DPW
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
------ ka- Erle k'cl
Owner. Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for:
�Q� V � Water Supply
Clearance for --L bedroom mobi a home. Other
NOTE ***
Sanitarian 6at
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Pork e PA. - 3.1 -sem
Owner. _ Location AP#
Plan Approved for: Sewage Disposal _ Water Supply QCA/
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for —L bedroom mobile ome. Other
NOTE ***
Sanitarian
Date
eturn I.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RES'(DENTTAL DEVIa.OPMENT
�c cL i.on 26-8. l of I_he Butte .County Code
requi.r'es this acknowledgement be recorded
prior to issuance of a building permit. '
,ESE] -022640 f R e c Fee 7.00
The property described herein is 'adjacent � : Cash 7.00
to land, or. -included within an area zoned Recorded ;
for agricultural purposes, and residents Official Records
of this' property may be subject to,incon- County of ;
veniences or discomfort arising fPom the Butte ; PARre SHOWN
use of ;agricultural chemicals, i.ntlud.i.ng, Candace J. Grubbs
but not l:im:i.ted to herbicides; pesticides, Recorder ;
and Cert.i..].-i •r_cr. s; and from the pursuit 11 : 04am 13 -Jul -88 I BG 2
of agricultural. operations ''including,
but not liani.tecl to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has establ.ished igricul
tura.] zones which have as a priority use for productive agricultural purposes, ;111(1 re"idc•nl:;
w i.th.i.n .sa i.d zones and on/ adjacent property should be prepared to accept. such i n(-()1ivc•n i c•ncc
or d:i.sconform from normal, necessary :farm operations.
All. that: real property situate in the County of Butte, SLat.'e• of Cali describc(I ;is
fol.a.ows:
,S
_
NOT COMPARED VATH
} ORIGINAL DOCUME O
,�
WOME PECK
Wf
r�
Butte qmmty
ca wD Nov. I. 19M
Date: July 13, 1988
PROPER Y OWNERS.
State of California) On this the 13th day of
July 19 gam, before me,
SS. the undersigned Notary Public,
personally appeared
County ofButte )
Robert K. Losh
® Personally known to me.
® Proved to me on the has i s
of satisfactory evidence.
to be the person(s) whose name(s)
is
subscribed to the within instrument
_
and acknowledged thaL
executed the same for the
_he_
purposes therein conta�i ned . I.N W I'i'NI?tiff
WHEREOF, I hereunto set my
hand and off.ic:i.al. seal.
]'resent A. 11. No.'�� "�
atary Public
CAT. NO. NNO0582
TO 1923 CA (2-83)
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Individual Grant Deed
THIS FQRM FURNISHED BY TICOR TITLE INSURERS AP # Ptn Of 28-31-51
The undersigned grantor(s) declare(s):
Documentary llpOl pSr'tj'm
(XX ) computed on full of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
(XX ) Unincorporated area: ( ) City of ,and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JOHN A. HALVERSON AND ANNETM HALVERSON, husband and wife
hereby GRANT(S) to ROBERT K. L06H, an unmarried man
the following described real property in the unincorporated area of the
County of Butte _ , State of California:
PARCEL A:
Parcel .2, as shown on that oertain Parcel Map, filed in the office of the Recorder,
County of Butte, State of California, on February 26, 1986 in Book 102 of Maps, at
page 98.
RESERVING THEREFROM a driveway easement 15 feet in width, as shown on the Map referred
to above.
Said easement to be for the benefit of and appurtenant to the.retnai.ning land of the
Grantor herein and shall inure to the benefit of and may be used by all persons who
may hereafter become the owners of any parts or portions of said appurtenant land.
PARCEL B:
over Parcel 1, as shown on that certain Parcel
A driveway easement 15 feet in width,
Map, filed in the office of the Recorder, County of Butte, State of California, on
February 26, 1986, in Book 102 of Maps, at page 98.
AFFIDAVIT OF COMPLIANCE
WITH COUNTY ORDINANCE 2277
(ADDITIONAL DWELLING IN
SINGLE FAMILY RESIDENTIAL ZONES)
Applicant G�' - "( Col -L
Date
Zone AP # 6-q Building Perm i #
do declare, that the dwelling
(Building Permit # ) at address (present) 0 J` -O 3
07—
c on AP # ct I is intended for the
sole occupancy of one adult or two adult persons who are 60 years of age or
over, and the area of floor space of the dwelling unit does not exceed 640
square feet.
I also understand that violations of these provisions are subject to the
penalties provided in.Section 24-63.1 of the Butte County Code.
Signed
Dated
t
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 and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an app ication for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons.to provide the work indicated:
Name Address Phone Type of Work
Signed:
Prope
Socia
Date
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., DUPLEX•& MISC. ONLY)
�OS � Blag. Permit #
OWNER A.P. # afi-
GENERAL
ning requirements: (sideyards
S:. Valuation.
Plans signed by designer.
4. � nergy Design and Compliance.
y. Existing violations on property.
and number of permitted living units).
PLOT PLAN
�,� mplete parcel size and dimensions.
��Other
tbacks, sideyards, easements, etc. buildings or structures.
0ading, fills, drainage.
SS
lood hazard.
pecial conditions on`creation map or compliance document.
7/85
FLOOR' PLAN
mplete to scale plan with dimensions.
Reoquired windows for light and ventilation (Sec. 1205).
3e" -Required windows for second exit (Sec. 1204).
—4. ftylights (Chapter 34 & Sec. 5207).
man impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207). '
r� F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles,'and exterior receptacles,for maintenance of
mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
rage firewall, door size, and closer (Sec. 503(d)(3)).
13'0" exterior exit door (Sec,. .3304(e)). �.•' i, ;
1 ireplace and wood stove location.
l Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
o
undation plan complete enough:to construct building.
g.tlFloor,construce.ion details complete enough :to construct building.
,, evations and wall construction details complete enough to construct building.
. Roof. construction details complete enough to construct building.
eplace construction details and calcs if necessary.
6. Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Exposure I plywood on exposed locations and overhangs.
—2.—airway details: landings, rise and run, head clearance, handrails (Sec. 3306).
—3--- ar rail details (Sec. 1711 & 3306(j)).
stone veneer (Chapter 30) . .
__ &*tee_ie-r-plaster - weep screeds (Sec. 4706).
6. Proper roof pitch for roof covering (Chapter 32).
J,, --Rafter ties or bearing ridge beam.
.�a 5 (67 - a 7 SS
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
Wage door or porch header sizes.
_t�ldequate bracing.
-4-0—TiVing area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
o exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). w
ltic access and ventilation (Sec. 3205).
lY. nderfloor access and ventilation (Sec. 2516).
toves, clearances, alcoves & 1 -hour shafts.
19. Combustion air for fuel burning appliances. �
poise requirements on duplexes.
1097-79'dobe soils - special foundation design.
detaining walls requiring design.
+9---tJnusual shape, size or split level house requiring lateral design.
4s w�p Sl�exi✓�r O e..
�uo"E
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541.
�o bert /-,'o 5 DATE $
1".. p6e�-CZE({ RE:
f3 oe C? sq A. P. # aV--'3/— os�
With reference to the above subject:
" Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
�4y i n��N.l��o N Va.1,w,� __ G w .. �� nro� ref- fJew�' � �(• .pd n.tss ave
cswe nDGa-
Should you have any questions concerning the above, please contact this office.
JFG/a j
_bQL�
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
.'. FALL FURNACE SEASONAL EFFICIENCY 3�� �3
C .. CALCULATION FORM
Instructions, to permit applicants:.
For.vented gravity type and direct vent wall. furnaces, complete the appropriate
section using data' from the California Energy Commission's Directory of Gas
Space Heaters, or if the unit has been tested, have the manufacturer complete
-the "Manufacturer's Certification" section.
For fan type furnaces the manufacturer must complete the "Manufacturer's
Certification" section.
For compliance with the residential standards, SUP from the following calcula-
tion shall represent seasonal efficiency
(a) SE of. furnace (from manufacturer's certification,
or from page 2 of th'i s form)
(b) One of)the following constants:
J _.
1.15 =- if single family dwelling or lodging house
1.10 - if multi family building with common walls
but no common.floors/ceilings
1.05 -- if any other multi family building
(c) Multiply (a) times (b)
Manufacturer's Certification
Manufacturer LOUISVILLE TIN & STOVE'COMPANY
Model.Name COZY
Model Number
64.05
73.66 SEPP*
Type GRAVITY
Input Rate 35,000 BTU.
Seasonal.Efficiency ( 3.66
I hereby certify that the model listed above has been tested in accordance with
the procedures for vented home heating equipment (49 Fed.Reg. 12173, March 28,
1984), and the seasonal efficiency has been calculated in accordance with the
calculation method for wall furnaces approved by the Commission on December 18,
1985. --7
Signature
2/25/86
ae
LOUISVILLE TIN & STOVE COMPANY
Company
*SEPP is Seasonal Efficiency adjusted for the absence of ducts
W�LL FURNACE SEASONAL L,," __iENCY
CALCULATION FORM
(conti-nued)
Gravity Type
(a)
Thermal Efficiency (from CEC directory)
70.0
(b)
Constant
.968
(c)
Multiply (a) and (b)
67.76
(d)
'Constant
440
(e)
Standby energy consumption in watts (from CEC directory).
147
67'
(f)
Multiply ("d) times (e)
(g)
Input rate (from.CEC directory)
35,000
(h)
Divide (f) by (g)
.1,848
(i)
Subtract (h) from (c)
65'91
(j)
Constant
.1.86
(k)
Subtract (j) from (i)
64.05 AFUE/SE*
Direct
Vent Type + .
(a)
Thermal Efficiency .(from CEC directory) ,
(b)
Constant
..968.
(c).
Multiply (a) and (b)
'. (d)
Constant .
440
(e)
Standby energy consumption in watts (from CEC directory)
(f)
Multiply (d) times (e)
(g)
Input rate (from CEC directory)
(h)
Divide (f) by (g)
. (i)
Subtract (h) from (c)
(j)
Constant
.03
(k)
Add (j) and (i)
AFUE/SE*
*AFUE
is Annual Fuel Utilization Efficiency
. SE is
Seasonal Efficiency.
x
1. Draft Olvorter -,For safe & efficient flow
2. Relief Valve Opening I%" N.P.T.) - Located on top for easy access on any
installation.
3. Storage Tank - Meavy gauge steel, lined with proven HOYTGLAS tested to 300
p.s:i. with a,maximum,working•, re_ssure of 150 p.s.i.
3 4: Double Efficlency Insulation (R-6.5)
° 5. Olp;Tube - Designedto provide 28% more usable water than previous models.
g' 6. Flue Baffle - To aid in more efficient heat trarsler to the water by retaining the
e = heat.for its.maximum use.
7: Anode Rod - Specially designed to protect the wife of the tank.
B. Robertshaw Control This control is convert bie for, natural and propane gas
(easy -to -read instructions included).
P g: ilgh Efficleipy Burner - Aluminized steel w'th a port design to allow quiet,
10 efficient opd'ration.
9 10. Drain Valve- Easy -open with hose connection for simplicity in draining.
..Model Number
b. A B C 0 BTU
Recoveryy -
Gal/hr 90°
Gallon Capacity Input/Nr.
Rise
.20 HMMH 53 .501/4• 14 3 x,24,000
24.0 .
z 10HMMH'571/4 .541/2.: ffi 3: <, 30,000
30.0
:40 HMMH.3;:•'",s"..31,000
31.0
Ail :models carry a .FIVE YEAR STRAIGHT limited warranty
- Contact the
factory fol' -details..
GAS CONNECTION -.112" .
'WATER 'CONNECTIONS 3/4"
For NORTH CAROLINA requirements = add suffix -`,P
WATER
8 i
-� 8 n4t
Outlet
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
--;,- 196 Memorial Way, Chico - Phone: 891-275T'
7 County Center Drive, Oroville - Phone: 534-4541
Skyway and Ellioft'Road, Paradise - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
L Ai
OWNER PFRMIT Kin
A routine inspection indicates that the following violations of County Ordinance
exist at the above ad4ress and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
e n Ur -
A
f -
� I I . A—�
-4 W 0 1 Me, � -- W.RMA
e
PERMIT N0. 1227'$6B
PERMIT EXPIRES
+ OWNER
ROBERT LOSH
CONTR. owner
!t 3 la
F ASSESSOR PARCEL 28-M'1Iport
9
LOCATI N 10503 LaPorte Rd, Bangor
'
J
12 t'1 V 'e 1.;0 I
a
�.� AA
Temp. Power Pole
Called PG&E
Temp.
Ca
t Temp.
Ca
JOB FI
Sil
OK -
Not OK
Not Applicable MOBILEHOMES
Not Ready _
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort--Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -.Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts -GF]
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
I Card -BI
Date Card -BI Date
V = OK - -
O = Not OK �" a
- Not Ready ble
Not Ready RESIDENTIAL (Single and Duplex)
= -
Date
UNDE LOOK Plans OK except H's
Date
FRAMING (Continued)
Zoning requirements -Setbacks -Easements
48.ire
all & Openings
2. Ft - - ec. Grnd.- / /" Ftg. Depth40-"Ext.
Doors -One 3' -Check Garage -3rd story, 2 exits
l
tg., Garage; Soils -Steel- /1 ' Ftg. Depth
r'oomP-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
4+--PIyy=d
on Roof Overhang -Attic Vents -Rafter Outriggers
-
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
iding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
creed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54. rea- lass Protection -Skylights -Plastic
55.S4eerOW7"T,'IQailing-Boltsta
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
-
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
'
Date
FINA ans) OK except N's
Card -B Date r' Card -BI Date
Date
PLUMBING (Permit) OK except q's
i
57.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke,0eT6-cior"--
-
14. Water Ht.; Vent -Access -Combustion Air
58.
Furnace,-'VuMS -Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
_
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
B i -ng
17. Shower Pan; Test, First Floor -Tub Access
60.
G.Fr4�Eixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
61.
Elee� rFm-Sr4 tanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
62.
Stairs R. Us
63.
Firjaplaoe-er-6tove; Clearances -Hearth
64.
Erc OuLt s at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
K P ppliance' Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
EIec_._0_u_tTe_ts& Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage-Fite-Dobr, Swing -Landing -Closer
68.
A.G_PveF-in-Garage-Damper
&Transformer Clearance -Ins. Protection
69.
WN ur v clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
1.
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
70.
P413, -o �ch. Equip. Listed for Location
23. Romex Installed Close to Edge of Studs & C.J.
71,
p acles in Garage; (G.F.I.)-Romex Protec.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
1nsuia4en-FvarrLooked in Attic ❑Yes
- _
25. 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
73
ick Construction -Post Caps
74.
F s & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
__Insulated_Neutral
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
"Yes DNo
28. Service -Riser Conductors & Ground -Main Disconnect
75.
Following i0stld.: Drive Yes No' alks Yes ❑
Planters ❑Yes
76.
S#rssc;-6cewn-Finish
29. Equip. Clearances: Pane Is-Motors-Mech. Equip.
77,
AXconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
Card B-1
Card B -I
30, Clothes Closet Light -Shower Light
- - ---- -
---
_ Date Card -BI Date
Date Card -BI Date
78,
Ve=_Abo*e-}oof,, Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.i
connect, Electrical, Plumbing
80.ec.
Trim; G.F.I. Receptacle -Underground
81.
n roughout House
82,
on
Date
MECHANICAL (Perrrit) OK except #'s
83.
Co omr vious Inspections
84.
85.
Gas erstefagged; Gas -Electric
Wates-8r8ew2rConnected-C/O to Grade -HD Approval
_
and -Bl
Card _BI
31. A.C. Ducts_ Insulation & Support __
32. Vent Fan: Exhaust above Insulation _- _-
33. _Condensate_D_rain & Overflow: Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -_115V outlet
35. Attic Access & Platform if Furnace in Attic
Date Card -BI Date
Date Card -BI Date
86,
Energ Lance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA NG(Plans) OK except k's
Comments at Final:
_
Sills; Proper Material & Anchors -_
Walls: Studs -Nailing, Spacing I Bracing- I_ates-Sound _
/� Baring Walls over Girders & F_lo _ ng_
3T Draft Stop in Walls (rat proof)_
40. re -tops: Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
42�-t ps-Anchors-Connectors
43 . Cing. Jois-Ties-Purlin-Roof Brac. Truss Shthng.-Rfng.
44. A Flue -Fireplace Throat
45. Atte ex Protection -Draft Stop -Ins. Baffles
46. B g Doors -Sill Hgt. & Dimensions
4Z Garage Fire ion Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PAREl� NUM B`E7
/
ZONING
%�%�
BUILDING PERMIT
DWN
TE EHON
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS %1 -/�
L� f � O Y
CON CTOR'SA,M^E
Y
TEL PH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
LENDER
CONSTRI CTIO�`N0.-
UNKNOW N
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHI CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
/d sD Or
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
MAPG
�lO
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTUR
SF ❑ Duplex❑ Mobilehome❑ Other
SP I FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
�,/ TYPE OF WORK
New I T Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS10.00
Main Service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
nd Professions Code and my license Is in full force and effect.
icense No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y
ADDNS. ACC. BLDGS.
,/z¢sgft
NE
NEW CONSTR ULTI.OUT LET
NON - BRANCH CIRC ITS
2.50ea
POWER APPARATUS .&)
%SINGLE OUTLET CIR.
/
Ex. Occu p\OUTLETS OR FIXTURES
200500
eAL030
Ex. OCCUp. OUTLETS FIXED P(RESID.LNS IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Edof 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 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against a Count in con ue of the granting of this permit.
X Date
Signature of Applicant — Owner EY Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE 1
OCCUP,
CONST.TYPEJ
FLOOD RCEL D
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
BY 7
PER EXPIRES Date
the applicable provi=
resolutions to do
fees have been paid.
WORKS
Date P r.
.�����/,8T_
¢3
Receipt No. _ �y�dc 2
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO: lhiilding DI -11--:1 Tt W(� I'll,
From: --.1..Dvironmentz-.,.1. Henith
E'ubj itat, 1.1 C1
Location
Plan Approved for:
1101c] fined for:
w:Jter ,•upply
!atcr ;,.-.upl)ly
Final clearance O.K. 1or: k-;nLer supply
Clearance for 4-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE%CA°Lfz15tRNIA 95965 - TELEPHONE: 916%534-4541
PERMIT APPLICATION DATA SHEET f I
OWNER
Proposed Building Use
Permit Fee Based Upon
41
Complete Contract Price
Permit No.
A. P. No. 0121? �3 r�
DPW Valuation
OtheAE/ 'n)
Building Inspector Date 5 ��
At time 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 �b-ee.n._submitted. . . . . . . . . . . .
jlPlot plans du lic -e/triplicate. . . . . . . . . . .
Qomplete plans irvd— pli� cat riplicate. . . . . . . . .
4. Complete engineered plans and calcs... . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature authoriz V' n.
Sanitation approval from �` Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
17. Pre -Ins ection for Re uired•Pre-Inspec. request to (Date)
,
p q Building Inspector
18. Record Y 1�u l Acknowlgd ment State(pent .
19. Other � � AY �''1' ��onstructiob approval' required prior to occupancy
When you issue the permit, process as follows: Mail to owner. Mail to contractor. r
Telephone and hold for pickup at office. Deliver w/inspector.
Other.
A p p I i c a n t Date_21)/� /1 /% jw,
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date _,,57"/
Other:
Copy—DPW
v
1902-79B,P,E,M
,.,1Pa%RMIT.NO'.
PERMIT EXPIRES
!'OWNER John Halverson
,` CON.TR. owner -
LOCATION (A.P. 28-31-49 port.
W/S LaPorte Rd.,app.k mi.N.of Upham Rd.,
Bangor
if
NJ
a
em er Pole
I ed PG&E
psi
,'/a
r
Tern Elec. Servs Z/(j
Called PG&E
Temp. Gas Serv.
Called PG&E
OB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE •— DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Stemwall
Slab
Carport
Footings
Insulation —
Prov. for physical
handica ed
Conformance of ex.
structure
Heaters .
Appliancesr—
Gas Piping & Test
Temp. Gas
Slab
BUILDING
BUILDING (Cont'd)
Patio
PLUMBING
Setback
Firewall
Soil Piping
ELECTRICAL
Forms
Parapets
1st Floor
Reinf. Steel
Main Bldg.
Restroom Finish
2nd Floor
i
Footings
Windows
3rd Floor
Water Htr.
Stemwall
Siding
To out
G
Slab
Roof Sheathing f
Water Piping
Heating
Piers -- ,b —Tf
Roofing V_ -0
Sewer
10 Q---%
Garage
Fdn. Vents —
Fixtures
—8'�
. Footings 17
Garage Vents -
Water Htr
Stemwall
Slab
Carport
Footings
Insulation —
Prov. for physical
handica ed
Conformance of ex.
structure
Heaters .
Appliancesr—
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
t FIREPLACIVn Q
Final v - —
Footin s
Footing
ELECTRICAL
Masonry Walls
Throat 1KAQ&
Rou h 0 sloa
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRJNKLEA
Motors
Framingr -
Test
Water Htr.
Stucco.
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot. _74 -
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
I Ducts
[IndPrnrmind
IIIICIIVI will — - --+ ventilation Permanent �� r
Door Closer,. Final Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - --- - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTION
J
�-r- -7
"O. w. Q,
3'31 8.a
iii i ! : �� •'� .
0
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
BU ILD ING PERMIT NO
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn.'Walls
Floors
Walls ;W A-1
Ceiling/Roo f
Ducts
Circulating Pipes,
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed /V A
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
Al A -
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICA AS SUBMITTED.
Insulation Applicator Name 4�z��
Signature of (please print)
Insulation Applicator
General Contract �erame
Signature of _
General Contractor Owner
State Contractors
Lid ense .No .
(pleps"print)
State Contractofs
License No.
n
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
� 1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive = Oroville, California 95965
Telep�one'� 5V-4541
APPLICATION AND PERMIT., C/
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date Z
Signature of Permiteeeor Agent
Receipt No. ` Opp
�v /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIREVfOR OF PUBLIC WORKS
BY Date `f41 -F,B Zing permit expires Date 'f
BUILDING
Owner �� �,��i��
SQ. FT. OCC. BUILDING VALUATION
�1
v
Mailing Address"'o!
I
v
T le ne No
Contractor w�/
Mailing Address
Fireplace O^
Total Valuation 2. 64
Telephone No.
Permit Fee
Building Address L PO2T-t
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 O
Each Trap 1.50 , 00
p
`J/P91
Repair drainage or vent piping 1.50
b
A. P. No. ;Z ^3,1 —49 PwT
oning & ning
Water piping 1.50
Each gas water heater or vent 1.50
S t ion
Fire Dept. Fire Zone
Use ermit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking NarcelEach
Plans Declaration
I arce Map
1 60' R/W
I Improv is
additional outlet .30
Building sewer 5.00
Bldg. Plops -
� P royal
Planss<pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ Mslo
G
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,
Main service e00v OR LESS
100 AMP OR LESS 5.00
Single Family R300" Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADO'L 100 AMP 1,00
OR CONST./ DCEL�IJQ CUP. 4� 20sgft �, .%0
_ CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
F State of California Business & Professions Code under the name
style of:
NEW CONST RI MULTI -O IR T
NON.CONS � BRANCH CIRCUITS 12.50ea
t
NEW CONSTR/POWER APPARATUS B
NON-RESID. \SINGLE OUTLET CIR.
EX. OccuD(OUTLETS OR FIXTIIRES 50 @ 25
FIXED APPNS. LOR
Ex. OCCup.�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Lice a No. Classification
Misc. Wiring 6.25
i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I ha a placed on file with the County of Butte a certificate of
W men's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 Q
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $ p0
$
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
Land Development Fee
$ :Zs -'a
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date Z
Signature of Permiteeeor Agent
Receipt No. ` Opp
�v /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIREVfOR OF PUBLIC WORKS
BY Date `f41 -F,B Zing permit expires Date 'f
Certificate of Compliance: Residential
Climate Zone 11
g
Buildin itN
Project Address
Checked By/ Date
Documentation Author Telephone Fnfotoe ment Agency Use Only
f BUILDING DATA = GlassArea Glass
i ... � : • : .; North � _ �• 9
Conditioned Floor Area Number of Stories ' East �• 3
Slab 'sed Floor 41_ Number of _Units South S • G
( Single Family Detached (SFD) [ ] Addition Alone - West /a: o
[. ] Single Family Attached (SFA) [ ] Existing Building + , Skylight o
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total Zal 7--_
BUELDING SHELL INSULATION
Component Insulation I.ocation/Comments
Type R -Value (attic, to garage, typical, eta.)
Wall .............. QI_-
Wall ..............
c
Roof ............... "12 3
p
Roof .............
Floor .......:..... ..... _
Floor........ --
Slab Edge..'.`. -
GLAZING _.— Shading Devices -• u::::w _ r;:.... -
Glazing Area Glass Type Interior Exterior Overhang . Framing Type
Orientation _(Sf) (single, double) (roller blind, etc.) (shadescreem etc.) •`'(yeshw) ° ' (metal wood)
North
North
East
East ( )
South ( ) 34
South
West ( ) 51h,tatt_,ctesa►
West ("") - _ _ as e.hal
Skylight...:.:. ---'-`p- ' - -- -_ •- _..___ ___ __._ . .. �.
THERMAL MASS - - -- - V - - -
Type/Covering --Area - Thickness
(slab/exposed, tile, etc.) - (S0 (inches) Location/DCSCription (kitchen. bath, etc.)
HVAC SYSTEMS Minimum . _-Duct
Type (furnace, air . Efficiency _Location Duct : Output _ Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
. I�a�� Ftwrtuwts i3.iiria - -• N�Nis. _' -C�' ' �� La�tS�.l�t T:r .
Maximum Fumace Heating Output: - Btuh r
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measuiss regardless of the cgmpliance
approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance mqu=rmnts listed
on the Certificate of compliance. When this checklist is incorporated into the permit documents. the features noted shat
be considered by all parties as binding minimum component performance speaficatioro for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum cciling insulation R-19 weighted average. -
§2.5352ft Loose fill insulation manufactums s labeled R•Value-
' §2-5352(c): Minimum wall insulation in framed walls R• t I weighted average (does not apply to :
exterior mass walls).
§2.5352(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor — -• _ _ _ T
transmission rate no greater than 2.0 permlurch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
~ §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only,
§2-5317:Infiltration/ExfiltrationControls -
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified. _ 1
: r - c. Doors and windows weathers[ripped: all joints and penetrations caulked and staled
12-5352(c): Special infdoration barrier installed to comply with 12-5351 mew CEC quality - <F•+.
' standards
§2.5352(d). Installation of Fucplaces
1. Masonry and factory -built fucplacts have
a Tight fitting• closeable metal or glass door t
t b. Outside air intake with damper and control ,+
c Flue damper and control r
2. No continuous burning gas pilots allowed. ,
HVAC and Plumbing System Measures
1 „
12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 3
02-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
•
62-5316(a): Ducts consuncted. installed and insulated per Chapter 10, 1976 UMC
§2-5316(b): Exhaust systems have damper controls. !
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
h
p ;t §2-5314: HVAC equipment, water heaters, showerheads and fauceu certified by the CEC.
§2.5352(1): Water beats insulation blanket (R-12 or
greats)orcombinedintuior/exterior •'':':
insulation (R-16 or greater): fuer 5 feet of pipes closest to tank insulated (R-3 or greater). : ,'.., I . .•A.11
§2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating ;; '. • ?
piping.,2
1'
§2-5318(dr Swimming Pool Heating
1 r 1. System has.
a. Ordoff switch on heater. ,
b. Weatherproof instruction plate on heater: r
;, F- c. Plumbed to allow for solar. _
2. 75 percent thermal efficiency.
3. Pool cover. '.
4. Time clock. ,
i 5. Directional water inlet. _ .h, _ •_ e
Lighting and Applianct Measures -
r §2-5352(1): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATENU94T
This certificate of compliance lists the but3ding features and performance specifications needed to comply with
Mde 24. Chapter 2-53 and Title 20, Chapter 2. Subdiapter4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
r Designer = _ Building Owner
Name: Narrtr-
rukJFimt: rttkJFirm:
Address: Address:
i
H h Tekphonc Te
Lic. 0:
(signature) (date) (signattuc) - 04.)
+ Documentation Author Enforcement Agency
Name: Name:
TitWF'um: Agency -
Address: Telephonc
1. Ceiling Insulation
2. Wall Insulation
-14
Number of stories
-69
R -value
One
Two
Three
R-0
-103
49
32
R-19
-8
4
-2
R-30
-2
-1
.1
R-38
0
0
0
U -value
1
R-19
8
0.50
-176
-84
-54
0.30
-102
49
732
0.10
-26
-13
-8
- 0.08
-18
-9
-6.
0.06
-11
-5
4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
-14
-48
-69
Single-
Single -
16
Percent
Family
Family
Multi -
R -value
Detached Attached
Family
R-0
-68
-51
34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
3
8
35
0.80
-153
-114
1 .76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
.14
10
0.00
24
18
12
-15
-8
-1
7
3. Raised Floor Insulation
25
-46
-14
Insulation
In Floor
7
14
24
Number of stories
-12
R -value
One
Two
Three
R-0
-17
-8
-5 +
R-112
8
-
-1
R-19
-9
0
0
R-30
3
1
1
U-v8iue
-2
4
10
0.60
444
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
34
-22
0.20
-43
-21
.-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
12
10
Number of stories
14
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
.2
-2
R-19
-1
-2
-2
4. Slab Edge Insulation
19
10
3
Number of Stories
ti
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
7
0.95 8.71
20 18 15 13
0.90
-4
3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
-14
-48
-69
-64
U -value
16
Percent
-42
-59
.51 to
.41 to
.31 to 0.30 or
Glass Single
Double
.60
.50
.40
less
50-121
Skylight
-53
-39
-24
-10
4
40
to
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
31
-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
26
-49
-15
-8
-1
7
14 1
25
-46
-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
-6
0
5
10
16
19
-29
-e
1
6
11
16 I
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
1.80
10 12
12
10
2.00
14
18
13
-12
'r
8 110
12.0
15
18 ,
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
ti
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
-14
-48
-69
-64
Effective Percent Class
16
.L
-42
-59
(percent glass x SC)
na
Effective
-10
-35
-50
-46
%Glass
North
East South West
Skylight
18
5
1 4
1
na
16
4
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
6
1
3 4
2
3
5
1
2 4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
0 1
0
3
1
-1
-1 -1
-1
2
0
-1
-2 -4
-2
0
na = not allowed
15
10. Exterior Wall Thermal Mass
1
f6. Shading (Shade Closed)
Etffeedve Percetlt Glass
(Percent glass x SC)
Effective
%Glaze Nor11 East South West Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-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
-4
-14
-19
-18
-47
6
3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-6
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
8.0 7
9. Interior Thermal Mass
,
Interior
Slab Floor Raised Floor
Mass
Stories Slories
x
/CFA 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
0.5 -6
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
3.5 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
8.0 7
10 11 13
14
14
8.5 7
10 12 13
14
15
10. Exterior Wall Thermal Mass
1
Exterior
Single- , . Single -
+6 to
16 or
Wall
Family Family
Multi
+5
Mass
Detached Attached
Family
0.00
0 0
0
j
0.20
3 2
1
-11. -9
„ 0.40
5 4
3
6.6
0.60
8 6
4
-2
0.80
10 8
5
0 0
1.00
13 10
7
8.0
1.20
13 12
8
4
1.40
12 13
9
I
1.60
10 13
11
10.0
1.80
10 12
12
10
2.00
10 11
13
I
11. Heating System I
12
8
12.0
SE or HSPF
26 22
t
(assumes ducts In aWc)
9
13.0
33
Sum of 1.6
20
15
10
-25 or -24 to -14 to -4 to
+6 to
16 or I
SE HSPF
less -15 -5 +5
+15
more
0.72 6.60
0 0 0 0
0
0
0.75 6.88
3 3 3 2
2
1
0.80 7.33
8 7 6 5
4
3
0.85 7.79
13 11 10 8
7
5
0.90 8.25
17 15 13 it
9
7
0.95 8.71
20 18 15 13
11
8
=12
Sum of 1-6
-6
-5
Effective -nor -24 to -14 b -4 to +610 16 or
SE HSPF less 45 J,. +5
+15 more
0.30 2.75
-73 -64 -56 •47
-38
-30
na 3.41
-45 -39 -34 -29
-24
-18
0.40 3.67
-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 1
0.70 6.42
17 15 13 11
9
7
0.80 7.33
25 22 19 • 16
13
10
0.90 8.25
32 28 24 20
17
13
1.00 9.17
37 32 28 24
19
15.
Zonal
Control Adjustment
5.3
System Type
5.8
6
6.2
Resistance
10 9 7 6
4
3
Other
6 5 4 3
2
2
12. Cooling System
,
SC
SCORE CARD--
a. North
SEER
x
-
Unit Size (sQ
--
Water
(assumes ducts
In attic)
1700
2200
2700
Sum of 7-10
or
b
to
to
-25 or -24 to -14 b
-4 b
+6 to
16 or
SEER
lest
-15 -5
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
3
8.9
-5
-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
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
120
15
13 11
9
7
5
• 13.0
20
17 14
12
9
6
-2
Solar
Effective SEER
5
4
3
(SEER x dud eMclency)
POU
3-
0.6
Sum of 7-10
1
1
Effective -25 or -2410 -1410
.410
+6 to
16 or
SEER
lest
-15 -6
+5
+15
more
5.0
30
-25 -21
-17
43
-9
6.0
-12
-11. -9
-7
3
-4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7 1
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
9
Zonal
Control Adjustment
2
2
1
10
8 7
6
4
3
Solar
No Cooling System Installed
1
1
Stories
One -5 4 4 3 -2 -2
Two +. 3 3 2 '2_ 2 1'
Interior Mass/CFA
. T,.0 : PASS
Climate Zone 111
SC
SCORE CARD--
a. North
Single-Famlly Detached and Attached_
x
-
Unit Size (sQ
--
Water
1199
1200
1700
2200
2700
Heater Credit
or
b
to
to
or
Type. Type
les.
1699
2199
2699
more
SG None
0
0
0.
0
0
or Solar
12
8
6
5
4
HP HWR
8
5
4
3
3
WSB
5
3
3
2
2
POU
8_
5
4
3
_ 3
SE None
-37
-24
-18
-15
-12
Solar
-1
-1
-1
0
0
HWR
-18
-12
-9
-7
-6 .
WSB
25
-16
-12
-10'
-8
POU -1 e _
-12
-9
-7
-6
IG None -5
-3
-2
-2
-2
Solar
7
5
4
3
2
POU
3-
0.6
0.8
1
1
IE None
-28
_2
-19
-14
-11
-9
Solar
8
5
4
3
3
POU
-10
-6
-5
-4
-3 ,
Multi -Family
(individual
units)
0.3
0.6
0.8
Unit Size (s
1.2
1.4
Water
699
700
1200
1700
2200
Heater Credit
or
b
to
to
or
TYPO _TYPO
less
1199
1699
2199
more
SG None
0
0
0
0
0,
or Solar
14
7
5
4
3
HP HWR
9
5
3
2
2
WSB
9
4
3
2
2
POU
9
5
3
2
2
SE None
-45
-23
-15
-11
-9
Solar
2
1
1
0
0
HWR
-23
-12
-8
3
'-5
WSB
-25
-13
-8
-6
-5
_EQU _=73
5.9
=12
_8
-6
-5
IG None
-8
-4
-3
_
-2
72
Solar
6
3
2
1
1
_ POU
lIE
10
4.4
0
0.
5.1
None
30
-15
_
-10
-8
-0
-&_
Solar
18
9
6
4
4
POU
-8
-4
-3
-2
-2
Interior Mass/CFA
. T,.0 : PASS
Climate Zone 111
SC
SCORE CARD--
a. North
x
-
Measures - - = - -- - -
--
- Point Scores ......• „
1. Ceiling Insulation
dn"-�- ID -or
e CD
c. South
_
R -value [38] U -value [0.030]
.66 =
.....
2. Wall Insulation _
or
x_
3. Raised Floor Insulation
R -value [III U -value [0.098] M
or
-
11.1•°1K•.
e.cpe t.d .1..ZI
i lD)
_
R -value [ 19] -' U -value [0.037]
9. Interior Thermal Mass
4. ,Slab Edge Insulation
O or
,, '- •,
= O „ . .
t TYPE L MASS
(URIC - 4.2,
tel
exposed
�-
slab)
Standard ___._ ____ ___
_- -.. _.
0-
6. Glass Heat Loss
AREA = %
-
Type [double] � U -value [0.65]
0%
5%
10%
15%
20%
2S%
30%
35%
40%
45%
50%
55%
60%
06
70%
75%
80%
85%
00%
95%
100% 105% 110% 115% 120% 12S-
01/6
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
23
25
2.7
2.9
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.8
5
53
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
2S
27
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
22
24
27
29
3.1
3.3
35
3.7
3.9
4.1
4.3
4.5
4.8
5
52
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
13
1.7
1.9
21
23
2.5
27
3
32
3.4
3.8
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.8
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
23
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
5.6
58
6
62
64
75% _
1.3
1.5
1.7
1.9
21
23
.2.5
27
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
WY.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
'5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
2.S
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
6.3
6S
67
WY.
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8 4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
_ _
100%
1.7
1.9
21 '
2.3
25
28
3
3.2
3.4
9.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
+4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
1 6.2
6.4
6.6
68
7
110*/.
1.9
21
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.5
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.8
•3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
' 5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.S
3.7
3.9
4.1
4.4
4.6
4.6
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
21
2.3
25
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary:
Climate Zone 111
SC
SCORE CARD--
a. North
x
-
Measures - - = - -- - -
--
- Point Scores ......• „
1. Ceiling Insulation
dn"-�- ID -or
e CD
c. South
_
R -value [38] U -value [0.030]
.66 =
.....
2. Wall Insulation _
or
x_
3. Raised Floor Insulation
R -value [III U -value [0.098] M
or
-
3r z
_
R -value [ 19] -' U -value [0.037]
9. Interior Thermal Mass
4. ,Slab Edge Insulation
O or
,, '- •,
= O „ . .
. •
R -value 101 F2 factor [0.77]
COND. FLOOR
AREA
5.. Infiltration _
Standard ___._ ____ ___
_- -.. _.
0-
6. Glass Heat Loss
AREA = %
-
Type [double] � U -value [0.65]
% Total Glass (16)
� � - � Sum 1.6
7. Shading (Shade Open)
11. Heating System
72-44
x
1
% Glass __. SC .._ _
Eff. % Glass
SE or HSPF
a..- North
/. q x .77
1 - L
�.
b. East - -
2.3 x .77. =
1.77-
HSPF 10.5615.151
c. South
C. (V x - . 77 =
41.3/2.
43
d. West
/0.0 x .77 =
2.2
4-2-
e. Skylight
6 x p =
D
O
8. Shading (Shade Closed)
Sum 7-10
-3
% Glass
SC
Eff. % Glass
a. North
x
. G tL =
/. aSy_ /
b. East
2.3
x
e CD
c. South
C.4
x
.66 =
1. le9G ra_
d. West
/0.0
x_
e. Skylight
0
x
='
O
9. Interior Thermal Mass
TYPE 1 MASS AREA = %
-.
lnteriorNnss/CFA
COND. FLOOR
AREA
10. Exterior Wall Mass
TYPE 2 MASS
AREA = %
Exterior Wall Mass
ND. FLOOR
AREA
11. Heating System
72-44
x
1
71.1,
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
[0.72/6.6]
HSPF 10.5615.151
12. Cooling System
NONE
x
=
Zonal Control? ( Y / N)
SEER [9.5]
Duct Efficiency [0.74]
Effective SEER [7.03]
13. Water Heating
_
Type [SGJ
Credit [none]
Pont ratal.
Sum 7-10
-3