HomeMy WebLinkAbout017-180-044011`iI 1-0-044
RONALD WILLADSEN
1.966 Flatiron Road
011-11-0-044 93-2534 BPEM
WILLADSEN, RON & SALLY
1966 FLATIRON RD, CHCIO
CONTR: ROBERT SPEER
NEW SF I
D�7-i8o
r --- --- �,. - -v-- - � - L,.
�� �` �� o 0
UV
RESIDENTIAL
011.-11-0-044 93-2534 BPEM
WILLADSEN., RON & SALLY'
.1966 FLATIRON RD, CHCIO
CONTR: ROBERT SPEER
NEW SF
�
t?
A-7
JOB FINALED (Date) /�
Signature s
V=OK
O=Not OK
NotReadyable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Solis; Special MH Support Sketch
3. Sewer; Locatlon-Teat-Fell-C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Teat -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8..Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs -Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/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
RESIDENTIAL (Single & Duplex)
Date/Initials UNDE LOOR Plana OK except k's
Hing -Setbacks -Easements -Flood -Slope
Via., Main; Soils-Elec. Gr . A&' Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
-*-Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
"temwalls, Main; Steel-Blockouts-Wrapped
temwalls, Garage; Steel-Blockouts-Wrapped
Awf'Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8! Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except M's
16/ Water Htr.; Vent -Access -Combustion Air -Baffle
*fAater Pipe; Test & Anchor -Neil Protection
1 D.W.V.; Test -Fittings & Anchor -Nail Protects
y l Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ina. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27.2 Appliance Circuts in Kitchen & Conductor Size/GFI
Subfeed Wire Size /L/ ga. Cu or AI-A.C. Wire Size/ / ga.
Cu or Al
29. Range Circ. 4 / ga4tI.Ar AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 13L,'Ires O No
WService-Riser Conductors & Ground -Mein Disconnect
31, 4quip. Clearances Panels -Motors -Mach. Equip.
3%/Clothes Closet Light -Shower Light -Spa Light
3E moke Detector
Date/Initials M5EHANICAL Permit OK except #'a
Ducts Insulation & Support
-,15,_Vent Fan; Exhaust above insulation
Condensate Drain & Overflow; Size & Grade
"97 Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
3� Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING Plans OK except 8's
39_/S_ ils, Proper Material & Anchors
0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4y Bearing Walls over Girders & Floor Nailing
421 Draft Stop in Walls (rat proof)
41/Fire Stops; Furred Celli ngs-StaIre-Chases-Tub
414 eaders & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. 1-langers-Post Ceps -Anchors -Connectors
41K Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
4,LFireplace Ties or Type A Flue -Fireplace Throat clearance
4V Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5 • Garege Fire Protection Framing
¢ . Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
69'Siding-Nalling Veneer
-4& -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
hear Walls; Nailing -Bolts
Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
6215 a Detector
6 Furnace; Vents -Clearance -Comb. Air-Connector-
jp-Garage; Above Floor -Ducts -Mach. Protection
6p_,K.Fj. & Bath Fixtures & Tub Access -Spa
66.+-feTrim & Subpanel; Breaker Sizes & Labels
W_Afprs & Rails
6&4ireplace or Stove; Clearances -Hearth s
6VElec. Outlets at Wood Panel; Int. & Ext.
7. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 lec. Outlets & Receptacles at Kit. Counter
7 G4rage Fire Door, Swing -Landing -Closer
7 . A.C. Duct in Garage -Damper
7 . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
)b., Elec. & Mach. Equip. Listed for Location
78.'Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77,Inaulation-Foam-Looked in Attic O Yes
70!Guard Rails & Deck Construction -Post Caps
79-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
Following instld.; Drive � Yes No; Walks 13 Yes No;
Planters O Yes P'ho
St --Stucco; Brown -Finish
Unit; Disconnect, Electrical, Plumbing
8t.)rgnts Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Openings
•84, -Water Well; Disconnect, Electrical, Plumbing
B.,Exterior Elec. Trim; G.F.I. Receptacle -Underground
!Ventilation Throughout House
g7AIass Protection
Bee!g?rrections from Previous Inspections
@A -Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91,E'nergy Compliance Certificate -Other Certificates
Comments at Flnel:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,
7 County Center Drive - Qrovillef California 95965 - Telephone (916) 8-75413 PERMIT NQ.
APPLICATION AND PERMIT I/r Z53`5�
ASSESSORPARCELNUMBER
ZONING y
P_
BUILDING PERMIT
OWN;TELEPHONE
SQ. FT. OCC. BUILDING VALUATI01NK
1WNg2T'L equoyah, Chico 95926
784 R
12,r,79
GONToVer°�"'rESpeer
T Z"9-71 012
674 Open
41
CONTRACTOR'S MAILING ADDRESS
399 W 14th Street,Chiigo 9592R
Fireplace
CON UCTION LENDER
Sacramento Savings
UNKNOWN
Total Valuation S
11
Filing Fee
$ 20,00
LEN 'S MtADDRESS
°fasIN Avenue/Cohasset
Permit Fee
S 678.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 0.70
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1966 F -1 -al -A --ren Read, Chiee
PERMIT FEE
$ 1,161.70
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
91 7.00 63.00
Solar or heat pump water heater
23.00
Water piping
15,00 15.00
LOT NO.
SUBDIVISION'S NAME
PARCELMAP
Each gas water heater or vent
15.00 15.00
USE OF STRUCTURE
SF CXDuplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 1 15.00
Building sewer
15.00 15.00
Mobile Home S G W
@20.00
TYPE OF WORK
X
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1Other ❑
Describe Work: 2 bedroom
lymm
PERMIT FEE
$ 143.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR LESS 200AORLESS 1
23.00 23.00
TO 1000A )
Main Serviceyy(
46.00NEW
QQ200A
OR ADONSso
T d41EACC BLOSUP )
p
3.5C FT84.50
NEW CONST. MULTI -OUTLET
.NON.RESID. ( BRANCH CIRCUITS
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C de nd m license is in full force and effect.
License No. Classification (j
El 1, as the owner, or m employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.000
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 127.50
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating T.PG stove
15.00
Cooling
Hood
6.50 6.90
Ventilation
PERMIT FEE
S
.90
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in co equence of the granting of this permit.
X Date 3
Signature of Applican - Owner Contractor ❑ Agent &of
An OSHA permit is
p quired for excavations over 5"0" de p d dein �qpr� or
construction of structures over 3 s oriel in height. 153) 7d e_ �4 � /\ 7/4 5�
Mobile Home Installation Fee $
Energy Inspection Fee $
46-00
occ
CONST. TYPE
TOTAL FEE $ 1, 5(q. 70
HAZ•
I D. FEES
I IMP
I FLOOD
I COF
PARCEL I PD
I Ho
I ISSUE
This permit is hereby issued under
the Butte County Code and/or
indicated above for which fees have
DIRECTOR O
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
Date 8/30/93
8/30/94
(Deter
Receipt No. (�� yrs 148609/ .0`77 j
WHITE-D.D.S.-B.D. CANARY- ESSOR PI NSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive -• Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT — ��
ASSESSOR PARCEL NUMBER " I I ^ A++V
ZoNtlJcr/t� �
BUILDING PERMIT
OWNER W 1�0�N
TE EPHONE
SQ. FT. OCC. BUILDING VALUATION
-
OWNEFYS ,MAIUN; ADDRESS � Y �J C i(� l�/ ��
'7191 A
/
CONTRACTOR'S NAME
6rZ.r1E
TELEPHONE�I
�43 '
/7.7
b`
L/ -7
j
Go
6
CONTRACTOR'S MAILING ADDRESS
Z2, W� 41!S9
Fireplace
CONSTRUCTION LENDER
.s �'fl S�'VIfV�S
UNKNOWN
Total Valuation $
1 40` g
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS -
V- j — A'tA� Cp +s'-S3EIr'
Permit Fee
$ '�
ARCHITECT OR ENGINEER ___-
LICENSE NO.
Plan Checking Fee
1
Energy Plan Checking Fee
23 --
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty I trot.-'$
BUILDING ADDRESS
PERMIT FEE
$
PLUMBING PERMIT
Filing Fee 20.00
)
l Z_4 14c> ^J
Each Trap
7.00 63
Solar or heat pump water heater
23.00
Water piping
15.00 1 ��
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF lDuplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 S�
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New/ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheVQ
Desccrib``e Work: �F %Z �� %�-� "
•
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Fil" g Fee
Main Service 'A OR OR LESS
( 200 A LESS )
X720.00
^
23.00 `3
Main Servic ( 200A TO IOOOA )
IF
46.00
oR ADDNS.CONST C.
NEW -1D BELLINACCGBLDSUP )
�� (
3.5C FT.-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. !M6'7(S Classification t3
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.EI
( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BL. @ 0
Ex. Occup' FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
5.00Temporary
Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check onel:
❑ This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 11743,
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating srove—
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ Z
Contractor
1 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
construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in -consequence of the granting of this permit.
XDate %
Signature of Applica Owner i4 Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ qbuilding
occ
CONST. TYPE
TOTA F E $ % '
IIAZ.
I D. FEES
I IMP COF I PAREEVI 44 Jj4o
I &UE
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 WORKS
BY Date
I PERMIT EXPIRES ON
(Date!
Receipt No
WHITE-D.D.S.-B.D. C AT4 ARY-A SES OR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please c tact this office immediately.
i�r1C
Date Inspector
REV 10192
COUNTY OF BUTTE '
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
93-7 �-Ay
GVMER PERMIT NO.
Aroutiine irspecdon 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
iscotrpleted. Hyouhave any questions pertaining to this matter, or need additional explanation,
pfcase contact this office immediately.
Date L Z % y Inspector
FtEV tOS2
ILL
ER
COUNTY OF BUTTE'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - •(916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ev
PERMIT
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 con ct this office immediately.
Date Inspector
REV 10/92
F '
f
Insulation Certificate
Number and Street City
County Subdivision Lot Numba
Description of Installation
ROOF
Material Brand Name
Thickness (itches) Thermal Resistance (R -Value)
CEILING
BatterBlvtketType Fiberglass Brand Name
Certainteed
Thickness (inches) Thenttal Resistance
(R -Value)
LooseFdlType Ultrat erm Brand Name
Certainteed
Contractor's rninitnum installed weight/R lb Minimum thklatess
inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material Fiberglass Brand Name
Certainteed'
Thickness (inches) Thermal Resistance
(R -Value)
RAISED FLOOR
Material Fiberglass
Thieirness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width ('inches)
Brand Name -Certainteed
Timmal Resistance (R -Value) _
Brand Name
TheAW.Resis:ance (R -Value) .
FOUNDATION WALL
� �r -
Material Fiberglass`Q, a BmndName Certainteed
Thickness (inches) Thermal Resistance (R -Value)
s Declaration
tr
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
Gernnal Contractor (Builder) Liame Numbs
� - •.�. S'tpsanaeaadTule
SHASTA INS TION.
1, lnatalla)
< wptaaas mild Tide
Dam
272941
LioattsNtanber
1 ' Y 7�
ri
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVIL-LE.CA 95965 - TELEPHONE (916) 538-7541
OWNER G,.►� (�'+; I ��� s,_I
PROPOSED BUILDING USE /✓L� Z 3:� S j%
A. P. # l/ �. �.- L/ L/
DATE
REC. # DATE REC
01. SCHOOL DISTRICT FEES C, Hie, J
I(paid at District Office).........................�
l�fW2 SHERIFF FEES
(paid at Building Department) /- G
Residential....../_x 3 6 u =$ 3C w
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) .............:
i_-/ 6. SRA FIRE INSPECTION AND PLAN CHECK = $9- -. ..... yc3 5 Z
(paid at Building Department) £3'3
7. OTHER
1 Iw
At time of permit application, I was advised the above fees are required.to be paid
prior to issuance of the permit.
APPLICANT DATE /Z
T A,
i
COUNTY OF BUTTE / :PARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Cent jve.- Oroville, Califomia 95S65 - Telephone (916) 538-7 1�� 5 Z7= -
APPLICATION
PERMIT N�
�� APPLICATION AND PERMIT
ASSESSOR PARCEL NINASER
.� �•
ZONIN�"
/Z
BUILDING PERMIT
OWNER
(Ion) 4 75AIA.'� WI S+Ely
TE EPHONE
SQ. FT. OCC. BUILDING
VALUATION
-
NER'$MNtJN' ADDRESS .S/L J� `/ C '7 Cr �� C159 6--
J
--)A A
CONTRALTO S NAME
Q0•=GJ/��'
TELEPHONE
431017-
/T7• _
bb
'
I
C� J
CONTRACTOR'S MAILING ADDRESS
'P Z. w, 14 -Tl- 'Srj" 1Go C* 95926
,6
Fireplace
CONSTRUCTION LENDER
.S v >g'%A &1GS
UNKNOWN
Total Valuation $
Filing Fee • $
20.00
LENDER'S MAILING ADDRESS '
rEE*Vn— oftoille_4-D t>ti4.53Er"
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee • $j
Energy Plan Checking Fee • $
2
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
t,
BUILDING ADDRESS
PERMIT FEE
PLUMBING PERMIT
Fling Fee 20.00
nn
--J
Each Trap
7.00 6 -3
4f R/ 6 i
Solar or heat pump water heater
23.00
Water piping
15.00 /5—
LOT No. SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF IV Duplex D Mobilehome O Other
// SPECIcr
Gas piping system 1 - 5 outlets
15.00 s'—
Building sewer i -I15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New�Q Addition D Remodel O r7Utilities ❑ Installation O OtherO
DescribeWork: �� Q 2-R - -- "
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
• /'�'
R!j g Fee
Main Service ( 802000AAOR LESS ORLESS )
720.00
23.00 Z-•3
Main Servip ( 200A TO IOOOA
NEW CONST. OWELLING OCCUP.
OR AODNS- 4) ( & ACC. BLDS. )
50.
3•SC FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
,Q ' I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License NO. G 7 (S Classification g
O 1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. , Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O [shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
NEW CONST. MULTI -OUTLET
.NON•RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS SINGLE
8 SINGLE OUTLET CIA.
Ex. Occup. (OUTLET OR FIXTURES )
20 @ 1.00
Bal 50
Ex. Occup. ( FIXED APPLNS. OR )
OUTLETS IRESIO.i EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
• �% p.
Contractor
MECHANICAL PERMIT
Fling Fee 20.00
Heating sr -V e— i
i
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
• Z
Contractor
1 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.
1 also agree to save, indemnify and keep harmless the County of Butte against.all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County' onsequence of the granting of this permit.
X Date 2
Signature of Applica Owner Contractor D Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee 141A $
OCC
CONST. TYPE
TOTAL FEE S
HAZ• 1 D. FEES
I IMP
COF P CEL PD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By
PERMIT EXPIRES ON
IDetel
applicable provisions
to do work
paid.
Date
Wr
Receipt No
WHITE-D.D.S.-a.D. CA ARY•ASSES OR PINK -INSPECTOR GOLD ENROD•APPLICANT
�'K-'�'�-,Y�,- , r-a+a['":•-T'a4�.:�•-r:'�`�C-ti�.'v�'PIR.-`,��i�..t. '.rx�Y' t xY'=�ti,`.~„�,;`�;�,+5+��- ,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER 5*11,
Proposed Building Use lVei—y 'I of
LJjl ) )dW,
�✓ A. P. No. // -/I. I&
Building Inspector 6- Date S.3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
Mobilehome data manufacturer's installation.ins`tffct r sets. ...........
Fees of $ � ... J Y0 7!, .................
1 Impact,fees as shown on attached schedule. ...........
o i Department of Forestry plan approval/fees.
lood elevation letter (100 year flood),,,,bby California Engineer . ................. .
4. Sanitation and plot plan approval C Hll o Health Department . ............
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). .. .. . .
' 'Fre-Inspection requ�
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification). .............. .
22. Certificate of Workmans Compensation Insurance . ..........................
23 Owner -Builder Verification (Given to owner , Mail to owner ............
..........
��4. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................ S-
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . .......................................... �-
29. Documentation of legal access.
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
...............
3 ting violations/expired permits . ......................................
a9..check list. ._ ... ,..... ....... ............... .
34.
When ou issue the per it process as follows: Mail to owner. Mail to contractor.
Telephone D 3 57/-Vand hold for pickup at G r// G 49P office. Deliver with inspector.
Other / Q
Parcel Creation /1-70 l�`t/
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
1. Index permit for above items No. _
2. Additional items required:
ce:4�irgloew item not checked above).
Contractor, designer, owWe"r, was advised of above required data by phone _ mail Counter by ,,Date
Contractor, designer, owner, wa ed of above r ui d data by _phone _mail —Co u _Date
Plans checked by Date Plans approved by Date ri
Sets of plans on hold in File cabinet AP folder
Cop - Department of Public Works do, I
f.H.lJ.0�
Plot ri:m n,t:,ci,,d i�Z
Floor rhn nuncia•d
Sent toB.U.
TO: Building Department
FROM: Environmental Health l
SUBJECT: Sanitation Clearance
Q&ej [�(- :TbkAyu, TO— &))-�d
Owner Location AP#
Plan Approved for: Sewage Disposal //
Clearance for bedroom 4A.@ rle home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
/
Environme. RA
ntal Health Specialist
8/92
Water Supply: Public Private Well �
Date
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Quilding)
School District cy/ C
A.P. Number % % �/' / Jurisdiction
Property Owner
Building Department No.
City E:i,/county
C - odc
Property Location/Address S� ' �� a.J CH G zo
Subdivison Lot No.
Residential Development I Cit. 0 0 Sq. Footage /7/0
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial
0 Sq. Footage
New Addition
o�
(Floor Plans reviewed by School District Personnel)
District Identification No.��/
School District certifies that
(Street Address)
(CRY)
representing �%/� square feet.
School District Representative
Paid by Check Number 3 Remarks:
Bank Number
Paid by Cash
(Including Exterior
Roofed Areas)
0-1P -
— q Dat
15 "A
(Applicant)
(Phone Number)
(Zip Code)
1��-3
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
--additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department); Pink (school district) feeformmkl (4/92)
- RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC_ ONLY)
Bldg. Perm't # ,�4��
OWNER ��,L Q�5 j A.P. #
Plan Checker 9- 1 -Z-
GENERAL:!?
lV ,_.ning requirements: (sideyards and number of permitted living units).
'2.uation. 66(79 CTS
�/�Jans signed by designer.
44 -'Proper description of work on application.
—5,--93 sting violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
--7—.--ReT!orded notice of violation.
PLO w
C ete parcel size and dimensions.
2. Setbacks, sideyards, easements, etc.
3017 e`r buildings or structures.
ming, fills, drainage.
ood hazard.
pec^ial conditions on creation map, (noise, CDF, fire sprinklers, non—comb—
ustible, and foundations).
-AS road setback.
Building or utilities across lot lines (Record form).
FLOOR P AN
plete to scale plan witH,dimensions.
quired windows.for.light and ventilatioq,(Se.c. .1205).
Required windows for second exit (Sec. 1200.
s (Chapter 34 & Seo. 5207).
5 Il"man impact glass (Sec. 5406).•
Required room sizes, ceiling heights (Sec. 1207).
F �Ls !naths, garage, kitchen, and exterior outlets (Ar.ticle'•210-8). ,
ig t 'xtures, switches, receptacles, and exterior receptacles for main—
te ce of mechanical equipment.
9. ocations of water heater, heating and cooling equipment, other electrical
rgas equipment.
1 Gage firewall, door size, and closer (Sec. 503(d)(3)).
lll'1 3'0" terior exit door (sec. 3304 (f).
e and wood stove location, alcoves, and clearance.
1 S e detectors (Sec. 1210).
1 lumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS�/, �'ZS FLR
l
Standard
bracing 9 ineered desi n Table 25V)
s shape, size, or split level house requiring lateral design.
Cl estory requiring balloon framing and/or engineering.
ree story building requiring engineered calculations and plans.
5. Foundation plan complete enough to construct building.
floor construction details complete enough to construct building.
.,_ evations and wall construction details complete enough to construct building
&-" Roof construction details complete enough to construct building.
Fare Dlace construction details and calcs if necessary.
le'- ter ties or bearing ridge beam.
left// Gp{age door or porch header sizes.
1 Stud eights.
do soils — special foundation design.
Retaaining..wills requiring design.
4spection required.
W/ 8/91
` RESIDENTIAL PLAN CHECKING GUIDE„
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1 Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
uar rai details (Sec. 1711 & 3306(j):
'r stone veneer (Chapter 30).
4. r plaster — weep screeds (Sec. 4706).
5 P per roof pitch for roof convering (Chapter 32).
6. Ro overing type — (fire hazard).
oam insulation — protection.
36" halls and stairways.
diving area over garage — complete 1—hour separation required on garage side
including supporting walls and posts, etc..
�Aic
x s on three—story,'dwellings (sec:` 3303 & see Mezannines — 1716).
1
access and ventilation (Sec. 3205).
1 rfloor access and ventilation (Sec. 2516).
1 Combustion air for fuel burning appliances — L.P.G. requirements.
1.'/p./oise requirements on duplexes.
1�5� design.
1 Flashing at all exterior openings.
EDF'responsible area requirements.
Sf
(of 473
)) 7->A-rA SHE -F-7-
�A
SOv-TN
r,
2 N� sL2P POg- N
0
/+"+S- -fj� 4
93- :3,S3o
AP # PERMIT ## NAME r
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this
permit. These requirements are minimums and will be superseded by
Butte County local regulations which equal or exceed these standards.
Field inspections will be made by the Butte County Building Department
for compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance must
be provided for by the land owner.
Driveway Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to ---conventional drive vehicles, includ-
ing sedans and firn:..anparatus weighing up to 40,000
pounds.
U`] 1273.03 Grade. Not to. exceed' 16-, percent unless paved.
1273.04 Driveway Radius-.-
L
adius-:L r-]. 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
V'l 2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�([ 1273.05 Turnarounds. If regAred, will have a minimum turning
radius of 40 feet from center of the road.
[�Q 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[�] 1270:10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of 3
4/ (r/ 93
AP # PERMIT ## NAM
r/1 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
(Yj 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
CA 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance-, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Struct_-are. Defensible Space.
171 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from all property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[ 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burring or removal to a landfill site
approved .by the local jurisdiction, of flammable
vegetation and fuels -caused by site development and
construction, road and -driveway construction and fuel
modification shall be completed prior to completion of
road construction or final inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME
Other Requirements
Date Signature
Page 3 of 3
Structural Calculations
WILLADSEN SINGLE FAMILY DWELLING
1966 FLAT IRON ROAD
CHICO, CALIFORNIA
Bob Speers, Contractor
August 24, 1993
JOB NO. 93-08-21
Robert D. McGhie, SE 2320
60 Declaration Dr., Suite C
916-891-0903
Chico, CA 95926
PPpFESSION
,1�P�00�P1• D Mc 4<~c
C,y
Z
v m
w m
a n
No. 2320
F CAL -1
m'n - EXP. 12/ 31/ S3
BUILDING DEPA'� KNI
APPROVED
�9 - 253 .
Robert D. McGhie
Structural Engineer
60 Declaration Dr., Suite C
Chico, CA 95926
(916) 891-0903
Job SPLA �ylLc4:._�'
Sheet / of
Date V
By 2>.44' Checked by
Robert D. McGhie
Structural Engineer
60 Declaration Dr., Suite C
Chico, CA 95926
(916) 891-0903
Job
Sheet of
Date
By Q OW Checked by -
........
y
.........:........................::................................:...............:......:...... .... .................... j .... ...
.........>........... ............��..S.. ....1.�(........................ .... .... ...
...................
................. . ......:..... ....
:...................:........:........;.........:........;.........;..........
fi D,`wz X44; d
...
>. ........ ... . Z... o_ .
. .
... .... .......... u
...........................:........:................;.........;........<.........:...... .................. ... .. ...
................... :........:.........;...............................................
...
:.s.........
:.....
iso
..:...
—
...;..........:......:.. ...
— :i
.............................. >...... .....
5.
I ..............€...
........:.
.............. .............. ..................................
..................<.........>.......................
..............................
...
7 it
..........:.........................:...................................................<.........;........:..........
�-%i
. :. ................ .....>...... ... .... .... .... ... ...
�5 .&S4/fG �GG74 7/-;J �
:.........:.......... ................ :..........
..................
.................. ........ .................... ........ .........
......... ;.........:.... ................. .........'............... .... ....
;
.......... w. Si...................................
..........
........'........<.........:...........................1..Z.......:ro.o..-....c..C7/¢r...�.7.0..........................................
.................. ........ ......... ,.................. ......... ......... ......... ...... .......... ......... ......... :........ .;........:........:.......... ................
............... .......... ........ . ........ ........... .........
............. .........9..........C..eP.>,..4..........................
.......... .......... ........ :........;.........:........................... ........:................ :......... .........:......... :..................:....
UPPr�� Lv<........o Q��?........ :.....
:.........: . :..:....................../�3..�...�.f....z.SZ�.G.s..............;.........
...........................................:..........................
;
. ..............a ..
Robert D. McGhie
Structural Engineer
60 Declaration Dr., Suite C
Chico, CA 95926
(916) 891-0903
Job SSE -f,-'
Sheet of
Date_
By .f? 0-&4 Checked by
Robert D. McGhie
Structural Engineer
60 Declaration Dr., Suite C
Chico, CA 95926
(916) 891-0903
Job
Sheet of
Date 9? -2--3-93
By PEP, !. Checked by
' Robert D. McGhie
Sxructural Engineer
60 Declaration Dr., Suite C
Chico, CA 95926
(916) 891-0903
Job
Sheet s of
DaterZ�-r13
ByA2!M Checked by
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS
7 County Center'Drive,.Oroville, CA 95965 PHONE: 916-538-7541
Ron & Sally Willadsen
822 Sequoyah Ave.
Chico, CA 95926
Dear Mr. & Mrs. Willadsen:
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
DATE August 9, 1993
RE: Building Permit Application #93-2534
A.P. # 011-110-044
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
/B[ 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:
1469 Humboldt Road, 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 60' right of way
..Recorded.copy__of..agricultural acknowledgement statement.
OTHER
Should you have any questions concerning the above, please contact
of this office.
JFG/aj
Yours very truly,
Scott Rutherford
William Cheff
Director of Public Works
!••J.F. Glander
Return to DPW AGRICULTURAL, STATEMENT OF` AC�IOWLEDGE` 'k1T
FOR RESIDENTIAL DEVELOP..MN- T
Section
requires
prior to
26-8.1 of the Butte County Code
this acknowledgement be rPrnrriPri
issuance of a building permit. ------
The
property described herein is adjacent
9;3-0;3;34&0 I
I
to
land or included within an area zoned
for
agricultural purposes, and residents
Recorded I
of
this property may be subject to incon-
official Records I
veniences
or discomfort arising from the
CountY of I
use
of agricultural chemicals, including,
Butte
but
not limited to herbicides, pesticides,
Grubbs I
Candace J. I
and
fertilizers; and from the pursuit
Recorder
of
agricultural operations including,
10:05am 3 -Aug -93 I
,93-33104
Rec Fee 5.00
5.00
Check
Coum OIC Buffe
BUILDING DEPT
AUG 1 1 1963
PUBL XX 1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
BEGINNING AT A POINT ON THE EAST LINE OF SAID SECTION 25, DISTANT
NORTH 00 DEG. 22' 30" EAST, 967.96 FEET FROM THE EAST QUARTER
CORNER THEREOF; THENCE NORTH 89 DEG. 37' 30" WEST, 272.98 FEET;
THENCE NORTH 00 DEG. 22' 30" EAST, 76.32 FEET TO THE CENTER OF A
60 FOOT EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES; THENCE
SOUTH 46 DEG. 06' 2011 WEST ALONG THE CENTERLINE OF SAID EASEMENT,
A DISTANCE OF 100.00 FEET; THENCE CONTINUING ALONG SAID EASEMENT
SOUTH 18 DEG. 22' 20" WEST, A DISTANCE OF 229.13 FEET; THENCE
LEAVING SAID CENTERLINE SOUTH 0 DEG. 22' 30" WEST TO THE BASE OF
A BLUFF AS THE SAME EXISTED JANUARY, 1970; THENCE EASTERLY ALONG
THE BASE OF SAID BLUFF TO THE EASTERLY LINE OF SAID SECTION 25;
THENCE NORTH 0 DEG. 22' 30" EAST ALONG SAID EASTERLY LINE TO THE
POINT OF BEGINNING.
Date: July 27, 1993
State of Ca.liforr is On this the 27th
County of Butte
SS. undersigned Notary
)
PROPERTY OWNMRS:
fonalo K. WIlIaosen
i
{
day of l y 19 93, before me, the
Public, personally appeared
Ronald K. Wi.11adsen
dl)IIIIItitIi1111111UlllltlU1111/IIIIIIIIIUIII 1111111 I IIIIIIIUtIII l l s
OFF 98&')42 EAL = Personally known to me.Proved to me on the basis
NMAlaRY R. CASEBEER > of satisfactory evidence.
NOTARYPUBLIC- CALIFORNIAN to be the person(s) whose name(s)
"®
Q COUNTY OF BUTTE W subscribed to the within instrument and acknowledged that
g My Commission Expires Mar. 7, 1997 =
innuuuuununuuuuutmrumnumlunlpl„u,ll„I,,,,p executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
_ END 0F DOCUMENT
t V V L L V V I
Ord*c Flo
.EscrA No. '
;moan No. 89-022891 R e c Fee 7.00
Cash 7.00
WHEN RECORDED MAIL TO: Recorded
Official Records
Ronald K. Willadsen County of
Sally Ann Willadsen Butte PART{ SHOM
822 Sequoyah Ave Candace J. Grubbs
Chico, CA 95926 Recorder
8:03am 22 -Jun -89 RB 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $........... -0-
............................
...... Computed on the consideration or value of property conveyed; OR
SAME AS ABOVE ...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Undersigned
Signature of Declarant or Agent datennining tax — Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Ronald K. Willadsen and Sally Ann Willadsen who acquired title as
Sally Ann Shaffer
hereby GRANT(S) to .
Ronald K. Willadsen and Sally Ann Willadsen
the real property in the Gty=e3
County of Butte
SEE EXHIBIT "A"
Dated JUNE 21, 1989
I
STATE OF CALIFORNIA IS&
COUNTY OF BUTTE I
On JUNE 21, 1989
before me, the undersigned, a Notary Public in and for said State, per-
sonally appeared RONALD K. WILLADSEN &
SALLY ANN WILLADSEN
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.
WITNESS my hand and official seal.
Signature
, State of California, described as
Ronald K. Willadsen
Sally Ann Willadsen
omoa�eoo
�,,`, • OFFICIALSEAL
��= ELIZABM AM BROOKE
t NOTARY PUBLIC -CALIFORNIA
BUTTE COUNTY
MY COtM9. EXP. PEAR. 1, 1991
(This area for official notarial seal)
1002 (6/82)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
19
9
EXHIBIT "A"
ALL THAT CERTAIN LAUD SITUS\TE IN THE STATE OF CALIFORIIIA, COUNTY
OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL I:
A PORTION OF THE EAST HALF OF SECTION 25, TOS-lNSHIP 22 NORTH,
RANGE 2� EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
BEGI1414IIIG AT A POINT ON THE EAST LINE OF SAID SECTION 251 DISTANT
NORTH 00 DEG. 22' 30" EAST, 967.96 FEET FROM THE EAST QUARTER
CORNER THEREOF; THENCE NORTH 89 DEG. 37' 30" WEST, 272.98 FEET;
THENCE 14ORTH 00 DEG. 22' 30" EAST, 76.32 FEET TO THE CENTER OF A
60 FOOT EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES; THENCE
SOUTH 46 DEG. 06' 20" WEST ALONG THE CENTERLINE OF SAID EASEMENT,
A DISTANCE OF 100.00 FEET; THENCE CONTINUING ALONG SAID ,EASEMENT
SOUTH 18 DEG. 22' 20" WEST, A DISTANCE OF 229.13 FEET; THENCE
LEAVING SAID CENTERLINE SOUTH 0 DEG. 22' 30" WEST TO THE BASE OF
A BLUFF AS THE SAIIE EXISTED JANUARY, 1970; THENCE EASTERLY ALONG
THE BASE OF SAID BLUFF TO THE EASTERLY LINE OF SAID SECTION 25;
THE14CE NORTH 0 DEG. 22' 30" EAST ALONG SAID EASTERLY LINE TO THE
POINT OF BEGINNING.
PARCEL II:
AN EASEMEI4T 60 FEET IN WIDTH FOR ROADWAY AND PUBLIC UTILITIES
PURPOSES ALONG WITH THE RIGHT OF USE AND I-IAINTENANCE FOR SAID
PURPOSES, DESCRIBED AS FOLLOWS:
COM1,1ENCING AT THE EAST QUARTER CORNER OF SECTION 251 -TOWNSHIP 22
NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE NORTH 00 DEG. 22' 30"
EAST, 967.96 FEET ALONG THE EAST LINE OF SAID SECTION 25; THENCE
AT RIGHT ANGLES, NORTH 89 DEG. 37' 30" WEST,- 272.98 FEET; THENCE
NORTH 00 DEG. 22' 30" EAST, 76.32 FEET PARALLEL WITH THE EAST
LINE OF SAID SECTION 22 TO TIME TRUE POINT OF BEGINNING FOR AN
EASEMENT HEREIN DESCRIBED; THENCE FRO14 SAID TRUE POINT OF
BEGINNING FOLLOWING ALONG THE CENTERLINE OF SAID 60 FOOT WIDE
EASEMENT, THE FOLLOWING COURSES AND DISTANCES: SOUTH 46 DEG. 06'
20" WEST, 100 FEET; SOUTH 18 DEG. 22' 20" i�dEST, 229.13 FEET;
SOUTH 84 DEG. 03' 20" WEST, 148.92 FEET; NORTH 47 DEG. 25' 10"
WEST, 197.98 FEET; NORTH 77 DEG. 49' 20" WEST, 100.23 FEET; SOUTH
17 DEG. 39' 10" WEST, 129.21 FEET; SOUTH 07 DEG. 27' 10" iNIEST,
PARCEL II — CONTINUED:
168.91 FEET; NORTH 39 DEG. 58' WEST, 96.85 FEET; 14ORTH 16 DEG.
51' 10" WEST, 89.92 FEET; NORTH 13 DEG. 37' 30" EAST, 168.20
FEET; 14ORTH 07 DEG. 22' EAST, 110.43 FEET; NORTH 42 DEG. 52' 15"
WEST, 62.99 FEET; SOUTH 28 DEG. 48' 20" I•.EST, 97.25 FEET;- SOUTH
04 DEG. '14' 20" WEST, 160.15 FEET; SOUTH 26 DEG. 39' 50" WEST,
133.30 FEET; SOUTH 12 DEG. 24' 50" EAST, 144.98 FEET; SOUTH 49
DEG. 01' 20" EAST, 97.72 FEET; SOUTH 75 DEG. 16' EAST, 158.13
FEET AND SOUTH 00 DEG. 55' WEST, 720.29 FEET TO THE APPROXII,IATE
CENTERLINE OF H014EY RUN ROAD AND THE END OF THE EASEMENT HEREIN
DESCRIBED.
EXCEPTING TIIEREFROM ALL THAT PORTION LYING I•;ITIIIN TIME BOUNDS OF
PARCEL I, DESCRIBED ABOVE.
END OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
Ron & Sally Willads-en
822 Segtfoyah Ave.
Chico, CA. 95926
Dear Mr. & Mrs. Willadsen:
With reference to the above subject:
Attached is:
OTHER
9
PHONE: 916-538-7541
DATE August 9, 1993
RE:Building Permit Application #93=2534
A.P. # 011-110-044
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
_& X/ 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:
14.69 Humboldt Road,. 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.
X Recorded copy of deed showing 60' right of way
_- Recorded. copy_ of ..agricu.ltural acknowledgement statement.
Should you have any questions concerning the above, please contact Scott Rutherford
of this office.
Yours very truly, -
William'Cheff
Director of Public Works
J.F. Glander --
JFG/aj
'ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY
`� OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL I:
H.P.# O/1- /lo-oqq
A PORTION OF THE EAST HALF OF SECTION 25, TOWNSHIP 22 NORTH,
RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
BEGINNING AT A POINT ON THE EAST LINE OF SAID SECTION 25, DISTANT
NORTH 00 DEG. 22' 30" EAST, 967.96 FEET FROM THE EAST QUARTER
CORNER THEREOF; THENCE NORTH 89 DEG. 37' 30" WEST, 272.98 FEET;
THENCE NORTH 00 DEG. 22' 30" EAST, 76.32 FEET TO THE CENTER OF A
60 FOOT EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES; THENCE
SOUTH 46 DEG. 06' 20" WEST ALONG THE CENTERLINE OF SAID EASEMENT,
A DISTANCE OF 100.00 FEET; THENCE CONTINUING ALONG SAID EASEMENT
SOUTH 18 DEG. 22' 20" WEST, A DISTANCE OF 229.13 FEET; THENCE
LEAVING SAID CENTERLINE SOUTH 0 DEG. 22' 30" WEST TO THE BASE OF
A BLUFF AS THE SAME EXISTED JANUARY, 1970; THENCE EASTERLY ALONG
THE BASE OF SAID BLUFF TO THE EASTERLY LINE OF SAID SECTION 25;
THENCE NORTH 0 DEG. 22' 30" EAST ALONG SAID EASTERLY LINE TO THE
POINT OF BEGINNING.
PARCEL II:
AN EASEMENT 60 FEET IN WIDTH FOR ROADWAY AND PUBLIC UTILITIES
PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID
PURPOSES, DESCRIBED AS FOLLOWS:
COMMENCING AT THE EAST QUARTER CORNER OF SECTION 25, TOWNSHIP 22
NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE NORTH 00 DEG. 22' 30"
EAST, 967.96 FEET ALONG THE EAST LINE OF SAID SECTION 25; THENCE
AT RIGHT ANGLES, NORTH 89 DEG. 37' 30" WEST,' 272.98 FEET; THENCE
NORTH 00 DEG. 22' 30" EAST, 76.32 FEET PARALLEL WITH THE EAST
LINE OF SAID SECTION 22 TO THE TRUE POINT OF BEGINNING FOR AN
EASEMENT HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF
BEGINNING FOLLOWING ALONG THE CENTERLINE OF SAID 60 FOOT WIDE
EASEMENT, THE FOLLOWING COURSES AND DISTANCES: SOUTH 46 DEG. 06'
20" WEST, 100 FEET; SOUTH 18 DEG. 22' 20" WEST, 229.13 FEET;
SOUTH 84 DEG'.' 03' 20" WEST, 148.92 FEET; NORTH 47 DEG. 25' 10"
WEST, 197.98 FEET; NORTH 77 DEG. 49' 20" WEST, 100.23 FEET; SOUTH
17 DEG. 39' 10" WEST, 129.21 FEET; SOUTH 07 DEG. 27' 10" WEST,
PARCEL II - CONTINUED:
168.91 FEET; NORTH 39 DEG. 58' WEST,
51' 10" WEST, 89.92 FEET; NORTH 13
FEET; NORTH 07 DEG. 22' EAST, 110.43
WEST, 62.99 FEET; SOUTH 28 DEG. 48'
04 DEG. 14' 20" WEST, 160.15 FEET; SOU
133.30 FEET; SOUTH 12 DEG. 24' 50" EA
DEG. 01' 20" EAST, 97.72 FEET; SOUT
FEET AND SOUTH 00 DEG. 55' WEST, 720
CENTERLINE OF HONEY RUN ROAD AND THE
DESCRIBED.
96.85 FEET; NORTH 16 DEG.
DEG. 37' 30" EAST, 168.20
FEET; NORTH 42 DEG. 52' 15"
20" WEST, 97.25 FEET; SOUTH
TH 26 DEG. 39' 50" WEST,
ST, 144.98 FEET; SOUTH 49
H 75 DEG. 16' EAST, 158.13
.29 FEET TO THE APPROXIMATE
END OF. THE EASEMENT HEREIN
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED ABOVE.
Return to DPW AGRICULTURAL STATEMENT OF A=OWLEDGE`JE`7T
FOR RESIDENTIAL DEVELOPMEINT
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 adjacentC),3..0331.041
r J J I
to
land or included within an area zoned
I
for
agricultural purposes, and residents
Recorded I
of
this property may be subject to incon-
I
official Records I
veniences
or discomfort arising from the
County of
use
of agricultural chemicals, including,
I
Butte
but
not limited to herbicides, pesticides,
I
Candace 3- Grubbs i
and
fertilizers; and from the pursuit
Recorder
of
agricultural operations including,
10:O5am 3 -Aug -93
but
not limited to cultivation, plowing,
--- - -.
Rec Fee
Check
PUBL
5.00
5.00
XX 1
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property. situate in the County of Butte, State of California,
follows:
4p tt ori- /10- ovq
BEGINNING AT A POINT 'ON THE EAST LINE OF SAID SECTION 25, DISTANT
NORTH 00 DEG. 22' 30" EAST, 967.96 FEET FROM THE EAST QUARTER
CORNER THEREOF; THENCE NORTH 89 DEG. 37' 30" WEST, 272.98 FEET;
THENCE NORTH 00 DEG. 22' 3011.EAST, 76.32 FEET TO THE CENTER OF A
60 FOOT EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES; THENCE
SOUTH 46 DEG. 06' 20!' WEST ALONG -THE CENTERLINE OF SAID EASEMENT,
A DISTANCE OF 100.00 FEET; THENCE CONTINUING ALONG SAID EASEMENT
SOUTH 18 DEG. 22' 20" WEST, A DISTANCE OF 229.13 FEET; THENCE
LEAVING SAID CENTERLINE SOUTH 0 DEG. 22' 30" WEST TO THE BASE 'OF
A BLUFF AS THE SAME EXISTED JANUARY, 1970; THENCE EASTERLY ALONG
THE BASE OF SAID BLUFF TO THE EASTERLY LINE OF SAID SECTION 25;
THENCE NORTH 0 DEG. 22' 30" EAST ALONG SAID EASTERLY LINE TO THE
POINT OF BEGINNING.
Date: July 27, 1993
PROPERTY OWNERS:
fonaM.K.-WIlIaosen
I
described as
I -
State of California On this the 27th day of _ `July 19 93, before me, the
County of Butte
SS. undersigned Notary Public, personally appeared
)
Ronald K. Willadsen
euumnnuunun�romniun,n,nu,uunnniuunuuan■ SEAL D u Personally known to me. Proved to me on the basis
986542 ^
OFFICIAL
MARY R. CASEBEER X to be the a
of satisfactory,evidence.
NOTARYPUBLIC-CALIFORNIAN persons) whose name(s)
COUNTY OF BUTTE wsubscribed to the within instrument and acknowledged that
Any Commission Expires Mar. 7, 1997_ executed the same for the purposes therein contained. IN WITNESS
omuinuuuuunuoumuuuunumunumumnumm�
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
Mandatory Measures Checklist: Residential MF -1 R
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 Comoltance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by ail parties as binding minimum component performance specifications for the
mandatory measures whether they are shown eisewnere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
' §150(a): Minimum R-19 ceiling 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 Named floors: minimum R-8 in concrete raised floors.
§150(l): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 2.0 pemvinch.
§118: Insulation soedfied or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and inf)ItrabordExfiltradon Controls
a. Doors and windows between condwoned and unconditioned spaces oesioned to limit air leakage.
b. Manufactured fenestration products have label with certified U -value. and infiltration certification.
c Exterior doors and windows weatnerstnpped: all joins 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 quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and lactory-built fireplaces have:
a Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and oonlrof
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment, water heaters, showerheads and laucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenomextenor insulation (8-16 or greater).
2 First 5 feet of pipes closest to water heater tank, non -recirculating systems, ululated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
§1501m): Ducts and Fans
1. Ducts constructed. installed and sealed to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum instalbea value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave oackdraft or automatic dampers
3. Gravity ventilating systems serving conditioneo space have either automatic or readily accessible.
manually operateo dampers..
§114: Pool and Soa Heating Systems and Eguibment
1. System is certifieo Hoch 78% thermal efficiency, on -orf switch, weatherproof operating instructions.
no electric resistance neauno and no pilot light.
2 System is instaileo with:
a. At least 36' cine oetween filter ano heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has a rectional inlets ano a circulation Durno time switch.
§115: Gas-iireo centra! Menace, pool heater, spa neater or household coowno appliance nave no
continuously burin phot Iicht. ( Exception: Non-mectrical cooking appliance with pilot c 150 Btwhr.)
Ughting Measures
§ 150(k): 40 Iumenswart or greater for general lighting in kitchens and rooms with water closets: and
recesses cenmo fixtures C;insulation coven approveo.
DESIGNER I • ENFORCEMENT
COMPUANCE STATEMENT
This certificate of compliance fists the building features and performance specifications needed to comply w9th Tile 24, Pans 1 and 6, of
the California Code of Regulations, and ire administrative regulations to implement them. This certificate has been signed by the
irrtifividual 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 Feawres/Remarks section.
Designer owner (per ausine" a Profession, cod.)
Name:
Tide/Firm:
Address: L',
Telephone: �_ 10 j
LiC. R:
1.9Z;turel (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signatunystamp) (date)
Documentation Author
Name:
Tida(Fmm:
Address:
Telephone:
Certificate of Compliance: Residential Climate Zone 11
lit/�L,t..AflsEt�l .
Project Title (�'gy('—p Q�iN mw e A
b
/ � t��f4"�� Buildin 'tN
project Address
Checked By /Date
Documentatlon Author Telephone Enforconextt Agmcy Use Only
Fenestration
BUMDING DATAea %
Conditioned floor Area /7/0 —, Number of Stories 2 North .
Slab/Raised Floor Number of .Units East
9!7e Z
[&dfno�e Family Detached (SFD) [ ] Addition Alone South /GO
(] Single Family Attached (SFA) [ ] Existing Building west
Multi-Famil
[ ] y (x917 [ ]Existing -Plus -Addison SkylightTotal
MAO 66
B UrLDING SHELL INSULATION
Component Insulation LocafforVI o' mments
Type R -Value (crane, to gittritge, M_ A-_rL etc.)
Roof .............�.
Roof........sees.
Wall .............. �
Fllooroo........... -
Floor ............. _
Slab Edge.....;
FENESTRATION Shading Devices
-Ee.nestration Area Type Interior Exterior Overhang Framing Type
Orientation (Si) (single. double) (Tolla blind. eta) (ahadesaeen, eta) (yes/tto) (tneud/wood)
)worth .a i.
North ( )
East ( )
East ( ) —
South ( )
South ( )
West ( )
West ( )
Skylight.......,,...._ -
THERMAL MASS
Type/Covering Area Thickness
(slab/extgosed. tile, etc ') S inches Location/Descriati Ath, etc.
Ki
I1:L4NG
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location
conditioner. heAtDump) (AFLIE, SEER.HSPl7 (attic, etc.)
i. z
v
AN�
Duct — Heat Pump
R -Value Thermostat Tyne (gpliit or p k )
(signature) (ate) HOT WATER SYSTEMS Tank
R Value
System T (storage gas. etc.) Capacity Number / Energy Factor Ext- Tank Tns- Dyetri heti M
SPECIAL FEATURESIREMARKS
Point System Summary: Climate Zone 11
Point Scores
1.
Ceiling Insulation or
-74
V
Int Mass/CFA
R -value 391
U -value [0.029(
-4 _
2.
Wall Insulation / or
10. Heating System
ExL Wad
0
x & _
R -value 91
U -value [0.065]
AFUE or HSPF
3.
Raised Floor Insulation /7 or
.51
(78% or 6.81
0.83; 2+s�gry: 0.681
R-val 1191
U -value 10.0371
/O
4.
Slab Edge Insulation or
Famirf
SEER 110.01
Duct Effie I1 story:
R -value 101
F2 ft= (0.75]
R-11
5.
Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Y)
R-19
6.
Fenestration Heat Loss
0 • V< / , b
_�
-25
Type
U -value (0.651 Total % Fenes. (161
Su 1-0
7. Fenestration Heat Gain
% Fenestration SCshade open Eff. % Fenes.
North O• x e 7'7 = O.
East x -
South r X = s
West . x = t E �.
Skylight b x = O
Overhangs? ( Y / N )
Shade Elf. Ratio
e
�! Q
8. Interior Thermal Mass
/
or
R-0
-74
% Exp. Slab 1201
Int Mass/CFA
R-19
9. Exterior Wall Mass
-4 _
-2
R-30
10. Heating System
ExL Wad
0
x & _
-%1K
0
AFUE or HSPF
Duct Effic. 11 story:
Effective AFUE
.51
(78% or 6.81
0.83; 2+s�gry: 0.681
or HSPF
11. Cooling System
/O
X . T =
Family
Famirf
SEER 110.01
Duct Effie I1 story:
Eftecave SEER
-5
R-11
0.81; 2+ story: 0.871
-1
12 Water Heating
System 1� •
Header Ty En - erg
(SG501 (0.531
System 2
Heater Type (None( Energy Fa=r
1. Ceiling Insulation
R -value
Number of stones
One Two
Three"
R-0
-74
-48
1-27
R-19
-5
-4 _
-2
R-30
-1
-1
0
R•38
0
0
0
2. Wall Insolation .
.51
.67 .66
Insuladon in Floor
Singte•'q.
- single -
Number of scones
or to 10 or
Family
Famirf
Muuti-
R-0
-72 -57
- 3
R-11
7 -6
.4
R-13
-4
-3
R-15
"•�� -3
-2
R•19
0 0
0
R-21
1 1
1
3. Raised
Floor Insulation
.51
.67 .66
Insuladon in Floor
at to 10 or
or
Number of scones
or to 10 or
R -value
One Two
Three
R-0
-14 -9
-5
R-11
-3 -2
-1
R-19
0 0
0
R-30
2 1
-25
Zonal Controf
Adjustment (01
Zona4Corww
Adjustment (01
Ext Inu`e Auxiliary Input Distribution
[121 [None( ISTD]
ExL Ins. R -value Auxtuary Input Distnnucon
Point Total:
4. Slab Edge Insulation
7. Fenestration Heat Gain
(basea on Shape Eftectrveness Ratio)
1.11
to
1.20
1.01
to
1.10
Eff
Horth
.76
to
.80
EastSouth
.61
to
651
.56
to
60
WW
.46
to
.50
Skytlpht
�"
.87 .67 .52 51
I
.87
I
.67 .52 .51
.87 .67 52 .51
.87
.67 .52
.51
.67 .66
For,
at to 10 or
or
to to or
or to 10 or
or
to to
or
or or
em-
more .86 .56 lass
more
.66 .66 less
more .86 .66 less
more
.86 .66
less
more lass
Number of Stones
R -value One Two Three
R-0 0 0 0 5. Infiltration (Duct Air Leakage)
R-5 6 4 2"j
Dual In Uncond9wrted Space 0
R-7 7 4 2 No Ducts in Unamattroned Soave 3
6. Fenestration Heat Loss -
Total 1.31
Percent or
nestrapon more
1.21
to
130
1.11
to
1.20
1.01
to
1.10
.91
to
1.00
.81
to
.90
.76
to
.80
11 -hilus
.71 .66
to to
.75 70
.61
to
651
.56
to
60
.51
to
55
.46
to
.50
.41
to
45
.36
to
40
.35
or
less
501/.
-100
-76
-69
-62
-55
-8
-41
-38
•34
.31
-27
.24
-20
•17
-13
-10
407.
-77
-58
-52
•47
.41
-36
-30
-27
-25
-22
-19
-16
-13
-11
-8
-5
35%
-66
-49
-44
-39
-34
-29
-25
-22
.20
•17
-15
•12
-10
-7
-5
-3
307.
-54
-40
-36
-31
-27
-23
-19
-17
-15
-13
-11
-8
-6
-4
.2
0
28Y.
-50
-36
-32
-28
-25
-21
-17
-15
-13
-11
-9
•7
-5
-3
-1
1
26%'
-t5
-33
-29
-25
•22
-18
-14
•13
-11
-9
-7
-5
.4
•2
0
2
24%
-t1
-29
-26
22
-19
-16
-12
-11
-9
-7
-6
-t
-2
•1
1
3
Me
-36
-25
-22
-19
-16
-13
-10
.8
•7
-5
-t
-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�G
-22
•14
-12
--10
-8
-6
-3
-2
-1
-3
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
.4
-2
-1
1
2
3
4
4
5
6
7
8
9
101.
-8
-t
•2
•1
1
2
3
4
5
5
6
7
8
8
9
10
8%
-t
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
18.
-5
-4
' .3
-2
-21
-20
-15
•12
•26
•23
•16
•12
-36
-32
-23
16
-75
-SO
16%
4
4
2
1
18
-t6
-13
•t0
-21
19
-13
9
31
27
•19
-tet
65
-aa
14%
-4
-3
.2
.1
•14
-13
•11
•8
•16
-1
-10
-7
•26
-23
16
-11
•55
-38
12%
-3
-2
•1
-1
•11
•10
-8
6
-12
•1
•7
-4
•21
-1
-13
-8
46
•31
11%
•2
-2
.1
0
-10
•9
.7
-6
•10
-8
.5
.3
-19
•1
-11
-7
-41
•28
1C7.
•2
2
1
0
8
Three
{
5
-8
7
d
2
16
•1
9
6
37
•ZS
9%
'-2
-1
-1
0
-7
-7
-5
•4
•6
•5
.3
•1
•14
-1
-8
-5
.32
•22
8%
-1
-1
•1
0
-6
-1
.4
•4
6
6
.2
0
•11
•1
-6
-4
-28
-19
77.
-1
•1
0
0
-5
3.0
-4
•3
•3
•3
•1
0
•10
-8
•5
-3
-24
•17
6%
•1
•1
0
0
-4
14
-3
-2
-2
7
-1
0
-8
.7
� 4
-2
-20
.14
5%
•1
0
0
0
-3
11
-2
-2
•2
48
0
0
-6
-5
-3
-1
-16
•12
4%
0
0
0
0
-2
4.2
-1
•1
-t
•1
0
1
-A
-4
-2
0
•12
-10
3%
0
0
0
0
-1
111
•1
0
0
0
0
1
-2
-2
0
1
•9
.7
2%
0
0
0
1
0
8
0
0
0
0
1
1
0" T
1
2
-6
-5
1%
1
1
1
1
1
17
1
1
0
0
0
0
1
1
2
2
-3
•2
0%
1
1
1
1
1
6
1
1
0
1
0
0
3
3
3
3
0
0
8. Interior Thermal Mass
Method A (Slab -on -grade Construction Only)
Percem One Two Twee
Exposed Ston stones Stories
0
0.00
-3
0
•2
0.20
-1
10
2
-2
7
-1
4
•1
20
8
0
0.80
0
10
0
30
14
1
9
1
17
1 -
40
1.40
3
14
2
1.60
1
50
13
4
23
3
14
2
60
19
5
4
3
1007.
2
70
13
6
9
4
4 '
2
80
6
-17
5
EH SEER
3
90
Effective
9
7.9
6
Sum
3
100
•25 or
10
Split
6
•25
4
-14
-4
Method
B
AFUE
HP
Int
or
Slab Floor
to
Raised Floor
Mass
or
stones
HSPF Ks"
less
Stones
-5 -
/CFA
One
Two Three
One
5.8
Three
0.0
-11
-8
.6
-1
Z9
0
0.1
-10
-7
-0
0
0
0
0.3
A
-6
-5
1
1
1
05
-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
Fstertor Single- Single-
Wall Family Family
Mass 00120hed Attaened
Multi
Family
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
23
18
14
2.00
24
19
14
10. Heating System
Houses With Ducts (R4.2)
Sum of 1-6
Gas Split Pkg -25 -24 -14 -4
AFUE HP HP or to to to
- HSPF HSPF less -15 -5 +5
+6
to
+15
16
or
more
78%
. 6.8
6.6
0
0
0
0
0
0
807.
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
1007.
8.7
8.5
13
11
9
7
4 '
2
Effecolve AFUE or HSPF
-17
-0 -13
EH SEER
(AFUE or HSPF x dua efficiency)
-is
Effective
Sum of
7.9
2
Sum
of 1.6
Pckg
•25 or
Gas
Split
Pkg
•25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
5.0
HSPF Ks"
less
-15
-5 -
+5
+15
more
One Story House
5.8
•16
-13
-9
-6
-2
33%
Z9
Z8
-62-
-53
•44
•34
•25
-16
40%
3.5
3.4
-40
-34
-28
-22
-16
-10
50%
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
807.
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
5.0
4.9
33%
2.9
2.8
•69
•58
48
-37
-26
-t5
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
M.
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
"1
3
2
90%
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
14
10
Zonal Control Adiustmem
3
0
System Type
14.6
20
16
11
7
3
Resistance
6
4
3
2
1
0
Otter
3
3
2
1
1
0
11. Cooling System
Houses With Ducts (R4.2)
SEER, Sum of 7.9
Soln Pcxg -25 or -24 to -14 to -410
AC AC less -15 -5 +5
+6 to
+15
16 or
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
126
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
027
-20
Effective SEER
-41
32
-19
(SEER x duct eRiuenc7)
-17
-0 -13
EH SEER
-28
-is
IG
Sum of
7.9
2
5 3
Split
Pckg
•25 or
-24 to
-14 to -4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
+15
more
One Story Hoose
-1
4
Two %Vater Henan - No AuodOary Credits
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
126
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
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
00
9.0
8 7
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
120
11.6
13
10
7
5
2
0
13.0
126
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
Adjustment far No Task lnsutaUm
Numtler of Water Mmes
Water HemerTvoe One TWO
SG50 -2 •5
SG75 •3 -6
SE •5 4
HP .2 {
House Skm Adjustment
Hone Site Int)
Suotaal
Water I Ism g
Pam Score
Inas
than
1000
1000
to
1499
30
47
.5
•25
•1a
.4
-20
-11
-3
•15
-9
•3
•10
•6
-2 .
.5
a
-1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
a
House Sin Adjustment
House Sae ft)
Suetotel 1500 2000
Water Hold g to or
Pore score 1999 more
-30
0
3
-25
0
2
-20
0
2
-15
0
1
-10
0
1
.5
0
0
- 0
0
0
5
0
0
10
0
1
15
0
1
20
0
-2
25
0
-2
Zonal Control Adjustment
All 6 5 4 2 1 0
11 Water Heating
Ow Weer Heater - No Auxiliary Credits
Distnmaron Systnm2
Room SYetetrra
Waur 1X=n Energy STD HWR Pip.No Timer
Heater Tvoet Zones Factor POU marl t]rl
SG50
AO
am
0
3 1
-0
-5
0
8 6
0
S
an
a
11 9
0
0
4
e
SG75
N
0.48
-2
1 -1
-12
-7
.2
am
3
6 5
-5
-1
4
am
7
10 8
-1
3
7
SE
Ai
027
-20
-12 -17
-41
32
-19
QM
-17
-0 -13
38
-28
-is
IG
All
am
2
5 3
IE
All
OS3
-21
-12
HP
6-11.13.15
.180 ,r.4�
7.., %5 t
•5
-1
4
Two %Vater Henan - No AuodOary Credits
SG50
All -
0.53
-7,
-4 -6
-17
-12
-7
Q.M
t
5 3
-a
•4
1
a73
-• 6
10 8
•2
2
7
SG75
At
0.48
-12
4 -11
-22
-17
•12
am
•1
3 0
-11
-6
•1
0.68
-6
9 7
.4
1
6
SE
AN
0.87
-22
•14 -19
-46
•35
•22
0.93
•16
-7 •12
-39
-28
•15
;G
All
0.80
.4
-1 •3
IE
Ali
0.93
-21
-12
HP
6.11.13.15
1.80
•1
3 1
•10
-6
0
"M