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Home My WebLink About021-070-105, L MRINGRV AND BOAT IN AG BUILDING' 11/30/193 �TO�O G R. /AND. BOAT ,I� AG BUILDING' NG j L? 3003-90E • L .t 1 1, Z -J 69n T,i.-r,-r.1 P. Avenue.1 ...rddley E,,Larry 71 power pole/��il & "'f �'t d"ot'dev. .�� l.O _ ,lD, — 21-07-105 ly, E; T .021 RL (,93164 - LEE LA R IEE, Larry Ma ne' 620 Little Ave, Gridley. 620,LITTLE 'AVE,,.GRIDLEY . '.,` '•' }�' F` A - -CJIL- RA-E-Z4.(XEMP new sf) E ,TION GARAGE FOR' TRACTOR F 021 '070-105. PERMIT#94-3,03'7 LEE ,,,,LARRY.'&� .620 LITTLE',AVE.,GRIDLEY ONV�UNFINAREA- tO-LIVING'&- REPAIR'SMOKE' j�DAMAGE/SFj',,,_c,, 0 rm y 0 V i s. ,ESIDENTIAL — - X21-07-105 .3155-90B,P_, E,MS LEE, Larry & Madeline I X620 Little Ave, :Gr a dley .4(new sf) r 6 • � irk;......_ OFFICE COPY Address I !� GASDat G i Meter By J ' ELECTRI Date Meter BY' I. 'JOB FINALED fnittal - Int i� S a ure v=Ok ' O = Not OFANot = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch %r 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) , 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" it./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 _ Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector y 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - ,t r r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Pla7)0K except #'s 1. Zoning Requirements -Setbacks -Easements. 1 . ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steely 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Coonectors 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 r 10. Roof; Shthg-Roofing } 11. Ext.; Steps -Doors -Landings ;Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability, 3. Pool Structure; Steel -Connections -Thickness j 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 Lghtgl Boxes -Enclosures -Panel boards -Ins. to Main in Conduit + 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ,Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i k, 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (S ' = Date YNDJEAFLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flo -Slope tg., Main; Soils-Elec. Grnd.- /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel 9. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date and B-1 Date r Card B-1 Date)/ -, Card B-1 Date Card B-1 Date P MBINI' Permit OK except #'s 16. r Htr.; Vent -Access -Combustion Air -Baffle 7. ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 0. st Tub & Shower, Second Floor -Tub Access Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EL TRICAL (Permit) OK except #'s . Fixture & Transformer Clearance -Ins. Protection 23. lec. Receptacles Spacing -Lights & Switches at Doors '4 Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 26 quip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No VI"3,0Service-Riser Conductors & Ground -Main Disconnect 3 Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _ WCHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 3 Condensate Drain & Overflow; Size & Grade 37. rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39 Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing _N<'42, Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing 0 ingle & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors .4 CIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat clearance Affia 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ,rage Fire Protection Framing Property Line Firewall & Openings E I. Doors -One T -Check Garage -3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers `1-, ,yeng-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access +57 Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date qV _ and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Plans) OK except #'s 61 A'E. Steps -Door & Sidelight Protection -Landings _,6 . Smoke Detector X63 -Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64.Bedroom Exiting I/` 5. G.F.I. & Bath Fixtures & Tub Access -Spa X66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. airs & Rails c 68. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. . Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance /01. ec. Outlets & Receptacle LKit. Counter 7D2arage Fire Do r, Swi2andi g-Clos r) A.C. Duct in Garage -Damper 74. tr-'Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Vic. Receptacles in Garage; (G.F.I.)-Romex Protection L,.,717 Insulation -Foam -Looked in Attic '-B-Yes 8. Guard Rails & Deck Construction -Post Caps 79. Edn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive es ❑ ;;_Walks 0 a ❑ No; lanters ❑ Yes_ No 81. ucco; Brow ' 8 b. Unit; Disconnect, Electrical, Plumbing 83 V nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. ater We isconnec Electrical, Plumbing 57txterior Elec. Trim; G.F.I. Receptacle -Underground 86Ng-1 lion Throughout House 7. Glass Protection 88. Corrections from Previous Inspections 89_Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Date Card 8- Date Card B-1 Date Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 1 rairmGy c.'rurr*1 r j. cwiv Ion LO CATI Off y A. P. NO. ROOF Material Hrruid Name .... ... Thicltne-qq ....... EXTERIOR WA1,L Thermal R Resistance Value)___ Maternal F " 113- E ' R ' ' LASS - Thichries.,g 13nrind Flame __CERTA INTEEp CEILING (a 13 Thermal Resistance (11 V,3.lue)jl.?._ Batt or. 111ariftet Type_PIR EKLA5,5.. .. (I• ". /3 Prnnd Maine TEED.. nc. "s) Loose Fill Type e� J.Inal Re-Sintance (R Vnli.je)--3 F Mirlimum Thicicliess'...-(li-ich . es) Brand Name CERTAINTEED Flo. Area covered (Sq. of Bags Thermal Resistance. Value) FLOOR, RLEVATED Thickness In el i . e a Brand Name -D FLOOR, SLAB ..... . Tho-rmal Resistance (R Value �F Material_11rind Mame Thicknes (Inclies: -rherma - ----- -P FOUNDATION WALL I Resistance (R Valije)... Material ---- - ----- t1rArld Nam I r. Thickness (Inches)' ... ......... Thermal ftesistance (R I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLM) JH TIM, ABOVE, nUjj1,1D(; j"IN CONFORHANCE WITH THE STATE OF CALIFORNIA F"kRcy REQUIREMENTS. ..... .... . .... Firm Name/Owner iUnature Date I HEREBY CERTIFY TJIE ABOVE INSULATION AND ALI, REQuinEI p rmfg AS SHOWN ON THE BUILDING DEPARTHENT APPROVED PLRNS AND AlrTAcIUMTS HAVE BEEN HISTALLED AS REQUIRED BYTITSSTATE OF CALIFORNIA ENERGY AEQUIRE14ENTS. Firm Name/Owner . Date Signature Ge n Contractor/Owner .. ate 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 2 - OWNER 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 f when correction of work is completed. If you h ve any question pertaining to this matter, or need additional explanation, e e contact this office immediately. 4 H Date I �V Inspector .y . Date I �V Inspector l - - - •- - — - COUNTY OF -BUTTE 1' j DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 I 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE`Y� '- Y 1 1 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 r need additional explanation, please contact .this office immediately. i z L Date Inspectorn.L--- _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE IINE R / y J�� ` PERMIT NO. (fv + A rouCa in ection indicates that the following violations of County Ordinance existe 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. r y� .. -..COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- PERMIT NO. • 7 County Center Drive=.Or4Ville, California 95965 - Telephone: 916/538-7541 l ` APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER - 21-07-10 ZONING- BUILDING PERMIT OWNER LARRY TELEPHONE, SQ. FT. OCC. BUILDING VALUATION 062y Litt`leG Avenue, Gridley 95948 556 M 7-784 • CONTRACTOR'S NAME TELEPHONE - 30 unf 9,900 1,200 CONTRACTOR'S MAILING ADDRESS'ign Fireplace A 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 495.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking. Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permitfee$ 7 8-25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 5 2.00 30.00 Solar or heat pump water heater 20.00 —5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFffk Duplex❑ Mobilehome❑I Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home ISTG W 10.00e TYPE OF'WORK - New qX Addition ❑ Remodel ❑ Uti liti_es ❑ Installation❑ Other ❑ Describe work: 2 13edreel _ Permit Fee $ 0.00 Contractor ELECTRICAL PERMIT . Filing Fee 10.00 - Main service 600V OR LESS - 100 AMP OR LESS 10.00 jQ•QQ Main service EA. AOD'L 100 AMP 2.50 r2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do tbe'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.&\ ADONIS. ADDS. ACC. BLDGS. I 2yz�sgft �4 .25- NEW CONSTR ULT' -OUTLET NON -RESIO BRANCH CIRC ITS 2.50 ea I POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 30AL@20@BALO 30 FIXED PR Ex. Occup. OUTLETS (RESID.IEA.) 2.00 0. Temporary service 10.00 1. Mobile Home Facilities Misc. Wiring g 15.00 `t 15.00 Permit Fee $ 109.75 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 of Consent to Self -Insure. I shall not employ any person in.any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g i Hood 3.00 nri 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. 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 s County in consequ ce of the granting of this permit. o d X Date�SG�� 7. 1 (0 Signature of A icant — OwnerV Contractor ❑ Agent ❑ An OSHA pe mit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ QN-Q0— o c CONST eE , A TOTAL FEE $ 1,007.00 HAz ""– "'` PARK FE PAR D D ISSUE Th;S permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREI TO OF PUBLIC By R�d PE_/ the applicable provi- resolutions to do have been paid. WORKS , ate . Receipt No. 73623 WNITC•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR.. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orpville; California 95965 - Telephone: 916,'533-7541 APPLICATION AND PERMIT PERMIT NO. -��(fTV AssessOR PARCEL NUMBE�� zoNl ^� + 1#rep BUILDING PERMIT OWNER ADE a )L•((e� TE EPHONE I OC . BUILDING VALUATION OWNE (LING ADD ESS �. v�2 COr TRA4 �Olj't� /!MAILING TELEPHO. E el O �J CONTRACTOR'S ADDRESS CONSTRUCTION LENDER UNKNOWN T otal Valuation I S 7,7 (U7 Filing Fee S 101,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO.. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee S PLUMBING PERMIT Filing Fee 1G.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00Q USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK Ne Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Descri a workr Permit Fee $ #: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR Less 100 AMP OR LESS 10.00 10100 Main service EA. ADD'L 100 AMP 2.50 0 ar CONTRACTORS LICENSE LAW I declare under penalty perjury enalt of y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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.ai) OR ADONS. ACC. LDGS. B VZ�SQft, NEW CONSTR. r ULTI.OUTLET N ON.P.ESi O. BRANCH CIRC 'ITS 2.50 1 POWER APPARATUS &) (SINGLE OUTLET CIR. 50a Ex. Occup(OUTLETS OR FIXTURES SA O30 L 1 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 1 2.00 Temporary service 10.00 1 Mobile Home Facilities 15.00 I Mise. Wiring 15.00 g I j Permit Fee $ , Contractor. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit Is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 0.00 Heating •1 -' Cooling Q d j Hood 3.00 ,0 Ventilation 3.0 Z) 1,70 d; 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all -liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the -granting of this permit. Signature of Applicant — Owner ❑ Contractor Ci Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g , occ CONST TYPE TOTAL FEE $ Q Q r �� HAz CUA PARK SCHL cLo AR PD HD ; ISSUE This permit is nereby issued unser sions OT the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable resolutions have WORKS Date provi- to do been paid. Receipt No. ~73LI, WHITE-O.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOL0r.RO.-APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Proposed/Building Use 15' E Building Inspector 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. ........ M . ............ ......... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer._of plans .. -4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ................................. ...... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for,Non-Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) GI I 9. Mobilehome installation data including manufacturer's installation instructions .................................. ,% 1 ............ 10. Fees of $ ...................... 11. Chico Urban Area fees paid ..............:........ ............. 2. Park fees paid .................................................... School District fees paid .............. 4. Sanitation approval from Q •e -0 Health Department_9416;_490 _2226 1 City of Chico plumbing permit ..................................... 16. Plot plan and business license aproval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ..... 19Improvements may be required. Contact Land Development Section DPW . Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 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 ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Ma -i -I to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other . Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ---Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, des igne owner, was advised of above required data by_phone_-rtaiI—counter byl"ate Contractor, designer, owner, was advised of above required data by—phone—mail •oby date nter y~" Plans checked by Date Flans approved by Date " Sets of plans on hold in File cabinet -AP folder Copy—DPW 1 TO Buildina Department FROM: Environmental'Health r SUBJECT: Sanitation Clearance -0.7 - Owsie Location AP# Plan Approved for: Supply Sewage Disposal Water Hold final for: Water, Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobil ome. Other NOTE *** Sanitarian W TO: Building Department FROM: Encroachment Permit Sectionl RE: Driveway Clearance owner Driveway permit si ature LI;Tf-Z-P- location AP # has been issued for the above property - 70 date COUNTY 01; BUTTE Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 915-53877541,. 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.earli.est opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Ye 5 2. I (have/have not) UAgr signed an application for a building permit . for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 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 01 Signed: Property Owner 'ZAAA4-.,, Social Security Numberj Date `tel' S .07 Z 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. N 5/89 RESIDENTIAL' PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 4-. xterior plaster - weep screeds (Sec. 4706). 5�oper roof pitch for roof covering (Chapter 32). ' �! -oof covering type - (fire.hazard).' fter ties or bearing ridge beam. ' &- arage door or porch header sizes. Adequate bracing. -4iff-.—Eving area over garage - complete 1 -hour separation required on garage side ' including supporting walls and posts, etc. to exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). le otic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). _,/1�ombustion air for fuel burning appliances. Nise requirements on duplexes. ,16. Adobe soils - special foundation design. e�ining walls requiring design. 19��! Up��al shape, size, or split level house requiring lateral design. 19 -'Plashing at all exterior"openings. Pj14AJS n /A)ec�l��tiG-� P4) /'O'e i Lfrt1G� " 5 /Zsa.S-F-C)X A--- i-L, At n At -5 6 - AL cif' �/c, 3? i% � Q � j OW Vie rP 1C [ele i C) -/X-FO -P �E P �co �n � O/ . S i G, �� Les . 02Q�ANI ' cry - Q T'PWZ_ 51 ,ZOOM A -96- s up s P.-Za-s sTuo S LiU -•._- 1Z�7'_S(6,6)4uF4F-b1L- WL Pte, l�i/zC.-�o W t � v�S/i U/3C_ 1ti,rev Pl�ra�u C); 2.�z� �.v /iiit � � t t -00/Z_ torS�2�1` MC_ f' 14413• iS o F� -4 ! 1/i r1JG- 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # �4iO OWNER �/z�� A.P. GENERAL d-r-�Zoning requirements: (sideyards 2. '11aluation. Plans signed by designer. Energy Design and Compliance. �Existing violations on property. 6.11tems on data sheet. PLOT PLAN and number of permitted living units). 1,:��,ktbacks, mplete parcel size and dimensions. sideyards, easements, etc. Y. ther buildings or structures. G ading, fills, drainage. i�lood hazard. pecial conditions on -creation map or .�FAU & FAS road setback. compliance document. FLOOR PLAN Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). �S'kylights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). J'aquired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, and exterior outlets (Article 210-8). g/Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or equipment, and plumbing fixtures. 1 age firewall, door size, and closer (Sec. 503(d)(3)). 1r "l - 3'0" exterior exit door (Sec. 3304(e)). --162'' eplace and wood stove location, alcoves, and Clearance. ll3. Smoke detectors (S,ec. 1210). STRUCTURAL DETAILS F�6-undation plan complete enough to construct building. FToor construction details complete enough to construct building. Felevations and wall construction details complete enough to construct building. ovf construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR r.-- airway details: landings, rise and run, head clearance, handrails (Sec. 3306). [?:�-uardrail details (Sec. 1711 & 3306(j)). �. .Brick or stone veneer (Chapter 30Y. 90-38627 R DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT eturn to FOR RESIDENTIAL•:DEVELOPMENT Section 26-8.1 of the Butte County Code G,�=/-' �7v—I requires this acknowledgement be recorded J 0a,1 t V en c prior to issuance of a building permit. P The property described herein is adjacent 90-038627 ` R.ec Fee to land or included within an area zoned . ; ro Check 7 OC' Eor agricultural purposes, and residents Recorded, �. y t� of this property may be subject to incon- •- •" Official, Records � ' � :r fi_: w veniences or discomfort arising from the • County, of use of agricultural chemicals, including, f gu te-, R but not limited to herbicides, pesticides, _ . Candace `'J . Grubbs f :a�;, and fertilizers; and from the pursuit "Recorder A of agricultural operations including, 2: 19pm, 7 -Sep__ -90 X 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described. as follows: Date: 61 Iq L70 PROPERTY OWNERS: State ofr ) On this the Vii ' day of ��Oy' 19 �O, before me; SS. the undersigned Notary Public, personally appeared County ok_y_ ) � pop "L_ ICIAL SEAL E] Personally known to me. fit' Proved to me on the basis 0 QFF H RFFC(A L. BlEDS L of satisfactory evidence. NOTARY PUBLIC.cALWORNIA to be the per whose dame(s) CL-'?� ® "m BUTTE COUNTY subscribed to the within instrument and acknowledged that FUA comm. Expires Feb. 1, 1993 executed the same f or the purposes therein contained. IN WI" TRESS WHEREOF, I hereunto set my hand and official seal. ..r., T . Present A.P. No.p_�%'�t'd�'%"�%O!S� Notary Public SCHEDULE C. The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL At A portion of Lot 6 of Gridley Colony No9as'shown on the Official Ma thereof, filed in the Office of the Recorder of. -the County of Butte, Sttatel of California,'July 10, 1907 in Book 6 of Maps," at page 56, more particularly described as:. y,y Parcel l as shown on -that certain Parcel Map filed in the Office of the ' Recorder of the County of Butte, State.of .California; on August 19, 1987. in Book 107 of Maps, at page 66. �. RESERVING THEREFROM a non-exclusive Right of Way for road'and utilities 60 feet in width as shown on said Parcel Map. Public PARCEL B: A non-exclusive Right of Way60 feet in width for road and public utilities as shown on that certain Parcel Map which was filed in the Office of the Recorder, of the County of Butte, State of California, on August 19, 1 in Book 107 of Maps, at page 66. .987 f. AP No. 021-070-105 x R i END OF DOCUMENT i . END OF DOCUMENT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM +• .'(One Formyper Building) A.-P. Number Building Department Nol., ' School District rj U Q'Ci.ty Q County: 'Jurisdiction 4 Property Owner� �-h /14 AD 91 /V EL L 9 Project Location/Address ., , 4 .77Z•F Subdivision Lot Numbe.'r Residential°Development: r a. a Sq. Footage' �� #-of'• Living MHI,• Addition (Group R) units- Commercial'/Industrial' , Sq. Footage New.. Addition (Including Exterior • Roofed'Areas) 1-7 AP�D F. Bu ldin • Depa,,ptmen't Representative bate •(Floor°Plans-reviewed:by School District Personnel) District -Id No `School- District certifies that (Applicant"Name) ?(Phone Number) i ' Stree A cess )`. (City) ff, (Zip .Code) Fhas complied with the requirements of Resolution,No.- by the pa meet of $ r representing,:;24J'/ square feet zv `Scho District Representative Date PAID BY CHECK NO. �� - REMARKS : Urf f PAID BY CASH 1 , white-applicant,,.yyello w-building department, pink-school district SCHOOL.FEE (8/88) J=OK O = Not OK Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch)' 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / f L'Yt. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 - , Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'sem'. 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)0K except #'s 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- Bea ms- Rftrs.-Connectors ' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses. 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability . 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (,c = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date qLUMBING (Permit),OK except #'s 1 -Water Htr.: Vent -Access -Combustion Air -Baffle -------- - -- -------------------------- 1 . Water Pipe: Test & Anchor -Nail Protection - ---- 1 . D.W.V.: Test -Fittings & Anchor -Nail Protection- --- --- - -- 1 Shower Pan; Test. First Floor -Tub Access ---- - - Test -Tub & Shower, -- Second Floor -Tub Access ----------------------- ----------------- 1. Gas Pipe: Size & Anchors ---------- ------ -------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------- ------------------------ ------------------------ Date Card B-1 Date Card B-1 Date ELECTWAL (Permit) OK except a's xt & Transformer Clearance -Ins. Protection ------------------ --- - - - --------------------------------------- ----- --- - -- - - ec. eceptacles Spacing -Lights & Switches at Doors -------- -------------------------------------------------- -- Boxes & No. of Conductors -Stapled ---------- 0 _nstalled Close to Edge of_Studs & C.J. 2V E Ground made Up w!Mech Fastners Bond Gas & Water ----------------- ---- -------------------------- ---------------------------- ----- 2 2 Ap nce Circuts in Kitchen & Conductor Size!GFI ---- -------------------'--------- ------------ ---------------- -------------- 2e ubfeed Wire Size i ga. Cu or AI-A.C. Wire Size i ! ga. Cu rAl -------------------- ----------- ------ 29 ange Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neulral ❑ Yes ❑ No 3 e -Riser Conductors & Ground -Main Disconnect ------ ------------------------------------------------------ ----------------- ------------------------------------------------------------- 3Clearances Panels-Motors-Mech. Equip. -------------- - I --------------------------------------------------------------- 32. IotFies Closet Light -Shower Light -Spa Light ----------------Smokee Detector ----ector---- -------------------------------------------------- ---------------- et------------------ ----------------------- ------ - --------------------------------------------------- Date Card B-1 Date Card -B- 1 - ---------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. _Ducts Insulation & Support 35 Vent Fan. Exhaust above insulation 36. Condensate Drain & Overflow: _Size & Grade 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet --------------------------------------------------------------------- __ ------ 38. ------------------------- ------------------- 38. Attic -Access-&. Platform if Furnance in Attic ------------------------ -------------------------------------------- Date Card B-1 Date Card B_1 —---------------------- ----------------------------------- - -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's S . Proper Material & Anchors ------ _ W f_Studs-Nailing Spacing & Bracing_Plates_Sound ---- Be g Walls over Girders & Floor Nailing -- -- --- ------ - ------------------------- 4 . Dr Stop in Walls (rat proof) --------------- - -------------- ----- all ----------------------------------------------- 4 . - it ops: Furred Ceilings -Stairs -Chases -Tub ----- -------------------------- ------------- ---------- 4 eaders &Beam -Size proof) Angle & Duplex) Date FRAMING (Continued) �Ha rs-Post Caps -Anchors -Connectors 4 . C8"Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. e Ties or Type A Flue -Fireplace Throat clearance ti Cess; Size & Romex Protection -Draft Stop -Ins. Baffles -------- 4drm. dbws or Exiting Doors -Sill Hgt. & Dimensions --- -- 5ara rre Protection Framing 51 op2OKLine Firewall & Openings . xt. - rs-One 3' -Check Garage -3rd Story, 2 Exits Lairs; - idth-Headroom-Rise-Run-Landing-Fire Protection ----- -- 5----ywoo -on Roof Overhang -Attic Vents -Rafter Outriggers 5 ding -Nailing Veneer 9iG�td/ -SSG-3ttc-tvlesh-Drip Screed -Fd. Vents-Underflr. Access 5-.--1a 'ng Area -Glass Protection -Skylights -Plastic 58. ear Walls: Nailing -Bolts - ------------ ---------- _ 9. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- Date _______ ---Card B-1 _ _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FIN!(Plans) OK except H's E I -Steps -Door & Sidelight Protection -Landings FmoKe Detector --------------- ---- ------ - Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection - _ 648 �oom Exiting .I -'& Bath Fixtures & Tub Access -Spa - -rTrim & Subpanel; Breaker Sizes & Labels __ & Rails - 6 . Fireplgce_or Stove Clearances -Hearth le Outlets at Wood Panel: Int. &Ext. 7 Kit xi & Appliance: Grnd.-Air Gap -Cooking Clearance 7 ElEcc Outlets & Receptacles at Kit. Counter ---------- 71i ge Fire Door Swing -Landing -Closer - 7� A. _Duct in Garage -Damper 7 tr. Htr; Vents -Clearance -Comb. Air-Connector-P.R.V. I aGdirage: Above Floor-Mech. Protection --- - -- 7 I Elea & Mech. Equip. Listed for Location WFH� eptacles in Garage: (G.F.I.)-Romex Protection -Foam-Looked in Attic ❑ Yes ----- Guils & Deck Construction -Post Caps ts & Crawl Hole Door -Drainage & Wood -Earth Cle ante Looked under Floor ❑ Yes 80ollowin instld. Drive ❑ xes ❑ No; Walks ❑Yes ❑ No; Planters _ 03Y �0 Stu co ish "Unit: Disconnect. Electrical, Plumbing Vents A ove Roof: Plbg.-Appliance-Fireplace.-Clearance to -- - O in9s --- - --- -- ------ — r WeII,;Disconnect, Electrical, Plumbing -- Ext r Elec. Trim: G.F.I. Receptacle -Underground— ------------- 8 v8e ti n Throughout House - - ----- --------------- G s Protection C__ ec ons from Previous Inspections _ - ----_ d Test -Meters Tagged Gas Electric Sewer Connected -C/O to Grade -HD Approval ---------------- Energy Compliance Certificate -Other Certificates Date �%S Card B 1 Date Card B-1 Date Card B- - —Date -- Card B-1 Dat - Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovillep Calitdtnia 95965 - Telephone (916) 538-7541 PERMIT -40. APPLICATION AND PERMIT I'_ 3o:3 7 ASSESSOR PARCEL NUMBER 021-070-105 ZONING BUILDING PERMIT OWNER LARRY & . MADELINE LEE TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 620 I..ITTLE AVE GRIDLEY � T CONTRACTOR'S NAME UNK`TO�I'l 1r Y� TELEPHONE CONTRACTOR'S MAILING ADDRESSlr Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ 1722r - ARCHITECT ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 2300 Penalty $ BUILDING ADDRESS 620 LITTLE AVE PERMIT FEE s 480.25 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF CA Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New ❑ Addition (J Remodel ❑ Utilities ❑ It)SLa1lti n ❑ „other ❑ uj Describe Work: CONY UNFIN TO RE AIR PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.CO SMOKE DAMAGE 111V OR LESS Main Service ( 200AORLES ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. OR ADDNS? ( D &EACCGBLOS. ) 3.5, F°' 11. 55 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 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. Classification O 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) I, 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-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS ) (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 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. aK I 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 $ 31.55 Contractor MECHANICAL PERMIT Filing Fee 20.OD Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 nty in c sequence of the gran g of this permit. / Date go Pian O nen ntractor ❑Agent n re of App(ructures An OSHA perms required for excavations over 5"0" deep and demolition or construction of s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46,00 c CONST rr TOTAL FEE $ 557.80" I HA — D. F IMP FLOOD "—" COF -- PARCEL PO XISSU§ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ,+ / �J PERMIT EXPIRES ON the applicable provisions Resolutions to do wodc been paid. 4;� ateWHITE-D.D.S.-B.D. rDe l ReceiptNo. 168993By CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY -OF �RUTTE BUILDING Di�VISION, '" Y DEPARTMENT OF DEVELOPMENT SERVICES. 1469 Humboldt Road, Chico, CA - (9,16) 891.-275,1:-'. T.Cou6ty Center Drive, Oroville, CA - (916) 538-7541`.` 74PEllliott Road, Paradise, CA - (916) 872-6307 : r fAm CORRECTION NOTICE ` .....ge ��/ 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 ave any questions pertaining to this matter, or need additional explanation, please contact t s office immediately. I dr , G Date Inspector o REV 10Z ✓ /� . . ! F`'n"�.w..�n'n�++i+d:�,�i.!(�5,,'ria'in'F'�'��`+``•°�,x6'sidd��8,`�dp�'.,aPP°�+"'-ti►�eT3x5ir'ii17..�,Mri"ii�w+,��.iz... ,,. -,_ ' COUNTYOF BUTTE - DEPARTMENTOFD._: LOPMENT SERVICES - BUILDING DIVISION Pl 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 r; PERMIT APPLICATION DATA SHEET -70 OWNER _ �' /AA?. No.0 c�--I - D_71 OY Proposed Building Use 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 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 . ................. R ... . 4. Engines"red plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... � 6. EnergyiDesign 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). .... 1 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... j 10. Fees of $ ` . ............. ... i 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees . ... ............ 13. Flood elevation letter (100 year floodl by `�I'fornia Engineer . .................. . 14. San)tation and plot plan approval ►'&V Health Department . ............ 15. City of% Chico plumbing permit ..... 3 .................................. 16. Plot plarn�and business license approva.l,from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: r (B) Parking: 18. Gonta6t,4Land Development. about (A)klmprovements (B) Drainage. .......... . 19. Driveway permit (construction approval'required prior to occupancy).SIP ...P��eo� reqs est 20. Pre -inspection for ,,.:rev.. required. . to Building Inspector (Date) 21. Contractor's license information. (No.,}Name Style, Classification) . .............. 22. Certificate of WorkmansiCompensation Insurance . ......................... i 23. Owner -Builder Verification (Given to owner . , Mail to owner ............ ._+.. 24. Recorded copy of Agricultural Acknowledgement Statement . ................. 71, 25. Letter of signature authorization. ` °` t 26. Copy of recorded deed of parcel creation and-60.4ght of way to a public road. .... . 27. Letter of intent on building use. .... �..:....... ":.........�(.................. 28. Mobilehome utility clearance . ..................I .....i:................. . 29. Documentation of legal access. f :................. . ..30. Documentation of 50% subdivision developed;or (A) Road improvements completed and (B) Parcel meets zoning area and frontage,_requirements. ...........:.: . 31. Existing violations/expired per its.. 32. Plan check list. . �:. . ..................................f" ti 33 34. When you issue the permit, process as follows: _ /r Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creatio"n"s Acreage Applicant Date % ** y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fite Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required d to by _ phone -mail Counter by _ Date /-Plans checked by �- Date Plans approved by e Date ` Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works !7� r Plot Plow Attached ' " - .3 •r • �,y �. Floor Pfaa Atmchod Seat to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 14, G 7 Owner j Location • - Plan Approved for:. Sewage, Disposal r/ Water Supply: Public Private Well Clearance for bedroom . mo ' home. Other �. .Hold .final for: ,r . Final clearance O.K. for: NOTE: do s Environmental Health Specialist Date Q/01) M15C:' , ir.4a1**4 1*4**,1,►,4,►###a*##*#,i*#*ai�i*,►,F�*�#*#�r*****,►*,1*####•*i**k#�#* INC # _ . .: FIRE.;'#.. � •.. , NAME TYPE "EPoRT. TIME 2 TART;.TIME CONTROL TIME .0::. ti't LOCATION: ry► fin! -Cr -BAT. CAUSE:. ENGINES CUP BCFD CO# OFFICER; AAMAGE: SO WT I DOZ CREW AA AT HC SAVED: OTHER EQUIP' MEDICS - LAND USE: ACRE/TYPE TOTAL OWNER/TENANT. i WRA MISC:: . i*###i►*i#1r+�*�,►#�#,i,i,►*a*#�*+�*it*#►*:#ir*###♦�#alr,iir�s4**#*�♦ •i,i�#.###,i **#*#*#a#r FIRE # NAME 'PO T::TIME - , START TIME �� ; ��• ,r "L cATIONj � ,� ;,- R C �� 5Ta: 3 ; - BAT. SE; EN . I P B O # FPI ER: - e DAMAGE: SO --WT, DOZ CREW AA AT HC C +! SAVEb: OTHER EQUIP, MEDICS A:. J N U E: ARE TYPE TOTAL WNEWENANT - WRA • O B.I E a• MISE.:. .,... t it*i�i►a♦**fir*i ###,F***###.#� **###**#####*irk#**#####*+#*it##A##***#;!**#,►#*#**##i►ir# r #I E # NAMEJQO rv, ' ART, T• IME . TR L•� .ti M tl , : r R T A: . 't 4, gAT:LCA_N. . EN D .t � bC #AU E.,V OFFICER. R. MAGE 002 CREW AA .,, AVEDy !.. ,r i t ,t,y L HE fP' r,'«� b•., MEDICS r Nb SE';'MF �. ACRE TYP tiF� y TOTAL WRA T . rwr � + ® � �:. '►.. i �lf ic,�.t r► Ler L.w � r �::'� •- 'Q; x �• B.I. .., , t .:ti .Yrk t ,y ( "Y fi �•tf�.�!t; �# r l C' .o, t .* "*r r.r 'r N • .. 1 S i:� �: ;}f • +� y.4X�'�"�``�v� i4j :..� Y { '", '' 1#` • , 1 5"�.�•�+, 1/ t . _ rr�a��:��'e �:�:f S•^7r er:�: " 1.F ,�r,,1k*� •.r,�. PAGE OF CDF / BCFD DAILY INCIDENT LOG R, ? WzbAft FROM 17800 SAT / /0- 2Q DAY/DATE TO 0800 ..AJC kE oZ. Ff NAME PE u RE RT.'TIME,, , TART TIME a CONTROL TIME' 99 0. STA. i L_ CATI N`, ix L/ '" ' D — ! p. BAT.3, . AUSE: __ �. ENGIN S: ' CDF. BCFD C^ # 7 OFFICER: Z/< DAMAGE S WT 7W6bz CREW AA AT HC. SAVED `` OTHER E UIP: MEDICS LAND E:ARE PE TOTAL W E. NANT WRA �) 0-7 B.I. T3 FIR' NAME TYPE '' ,{r '' "� REPORT..TIME ,;START TIME CONTROL TIME R.O: O 17 STA-, L CATION ` ,r BATS CAUSE:_- .• ENGINES: COP BCFD CO# OFFICER` - bAMAGE: - SO WT i r.. DOZ CREW' AA AT HC SAVEb ... _ OTHER EOUIN MEDICS LAND USE:.... ACRE/TYPE TOTAL . OWNWTENANT . WRA ?i 711.0 r7 M15C:' , ir.4a1**4 1*4**,1,►,4,►###a*##*#,i*#*ai�i*,►,F�*�#*#�r*****,►*,1*####•*i**k#�#* INC # _ . .: FIRE.;'#.. � •.. , NAME TYPE "EPoRT. TIME 2 TART;.TIME CONTROL TIME .0::. ti't LOCATION: ry► fin! -Cr -BAT. CAUSE:. ENGINES CUP BCFD CO# OFFICER; AAMAGE: SO WT I DOZ CREW AA AT HC SAVED: OTHER EQUIP' MEDICS - LAND USE: ACRE/TYPE TOTAL OWNER/TENANT. i WRA MISC:: . i*###i►*i#1r+�*�,►#�#,i,i,►*a*#�*+�*it*#►*:#ir*###♦�#alr,iir�s4**#*�♦ •i,i�#.###,i **#*#*#a#r FIRE # NAME 'PO T::TIME - , START TIME �� ; ��• ,r "L cATIONj � ,� ;,- R C �� 5Ta: 3 ; - BAT. SE; EN . I P B O # FPI ER: - e DAMAGE: SO --WT, DOZ CREW AA AT HC C +! SAVEb: OTHER EQUIP, MEDICS A:. J N U E: ARE TYPE TOTAL WNEWENANT - WRA • O B.I E a• MISE.:. .,... t it*i�i►a♦**fir*i ###,F***###.#� **###**#####*irk#**#####*+#*it##A##***#;!**#,►#*#**##i►ir# r #I E # NAMEJQO rv, ' ART, T• IME . TR L•� .ti M tl , : r R T A: . 't 4, gAT:LCA_N. . EN D .t � bC #AU E.,V OFFICER. R. MAGE 002 CREW AA .,, AVEDy !.. ,r i t ,t,y L HE fP' r,'«� b•., MEDICS r Nb SE';'MF �. ACRE TYP tiF� y TOTAL WRA T . rwr � + ® � �:. '►.. i �lf ic,�.t r► Ler L.w � r �::'� •- 'Q; x �• B.I. .., , t .:ti .Yrk t ,y ( "Y fi �•tf�.�!t; �# r l C' .o, t .* "*r r.r 'r N • .. 1 S i:� �: ;}f • +� y.4X�'�"�``�v� i4j :..� Y { '", '' 1#` • , 1 5"�.�•�+, 1/ t . _ rr�a��:��'e �:�:f S•^7r er:�: " 1.F ,�r,,1k*� •.r,�. i .EPT I F I LATE OF COMPLIANCE RESIDENTIAL Page 1 CF -1R Project Title.......... LEE HOME. Date........ 11/17/34 Project Address........ 620 LITTLE AVE GRIDLEY Documentation Author... WILLIAM H. FOX 1 Buildinq PdAit-# Company ................ .FOX COMPANY Telephone .............. (916) 533-2730 1 Plan Check / Date 1 Compliance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date 1 Climate Zone ........... 11 ------ -7-7 ---- - --•- 1 M I C:ROPAS4 v4.02 F i l e -LEE': '3'36 Wt h -QT Z 1 1 S'32 Program -FORM CF -1R 1 1 User#-MP1809 User -FOX COMPANY Run -LEE HOME 1 ------------------------------------------------------------------------------- GENERAL INFORMATION Conditioned Floor Area..... 2996 sf Building Type............... Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 180 deg S7 Number of Dwelling Units... 1 Number of Stories........... 1 Floor Construction Type.... Slab On Grade (Package D) BUILDING SHELL INSULATION Component Insulation Assembly Type R -value U -Value Location/Comments Wall R-19 0.065 Outside, Garage; Corner Wall Roof. R•-38 0.025 Attic Door � R-0 0.330 Solid Wood SlabEdge R-0, 0.720 To Outside SlabEdge R-0 0.900 To Outside SlabEdge R-0 0.500 To Garage SlabEdge R-0 0.550 To Garage FF_NESTRATION •------•------ '' # of Interior Over-- . Area U-_ Pan- Shading/ Exterior hang/ F•ramirg Orientation (sf) Value es Description Shading Fins Type Window` Front -(S ) 44.0 0.610 -2 - - Drapes.Std - None - - -- Nome Mal -- - Window Front (S) 24.0 0.820 2 Drapes.Std None Y sal Window Front (S) 12.0 0.610 '2 Drapes.Std Nene y S' ltal Window Front (S) 36. 0; 0. 820 2 Drapes.Std Nonen��le��1 Window Front (SW) '�2.0 10.8' 0 2 Drapes.Std Nene �J-•�ar M Window Right (SE) 22.0 0.820 2 Drapes.Std None 0 eXal 1. Window Back (NW) 16.5 0.820 2 Drapes.Std Nene ,� lane Window Back (NE) 16.5 0.820 2 Drapes.Std Nene �� ontal Window Left (W) 12.6 0.8'0 2 Drapes.Std Std None J ONc�na etal � Window Left (W) 13.5 0.610 2 Drapes.Std None 4 N Metal Window Bach; (N) 84.8 0.820 2 Drapes.Std None �� Metal Door Back: (N) 60.0 0.780 2 Drapes.Std Nome \\ Metal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -.1R Project Title.-......... LEE HOME ____-_------_-- Date -11/17/94 i M I CROPAS4 v4.02 File -LEE 2996 Wt h--C:T Z 1 1 S92 Program FORM CF --1R , User #-MP 180' User -FOX COMPANY Run-L.EE . HOME ------------- THERMAL MASS Area Thickness Type Exposed (sf:) (in) L� scat ion/Comments S1abOnGrade', Yes 755 3.5 Exposed S1 abOnGr ade N� Y 1339 3.5 Cover ed IntericrrHora Yes 103 1.0 Tile Floor, HVAC SYSTEMS -------------- Minimum Duct Duct Thermostat Equipment.Typp Efficiency Location R=value Type, Furnace 0.761 AFUE Attic R-4.2 Setback ACSp l it ..9.20 SEER Attic R-4.2 Setback WATER HEAT NG.SYSTEMS --------------------- Number Tan E:: External - in Energy; Size :1nsulation Tank Type Heater Type Distribution Type System Factor (gal) R -values - Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS r m CERTIFICATE OF COMPL_ I ANCE : • RF -S I DENT I AL Page 3 CF-IR- Project F•-1R-Project Title.......... LEE HOME Date ......... 11/17/94 M I CROPAS4 v4.02 F i l e•-LEE'2996 Wt h -CT Z 1 1992 Program -FORM CF -IR, f User #6 -•MP 1809 User -FOX COMPANY Run -LEE HOME COMPLIANCE STATEMENT This certificste'of compliance lists the building.features and performance specifications needed • to comply with Title -24, Parts 1 and *6 of the California Code,of Regulations, and the administrative regulations to implement them. This certificate has been signed by the:, individual with overall design responsibility. When this certificate of, compliance is submitted for a single building plan.to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section DESIGNER or OWNER. DOCUMENTATION AUTHOR Name.... _LARRY LEE Name.... WILLIAM H. FOX . Company. OWNER Company. FOX COMPANY Address. 620 LITTLE AVE Address. 3995 OLIVE HWY. GRI DLEY OF:OV I LL.E, CA. 95966. Phone. (916)846•-3799 Phone... (916) 533-2730. License. , Signed. ' __... _ Signed.. (date) edaf,'e) ENFORCEMENT AGENCY Name ---- Title... Agency.: ._._ Phone... a Signed.: (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R". Project Title.......... LEE HOME: Date........ 11/17/94 Project Address ........ 620 LITTLE AVE-----.----------------.-.-.-__�_- GRIDLEY _ _ _ Documentation Author... WILLIAM H. FOX !.Building Permit # ; COmnanv................ FOX COMPANY ' 11 Telephone .............. ( 916) 533-2730 Plan Check: / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. 1 Field Check/ Date Climate Zone........... 11 M I C:ROPAS4 v4.02 F ile-LEE'2996 Wt h -CT Z 1 1 S92 Program -FORM MF -1R User #-MP 1809 User -FOX COMPANY Run -LEE HOME Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements .listed on the Tert i f i:cate of Compliance. When this checklist is incorporated into, the permit documents,= the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforca-• er ment *150(a): Minimum R-19 ceiling insulation. ------ 150(b): Loose fill insulation manufacturers labeled R -Value. _ *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls) . *150(d): Minimum R-13 raised floor insulation in framed floors;, minimum R-8 in concrete raised floors. _ 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets C:EC quality ._. standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltraticn controls a. Doors and windows between conditioned -and unconditioned spaces designed to .limit air .leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all .joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 -and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC: quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control . No continuous burning gas pilots allowed. _ MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -11;11 Project Title.......... LEE HOME Date........ 11/17/94 M I C:ROPAS4 v4.02 F i .l a-L_EE. 996 Wt h -ice T Z 1 1 S92 Program -FORM MF -IR 1 User#-MP1809 User -FOX COMPANY Run -LEE HOME SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------- Design- Enforrce-• -er ment 110-13: HVAC: equipment, water heaters, showerheads and faucets certified by the CEO. 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.insul.ation blanket (R-1 or greater) or combined interior/exterior insulation (R -1E or greater). 2. First 5 feet of pipes closest to water heater tank:, non - recirculating systems, insulated (R•--4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instruc=tions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 3E inches pipe between filter and heater for future solar heating. b. r=over for outdoor pools or outdoor spa. 3. Posy]: system has directional inlets and"a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES Design- E.nforrce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and roams with water closets; and recessed ceiling fixtures IC (insulation cover) approved. C011PUTEE' METHOD SUMMARY On parade (PackageD) Page 1 C -2R Project Title.......... LEE HOME Date........ 11/17/94 Project Address ........ 620 LITTLE AVE ---------•-----------•--•--- s f 12.1 GR I DLEY _ � _ ; Documyntation Author... WILLIAM H. FOX Building Permit # Company ................ FOX COMPANYTelephone ........ 1 ... (916 ) 533-2730 1 Plan Check: / Date 1 Compliance Method...... MICROPAS4 by Enercomp, Inc. f Field Check/ Date Climate Zone. ........ 11 -•-•-•---- - ------ - - ---. - M I CROPAS4 v4.02 : File-LEE2996 Wt h -CT Z 1 1 S92 Program -F ORM C-' R User#--MP1809 ------------------------------------------------------------- User -FOX COMPANY Run -LEE HOME - M I CROPAS4 ENERGY USE SUMMARY = = Energy Use (kBtu/sf-•yr) ----------------------- Space Heating......... = Space Cooling ..... . Water Heating.......... Standard Design 14 i O9 11.'4 a-72 Proposed Design 14.79 P.66 8v72 Compliance _ Margin = -0.70 -. 1.58 0.00 = Total 34.05 .: 3.17 , 0.88 - - # Building complies with Computer Performance �## GENERAL. INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. ,Construction Type ..... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume........ . Footprint Area ............. Ground Floor Area .......... Slab-On-Grade'Area......... Glazing Percentage......... Average Ceiling Height..... 996 s f Single Family Detached New Front Facing 180 deg (S:) 1 1 ReducedYear Slab On parade (PackageD) 1 23968 c f 093 s f 2093 s •f 2093 s f 12.1 % of FA 8 ft C=OMPUTER METHOD SUMMARY Page 2 C:• --2R PrQjict Title....'...... LEE HOME Date......... 11/17/94 M I iy ROPAS4 04.02 File-LEE2996 Wt h. -C T Z 1 1 S9 ' Program -FORM is -'2R User #-•MP 1.809 User -FOX COMPANY Run -LEE HOME BUILDING -LONE INFORMATION F'1 oor # of Vent Special Area Volume Dwell C� end- Thermostat Height Vent ' Area -Lane Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 2996 23968 1.00 Yes Setback PERIMETER LOSSES .0 n/a Location/ -Comments ---------------- Outside Garage Outside Outside Outside Garage Corner Wall Corner Wall Corner Wall. Corner Wall Attic Solid Wood Solid Wood Length F2 Insul OPAQUE SURFACES Surface (ft) Area U- ---------------- Insul Act HOUSE_" Solar Form 3 Surface (sf) value Fr-•val Azm Tilt Gains Reference HOUSE To Outside 15 Sl abEdge 196 0.900 R--0 , No 1 Wall 236 0.065 R-19 180 90 Yes W.19.2X6.16 2 Wall 74 0.065 R-19 180 90 No W. 19 ,.::X6. 16 3 Wall 646 0.065 R--19 270 .90 Yes W.10.2X6.16 4 Wall 527 0.065 R-19 0 90 Yes W.19.2X6.16 5 Wall 228 0.065 R-19 90 90 Yes W.19.2X6.16 6 Wall 248 0.06.E R-19 90 91 No W.1q.VX6.16' 7 Wall 26 0.065 R-19 225 90 Yes W.19. :X6.16 8 Wall 26 0.065 R-19 135 90 Yes W.19.2X6.16' 9 Wall 20 0.065 R.-19 330 90 Yes W.19.2X6.16 10 Wall 20 0.065 R-19 30 90 Yes •W.19.2X6.16 11 Roof 2996 0.05 R-38 0 0 Yes R.38.' X4.24 12 Door 20 0.330 Fes'• --0 180 90 Yes None 13 Door 18 0.330 R-0 180 90 No Nene PERIMETER LOSSES .0 n/a Location/ -Comments ---------------- Outside Garage Outside Outside Outside Garage Corner Wall Corner Wall Corner Wall. Corner Wall Attic Solid Wood Solid Wood FENESTRATION SURFACES Length F2 Insul Solar Vent Surface (ft) Factor R-•val Gains Location/Comments HOUSE_" Area Pan- Frame Open U_ Act 14 S1abEdge 34 0.720 R-0 No To Outside 15 Sl abEdge 196 0.900 R--0 , No To Outside 16 S1 abEdge 34 0.500 R-0 N� � To Garage 17 S1 abEdge 8 0.550 R•--0 No To Garage FENESTRATION SURFACES # of Vent Sc SC: Interior Area Pan- Frame Open U_ Act Glass Int Shading/ Surface (sf) es Type Type value A m Tl t- Only Shade Description HOUSE 1 Window 22.0 2 Metal Fixed 0.610 180 90 0.88 0.78 Drapes.Std ._ Window 12.0 2 Metal Slider 0.820 180 90 0.88 0.78 Drapes.Std 3 Window 6.0 2 Metal Fixed 0.610 180 90 0.88 0.78 Drapes.Std 4 Window 6.0 2 Metal Fixed 0.610 180 90 0.88 0.78 Drapes.Std 5 Window 12.0 2 Metal Slider 0.820 180 90 0.88 0. 78 Drapes.Std 6 Window 22.0 2 Metal Fixed 0.610 180 90 0.88 0.78 Drapes.Std 7 Window, 12.0 2 Metal Slider 0.820 180 90 0.88 0.78 Drapes.Std COMPUTER METHOD , SUMMARY Page 3 C --2R ---------______ . _________.__----_---_---.________._------------_-•-----•--•--____-- ProJect Title ............ LEE HOME Date........ 1.1/17/,94 M I CROPAS4 v4.02 F" i .l e•-LEE2 3'36 Wt h-CTZ 1 1 S'92 Program -FORM C• --2F User #--MF' 180'3 User -FOX COMPANY Faun -LEE HOME FENESTRATION SURFACES SC SC Interior Glass Int Shading/' Tlt Only Shade Description 90-0.88 0. 78 Drapes.Std 90 0.88 0.78 Drapes.Std 90 0.88 0.78 Drapes.Std 90 0.88.0.78 Drapes.Std 90 0.88 0.78 Dr apes. Std 90 0.88 0.78 Drapes.Std 90 0.88 0.78 Drapes.Std -90 0.88 0. 78 Drapes.Std 90 0.88 0.78.Drapes.Std 90 0.88 0.78 Drapes.Std 90, 0.88 0.78 Drapes.Std 90 0.88 0.78 Drapes.Std 90 0.88.0.78 Drapes.Std 90 0. 88 0.78 Drapes. St.d 90 0.88 0.78 Drapes. Std 90 0.88 0.78 Drapes.Std 90 0.88 0.78 Dr apes: St d 90 0.880,.78 Drapes. Std 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS ------Window-- -------Overhang_.__-;_ _--Left Fin---- -•--Fight Fin ---- Area Left Fght Surface (sf) Fight Wdth Dpth Fight Ext Ext Ext DpthFight Ext Dpth Fight HOUSE , 2 Window. 12.0 4.5 2.67 6.0 0 n/a n/a n/a n/a n/a 'n/a n/a n/a 3 Window 6.0 6.0 1.0 6.0 0 n/a n/a- n/a n/a n/a n/a n/a n/a 4 Window 6.0 6.0 1.0 6.0 0 n/a n/a n/a n/a n/a n/a n/a- nra 5 Window 12.0 4.5 2.67 6.0 0 n/a n/a n/a n/a- n/a n/a n/a nra 22 Door 60.0 6.67 9.0 8.5 0 n/a n/a n/a n/a n/a 'n/a n/a nra THERMAL_ MASS Area Thick: Heat Conduct- Surface Mass Type ( s f ). (in) Cap i v i t y R-va 1•ue Location/Comments HOUSE 1 S1 abOnGr ade 755 3.5 28.0 0.98 R-0.0 Exposed S1abOnGrade 133'3 3.5 28.0 0.'38 R-2.0 '-7overed 3 I nt er i c: -r Hor z 103 1.0 24.0 0.67 R-0.0 Tile F1oor .# of Vent Ar ea Pan- Fr ame Open U-" Act Surface (sf) es: Type Type value Azm 8 Window 12.0 2 Metal Slider 0.820 180 '3 Window 12.0 y Metal Slider 0.820 180 10 Window 11.0 2 Metal Slider 0.820 225 11 Window 11.0 2 Metal Slider 0.820 225 12 Window 11.0 .•_ Meta]. Slider 0..8' 0 135 13 Window 11 .0, :'_ Metal Slider 0.8:0 135 14 Window 16.5 2 Metal Slider 0.820 330 15 Window 16.5 2 Metal Slider 0.820 36 16 Window 6. 3 2 Metal Slider 0.820 270 17 Window 4.5 2 Metal Fixed 0.510 270 18 Window 4.5 2 Metal Fixed 0.,610 270, 19 Window -4.5 2 Metal Fixed 0.610 270 20 Window 6. 3, 2 Metal Slider 0.820 270 21 Window 2:2.0 2 Metal Slider 0.820 0 22 Door 60.0 2 Metal Slider 0.780 0 23 Window 17.'5 2 Metal Slider 0.8'20 0 24 Window 6.3 2 Metal Slider 0.820 0• 25 Window 197.5 2 Metal Slider 0.820 0 26 Window 19.5 2 Metal Slider 0.820 0 SC SC Interior Glass Int Shading/' Tlt Only Shade Description 90-0.88 0. 78 Drapes.Std 90 0.88 0.78 Drapes.Std 90 0.88 0.78 Drapes.Std 90 0.88.0.78 Drapes.Std 90 0.88 0.78 Dr apes. Std 90 0.88 0.78 Drapes.Std 90 0.88 0.78 Drapes.Std -90 0.88 0. 78 Drapes.Std 90 0.88 0.78.Drapes.Std 90 0.88 0.78 Drapes.Std 90, 0.88 0.78 Drapes.Std 90 0.88 0.78 Drapes.Std 90 0.88.0.78 Drapes.Std 90 0. 88 0.78 Drapes. St.d 90 0.88 0.78 Drapes. Std 90 0.88 0.78 Drapes.Std 90 0.88 0.78 Dr apes: St d 90 0.880,.78 Drapes. Std 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS ------Window-- -------Overhang_.__-;_ _--Left Fin---- -•--Fight Fin ---- Area Left Fght Surface (sf) Fight Wdth Dpth Fight Ext Ext Ext DpthFight Ext Dpth Fight HOUSE , 2 Window. 12.0 4.5 2.67 6.0 0 n/a n/a n/a n/a n/a 'n/a n/a n/a 3 Window 6.0 6.0 1.0 6.0 0 n/a n/a- n/a n/a n/a n/a n/a n/a 4 Window 6.0 6.0 1.0 6.0 0 n/a n/a n/a n/a n/a n/a n/a- nra 5 Window 12.0 4.5 2.67 6.0 0 n/a n/a n/a n/a- n/a n/a n/a nra 22 Door 60.0 6.67 9.0 8.5 0 n/a n/a n/a n/a n/a 'n/a n/a nra THERMAL_ MASS Area Thick: Heat Conduct- Surface Mass Type ( s f ). (in) Cap i v i t y R-va 1•ue Location/Comments HOUSE 1 S1 abOnGr ade 755 3.5 28.0 0.98 R-0.0 Exposed S1abOnGrade 133'3 3.5 28.0 0.'38 R-2.0 '-7overed 3 I nt er i c: -r Hor z 103 1.0 24.0 0.67 R-0.0 Tile F1oor i OMPUTVR METHOI) SUMMARY Page 4 i_-2:;' ---------- 7 Project Title .......... LEE HOME Date........ 11/17/94 M I C R'OPAS4 Y4;02 File-LEE2996 Wt h •-C T Z 1 1 S92 Pr � gr ym--FORM C -2R User #-MP 180' User -FOX COMPANY Run -LEE HOME HVAC -SYSTEMS ------------- M in i mum Duct Duct Duct System Type Efficiency Locat ic,n R. -value Efficiency ------------ HOUSE Furnace 0.7E 1 AFUE Attic R-4.2 Me= 830 Ai= Sp .l it 9.20 SEER Attic R-4. 2 0.810 WATER HEATING SYSTEMS Number Tank: External J in Energy Sire Insulation Tangy; Type Heater Type . Distribution Type System Factor gal) R -value Water Heater to meet minimum CE(= Standards SPECIAL FEATURES/REMARKS ' 1 1 ^ , 1 x _^ F° ' . . HVPC SIZING � ' Page 1. HVAC ==================================================================== = == === project Title.......... LEE HOME ' ^ ^ Date...,,'... 11717/94' Project` Address........ 620 �LITTLE AVE ' --------------------` . GRIDLEY Documentation Author... WILLIAM H. FOX | Building Permit,# | Company................ FOX COMPANY Telephone ...^.......... (916) 533-2730 | Plan Check / Date | �| Compliance Method...... MICROPAS4 by Enercomp, Inc.' | Field Check/ Date k Climate Zone ---------_-. | `MICROPAS4 v4.02 'File-LEE2996 Wth-CTZ11§�92 Program -HVAC SIZING | | ' User#-MP1809 User -FOX COMPANY Run -LEE HOME | GENERAL INFORMATION Floor Area................. 2996 sf Volume..................... 23968 cf Front Orientation.......... Front Facing 180 deg (S) ` Sizing Location.....,...... 8RIDLEY ' Latitude ................... '39.5 degrees Winter Outside DesignW..... 30 F ' Winter Inside Design...,... 70 F ' Summer Outside Design..... 104 F Summer Inside Design....,.. 78F Summer Range............... 37 F ' . Interior Shading Lsed...... Yes Exterior Shading Used..!.;. No ' . ` Overhang Shading Used...... Yes , Latent Load Fraction....... ^ 0.30 ' . HEATING AND COOLING LOAD SUMMARY � - ' . . Heating . Cooling ^ . Description � . (Btuh) (Btuh) Opaque Conduction ' d Solar...... 17716' 604 Glazing Conduction............... 11256' 7316 ' ^ G1azing. Solar ..... ............... . .n/a .569 . Infiltratiob........... .,........ 13633 Internal Gain.................... n/a ^2550 ' Ducts..,........'........,..,.....' 4261 ' 2974 ' . � � Sensible Load.....~.........,.... . 46866 ~ 32711 ' . Latent Load........ n/a 13.............. 98 ^ ' Minimum Total Load 46866 . 42524 ' ' The loads shown are only one of. the . . criteria affecting the selection ,Note: of HVAC equipment. Other relevant design factors such as' air flow~ requirements, outdoor, design temperatures, coil sizing, availability of equipment,.oversizing safetymargin, etc., must also be considered. It is . the HVAC designer's r�esponsibil ity to consider All factors when_ selecting y the HVAC equipment. .. . ' . . . _ � , . . ° . . BUTTE:COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One FormTer Building) School District AL=a. ` Building Department No. A.P. Number co— (��% (�-� Jurisdiction 0 City. . County Property Owner: Property Location/Address I Subdivison ( Lot No. Residential Development Commercial/Industrial No. of Living Units MHI New (Floor Sq. Footage Addition (Group R) p, 0 Sq. Footage Addition (Including Exterior Roofed Areas) Date 6 eviewed by School District Personnel) D•'strict Identification No..; . �V), School District certifiesthatc5i 0 (Applicant) (Stree 'ddress) (Phone Number) (City) V (State) has complied with the requirements of Resolution No. representing' 30 square feet: School District Paid by Check Number . Bank Number Paid. by Cash If, subsequent to'the School District. Representative signing'this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this:project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) . Remarks: (Zip Code) ' by payment of $ ' //-'7 ? Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: LARRY & MADELINE LEE DATE: 11/9/94 A. P. # 021-070-105 With reference to -the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. - Plot plans, 3/4 sets, signed by preparer of plans. .Complete plans, 3/4 sets, -signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with'wet signature.on plans. Hazardous Material Form XX Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C.Buildings. Engineered truss details and'layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of S' yX,Impact fees paid. payable to Butte County Treasurer.' California DepartmePodqL stry plan approval/fees. Flood elevation letter (100'year flood) by California Engineer. Sanitation and plot plan approval OROVILLE Health Department. City of Chico plumbing permit. Plot plan and business license approval from.City of Biggs/Gridley. Planning approval for Land Development (a). Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle. Class) or exemption statement. Certificate of workmans Cc Yensation Insurance. Owner -Builder Verification Form. Recorded cry of Agr-cultural Acknowle;:geme:.t Jt3t?Tient . V Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to apublic road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or -(a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: THF WTNnnTWS�7TT�N+nTcA+wn oNT YnTTR�PTT..AINC �A+7R�F.(�(N�fnT -,T1FFTCTF.NT FnR F;RFCC OR FSR LIGHT AND VENYILA 19N ! 98E TWO BEDllOOP4S. Should you have any questions concerning the above, please contact LINDA SEXTON r:f this office. Y rs very tr ly, Mic.ael C. ieira, C.B.O. MCV:ahb Manger, Building Inspection COUNTY OF BUTTE-'DEPARTN ENT OF DEVELOPMENT SERVICES, BUELDING DIVISION 7 county Center Drive, Oroville CA 9s96s Phone: 916-538-7541. RE: LARRY & MADELINE LEE A.P. # 021-070-105 With reference to the above subject: , Attached is: Application for permit Building.Plans Engineered Calculations Owner -Builder Verification Fm DATE: 11/15/94 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on,plans. Hazardous Material Form y Energy Design Compliance. and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ 1 , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. —T$Sanitation and plot plan approval Health Department. -_City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle. .Class) or exemption statemenr_. Certificate of Workmans Ccm.pensaticn Insurance. Owner -Builder Verification Form. Recorded _cry of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red.' Other: SINCE YOU ARE ENLARGING YOUR WINDOWS PER CODE, YOUR CEC. COMPLIANCE FORM NEEDS TO RR REDONE_ PLERSE.TRT FnX Cn KNOW THE EXACT SIZE OF ALL OF YOUR WINDOWS SO THAT THEM CAN CORRECT ITS Should you have any questions concerning the above, please contact LINDA SEXTON of this office. MCV:ahb Y rs very tr ly, Mid.ael C. ieira, C.B.O. Man ger, Building Inspection �^ ... S,�3 s,; �y�. � •�,n,:. :ani:=7k`�'- 4,^.,G'1.:: ^•aes.�:•RPi... y,. :r—' j �u•_.i .. Lm�•....... ZSF_ .,.. n .;.. .. ..._. .. .. .. ... ..... .. . .. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) 4 School DistricBuilding Department No. v A.P. Number ( - �-i t� — �1` Jurisdiction City 0 County Property Owner 7-12 Property Location/Address i.._-: r Subdivison Lot No. Residential Development 0 ® Sq. Footage E)-f� C jr; t/ No. of Living.. MHI Addition (Group R) . Units iv l 1", C 'Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) j Bui ing Department kepresentativi Da e (Floor Plans reviewed by School District Personnel) District Identification No. Lj.�=��1?v7� :iGt School District certifies that (Applicant) (Street address),. (CRY) J has complied with the requirements of Resolution No. representing J 30 square feet. (Phone Number) (State) (Zip Code) by payment of $ . '{ 1 . School District Paid by Check Number Bank Number . Paid by,Cash Remarks: Date If, subsequent to the School District Rep resentative.signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.Al (4/92) . �I(fr n, elf` ^..,,.,y,y •DD'i 1dL� ?4i N q Ar,rr , � - ' Y 4 5 ILI 105:,.-30103.-90E', y .. _ �. ' LEE , `Larry s , � ;,• _ .. , .t f`e. 620 tittle 4enue,�,Gridley' t A.j i n iSD4 4d %44 �'ti (power4:pole/well '& fut lot dev) k ., ' • • .. ... . to .. - ', OFFIC COPY Address a _ GAS Meter Date ELECTRIC Meter By DatJ_4 COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS: 7 County Center Drive - Oroville.'California 95965 - Telephone: 916/538-7541 APPLICATI. 4AD PERMIT PERMIT NO. Aff1jb/l/'-lVI NUMBER ZONj',G� BUILDING PERMIT OWNER Lar O l •' n TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION F OWNER'S MAILI G ADDRESS 620 Little Avenue, Gridley 95948 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - p Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 620 Little Ave.,Gridley Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NQ. lfj SUBDIVISION NAME PARCEL MAP /n7- 1 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE ` SF ❑ Duplex❑ Mobilehome❑ Other well power pole 1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Buildingsewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Power Pole for WAIL & Lot Oeyelopttent _ i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS ioo AMP O 1 01 RSLESs200 1 10.00 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- 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 contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 1 2.50 2.50 oR ADDNSCONSTDWEACCLLIN GOCCUP &) S. 2'/2¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES L. 50t BA Loao FIXED APPLN Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00t- Misc. Wiring 1 15.00 15.00 Pre—InsRection _1T15.0d 15.00 Permit Fee $52.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrueMI► against said County in c nsequence of the granting of this permit. X 4111V 0- 1�9y Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 0 HAZ [�CHL EE PAR V1 D Issue,all I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR ZTOFYOF PUBLIC By r PER! 1._ EXPIRES Date' the applicable provi- resolutions to do have been paid. WORKS Date -31- 1�' / Receipt No. 70895// # 15.00 for pre—insp. 70896 WHITE-D.P.W., YELLOW-ASSE3. SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION "AND PERMITAT PERMIT NO. 03 D 46L15V/6AJV NUMBER ZONyQ.I= BUILDING PERMIT OWNER Larmpssagp TELEPHONE 846-5067 SO. FT. OCC, BUILDI VALUATION OWNER'S MAI LI G ADDRESS 69n Littlp Avenue, Gridley 95948 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 620 Little Ave. GridleV Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. Lf SUBDIVISION NAME PARCEL MAP 07— Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other well power pole SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Powpr Pole for Well & Lot Development _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0V OR L SLESS200 1 10.00 10.00 Main service EA. ADD'L 100 AMP a 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- 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.8i OR AODNS. ( ACC. BLDGS. f 2/20sgft CONSTR ULTI.OUTLET NEW NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@30 9AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Pre—Inspection 0 Permit Fee $92-90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g t 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 liabilities, judgments, costs, and expenses which may in any way accrue against aid County in nsequence of the granting of this permit. e7 10 (A- 19? 7"V X Date Signature of 441i.ant — Owner,& Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE TOTAL $ AL E HAz CUA PARK PAR PD D SV Th;s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DI R CTO PUBLIC By PER 1 EXPIRES Date the applicable pro v resolutions to toi- have been paid. WORKS Date 9,3 /_ /P- Receipt No. 70895// +.15.00 for pre—insp. 70896 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 0-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSO PARC--�-E77L NUMB[E'R �l_ (3_7 l lOJ ZONING A- BUILDING PERMIT OWNER J _ „ -�0G7 TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS &Z0 LLZW AtJC/ u.2 9S9 46 CONTRACTOR'S NAME �� ekpam TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 'Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F-1 Duplex❑ Mobilehome❑ Other W61 VMMAhA14e sPECI Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel EJ Utilities ❑ Instal lattiio�n❑o Other Describe work: �Lt�(1(i1 0,4 �07 1ZIW 1 la/T Gc�ucx°lO� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10200 Main service 100V DR LESS 100 OR OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2.ssb CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 J I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 70441 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code. for this reason OCCUP.&\ NEW CONST. / DWE.LLING OR ADDNS. ACC. BLDGS. / 1 y20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2ALG 30 9Lo Ex. Occup. OUTLETS FIXED P(RESIO )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 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 of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 1C.00 Heating Cooling 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep qad demolition or construct- ion of structures over 3Lsatories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCHL HAz CUA PARK FEo PAR Po Hor ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable �rovi- resolutions to do have been paid. WORKS Date // Receipt No. � 7U695� 0- $15� 095 b WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �„�...' � -, �,,�.. ✓Cyr'�I+y1'^�lI(MR �TT^�T"—'.'f'fj ��'f^/4��'•Y.^.`tiw`K.Tv�Y''i"'—.%d:iy._��... .`,Z..s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROWILLE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER LC(/I/h,� A. P. -No. 2/- 07- lUS Proposed Building UseT�U 006 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 . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer'of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer..of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome, installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ......................... 11. Chico Urban Area fees paid ...........: ......................... 12. Park fees paid .......... ............ ......................... 13. ` School 'District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ................... ..............:. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction) approval required prior to occupancy) Pre-Inspec. 20. ` t Pre -Inspection for 0/� � required request t Building Inspector (Dated 1. Contractor's license information (No., Name Style, Classifications . 22. Certificate of-Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ...... ................. . ...... . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. / f Telephone _ and hold -for pickup at office. Deliver w. /inspector. Other Applicant_ .Date�� Copy of Haz-Mat Torm sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Asa Contractor, designer, owner, was advised of above required data by—phone---Mai counter by ..date' I Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet_ AP folder COPY—DPW COUNTY OF BUTTE r'epaitment. 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) l4 signed an application for -'a building- permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 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 Contracto.rs.ticense.No... 5. I will provide some of the work but T have contracted (hired) the following persons to. provide the work'indicated: . Name Address Phone Type of Work Signed: Property Owner Social Security Number __��_, . Date NOTE:; This Owner-Builder.Verification is sent to you as required bq.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. •PRE—:INSPECTION OWNER: DATE g-28 -96 LOCATION: L tt& 1qT� [� A.P. # CONTRACTOR: ,r/Vi iii { ZONING P -S PRE—INSPECTION FOR: DATE TO INSPECTOR . 2 — 96 PERMIT HISTORY: NONE Ej AS FOLLOWS: TYPE OF OCCUPANCY FIELD — INFORMATION BUILDING USAGE: TENNANT :!t/C r OCCUPIED Q HAS ELECTRIC HAS�GAS AS SANITATION FACILITIES Q HEATED—COOLED E:l PERSON CONTACTED OTHER COMMENTS:. r ACTION COMMENDED: ISSUE E::] OTHER: HOLD ,FOR BY _ DATE 3 ' COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS:'"� BUILDING DIVISION COUNTY OF BUTTE - DEPAR44ki NT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 097—/-6-76-16-5 ZONING OWNER I �� PHONE NO. G OWNER'S ADDRESS I( LOCATION OF BUILDING sa_ qxa <SAM45 USE OF BUILDING .� SIZE OF STRUCTURE — X 5 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME ---)4, STEEL CONCRETE OTHER (Specify) TYPE OF SIDING v � c 0 ROOF C VERING. FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ Dc) © I -"-- AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:` r � FRONT :5-5'SIDES � REAR S AG Buildings shall be a minimum of five (5) feet from any septic tank or. leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division an j. obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and befog- �- occupancy. Date Z� �', °� q3 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No.14—svo FLOO PARC P.D. ROOFI G �/ ISSUES �/ Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 7 2 /f-3 ' -.,,,,,,.x,�,i,�,,yy�,,,,,,,.w,y.,,..,, ,•r+...,+a+,.awwcMa*t ''-COUNTYOF BUTTE - DEPARTMENTOF DEVOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE•,.ZAHF6RNIA95965 - TELEPHONE (916) 538-7541 _. PERMIT APPLICATION DATA SHEET OWNER A. P. No. 021- 610 ..,Proposed Building Use % Building Inspector Date At timeof per it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 . ...................... .4. 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). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ c .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees.................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval 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: -1, 18. Contact Land Development about (A) Improvements t%Z0,66 "ge. Cke � -rN 0 r 19,:'Driveway permit (construction approval required prior to occupancy)J._; /_4,: ..a.. st- 26 Pre -inspection for " `required.... o Bu Building i�speao � � Date) 21. Contractor's license information. (No., Name Style, Classificat'ior�. .............. 22. Certificate of Workmans Compensation Insurance . ......... . . . 23. Owner -Builder Verification (Given to owner , Mail to�gWn'er=!f .-.. ...`.�... �'' `` > 24. Recorded copy of Agricultural Acknowledgement Statement . .................. b 25. Letter of signature authorization . .................. f....•.. ;�,:�.. AT ra. (_ �� ✓ :. ' ' -� 26. Copy of recorded deed of;parcel creation and 60 right fwayqoa publiroad. .. .- L/ Z14 f IV 27. Letter of intent on building use . ................... ..��: Y,...(.af ....... . 28. Mobil,ehome utility clearance. ............ U S -r 29. Documentationrof legal access . ...................... 30. Documentation of -50% subdivision developed or (A) R6pd improvem6hrs d6nk0lded�°Cand (B) Parcel meets zoning area and frontage require, e ts. ��i 31. Existing violations/expired permits . ...............: �'............ . 32. Plan check list...............................�..,,%./. d :....°N , •'� ��, /f .��•9G� 33. When you issue the permit, process as follows: Mail to owner; f Mail to co"ritfaactor"' Telephone ;and hold for pi up ice, // offi�e�� ,Iwr--with. inspector. Other Parcel Creation Acreage - `, Applicant IA)ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution DaKe Copy of plans sent Health Dept. Fire Dept. Other Date` By 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by k Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS: V I, 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 - (9.16) 872-6307' CORRECTION NOTICE. a L L04 OWNER PERMIT NO: x A routine inspection indicates that the following violations of Butte County Ordinances exist at'^ the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need. additional explanation,' please contact this office immediately. ra Az t4 Date REV 1 "S Date REV 1 1. Ceiling Insulation 5. Infiltration (Air Leakage) Number of stones I 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 2 5 1 _ 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 35 -75 -29 -19 -9 2. Wall Insulation 10 30 -61 -21 Single- Single - 4 12 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 Uwalue 14 25 -46 -14 0:80 -153.- - -114., ... ::. -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 3. Raised Floor Insulation 1 6 11 Insulation in.Fioor -. 18 -26 -3 2 Number of stories 12 R -value One Two Three R-0 -17 -8 -5 R-11. -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 7 10 14 _.__0.60 , -i 44 -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 1 -1 Number of stories -1 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 i. Slab Edge Insulation 0.80 - -- 4iumber of Stones 3 R -value One Two Three R-0 0 0 0 R:5 A 5 2 R-7 8 6 3 F2 factor Effective SE or HSPF 8 5 4 '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 5. Infiltration (Air Leakage) System f SC Specification', SCORE CARD ,Points„ , East Stmldfdrd`' Skylight 18 0 1 4 1 na 16 4 2 6. Glass.Heat Loss 1 na 14 4 2 5 1 na 12 Total 3 5 2 U -value i Percent 3 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 =14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -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 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 3 0 5 10 16 19 -29 -4 1 6 11 16 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 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 r 17 20 8 2. 12 14 • 16- 18 20 7..Shading (Shade Open) Elrective Percent Glass (perceat Slant x SC) Effective System f SC Interior SCORE CARD Slab Floor Raised %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 6.5 6 9 10 12 13 16. Shading (Shade Closed) 6 9 11 13 Effective Percent Glass 14 7.5 6 (percent Qlaat x SC) 14 Effective 7 10 11 13 14 14 8.5 %Glass Nati . 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 nn 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 -8 -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 0 na - not allowed 9. Interior Thermal Mass System f SC Interior SCORE CARD Slab Floor Raised Floor SEER Mass 3 X Stories Stones a o (assvmei ducts I /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 r 72 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 -6 Exterior Single- Single - -5 -4 -4 Wall - . -2 Family Family Multi 0 Mass 0 Detached Attached Family 0.00 9 0 0 .0 4 0.20 9.0 3 2 1 . 9 . 0.40 5 5 4 3 19 16 0.60 10 8 6 4 26 0.80 15 10 8 5 12.0 1.00 26 22 13 10 7 9 1.20 33 . 13 12 8 15 1.40 2S% 12 13 9 40% 1.60 10 10 13 11 ........ 1.80 75% 10 12. 12 90% 200 -Stories 10 11 13 i 11. Heating System 0.6 One -5 -4 4 SE or HSPF -2 -2 Two + 3 (assumes ducts In attic) 2 2 1 3.4 Sum of 1-6 3.8 4 4.2 4.4 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15•.. 75 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 2700 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 11 9 7 0.95 8.71 20 18 15 13 11 8 4 -..HP-- Effective SE or HSPF 8 5 4 (SF.. nr HSPF x duct efficiency) 3 Effective -25 or -24 to -1410 -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 34 -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 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 POU Zonal Control Adjustment 1 System Type IE None -28 -19 Resistance 10 9 7 6 4 3 Other 8 5 6 5 4. , 3 2 2 12. Cooling System f SC Eff. % Glass SCORE CARD X SEER b. East 3 X = a o (assvmei ducts I In attic) CIA Point Scores Stir of 7-10 Ceiling Insulation c' or x -25 or -24 to 614 to 410 +6 to 16 or SEER less -15 f -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 =-12-0 15 13 11 9 7 5- 13.0 20 17 14 12 9 6 I % Total Glass [ 16] 7. Shading (Shade Open) Effedive SEER 1t. vvtec•.. a� % Glass (SEER xauct efficiency) SC Eff. % Glass Som of 7-10 a. North 51q a TYPE f• MASS'(urW 1. Effective -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 1 -5 +5 +15 more 5.0. -30 -25 -21 -17 -13 -9 6.0 -12 -11, -9 7 -6 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 11.0 26 23. 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 . 29 24 20 15 10 2S% Zonal Control Adjustment 35% 40% 45% 10 8 7 6 4 8 75% No Cooling System Installed 90% 95% -Stories OY. 0 0.2 0.4 0.6 One -5 -4 4 -3 -2 -2 Two + 3 3 :. 2 2 2 1 3.4 3.6 3.8 4 4.2 4.4 Single -Family lklached and Attached 5 5.3 L Unit Size (sQ 0.2 Water 0.6 099 i 1200 1700 2200 2700 Heater Credit or ) to to to or Type Type less :1699 2199 2699 more SG None 0 ` i' 0. 0.. 0 0 or Solar 12 `r 8 6 5 4 -..HP-- -HWR 8 5 4 3 3 24 WSB 5 3 3 2 2 3.1 POU 8 _ 5 4 3 •3 SE None -37 -24 -18 -15 -12 0.7 Solar -1 -1 -1 0 0 2 HWR -18 -12 -9 -7 -6 32 WSB - -25 -16 -12 -10' -8 4.5 POU u 18 __-12 -9 -.7, -6 IG None -_5 -3 -2 -2 -2 1.5 Solar 7' 5 4 3 2 2.8 POU .3- 2 1 1 1 IE None -28 -19 -14 -11 -9 5.3 -Solar 8 5 4 3 3 1.1 POU -10 -6 -5 -4 -3 23 Multi -Family (individual units) 32 3.4 3.6 Unit Size (so 4 Water 4,4 699 700 1200 1700 2200 Heater Credit or b to to a Type Type less 1199 1699 2199 more SG None '0 0 • 0 0 0, or Solar 14 7 5 4 3 HP 5.1 '9 5 3 7 7 6.2 MR MR 9 4 3 2 2 1.9 POU 9 5 3 2 2 SE None -45 -23 -15 -11 9 4.4 Solar 2 1 1 0 0 5.6 HWR -23 -12 :`-8 -6 •.:'-5= 1.3 WSB -25 -13 -8 •-6 - -5 2.6 -PQU _23 -12 -8:._.-6 3.4 . _ IG None . -8 4 -9 -2 _.-5. -2 - Solar 6 3 2 1 / 1 _. POU , 1 0 0 0 IE None . ,_0 30 -15 -10 -8 7-6-` 3.3 Solar '18 9 6 4 4 _. POU -8 4 -3 -2 .. .2 Point System Summary: Climate Zone 11 SC Eff. % Glass SCORE CARD X b. East 3 X = a o 1 Interior Mass/CFA CIA Point Scores L. Ceiling Insulation c' or x = -' 9.. Interior Thermal Mass R -value 1381 U -value [0.030] Interior Mass/CFA COND. FLOOR 2. Wall Insulation , or TYPE ,'S AREA = Exterior Wall Mass R-valuez [I I) U -value [0.0981 7 X 3. Raised Floor Insulation "'r or Effective SE or e HSPF 10.5615. 151 R-value,[191 x U -value [0.037] Zonal Control? ( Y / N) 4. Slab Edge Insulation - or =8 __ Type [SG) Credit [none] R -value [0] 4 4 F2 factor [0.771 5. Infiltration I TIPS 2 PASS 0 6. Glass Heat Loss 6 L_ /7-/ .. Type [double] -• U -value 10.651 % Total Glass [ 16] 7. Shading (Shade Open) 1t. vvtec•.. a� % Glass SC Eff. % Glass a. North 51q a TYPE f• MASS'(urW 1. �, !e- ex sed slab) b. East .3 X (...petal .l.b) X d. West . $ x , •.�- x 8. Shading (Shade Closed) ,, r 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% • 60% 'Wk 70% 75% 80% 85% 90% 95% 100% 105% 110Y. 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 2.1 23 25 2.7 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 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 ' 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 28 2.8 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 4171. 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 1.5 1.7 1.9 21 23 25 21 3 32 3.4 3.6 3.B 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 2.6 28 3 9.2 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 2.3 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 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 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 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 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 BOY. 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 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7- 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 64 5.6 5.9 6.1 63 65 67 WY.'" 1.5 1.7 2 2.2 24 28 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% 1.8 1.8 2 22 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S S.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 '4.6 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 ' 6.1 7 105%- 1.8 2 22 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 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.8 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 3.6. 3.8 4.1 4.3 4.5 4.7 4.9 S.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 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 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 11 SC Eff. % Glass SCORE CARD X b. East 3 X = a o Measures /t? % X CIA Point Scores L. Ceiling Insulation c' or x = -' 9.. Interior Thermal Mass R -value 1381 U -value [0.030] Interior Mass/CFA COND. FLOOR 2. Wall Insulation , or TYPE ,'S AREA = Exterior Wall Mass R-valuez [I I) U -value [0.0981 7 X 3. Raised Floor Insulation "'r or Effective SE or e HSPF 10.5615. 151 R-value,[191 x U -value [0.037] Zonal Control? ( Y / N) 4. Slab Edge Insulation -�-- or =8 __ Type [SG) Credit [none] R -value [0] 4 4 F2 factor [0.771 5. Infiltration Standard 0 6. Glass Heat Loss 6 L_ /7-/ Type [double] U -value 10.651 % Total Glass [ 16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 51q X • .7 %" = 44. t L -r3-- b. East .3 X c. South X d. West . $ x e. Skylight -A- x 8. Shading (Shade Closed) Sum 1�-6 Point Total. Sum 7-10 % Glass SC Eff. % Glass a. North X b. East 3 X = a o C. .. South /t? % X CIA d. West x e. Skylight x = 9.. Interior Thermal Mass TYPE 1 MASS AREA =$ Interior Mass/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE ,'S AREA = Exterior Wall Mass 145 . Lubil 11. Heating System 7 X Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0 72/6 6) HSPF 10.5615. 151 X12. Cooling System x Zonal Control? ( Y / N) SEER [9.5] y . Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating- __ Type [SG) Credit [none] 4 4 Sum 1�-6 Point Total. Sum 7-10 Certificate of Compliance: Residential, Climate Zone 11 k j12� a& Project Tltl (1 a0 �.t f�(L-!'� /L �a-11,� Buil ' P it# Project Address ld` a Checked By/ Date Documentation Author Telephone Fnforc rnent Agency Use Only BUILDING DATA Conditioned Floor Area�� "7 Slab/Raised Floor 3LA� [ Single Family Detached (SFD) [) Single Family Attached (SFA) [ ] Multi -Family (MF) Number of Stories a Number of -Units / [ ] Addition Alone [ J Existing Building [ ] . Existing -Plus -Addition BUILDING SHELL INSULATION- Glass Area % Glass North East R -Value (!e, Iia garage, r2isal. etc.) $_ South Q7G ..� West9/ ° 813 .8 Skylight 450 - -- Total —qsq.-Y— /7 / BUILDING SHELL INSULATION- Component Insulation Locatiann/Commenits Type R -Value (!e, Iia garage, r2isal. etc.) Wall .............. . Wall .............. North Roof ............. it o_ Roof ............. _ Floor ............. -- Floor ............. -- Slab Edge..... --�- GLAZING ShadingDevices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (dollar blind, etc.) (shadescreen. etc.) (yes/no) (metal/wood) North Shu-!� I /A►Ifar%� � East East South South West West ( ) $ Skylight....... �- THERMAL MASS { Type/Covering Area Thickness (stab/exposed, tile, etc.) 00 (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location • Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SE�EyR,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) r / �" mil'/G S• % 8�/ tG Maximum Fumace Heating Output: 7Jc Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) $97b4✓.diC& P��S SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential - MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be supowded by more stringent compliance roquirnments listed on the Cutifiate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance spe6ficatioru for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRJP ION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. 52.5352(b): Loose fill insulation manufactura's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352ft Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/inch. §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: Infiltrabon/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weaderstripped; all joints and penetrations caulked and sealed §2.5352(e): Special infiltration barrier installed to comply with 02.5351 moots CEC quality standards §2-5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: L Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calnilations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition deviees. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R.12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon I): Pipe insulation on steam and steam condensate return & recirculating piping. §2.531R(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures ' §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, Geezer ars and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists sir. building features and performance spedfications needed to comply with Title 24, Chapter 2-53 and Title 20. (ilaptcr2. Subchapter 4. Article I 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 purdiaser of the building. Designer t Name: TWCJFumr Address: Tekphonc: L.ic. 8: i (signamm-) (date) Documentation Author Name: ' TitWFum: !' Building Owner Name: TitkJFim►: Address: Telephone: (signature) (date) Enforcement Agency - NAY= Agency: Tekpho= h I f � i f . h i ., l . ! r P . �. k Fx Y. i Y VE 1 , « # Y b a � , 1 i f x AI t `T' .... it ! 620 i Ir x e � J r A V a 5 f M Y ` � _ i d d I /"1 i : - } 4 , w ➢ 9dal' k � i I x >� a Q i p r � ! EY C ,r d k 1 P d Y x ! p x n :L. .. .. �. - ,. ""M1 ;. "fMIWIYIrMMW ad o -.IF �sw.,. ,, f },yy .1 +, r PREPARED t w Hcarvis C �,, t? f Q . I 1 � i .t'1. _ M'h 1 "6 . t xw v +. P..f . .,. S-1 ti