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021-131-041
021-131-041 :-�7�'�E -11AG. STE VEN D "& JUDITH r 1222 L. v SOAK RD., GRIDLEY ? 'AGRICiTI I'IJRAL EXEMPT PERMIT "STORE HAY & FEED, " �r o i i 021-131-041 :-�7�'�E -11AG. STE VEN D "& JUDITH r 1222 L. v SOAK RD., GRIDLEY ? 'AGRICiTI I'IJRAL EXEMPT PERMIT "STORE HAY & FEED, " �r o i r c RESIDENTIAL 21-131-41 2'960-9,OB , P, E, M DALKEY, Mike` 1222 Lewis `Oak Rd, Gridley: (new S/F) Right Way Construction J� OFFICE COPY Address GAS DateF; —5 s j Meter By ELECTRIC i Meter By �i Date— — J OFFICE COPY F Address 1P GAS ------ Date----- Meter e { ELELECTR Dat I Meter By — — JOB FINALED (Da — Signature v=Ok O`= -Not OK ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch F 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 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)OK 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-Beams-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 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- Pane Iboa rds-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 NO=V RESIDENTIAL (Single & Duplex) Date U DERFLOOR (Plans) OK except #'s Zoning -Setbacks -Easements- ood-Slope 2. Ftg., Main; Soils-Elec. -/ 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 ` b; Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit K except #'s 6. Water Htr.; Vent -Access -Combustion Air -Baffle tiY7. Water Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection 19 �twer Pan Test First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 1!Gas Pipe; Size & Anchors Date " Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s & Transformer Clearance -Ins. Protection & Switches at Doors Size Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No t,elo-Service-Riser Conductors & Ground -Main Disconnect V,6-1. Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light hVinoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s A.C. Ducts Insulation & Support 5. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade f Furnance-vent; Access -Comb. Air -Return Air Vent -115 outlet tic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FR NG (Plans) OK except #'s 9. Sils, Proper Material & Anchors 0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ii42" Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub _ V aders & Beam -Size & Bearing Date FRAMING (Continued) . i4V Hanoers-Post Caos-Anchors-Connectors Joist-Rftr. ties-Purlin-roof Brac- eplace Ties or Type A Flue -Fireplace Throat clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Fra L/51. Property Line Firewall & Openings �S7 Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. (ywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer eftncco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 4r Walls; Nailing -Bolts 1,_sensulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 &W Date Card B-1 Date FIN L Plans OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 6 Smoke Detector 6rnaca; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting L!fG.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels ^� Rails C 68,fireolace or Stove; Clearances -Hearth ,. @ . Elec. Outlets at Wood Panel; Int. & Ext. !,,;;;�Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71XIec, Outlets & Receptacles at Kit. Counter ge Fire Door; Swing -Landing -Closer C. Duct in Garage -Damper V_lr4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76 Elec. Receptacles in Garage; (G.F.I.)-Rome rotection 77. In lation-Foam-Looked in Attic Xvyes 78. G Rails & Deck Construction -Post Caps Fdn. Vents.& Crawl Hole Door -Drainage & Wood -Earth Clea ce Looked under Floor 0 Yes 80. lowing instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; 1 Planters 0 Yes 0 No co; Rrd"wn-Finish jv 11 �eq 8 Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Well; Disconnect, Electrical, Plumbing 85 error Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Gds Protection i . Corrections from Previous Inspections 89. 90. er & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Dat Card B-1 Date,;,./and B-1 Date -q ICard B-1 Dat Card B-1 Date /1 Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Owner: �! f ��� Permit No..' 46— 2��& O LOCATION ENERGY C ERT I F ICAT ION •r A. P. No. I hereby certify that the above insulation was installed in the above buildlpg in conformance with the State of California Energy Requirements, LOEIW S11-ilTION G)., INC. p /OWNER - Y • SI TUR F INSTALLATION APPLICATOR 499I50 STATE CONTRACTORS LICENSE NO, -2 .;2 DATE I hereby certify the above insulation and all required items as shown on the Building -Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. -,/=� IP /OWNER (Please print) STATE CONTRACTORS LICENSE 110. 01— add. -2 S!fGftkVff OF GENE CONTRACTOR OWNER DATE THIS CERTIFICATE ryMUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL' APPROVAL AND A COPY SHALL BE P.', INSPECTION APP POSTED WITHIN THE BUILDING .� January 1984 ,; A DESCRIPTION .0F INSULATION Material Brand Name Thickness(inches) Thermal Resistance (R Value)_ EXTERIOR WALL Material Fiberglass Batts Brand Name Owens -C ni Thickness(inches) / " Thermal Resistance(R Value) / CEILING Batt or Blanket Typei/3p2Gs5 Brand Name Thickness(inches) _ /Y'r Thermal Resistance(R Value)_3 8 Loose Fill Type Minimm, Thicknea$(Inci l �!" Brand Name 0WPns-C r{� Number of Bags ZY Wt. ninn per bag `3j lb. Area covered(ft.1l) ��/ Thermal Resistance(R Value) it 3 S FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal Resistance(R Value)__._____ FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value)._ Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above buildlpg in conformance with the State of California Energy Requirements, LOEIW S11-ilTION G)., INC. p /OWNER - Y • SI TUR F INSTALLATION APPLICATOR 499I50 STATE CONTRACTORS LICENSE NO, -2 .;2 DATE I hereby certify the above insulation and all required items as shown on the Building -Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. -,/=� IP /OWNER (Please print) STATE CONTRACTORS LICENSE 110. 01— add. -2 S!fGftkVff OF GENE CONTRACTOR OWNER DATE THIS CERTIFICATE ryMUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL' APPROVAL AND A COPY SHALL BE P.', INSPECTION APP POSTED WITHIN THE BUILDING .� January 1984 ,; A I 1 J I 1 I 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 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 you If completed. have an p y y question pertaining to this matter, or need additional xplanation, please contact this office immediately. � ti Date lnspecto7rql�'t:�=PPA -�.-...-N-r-.. «�V�,.t%•.._-�c:�.,.`f"�"'^..,�"w""'iC:f+='�`Y1'-�^P..�•••ati`.-�L-K:r„-'i��,er�.r-c'a. !-:.3+i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico —Phone:_ 891-2751., i 7 County Center Drive, Oroville — Phone: 538-7541' pt 747 Elliott Road, Paradise — Phone: 872-6307 i CORRECTION NOTICE pb -A v OWNER PERMIT NO. i" 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 z, matter, or need additional explanation, please contact this office immediately. ' •1 Date I, ( v , of / Inspector 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 5� CORRECTION NOTICE 1 OWN R —PERMIT NO. o �► b Gds u� l°l S A routine inspec n indicates that the o lowing violations o County Or finance exist at the above address and should be corrected. Please notify this office when correction of work is com leted. If you have any question pertaining to this matter, or need additional nation, ple se contact`thi fficg,i m telt'. ., _ o M /�; �'7ZJ. ill° t—�'cJ AIL •,D A), ht -j— Date C -V/ v" % Ins'Pbctcff I'v C_ 1'3-1 JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi�lle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 7PR IT NO i ASSESSOR PARCEL NUMBER ZONING 21-1 _ BUILDING PERMIT OWNER TELEPRONE _ DATXF 11 SQ. FT. OCC. OCC. BUILDING VALUATION � / 6LTZ0n N ADDRESS /O••�G. CON R . .UP ion 1846-919R TELEPHONE Ob V COCO rfT R A CT 'S M NG DDR ESS 422 1 9594R Fireplace 1,000 CON E UC I N LEND R-idley UNKNOWN Total Valuation $NON 4 7 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ g$ 379.00 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 189.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap i nj 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 EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New E� Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4 Bedroom _ Permit Fee $ 50-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 V OR LE AMP ORSLESS 10.00 10.00 Main service EA. AOD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code anI_d my license is in f force and effect. License No. �U�'S��S 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 OR ADDNST ( DWEACCLBLDGSCCU. 21/22sgft NEW CONSTR. ULTI-OUTLE NON•RESID BRANCH CIRC ITS 2.50 ea 2-11 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@506 aALO 30 FIXED PR EX. Occup. OUTLETS IRESID IEA.1 2.00 Temporary service 10.00 1 ----- Mobile Home Facilities 15.00 Misc. 1lyirin g 15.00 Permit Fee $ Contractor �'j• 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. MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 dual Pac lin Cooling 3 ton 6.00 Hood 3.00 1 3.00 Ventilation 2 3.00 6.00 permit Fee $ 31.00 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 accrue again said County in consequence of the granting of this permit. X » ` Date �!� �d4- Signature of Applicant - Owner ❑ Oontractor Cg Agent ❑ An OSHA permit is required for excavations over 5'0' hep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 O CONSTTYP TOTAL FEE $ PZcuA J.all PACK scH FLD PAR PD D Issu This permit is nereby issued under the applicable pr vi- sions oi the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE OR LIC WORKS By Date (� ` PERMIT EXPIRES Date /`• /Y �/ Receipt No. 70862 /Z 23�7v - �y /T WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT Fr! E ►, ) ��� r COUNTY OF BUTTE - DEPARTMENT"OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -.TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Ao- Permit No. OWNER ,/ <C f A. P .N — Proposed Building Use F Building Inspector Date a �D 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) `x-18 -9 0 06L Mobilehome installation data including manufacturer's installation instructions....... �,L ..... ''II..,�.;.;..��,XS_ 10 Fees of $!.. C%` ..(div o V Chico Urban Area ees paid ....................................... 2. Park fe § paidl.�.................:'......................... S 7ol Distri t fees paid .............. l 4. Sanitation approval from I Q 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: ...... 41 8. Improvements may be required. Contact Land Development Section DPW 9 Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... t4. Recorded copy of Agricultural Acknowledgment Statement .. Letter of signature authorization ................................... 26. 27. lfy� When ou issue the er It, roce s s follows: Mail owner. _ Telephoned and hold for pickup at office. Mail to contractor. _Deliver w. /inspector. Date g Q) +q V Copy of Haz-Mat Torm sent - Health Dept. Fire Dept. Air Pollution Date Copy of planssent ___Health Dept. Fire Dept. Other Date By" The following data must be submitted prior to perjnit is nce: (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 ✓hone--nall_counter by aj -date 9' 27-96 Contractor, designer, owner, was advised of above required data by—phone _mall—counter b7` date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM:. Encroachment Permit -Section RE: Driveway Clearance owner 4 ,�7iZ. �r2Gl/i�5 CG - location AP # Driveway. permit:- has been issued for the above property. si ature date j 0'7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Califgrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT. PERMIT NO. Aseo�l PAFtCE ` LIM E ` (/3 ZONIN BUILDING PERMIT OWNS ` \C T EPHON S0. FT. OCC. BUILDING VALUATION OWN17 R'S MAILING ADDRESS � � � ^�� T t Y ` CON A L OR'S NA ELEPHONE L CO R T R'S MAILING ODRESS /1 tAr V1 I/� /vn f Fireplace ttr� ©© CO 5 R CTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1 ,OQ LENDER'S MAILING ADDRESS Permit Fee $ 11 lot) AR9HIJrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 1 D ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �S L R � Permit fee $ ' PLUMBING PERMIT FiiingFee 10.00 Each Trap 2.00 Q Q r ' Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL AP Water piping 5.00 O Each qas water heater or vent 5.00 E4 a USE OF STRUCTURE SIX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New K Addition ❑ Remodel ❑ Utilit, s Installation❑ Other ❑ Describe work: Permit Fee $ �� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 j C7 Main service EA. ADD'L 100 AMP OR ACDNS. `ACC. SLOGS. NEW CONST. / CWE.LLING OCCUP.4.50_ea 2.50 yzQsgft CONTRACTORS LICENSE LAW I declare under enalt of er ur p y p I y (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 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 CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zo a soa .ALO 30 FIXED Ex. Occup. OUT LETS ( R RESID IEAJ 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 10.00 Heating a Cooling _ �` (� Hood 3.00 VentilationI-T001Q Permit Fee $ Q 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 Countyotp 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 and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �o occ CONST TYPE Q TOTAL FEE $ (J t HA2 I CUA PARK I SCHL FLD I PAR PD I HD IssuE Th;s permit is nereby 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 provi- resolutions to do have been paid. WORKS Date Receipt No. = am= WHITE-D.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT NO. GENERAL ACKNOWLEDGMENT . 9 Q '.3 5.�1, State of Cali forni a c-AlCounty of l Butte OFFICIAL SEAL SHARON E. ZUNINO NOTARY PUBLIC . CALIFORNIA BUTTE COUNTY &y Comm. Wires June 18, 1993 On this the 12 t fay of _ SS. Sharon E September 19-9 0, before me, Zunino the undersigned Notary Public, personally appeared Michael Dalke ❑ personally known to me proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) i S subscribed to the within instrument, and acknowledged that h e executed it. WITNESS my hand and official seal. — Notary's Signature t ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to another document. TitleorTypeof Document Agrt6ultural Statement of Acknowledgemen THIS CERTIFICATE For Residential Dey p e nt MUST BE ATTACHED Number of Pages 1 Date of Document y - - y TO THE DOCUMENT J u l a i n e R. D a l k e DESCRIBED AT RIGHT: Signer(s) Other Than Named Above 7120 019 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave. • P.O. Box 7184 • Canoga Park, CA 91304-7184 90-3935.x. "o n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT i FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.--- : 90-039351 ; R e c F e e The property described herein is adjacent < 7.00 to land or included within an area zoned Check for agricultural purposes, and residents ' Recorded ; of this ro ert • ma be sub •ect to incon- I Of f i c i a 1 Records County of veniences or discomfort arising from the ! ; .�..:' use of agricultural chemicals, including,Butte- `•` but but not limited to herbicides, pesticides, !,Candace J. Grubbs.,"; and fertilizers; and from the pursuit Recorder ; ti of agricultural operations including, 8:14am," 13 -Sep -90 ; VS_ 2 but not limited to cultivation, plowing, - ___ i spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odo'r." Butte;County has established agricul- tural zones which have as a priority use for productive,agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'that real :property: situate in the County of Butte, State of California, described as follows: 7-A "9'-r- 17;- Ir- DoT �a� �2i�/C� Co�o,�y .moo- 9 /45 IDES �� 6e� i�J 72.,47- &5-W;�/-J YtiE "Sim Goa J7T% o,J iy �� /986 uvo�R be2ifYC. J A -O, 8%-.z33ao7 f;.vc.Q 14,6,ee65o2�s -� ,cam, U2l—/3/-C7z//-000, d Date: 9'l2 6 y ,w State of Calif . ) "a ) SS. County of Butte ) PROPERTY OWNERS: 7. � /I-- , On this the 12th day of September 19 90 , before me, the undersigned Notary Public, personally appeared Julaine R. Dalke F] Personally known to me. ® Proved to me on the basis r„ of satisfactory evidence. to be the person(s) whose name(s) �t subscribed to the within instrument and acknowledged that she OFFICIAL SEAL executed the same for the purposes therein contained. IN WITNESS SHARON E.ZUNINO WHEREOF, I hereunto set my hand and official seal. ® NOTARY PUBLIC _ CALIFORNIA BUTTE COUNTY IF Wry Comm. Expires June 18.1993 1 Present A.P. No. _ Notar lic '�'r�ct +rnr•y:z I n.c.{rrr+ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number —6/ % Building Department No. �~ —r— School.�District Cit [7] County Jurisdiction Property Owner �- Project-ILocation/Address Subdivision Lot Number Residential Development: a E] Sq•. Footage # of L•ving MHI Addition (Group R) „ter" ~ Units Commercial/Industrial: a Sq. Footage " New Addition (Including Exterior Roofed Areas) y Buildi . b'epartment Representative Date 'r Y(Floor Plans reviewed by School District Personnel) District' Id No. v`4 -a, ` School District certifies that } 6f?' a it �Sc. (Applicant Name) (Phone Number) 0 a Al: (Street'Address) G (City (State) r'` (Zip Code) has complied with the requirements of Resolution No. by the payment of representing - square feet. Scho,61 District Representative f PAID BY CHECK NO.. / BANK NO PAID BY CASH Date white -applicant, yellow -building department, pink -school district SCHOOL . FEE (8/88) ,. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F.,"DUPLEX & MISC. ONLY) Bldg. Permit # 90 OWNER i%%/A A . P . # A F 7--W7- GENERAL -Zoning requirements: (sideyards and number of permitted living units). Valuation. . Plans signed by designer. Energy Design and Compliance. Existing violations on,property.. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage... Flood hazard. Special conditions on creation map or compliance document. FRU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8).. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. !r' Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 6. Garage firewall, door size, and closer (Sec. 503(d)(3)). t- 1 - 3'0" exterior exit door (Sec. 3304(e)). e Fireplace and wood stove location, alcoves, and clearance. 3: Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. -Z." Floor construction details complete enough to construct building. -3--'-'Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. a Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711& 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) /' Exterior plaster - weep screeds (Sec. 4706). fes. Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. ;_ Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Seca 3205). . derfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. 'Noise requirements on duplexes. adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size, or split level house requiring lateral design. lashing at all exterior openings. �L s cur 21-1 COUNTY OF BUTTE, -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone: 916.538-7541 PSR IT NO. APPLICATION AND PERMIT 2ON I 4 SO. FT. BUILDING PERMIT OCC.I BUILDING VALUATION C ONSTRU I N L ND R Fireplace 1 000 UNKNOWN LEND R'S Total Valuation $ MAILING ADDRESS Filing Fee ECT OR ENGINEER LICENSE Permit Fee 10.00 a 379.00 NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee 1$9.50 $ BUILDING ADDRESS Penalty 15.00 $. Permit fee $ 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap JQ 200 LOT NO. SUBDIVISION NAME Solar or heat pump water heater 20.00 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets SF❑( Duplex[] Mobilehome[] Other Building sewer 5.00 t SPECIFY 5.00 TYPE OF WORK Mobile Home S G W O.00e New d Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee Describe work: 4 Bedroom $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR L100 AMP ORSLESS 10.00 10.00 CONTRACTORS LICENSE LAW Main service EA. ADD'L too AMP a F50 I declare under penalty oPerjury p yf p i y (check one): NEW CONST. DWELLING S0 OR ADDNS. (ACC. BLDG. y2QS�ft �j /LJ�J I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code NEW CONSTR. ULTI.UUT LET WN NO N•R ESID B ANCH CIRC ITS OWER 2.50 ea and my license is in f I force and effect. License No. � 42�,S'S_ Classification APPARATUS e� ( SINGLE OUTLET U - ❑ I, Ex. Occup(OUTLETS OR FIXTURES 20 230 eALO 30 as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is FIXED APPLNS, OR Ex. Occup. ourLErs IRESID-) Eq,� 'Z,QQ not intended or offered for sale. (Sec. 7044) Temporary service 10.00 ----- ❑ 1, as the owner, am exclusively contracting 'with—licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I am exempt under Sec. , Business and Professions Code Misc. Wiring 1 5.00 for this reason Permit Fee S WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): The MECHANICAL PERMIT Filing Fee 10.00 permit is for $100.00 (valuation) or less. Heating 6.00 (yl 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 become Cooling 3 ton 6.00 Hood 3.00 3.00 as to 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 Ventilation Permit Fee 3.00 6.00 comply with such provisions or this permit shall be deemed revoked. ; 31.00 Contractor 1 certify that I have read this application and state that the above information is correct. I agree, to comply to all County Mobile Home Installation Fee S Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte Energy Inspection Fee $ 30.00 to enter upon the above-mentioned property for inspection purposes. O CONST P I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, TOTAL FEE $ and expenses which may in any way accrue again said County in consequence of the granting of this permit. HAZ CUA PARK SCH FSO -- PAR PD 'HD Issue X Date �� —��—� This permit is nereby issued under the applicable provi- Signature of Applicant — Owner❑ ntroctor Agent ❑ sions of the Butte County Code and/or resolutions to do work indicated above for An OSHA permit is required for excavations over 5'0 eep and demolition Or construct. ion of structures over 3 stories in height. which fees have been paid. DIRECTOR OF PUBLIC WORKS By Receipt No. 708620 WNITC-D.P.W., YELLOW- ASSESSOR, PINX•INSPECTOR. GOLDENPOO-APPLICANT Date PER!.�IT EXPIRES Date 12 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT � M/ / NO. 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. _ ,y ZONING % nnab OWNER t� iJe �U �L! • �UD l f"%1 �.. �G' PHONE NO. -H- X30 - 8 i 4o — GAJ—S3d - I -S OWNER'S ADDRESS /oR a a k,e c c's LOCATION OF BUILDING _ oLi USE OF BUILDING Flh" 6pt-- /�c SIZE OF STRUCTURE a 3 . , xa %O$ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME — STEEL CONCRETE OTHER (Specify) TYPE OF SIDING r/11i R F CQER�INQ EST DATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: I - -I FRONT �"^^^^� SIDES 2 0 , sem✓ REAR � ® 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 and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. ud�J r� Date �/ p?�/ �U Signature of Owner '�cwJ Permit Fee - $60.00 The above described AG Building is exemp from a b 'ding permit. FL PAR L I P.D I WING I ISSU Receipt No. S& &� Manager Building Division By Date l Z ®a White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 1. Ceiling Insulation •t 3 -1 0.80 Number of stories ! 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 40 -90 -37 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. O.C6 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -52 -17 -9 Single- Single - 13 26 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -4 2 8 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 17 -23 -1 3 3. Raised Floor Insulation 12 17 Insulation in Floor 0 4 9 Number of stories 17 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 12 -9 6 0.60 -144 -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 0 0.30 275 Number of stories -38 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 .2 -2 R-19 .-1 -2 -2 4. Slab Edge Insulation 0.70 6.42 17 15 13 11 9 Number of Stories 0.80 7.33 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 •t 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) . Specification Points Stud 0 6. Glass Heat Loss Total -69 -59 -50 34 -55 -46 na na na -29 -26 -23 U -value East Percent West Skylight .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 5 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 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) . Effective Percent Glass (Percent Slant x SC) Effective -69 -59 -50 34 -55 -46 na na na -29 -26 -23 %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 13 14 7.5 6 10 11 .13 a3. Shading (Shade Closed) Effective Pei c t Glass of Perm Qlaat x SC) Effete - %Gless NoM 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 3 5 -2 4 -1 3 0 2 1 1 1 0 2 na . not aik"ad . Ead South West Skylight .18 -42 -35 -69 -59 -50 34 -55 -46 na na na -29 -26 -23 -40 -36 31 37 -33 -29 na na -74 -20 -17 -14 -27 -23 -19 -25 -21.. -18. '-65 -56 -47 -11 -9 . -6 -15 -11 -8 -14 -10 -7 -38 -30 -23 4 i -5 -2 4 -1 AA -9:.. 1 3 1 4 1 3 -4• 0 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Stories Stories 1700 lCFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4. 5 5 2.0 -1 2 4 5 6 7 25 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 -3 Wall Family Family Mutts Mass DeladW Atmched Family 0.00 0 0 0 5 0.20 3 2 1 16 14 12 0.40 5 4 3 10.0 0.60 8 6 4 7 0.80 10 8 5 12 1.00 13 10 7 18 1.20 13 12 8 33 29 24 1.40 12 13 9 1.60 10 13 11 1700 1.80 10 12 12 3 200 10 11 13 or 11. Heating System TYPO less 1198 SE or SSPF 2199, mors (assumes duets to aldc) None 0 Sum of 1.6 0 0" -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 7.79 13 11 10 8 7 5 .0.85 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 1S 15 13 11 8 45 Effective SE or HSPF -15 -11 $ +#'9�oi (SE or HSPF x duct efficiency) Solar Effective -25 or -24 to -14 In -4 to +610 16 or SE HSPF less -15 5 +5 +15 more 0 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37, 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 - .7. 6 4 3 Other 6 5 4 3 2 2 E 12. Cooling Systim i Unit Size (sQ SEER ;1239 12M 1700 2200 (assumes ducts In attic) or � to Shin of 7-10 to . or Type Type -25 or -24 to 04 to -4 b +6 to 16 or SEER less -15 i 5 +5 +15 more 8.0 -14 -12 -10 3 -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 7 Etfeadve SEER WSB -25 (SEER xduct of idency) -12 -10 Som of 7-10 POU_ Effective-25or -24 to -14 to 4 to +6 to 16 or SEER loss -15 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 Zonal Control Adjustment 700 1200 1700 10 8 7 6 4 3 10 No Cooiing System Installed or TYPO Stories One -5 -4 -4 . -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA I Type 2 RMS 'I.7.u2MCa4.21 - ♦ T"E1 SS WIMC a exposed slab) (carpeted slab) )U 4.2, le: _!' 0% 5% 10% 15% 20% 2S% 30% 3S% 40% 4S% 50% 5S% 60% 619a 70% 75%. 80%SS% 90% 95% 100% 105% 110Y. 11S% 120% 125` 0% 0 0.2 0.4 01 0.8 1.1 1.3 1.S 1.7 1.9 2.1 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 1.6 1.9 21 2.3 2.5 2.1 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 3.7 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 1.6 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 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 4.1 4.9 5.1 5.3 5.5 S.7 5.9 50Y. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5:5 5.7 5.9 6:1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 S.6 5.8 6 6.2 60Y. 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 63 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 3.6 4 4.3 4.S 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 7OY. 1.2 1.4 1.6 1.9 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.S 1.7 1.9 21 23 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 80%. 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 S 5.2 54 5.6 5.9 6.1 6.3 6S 67 BOY. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 2.5' ' 27 2.9 3.1 3 3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 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 6.1 7 105% 1.6 2 2.2 2.4 2.6 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 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 5.5 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 5.1 5.3 5.S 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 61 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.6 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. SCORE CARD Measures 1. Ceiling Insulation 6L7 30 or R -value [381 U -value 10.0301. 2. Wall Insulation R ( I or R -value [ I t ] U -value [0.098] I 3. Raised Floor Insulation or, R-value[19] U -value [0.037] 4. Slab Edge Insulation or R -value [01 F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss �• 5� T- [d ble] U -value [0 651 % Total Glass 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North a. / , x 7 Z = /. A b. East -5 Y x c. South 7. x = • 3 d. West , x = d? e. Skylight_ x C 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North �l x .� _ -i• 37 b. Easter x = c. South f • x d. West $ x = (• e. Skylight a x = =� * 9. Interior Thermal Mass TYPE 1 MASS AREA "..'COND. FLOOR AREA i Interior Mass/CFA.10. Exterior Wall Mass TYPE 2 MASS AREA = % ' Exterior Wall Mass ND. FLOOR AREA 11. Heating System x Zonal Control?( Y / N) SE or HSPF Duct Efficiency [0.78] ' Effective E or r 'N [0 7116 6 H$PF Io.Sfdi 151 Point Scores _ -21 D Sum 15 1�2,'Copling System r��, � x Zonil Control? ( Y / N) SEER [9.5] Duct Efficiency [0.741 Effective SEER [7.03] 13: Water Heating Type [SG] Credit [nonel Unit Size (sQ Water ;1239 12M 1700 2200 2700 Heater Gredit or � to to to . or Type Type les:; .1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2. 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar . -1 -1 -1 0 0 HWR -18 -12 9 7 -6 WSB -25 -16 -12 -10 -8 POU_ -IS -12 -9 , -7 -6 IG None -5 -3 .2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi-Famlly (Individual units) unit Size (so Water 699 700 1200 1700 2200 Heater Credit or 10 to to or TYPO TYPO less 1198 1699 2199, mors .SG None 0 0 0 0" or Solar 14 7 5 4 ,"-0 31,1 HP HWR 9 5 3 2 2 1 WSB 9 4 3 2 2 POU 9 5 3 2r" 2 SE None 45 -23. -15 -11 $ +#'9�oi Solar 2 1 1 0 0 HWR -23 -12 .8 -6'. .5 WSB -25 -13 -8 -6 .5 --eQU _-23 -12-$_. ..-6 .5 .' Nnne 8 ; -3 72 -2 ,!G Solar 6, 3 2. 1 1 POU 1 _0 0- 0 0 IE None. 30 -15 -10 -8 -6 Solar 18 9' fi 4 4 POU . -8 . -4 -3 -2 . .-2 Interior Mass/CFA I Type 2 RMS 'I.7.u2MCa4.21 - ♦ T"E1 SS WIMC a exposed slab) (carpeted slab) )U 4.2, le: _!' 0% 5% 10% 15% 20% 2S% 30% 3S% 40% 4S% 50% 5S% 60% 619a 70% 75%. 80%SS% 90% 95% 100% 105% 110Y. 11S% 120% 125` 0% 0 0.2 0.4 01 0.8 1.1 1.3 1.S 1.7 1.9 2.1 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 1.6 1.9 21 2.3 2.5 2.1 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 3.7 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 1.6 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 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 4.1 4.9 5.1 5.3 5.5 S.7 5.9 50Y. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5:5 5.7 5.9 6:1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 S.6 5.8 6 6.2 60Y. 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 63 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 3.6 4 4.3 4.S 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 7OY. 1.2 1.4 1.6 1.9 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.S 1.7 1.9 21 23 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 80%. 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 S 5.2 54 5.6 5.9 6.1 6.3 6S 67 BOY. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 2.5' ' 27 2.9 3.1 3 3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 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 6.1 7 105% 1.6 2 2.2 2.4 2.6 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 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 5.5 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 5.1 5.3 5.S 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.8 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 61 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.6 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. SCORE CARD Measures 1. Ceiling Insulation 6L7 30 or R -value [381 U -value 10.0301. 2. Wall Insulation R ( I or R -value [ I t ] U -value [0.098] I 3. Raised Floor Insulation or, R-value[19] U -value [0.037] 4. Slab Edge Insulation or R -value [01 F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss �• 5� T- [d ble] U -value [0 651 % Total Glass 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North a. / , x 7 Z = /. A b. East -5 Y x c. South 7. x = • 3 d. West , x = d? e. Skylight_ x C 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North �l x .� _ -i• 37 b. Easter x = c. South f • x d. West $ x = (• e. Skylight a x = =� * 9. Interior Thermal Mass TYPE 1 MASS AREA "..'COND. FLOOR AREA i Interior Mass/CFA.10. Exterior Wall Mass TYPE 2 MASS AREA = % ' Exterior Wall Mass ND. FLOOR AREA 11. Heating System x Zonal Control?( Y / N) SE or HSPF Duct Efficiency [0.78] ' Effective E or r 'N [0 7116 6 H$PF Io.Sfdi 151 Point Scores _ -21 D Sum 15 1�2,'Copling System r��, � x Zonil Control? ( Y / N) SEER [9.5] Duct Efficiency [0.741 Effective SEER [7.03] 13: Water Heating Type [SG] Credit [nonel Certificate of Compliance: Residential Climate Zone 11 Project Tide a�tGD -90 /2wo Building Permit N Project Address / / J /' J6 q- a (, :� �!I !S �/,� �LL V r ! �f l Che iced By � Dano Documentation Author Telephone Fltforoanmt Agency Use Only BUILDING DATA North Gea %Glass �i Piu�na oned FloorArea 6� �3 Number of Stories East l65 sed Floor Number of Units [ South V 3.Sgle Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight og [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total a2%S BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, tvpiral. etc.) Wall .............. Wall ............. Roof ............. Roof ............. _ Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (St) (single, double) (Tolls blind, etc.) (Bhadescreen, etc) (yesmo) (metaltwood) North ( ) UW North ( ) East East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, cite, etc.) (sl) (inches) Location/Description (kitchen, bath etc.) 'F_'n HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) Duct —R -Value Output (Btuh) 5qq01 Maximum Furnace Heating Output: HOT WATER SYSTEMS Tank S 4, -- ` SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Manufacturer / Model # Mandatory Measures Checklist: Residential MF -1R NOTE. Lowrise residential buildings subject to the standards must contain these measuuaregatdkst of the: compliance approach used. Ivens marked with an asterisk (•) may be superseded by mare stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the perm's 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. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures '62-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fin insulation manufacturer's labeled R -Value. *§2-5352(c): Minimum wall insulation in framed walls R-1 I weighted avenge (does not apply b exterior mass walls). §2-5352(k): Slab edge insulation - water absorption tate no greater than 0.3%. 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(p: Vapor barriers mandatory in Clinute Zones 14 and 16 only. §2.5317: InfiltrationlEafiltntion Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathersripped: all joints and penetrations caulked and sealed 12-5352(c): Special infdtntion burin installed to comply with 62.5351 mats CEC quality standards. 12.5352(d): Installation of Fueplaces 1. Masonry and factory -built fueplaces have a. Tight filling• closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measure §2-5352(8) and 2.5303: Space conditioning equipment sizing: attach taku4dorm 02-5352(h) and 2-5315: Setback thentnostat on all applicable heating systems. • §2-5316(a): Ducts consuucted. installed and insulated per Chapter 10. 1976 UMC. §2-5316(br Exhaust systems have damper controls. 12-5314(c): Gat -fired space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters, showcrheadt and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiodemcrier insulation (R-16 or greater): fust 5 feet ol pipes closest to tank insulated (R-3 or grata). §2.5312(Exception 1): Pipe insulation on steam and steam condensate retum At recirculating piping. §2-5318(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. rmeclock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(j): Lighting - 25 lumenstwat or greater for general lighting in kitchens and bathmomL §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT Tihis certificate of compliance lists the budding featuttis and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptcr2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purcimser of the building. Designer i Name rttkJFtrrra Address: Tekpiwne i Lie (signature) (date) 1 Documentation Author } Name: i 't�itkJFurn: i Address: Building Owner Nance rrtWFnn: Address: Telephone (signature) Enforcement Agency Name: Meaney: Teter_ (date)