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RACZY'NSKI,.,VI Rc
JM'LEWIs OAK, GRIDLEY.
mi
�new singlefa 1 y,/
021-13 -042" 02-1
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MARTIN, LARR
_ky
LLEWIS
E
212
I L Wl OAK RD., GIRI
SCREENED ROOM
0
NOTES RESIDENTIAL
'PERMIT N
0. 02171
MARTIN, LARRY -
1212 LEWIS OAK RD., GRIDLEY1
-SCREENED R06M J,�
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (D
Signature
./ = Ol�
O=NotOK
Not Applicable MOBILE HOMES
Not Ready..
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/0 -Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ - /Amp-Concrele
6. Gas; Location -Test -Wrap;-/ L It.
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 Ws
1. Zoning Requirements -Setbacks- Easements
2. Footings; Soi Is- Size- Depth -Spacing -Con necto rs- Steel
3. Decks; Girders and/or Joists- Decki ng- Braci ng -S tairs- Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con necto rs
P Nat. or / /"L"ft./ PLPG
7.
Well Clearance& Disconnect
8.
Utility Clearance
6.
Carports; Windows -Doors
Dale
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except It's
1 .
Zoning Requirements -Setbacks- Easements
2.
Footings; S ize- 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 -Con nector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Onlv: License Decal
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 Ws
1. Zoning Requirements -Setbacks- Easements
2. Footings; Soi Is- Size- Depth -Spacing -Con necto rs- Steel
3. Decks; Girders and/or Joists- Decki ng- Braci ng -S tairs- Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con necto rs
Shthg.-Frg-Bracing
5.
Alum. Awn.; Col umns-Connect ions- S plice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except It's
1.
Setbacks- Easements
2.
Soils; Compaction-Struclure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance -GF]
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entrie s-Termi nals- Listed
7.
Elec.; Bonding; Metal W/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Pane lboards- Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cit. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = No, OK
- = NotApplicable
* = Not Ready
Date
RESIDENTIAL
Date
23.
Underfloor (Plans) OK except #'s
Cling. Joist-Rttr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rfng.
1
. Zo ning- Setbacks- Ease ments- Flood -Slope
49.
2.
Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
3.
Ftg., Garage; Soils- Steel- E lec. Grnd.-/ /" Ftg. Depth
52.
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
55.
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
Siding -Nailing Veneer
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Shear Walls; Nailing -Bolts
8.
Piers -Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
Infiltration -Walls -Windows
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors- Reg ulato r -Service Test
Date
12.
Electric Underground
Date
13.
Plenums & Ducts; Clearance -Material -Support- Ins.
Date
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
66.
15.
Access & Ventilation
G.F.I. & Bath Fixtures & Tub Access -Spa
16.
Insulation
69.
37.
Condensate Drain & Overflow, Size & Grade
Date
38.
Card B-1 Date Card B-1
Date
39.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Date
18.
Water Pipe; Test & Anchor -Nail Protection
Date
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Date
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
42.
Bearing Walls over Girders & Floor Nailing
Date
43.
Card B-1 Date Card B-1
Date
44.
Card B-1 Date Card B-1
Date
Date
ELECTRICAL (Permit) OK except #'s
46.
23.
Fixture & Transformer Clearance -Ins. Protection
Cling. Joist-Rttr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rfng.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
49.
25.
Size Boxes & No. of Conductors Stapled
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
26.
Romex Installed Close to Edge of Studs & C.J.
52.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
55.
29.
Subieed Wire Size / ga. Cu or Al-A.C. Wire Size / / ga Cu or A]
Siding -Nailing Veneer
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
58.
31.
Service -Riser Conductors & Ground Main Disconnect
Shear Walls; Nailing -Bolts
32.
Equip. Clearances Panels-Molors-Mech. Equip.
61.
33.
Clothes Closet Light -Shower Light -Spa Light
Infiltration -Walls -Windows
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Date
Date
Card B-1 Date Card B-1
Date
Ext. Steps -Door & Sidelight Protection- Landings
Card B-1 Date Card B-1
Date
65.
MECHANICAL (Permit) OK except #'s
66.
35.
A.C. Ducts Insulation & Support
G.F.I. & Bath Fixtures & Tub Access -Spa
36.
Vent Fan, Exhaust above insulation
69.
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces- Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
oingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom- Rise- R un-Landing-Fi re Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Undert1r. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection- Landings
64.
Smoke Detector
65.
Furnace Vents -clearance- Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70. Fireplace or Stove, Clearance- Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73. Elec. Outlets & Receptacles at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance- Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79. Insulation- Foam -Looked in Attic
80. Guard Rails & Deck Construction- Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Insild./Drive :1 Yes :1 No/Walks :1 Yes :1 No/Planters :I Yes :3 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle- U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date --------
-Card
B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(�ev. 12/96) APPLICATION AND PERMIT
AAESSOR PARCEL NUMBER
021-131-042
ZONING
BUILDINGPERMIT
OWNER
MARTIN, LARRY
TELEPHONE
846-2777
SQ. FT. OCC. BUILDING VALUATION
38 SCREET I RM
9,600
OWNERS MAILING ADDRESS
1212 LEWIS OAKI
CONTRACTORS NAME
OWNM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
9600
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
117.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
/6.05
BUILDINGADDRESS
CA 9 5 4
1212 TT_,!,..ITS (j -:V, I(D.. Gj-- DT T I; s
Energy Plan Checking Fee $
$
PERMIT FEE $
213.0
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF IN Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other E3
Describe Work: SCEREENTED IS0011 24 "K 16
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@?20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service "oA o0RR .ss
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in, full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
1, as owner of the property, or my employeeswith wagesastheir sole compensation,
V L8,W f the following reason:
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
. reason WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
) enisation, as provided for by section 3700 of the Labor Code, for the
comp
Performance of the work for which this permit is issued.
,ave and will maintain workers' compensation insurance, as required by Section
0 1 h
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
3.50so.
FT.
NEW CONST. MULTI -OUTLET
NC.-RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
& NGLE OUrLET CIA.
Ex. Occup. OUTUEr OR FIXTURES
j 20 @ 1.00
BAL @ .50
..MED A - OF'
Ex. Occup. W(RM.J EIL
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Policy Number
on e hundred dollars ($100) or less.)
* 7le above sections need not be completed if the permit is for work of a valuation
10cfertify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worKers' compenA*on provisions of section 3700 of the Labor Code, I __11
fo ith complyWo those provi0ris. —
CW�
eli2l-a�,�� DJt, 6,11-3102,
re of Ican't: pf 6;vneF LJ �IUIIUCIULUI LJ Agent
t r
I OAnSHAp;el it is required for excavations over 60" deep and demolition or construction
of structur over 3 stories in h
'pight.
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST .. TYPE
TOTALFEE$ 213.05
DFE
[
EOCC
HA Es IMP I FLOOD COF PARCEL PD HD
.
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated ab9ye for which fees have been
B� Date
PERMIT EXPIRES ON
I I (bite)
provisions
to do work
paid.
6-li-41144Z.,
ReceiptNo. .� 0
WHITE-D.D.S.-B.O. I CANAFIY-ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
V4
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
1_�r I
OWNER: ASSESSOR PARCEL NUMBER 13
Date: 3
Proposed Building Use:, Counter Technician:
Items required in order to apply for a permit. All boxes NWST be checked OR marked NA in order to apply.
Plot plans, 3 or 4 sets, signed by the preparer of the plans.
;��2-. Complete plans, 3 or 4 sets, signed by the p'reparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on ?lans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Energy compliance design and supporting documentation in duplicate.
06. Manufactured homes: (A) Data sheefs�and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) T ie- down or
foundation plans, all in duplicate. so
07.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been re�eived, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received. "
Date Received By
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings .........................................................
0 j 1. Detached Accessory Building Form filled out by the owner .....................................
0 12. Hazardous Material Form ...............................................................................
0 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 14. Fees as shown on the attached Schedule of Fees Due Sheet ........................................
0 15. Statement of Intent for Non -heated and A/C Buildings ............................................. Ak
16. Sanitation and plot plan approval from the Environmental Health Department in
0 17. City of Chico Plumbing permit .........................................................................
0 18. California Department of Forestry plan approval 0 paid. Sent -by: ......................
0 19. Planning approval for (A) Use: B)Parking: (C) Parcel Check:
0 20. Contact Land Development about 0 Improvements, 0 Drainage ...............................
0 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 22. Pre-InspQction for required ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number ....... ...... .......
El 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization .............
.......................................................
' 0 27. Recorded copy of Agricultural Acknowledgment Statement .....................................
0 28. Manufactured home utility clearance ...............................................................
0 29. Existing violations and/or expired permits ................................. : .......................
0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 31. Other: -1 ( /",(! ID 'y
When issued Telephone -7-7/ " - and hold for pickup.
I have been inform of the abo tems and requirements for obtaining a building permit.
OPcan. ,-,,(e 3 7,-
t.
1. Index ppermit appli tion for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by 0 phone, ..0 mail, 0 counter, by Date: I
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, El co t �by Date:
Plans reviewed by: Date: Plans approved by- _Date:/�,/J/# 77 L -f
Structural reviewed by: Date: Structural approved b�: Da0c�
Note transfer by: Date:
Yellow: Building Division
TO: - Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
.44 9 ONLY
Plot Plan Artachad
Roar Rao A choil
Sent t* G.D. -,9
uv�
Owner Location AP#
Plan Approved for: Sewage Disposa Water Supply- ubl Private Well
Clearance for dwelling. Other/ lo x 2 � ; tnj n P�, A �0 P &L �
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental HealtW Specialist
8/96
Date
ONVNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your siguture.
Please complete and return this information at your earliest opportunity to avoid unne.cesmy d&y
in processing and issuing your building permit. No building permit will be issued until this
cation is received.
personally plan to provide the *or labor and materials for construction of the proposed
property improvement: YFES NO 0
I HAVE M-' FLAVE NOT 13 signed an application for a building permit for the proposed WO&
3. 1 have contracted with the following person (firm) to provide the proposed construction:
\ NAME:
DRESS:
CITY:
PH 7E- CONTRACTOR'S LICENSE NO.
4. 1 p an to vide portions of this work, but I have hired the following person
s W s p I(
upervise, and vide the ma or work:
NAME:
ADDRESS:
P H 0 NNE:
CON77-kCT-OR'S LICENSE NO.
will provide some of the W*ork_�,��fiave con-t-r�ed (hired) the following persons to provide
the work indicated:
NAME -,��DRESS PHO��� TYPE OF WORK
SIGNED: . -,4'� --.-
P R 0 P E RTYOWNE R:
/
SOCIALS, URITYNUMBE
DATE:
NOTE: This Owner -Builder Veriji-cation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be vompkted and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFORMATION I
Dear Properry 0—.,e.-:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being pert-ormed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license Erom the city or county. They are also required by law to put their license number on all permits for which they
apply. If you plan to do your own work, with the exception of various trades that you plan to subconn-act, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate fhn-ffly. and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
If you are an employer, you must register with the State and Federal Govenunents as an employer and you are
subject to several obligations including'state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
+ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
+ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing, to be contractors is to secure an "owner builder" building
permit� erroneously implying that the property owner is providing his or her ' own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N, Street� Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
0
I rely,
Mic el C. Vidira, C.B.O.
Spec,
+Ntge'rC,Zutildiiin�g CInspection
NOTE.- This Owner -Builder Information is required by Section 19830 ofthe California Health andSafery Code -
OVER
MAXIMUM
PROJECTION
EXIST. RESIDENCE
OPTIONAL B012R LOI
LIVE LOAD MAX. PROJECTION
10 psf 21'-4'
20 psf 17'-0'
30 psf 14'-0'
MaRl (30' x 74' MIN.)
(361 x 80' MAX.)
POST SHALL NOT OCCUR
IN FRONT OF DOM
M - - f F5' fl� A
NOTE, OVERHANG VARIESI `%�AW-NIMG -SG-PM3FF El S
TO 24' MAXIMUM _VARY TO surr @ NON BEARING SYSTEM
MAX LENGTH PER THE REQUIREMENTS
ROOF PLAN OF THE APPROVED PATIO COVER DRAWING
�",/ I 0+0-�o, I Fs\ I If-, I I �� I e- — 1] A�
41"nummu rmnQt-
WIDT8, 24�eE36 42-
,3� �-s S 1 of'14e OR 4 T�BLES
21'-0' MAX,
S G. F FRONT WALL ELEVATIO
PROJECTION
MAX.
AY VI DO
OVERHAN
C
W
OF
LA
STANDARD PANEL
APPROVED PATIO VIDTHi 24',36',42'OR 48',
COVER ROOF. SEE TABLES, SHT.2.
TOP L BOTTOM TRACK SHALL
BEAR FIRMLY ON MULLION SIDE WALL ELEVATION
PRIOR TO INSTALLATION
OF FASTENERS.
#8 METAL BACKED 5/8'
NEOPRENE WASHERED
S.M.S. @ 8' O.C. MAX.
SOLID
PANELS
MAX.
APPROVED PATIO
COVER ROOF.
TOP TRACK 2- #8 S.M.S. EA. SIDE
To SPLICE OF 'H' CHANNEL (4 PER 'H')
DIRECTLY OVER OR 1/8' 'POP' RIVETS.
.H. CHANNEL
HEADER FILLER 2-#8 SMS EA. SIDE
PANEL SIDE OF 'H' CHANNEL
(4 PER -H-) OR 1/8-0
'POP' RIVETS
HEADER FILLER PANEL -m
BOTTOM TRACK 4'-6- MIN. WINDOW OPENING
SPLICE 8' SEE TABLES, SHT. 2 NOTEi 8'-0' MAX. WIDTH TEMPERED GLASS
MINIMUM FR13M SIDE SLIDING DOORS MAY BE INSTALLED
VERTICAL IN END WALLS WHERE SOLID PANELS ARE
CHANNEL. PERMITTED, (SEE NOTE ON FLOOR PLAN).
2-08 SMS. ,�-KICKPLATE FILLER PANEL
EA. SIDE
(IF 'H' LATE ILLER NEL
CHANNEL 1/4' 0 'RAWL STUD' OR
(4 PER 'H') EQUAL PER ICS13 ER -4514,
OR Val jAX FR13M EA, SIDE EQUAL PER ICBEI ER -4514,
6
'pop RIVET 0 H' CHANNEL (2 PER PANEL) SjjjLbM�'1CCfflpMh aEEFL-*FAPDE�qPffi
y
Ap pxtsp
T, CON
SLAB IN GOID
CONDITION
3 1/2' THK. MIN
CONC. SLAB IN GOOD OR 1/2- TIMEi
THE AINCH13R EMBEILDEPTH
DEPTH
C13NDITMN ( 3 1/2' THK. MIk OR 1 1/2' TIMESTHE ANCHOR EMBED.
WHICHEVER IS MORE RESTRICTIVE.) WHICHEVER IS M13RE RESTRICTIVE.)
SECTION A SECTION B
BEARING WALL SYSTEM
SIM.S.
a, O.C.
w
C4
RLUI-D&MMINU 4Tal�M
I r -CORNER CHANNEL
FILLER PANEL
SECTION C
RACEWAY 'H'
PANEL
- #8
S.M.S. OR
1/8-0 -POP-
RIVET AT
TOP, BOTT.
MID -HEIGHT, �- WINDOW SIDE FRAME
EA. SIDE,
TYPICAL SECTION D
RACEWAY 'H' CHANNEL
'MALE 'H' CHANNEL
SECTION G
FEMALE/MALE 'H' CHANNEL
#8 S.M.S. OR 1/8' 'POP' RIVET AT 32'O.C.
MAX. WHERE WINDOW OCCURS & 24' O.C.
SECTION F MAX, WHERE PANEL OCCURSi EACH SIDE, TYPICAL.
FEMALE/MALE 'H' CHANNEL F WINDOW
SIDE FRAME
#14X3 1/2'S.M.S. W/
I'O.D.PLATE WASHER
& NEOPRENE INSERT.
SPACE 12' O.C.
INSULATED
3' THICK
ROOF PANEL
INSULATED ROOF PANEL
NON-BEARING SYSTEM
SECTION I
RACEIY�,A 'H'--,
SECTION E
#140 1/2'S.M.S. W/
I'O.D.PLATE WASHER
& NEOPRENE INSERT.
SPACE 12' O.C.
- INSULATED 3'
THICK R013F PANEL
INSULATED ROOF PANEL
BEARING WALL SYSTEM_
SECTION H
MALE 'H' CHANNEL
WINDOW \- MALE 'H' CHANNEL I
SIDE FRAMEJ ZEGUAL 'H* CHANNEL
OF EACH CHANNEL & AT 32'O.C. MAX. CHANNEL
#8 S.M.S. OR 1/8' 'POP' RIVET AT EACH END FILLER\ EQUAL 1H.
INTERMEDIATE EACH SIDE, TYPICAL PANEL SECTION K
SECTION J
MALE/EQUAI, /MALE/ 'H' CHANNEL MALE/EQUAL/MALE/ W CHANNEL
S,M.S. W/ INTEGRAL
R 21 0 APPROVED PATIO
W
S G. VER ROOF
EXIST. EXTERIOR WALL #8 S.MtQ:
F,LL
.1
@ 312 Me. 0. 21543
- - 1 _2
EXF.
CAULKING
#8 S.M.S. OR 1/8'0 #8 S S. I/E
'POP' RIVET AT J> C \:P AT
AT TOP, BOTTOM &ii T OTTOM
& MID-HGT. OF CA IDE. TYP.
EACH SIDE, TYP. LE 6LL Z.; d
SECTION L FILLER PANEL
EXTRUDED OR
R.F. FASCIA
ff vm
EXIST. APPROVED ENCLOSABLE
AWNING STRUCTURE WINDOW SIDE FRAME
ROOF PANEL
#8 S.M.S. OR 1/8'0 --
'POP' RIVET AT
AT TOP, BOTTOM
& MID-HGT.
EACH SIDE, TYP.
#10 S.M.S.
@ a, D.C.
TOP CHANNEL
CHANNEL AT FRONT WALL
SECTION N
L
TOP CHANNEL AT SIDE WALL_
SECTION M
I$&
U'r TE
WINDOW SIDE
FRAME 4k' 9
EQUAL 'H' CHANNEL PPPij
PANEL SECTION P FILLER PANEL .
'H' CHANNEL
r-WUML- n Wf WLIIIJUw r mmrqr-a SECTION Q
EQUAL 'H' W/ SOLID WALL
1 1-615 1.500
I—T i.5io
WINDOW SILL
ALUM. ALLOY 6063-T5
1.500
BAY "H"
ALUM. ALLOY 6063-T5
1 #10 /-1 1/2 -
WOOD SCREW,
3 EACH SIDE
OF 'H' CHANNEL
PANEL
IN CHANNEL
2.280"
.075
wwLJ
LA
,W\30
.135
.141
z CL
TO
7 6 0]
E71
.710
.080
2.610
1.490
TOP CHANNEL COVER
00
�-ltgmv
,' am
.200
ALUM. ALLOY 6061-T6
IL
,o ................
TOP CHANNEL (BEARING WALL',��l olo
ALUM. ALLOY 6061-T6
G.
45111
a
se
Al
ta it
LLJ 1'4 U,
EXp, 9-30-2005
STIFFENER, USE IN HIGH !4
WIND AREA cmv
1.115' — .059 o c P'o�
.390 CD
.845' .950
0.640' .500 J
.165
t— C-3 M
.75..1 .850
J .299
alz
L.Vu
WINDOW SIDE CHANNEL 5:
Lwl 'o'- b
WINDOW INSERT Z,.zz
ALUM. ALLOY 6063-T5 [51313
GLAZING CHANNEL z"l
wto
WITH STIFFENER X(40
oww;
ALUM. ALLOY 6063-T5 —2.010
410 .375
1 �055' 1.11 5
A I TV0
J/D p M.D.
3' MAX FROM
EA. SIDE
OF VERTICAL
MULL113N
-STD. WASHER
BOTTOM
--CHANNEL
IV130D DECKING
\-WOOD DECKING C-2- 0 WASHER PLT.
ENCLOSURE ATTACH.TO WD. DECK
NOTE: DECK DESIGN BY OTHERS ENCLOSURE ATTACH.TO WD. DECK
MAY NOT CAUSE OVERALL HEIGHT
TO EXCEED MAXIMUM. NOTE: DECK DESIGN BY OTHERS
MAY NOT CAUSE OVERALL HEIGHT
TO EXCEED MAXIMUM.
FEMALE "H" CHANNEL
ALUM. ALLOY 6063-T6
UU-
TTE
2010 —
tWARI-1
.1 �' 40
N
.0 Agot-,
MALE "H" CHANNEL
ALUM. ALLOY 6063-T6
.14 �-�301 2.139—
I" �-� —2.015
.278 V,.=L i
E.090 0.723
—.125 1.500
.257— 0.055
2.202
RACEWAY "Hp
CHANNEL COVER EQUAL"H'CHANNEL
ALUM. ALLOY 6063-T6 ALUM. ALLOY 6063-T6
1 1.
WINDOW HEAD CHANNEL
ALUM. ALLOY 6063-T6
.280-
CORNER CHANNEL
ALUM. ALLOY 6063-T6
0.055— 0.015 0
0 A
1. P IN. 0.250
1.140
BOTTOM CHANNEL
��S G
ALUM. ALLOY 6063-T6
Nn ?i�
EXP. 9-, 0-2005
1.038
c P
3.900 A. To. 190
�c W
3-
.055 —r-056 2.40 0.178
1,200
T
1.740
T 7 1
2.110 2 '000 1
F.150
L
—4—.087
RACEWAY "H" CHANNEL
ALUM.'ALLOY 6063-T5
i -- rf2'6"4-�"
RLDING DEPAFj7?4j5�,,,,
9 t R P6 W, N7
G P', " !Pi) � Mi L
ALUM. ALLOY 6063-T6
eggAS
w3f%i,d
XW
C3ww
X: x
I
A I
gl�j I
mmm.mmal .
TABLE A; LJL - 10 FSFI BEARING
70 MILES PER HOUR
LIVE LOAD= 10 PSF WIND LOAD= 10 PSF
UPLIFT= 7.5 PSF FOR HEIGHT= 10'-0' OR LESS
UPLIFT= 10 PSF FOR HEIGHT GREATER THAN 10'-0*
WALL SYSTEM SECTION A
90 MILES PER HOUR
LIVE LOAD= 10 PSF WIND LOAD= 15 PSF
UPLIFT= 11.25 PSF FOR HEIGHT= 10'-D' OR LESS
UPLIFT= 15 PSF FOR HEIGHT GREATER THAN 10'-0'
11 FEMALE—MALE H—CHANNEL P5-� I FEMALE—MALE H—CHANNEL P5-� I
MAXIMUM
ALLOWABLE
DIMENSIONS
H -CHANNEL SPACING
MAXIMUM
ALLOWABLE
DIMENSIONS
H -CHANNEL SPACING
24- 1
36- 1
42, 1
48'
24' 1
36'
1 42'
1 48'
MAX. TOTAL HEIGHT
MIN. TYP
WINDOW HEI�HT
10'-6-1
9;��_Tl
91-
--H- EL SP�ACING�
PNE
#A
MAX. TOTAL HEIGHT
MIN. TYP.
WINDOW HEIGHT
101-6#1
9'-9'1
9-0'
1 8'-6.
F SEE ELEV, SHT. 1
SEE ELEV. SHT, 1
RACEWAY CHANNEL & MALE
RACEWAY CHANNEL & MA:=LE
MAXIMUM
ALLOWABLE
DIMENSIONS
H -CHANNEL SPACING
MAXIMUM
ALLOWABLE
DIMENSIONS
H -CHANNEL SPACING
24'
36'
42'
48'
24'
36'
42'
48'
MAX. TOTAL HEIGHT
MIN. TYP,
WINDOW HEIGHT
MIN. TYP.
WINDOW HEIGHT
SEE ELEV. SHT. 1
SEE ELEV. SHT. 1
111-3-
MAX. TOTAL HEIGHT
MIN. TYP.
WINDOW HEIGHT
ll' -6'
10'-7'
9-101
9'-2'
SEE ELEV. SHT. 1
r
SEE ELEV. SHT. 1
MALE—EQUAL—MALE 'H' CHANNELS
MALE—EQUAL—MALE 'H' CHANNELS
MAXIMUM
ALLOWABLE
DIMENSIONS
H -CHANNEL SPACING
MAXIMUM
ALLOWABLE
DIMENSIONS
H -CHANNEL SPACI
24
36'
42'
48,
24'
1 36'
42'
MAX, TOTAL HEIGHT
MIN. TYP
WINDOW HEI'GHT
ll' -6'
ll' -6#
11_3-
10 '-60
MAX. TOTAL HEIGHT
MIN. TYP.
WINDOW HEIGHT
MAX. TOTAL HEIGHT
10'-6'
11'4'101
91-00
SEE ELEV, SHT. I
SEE ELEV. SHT. I
10 /-6#
9`9'
91-01
F E S S /
S G.,c
NO. 2154
EXF. 9-jo-2.31
!Qc r
z
U
EQUAL
'H' CHANNEL
t r__A
EQUAL 'H'
CHANNEL
UPLIFT= 7.5 PSF FOR HEIGHT= 101-01 OR LESS
%
cz
UPLIFT= la PSF FOR HEIGHT GREATER THAN 10'-01
0=!
ces
EQUAL 'H' CHANNEL
!47QHX4�_LN�L
MAXIMUM
H -CHANNEL SPACING
MAXIMUM
--H- EL SP�ACING�
PNE
#A
ri rj ci
wvlu
MAXIMUM
42' 8
H—CHANNEL
SPACING
MAXIMUM
H—CHANNEL
SPACING
MENSIONS
ALLOWABLE
MAX. TOTAL HEIGHT
ll' -6' 101-311
ALLOWABLE
MAX. TOTAL HEIGHT
10'-3-1 8'-4-1
+
'71-30
_Z'.z'z
tmoo
zk�l�
MIN. TYP.
WINDOW HEIGHT
SEE ELEV. SHT. 1
SEE ELEV. SHT. 1
DIMENSIONS
24,
36'
42'
48'
DIMENSIONS
24'
36'
42'
48'
�U �U �U
z
+ + +
Owil
L_x
MAX. TOTAL HEIGHT
10'-6'
9'-9'
91-00
81— 6'
MAX. TOTAL HEIGHT
10 /-6#
9`9'
91-01
8'-6
0
U
MIN. TYP,
WINDOW HEIGHT
SEE ELEV.
SHT, I
MIN. TYP.
WINDOW HEIGHT
SEE ELEV,
SHT. 1
Lj
0
cu
M
(L
TABLE B: 10 pff NON — BEARING WALL SYSTEM SECTION B
70 MILES PER HOUR
90 MILES PER HOUR
LIVE LOAD= 10 PSF WIND LOAD= 10 PSF
LIVE LOAD= 10 PSF WIND LOAD= 15 PSF
UPLIFT= 7.5 PSF FOR HEIGHT= 101-01 OR LESS
UPLIFT= 11.25 PSF FOR -O' OR LESS
UPLIFT= la PSF FOR HEIGHT GREATER THAN 10'-01
MIO'
,E
UPLIFT= 15 PSF FG0 A I M4 *iR tT,%j?,o-p'
ces
EQUAL 'H' CHANNEL
!47QHX4�_LN�L
MAXIMUM
H -CHANNEL SPACING
MAXIMUM
--H- EL SP�ACING�
PNE
#A
ALLOWABLE
DIMENSIONS
ALLOWABLE
24' 36' 1
42' 8
MENSIONS
MAX. TOTAL HEIGHT
ll' -6' 101-311
9'-6'18'-10'
MAX. TOTAL HEIGHT
10'-3-1 8'-4-1
-9#
'71-30
MIN. TYP.
WINDOW HEIGHT
MIN. TYP.
WINDOW HEIGHT
SEE ELEV. SHT. 1
SEE ELEV. SHT. 1
Ix
C3
u
C3
LA_ L_
0- a- a- a.
m C3 (D CD
D cu V)
x
< _j J J
J J J
did
9 1
TABLE Ci 20 NF BEARING WALL SYSTEM (CONT.) SECTION A
CD
70 MILES PER HOUR
90 MILES PER HOUR
w &a
LIVE LOAD= 20 PSF WIND LOAD= 10 PSF
LIVE LOAD= 20 PSF WIND LOAD= 15 PSF
UPLIFT= 7.5 PSF FOR HEIGHT= 10'-01 OR LESS
UPLIFT= 11.25 PSF FOR HEIGHT= 10'-0' OR LESS
UPLIFT= 10 PSF FOR HEIGHT GREATER THAN 101-01
UPLIFT= 15 PSF FOR HEIGHT GREATER THAN 10'-0'
FEMALE—MALE H—CHANNEL
FEMALE—MALE H—CHANNEL
1w
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
DIMENSIONS
1
ALLOWABLE
5
—
24'
36.
42'
48,
DIMENSIONS
24'
36'
42'
48'
69IN
d g;q
ew
MAX. TOTAL HEIGHT
101-6-
9'-9'
9'-0'
81-61
MAX. TOTAL HEIGHT
10-6,
90-98
91-00
—
81-68
MIN, TYP.
MIN. TYP.
WINDOW HEIGHT
SEE ELEV. SHT. 1
WINDOW HEIGHT
SEE ELEV. SHT, 1
RACEWAY CHANNEL & MALE rD
�_2j
RACEW I AY CHANNEL & MALE /—D—"\
�_2j
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
ALLOWABLE
24-'
36'
42'
48,
24'
36"
42' 1
48 -
DIMENSIONS
DIMENSIONS
MAX. TOTAL HEIGHT
MAX. TOTAL HEIGHT
ll' -6'
10'-7'
9-10' 1
9'-2'
MIN. TYP.
WINDOW HEIGHT
MIN. TYP.
WINDOW HEIGHT
SEE ELEV. SHT. 1
� SEE ELEV. SHT. 1
MALE—EQUAL—MALE 'H' CHANNELS
MALE—EQUAL—MALE 'H' CHANNELS
\, 2)
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
ALLOWABLE
DIMENSIONS
24'
36'
42'
48'
DIMENSIONS
24'
36,
42'
480
MAX. TOTAL HEIGHT
lo, -6,
MAX, TOTAL HEIGHT
ly-61
ll, -6,
11,_ 3
101-61,
MIN.
TYP.
SEE ELEV, SHT. I
MIN. TYP.
SEE ELEV. SHT. 1
WINDOW HEIGHT
WINDOW HEIGHT
Ljcn
EQUAL "H' CHANNEL
EQUAL 'H' CHANNEL
Z'�'z
tapp
z t� 1 -
talleLi
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
ALLOWABLE
DIMENSIONS
24'
36'
2'
48'
DIMENSIONS
24'
36'
42/z,;,714
iel
MAX. TOTAL HEIGHT lo, -6, 9'-9' 9'-0' 8,-6, MAX. TOTAL HEIGHT 10'-6' 9-9. 9�ijoa' 9
I
MIN. TYP. SEE ELEV, SHT. I MIN. TYP. SEE ELEV. S
T,�7,
WINDOW HEIGHT WINDOW HEIGHT
x
TABLE D: "H -20 -ME NON — BEARING WALL SYSTEM (CONT.) �gqi&"k B
70 MILES PER HOUR
90 MILES PER HOUR
LIVE LOAD= 20 PSF WIND LOAD= 10 PSF
LIVE LOAD= 20 PSF WIND LOAD= 15 PSF
UPLIFT= 7.5 PSF FOR HEIGHT= 10'-0' OR LESS
UPLIFT= 11.25 PSF FOR HEIGHTrrl0'-0' OR LESS
UPLIFT= 10 PSF FOR HEIGHT GREATER THAN 10"-0'
UPLIFT= 15 PSF FOR HEIGHfo'�-'REZT'�ERCTAA-N,-,,,ap�1--,,O;v,
EQUAL 'H' CHANNEL
'H
EQUA tfwl r(PRABOAX—l' QQjFpA
H—CHANNELSPACING
MAXIMUM
MAXIMUM
24'
42'
4
561�-J�(_4
2
4 41'
IV
ALLOWABLE DIMENSMNS
ALLOWABLE DIWNSMNS
MAX. TOTAL HEIGHT
10'-3 i.
iFT-9-171-31
MAX. TOTAL HEIGHT
10'-3'1
8'-4-1
T-9-
1'��
MIN, TYP.
MIN. TYP.
SEE ELEV. SHT. 1
SEE ELEV. SHT. 1
WINDOW HEIGHT
WINDOW HEIGHT
TABLE A: LJ-- 30 PSF BEARING WALL SYSTEM (CONT.) SECTION A
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
21543
a
ALLOWABLE
70 MILES PER HOUR
90 MILES PER HOUR
PER HOUR
90 MILES PER HOUR &k
0-
LIVE LOAD= 30 PSF WIND LOAD= 10 PSF
LIVE LOAD= 30 PSF WIND LOAD= 15 PSF
DIMENSIONS
24'
36'
UPLIFT= 7.5 PSF FOR HEIGHT= 10'-0' OR LESS
UPLIFT= 11.25 PSF FOR HEIGHT= 10'-0' OR LESS
DIMENSIONS
UPLIFT= 10 PSF FOR HEIGHT GREATER THAN 10'-0"
UPLIFT= 15 PSF FOR HEIGHT GREATER THAN 10'-0*
42'
48
UPLIFT= 15 PSF FOR HEIGHT GREATER THAN 10'-0'
, ME
>A
9
MAX. TOTAL HEIGHT
10'-6
91-91
:42'
_E8
9�Eo
FEMALE -MALE H -CHANNEL
FEMALE -MALE H -CHANNEL
10'-3
8'-4'
2
2
SEE ELEV. SHTA
SEE ELEV. SHT.1
MIN. TYP.
MIN. TYP
I
llovil
IT v cl). (u
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
21543
a
ALLOWABLE
ALLOWABLE
70 MILES
PER HOUR
90 MILES PER HOUR &k
0-
0
DIMENSIONS
24'
36'
UPLIFT= 7.5 PSF FOR HEIGHT= 10'-01 OR LESS
411'
DIMENSIONS
24'
36'
42'
48
UPLIFT= 15 PSF FOR HEIGHT GREATER THAN 10'-0'
, ME
>A
9
MAX. TOTAL HEIGHT
10'-6
91-91
:42'
_E8
9�Eo
6
MAX. TOTAL HEIGHT
10'-3
8'-4'
T-9'
T-3'
SEE ELEV. SHTA
SEE ELEV. SHT.1
MIN. TYP.
MIN. TYP
I
llovil
IT v cl). (u
WINDOW HEIGHT
AUJ3WABLE DIWNSMNS
WINDOW HEIGHT
-ALLOVABLZ DIMMSIGNS 24' 36' 4Wr 4,,Kr
-El
RACEWAY CHANNEL & MALE
RACEWAY CHANNEL & MALE
MAX. TOTAL HEIGHT 10'-3-1 8'-4-1 7*tfr7r!7'3j41_.
727
1\ �2
st
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
WINDOW HEIGHT
ALLOWABLE
WINDOW HEIGHT
24'
36'
42'
48
24'
36'
42'
48'
DIMENSIONS
DIMENSIONS
MAX. TOTAL HEIGHT
MAX. TOTAL HEIGHT
ll' -6'
10'-7'
9-10'
9'-2'
MIN. TYP.
SEE ELEV. SHT.1
MIN. TYP.
SEE ELEV. SHT.1
WINDOW HEIGHT
WINDOW HEIGHT
MALE—EQUAL—MALE 'H' CHANNELS
MALE—EQUAL—MALE 'H' CHANNELS
ci
6
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
ALLOWABLE
j
24'
36'
42'
48
24'
36'
42'
48'
DIMENSIONS
DIMENSIONS
cu
+
MAX. TOTAL HEIGHT
10'-6'
MAX. TOTAL HEIGHT
ll' -6'
ll' -6'
ll' -3'1
10'-6'
Z15
MIN. TYP
SEE ELEV, SHT.1
MIN TYP.
SEE ELEV. SHTA
cj-6J
WINDOW HEIG�T
WINDOW' HEIGHT
u cj ci d ci
Ld
) . . %
EQUAL 'H' CHANNEL
EQUAL 'H' CHANNEL
.
C3 C3 CD CD CD
Z
U7
w
a- cu cu cu cu
+ + + +
MAXIMUM
H—CHANNEL SPACING
MAXIMUM
H—CHANNEL SPACING
ALLOWABLE
ALLOWABLE
"x zo ;r zo
zL�L�
DIMENSIONS
24'
36'
42'
48
DIMENSIONS
24'
36'
42'
48'
x I I I
4;
Wei
%.666
E sloo
xwo
OW41
MAX. TOTAL HEIGHT
10'-6'
9'-9'
9'-0'
8'-6'
I
MAX. TOTAL HEIGHT
10'-6' 9'-9' 9-0' 8'-6'
MIN. TYP.
WINDOW HEIGHT
MIN. TYP.
WINDOW HEIGHT
---
SEE ELEV. iHT.1
13-
�,s ,c
SEE ELEV. SHTA
TABLE B 1-61-300
NON - BEARING WALL SYSTEM (CONT.) SECTIOqJA
r
V0.
21543
70 MILES
PER HOUR
90 MILES PER HOUR &k
0-
0
. - 1/y
LIVE LOAD= 30 PSF WIND LOAD= 10 PSF
LIVE LOAD= 30 PSF WIND LOAD= 61*,p ks,
UPLIFT= 7.5 PSF FOR HEIGHT= 10'-01 OR LESS
UPLIFT= 11.25 PSF FOR HEIGHT= 10'-0' OR LESS
OTT
UPLIFT= 10 PSF FOR
HEIGHT GREATER THAN 101-01
UPLIFT= 15 PSF FOR HEIGHT GREATER THAN 10'-0'
, ME
)w
Its
vww. —
EQUAL 'H'
CHANNEL
EQUAL 'H' CHANNEL
-_ W-11
MAR
MAXIMUM
H -CHANNEL SPACING
H-CHANN&J
MAXIMUM
r4184r
llovil
IT v cl). (u
AUJ3WABLE DIWNSMNS
24' 36' 42- 48'
-ALLOVABLZ DIMMSIGNS 24' 36' 4Wr 4,,Kr
-El
k'�
MAX. TOTAL HEIGHT ll' -6' 10'-3' 1 T-6-1 8'-10'
MAX. TOTAL HEIGHT 10'-3-1 8'-4-1 7*tfr7r!7'3j41_.
MIN. TYP.
SEE ELEV. SHT.1
MIN. TYP. SEE ELEV. SHTA
lid
WINDOW HEIGHT
WINDOW HEIGHT
GENERAL NOTES & SPECIFICATIONS
1. THE PATIO COVER STRUCTURES RECOGNIZED IN THIS EVALUATION REPORT SHALL
COMPLY WITH APPENDIX CHAPTER 31, DIVISION 111, OF THE 1997 UBC.
2. DESIGN LOADS - SEE TABLES.
3. EACH ENCLOSURE SHALL HAVE PERMANENTLY AFFIXED AN IDENTIFICATION TAG
WITH THE NAME AND ADDRESS OF THE ENCLOSURE MANUFACTURER.
4. ENCLOSURE WALLS MAY HAVE ANY CONNGURATION WHICH PROVIDES AN OPEN
AREA OF THE LONGER WALL AND ONE ADDITIONAL WALL THAT IS EQUAL TO AT LEAST
65 PERCENT OF THE AREA BELOW A MINIMUM HEIGHT OF 6'-80 OF EACH WALL.
9. OPENINGS MAY BE ENCLOSED WITH INSECT OR READILY REMOVEABLE
TRANSLUCENT OR TRANSPARENT PLASTIC NOT MORE THAN 0.125 INCHES IN
THICKNESS. OPENINGS MAY ALSO BE ENCLOSED WITH READILY REMOVEABLE
TEMPERED GLASS OF NO MORE THAN 0.125 INCHES IN THICKNESS WHICH COMPLIES
WITH SECTION 2400 OF THE UNIFORM BUILDING CODE REGARDING HUMAN IMPACT.
TEMPERED GLASS INSTALLED IN AREAS WITH BASIC WIND SPEEDS OF 80 MPH AND
GREATER MUST COMPLY WITH AREA LIMITATIONS OF SECTION 2403 OF THE UNIFORM
BUILDING CODE IN RESISTING WIND FORCES, AND IS SUPPORTED IN ACCORDANCE
WITH STANDARDS OF THE UNIFORM BUILDING CODE.
6. KICK PLATE AREAS MAY BE SAFETY GLAZED. ACCORDING TO CHAPTER 24, SECTION
2406 OF THE 1997 UNIFORM BUILDING CODE. SAFETY GLAZING MAY BE PLASTIC OR
GLASS.
7. SANDWICH WALL PANELS OF HARDWOOD, PARTICLEBOARD OR PLYWOOD WITH A
FOAM CORE SHALL COMPLY WITH I.C.B.O. REQUIREMENTS AND/OR BE
CALIFORNIA -FACTORY BUILT HOUSING APPROVED. SANDWICH PANELS MAY BE
SUPPLIED BY OTHERS.
8. CONCRETE ANCHORS SHALL BE RECOGNIZED BY I.C.B.O. EVALUATION SERVICES,
INC..
9. FASTENERS: "POP" RIVETS SHALL BE 1/8" 0 W/ 50 50 ALUM. RIVET & CARBON
STEEL PLATED MANDREL. SHEET METAL SCREWS SHALL BE STAINLESS STEEL CAD.
PLATED OR GALVANIZED. ALL ALUMINUM EXTRUSIONS ARE OF ALLOY & TEMPER
6063-T6 UNLESS OTHERWISE NOTED. �1114
M
m
'71n orN d_
Order Noi 0200581-004
EXHIBIT A
THE LAND REFERRED TO HEI�EIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE:'0F
CALIFORNIA, DESCRIBED AS FOLLOWS:
A PORTION OF LOT 22, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GRIDLEY:d LONY
NO. 9", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE d")UNTY OF'
BUTTE, STATE OF CALIFORNIA, ON JULY 10, 1907, IN BOOK 6 OF MAPS, AT PAGE(S-):': 58,
DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWEST �CORNF,R OF'SAID LOT 22; T. HENCE NORTH 00 34� WEST
ALONG THE WEST LINE OF SAID LOT 22, A DISTANCE OF 171.75 FEET; THENCE NO, . RTH 89' 52
03" EAST AND PARALLEL TO THE SOUTH LINE OF SAID LOT 22, A DISTANCE OF 341.00 -FEET;:
THENCE SOUTH 00 34'52" EAST AND PARALLEL TO THE WEST LINE OF SAID LOT.22*, A
DISTANCE OF 171.75 FEET TO THE SOUTH LINE OF SAID LOT 22; THENCE SOUTH 85� 52'03"
WEST ALONG THE SOUTH LINE OF SAID LOT 22, A DISTANCE OF 343.00 FEET TOt4E POINT
OF BEGINNING.
AP NO. 021-131-042
RESIDENTIAL
021-13-1-042
RACZYNSKI, VINCENT 93-1855 B, P, E, M
1212 LEWIS OAK,
GRIDLEY
(new single family,
-7- t,5
�3_ 105
OFFICE Copy
Address
GAS
Meter �By Date
i ELECTR
I Meter ByKi�E: D.2�'
40P. FINALED (natal
-Signature U4A t=4
V -0K
O= Not OK
= Not Applicable
= Not Ready MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test- Easement Needed (Sketch)
S. flectricity; Location-Clearences-Grnd-/ /Amp -Concrete,
6. Gas; Location -Test -Wrap: / P'Uft.
/ P'Not. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/lhltials MOBILE HOME INSTALLATION (Plans) OK except #'a j
1. Zoning Requirements -Setbacks Easements
2 Footings; Size-Spacing-Marrlage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
S. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart.. of Occupancy
MISCELLANEOUS
Date/initial DECKS, COVERS, CARPORTI5, GARAGES, (Plans)OK except Va
1. Zoning Requirements-Setbacks-Easoments
2. Footings; Sol Is -Size -Depth -Spacing-Connecto rs-Steel
3. Decks; Griders and/or Joists-Docking-Bracing-Staim-Ralle
4. Wood Awn.; Posts-Seams-Rftm.-Connectom
Shthg.-Rfd.-Bracing
5. Alum. Awn.; Columns-Connectione-Splice-Docal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftra-Trusses
9. Siding; Nall I ng -Veneer -Stucco -Mesh
10. Roof; Shthg-Rooflng
11. Ext.; Steps-Doors-Landing6
Date/Initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI 4
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entrles-Terminals-Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosu res -Pane I boards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water'Supply Test
'W " - ' ,
V OK 4r
0 Not OK
Not Applicable RESIDENTIAL (Sln'gle & Duplex)
Not Ready
Date/initials UPCFERFLOOR (Plans) OK except #'s
� 44 Zoning -Setbacks -Easements -Flood -Slope
�-2'j t- . tg., Main; Soils-Elec. Grnd.-/ f'Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. ��-Fireplace Ftg.-Steel
X`b.W.V.; Fall-FISN-Test-2 Way C/0 -Sewer Test
10. YF. G4,Pfj59-, Size -Anchors - yard gas piping: alze-test
t_,,117 Water Pipe; Test-Anchor-Reguldtor-Service Test
12. Electric; Underground
13. Pjqxwtms & Ducts; Clearance -Material -Support -ins.
L,-11.7 Gl%on-Sills-Anchor Bolts-Joists-Vents-Cripplea
L,+T'-Access & Ventilation
16, Insulation__/
Date/initials PURA-BINCWPermit) OK except #'a
Wafer Htr.; Vent -Access -Combustion Air -Baffle
_,Xr Wate ; Test & Anchor -Nall Protection
Test -Fittings & Anchor -Nail Protection
Test, First Floor -Tub Access
"2-0.Xst Tub & Shower, Second Floor -Tub Access
2f. Gas Pipe; Size & Anchors
Date/initials ELec-ThICAL (Permit) OK except #'a
-v.,-2-2. Fixtypq�:& Transformer Clearance -ins. Protection
2 . Rec9ptacles Spacing -Lights & Switches at Doors
.. S! oxes & No. of Conductors -Stapled
1���e. Installed Close to Edge of Studs & C.J.
qu
jpGround made up w/Mach. Fastners-SUndGas & yWr
%--4F--2 Appligiice Circuts In Kitchen & Conductor Size/GFI
3V9u-bfeed Wi%,Slze ga. Cu or Al-A.C. Wire Size ga.
,,-RT-Range Cir�q, ga. Cu or Al -Oven Circ. ga. Cu or Al.
e _Joattlefe-d Neutral E3 yes 11 No
0. §.OeMm e -Riser Conductors Ground -Main Disconnect
%-�1. Equjp-dearances Panels-Motors-Moch. gquip.
&JL-1�61r9loset Light -Shower Light -Spa Light
_AWISmoke Detector
Date/initials MEC
JIANI-CAL (Permit) OK except $Ps
Ducts insulation & Support
jtf!!3�:5 n, -Exhaust above insulation
,heqj.sq.
LJA;Z�>Ondensate Drain & Overflow; Size & Grade
i�� rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
L,,-"� 3�,Aftic Access & Platform if Furnance In AWc
Date/Initials FRAMttii�� except #-s
�±��S, Proper Material &-Anchors
"�40. V
jaftltuds-Naillhg, Spacing & Bracing -Plates -Sound
BeaUag-Walld% over Girders & Floor Nailing
%-Af.'.Vr'aft Stop in.Walls (rat proof) 11 �. I
L�; "4 ire Stops; Furred Ceilings -Stairs -Chases -Tub
K,��--aders & Beam -Size & Bearing
Date/initials / -.-' FRAMING (Continued)
-%-A§-.CMg. Joist-Rftr. tles-PurlW-roof Bmc-Truss-Shthng.-Rfng.
AZ FLL� iad�Type A Flue -Fireplace Throat clearance
U-49-AtUeOX-Ccess; Size & Romex Protection -Draft Stop -ins. Baffles
J_-49."Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garagef
L&EE2tectlon -Framing
jj-propea*-tt�e Firewall & Openings
Doors -One 3' -Check Garage -3rd Story, 2 Exits
StaLcs;-WiOW-Hiadroom-Rise-Ruh-Landina-Fire Protection
Vents -Rafter
I ,.k*_-55-§jgj4-NaIIing.Veneer - —
,--��Ifish-Drip.screed-Fd. Vents-UnderfIr. Access
157-�Q �rea-Glass Protectlon-Skvilahts-Plastic
Is-Cei
Date/Initials-Aft4UPlans) OK exceot #'a
& Sidellaht Protection-Landi
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Moch. Protection
11 & Bath Fixtures & Tub Access -.Spa
,,tj- 66---Vec. Trim & Subpanel; Breaker Sizes & Labels
Stove; Clearances -Hearth
j_--6T-beg-Outlets at Wood Panel; Int. & Ext.
. Kit.Fixt.. & Appliance; Grnd.-Air Gap -Cooking Clearance
_,�7�ElAc nimAm A Receptacles at Kit. Counter
-r —72. Garpige+lre Door, Swing -Landing -Closer
—, -In Garage -Damper
V,714.�r-Pir-,-vents-Clearance-Comb. AJr-Connector-P.R.V.
In Ga%W; Above Floor-Mech. Protection
.g�F�CEIec. & Mach. Equip. Listed for Location
6.- . Receptacles In Garage; (G.F.I.)-Romax Protection
1�-e:�-.Insulatinn-FnAm-Looked In Attic cua-vis
%,-?T-d-uard Rails & Dock Construction- Post'Caps
i0jA-4--dn-V66ti & Crawl Hole Door-DraIS49p_" -Earth
Clearance Looked under Floor 6'0 Yes "
0116wing instid.; Driveja-fes p4qo, Walks 13 Yes
PlqjAarssr�Yes 2"No
Brown -Finish
�L-<_82, A=CMAit; Disconnect, Electrical, Plumbing
k'8p�nls Above Roof; Pibg.-Appliance-Foreplace.-Clearence to
C
-)PeAlngs
Electrical, Plumbing
—85. E�Jwlor-Elec. Trim; G.F.I. Receptacle -Underground
L-9-6 VeqWation Throughout House
'�--88. 2�rractions from Previous Inspections
--99-Gas Test -Motors Tagged; Gas -Electric
4,,j���we�r Connected -C/O to Grade -HD Approval
K,.�-I--En'ergy Compliance Certificate -Other Certificates
Comrnents at Final:- 17�
Lj
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT'NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanationj
please contact this office immediately.
,--W— - - 4
16
Date Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
M
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.
4
N,
REV 10/92
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, -Chico, CA - (916) 891�2751
7 County Center Drive, Oroville, CA - (916f 538-7541
747 Elliott Road, Paradise, CA -.(916) 872-6307
CORRECTION NOTICE.,
OWNER f PERMIT NO.
Anxzdwkmqwction indicates thatthe following violations of Butte County Ordinances exist at
dw abaw adkkess; and should be corrected. Please notify this office when correction of work
is con4&1�ed_ N have any questions pertaining to this matter, or need additional explanation,
P1___ 5vou
V. 0� office immediately.
-7-,!�7 1,4- zLl /) e-1 c-_'
Inspector
Date!�_— 3 r23
REV1101112
COUNTY OF BUTTE
BUILDING DIVISIOP
DEPARTMENT OF DEVELOPMENT- SERVICES;
1469 Humboldt Road, Chico, CA - (9:1�_)*8'91-27511.
7 County Center Drive, Oroville, CA - (9-16) 538-7541
- 747 Elliott Road, Paradise, CA - (9i6)-.872-6307
CORRECTION NOTICE.
OWNER PERMIT NO'.
A routine inspection indicates that the following violations of B ut te
�ounty Ordin ainicesexist at
the above address and should be corrected. Please notify this office when corr I action of Work',
is completed. If you have any questions pertaining to this matter, or need additional explanation,'.....'
please contact this office immediately.
.4
Date Inspector
REV 10/92
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 Mott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO.
A ffoulim buVection intEcates that the f ollowing violations of Butte County Ordinances exist at
die alb=e I I and should be corrected. Please notify this office when correction of work
is cu=Vh!ft& Wpm havS_wW questions pertaining to this matter, or need additional explanation,'
pleme cm� lh4�-eWcelmmediately.
Date I -' ISY"!K Inspector
REV 1002
COUNTY OF BUT.TE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califbrnia ' 95965 - Telephone: 916."538-7541
APPLICAT16N AND PERMIT
PERMIT NO.
.NUMBER
021-131-042
Z�NING
-A-5 1
BUILDING PERMIT
OWNER
Vincent Raczynski
TELEPHONE
741-3982
SQ. FT. OCC. BUILDING VALUATION
986 R 53,244.00
OWNER*S MAILING ADDRESS
9578 Butte View Way, Marysville 95901
231 C 3,0003.00
CONTRACTOR'S NAME
Owner
TELEPHONE
80 M 1,440.00
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 59,187.00
Filing Fee
$
15.00
LENDER'S MAILING ADDRESS
Permit Fee
$417.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$208.75
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$661.25
PLUMBING PERMIT
FilingFee 1
15.00
1212 Lewis Oak, Gridley
Each Trap
71 5-001
35.00
Solar or heat pump water heater
20.001
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.001
7,00
Each clas water heater or vent 1 7.001
7,00
USE OF STRUCTURE
SF 9:1 DuplexF� MobilehomeF-J Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.001
ri-nn
Building sewer -1A 15.00
is -nn
Mob i I e Home S I G I W @ 15.00
TYPE OF WORK
New[y AdditionE] Remodelo Utilitieso InstallationEl Other
Describe work: New -1 Bedroom Single Family
1
Permit Fee $ 84-00
Contractor
ELECTRICAL PERMIT Filing Fee
1
15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20CA TO 1 OOOA)
37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
X
and Professions Code a d my license is in full force and e f I ct.
License 4o. K-? 6 7 �!V- Classification Oq _ 6�
1
0 1, as the owner, or my employees with wages as their sole compen_
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
D I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
R I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR_ ADONS. ACC.BLCGS.
X 3.6* sq.ft.
37.30
NE W CONSTR MULT'*OUTLET
NON-RESI., BRANCH CIRCUITS) @ 5.00
PO ER APPARTATCUS 1,)
WLE 0 R.
SING UTLE
1 20 75cl
Ex. Occup( OUTLETS OR FIXTURES 0 464
OCCUP FIXED APPLNS. OR I
Ex. * 0 UTLETS (RE51D.) EA.1 1 3.001
Temporary service 1 15.00
-
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $92-30
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
1 � The permit is for $100.00 (valuation) or less.
Ej 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
Fi I ing Fee
15.00
Heating Split System 9.00
9.00
Cooling 2 Ton 1 9.00
9.00
od 1 6.50
6.50
I Ventilation 2.4.50
9.00
Permit Fee $48.50
LContractor
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� s, costs, and expenses.which may in any way accrue
�Agment
_ unty in col Kce of the ranting of this it.
against aid
Date
Si? -!`1* --re of Applicant ContractorEl A
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
N
Energy Inspection Fee $40,
occ-
R-3
CONST TYPE
VN
TOTAL FEE $886.05
I
P
OFEES1
-P LFLOOD ICDFT7�RCEL
-T
P6
This permit is hereby issued under the
sions of the Butte County C cle and/or
work ' i ated ab hic fe
DIPE� P L
B�
B 2-
P kPIRE§ Date
applica
irrolutions
ave been
RKS
#1
Dae
to do
paid.
,4:
143310
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
„,COUNTYOF BUTTE - DEPARTMENTOFDEVE"CQPM�NT' SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,01ALIF-0, RNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATIONDATA SHEET
OWNER v2k— CeAJ-t 9, cz�os I' P.No. OZI -I:!>/- OYZ�
Proposed Building Use !!�r �3- -60Z e -go -,t � _Building Inspector AZ Date 1. 1 -Z,
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 . ......................
.4. Engineered plans and caics, 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 $ . ............ .......
0 V5 11. Impact fees as shown on attached schedu,le. . C . 9�� .......... .......
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: ........
18. Conta
ct Land Development about (A) Improvements, �(B) Drainage_7 ...........
19. 'Driveway permit (construction approval required prior f6 occupai
20. Pre -inspection for r6q
11 . required. Inspector Date)
21. Contractor's license information. (No., N�me StyleQladsification) . ..............
22. Certificate of Workmans Compensation Insurance./ ..........................
23. Owner -Builder Verification (Given to owner 4 , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization'
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
Mobilehome utility clearance . ............
29. Deeu ientefiarrafleg*�;.
...........................
30. DocumeRtal-i-on of 50% subdivision developed or (A) Road improvements completed
and (13 -)-Parcel meets zoni-ntairej and frontage requirements . ...............
pi. Existing violatibns/expired pormit% ...... .............................
r Pic
U. an hec i .... . . ........ ..................................
-3-3.
.34.
When you issue the permit, process as follows: Mailto owner. Mail to contractor.
I/ Telephone and hold for ickup at office.' Deliver with inspector.
Other A
Parcel Creation !g(. - 9-7 by ctee4l
Acrea e &Y5 -276Z Pi&cA)-t- Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution”' 6ate
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 abolVe items No.
2. Additional items required:
-7
Contractor, designer, wrier, was advised of above required data by phone
_ mail Counter by Date
Contractor, designer,'o,wner, was advised of above required data by phone — mail Counterby
Plans checked by Date Plans�approved by Date :�7
Sets of plans 6n�hold in.. File cabinet AP folder
Copy - Department of Public Works
0
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location AP #
Driveway permit has been issued for the above property.
date
si ature,
4k.
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA
95965 - TELEPHONE (916)5387541
-P.
OWNER o2eA)�
A.
NO.
PROPOSED BUILDING USE "-s
DATE
REC. # DATE
ldl�f (4
va;� 1. School District Fees
(paid at District Office) ....... I ...................
Sheriff Fees
7
(paid at Building Department)
C) lq3-316
Residential .......... x
=$ '3
unit amt.
Commercial(per sq.ft.) x
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) x
=$
# units amt.
Commerical(per sq.ft.) x
=$
6q.ft. amt.
'
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact I -and Development) ..........................
6. Other
7. Other
At time of permit application, I was advised the above
fees are required to be paid prior
to issuance of the permit.
DATE
APPLICANT
Al
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One oiM Per Building)
School District Building Department No.
V 4
�Jurisdiction City County
'A.P -.-M umber evl
Property Owner �y CeA 'A � _27 C IAL
Property'Location/Address
ketv�s
ubdivison
Lot No.
'q��iidehtial Development
No. of Living
MH1 Addition
Units
Commercial/Industrial
J
Building
mepresentative
New
Sq. Footage 99(0
. I (Group R)
= Sq. Footage
Addition
(Floor Plans reviewed by School District Personnel)
Date
(Including Exterior
Roofed Areas)
,-,, //S-/ �\13
District Identification No.
V I Cl r__CJ Uh I A A Al ��School District certifies that
(Applicani"
e cos 6aXf ka 7�il _5 2
(Street Add.ress) (Phone Number)
r
(CRY)
has complied with the requirements of Resolution No.
representing �96 _ square feet.
(State)
(Zip Code)
go
bypaymentof$
Paid by Check Number,,,. Remarks.:
Bank Number
Paid by Cash
Date
If, subsequent to the Sch * ool 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,proj�ct may be subject to
additionai school fees to fuliv miticiate its imoact on the school district's schools./ - /
White (applicant), Yellow (building department), Pink (school district)
feeformmkl (4/92)
RESIDENTIAL
021-1.3-1-042 93-1856 B,E
RACZYNSKI, VINCENT
1212 LEWIS OAK, GRIDLEY
(new detached garage)
Cl
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date/initials MOO-ILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / Pt"It.
/ P'Nat. or/ P'L"ft.1 P'LPG
7. Well Clearance & Disconnect
& Utility dlearance
Date/Initials MOBILE HOME I iNSTALLATION (Plans) OK except #'a
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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Carl. of Occupancy
MISCELLANEOUS
Date/Initial DECK& -COVERS, CARPORT% GARAGES, (Plans)OK except Va
L,-r.'Zon0j Requirements-Setbacks-Eamements
0, 2,�fetlngs; Sol ls-Size-Depth-Spacing-Connectom-SteeI
3. Decks; Griders and/or Joists -Docking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftm.-Connectors
Shthg.-Rf4.-Bracing
5. Alum,Awn.; Co!gauu�.�qtions-Splice-Decal-Enclosures
6 rpo ows-Q90.
�c
V-e_Fvfng; SIN-ARGhem--Vuds-Rftrs-Trusses
.,\_�ng�,NoHing-Venear-Stucco-Mash
t1lkr�oof: Shtho-Roofing
Steps-Doors-Landing6
9- - -7
Date/Initials POOLS (Plans) OK except ft
1. Setbacks -Easements , k
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead 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/F-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane lboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water'Supply Test
V=OK
0 = Not OK
= Not Applicable RESIDENTIAL
= Not Ready
Datelinitials UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbaqk_s-Easements-Flood-Slope
2. Ftg,,MdN--Soils-Elec. Grnd.-/ f' Ftg. Depth
t_a-lig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, 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/0 -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. Plenums & Ducts; Clearance-Mateflal-Su pport- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access-& Ventilation
16. Insulation
Date/initials. PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nall Protection
18. D.W.V.; Test -Fittings & Anchor-Nali Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches Pt Doors
24. Size Boxes & No. of Conductors -Stapled
-25. Romex Installed Close to Edge of Studs & CJ
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts In Kitchen & Conductor Size/GFI
2& Subfeed Wire Size/ /ga. CuorAI-A.C. Wire Size/ /ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect -
31. Equip. Clearances Panel s-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/initials MECHANICAL (Permit) OK except #'a
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 -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date/initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/initials FRAMING (Continued) ,
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. tles-Purilnl--roof Bmc-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4& Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openlhgs
52., Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width-Headroom-Rise-Run-Landing-Fim Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
S& Shear Walls; Nailing-Bolti
59. Insulation-Walls-Cellings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #*a
61. Ext. Stops -Door & Sidelight Protection -Landings
62. Smoke Detector 1
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearancas-Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.G. Duct In Garage -Damper
74. 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.)-Romex Protection
77. Insulation -Foam -Looked In Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth
Clearance Looked under Floor 9 Yes
80. Following InstId.; Drive 13 Yes 13 No; Walks 13 Yes 0 No;
Planters 0 Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appllance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Cerfificate-Other Certificates
Comrrwnts at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,"538-7541
APPLICATION AND PERMIT
MIT NO.
ASSESSOR PARCEL NUMBER
021-131-042
ZONING
h-5
BUILDING PERMIT
OWNER S
Vincent Raczynski
TELEPHONE
741 _3982
SQ.FT. OCC. BUILDING VALUATION
576 10,368.00
OWNER'S MAIL-ING ADDRESS
9578 Butte View Way, Marysville 59901
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 10,368.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$105.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
s 52.50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 172.50
PLUMBING PERMIT
FilingFee 1 15.00
1212 Lewis Oak, Gridley
Each Trap
1 5.001
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFEI DuplexR MobilehomeE] Other Det. Gar
SPEC`W0
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
TYPE OF WORK
N e w r -X, Addi,ion D R em,de I E] utilities 0 instailationEl Other
Describe work: Det. GArage
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.501
Main service 200A TO I OOOA)
37.501
CONTRACTORS LICENSE LAW
1 de I nder penalty of perjury (check one):
741 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 'Jo._,5__?6 Classification 9
17 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed CU[ILIClL;I-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business and Professions Code
for this reason
N F W CONST. ( DWELLING OCCUPM
OR. AD D NS. ACC. BLDGS.
3.6* sq.ft.
20.15
NEW CONSTR. MULT '-OUTLET
NON-RESID, BRANCH CIRCUITS)
5-00
POWER APPARATUS,&)
SINGLE OUTLET CIR
JAL,
Ex. Occup( OUTLETS OR FIXTURES.
20 @ 750
@) 464
FIXED APPLNS. OR %
Ex. Occup. OUTLETS (RESIO.) EA.1
1 3.001
Temporary service
15.00
Mobile Home Facilities
-
15.00
Misc. Wiring
15.00
Permit Fee
$35.15
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
Ej 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 Sell -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
FilingFee 15.00
Heating
Cool ing
Hood
6.50
Venti lation
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities " dgments, cos%,eand expenses Which may in any way accrue
against County in con nce of the ranting of this pe it.
�20d�� r is Ape it...
%r 5` 9�3
DatE
g n5
Sil'-.1. of Applicant 9�Wn Contractor El Agg
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
$
0
co s IV
r/
I T O,/TA L E $ 207.65
111
D FEES I
�J
I FLOD011
CDF
I P�� ]M
IS 1
This permit is hereby issued under the
ns O'�
sio te County Q de and/or
h B r
.ork - dic5tcultabo r hich fe
f/,,l
PI
DIRECf P U1 L
By ly,%hi b4 I.,
PEkmit-ONE's - bat—e
applicable provi-
ou
I tions to do i
!r rZ been paid.
S
143310
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
��l
O -J
COUNTYOF BUTTE - DEPARTMENT OF�DEVELIOPM ENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,CALlFORNIA 95965 - TELEPHONE (916) 538-7541
, i�� Vl*"
PERMITAF I -ATIONDATASHEET
OWNER IZIMLOW-� ^14if
A. P. No. N74 2 -
Proposed Building Use A&O'l 6,4fit6i51 Building Inspector 00 Date Aw,/!) 3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1 . All items have been submitted . .............
2. Plot plans, 3/4 sets,, signed bypreparer of plans.
3, Complete plans, 3/4 -sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signatureon 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 . ...........
0. Fees of $ . .........................................
1. Impact fees as shown on attachtd schedule.
2. California Department of Fofestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) bv C,11ifornia Engineer ...................
14. Sanitation and plot plan approval 010k11,11C-- Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for. (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). F;n�4;sp'e'cti*on*!r*eq*uest
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..... I
22. Certificate of Workmans Compensation Insurance . ...........................
23. Owner -Builder Verification (Given to owner Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26 ' Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . ..................................
28. Mobilehome utility clearance . ...............
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .......................................................
33.
-34.
Wh:�you issue the p . rocess as follows: Mail to owner. Mail to contractor.
Telephone 21=���d hold for pickup at I) Oo t )0 office. Deliver with inspector.
Other
Parcel Creation 1.,.4W0A1 7-&,5 Fir,
1JEJ �j
Acreage 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 prio
1. Index permit for above items No.
2. Additional items required: .
nce: (Circle new item 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 data by _ phone - mail Cojinter by Date
Plans checked by Date Plans approved by__ K -77-S Date
- Sets of plans on hold in File cabinet AP folder lVd7-e5
Copy Department of Public Works
10!
J/ 7
�c!
6�
%TN
APPROVED
Butte County
Environmental Health
3
Date
--------- -
Signature
q,\
J/ 7
�c!
6�
%TN
APPROVED
Butte County
Environmental Health
3
Date
--------- -
Signature
TO:
FROM:
SUBJECT:
Owner
BUilding Department
C,
Environmental Health
Sanitation Clearance
COUNTY OF SUTTE Ph.1 Plan Atusched
BUILDING DEPT Hour Plan Awichvd-7:�——
J U L 2 1993
Location
Plan Approved for: Se\va-e Disposal V Water Supply
n
Clearance for. bedroom i;mak� home. 'Othcr
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
I'Llblic
/j -/ -
AP#
Private Well
Date
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which haVe as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
8.00
8.00
XX 2
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that, recil :property*. "situate in the County of Butte, State of California, described as
follows:
A portion of Gridley Colony No. 9, according to the Map of said Colony,
filed in the office of the Recorder of the County of Butte, State of
California, July 10, 1907 in Book 6 of Maps, at page 58, described as
follows:
BEGINNING at the Southwest corner of said Lot 22; thence N 00 34' 52" W
along the West line of said Lot 2.2 a distance of 171.75 feet; thence N 89*
521 03" E and parallel to the South line of said Lot 22 a distance of
343.00 feet; thence S 00 341 52" E and parallel to the West line of said
Lot 22 a distance of 171.75 feet to the South line of said Lot 22; thence S
89* 52' 03" W along the South line of said Lot 22 a distance of 343.00 feet
to the POINT OF BEGINNING.
Date:
State of
County of;r�'�,)
?1%
On this the Al day of
SS. undersigned Notary Public
t
- /Z C, - 3.
e1_/_"Z'C_"" /,19_f_ before me, the
ersonally appeared
F] Personally known to me. EJ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
__7
prior to issuance of a building permit.
The property described herein is adjacent
93-027079,' Rec Fee
to land or included within an area zoned
I Check
for agricultural purposes, and residents
Recorded I
of this property may be subject to incon-
Official Records I
veniences or discomfort arising from the
County of
use of agricultural chemicals, including,
Butte
but not limited to herbicides, pesticides,
Candace J. Grubbs I
and fertilizers; and from the pursuit
Recorder I
of agricultural operations including,
12:33pm 28 -Jun -93 I PUBL
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which haVe as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
8.00
8.00
XX 2
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that, recil :property*. "situate in the County of Butte, State of California, described as
follows:
A portion of Gridley Colony No. 9, according to the Map of said Colony,
filed in the office of the Recorder of the County of Butte, State of
California, July 10, 1907 in Book 6 of Maps, at page 58, described as
follows:
BEGINNING at the Southwest corner of said Lot 22; thence N 00 34' 52" W
along the West line of said Lot 2.2 a distance of 171.75 feet; thence N 89*
521 03" E and parallel to the South line of said Lot 22 a distance of
343.00 feet; thence S 00 341 52" E and parallel to the West line of said
Lot 22 a distance of 171.75 feet to the South line of said Lot 22; thence S
89* 52' 03" W along the South line of said Lot 22 a distance of 343.00 feet
to the POINT OF BEGINNING.
Date:
State of
County of;r�'�,)
?1%
On this the Al day of
SS. undersigned Notary Public
t
- /Z C, - 3.
e1_/_"Z'C_"" /,19_f_ before me, the
ersonally appeared
F] Personally known to me. EJ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
tz�b
CAT. NO. NN01 SOO TICOR.TITLE INSURANCE
TO 2930 (12-90)
(General Acknowledgment)
STATE OF CALIFORNIA )SS.
COUNTYOF Butte
24, 1993 before me, the undersigned, a Notary Public in and for said State.
On — i
personally appeared
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the perSon(s) whose name(s)
isiare subscribed to the within instrument and
acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by
his/herttheir signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand.a_ngrofficial s
Signature
Vr
(This area for official notarial seal)
CAT. NO. NNO1500
TO 2930 (12-90)
(General Acknowledgment)
STATE OF CALIFORNIA
'COUNTY OF
On
ersonally ppeared
before
Vvibunally Known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that he/shetthey executed the same
in his/her/their authorized capacity0es), and that by
his/herttheir signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
Signatur
99'0 TICOR TITLE INSURANCE
)SS.
the undersigned, a Notary Public in and for said State,
OFFICIAL SEAL
REBEcr
A L SLEDSm
MOMMMM-CAUFORMA
COMM=m-- a qw4v
1111111MCOLMN
Pak 2% log?
Mis area for official notarial seal)
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
014NER
GENERAL
.. fing requirements: (sideyards and.number
aluation.
I
ans signed by designer.
ro 'per description of work on application.
Exi sting violations on property.
Bldg. Permit
A.P.
Plan Checker- 2 77
of permitted living units).
8/91
ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
omplete parcel size -*and dimensions.
etbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
-lood hazard.
Special conditions on creation map,
ustible, and foundations).
U & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot 1�nes (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
>quired windows for second exit (Sec. 1204).
S ' kylights (Chapter 34 & Sec. 5207).
C'
tR
S1
Human impact glass (Sec. 5406).
equ�ired room sizes, ceiling,,heights-(Sec. 1207)'.
G G
FCIs in baths, garagd,� kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main -
t'
tenance of mechanical equipment.
L
Locations of water heater, eat:i:ng �and �cooling equipment, ther electrical
or gas equipment.
VGarage firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior exit door (sec. 3304 (f).
.F* eplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
P Plu
lumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
,--Unusual shape, size, or split level house requiring lateral design.
---Clerestory requiring balloon framing and/or engineering.
e story building requiring engineered calculations and plans.
��F�oundation plan complete enough to construct building.
��Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
r—Fireplace construction details and calcs if necessary.
3 -.--Rafter ties or bearing ridge beam.
r, Garage door or porch header sizes.
Z --Stud heights.
�.�dobe soils - special foundation design.
Petaining walls requiring design.
pecial Inspection required.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
I.--kairway details: landings, rise and run, head clearance, handrails
3306).
Gu�
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
B r:
Exterior plaster - weep screeds (Sec. 4706).
t
f(Sec.
Proper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
ving area over garage - complete I -hour separation
i i,
required on garage side
including supporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see
Mezannines - 1716).
4-1—.—A-ttic access and ventilation (Sec. 3205).
J� �.n�derfloor access and ventilation (Sec. 2516).
U'+-.�ombustion air for fuel burning appliances - L.P.G.
requirements.
requirements on duplexes.
rise
n 'ergy design.
.Flashing at all exterior openings.
CDF responsible area requirements.
C
1�7
'/ -19 _�;;3
COUNTY OF BUTTE DEPARTNENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
Vincent Raczynski-. DATE June 18, 1993
9578 Butte View Way
Marysville, --CA '95901-,- RE: B.P. #93-1855
Dear Mr. Raczynski: A.P. # 021-131-042
With reference.to the above subject:
/ / Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete.plaps andcalcs in engineer..or,.architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section'(DPW).
n
'sets o -. pla's in -accordance;--with the changes 'red..
Sanitation approval from Butte County Health Department at:
14-69 Humboldt Road,_Chico
.7 County Center Dr.,..Oroville*
Sk -&-Kl1'ott-Rd-.', Paradise
yway
Planning approval -from Butte County-Planning'Department,,, 7 County Center Drive,
.0roville, for
Completed"Owner-Builder Verification form.
Recorded copy of deed showing
..Recorded copy of.agricultural acknowledgement statement.
73T/ OTHER-. - --_Copyof:the creation deed.
Should you have any questions concerning the above, please contact
of this office.
Dave Purvis
Yours'*very truly,
William Cheff
Director of Public Works
Al
F'. Glander
JFG/aj
ii 2:j� 93 (1, 1,
zool
6541 XcIlUck-Y St
Ondk-V. CA (6949
CA 9596", CA P5467
19 1(.1 8464M�
Z77-01.6. fAx 0161816-0584
FAY (416)
4N 1589
I FACSINTLE TPANSMISSION
-7
3q)--7
)')ATE� FAX TO PHONE #
-IME: ATTENTION:
ORIGINAL WILL FOLLOW
SENDER:
X ORIGINAL WtLL NOT FOLLOW
NO. OF PMES To FOLLOW
<' -2 E
-5 vT k rJ
FROM:
500 Wall Street, Chlco, cA 95928 -- 916-894-2612
o �rj 13 1 — o —
RE; Le -1 —�
2-11
Ac
, z—
IF THIS SPACE TS MARKED, PLEASE c�;:LCN BELOW AND PAX T14TS COVER
(93.6)894-0713 AS CONFIRMATION OF RECEIPT
SHEET BACX TO US AT
DATE:
OF —IFE pAk-,ES OF
:EF yoij�DO NOT RECEIVE ALL
TR2�NSMISSTON, PLL--ASZ CALT, SENDEP AS S0014 AS
F fan,
p () 6
oll I-
�V 5
FAX tq1t)) 844-Ul 13
zool
6541 XcIlUck-Y St
Ondk-V. CA (6949
CA 9596", CA P5467
19 1(.1 8464M�
Z77-01.6. fAx 0161816-0584
FAY (416)
4N 1589
I FACSINTLE TPANSMISSION
-7
3q)--7
)')ATE� FAX TO PHONE #
-IME: ATTENTION:
ORIGINAL WILL FOLLOW
SENDER:
X ORIGINAL WtLL NOT FOLLOW
NO. OF PMES To FOLLOW
<' -2 E
-5 vT k rJ
FROM:
500 Wall Street, Chlco, cA 95928 -- 916-894-2612
o �rj 13 1 — o —
RE; Le -1 —�
2-11
Ac
, z—
IF THIS SPACE TS MARKED, PLEASE c�;:LCN BELOW AND PAX T14TS COVER
(93.6)894-0713 AS CONFIRMATION OF RECEIPT
SHEET BACX TO US AT
DATE:
OF —IFE pAk-,ES OF
:EF yoij�DO NOT RECEIVE ALL
TR2�NSMISSTON, PLL--ASZ CALT, SENDEP AS S0014 AS
'OOS-luawdoleAeo pug,
C661 9 Z Nnr
aine JO AiNnm
__r _TA ��, -1
Lyeed of Gift
This Deed, made the .. ..... day or'
..,one �houond i.,
een. FLM) $�-,NYAR . ........ . . . ... .................. ....... ...
.. ..... .... .. .....
'L . ....... ... .. .. .. .. d ... j�d' "f 6' Grantor
and. UNNIZ..R., . A� .. ...
as.jol-nt. TR=n.t-q ............ .... ........ . .............. ... ...
.............
end affectJon which .
....... hae. .. for the Grantee, d&q, by tbeiv preunta gift give. and imnt unto the
i �qr y situate I
Grantee. and to..t� M,. r... hLlirS 5 all 4�3. PaA X;�q, . �1
-3d * 7: ....................... b e 1. g e p o r- t 1:6 -r,. 0
h -,,t MDK', ..........
certainlot.RZ
......... .. ............
Riac-OrAox, .0" ' .... cmanty . ........ ...... ........ ..... . ..... State ....... . ... ..... .
and bounded and de&-ribed an Wowh; 0,
FEGIVXING at ti. -e 5outhwest corner or aaid Lot Z2; thence NO - 4"5Z"W
alo .75 feet; thence
the West line Of said Lot Z2 a (iietanco of 171
5210YE and ;arallel �. the South lins of saiO. Lot 22 a diptarxe!l
.of 343.00 ft'set; thence $0 34152"E and p&raliel to the Went line of
sa4d Lot 22 a oistance oP 171-715 re,,t to -the South lirie of said Lot
22.; thence 589 5210311W al-crig the South line of said Lot 22 a diatanc
-f 343-00 feet to the POINT OF SZO�'NKUIIJI.
E N D 0 F D E S c R I ? T I G N
cor.taine 1.)5 %ores.
The above described parcel
Together with the tenement*, MiredtamntA, And AVPwWft4Mce3 *kOfturt,0 bel0figing
or appertalaidg, andthLrever-ion aLnd reversinaM, reminderand mmiduders, restz. LsEueir and
profita Lhertor. i
Tb have and to hold tb#, maid pnmiw. topther -ith th- apPurtenuncefl, 'Into
the GranLee, and to .... .... heirs and amligra forever.
I Mb 4m - DEED Or Q1M - �Ycrl F�nr - t"� �_'W_1_
1) .3
/. ", tL - -1,
6Y,
IkEt4flOE a Itt OFF X14ILRECOF175
MECORDING AECUESTE-13 By
0FGUT1EC:0jNTt-"_6LIF(JK!(ik
ta -, -IF n;:0, -UT 6F
Floyd ?. Sannar
PARV SHOWN
1393 Riahiri5 Ave.
Gridley, CA 95948
M JUL 21 N 11 61
ELEANOR M. DEOXER �A
CLERK -RECORDER FA_:z_
Dennia B, sannar
286 Obermayer Ave,
tc-
Ad&_ Gridley. CA 95948
0.1
--SPACE AS0v9To.18 LINE 909 RM�)Atrk:�USE
Lyeed of Gift
This Deed, made the .. ..... day or'
..,one �houond i.,
een. FLM) $�-,NYAR . ........ . . . ... .................. ....... ...
.. ..... .... .. .....
'L . ....... ... .. .. .. .. d ... j�d' "f 6' Grantor
and. UNNIZ..R., . A� .. ...
as.jol-nt. TR=n.t-q ............ .... ........ . .............. ... ...
.............
end affectJon which .
....... hae. .. for the Grantee, d&q, by tbeiv preunta gift give. and imnt unto the
i �qr y situate I
Grantee. and to..t� M,. r... hLlirS 5 all 4�3. PaA X;�q, . �1
-3d * 7: ....................... b e 1. g e p o r- t 1:6 -r,. 0
h -,,t MDK', ..........
certainlot.RZ
......... .. ............
Riac-OrAox, .0" ' .... cmanty . ........ ...... ........ ..... . ..... State ....... . ... ..... .
and bounded and de&-ribed an Wowh; 0,
FEGIVXING at ti. -e 5outhwest corner or aaid Lot Z2; thence NO - 4"5Z"W
alo .75 feet; thence
the West line Of said Lot Z2 a (iietanco of 171
5210YE and ;arallel �. the South lins of saiO. Lot 22 a diptarxe!l
.of 343.00 ft'set; thence $0 34152"E and p&raliel to the Went line of
sa4d Lot 22 a oistance oP 171-715 re,,t to -the South lirie of said Lot
22.; thence 589 5210311W al-crig the South line of said Lot 22 a diatanc
-f 343-00 feet to the POINT OF SZO�'NKUIIJI.
E N D 0 F D E S c R I ? T I G N
cor.taine 1.)5 %ores.
The above described parcel
Together with the tenement*, MiredtamntA, And AVPwWft4Mce3 *kOfturt,0 bel0figing
or appertalaidg, andthLrever-ion aLnd reversinaM, reminderand mmiduders, restz. LsEueir and
profita Lhertor. i
Tb have and to hold tb#, maid pnmiw. topther -ith th- apPurtenuncefl, 'Into
the GranLee, and to .... .... heirs and amligra forever.
I Mb 4m - DEED Or Q1M - �Ycrl F�nr - t"� �_'W_1_
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4h 14. ('H' i 2004
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In Witness Wbereofl;beGrmtor, not. hereunto wt
bAnd .... the dAy aad yeex first above written.
Signed and Delivervd in th@ Pywence of
Woo
STATE OF CAUMRNIA on thk .. ....... ....... day of ......... .... ...
U24my or.. -'r ............. .. ................. . . . ........... .............. .......
...... G -7,4f-., 4;. NaLvy Nblit. Staiz arcaliremla.
aldy dmhmU4m4d "0 swum, FWMWAI? gyp*",
Pamnall)? kwwn M " Iff Prvvad to ma am tha Wit *4"Uslaciory ev.dincf) In
Oymn ....... .. qrhnm As aw - ............ ..... .. .
—.1`4
IN wrmcw WHERWir I hAys kmvnIO ft., my h§A Ir.d OMIA M" C111clAl
06411 In U -A ......... .. .. ...... ..... .......... .
..Odrity
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an
GARY 0 Wr
OFFICIAL. SEAL
I]A
ly:�IkC71 �'L'EUC - CAUFOANIA
-�-Ury Pubi.—cit -nr �s
A
On U 9 -1, 1�"
My cummi"i C-14tv,
In Witness Wbereofl;beGrmtor, not. hereunto wt
bAnd .... the dAy aad yeex first above written.
Signed and Delivervd in th@ Pywence of
Woo
STATE OF CAUMRNIA on thk .. ....... ....... day of ......... .... ...
U24my or.. -'r ............. .. ................. . . . ........... .............. .......
...... G -7,4f-., 4;. NaLvy Nblit. Staiz arcaliremla.
aldy dmhmU4m4d "0 swum, FWMWAI? gyp*",
Pamnall)? kwwn M " Iff Prvvad to ma am tha Wit *4"Uslaciory ev.dincf) In
Oymn ....... .. qrhnm As aw - ............ ..... .. .
—.1`4
IN wrmcw WHERWir I hAys kmvnIO ft., my h§A Ir.d OMIA M" C111clAl
06411 In U -A ......... .. .. ...... ..... .......... .
..Odrity
ru
an
GARY 0 Wr
OFFICIAL. SEAL
I]A
ly:�IkC71 �'L'EUC - CAUFOANIA
-�-Ury Pubi.—cit -nr �s
A
On U 9 -1, 1�"
My cummi"i C-14tv,
..t I , - :,,
'0GSPmwdOjGAG!o putri
Nnr
RLAS 10 AiNnCl*J
il4l
�,a r
Ipsuyqion Certificate
Numbey and Sv=t
-jj�, —fq.. jZ7
Subdivaim
1 15 'k-u—
Descripflo6 of Installa' Ion
ROOF
nickncsss(�u:hcs)
BrWW NWM —
llcmW ResissUnCe (R-VAIUC) ' __
CEILING
a T ype BMW N
4—A nzmwme V
Ilici�nem(inclics) I ), R
L.00se Fill Type SrAnd Na=
Minimum Wckum __ inches
ConLrartw's riiir�rnum installed welgh�f�t= Ib
e TharnAl ResistAnce (R-VWue-)
manyfact-aer's insLdlcd weight per squze, f001 t' ach' i'
TERIORWILL Qo_
EX RrapdName
" g --t=3 4--
MatcrW -_ - I
Thickn,s;_(i�ches) _4--= ;,, _r
RAISED FLOOR
material
lrhickneo
SLAB FLOOR
Th�r
I _kness (�ichcs)
Width (ipchcs)
j3rand Name l7
.nua—aj Resim= (R -Value)
i3rand NaMe
ThennaJ Resisw,
FOUN�_'p �-)NWALL
Brwid Nainc
TherTW ResiStancC
-.,Lnches)
Declaration Mned in ft b4ding at the above location in conformar= with
I hereby Ccr&y thit the above insula�Ofl wzs �Ju dentia, btladings contained in'Fitle 24 of the
tht! curmn, Building Energy Efficiency Swdards for r1ew Ms'
Califor,iia Ad:nij1�stj`a1jve Code.
-CIT.;-.;c
Dt:g
0'�>O -7
Nj
Dam
Sign
0 0
ROOF PANEL
CONDUIT/FAN SUPPORT CENTERED IN PANEL WIDTH
-7 Z :_-_z
'CLEAR SPAN L
SEE TABLE No. I
0
C14
r-ULL spk�l
GENERAL SPECIFICATIONS
A. PA.N -_ LS
_'�7
r ELITE STRUCTURAL PANEL
Panels are fabricated with aluminuc facings structurally
bonded to a polystyrene core. The resulting building panel
varies in.thickness from three to six inches and in.lengths
up to 30 feet.
B. FACINCS:
1. Thickness: Minimum .026 maximum %032
d
Standard panel -facing is .024
Panels having .032 facings will be
L
labeled accordingly
2.. Alloy: 3105-H154 or 3003-1116
3. Grade: Fy-18 KSI. Him.
d
4. Wash Coat: (Bonding Surface) wax free
polyester 10 mil -dry film
-In4c
5. Surface Coat: Acrylic enamel - baked an
Temperature - 435/450 F. %WWI
P
Pencil Hardness F -2H
SION
IINL
C. CORE:
WL
Expanded polystyrene (EPS) having a density of 2 lbs
m thickness of three to six inches full size
orimum
panel. Normally walls require 2-lb,and roofs require
2 lb density foam.
.10
Th:,flame spread index is -25 or fess and' the smoke.dcnsit)
1 30'
ra ng is no greater than 450.
10
D.. ADHESIVE:
1 30
Mic adliCSI'Ve is ISOGIUP SP 2020D produccd, by AsIdand Clicnilcal cortip.Iny
10
Diviion of AsIdand Inc.
30
E.. BONDING:
Final banding (curing of adhesive is performed in "vacuum begs"
for three to four hours under constant 'and even pressure over
=4
the entire panel surface).
Lialckness AnO t;6ft dtfl-qi[Y are determined from'_Iabie 1.
9-3-
F. The support and attachment of the panels must be substantiated
by calculations submitted to building department for approval..
0
C14
r-ULL spk�l
ALUMINUM FACII�
SECTION B -B
Fan supportand conduit,2"x3"x.070
Tubc 6063-T3 allay adhcsivc bond, 4.1'.;idcs
fC.M.J. ENGINE'_R NG, 7
APPROVED FACTORY bUIT H.
TheSe plans,
requirements have be -en
u
to Health and Safety 3 P
art
Y3 DE aft
PARMS a and regulaticns ad
00
A p p �p v a I h e r e I n
fib"R*` or
MOVED approve any Q.M.=..=5:;::0r"
stwelaws or r
M,
A.,
1:X...
This p!an
component a
�pp!jcabje on
No. 1 TOR THICKNESS
on tqpe pla
Approval Not Appli
ELITE ALUMINU
ey
!Ifrl2j 1E -I M coo
FL.
Plan ApprovaJ No. FBH- ? . .. ... 1801 NW 64 st FT. LAUDERDALE.,
'OR 2 7 2004 20 DRAVN BY JOD
01 APPROVED BYi
SCALE
rer. Approval Date N.T.S. ------
PATEs ICBO-ES NO. ER -5658 2
60
A ELITE ROOF PANEL MODEL R-1,
Ic
IS LTI G- NGINEERS
PACI'FIC CO' U X NUMOLK
OF A DRAVING
2�%I BeU Avem* 1145 p�. 06-564-45628 951010 1, of 1-S
Ot 9M38 Fax. 916-564--6029
X
Ij
7 W V '7 X7
_'�7
r ELITE STRUCTURAL PANEL
SPAN - L
SPAN LENGTHS OF SANDVACH PANELS IN FLATWISE SENDING. PANE -1 S ARE SIMPLY SUP PORTED. DATE: 0&'2M?
TABLE I W OR wL IS APPLIED DESIGN UNIFORm LOADING. PSF (POUNDS PER SQUARE FOOT)
d
L
L
d
80
-In4c
P
PSF
SION
IINL
WL'
WL
CM
.10
1 20
1 30'
1 40
10
20
1 30
1 40
10
30
a
=4
IFV-
9-3-
J4'r
!rr
61r
............
...
.... .
11.2
1
14*
1
cr r
Isla,
IZ4
I
1 C14"
:: ........... ..A
X
U24
17s-
I Irr
3 Ifr
1.3
22
C-
I T4
13, 97
175"
-s-
.........
I.T11
12-4.
a
tr
13'lCr.
I 1,97,i::
.......
27(r
2-r
'1916-
1 ra-
.... ... .
...
......
....
.............
......
............ .
C24
24*cr
I Ire,
14 -r
13-1:
Zrr
IVT -
1.7
25*tr
21'4-
17.6_
1511
24*0-
=cr
... . ......
SPAN LENGTH VALUES TO THE RIGHT OF -1HE BOLD VERTICAL LLNE ARE Nr;P..Z 0�51=
vm CTION 1-1180,011 L/240.
.............
OF THE SOLD UNE ARE UMrTED BY ALLOWABLE SENDING STRESS 0ERNE:I By D=_Ecnot��AN
LENG TFS EASED ON THE APPLIED LIVE LCAD LIST ED AS WL. PSF. Ap.q�MF.� TO THESE VALUES TO
LEN6T)IS C TO C OF BEARINGS, THE VALILIES UMr-j=-:) BY STRESS. �.R P L_-4GTHS
E S AN
.............
C To C OFF BEARINGS. THEY AIRE BASED " , * '_o , , -W ). SUBT UCTWO
ON THE SUM. OF Lrvr= LOA -1 AS W
...........................
FR Ohl W T 0 OBTAIN TH E D ES I G N LIVE LOA D VAL S P AN LEN G -,r.* OSTAINED BY,
ABOVE MAY 9-
.. . ..........
................
STRJJGHT-UNE INTERPOLATION.
........ ...
........... ............
.......... ...........
"*""""""'*'�*'**'**"**'* ..........
....................
...................................
ALUMINUM FACII�
SECTION B -B
Fan supportand conduit,2"x3"x.070
Tubc 6063-T3 allay adhcsivc bond, 4.1'.;idcs
fC.M.J. ENGINE'_R NG, 7
APPROVED FACTORY bUIT H.
TheSe plans,
requirements have be -en
u
to Health and Safety 3 P
art
Y3 DE aft
PARMS a and regulaticns ad
00
A p p �p v a I h e r e I n
fib"R*` or
MOVED approve any Q.M.=..=5:;::0r"
stwelaws or r
M,
A.,
1:X...
This p!an
component a
�pp!jcabje on
No. 1 TOR THICKNESS
on tqpe pla
Approval Not Appli
ELITE ALUMINU
ey
!Ifrl2j 1E -I M coo
FL.
Plan ApprovaJ No. FBH- ? . .. ... 1801 NW 64 st FT. LAUDERDALE.,
'OR 2 7 2004 20 DRAVN BY JOD
01 APPROVED BYi
SCALE
rer. Approval Date N.T.S. ------
PATEs ICBO-ES NO. ER -5658 2
60
A ELITE ROOF PANEL MODEL R-1,
Ic
IS LTI G- NGINEERS
PACI'FIC CO' U X NUMOLK
OF A DRAVING
2�%I BeU Avem* 1145 p�. 06-564-45628 951010 1, of 1-S
Ot 9M38 Fax. 916-564--6029
X
Ij
14
.5
a 47/-.. Art r
'FAI`Zr -RAN - FRXr sr*,v" -m4 �14�1 ww,
rd) - - # . .: .
1. W�AOE� CWMMLLj.O?A_l',4q. LKILLISIOW CIL br.LJ�krJkM,
FOP, ', PANELS.
-1, 4EXPLIL ANGLES, 1.1- Va TOP lbOTY04,
OY?7L ThWELII. MiCWOos
M IN 5 E C 7 10 W S E
SEALA,�Jj
AWFLAWI-.1 --"'
WEADEA.
MD6,b HOMN WALL
sa.
_Wy
15 a 5 0 t��
y
J
c --Lr--\/ AT 10F.'
WALL I
�-v
�S�e_Tl 0 N 'f' ('TYP. BUON6 � No �1-bENZ106 'IAALL�)
NOTE -5:
I OESCNEO PER TNIE AvA U.B.C. AS A N2+-KWALSE PATIO C04e (APPX 3L ON. 1) FOR I'M FOLLOWNC LOAM
ROOF LL . 10. 20. 304 40 P-40
WHO : 00 rFW (P(ka) - Q PSF)
SUM ZOME 4
ALLOWABLE SOIL BEARMC - 1000 PSF
III`
- CONCRETE T9 NAVE A M&W C01PRESSWE STRENCTW OF 7000 PSI 0 78 OATS.
3. P�ii() COVER PAY 86 %.iPOR11CI By CONCRETE SLAB. CONTINJOLIF CONMTE FOOTW, OR ON WOOO OECr F
PATIO COM 5 to BE SLPPORTE0 BY WOOD OKY� IF MIST Be MM TWAT I* w000 FeMINC AID FOOTIMC
WILL PROVVE AMOLATE STRICILRAL 50PORI,
4. F PATIO COVER To ee SUPPORTED BY AN EXOTIC OR AV CONCRIETE SLAB. IIIE SLM MIST BE A M~ CF
3_iJ7. nea AND N COOD CMMOK THE APPROPRIATE COLLPIN CF TABLE I MIST Be WED TO OEfERrM
THE MAXyUn ALLOWABLE Pe�� M T`B PAW COVER.
5. PATIO COVER TO Be A ONE, STORY STRICTURE NOT EXCEEMC r7 N K4CI;j. &CLOqj* WALLS TO 14AVE AN
1`11W OPEN AIMA OF 65X OF THE WALL AREA BELOW 6"-8', OPEWC5 MAY BE ENCLOSED Ww NX -Cr
SCIME's, OR FLASTIC THAT IS REAOLY MWASLE TRANRW;NT OR TRANSPARENT PLASTIC NOT PM THAN
.m. (1/1y) IN r"CENESS.
6. PATIO COVER MAY Be DETACHED OR ATTACMEO TO OTHER VIALOWS AS ACCESSORIES YO CROUP rt cRDLP e.
ovum 3: OR TO SN= OVELIM LNITS N CROUP R. CIVISION I OCCUIANCES.
1. PATIO COVERS VALI. BE USIED ONLY FOR eKftArIOKAL OVTOOOR LIVNC PLQPMS AND NOT AS CAVORIS-
CARACM 3TORACE RD" OR RABIABLE RO".'
Zotl r:X- &a r,6
DEPART?wWoo-
Jq*AuLl.
-Dec
2-
PPIEEST"CING - END'Vir-W �
wj
TI 'I
I 51fuw EAJ' IA.Y* tArT!1IL1
FSWOWIot-r-
P"-OCAA. A�L rwiNtvs
M PL
kFTE.0 10 AYOID 1 11
CI
.'.I
Ja I A
7
L
-�ao_F jo_4r __13
P CAM
ao A-E
Crw! 1 ;
rap 4 ao TT
(094IMT I P's)
W. (G%Aj 1.3 6 4 No -SCARih
'POP KNETS
I
It til TEti.
'Top L boyy.
e,0114 !,IDES
SPAN - L
DAM
TABU I
WINC)DvVom
na.z CAW)h" Pao- 01:Ft4Lr7
n2
5__C-rjd�j L..T.:
OWN ) AJ 4, s. o kvi 61- r
-rplram L 179k.
-ft. 4
Ty,
3"
3'
IeL. 6 -ft
TI I _X_- 11, A 'D-
COMAL SFCCZrICATT*n
A* ?"tLS,
F- 1. fabricated with I_i._ f.olnjs S_Zurall,
be -a"
.art.. I: ...... bid...
.P 1. 30 1....
8. r.c.scs.
I- Thick -00-- Ift-le,we OIA ftxi.we 032
S--W:rd P...I (..I.& ii .
17 te.i.e. -ill be
3103-HISA ., 3003.1116
Cr.d., ry-18 list. mi..
A. w..h C..,. Is
tom A* ':I.
3- S-tacm I' ary smal - baked ve
T -P .. a... - 433/450 r.
F-- 11 . de... F-39
C. COIE,
gar F
It S) having a density of 2
1,!ba
n*:',"*d AS -1 he .-k. d...Lt,
A*NLSI1Z.
The adhodve Is ISOOIRW SP 20201) Pmd-rd OY Ashivid Chernica Cmr..y
Dividon of Ashland Inc.
1* PORDINC,
11.4 band 1.1 1.2 .( dh..l 1. b:,,*"
I- thl- Is 1-1 hour, und .. ........ ... d .... p....
the
Panel/T,al,g LhIekneag and Care dIty ... d_l..d I— Table 1.
r Ic the -
by calculations to, PP .... I.
T` "Part and "tach' .'a- ..b.;I.t.d
J'loiEssf
UPAL2�'
r
.i sTii huric CoxsftTixc ENclKlEts.
. SA - ... as ;L. ii -_ -
d;d
I
L L
u
ranacs�. W_ V_
.race-
TO-nmotamme-Loun-
RK?tERAL 01LES
1. Panels to be m.nufactired by Elite Aluminum
Corporation, Fort Lauderdale, Florida.
2. P.nel:')atjt ab."dIchwtyp..l, whIch la.min:tes
(III to are n d. d I t h 'r.ctur. 1 re d
.dhesivea.
3. Snow Is considered a-li we load - see local
building code for
4. Ellte.:t.nd:rd coo frpanal - aluminum faced
Is c 1 1 ft d a. a lass "B* roof deck per
ISTM a log
S. Elite a rd roof panel carries UL 1715/UBC
17 5 cl!:,d;i Eio
at c n
-t:to a ra to be 2024-T4( Ilo
ln? .. . .. or c:d. u. 'To. wr at h X -
visa corr . atoin t
7. Floor lab concrete strength to be c-2000 PSI
at 23 d.y..
8. Concrete must cure at least 5 fu�ll days before
i . telling expansion bolta.
9. Presumptive sell bearing capacity Is 1000 ISF.
10- Table No. 4 Is b:; ad I on.aiven.screw'h olding
values when inat led n ctordance with ec�ion
CONTLrES WITH NER -501
1.- /4 1- 7). Mo
4.� O� A,
-1111:41
PATIO ENCLAOSURW ATTACHED TO THE
MANUFACTURED HOME ARE L94rrM TO
10 PSF ROOF LfVE LOAD. FOR ROOF LrVE
LOADS GREATER THAN 10 PSF. THE
ENCLOSURE MUST BE FREE STANDING.
APPRoyto
c- -I _aa
ELITE ALUMINUM CORP
NON- ELABrrABLE PATIO COVER / ENCLOSURE
By ELITE ALUM -MUM COSIPORATION
-SPA 1.401-MIN.84 ST-F.T. LAUOERDALE,.FLA .
Thi, plo. Appoi
Mandatory Measures Checklist: Residential .. MF -1 R
NOTE-.- Lownse restaential buildings subject to the Standards must contain these measures regardless of the compliance
aporoacri used. Items marked with an asterisk (*) may be suDerseded'by'm6re stringent compliance requirements
listeo on ine Cenificate of Compliance. When this Checklist is incorporated into the permit documents. the features
noted shall be considered by all parties as binding minimum com.pone�t pf)rtormance specifications for the
mandatory measures whether they are shown elsewhere in the documents or ol� this checklist only.
DESCRIPTION
Building Envelope Measures
§150(a): Minimum R-19 ceilino insulation.
§1 50(b): Loose fill insulation manufacture's Labeled R -Value.
§1 50(c): Minimum R- 13 wall insulation in framed walls (does not apply to extetior mass walls).
§150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Stab eaoe insulation -water absorotion rate no greater Man 0.3%. water valoor transmission rate no
greater than 2.0permfinch.
§118: Insuladon specified or installed meets California Energy Commission qual ity standards.
Indicate " and form.
§116-17: Fenestration Products, Exterior Doors and Infiltrabort/Exfiltradon Controls
a. Doors ano windows between conditioned and unconditioneo spaces oesioned to limit air leakage.
b. Manutacitured fenestration products nave Libel with certified 1.1 -value. and infiltration certification.
c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed.
§1 50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§1150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150�e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs
1. Masonry and lactory-built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No conitinuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment. water heaters. showerheads and faucels cenified by the Commission.
§1 50(i): Setback thermostat on all applicable heating systems.
§1 50(j): Pipe and Tank Insulation
1 . Indirect hot water tanks (e.g., unfired storage tanks or backuo saw hot water tanks) have insulation
blanket (R- 12 or oreater) or combined intenoriexteriot insulation (A-1 6 or greater).
2 First 5 feet of pipes closest to water heater tanK non-redrcuiadno systems. insulated (R-4 or greater).
3. All buried or ex ' poseaPiping insulated in recirculating sections of hot water system.
4. Cooling system piping below 5SOF insulated.
5. Piping insulated between heating source and indirect hot water tank.
§1 50(ml: Ducts and Fans
1 . Ducts constructed. installed and sealed to comply with UMC Sections 1002 and 1004: ducts insulated
�o a minimum installed valueot R-4.2 or ducts enclosed entireiy within conditioned space.
2. rxhaust tan sysiems nave oackdraft at automatic dampers
3. Gravitv ventriaunc systems serving conditionea Space have either automatic at readily accessible.
manually operatea campers..
§114: Pool and Spa Heating Systems and Equipment
I . System is cerdflea with 78% thermal efficiency. on-off switch. weatherproof operating instructions.
no electric resistance heating anit no pilot light.
2 System is instaileo with:
a. At least 36* Ploe Derween filter and heater for future solar heating.
b. Cover for outcoor owls or outcoor sDa.
3. Pool system has c:recconai inlets ano a circulation DumD time switch.
§115: Gas-fireo central rurnace. pool heater. spa neater or housenold cDoKino a.riptiance have no
continuously burina piot light. (Excepton: Non-eiectricai 000king appliance with pilot < 150 Btwhr.)
Lighting Measures
§150ikl: 40 lumensman cr Greater tar ceneral lighting in kitchens and morns with water closets: and
recessea ceiling uxures C ;insulation ccveri apProvea.
DESIGNER I ENFORCEMENT
COMPUANCE STATEMENT
This celtificate of compliance lists the building features and performance specifications needed to campty*with Title 24, Parts I and 6. at
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
inclividual with overall design responsibility. When this certificate of compliance is submitted for a singfe building plan to be tiLlill in multiple
orientations, any shading feature that is varied is ind[icated in the Special FeaturestRemarks section.
Designer or Owner (per Busine" & Protmaians Code)
Name:
Tide/Firm:
Address:
Telephone:
Lic. r:
(signature) (date)
Enforcement Agency
Name:
ride:
Agency:
Telephone:
(Signalure'stamp) (Cate)
Documentation Author.
Name:
Title/Firm:
Address:
Telephone: 4 -z=
Algrsturli) (date)
Certificate of Compliance: Residential' Climate Zo-ne 11
Project Title
BuildingP
ernr _S
Checked By/ Date
Eniforcanent Agency Uw Only
Roof ............
Roof ..........
wall ............ —.
wall ...........
Floor ...............
Floor ............
Slab Edge .... i
FENESTRATION Shading Devices
-Eenestration -.Ama Type interior Exterior OvertiLang Framing Type
Orientation (Sf) (sinals. double) (roller blind. etc.) em) (Vesmol (metal/wood)
North
Nfinimurn
Duct
Fenestration
BUILDING DATA
Lc=tion
East
Area
%
C nditio
Number of Stories
of
North
East
SOUEh
S�Number
ab
-Urtits
South
West
f S1 amily Deta
Addition.Alone
Skylight .......
THERMAL IMASS
West
Area Thickness
Single Family Attached (SFA)
Existing Building
Skylight
Mul,d-Family (MF)
E I Existing -Plus -Addition
Total
B LM,DING SHELL INSULATION
C-ornponent Insulation LocaficirXomments
Tvm R -Value (stdr- to
Eames. tvoL-r-1. aw-11
Roof ............
Roof ..........
wall ............ —.
wall ...........
Floor ...............
Floor ............
Slab Edge .... i
FENESTRATION Shading Devices
-Eenestration -.Ama Type interior Exterior OvertiLang Framing Type
Orientation (Sf) (sinals. double) (roller blind. etc.) em) (Vesmol (metal/wood)
North
Nfinimurn
Duct
North
East
Efficiency
Lc=tion
East
CAF UE, SEER.HSPF)
(aWc. etc.)
SOULh
j4&,
SOUEh
West
zo=
West
Skylight .......
THERMAL IMASS
Type/Coverirg
Area Thickness
(slab/excicised. life. etc
(so (inches) Location/Descriocion (kitchen. bath. etc.)
V IF
IiVAC SYSTEMS
Nfinimurn
Duct
Type (furnace. air
Efficiency
Lc=tion
conditioner. hen l3umD)
CAF UE, SEER.HSPF)
(aWc. etc.)
7F
j4&,
HOT WATER SYSTEMS
Tank
Svstcm Type (storage gas. etc.) Capacity___ Number -
,15 —
SPECIAL FEATURESIREMARKS
Duct
R -Value
Thermo
<1 Al
Heat Pump
'A
2.0
a e
Enerp ir 01�
,v Fac o —:4nk Tins -
64S r , A --,/,a,
Poi.nt Syttem Summary: Climate Zone 11
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
or
U -value [0.0281
or
U -value 10.0651
or
U -value (0.0371
4. Slab Edge Insulation or
R-vaJue 101 F2 factor 10.751
5. Infiltration Any Ducts in Unconditioned Space? ( Y / N
/0 1 -
6. Fenestraflon Heat Loss 2M_ j ;? -
Type U -Value (0.651 TZW % Fenes. 1161
7. Fenestration Hea t Gain
% Fene . on SCshade o"n Eff. % Fenes.
North Ir X
East & X LA &1;1,
South I-) X 0
West X
Skylight 0 X
Overhangs? (Y/N)
8. InteHor Thermal Mass or
% Exp. Slab (201 Int MasVCFA
9. Exterior Wall Mass
10. Heating System
11. Cooling System
12. Water Heating
System 1
Heater Type
ISGS01
Shade Eff. Ratio
Point Scores
-5-
_77-
4-
EXL Wan Mass
IF
Number of stones
-43
R-valuo
17 X
.
R-13
R -o
AFUE Ot WS -PF
Diuc_tli ric. (I story:
Ettective AFUE
Zonal Control
[78% or 6.81
0.83:2+sto :0.881
orHSPF
Adjustment 101
ID - X
- . Xr
g, - /
R-38
SEER 110.01
Duct Eft. I I story:
Eff.ve SEER
ZOMM4nuol
.67 S2
2+ story: 0.871
.87
Adjustment 101
.4-5
Sl
.67 .66
Family
Enly Factor
EXL Ins. R-vaiue
Auxiiiary input
Distribution
1 .531
1121
jNonej
IST01
System 2
Heater Type (Nonel Energy F7m7=-r EXL Ins. R-vaius Auxiliary input Distrioution
1. Ceiling Insulation
R-0
Number of stones
-43
R-valuo
One
Two
R-13
R -o
-74
-48
-27
R-19
-5
-4
-2
R-30
- I
- 1
0
R-38
0
0
0
2. Wall Insulation
.67 S2
Nwoor of stones
.87
Single-
single -
Sl
.67 .66
Family
Family
Walki-
R-0
-72 -57
-43
R -Ii
-7 -6
-4
R-13
-5 -4
-3
R-15
-4 .3
.2
R-19
0 0
0
FI -21
1 1
1
3. Raised
Floor Insuiation
.67
S2 -.,.Sl
Insmiation in Floor
.87
.67 S2
Nwoor of stones
.87
R-0 -14 -9 -5
R-11 -3 .2 -1
R-19 0 0 0
R-30 2 1
Point Total:
Sum 7-9
0
0
4
4. Slab Edge InsuLation I .
Numver of Stones
R-0 0 0 0 S. Infiltration (Duct Air Leakage)
R-5 6 4 2 ou= in Unconaftioned Soace 0
R-7 7 4 2 No Du= in Uricartortionet! SoaC8 3
6. Fenestration Heat Loss I
7. Fenestration Heat Gain (basea on Shaoe Effecuveness Ratio)
Ell
Houms With Ducts (R-4-2)
North
.4abod A
(Slab -on -grade
East
Pacm
Family
South
Family
TWO
West
Excosed
Skylight
%
.87
.67
.52
.51
.87
.67
S2 -.,.Sl
.81
.87
.67 S2
.51
.87
.67
.52
Sl
.67 .66
--Fon-
or
to
to
or
or
jo
to
or
or
to to
or
or
to
to
or
or or
esira-
mom
.86
.66
less
more
.86
.66
less
=to
.86 .66
less mom
.86
.66
less
mom less
tion
less
5crt.
.100
.76
-69
-62
-55
-48
-41
-38
-34
-31
-27
-24
-.20
-'17
18%
-5
.4
.3
-2
-21
-20
-15
.12
.26
.23 -16
-12
-36
-32
-23
-16
-75 -50
16%
.4
-4
.2
.1
.18
-16
-13
.10
.21
.19 .13
-9
-31
-27
-19
-14
-65 _"
14%
-4
-3
.2
.1
.14
.13
.11
-8
-16
.14 -10
-7
-26
-23
-is
.11
-55 -38
1211.
-3
-2
-1
-1
-11
-10
-8
-6
-12
-10 -7
-4
-21
-18
-13
-8
-46 -31
11%
-2
-2
.1
0
-10
-9
-7
.6
.10
-6 .5
-3
-19
-16
-11
.7
.41 .28
1 M.
-2
-2
-1
0
-8
-8
-6
-5
-8
-7 -4
-2
-16
-14
-9
.6
.37 .25
9%
'-2
-1
-1
0
-7
-7
-5
.4
-6
-5 .3
-1
-14
-12
-8
-5
-32 -22
8%
-1
-1
.1
0
-6
-5
-4
.4
.4
.4 -2
0
-11
-10
-6
-4
-28 -19
711.
-1
-1
0
0
-5
-4
-4
.3
.3
.3 -1
0
-10
-8
-5
-3
-24 -17
6%
-1
-1
0
0
-4
-4
-3
-2
-2
-2 .1
0
-8
-7
-4
-2
-20 -14
5%
.1
0
0
0
-3
1.35
'1_
.2
-6
4�!) .3
'1
-16 .12
4%
-0--0
0
0
-2
7
.1
.1
--,
.1 0
1
.4
.4
.2
0
.12 .10
3%
0
0
0
0
-1
-1
-1
0
0
0 0
1
-2
-2
0
1
-9 -7
2%
0
0
0
1
0
0
0
0
0
0 1
1
0
0
12
6
-6 -5
1%
1
1
1
1
1
1
1
1
0
0 0
0
1
1
2
2
-3 -2
0%
1
0
1
. * 1
1
1
1
1
0
(9 0
0
3
3
3
3
(� 0
8. Interior Thermal Mass
Houms With Ducts (R-4-2)
Exterior
.4abod A
(Slab -on -grade
Construcuon Only)
Pacm
Family
1.1-yalue
Family
TWO
Three
Excosed
Stary
0.00
Stones
Total
1.31
1.21
1.11
1.01
-91
.81
.76
.71
.66
.61
.56
.51
.46
.41
.36
.35
percem
or
to
to
to
to
10
to
to
to
to
to
to
to
to
to
or
Fenestration mom
130
1.20
1.10
1.00
.90
.80
.75
70
65
.60
55
.50
45
40
less
5crt.
.100
.76
-69
-62
-55
-48
-41
-38
-34
-31
-27
-24
-.20
-'17
-13-
-10
40%
T7
-58
.52
-4�
-41
-36
.30
.27
.25
.22
-19
-16
-13
1 -it
-8
.5
35%
-66
49
-44
-39
-34
-29
-25
-22
-20
.17
-15
-12
-10'
7%
-5
.3
30%
-54
-10
-36
-31
-27
.23
-19
-17
-15
-13
-11
-8
.6
.4
.2
0
28Y.
-50
-36
-32
-28
-25
-21
.17
.15
.13
.11
-9
.7
.5
.3
.1
1
M
45
.33
-29
-25
-22
-18
-14
.13
.11
-9
-7
-5
-4
.2
0
2
24%
-41
.29
-26
-22
-19
-16
-12
-11
-9
.7
-6
-4
.2
.1
1
3
M.
.36
-25
-22
-19
-16
-13
-10
-8
-7
-5
-4
-2
-1
1
2
4
2D%
-31
-22
-19
-16
-13
-It
-a
-6
-5
-4
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-6
-4
-3
-2
.1
1
2
3
4
6
16%
-22
-14
-12
-10
-8
-6
-3
-2
-1
- 0
1
2
3
4
6
7
14%
-16
-11
-9
-7
-5
-3
1
o
1
2 .
3
4
5
6
7
8
12%
-13
-7
-6
.4
-2
-1
1
2
3
(,�)
4
5
6
7
8
9
1011.
-8
-4
.2
. 1
1
2
3
4
5
5
6
7
8
8
9
to
BY.
-4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
8. Interior Thermal Mass
Houms With Ducts (R-4-2)
Exterior
.4abod A
(Slab -on -grade
Construcuon Only)
Pacm
Family
one
Family
TWO
Three
Excosed
Stary
0.00
Stones
Stories
0
0.20
-3
3
.2
0.40
7
10
4
-2
9
.1
6
0.80
20
10
0
1.00
0
12
9
30
17
1
10
1
18
id
40
1.60
3
17
2
1.80
Z3
so
14
4
24
3
14
2
so
0
5
7.4
3
5
2
70
2
6
1
4
7.8
2
so
7
8
4
5
1
3
90
11.0
9
9
6
5
3
100
100%
10
11.5
6
11
4
7
4 '
Method
B
AC
Effective AFUE or HSPF
Int
-5
Smb Floor
(AFUE or
Raised Rom
Mass
Efteme
stwies
-19
Stones
5.0
/CFA
One
Two Three
One
Two
Three
0.0
-11
-8
-6
-1
.1
0
At
-10
-7
-6
0
0
0
KW KW
-9
-6
-5
1
1
1
0.5
-8
-5
.4
2
2
2
1.0
-6
-3
.1
4
4
5
1.5
-4
.1
1
6
6
6
zo
-2
2
4
8
8
8
Z5
1
3
5
9
9
9
3.0
3
'6 -
5
11
10
10
4.0
4
6
7
13
13
13
5.0
4
6
8
14
14
14
6.0
5
7
9
15
is
15
7.0
7
6
10
is
16
is
8.0
8
9
11
18
17
17
9. Exterior Wall Thermal Mass
Houms With Ducts (R-4-2)
Exterior
Single-
Singw
mufti
wall
Family
Family
Family
Mass
Detached
Atmoned
-2410
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
id
11
1.60
21
17
13
1.80
Z3
18
14
zoo
24
19
14
10. Heating- System
Houms With Ducts (R-4-2)
subtmw
Islas
1000
SEER
Mn
Houses With Ducts (R-42)
Sum of 7-9
1000
1499
,�Out
Pcxg -25or
-2410
-14to
Sum of 1-6
+6to
160T
Gas
Split
Pkg
-25
-24
-IA
-A
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
NSPF KSPF less
-15
-5
+5
+15
more
78%
6.8
6.6 -
0
0
0
0
0
0
80Y.
7.0
6.8
1
1
1
1
- 0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
95%
8.3
11.0
11
9
7
5
4
2
100%
8.7
11.5
13
11
9
7
4 '
2
AC
AC
Effective AFUE or HSPF
-15
-5
.5
(AFUE or
HSPF x duct efficiency)
One Story House
Efteme
-32
-19
Sum of 1-6
5.0
4.9
Gas
Split
Pkg
.25
-24
-14
.4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-4
KW KW
less
-15
-5 -
+5
+15 mom
One Story House
0
0
0
0
8.1
7.9
33%
2.9
Z8
-62-
'-53
-44
-34
-25
-16
40Y.
3.5
3.4
-40
-34
-28 -
-22
-16
-10
5001.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
7076
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5
3
90%
7.6
7.6 -
*19
16
13
11
8
5
100%
V
8.5
24
20
17
13
10
6
Two or Three Story
House
-3
0
7.0
6.8
-11
33%
2.9
Z6
-69
-58
-48
-37
-26
-15
401Y.
3.5
3.4
-4
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-S
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
90%
7.8
7.6
*15
13
10
8
6
3
100%
117
8.5
20
17
14
11
a
4
Zonal Control Adjus:mem
System Type
Resistance
6
4
3
2
1
0
Other
3
3
2
1
1�
0
ii. Coofing System
Adjuntomt for He Tank InmLation
Numoer at Water
Water Hewer Tvoe One TWO
SGSO .2 .5
S1375 -3 -6
SE .5 -2
HID .2 .4
All
BMW Stle Adjusontzi.
Houms With Ducts (R-4-2)
subtmw
Islas
1000
SEER
Mn
to
Sum of 7-9
1000
1499
,�Out
Pcxg -25or
-2410
-14to
.410
+6to
160T
AC
AC
less
-15
-5
.5
.15
more
io.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
iZo
11.6
8
6
5
3
1
0
13.0
IZ6
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
0
4
Effective SEER
SG75
AS
12.48
(SEER z duct dncicncy)
1 -1
-12
Eff SEER
.2
Sum of 7-9
MW
3
Soln
Pcq
-25 or
-24 to
-14 to
-4 to
+6 tO
16 Or
AC
AC
less
-15
-5
.5
.15
more
One Story House
-41
-32
-19
5.0
4.9
-29
-23
-17
-11
.4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
-3
.1
0
&o
7.8
-1
0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0.
11.0
10.7
12
10
7
4
2
0
JZO
11.6
15
12
9
6
2
0
13.0
1Z6
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.o
14.6
22
17
12
8
3
0
Two or
Three
Story House
:G
All
0.80
.4
5.0
4.9
-35
-Z7
-20
-13
-5
0
6.0
5.6
-21
-17
-12
-8
-3
0
7.0
6.8
-11
-9
-7
-4
.2
0
8.0
7.8
'-4'
-3
-2
-1
.1
0
8.7
114
. 0
0
0
0
0
0
9.0
V
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
A
1
0
izo
11.6
13
10
7
5
2
0
13.0
IZ6
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
3
0
Adjuntomt for He Tank InmLation
Numoer at Water
Water Hewer Tvoe One TWO
SGSO .2 .5
S1375 -3 -6
SE .5 -2
HID .2 .4
All
BMW Stle Adjusontzi.
House Size Adj I.
Hoing SjZq Ift2)
subtmw
Islas
1000
Water Mom g
Mn
to
Pm Scom
1000
1499
-30
47
.5
.25
-14
-A
-20
-11
.3
-15
-9
.3
-10
-6
.2
.5
-3
.1
0
0
0
5
3.
1
to
0
2
is
Climan
3
20
11
3
25
14
It
House Size Adj I.
House SiZ9 (It)
Subtotal
15op
20M
Woler"= g
to
or
Pare Score
11999
mom
_30
0
3
-25
a
2
.20
0
2
-15
0
-10
0
.5
0
0
0
a
0
5
0
0
10
0
Climan
15
0
HWIR Pip
20
0
.2
25
0
-2
Zonal Concrd Adjustinent
6
5 4
2 1
0
12. Water Heating
One Waw
Hamw - No AzzMwy Credilts
DMVWMSYUEWZ
PAO Sms"
Want
Climan
EmM
SM
HWIR Pip
'No
Maw Daind
Hewer Tvael
75onn
Factor
P01J Im1111
cut
SG50
AN
am
0
3 1
-9
.5
0
0.62
5
a 6
-4
0
5
11 9
0
4
8
SG75
AS
12.48
-2
1 -1
-12
-7
.2
MW
3
6 5
-5
-1
A
an
7
10 8
-1
3
7
SE
Al
0.87
-2D
-12 -17
-41
-32
-19
aM
-17
-0 -13
-0
-�=
-16
IG,
All
am
2
5 3
IE
All
QAl
-21
-12
HP
r-11.12.15
1-90
4
7 5
-5
1
4
Two Wsum
Heaton - No AuxMw7 Cratifti;
Saso
As
am
.7
.4 -6
-17
-12
-7
0.71
6
10 8
-2
2
7
SG73
AN
0.48
-12
4 -11
-=
-17
-12
0.511
-1
2 0
-11
-6
.1
0.68
a
0 7
.4
1
6
SE
All
037
-22
-14 -19
46
-25
-22
OM
-16
-7 -12
-n
-28
-15
:G
All
0.80
.4
: 1 .2
1E
All
QLM
-21
-12
HP
1.80
.1
3 1
-IQ
-6
0
Point System Summary: Climate Zone 11
-5
Point Scores
1. Ceiling Insulation
or
R,value One
L
4
R-0 .74
Fl -valve 1-18 U -value 10.0281
-27
R-19 - -5
-4
2. Wall Insulation
K k4
or
0
42
0
3. Raised Floor Insulation
R-rm I or U -value (0.0651
.1
1
iirigia-
Sing*-
AMIN 1191
U-Yalue J0.0371
Family
Willi-
-value -Defached,,
4. Slab Edge Insulation
Family
or
Percam
or
to
to
R -Value [01
F2 facw 10.751
to
to
to
5. Infiltration
Any Ducts in Unconditioned Spape? Y N [Y]
to
10
6. Fenestration Heat Loss
to
to
or
Fene5umon mom
7t 4;-
1.20
Type
Uvaluo 10.651
Tital % Fenes.1161
.80
Sum
7. Fenestration Heat Gain
65
.60
55
.50
.45
% Fenestration
SCshade opm Eff. % Fenes.
Shade Eff. Ratio
-100
-76
North /.0 X
-62
�Z,, 0
-48
-41
-38
East X
-31
(001,
-24
-20
-17
South X
West X
-10
13 17.
�Y
-77
-58
-52
Skylight X
-41
-36
-30
-27
-25
Overhangs? (Y/N)
-19
-16
-13
'-10
-11
-8
8. Interior Thermal Mass
35%
or
49
-44
-39
-34
% Exp. Slab 1201 Int. MaWCFA
-25
-22
.20
9. Exterior Wall Mass
Is
-12
-7 -7
-7
-5
-3
ExL wad mass
-54
40
-36
10. Heating System
-27
X
Ag
-17
-15
-13
AFUEorHSPF Ducs'Effic. (I story:
Effective AFUE
Zonal control
-4.
-2
(78% or 6.81
0.83; 2+ story: 0.881
crHSPF
Adjusumient (01
-32
11. Cooling System
-25
X
.17
.-15
.13
-11.
SEER 110.01
Duct Effic. [I starry:
Etteme SEER
Z0rk1&C4WW
-1
1
26%
0.81: 2+ story: 0.871
-23
Adjustment [01
-25
12. Water Heating
System, JG60
-18
-14
f2
-11
Heater Type
Energy Factor Ext 16S. R-Varu-e
(121
Auxiliary Input
Dismbubon
-2
ISGS01
System 2
10.531-
-r
24%
(Nonel
(STD]
-26
Heater Type (Nonel
Energy F;= EXIL Ins. R-vajue
Auxiliary input
Distribuilon
-11
-9
-7
-6
-4
Point 7atal:
.1
1
3
2211.
-36
-25
-22
-19
1. Ceiling Insulation
-5
Numt)er of Stones
Nurnber Of 51411811
-.7
R,value One
TWO
4
R-0 .74
-48
-27
R-19 - -5
-4
.2
R-30 -1
-1
0
R-38 0
0
0
a;-
2.'W,all Insulation
.1
1
iirigia-
Sing*-
.66
FaMd
� y
Family
Willi-
-value -Defached,,
AtMcned
Family
.35
Percam
or
R-0 -14 -9 -5
R-11 -3 -2 -1
R-19 0 0 0
R-30 2 1 . 1.
4. Slab Edge Insulation
-5
Numt)er of Stones
.3
-.7
-6
-4
4
4
2
.3
R-15
-4
-32
.2
R-19
-0
_�,_,._o
0
R-21
1
.1
1
3. Raised Floor Insulation
-13
.66
Inswation in near
.56
.51
.46
Nufflow of =rim
.36
R-0 -14 -9 -5
R-11 -3 -2 -1
R-19 0 0 0
R-30 2 1 . 1.
4. Slab Edge Insulation
-5
Numt)er of Stones
.3
P,value One Two
1
Three
0 0
0
R-5 6
2
R-7 7
2
1 6. Fenestration Heat Loss
-32
S. Infiltration (Duct Air Leakage)
Ducts in Uncoilditioned Space * 0
No Ducts in Uncemaitiorted So= 3
7. Fenestration Heat Gain (based on Shade Eliectiveness Ratio)
Ell North East South West SICY4trt
% .87 .67 .52 51 .87 .67 S2 .51 .87 .67 Z2 .51 .87 .67 .52 .!if .67 .66
Fen- . or to to . or or to to or or to to of or 10 to Or or or
astra- more .86 .66 less more .86 .66 less mom .86 .66 less mom .86 .66 less mom less
lion
1 Erl-
-5
-4
.3
.2
-21, .20
-15
-12
U -Value
-23
-16
-12
-36
-32
-23
-16
Total
1.31
1.21
1.11
1.01
.91
.81
'.76 ..71
-13
.66
.61
.56
.51
.46
.41
.36
.35
Percam
or
to
to
to -
to
to
to
to
to
to
to
10
to
to
to
or
Fene5umon mom
130
1.20
1.10
1.00
.90
.80
.75
70
65
.60
55
.50
.45
40
less
50`51.
-100
-76
a
-62
-55
-48
-41
-38
-34
-31
-27
-24
-20
-17
-13
-10
40Y.
-77
-58
-52
-47
-41
-36
-30
-27
-25
-22
-19
-16
-13
'-10
-11
-8
-5
35%
-66
49
-44
-39
-34
-29
-25
-22
.20
.17
Is
-12
-7 -7
-7
-5
-3
301%
-54
40
-36
-31
-27
-23
Ag
-17
-15
-13
-11
-8
-6
-4.
-2
0
28%
-50
-36
-32
�29-
-25
-21
.17
.-15
.13
-11.
-9
-7
0
-3
-1
1
26%
-45
-23
-29
-25
-22
-18
-14
-13
-11
.9
.7
.5
-4
-2
, 0
2
24%
-41
-29
-26
-22
-19
-16
-12
-11
-9
-7
-6
-4
-2
.1
1
3
2211.
-36
-25
-22
-19
-IS
-Q
-io
-a
.7
.5
-4
-2
.1
1
2
4
20%
-31
-22
-19
-16
-13
-11
-8
-6
.5
.4
-2
-1
1
2
3
5
19%
-27
-18
-16
-13
-11
-8
-6
-4
-3
-2.
.1
1
2
3
4
6
idt.
-22
-14
.12
-4
-6
-6
-3
-2
-1
0
1
2
-5
1%
1
1
14%
-18
-11
-9
.7
-5
-3
-1
0
1
2
3
4
5
6
7
8
12%
�1_3-
-7
-6-4
1
.2-1
0
0
4
5
6
7
8
9
101.
-8
-4
.2
-1
1
2
3
4
5
5
6
7
8
8
9
10
81f.
-4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
7. Fenestration Heat Gain (based on Shade Eliectiveness Ratio)
Ell North East South West SICY4trt
% .87 .67 .52 51 .87 .67 S2 .51 .87 .67 Z2 .51 .87 .67 .52 .!if .67 .66
Fen- . or to to . or or to to or or to to of or 10 to Or or or
astra- more .86 .66 less more .86 .66 less mom .86 .66 less mom .86 .66 less mom less
lion
1 Erl-
-5
-4
.3
.2
-21, .20
-15
-12
-26
-23
-16
-12
-36
-32
-23
-16
-75
-50
16%
-4
-4
.2
-1
-18 -16
-13
.10
.21
.19
.13
.9
.31
-27
.19
-14
45
"
1
-4
.3
.2
.1 -
-113-
.11
__8
-16
-14
-10
-7
-26
-23 -
-16
-11
-55
-38
.. .
.3
.2
.1
.1
-11
-8
-6
-12
-10
-7
-4
-21
-18
-13
-8
-46
-31
11%
-2
-2
.1
0
-10 '-9
.7
.6
.10
-8
.5
.3
-19
-16
-11
-7
-41
.28
101/6
-2
-2
.1
0
-8 -8
.6
.5
.8
.7
.4
.2
.16
.14
-9
.6
.37
.25
9%
*-2
-1
.1
0
-7 -7
.5
.4
-6
-5
.3
-1
-14
.-12
-8
-5
-32
-22
8%
-1
-1
-1
0
-6 -5
-4
.4
-4
-4
-2
6
-11
-10
-6
-4
-28
.19
79/.
-1
-1
0
0
-5 . -4
-4
.3
-3
-3
-1
0
-10
-8
-5
-3
-24
-17
6%-
-1
-1
0
0
* -4 -4
-3
-2
-2
-2
-1
0
-8
-7
-4
-2
-20
-14
5%
-1
0
a
0
-3 -3
-2
-2
-2
-1
0
0
�6
.5*
-3
-'1
-16
-12
4%
0
0
0
0
-2 -2
-1
-1
-1
-1
0
1
-4
-4
-2
0
-12
-10
3%---0-0
a
-07-1-���004__-J_-2
8.5
24
20
17
13
10
6
Two or
Three Story
0
1
-9
-7
2%
0
0
0
1
0 0
0
0
0
0
1
1
0.
0
1 .
2
-6
-5
1%
1
1
1
1
1 1
1
1
0
0
0
0
1
1
2
2
-3
-2
0%
1
1
1
1
1 1
1
1
0
0
0
0
3
3
3
3.
0
0
8. Interior,rhermal Mass
-
Exterior
Method A
(Slali,-on-grade
Construction Only)
Polcm
one
Family
TWO
Three
Exoosed
Stov
AC
Stories
Stories
0
-3
�\;0.20
.2
3
-1
10
.2
5
.1
0.60
.1
20
0
or
0
10
0
30
1
12
1
1.20
1 .
40
3
1:40
2
14
1
so
4
17
3
1.80
2
so
5
2.00
3
19
2
70
6
0
4
.7.4
2
so
a
3
5
2
3
90
9
7.6
6
7
3
100
10
1
6
8.3
4
11
Method
B
5
4
Ira
So Floor
Raised Floor
Mass
stories
11
9
Stones
4
/CFA one
Two
Three
One
Two
Three
0.0 -11
-8
-6
-1
.1
-0
.0.1 -10
-7
-6
0
0
0
0.3 .9
-6
-5
1
1
1
0.5 -8
-5
-4
2
2
2
1.0 .-6
-3
-1
4
4
5
1.5 -4
.1
1
6
6
6
ZO -2
2
4
a
8
8
Z5 1
3
5
9
9
9
3.0 3
'6
5
11
10
10
4.0 4
6
7
13
13
13
5.0 4
6
8
14
14
14
S.0 5
7
9
15
is
15
7.0 7
8
10
is
16
16
8.0 a
9
11
18
17
17
9. Exterior WaH Thermal Mass
-
Exterior
Single-
Single-
mufti
wall
Fw.ify
Family
Family
Mass
Detached
Attacned
AC
AC
Sum of 1-6
0
0
�\;0.20
3
3
2
0.40
7.-
5
4
0.60
9
8
6
or
12
10
7
1.00
14 -
12
9..
1.20
17
13
10
1:40
18
14
11
1.60
21
17
13
1.80
23
18
14
2.00
24
19
14
10. Heating -System
Ins
1000
Sum of 7-9
6 4 3 2 0
to.
Spia
Houses With Ducts (1141)
-25 or
-24 to
-14 to .4 to
.6 to
16 or
AC
AC
Sum of 1-6
-15
-5
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
HsPF KsPF less
-15
.5
+5
+15
more
78%
6.8
6.6 -
0
-0
0
0
0
0
801%.
7.0
6.8
1
1
1
1
- 0
0
85%
.7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
95%
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
less
-15
Effective AFUE or HSPF
+6
+15-
more
AFUE or
KSPF x duct efficiency)
IG,
Effective
am
2
5.0
Sum of 1-6
-29
-23
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFLIE
HP
HP
or
to
to
to-
to
or
.
NSPF HW
less
-15
-5 -
+5
+15 MOM
One Story House
0
0
8.1
7.9
0
0
33%
19
Z8
-62-
'-53
-"
-34
-25
-16
400/6
3.5
3.4
-40
-34
-28 -
-22
-16
-10
501.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5A
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
801Y*
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or
Three Story
House
-11
-9
-7
-4
.2
33%
2.9
ZS
-69
-58
-48
-37
-26
-15
40%
3.5
3.4
-46
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
90%
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
Zonal Control Adjustment
11.'Coofing System
Houses With Ducts (R41)
SEER
Ins
1000
Sum of 7-9
6 4 3 2 0
to.
Spia
Pckg
-25 or
-24 to
-14 to .4 to
.6 to
16 or
AC
AC
less
-15
-5
.5
+15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
1ZO
11.6
8
6
5
3
1
0
13.0
lZ6
I 1
9
6
4
2
0.
14.0
13.6
13
11
.8
5
2
0
15.0
14.6
16
12
9
6
2
0
1 -1
-12
Effective SEER
-2
am
3
(SEER X duct efficiency)
-5
-1
Ell SEER
IIAS
Sum of
7-9
-1
3
Split
Pckg
-25 or
-24 to
-14 to -4 to
.6 to
16 or
AC
AC
less
-15
-5
+6
+15-
more
One Story House
.16
IG,
AN
am
2
5.0
4.9
-29
-23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
.3
-1
a
8.0
7.8
-1
..0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
-7
s
3
1
0.
11.0
10.7
12
10
7
4
2
0
IZO
11.6
15
12
9
6
2
0
13.0
lz6
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
IS.0
14.6
22
17
12
8
3
0
Two or Three
Story House
Al
(193
-21
-12
5.0
4.9
-3S
-27
-20
-13
-5
0
6.0
5.8
-21
-17
-12
-8
-3
0
7.o
6.8
-11
-9
-7
-4
.2
0
8.0
7.8
-4
-3
-2
-1
-1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
1ZO
11.6
13
10
7
5
2
' a
13.0
lZ6
16
12
9
6
2
0
14.0
13.6
IS
14
10
6
3
0
1S.0
14.6
.20
16
11
7 .
3
.0
System Type
Ins
1000
Resistance
6 4 3 2 0
to.
Other
3 3 2 l' 1 0
0
_1499
-30
-17
.5
Adjustment for No Tank 1-1111111011
-1&
Nurnber at Wow Maxon
water Hewer Tvas one TWO
SG50
.2 .5
SG7,5
-3 4
SE
.5 4
HP
-2 .4
Zonal Conlovi Adjustment
'AD 6 5 4 2 1 0
House SIMS Adjuff-ent
Mme Size fft�
subtatal
Ins
1000
Water Mom g
ow
to.
Pon Scam
low
_1499
-30
-17
.5
.25
-1&
.4
.2D
-11
.3
.15
-9
-3
-10
-6
-2
.5
-3
.1
0
.5
0
5
0
0
10
5
2
is
10
3
2D
is
3
25
14
4
House Sto Adjustment
House.size (tr)
sublotal
ism
2000
water"Gatimg
to
or
PC" Sears
19"
mom
-30
3
-3
ohmegm Syaam2
2
.20
0
2
-15
0
Rean System
-10
0
ErWV
.5
0
'No
0
0
0
5
a
0
10
0
is
0
All
2D
0
3 1
25
0
-2
17- wiielle Heating
Ow Wow
Heater -
No AUZM=T Cndft
ohmegm Syaam2
Rean System
wmw
cumma
ErWV
WiR FW
'No
7imer
Daind
Hewer Tvoel
Zama
Factor
poti tmw
Ct"
SG50
All
0M
0
3 1
4
.5
0
0.63
a
a .6
.4
0.
5
CL73
8
11 9
0
4
8
SG73
All
CL46
-2
1 -1
-12
-7
-2
am
3
6 5
-5
-1
A
IIAS
7
10 8
-1
3
7
SE
All
QV
-20
-112 -17
.41
..32
.19 -
QM
-17
-0 -13
-38
.28
.16
IG,
AN
am
2
5 3
IE
AN
GM
-21
-12
HP
6.11,12.15
IM
-i
-7 5
.5
.1
4
Two Waser Heation -No
Ansd[Lary Credits
SG50
As
.0m
.7
.4 -6
-17
-12
.7
0.63
1
5 3
-S
-4
1
0.73
6
10 8
-2
2
1
&G-73
All
0.48
-12
-9 -11
-M
-17
-12
Q.58
.1
3 0
-11
.6
-1
QLSS
6
0 '7
-4
1
a
SE
M
0.87
-22
-14 -19
-46
-25
-22
dM
-10
-Y -12
.33
-13
!G
AR
0.80
.4
.1 .3
1E
Al
(193
-21
-12
HP
F"11.13.15
1.90
.1
3 1
-IQ
4
0
Mandatory Measures Checklist: Residential MF -1 R
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 superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
§1 50(b): Loose fill insulation manufacturer's labeled A-VaJue.
0 §1 50(c): Minimum X 13 wall insulation in framed waJIs (does not apply to exterior mass waft).
* §1 50(d): Minimum R- 13 raised floor insulation in tiamed floors; minimum R-8 in concrete raised floors.
§1 50(l): Stab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
great ter than 2.0 perm/inch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and iorm.
§116-17: Fenestration Products, Exterior Doors and Infiltration/Extiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to ftit air leakage.
b. Manufactured fenestration products have label with certified U -value. and infiltration certification.
Q Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§1 50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
JISQ(Q: Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Ooseable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
Z No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§1'10-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§1 50(i): Setback thermostat on all applicable heating systems.
§1 50�): Pipe and Tank Insulation
1 . Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R- 12 or greater) of combined intenortexterior insulation (R-1 6 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 550F insulated.
S. Piping insulated between heating source and indirect hot water tanIL
§1 50(m): Ducts and Fans
1. Ducts constructed. instailed and sealed to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum installed value of F14.2 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 operatea campers..
it 14: Pool and Spa Heating Systems and Equi ' oment
1. System is certifiec with 78% thermal efficiency, on-off switch. weatherproof operating instructions.
no electric resistance neanno and no pilot light.
z Sy;tem is instaeo with:
a. At least 36* Poe oetween filter and heater for future solar heating.
b. Cover for oulcoor Doots or outcoor spa -
3. Pool system nas cirectionaii inlets ano a circulation oumD time switch.
§115: Gas-tifea centra, furnace. pool heater, spa neater or household coming appliance have no
continuously buring pilot licht. (Exception: Non-vecincal cooking appliance with pilot < 150 BItithr.)
Ughtling Measures
§1 50(k): 40 lumenswar, or areater tor ceneral I�hting in kitchens and moms with water closets: and
recessed ceding fixtures iC insulation coven approved.
COMPUANCE STATEMENT
Ibis certificate of compliance lists the building features and perforimairim specifications needed to oomply-YAth Tille 24, Parts I and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by Me
irdMual Win 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 ft special Fealiims/Remarks SeClion.
Designer or Owner (per Business A Professions Code) Documentation Author.
Name: Name:
MUIR= Tide/Firm:
Address: Address:
Telephone:
Lic. 8:
(signature)
Enforcement Agency
Narne:
Tifle:
Agency:
Telephone:
(date)
(signaturelstarnp) (0ale
Telepho�e:
N -nature) (date)
Certificate of Compliance: Residential Climate Zone 11
ProjectTide
B u ild in 9!f�* I.
F;791ect Addren Checked By/ Date
1 570 ]2�r,6e�6,AW
U;�umentstlon Author Telephone Eftforcernent Agency Use Only
Fenestration
BUILDING DATA Are�_ %
..9 Y J
North /'.0
S,on All Number of Stories East A-
Numberof,Units
a= S�� Fl South 3,/
t4*'fin_D—eF6n_ily Detached (SFD) Addition -Alone West
Single Family Attached (SEA) Existing Building Skylight
multi-Familyavu) E I Existing -Plus -Addition Total
B LTIJ.PING SHELL INSULA710N
Component Insulation LocafioNComme.110
Type R -Value (Stdc' to wage. N-RucaL eitc.)
Roof ............. IX , 7-) (_ - "
Shading Devices
Type Interior Exterior Overliarig FramingType
VLJQLJL4UV11 kbil t3mgm aiduotcy I.Taucr V1MC6_CW_) ksMk01C=eW4 em) (yew") tmetliLl/wo")
Norui .7) 7_�
North
East
East
South
South
West
West
Skylight .......
THERMAL IMASS
Type/Coverirg Area Thickness
(slalo/exacisecl. tile- etc) (SO (inches) Location/Descriotion (kitchem bath. etc.)
liVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location
conditioner. helit puiriv) (AFUZ,SEER.HSPF) (aWc. ctc.)
HOT WATER SYSTEMS Tank
Svstcm Type (storage gas. etc.) Capacity Number
SPECIAL FEATURES/REMARKS
Duct
R -Value Thermostat Type
NIV
R ue
Enerev Factor Ext- ink Trit'.10- -Digrrihititrinirt
, 63 Ae /,;1-- -.5 -7,.;)
Roof .........
Wall ..........
wau ......... **_�
Floor .............
Floor ............. .
Slab Edge .... i
FENESTRATION
-Eenestration
Area
Shading Devices
Type Interior Exterior Overliarig FramingType
VLJQLJL4UV11 kbil t3mgm aiduotcy I.Taucr V1MC6_CW_) ksMk01C=eW4 em) (yew") tmetliLl/wo")
Norui .7) 7_�
North
East
East
South
South
West
West
Skylight .......
THERMAL IMASS
Type/Coverirg Area Thickness
(slalo/exacisecl. tile- etc) (SO (inches) Location/Descriotion (kitchem bath. etc.)
liVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location
conditioner. helit puiriv) (AFUZ,SEER.HSPF) (aWc. ctc.)
HOT WATER SYSTEMS Tank
Svstcm Type (storage gas. etc.) Capacity Number
SPECIAL FEATURES/REMARKS
Duct
R -Value Thermostat Type
NIV
R ue
Enerev Factor Ext- ink Trit'.10- -Digrrihititrinirt
, 63 Ae /,;1-- -.5 -7,.;)