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Home My WebLink About021-260-01121-26- 1 Donald J. Duren W/S Richins Ave'. 'N.o est 2 app.150 ��ef Liberty Rd. , Gridley Permit #7145-79B(demolition/SF) 21-26-11 -L�7214 Permil 7146-7,9P,E(util.,MH) L rELEC. So GAS dj,4 4A�, SUPPbRT STRUCTURk"%R.EQ- A -.)O (04PACTION TEST REQ. 21 -26 - OMI 8 OMH Ik Permi 418 - 8 1 Is -21-26-11- DONALD DURIN 1225 Richins Ave, Gridley 'ContR: R.L. Casey /w sine.famil Permit#2102-89B,P,E,M(new 21-26 -wlO 0 ii-6WL�- 84A (Agr'icul tlira 1 B farm eguip) f PERMIT NO. 2102-89B,P,E,M PERMIT EXPIRES DONALD DUREN OWNER CONTR. R.L. Casev ASSESSOR PARCEL 21-26-11 LOCATION 1225 Richins Ave, Gridley tp f'\j jib I C V_ 44, C1 I v tal ej ov 0 P(7 �nv Temp. Power Pole Called PG&E 4 Temp. Elec. Service Called PG&E Temp. Gas ServIckUtzqAA I 97f Called PG&E k JOB FINALED (Date), -90 Signature . =,OK '0 = N6t OK = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. -Soils; Special MH Support -Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rf trs.-Con nec. - Shthg.-Rfg.-Bracing S. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. P'Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date .10. Roof; Shthg-Roofing Card -BI Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements Card -Bi Date Card -B1 Date 2. Footings; Si ze-Spaci n g -Marriage Line Card -Bi Date Card -Bl' Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans),OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks- Easements 6. Water; MH Test- Reg u lator-Con necto r 2. Soils; Compacticn-Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining - 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8.'Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc I osu res- Panel board s- Ins. to Main in Conduit Card -Bl Date Card -131 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -Bi Date Card -B1 Date Card -B1 Date K f% 1� � #;�. 9 = uK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDgRFLOOR (Plans) OK except #'s ,7-2-7.0 L, -Toning -Setbacks; -Easements -Flood -Slope 12'-Ftg., Main; Soils-Steel-Elec. i�W-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 1--gi-ernwalls, Main; Steel- BI ockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab: Steel-Wraooed Card -Bi Card -B1 !j_.Rrers-Fi replace Ftg.-Steel (,jf,A.V4.; Fall -Fittings -Test -2 way C/O: -Sewer Test 1%.4da§,Ripe; Size -Anchors la,4fater Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 1 ums & Ducts; Clearance-Material-Supprt-Ins. 1"irders-Rills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 X/--1 Date 7- q - VT Card-1311t,rLe>_ Date 1Z -,f& -f� Date PLUMBING (Permit) OK except #'s 6._Water Ht. Vent -Access -Combustion Air�Baffle P'01. Water Pip rs-Nail Protection (��,W.V.(W- tngs & Anchors -Nail Protection (,qLCbjV6heweF-I24a, Test, First Floor -Tub Access 20. ' Test Tub & Shower, 2nd Floor -Tub Access L,2'1. Gas Pipe; Size & Anchors Card -BIC',*--, Date Card - B I Date Card -131 (*A-70 Date fl, / l,"Card-Bl Date Date MECTRICAL (Permit) OK except #'s 22. FWure & Transformer Clearance -ins. Protection 6. Receptacles Spacing -Lights & Switches at Doors a4�_Si'ze Boxes & No. of Co nd u ctors-Sta pled 5. 13omex In talled Close to Edge of Studs & C.J. Ground made up w/Mech. Fasteners -Bond Gas & Water �2 , ppliance Circuts in Kitchen & Conductor Size/G.F.I. V258. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga. __eG or Al Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No rvice-Riser Conductors & Ground -Main Disconnect uip. Clearances Panels-Motors-Mech. Equip. 5thes Closet Light -Shower Light -Spa Light Card -B1 C40 Datell -7-K�_ecard-Bl Date Card -BI Ak-) Date) H-1-RMard-131 Date Date ACHANICAL (Permit) OK except #'s EM. A,C. Ducts Insulation & Support 126.' Vent Fan; Exhaust above insulation ;K. Rondensate Drain & O�� ,Grade (!rFurnace-vent; Access-Qomb6l�ir_Peturn Air Vent -115 outlet L38'.�Attic Access & Platform i_f_FU-Tr?rCce in Attic Card -B1 Sr-10,kllfate NW, Card -B1 Date Card -131 &c -N Date/211,Y -131 Date \X Mard Date FUMING (Plans) OK except #'s I-Sq,,Sills, Proper Material & Anchors 4'0.,Walls Studs -Nailing, Spacing & Bracing—Plates-Sound ...,Bearing Walls over Girders & Floor Nailing "raft Stop in Walls (rat proof) Wire Stops; Furred Ceilings -Stairs -Chases -Tub LA4. Header & Ream -Size & Bearing Date FRAMING (Continued) _;:i?Z.:Ha rig e rs- Post caps -Anchors -Connectors L,�CjAg-_Joist-Rftr. Ties-Purlin-Roof B .-,jrLVg5-Shthng.-Rf n—g. LAT-ireplace iies or Type A Flue-Fii P8tag6at Clearance F k'C8_Attic Access; Size & Ro otection- gntop-Ins. Baffles V49 Bdrm. Windows or Exiting C ill HQt -2 rlimensions t_s�'Garage Fire Protection Framing &'_51. Property Line Firewall & Openings ,&LA7 F ;*t. See s -One T -Check Garage -3rd story, 2 exits LSTStairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers' 55. Siding -Nailing Veneer (9j.'! fucco ivf�e-Drip Screed -Fd. Vents-Underflr. Access E�T.:�g �Area-Glass Protection -Skylights -Plastic t-58. Shear Walls; Nailing -Bolts 1 C.11,ROt5g-lnsulation-Wil<-blglb�Q 160. Infiltration-Walls-Wndws Card -BI Date)n, ard-B1 cg::s Date 1L (3 - Card -131 Date'/P�_ ard-BIC_11�, Date DAtA TINAL (Plans) OK except #'s 61.yi-9f. Steps -Door & Sidelight Protection -Landings IA3t §mekb Detector Pff. Furnace- Vents -Clearance -Comb. Air -Connector - In j3arage; Above Floor-Ducts-Mech. Protection LZR.,r-Bedroom Exiting Ptl. G:,F-I. & Bath Fixtures & Tub Access -Spa le6'-Elec.,Trim & Subpanel; Breaker Sizes -Labels -7 Qk_4" AW ;5 W"618)Fi replace or Stove; Clearances -Hearth 1,K.'Elec. Outlets at Wood Panel; Int. & Ext. !:�.T ��ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance '_ Y,--/3,j0(:AaIec. -Outlets & Receptacles at Kit. Counter, /-/_/--:L--9ZK7A.a�araqe Fire Door: Swi n Q -Land i n(,f-Q1es6r-)P Q3:,,ANtr. Htr.; Vents-Clearan nnector-P.R.V.- In Garage; Above Flo t_16�,PLlb, Elec. & Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protec. svtaVDW--F5TRr--Cboked in Attic 11 Yes L -*A- Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instid.; Drive -0 Yes 0 No; Walks 0 Yes 0 No; Planters 13Ye%,!4No_,, ucco;§0dZn_:Finish 442._A -C. Unit; Disconnect, Electrical, Plumbing t4l Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to t.W. Water Well; Disconnect, Electrical, Plumbing L85-'Cxt;rior Elec. Trim; G.F.I. Receptacle-Underg round "66. Ventilation throughout House OL�.�Glass Protection 4615 -Corrections from Previ2��npeefons 82,.G -as Test- eters Ta6'ged; W -Electric !aO. V�!ter & Sewer Connected -C/O to Grade -HD Approval I ergy Compliance Certificate -Other Certificates 92. Hooting L;ertijicate Card -131 at !Llt_�ard-13 1 Date Card 131 e Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time vou visit inh sitAl Owner: Pennit No. ENE ROY'CERT IF ICAT ION (DUPLICATE) # 1225 Richins Ave., Gridlevi Ca. LOCATION A.P. No. ROOF Material Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) - EXTERIOR WALL Material FiberQlass Batts Brand Name Owens-Corning Thickness(inches) 6j" Thermal Resistance(R Value) . R19 CEILING Batt or Blanket Type Fiberglass Batts Brand Name- nwPn--,-rnrninq Thickne'so(inches) cil it R30 5 Thermal Resistance(R Val6e) Loose Fill Type Fiberglass Brand Name QwPnR-rnrnjnq Minimum Thicknes Inches) -lb. _LI_314 L__ Number of Bags 17 _ Wt. poir bag C-35' Area covered(ft.1) 1100 Thermal Resistance(R Value) g3o FLOOR, ELEVATED Material Fiberalass Batts Thickness(inches) 67111 FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning . Thermal Resistance(R Value) 'R19 Brand Name Thermal Reeistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building In conformance with the State of CaliforAa Energy RequLrements. Loerke Insulatiw Co. 49915n 4��zF NAME/OWNER STATE CONTRACTOR'S LICENSE NO. '2; �'u 7�L 'r Z---, January 17, 1990 MtATU�E-dF IN§TACIATION APPLICATOR DATE I hereby,certify the above insulation and all required items as shown on the Building Department approved plans and 'attachments have been installed as. required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 7 STATE coNrRACTOR'S LICENSE NO. 6�:Zj-�10 DATE THIS CERTIFICATE- MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING . January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — P6ne: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER- PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corrsp4l'on of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office Immediately. AT �1 __Y 'AME WAR q 'RA -INVONanp-10" 'M MORA Inspector -Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC %YORKS Memorial Way, Chico — Pfione: 891-2751�' 7 County �Center brive, Orovi Ile — Phone: 538-7�'41 747 Elliott Road, Paradise— Phone: 872-6301 r CORRECTION NOTIC OWKEk —PERMIT NO. A routine inspection indicates that the following violations ofCounty Ordinance I exist at the above address and should be corrected. lease�notlfy this office when correction of work is completed. It you have any questiori pertaining to this matter, or need additional explanation, please contact this fice immediately. A - if /117 wU y Inspector— lot COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone, 891-2751 - 7 County Center Drive. Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -ejg r NO. A routine inspection indicates that the following violations of County. Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, pleatie contact this office Immediately. /(C" 41 WV Inspecto r. Date 10- 91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — P�one: 891-2751 7 County Center Drive. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE �2- OWNER PtHMI I NU. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of -work is completed. If you have any question pertaining to this matter, or need addiflonal explanation, please contack this office immediately. a — --- .. I R.AeF Link-almart W Aw Na. W01-trAMEM �_�ap WPM i4l Date) 7 Inspector. COUNTY OF BUTTE DEPARTMEOT OF PUBLIC WORKS. 196-M.emorial. Way. Chico — Phone: 891-2751 .7 County Center DriVe, Oroville — Phone: 538-7541 747 Elliott Road, Parad i ge — P h one: 872-6307 CORRECTIONNOTICE. OWNER' PERMIT NO. A routine inspection Indicates t hat -the foil owing.violations- of County -10 i rdinance exist at 'the above Address and should be corrected.. Please notify this -office when correOXon of work is completed. It you have any question pert6in.ing to this matter, o eed additional exiijanation, please contact this office Immediatel.y. I -CIA- rA b"W �j �.j 404: 4__rrf:> /V4`14- COUNTY OF BUTTE - DFPARTIjAENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Ca'lifornia 95965 - Telephone: 916/538-7541 _11 APPLICATION. AND- PERMIT PERMIT N ASS::�)R ,/ARQEL bi ,2(, ZOANG BUILDING PERMIT OWNE TELEPTiONE SQ. FT. ILDING VAI UATIO OCC. BU K�— OWNER' G );7C)ORVISS i JA4 COVACTO�2NAME L &—�ofk) P HONE 0 CONTRACTOR'S MAILING ADDRESS 33Sn 41 gElly Fireplace CIONSTRUCTION LENDER UNKNOWN Total Valuation 1$ Filing Fee $ 10.00 LENDIER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENS . E NO. I Plan Checking Fee $ E20 _Ee� Energy Plan Checking Fee I $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/::?_:?S q Permit fee $ at PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 -:ZO cc Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP I I Water piping 5.00 S;SIE Each qas water heater or vent 5.00 47 - USE OF STRUCTURE SF -k DuplexE] MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5*00 _TGF_T___ Mob I I a Home FS W TYPE OF WORK New Al AdditionEl Remodel[:] Utilities[] installation[] Other[] Describe work: Permit Fee Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS W 10.00 /0 CONTRACTORS LICENSE LAW I de6,larre under penalty of perjury (check one): ry 1\ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full-Lorct and effect. License No,:? T_ '129 .4, - JS — Classification --77— 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) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason Main service EA, ADD -L 100 AMP 2.50 NEW CONST DWELLING SO 4,$.4) OR ADONS. ACC.BLOG 5�: 21/20sqft I ..U1 NOEW CONSTR_ '"T"DUTLET __2 N.R.S BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &I SINGLE OUTLET CIR. 1 20050C Ex. OCCUP(OUTLETS OR FIXTURES DALO 30t OCCUP. FIXED AP LNS O)R Ex. OUTLETS TRESI'D. EA.) 2.00 Temporary service 10.00 - Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 7 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I � The permit is for $100.00 (valuation) or less. 5j.-I—have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become uu J c'" to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi ing Fee 10.00 Heating Cooling 7- -Hood 3.0p_ Vent i I at i on V --A4/ 3 Permit Fee $ ]3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a id in consequence of the granting of this permit. A - Date 61 Signature of Applicant f,,VnerM,. Contractor El Agent El An OSHA permit is require excava ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. I Mobile Home Installation Fee $ Energy Inspection Fee $,50 TOTAL PERMIT FEE $ — ,71g7, JSC;�p<l FaAZL i I This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which :T R 0 UBLIC CT Bv PERMIT/EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS r)ate7—Z—k1 --7—!;�_w Receipt No. ellslza_;� I WHITE-D.P.W.. YELLOW-AS89350R. PINK -INSPECTOR. GOLDENROD-APPLI CANT RMW_ COUNTY OF BUTTE - DEPARTMO�Irj OAPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 0 4.� �. �j /I PERMIT APPLICATIO N DA . TA SHEET Permit No._*,k) A. P No OWNER A)aAoJ Proposed Building Use Building Inspector 1�IA Date Attimeof permit application, I,was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .............. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans Fnprnv Design Compliance and supporting documentation ......... *6. �Statem nt of Intent for Non -Heated and AC Buildings .............. ngineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... . `12. 6(eZGV_ School District fees paid ....... '�? —17 1,�, Health Depar*t'm* e**n*t* * * .* bw 13. Sanitation approval from O�GVZeClE 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use:—(B) Parking: . ......... 1 provements may be required. j1 8. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request lo 19. Pre -Inspection for required ...... Buildin g Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 7 ce 099!��A ,,?-4 L,Lq A�er of sL�Lnature authorization ..................................... 26. When you iss6e the rm i t e: , progesas follows: — Mail t I o owner. —Mail to contractor. Telephone and hold for pickup at office. —Deliver w/inspector. Other Date e -s - Copy of plans sent — Health Dept., — Fire Dept., — Other— Date The following data must be submitted prior to perrn_�tjssuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, des I gner, owner, was advised of above requ I red data by —ephone--jnai I —counter by k46_ date -7 C 4!32r�ac,,., designer, owner, was advised of above required data by —phone _rna I I —counter by— date r_11Q. Plans checked by —Date 7242-4� Plans approved by Date 7___Z4_1b47 _�Sets of plans on hold in -ZIOL91File cabinet AP folder Copy—DPW TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance q - Owner Location AP#.. Plan Approved for: Hold final for: Sewage Disposal Water Supply� Water supply Final -clearance OA. for: Water Supply Clearance for 3 bedroom zwb4ae home. oth-e-r __/_d y:22fL AA NOTE * * * AW S a"n"' 1 —ta r i a n Date C)A �q N RESIDENTIAL 'PLAN CHECKING GUIDE I 5/89 MISCELLANEOUS tITEMS: TO. LOOK OUT FOR (CONT'D) ,b,el"Exterior plaster weep screeds (Sec... 4706) J.,--f�ioper roof -pitch for roof -covering (Chapter 32). r&�o'f covering type - (fire hazard). &e RgpLeer ties or bearin ridge bi��am. 9 rage'do-br or porch header sizes. dequate bracing. -+@---E'lving area over garage complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). WKI-At-tic access and ventilation (Sec. 3205). W 1-11 and ventilation (Sec. 2516). . �U��rfloor access 14 --'Combustion air for fuel burning -appliances. -k< Noise requirements on duplexes. ,Ieo"'Adobe soils - special foundation design. ining walls requiring design. 16-.1 4malual shape, size, or split level house requiring lateral design. 1B,'Iflashing at all exterior openings. PAkC-E-:L-S Oto, -A A P06- TL jA 9 POF FRAm"tr4l PLAA otA S'r'ec-K Rul:r PaAjtc^A OF= kVoF_. NO FOA.-r"�R_ P004 C.,14. OONI C-) cpxj_� 00-Mrp�' �11V K - - .-V" -7 7--10 64V NOT -1 CAP- 0'r_ 1AX— TC, A/Q,#,U/O-Aj q -z> oir _/, -7 04D -'VS 7- 6A,oe� /A) 6 fim�&,Oc 1 00 t-".VLS - C--qA-- 6F*c" 6/L- (Tq) e C"'r4c- �4e.cbx__ T2> aq4t'L ja'L . ''1 4 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLa'vmisc. ONLY). Bldg. Permit # 2.1 o2. - 61� OWNER "aMALb bukF-N A.P. # 1-1- 2-10-11 GENERAL 4sr Zoning requirements: (sideyards 2-'>aluation. o��Plans signed by designer. 7K. Energy Design and Compliance. Existing violations on property.'� Items on data sheet. PLOT PLAN a <n] jb Zer :o :f je:r m i t e d 1 �iv i n�u n i �t's) umber of �t e5P. -Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. 2.1 Other buildings or structures. 4 -'.,.,Grading, fills, drainage. Flood hazard. Special conditions orf creation map or compliance document. FAU & FAS -road setback. FLOOR PLAN 5/89 :5.;tomplete to scale plan with dimensions.-, ,�equired windows for light and ventilation (Sec. 1205). V.,Required windows for second exit (Sec. 1204). jko`�ylights (Chapter 34 & Sec. 5207). _,Jiuman impact glass (Sec. 5406). ir;,,Required room sizes, ceiling heights (Sec. 1207). ��'GFCIs in baths, garage, and exterior o�tle'ts,(Article-210-8).' Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Q? Locations of water heater, heating and cooling equipment, other electrical or equipment, and plumbing fixtures. 14 age firewall, door size, and closer (Sec. 503(d)(3)). 1-1 1 3'0" exterior exit door (Sec. 3304(e)). U "� F 1 e and wood stove location, alcoves, and clearance. i .. _Kier -e -p ac 1&.'Smoke detectors (Sec. 1210). STRUCTURAL DETAILS ��ndation plan complete enough to,construct building. Floor construction details complete enough to construct building. 3_1�...Elevations and -wall con-struction details complete,enough to'construct'building. Roof construction details complete enough to construct'building.- Firepla:(fe' construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 4 1.-,, 10'. S details: landings, rise and run, head clearance, handrails (Sec. 3306). _��.airway cl-.' Guardrail details (Sec. 1711 & 3306(j)). ,':�-.�rick or stone veneer (Chapter 30). RETURY TO PUBLIC WORKS* E39-027672 Rec Fee 7.00 Check 7.00 Recorded Of f i'cial Records County of AP NO. 6 -o Butte Candac.e J. -Grubbs Recorder 8:29am 25 -Jul -89 BG 2 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, 'D o do hereby declare as follows: 1. 1 am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2.. 1, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I. (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot'line(s) as described in ihe above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: Signature ofk6wnef-of record STATE OF CALIFORNIA ss. COUNTY OF BUTTE Signature of owner of -record On July 14, —, 1989 , before me, the undersigned, A Notary Public in and for the State of California, residing'therein, duly commissioned and sworn,. personally appeared Donald -J. Duren and Antonette purpn- .known to me to be the person S whose namearesubscribed to the within Instrument and acknowledged that they executed the same. WITNESS my hand and offical seal.. 6 OFFICIAL SEAL j 29�73 h 6 )0. B A11A J. KING ARB, Signatuo NOTARY PUBLIC CALIFORNIA OUTTE COUNTY MY COMM. EXPIRES DEC. 24, 19.69 - Barbara J. King Name (typed or printed) AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF nE COUNTY RECORDER. LD 1540 (5/88) i- ArneF�Zkn T I eclaiant or Agent determining tax — F OFIN A gnature of AP#021-26-0-010— & 021-26-0-011-0 T D E E D GRAN.. Alt) OR A VALUABLE CONSIDERATION, receipt of which Is hereby..- acknowledged, RD L. joimsm , and, JACQUINE!'S. JCHNSCN hustimil and. wi fe ereby GRANT(S) to iONALD J. DUREN and ANTONETTE DURENe husband.and wife, ie real property in the City of ounty of Butte State of California. described as ,ot 29 a s shown on that cer "liain map entitled,- "Map of Gridley Colony Number 4, near 'Widley, Butte County, California'.' which viap...was filed in the office of the Recorder of :he County of Butte, State -of California, ril�bruary 5, 1907.in Book 6 of Maps, at page 8. 'XCEPTING THEREFROM the interest conveyedto Sutter Butte Land Co. by Deed recorded March ?5, 1918 in Book 170 of Deeds, at page 50, records of Butte County. St, P tp )ated-- er 17A. 1Q77 ARD L. JOH TATE OF CALIFORNIA OUNTY OF efore me, the undersigned, a Notary Public in and 'for said late, personally appeared nown to me to be the person __ whose name ibscri-hed to the within Instrument and acknowledged that executed the same. 1ITNESS my hand and official seat. ignature If (This area for official notarial seal) Barba ra J. King Name (typed or prli-n-t—ed-T AFTER COMPLE]JON, THIS DOMOqT MUST BE RECORDED IN THE OFFICE OF nE COUNTY RECORDER. LD 1540 (5/88) r" C=r C* 0% tv CT31 ORICIAL SEAL BARNAMA J. KING NOTARY PUBLIC CALIFORNIA DUTTE COLINIY MY CONIM. EXPIRES DEC. 24.1989 so If (This area for official notarial seal) Barba ra J. King Name (typed or prli-n-t—ed-T AFTER COMPLE]JON, THIS DOMOqT MUST BE RECORDED IN THE OFFICE OF nE COUNTY RECORDER. LD 1540 (5/88) r" C=r C* 0% tv CT31 AA 7914 -E PERMIT NO. vvo PERMIT EXPIRES Donald J. Duren ,OWNER CONTR. owner LOCATION (A.P. 91-96-11 W/S Rict-Lins Ave. , app.150'N.of West Liberty Rd., Gridley �j' Temp. Power ole - Called G& -E 8' S T I elff i p I., ec. Se-rv. 6-6 0 11 P 8, [led PG8cE /Te p. Gas Serv. Called PG&E Te I C JOB FINALED (Date) (Signature) MOBILEHOME INSTALLATION INSPECTION CHECK LIST l.- Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes— No 2. Does the mobilehomehave required clearances above ground? (Sec.5085) Yes— No - 3. Ate footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 508.2 & 5083) Yes No - I 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes— N6- 6.. Water A Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566) Yes No B. Te . st Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does statibn have'backflow device and pr�essure-relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes - No— B. Does it have minimum 14-" per foot slope and is it �roperly supported? Yes— No C. Are any leaks detected in drainage system after running 3 -gallons of,water through each fixture including washing machine standpipe? Yes— No -- D. If coach is not State of Californiaapproved, does station have required trap and vent? Yes— No 8. Gas Piping and Gas Vents. A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes — No — 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. *Air test with manometer to 1011-1411 water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas,'test connections with soapy water. C. Are all appliance vents properly installed? Yes— No— eVe—ec 9. Electrical '(mu A. Ts servic'e'large enough to provide adequate amperage -to mobilehomd equal rating of mobilehome with A minimum of 100 amp) and other facilities on lot, garage, cabana, etc.? Yes No B. *Is there proper clearances around panels? Yes No C. Is pcwer supply cord or feeder assembly properly fused? Yes No Yes No D. Is co- .1tinuity test satisfactory as per the following procedure? 1. De -energize electrical wiring system,of the mobilehome at the pedestal. 2.' Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completi . on of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory ' completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME EATA Manufacturer and/or Namestyle Length Width. Vehicle Serfal No. State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING aev4paCK F[Vwall SdX1 Piping Forks Par6ets t I\t Floor Ma%,p Bldg. Rest om Finish 2nc\Floor tings Windok 3rd kloor StAewal I Siding X Topout N SlaA Roof Shaking Water Plpl�g Piers X Roofing Sewer Garage Fdn. Vents Fixtures Footings\ 4 Sternwall 4 Garage V nts Insulation ot Water Htr. Heaters Slab Carport Footings v Prov. for p sica _lLandicappeV Conformance of ex. V structure Appliances Gas Piping & Test Temp. Gas v Slab A Final Sanitation A Patio Y,4REPXACE Final Footings Footing X ELACTRIftL Masonry W Its Throat Rough Reinf. St.e/ Final Fixtures Bond Beall /FIRE SPRINKILEAL Motors tucco Final Subpanels/ Mesh MECHANICAL Grd. Fa/—t Prot. yStucco S c cr ch Heatbfg Servlc9( Bw n CoqJTng T p. Pole nish D is )k tAd rground I erlor Lath I La 4ntilation ermanent 400r, Closer Inal at MOBILEHOME UTILITIES ------------------ �:C), Elec- Service,-4VA —5 il) r E I lec. Pedestal WaterPiping 77, JM CIC., Sewer Gas Piping:2w =E OME INSTAILLAT ON ------ ontinuity Water Piping lo -,16—k-0 cs=, Drainage a-,4AP-b 0,i— Gas Piping /I DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vis1t the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirem'ents of the ministrative Code, Title 25, Chppter under permit n b �Agipriw for the following 1jaZt,on. LIU,' R) 74 V P, __Q �9 AS -0 ,,y ON Wg-'s fb6lrfu Owner 7 Owner's Address Mobilehome Mfg. r/e&-L- wouict —Model Ufle+"L.*014 Yearb/ Insignia No. 0/112110109- —Serial No. S'7 Q It is hereby certified for occupancy at the above described location and may be occupied. Directo f P lIh- W Date /0 B y C� I r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS//RELOCATED White. - Owner, Y allow - Installer, P in k - D : P.W. I . COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the rewuirements of the Ct orni, dministrative Code, Title 25, Chapter un er permit for the f2,11[owing location n A -U -4p Owner J-10-7 Owner's'Address C. I ?"� Mobilehome Mfg. R-o:�- Mode I Yea Insignia No. V—n 1 Serial No. d It is hereby certified for occupancy at the above described location and may be occupied. Directqvf Pub'11 Works /0 - 6' B Date y THIS CERTIFICATE IS VOID WHEN MOBILEHOME ISJRELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OFeEBUTT.E - DEPAfRTIVIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auinorize representatives oT ine uouniy oT tiutte to enter upon tne above-mentioned property for inspection purposes. X qa_ S-ek-�.Q=gd Date Signature of Per-Al�e or Agent Receipt No. _('� 2,7 White-D.P.W. — Yellow -Assessor — Pink-InAector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP, OF PUBLIC WORKS By Date 1:�K, z/_ Bil��dinjq permit expires Date FJ BUILDING j Owner SO. FT. OCC. BUILDING VALUATI&O" Mailing Address Telephone No. Contractor Mai I i ng Address "-Y,/ LZ Fireplace Total Valuation Telephone No. Permit Fee Building Address PlanChecking Fee&/orPenalty Permit Fee $ $ F I Al" ty! ald,417 PLUMBING No. @ FEE 4� PERMIT FILING FEE $3.00 3 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. ii�_Iing & Planning Water piping 1.50 Each gas water heater or vent 1.50 fte� 4ec.- SA<on ire Dept. F I F ire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I - Pai6el Plans I Declaration Parcel ap 1 60' R/W I Improvements e-1 Each additional outlet .30 Building sewer 5.00 Bldg. PIA-11'e.d Parc!��royal Plans App'roval Lawn sprinkler system 2.00 . NEW ADDITION UTILITIESA' OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS - Main service 100 AMP OR L FSS 5.00 /70 _ Single Family Duplex Mobi I Home Others El Main service EA. ADD -L 100 AMP 2.50 4C-� Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST DWELLING CCUP. 51 OR ADDNS.' ( ACC.BLDGSO. 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTP_ -OUTLET BRANCH _RCUITSI 12.50ea NO..RES'., (MULTI CI NEW.CONSTR. PO ER APPARATUS a), NON RESID. (SINGWLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTI]RES 5BOA@L 2@510 FIXED APPLNS OR Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15. 0 OZ License No. Classification Misc. -iring 6.25 I& g -i am exempt f rom the contractors Li cerise Laws of the State of Cal i fornia. Permit Fee $ 61 $ a 6 341 MECHANICAL N0.1 FEE I WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. EJI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the. performance of the work for which this Oplermit is issued I shall not employ any person in any manner //'so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING -FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ s --T- I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is k TOTAL PERMIT FEE - 1$ 94z S -I auinorize representatives oT ine uouniy oT tiutte to enter upon tne above-mentioned property for inspection purposes. X qa_ S-ek-�.Q=gd Date Signature of Per-Al�e or Agent Receipt No. _('� 2,7 White-D.P.W. — Yellow -Assessor — Pink-InAector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP, OF PUBLIC WORKS By Date 1:�K, z/_ Bil��dinjq permit expires Date FJ I . . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Centp.r Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS,ESSOR PARCEL NUMBER ZO ING BUILDING PER�;� TELEPHONE OM 4-1al V�' P 6/ r L.IP7 4 710 SQ.FT. OCC. BUILDING V)�_LLIATION OWNER'S MaVJ ADDRESS CONTRACTOR'S NAME: ITELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER __707S E NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 'r )?4 PLUMBING PERMIT FilingFee 3.00 Or / Each Trap 1 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME I PARdEL MAP Each plas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFEJ Duplexn Mobilehomekl Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK NewEl Addition ED R emode I [:J Uti lities Instal lationX OtherFJ Describe work: �_Og -7 07-1Z, pC_E" 1 Permit Fee $ contractor ELECTRICAL PERMIT FilingFee 3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC.BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044), 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTR MULTI-CUTLCT NO N.R..,., BRA �C CR U ITsL_ 2.50 ea NEW CONSTR. I POWER APPARATUS &) NON-RESID. ILSINGLE OUTLET CIR. —Ex. 2ft Occup( OUTLETS OR FIXTURES BAL@1 (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIC.) EA.) 2.00 Temporary service ' . 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. E] 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 shal I be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 3.00 Heating Cooling — Hood 2.00 Ventilation Permit Fee $ Contractor — 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in ce of the granting of this permit. X a :qq D i ate Signature of Applicant O�ner ContractorE] Agent n An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n tures over 3 stories in height. 'a a' sruc" Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 4 01 0 0 occUP. C;ROUP I TYPE OF CONST. I IPARCFL17D I ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR ;:ZOR:VOFP LIC By— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS z) Lv--N Date 7-6 LRecei:�tpNo. I T. -ASSESSOR, -INSPECTOR, W. . YELLOW PINK GOLDENROD-APPL I CANT MOBILEHOME SUPPORT DATA If t other than single wide, Year Mobilehome Mfr.,F—/ -e 6--4. furn-ish.:Sdtup'.,..Mod6,li'No. Width (ft.) Box Length (ft.). 7,agalong-o Siz ft. X ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October;7,-,.1973,, furnish manufacturer's installation manual and structural setup sheets . (if not :on'filevith'th�d County of Butte). All center supports measured from front of mobilehome unlegs*otherwise specified.-" Footings (check one) Single IKI�1- Wood.either pressure treatedlor 'foundation grade. (ft.)(in.) (in.) (in.) Ej 2. Other (.specify) Center upport Center support locati ns* footing sl _s izes L 8 52,ze 4\ Supports (check one) (in.) Concr�tie block. 2i Other (specify) x x <L4 —'Tagalong or Expando,' show support details. (ft.)(in.) (in. ( in.) (in.) r rin) Typical Support in.) (in.) Footing Size X (ft.,Xin.) n (in, (in (in.) Max. Pier*Spacihg oe Max.. Overhang (ft.)l (in�) (3n.), f t,.) (in:.). *If center piers are other than drawn above, draw*in.-locationsi svacinR. and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 . Owner's name: AY J_ 2. Instal1er's name: 22 u 3. Is the site currently under permit? Yel-, No (If yes, furnish permit number OR Is the site an existing site? Yes IYQ No (If yes, furnish two (2) plot plans.)' 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and I clear of all setbacks and easements? Yes 1,Y,1 No (If no, clarify .5. What is the mobilehome electrical rating? ----------------------- 6.' What is the mobilehome site service rating? --------------------- 7.. What is the mobilehome site circuit -breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome Amps s Amps siteservice? ---------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- V ---l. -Jin.) LPG 10. What is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------- (This information not required if pipe length less than 6 f . on natural gas or less than,50 ft. on LPG.) (f t.) (BTU) 40M f COUNTY OF BU TTE DEPARTMENT OF PUBLIC VIORKS ��695 -Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE BUiLDING OR PROPERTY ADDRESS A rouiine inspection indicates that the following Violations of County Ordinance exist at the above. address and should be corrected. Please notify this office when correction of work is completed. If, You have any question pertaining to th'is rr)a I r, or n -- te eed. additional explanation,j please contact this office immediately. 0 'i�� . . 1W Is' Workmanship Shall Be in 'NOTE -_—All Materio. '�� CGondd Practices and r Accordance with Recocini. of a qualifY prescriberl for M specified use in the a6anical, Codes and ing & Ma Uniform Building plumbi the N-ational Electrical Cod7e. �1_1 ficat-Inf, .s MUST bt-- This set Of plans and speci - I., es cind it is unlawftll +0 kept on the iob a+ all lim '�ns on "ZeWifhout ma�e any changes or f public I rt 6n 0 written permission froln tile Depa Works, Ccunty of Butte._'.,�7 0 / nnect"Ons sball be V41tbin Utility co mobilebome, eliber 4 ft. Of the -,tbin the Mar diredly behincl 0' " hilf Of the roadside &1t) 01 the ,%,b,ilebome. A permit will be'required for the installation of the mobilehome. A setback of 5 ft. from the _rV_ property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang, , .0. BUTTE COL BUILDING MeAKIMM I '�:� a /-�? PPIDOVED A R k A r4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OULNUF11V FUPFt!bt!IIU%tIVt!b Ul int! Luunty ui t5utte tu enter upun tne above-mentioned property for inspection purposes. C - -i (_ X / �� _X` I . % e "/ I i. -A Date Signature of Permit'ee or Agent Receipt No. White-D.P.W. - Yellow -Assessor Pink -Inspector - Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By/ 1-42 Z,- Date---./, Building permit expires Date BUILDING Owner !e, SQ. FT. OCC. BUILDING VALUATION Mailing Address f V Telephone No. T, Contractor Mai I ing Address z/ Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee $ $ f. 4 PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4es I W. C. I San i tation - Fire Dept. Fi re Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA I Parking Plans I Parcel on I Declarati I Parcel Ma p -1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.-Phd_ s-Rec'd— I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES OTHERET Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobi I Home OthersEl Main service EA. ADD -L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. I DWELLING OCcu'. 20 sq f t OR ADDNS. % ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 12.50eal NEW CONSTR. WER APPARATUS I (PO NON RES D. SINGLE OUTLET CIR. Ex. Occui)(OUTLETS OR FIXTIIPES 1 50 La 250 !BAL@10�f (FIXED APPLNS. OR Ex. Occup. OUTLETS ( RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EDI am exempt from the contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. rv_�I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL ;No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ ..$ .......................... 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee 1$ TOTAL PERMIT FEE I OULNUF11V FUPFt!bt!IIU%tIVt!b Ul int! Luunty ui t5utte tu enter upun tne above-mentioned property for inspection purposes. C - -i (_ X / �� _X` I . % e "/ I i. -A Date Signature of Permit'ee or Agent Receipt No. White-D.P.W. - Yellow -Assessor Pink -Inspector - Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By/ 1-42 Z,- Date---./, Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Pel�ol e or Agent Receipt No. —I ;�=:Z 4Z White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f hich fees have been paid. DIPECTO,p PF PUBLIC WORKS _..s a Y111111 Date Building permit expires Date a 4 fil BUILDING Owner k) SO. FT. OCC. BUILDING VALUATId& Mai I i W Address P ew- fvlva6 J Telephone No. S-yk — 7f a—/— Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address PlanChecking Fee&/orPenalty Permit Fee $ dlpo�,� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. C -;v— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fkst&_1_J SaniT_-M�i eDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA IParking Plans Parce! I Deciaration I Parrel Mn, 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5. 00 l5ldg. FIan`7'R`e'c'd'i I I Approv Plans Approval Lawn sprinkler system 2.00 __.tarce NEW FJ ADDITION UTIL-ITIES OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS... 5.00 100 AMP OR L Single Family Duplex Mobil Home Others D Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. 5i OR ADONS. % ACC BLDGS. 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CO -ST- L1I-.UTLET " . (M� NO..RE_ 2.50ea BRANCH CIRCUITS NEW CONSTF;L (POWER APPARATUS NONeRESID, SINGLE OUTLET CIR. 1 50 @ 259� Ex. OCCUD(OUTLETS OR FIXTI;RES) [BAL@1 (FIXED APPLNS OR -f Ex. Occup. OUTLETS (RESI'D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Is I am exempt from the Contractors License Laws of the State of Cal ifornia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. JZ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE . PERMIT FILING FEE $3 .00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee is TOTAL PERMIT FEE 1$/01 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Pel�ol e or Agent Receipt No. —I ;�=:Z 4Z White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f hich fees have been paid. DIPECTO,p PF PUBLIC WORKS _..s a Y111111 Date Building permit expires Date a 4 fil Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT, FOR RESIDENTIAL DEVELOPMENT 9 - 25 6-4-,0 Section 26-8.1 'of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 89-025640 Rec Fee 5. 00. The property. described herein is adjacent Cash 5.00 to land or included within an area zoned ",,,_,Recorded for agricultural purposes, and residents Official Records PARTY of this property may be subject to incon- County of SHO veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 8:01am 10 -Jul -89 VS Tik 5 of agricultural' operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Bu'tte 'County has established agricul.- tural zones which have as a priority use for productive agricultural. purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real . property situate in the County of Butte, State of California-? described as - follows: the following. described real property in the County of Butte State of California: Lot 29 as shown on that certain map entitled, "Map,of Gri they Colony Number 4' near Gridley, Butte County, California", which map was filed in the office of' the Recorder of the County of Butte, State of California, February 5, 1907 in Book 6 of Maps, at page 8. E'XCEPTING THEREFROM the interest conveyed to Sutter Butte Land Co. by Deed recorded March 25, 1918 in Book 170 of Deeds, at page 50, records of Butte County*. A.P. # 021-26-0-011-0 021-26-10-010-0 Date: PROPERTY OWNERS: State of Calif 0 On this the 7th day of July 19 8 9, befor.e me, SS. the undersigned Notary Public., personally appeared County of Buttia Donald-IJI.Duren and Antonette Duren Personally known to me. E] -Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) 'are subscribed to the within instrument and acknowledged that tHey executed the same for the purposes therein contained. IN WITNEISS WHF.RROP. T h6reunto set mv hand and official seal. OMMAL BARBARV NOTARY PUEILIAUIA�6A . BUTTE COUNTY MY COMM, EXPIRES DEC, 24,1199 Present A.P. No. Notary Pub4c END OF DOCUMENT I aills-le RETURN, TO PUBLIC WORKS. 27: 89-027672 Rec Fee 7.00 Check 7�. 00 Recorded (D ofticial Records I County of Butte AP NO. iCandace J. Grubbs Recorder 8:29am 2S -Jul -89 BG NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, 'D j 012 e-.7 6' do hereby declare as follows: I am, (We are), the owner(s) of that certain real property situated in the. County of Butte, State of California, described in attached Exhibit A. 2. 1, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvem,ents-on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improv ements will be constructed,over a parcel..or lot line(s) as described in ffie above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: Signature o f record . 7�� STATE OF CALIFORNIA ss COUNTY OF BUTTE -a t-" IL 2 "Ila4— Signature of owner of -record on July 14, 1989 before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly comissioned and sworn, personally appeared Donald J. Duren and Antonette Duren ki-lown.-to me to be- the pperson- S -whose --ra-mearesub-scribed tO the. within Anstrument. and acknowledged that they executed the same. WITNESS my hand and offical seal. - 0 A EA FFICIAL SEAL J 29.nk jQ B ARA, ARB:J. KING Signafu0`1 - J6ALIFORNIA] NOTARY PUBLIC CALIFORNIA ITE C N Y BUTTE COUNTY �Pj C 1989 MY COMM. -EXPIRES DEC. 24, 1989 Barbara J. King Name (typed or printed) AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN TIM OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) FirryfNenfe onsturg Declarent or Allitnt claterm ni —0-011-0 AP#021-26-0-010- & 021-26 G R A*T D E.E D FOR A VALUABLE CONSIDERATION. receipt of which'., is herebV, acknowledged, ARD L. JOHNSON., ayid.� JACQULIN&,.,:S. JCHN90N hiusbaind'and, wife'. )iereby GRANT(S) to DONALD J. DUREN and ANTONETTE-DUREN.-husband ..a I nd wife, the real property in the City of State of California, described as County of. Butte Lot 29 a s shown on that ceriainjaiventitl-eds- "Map of Grilley Colony Number 4, near Gridley ' Butte County, dalif6rn . ial.'.,"wh ' ich map,..'yas.- filed -in the office of the Re8oi�d7er of the County of Butte, St ate.- of :.Cali formi.a.,-,,Fel�ruary S,'.1907, .-.in Book 6 of Maps, at page 8. EXCEPTING THEREFROM the interest conveyed to . Sutter Butte Land Co..by Deed recorcled March 25, 1918 in Book 170 of Deeds, at pagq.SO.:records of Butte County. Dated— September 11, 1977 ARD L. JOH)��ft STATE OF CALIFORNIA COUNTY OF On before me, the undersigned, a Notary Public in and tor said State, personally appeared known to me to be the person __ whose namc subscribed to the within instrument and WITNESS my hand and official seal. Signature acknowledged that executed the same. (This area for official notarial seal) END OF OMMEW -- W -v 0j, CD p Del p C) - 9 r - C) 6-( 0 -C-;) 4611oq ,zs BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM .(One Form per Building) A.P. Number-w-26—it Building Department No. .School District�zn-J)f_fN,.,, City County Jurisdiction P roperty Owner f)e7,4)f4�& Project Location/Address Subdivision Lot Number Residential D evelopment: F/I E]Sq. Footage # of iving MHI Addition (Group R) Units' 7S2 V Commercial/Industrial: 'Sq. Footage New Addition (Including Exterior Roofed Areas) 0 rw IJA � lIi BuildPng EY6partmentifRepresentative Date (Floor Plans reviewed by School District Pe,rsonnel)- District'�Ia No. 73�0 School District certifie� that (Applicant� Name) (Phone Number) (Street Address) VIA W-1-1 _z. '(City) (State) (Zip Code) has,com'plied with the requirements of Resolution No. by the payment of $ representing square feet. Sch6fol District Representative Date PAID BY CHECK NO. .4-1 /, - B A N K N 0 PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIUNTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property. described herein is adjacent to land or included within an area zoned ACCEIPT ED FOR RECORDING for agricultural purposes, and residents AT 8:01 A.M. of this property may be subject to incon- veniences or discomfort arising from the JUL i -(l 1"O� use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established eagricl- LUral zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as f ollows: . ... .... (he following described real property in (lie county or Butte , State of California: Lot 29 as shown on that certain map entitled, "Map of Gridley Colony Number 4, near Gridley, Butte County, California", which map was filed in the office of the Recorder of the County of Butte, State of California, February 5, 1907 in Book 6 of Maps, at page 8. EXCEPTING THEREFROM the interest conveyed to Sutter Butte Land Co. by Deed recorded March 25., 1918 in Book 17.0 of Deeds, at page 50, records of Butte County. A.P. # 021-26-0-011-0 021-26-0-010-0 Date: I State of Califo-rn) a Butte, SS. County of PROPERTY OWNERS: On this the' 7th day of July 9 19 8 9, before me, the undersigned Notary Public, personally appeared Donald:.J*i Duren and Antonette Duren Personally known to me. nx Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that 111ey executed the same for the purposes therein contained. IN WITNI,"SS W14FRF.nF T hprpunto spt mv hand and official seal. OMCIAL SEAL BARBARA I KING CUTTE COUNTY NOTARY PUBLIC CALIFORNIA J�MY MAW EXPIRES DEC. 24, 1989 Present A.P. No. 1 3 0 0 0 - a " a 0 0 8 Notary Fub;Tc- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, � �itorri�a 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT P Agricultural building is defined as follows: Agricultural building is a structure designed and constroo4d to house farm implements, hay, grain,poultry, livestock, orother horticulutral products. This structureshall not be a place of human habitation or a place of 6mployment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONENO 3 6 2- L9 I OWNER's ADDRESS LObATION OF BUILDING 6� 61 /0 USE OF BUILDING 1�__ �jkmh SIZE OF STRUCTURE SQ. FT. X TYPE OF CONSTRIJ7CON: WOOD FRAME STEEL— CONCRETE —OTHER (Specify) TYPE OF SIDING aft -d q48 M101 ROOFCOVERING LOOR TYPE ESTIMATED COST OF CONSTRUC r $ AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 'REAR— FRONT - SIDES— AG Buildings shall be a minimum of five (5).feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floorarea shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residenceand a mobilehome, and 40 feet from a commercial building. I declare undee penalty of perjury that the building will be used as ' stated above and the proposed use conforms.with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply'with the requirements in effect at that time and before occupancy. Date /7 18q- Signature of Owner Permit Fee - $25.00 The above described AG Building is exeZp1t from a building permit. Receipt No. 1`7 Director of Public Works B y Date 7- -3 - White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant - /�/ / i COUNTY OF BUTTE - DEPARTMENT OF?UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLI?r; CAL#ORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER—)904-U DVIL"_ A*. P. No. V 04 Proposed Building Use X�;t-y J Permit Fee Based Upon: Com,plete Contract Price D PW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and /or / issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . . . . . . . 2. Plot plans in duplicate./triplicate . . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs . . . . . . . . . . 5. Plans,with Energy Design Compliance Statement . . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization . . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: — (B) Parking: - 12. Certificate of Workmen's Compensation Insurance . . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to ownerEl) 15. Improvements may be required . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 4 Pre-Inspec. request to 17. Pre -inspection for Required- Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mai I to owner. —Mail to contractor. Telephone and hold for pickup at —office. —Deliver w/inspector. Other Applicant Date Copy of plans' sent —Health Dept., —Fire Dept., —Other V Date During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW Certificate of Compliance: Residential Climate Zone T>dt4 1 01 Address BUILDING DATA Conditioned Floor Area A075 Sla4gWloor Single Family Detached (SFD) Single Family Attached (SFA) Multi -Family (MF) BUELDING, SHELL INSULATION Number of Stories Number of UWts Addition Alone Existing Building Existing -Plus -Addition Component insulation Location/Comments Type R -Value to gange, tnicaL etr—) WaU .............. k� R e; Y. -r - wAt L wau .............. Roof ............. -X-SQ— C-0 Ll AQ 4 Roof ............. — i Floor ............. k - 197 RAler-h R-Ock- Floor ............. --- Slab Edge ..... GLAZING Shading Devices X I (:)?- - 10 -7 Building Permit ChecicedBy/Datc Enforcement Agency Use Only Glazing Area Glass Type Glass Area % Glass North 136 North or 36 East 45 0Z North ) - - South *52- 1,19 West 120 77 -7 - Skylight 0 0 Total —2-42- 1++ Glazing Area Glass Type Interior Exterior Overhang FrarningType Orientation (SO (singK double) koller bUnd, etc.) (shadcscrem etc.) Lmetsl/wood) (Yesmo) North or 36 Ni A. L North ) - - East East South Sou th West 7� West Skylight ....... 0 THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) LocatiorvDescription (kitchen. bath. etc.) A) 0 ME HVAC SYSTEMS minimum Duct Type (furnam. air Efficiency Location Duct output Manufacturer / Model # conditioner. heat pump) (SF- SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) !FVAtQAC.& .72 6 N .47-1-1 S-7 - 5(00449 (31 & Maximum Furnace Heating Output Ttu—h — HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) $To $A LZ SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Nlandatory Measures Checklist: Residential MF -111 NOTE: Low= residential buildings-tijact to theStandards must contain these meamtreamgardIc" OftMc=piix= approach used. items marked with an asterisk (*) may be superseded by mom sLnngent compliance requistmetits listed on the Certirleate of Compliance When Lhischocklist is incorporated into the pCrmitd0cuMCnMtbefcuurcsno&cdshaU beconsidere by ail parties as binding minimum component performance spceifirA(iorts for the mandatory mean= whether they are shown elsewhere in the documenu or on this checklist only. DESCRIPTION Building Envelope Mewures *§2.5352(a): Minimum ceiling insulation R-19 weighted average. 42-5352(bY. Loose rill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R- I I weighted average (does ricit apply to ex tenor mass walls). J2 -5352(k): Slab edge insulation - water absorption rate no greater than 0-3%. water vapor transmission rate no grmter am 2.0 pant/inch. §2-5311: Insulation specified or installed mwts California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: InfiltratiorvExl'iltration Controls a. Doors and windows between conditioned and uncondiumcd spaces desagned to limit Lif leakage. b. Doors and windows certified. C. Doors and windows weatherstinlipeA all joints and pcnevations caulked and settled 12-5352(c): Special infiltration barrier installed to comply with §2-5351 mocts CEC quality standards. §2-5352(d): Installation of FwcpLaces 1. Masonry and factory -built fireplaces have: & Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 7- No continuous burning gas pilots allowed. HVAC and Plumbing System Wasurts 12-5352(g) and 2-5303: Space conditioning equipment sWng: attach calculations. 42-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 12-5316(a): Ducts constructed. installed and insulated per Chapter- 10. 1976 UMC. §2.5316(b). Exhaust systems have damper controls. §2-5314(c)* Gas -fined spare heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faurcu certified by the CEC. 12-5352(i): WaLetheatcrinsuJaLionbl,,nl,,,(R-12orpz=)orcomb4icdintaWIciLerior insulation (R- 16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception W. Pipe insulation on sumn and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. onjorf switch on heater. b. Wcadtcrpmof instruction plate on heateri c. Plumbed to allow for solar. 1. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53526): Lighting - 25 lurnenstwait or greatier for general lighting in kitchens; and baducoms. 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Wrigerators. refrilIcrator-freezers. freezers and fluorescent Lamp baflasu certified by the CEC. Indicate make and model number. COMPLLANCESTATEMUqT DESIGNER I ENFORCEMENT This certificate of compliance lists dz building features and pefformance specifications needed to comply with Title 24, Cbapter 2-53 and Title 20, Cbapter 2. &ibchapter 4. Article I of the California Administrative code. T'his cerdficate has been signed by the individual with overall design responsibility and the tKulding owner, who shall retain a copy of it and trarissitit the certificate to any subsequent purchaser of the bugding. Designer Name: I-WelFirm- Addrem- Telephone: Lic. it: (signature) (date) Docunxntatlon Author Nurm 7itkiFurn: Building Owner Namc: Tideffium; Address: Name: Agencr. T�lp"hdvne- 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -76 R-vajue One Two Three R-0 -103 -49 -32 R-1 9 -8 -4 .2 R-30 -2 -1 .1 R-38 0 0 0 U-yalue 8 6 4 0.50 -176 -84 .54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 4.4 1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation U -value 0.80 Single- Single - -76 0.50 Family Family Multi- R-yalue Detached Attached Family R-0' -68 -51 -34 R-1 1 0 0 0 R-13 2 2 1 R-1 9 8 6 4 U -value 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised, Floor Insulation -3 .1 0.80 Insulation in Floor -1 0 0.70 Number of stories 2 1 R -value One Two Three R-0 -17 -8 -5 R-1 1 -3 -2 -1 R-1 9 0 0 0 R-30 3 1 1 U-vaJue -121 -53 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -18 Number of stories -2 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-1 1 -2 -2 -2 R-1 9 -1 -2 -2 4. Slab Edge Insulation 25 -46 N�iimbl�70f Stories .7 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Speaficsition Points stardard 0 6. Glass Heat Less SCORE CARD SC Interior Total Slab Flocx Raised Floor % Glass North East South U-yalue (ammes ducts Percent 5 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 .9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 is 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 .1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Efrective Pei ca t Clio (percent glass x SC) Effective SCORE CARD SC Interior Slab Flocx Raised Floor % Glass North East South West Skylight (ammes ducts 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 - I 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 a na = not allowed 9 10 12 13 13 7.0 Shading (Shade Closed) 9 11 13 13 14 Erfective Pei c It Glass 6 10 11 13 14 (P�t 0an X SC) 7 Effectim 14 14 8.5 7 10 12 13 %GWu Norti Esd SwM West SOghll 18 -14 -48 -69 -64 rta 16 -12 -42 -59 -55 na 14 -10 _aS -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 .-4 -5 -4 -16 2 1 .-1 -2 -1 .9. 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass SCORE CARD SC Interior Slab Flocx Raised Floor Measures Mass 1200 Stories stories (ammes ducts In attic) /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 .4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 a 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 10 Exterior Single- Single - 26 23 19 15 wail 8 Family Family wit 18 Mass 9 Detached Attached Family 0.00 15 0 0 0 Zonal Control Adjustment 0.20 700 3 2 1 .6 0.40 3 5 4 3 Installed 0.60 or 8 6 4 less 0.80 1699 10 8 5 SG 1.00 0 13 10 7 0 1.20 or 13 12 8 7 1.40 4 12 13 9 HWR 1.60 5 10 13 11 2 1.80 WS8 10 12 12 3 2.00 2 10 11 13 9 11. Heating System 3 2 2 SE SE or HSPF -45 -23 -15, (assumes ducts In attic) -9 1.9 Solar 2 Suril of 1-6 1 0 0 3.4 '25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 - +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 o.so 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8,25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 5.5 - 0 EfTective SE or HSPF 6.1 SS% (SE or RSPF x duct efflciency) -30 Effective -25 or -24 to -1410 .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 .-29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 1 5 1.5 Zonal Control Adjustment 1.9 System Type 26 Z8 3 Resistance 10 9 7 6 4 3 Other 4.3 6 5 4 3 2 2 12. Cooling Sysom SCORE CARD SC Unit Size (sQ SEER Measures 1199 1200 1700 (ammes ducts In attic) Heater (kedit Strit of 7-10 Io to to or -25or -24to -114to -410 +6 to 16 of SEER less -is -6 +5 +15 mom 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 D 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 .3 2 11.0 .10 9 7 6 4 3 12.0 15' 13 11 9 7 5 .13.0 20 17 14 12 9 6 -12 Effective SEER -7 -6 30% (SEER x duct eMclency) -25 -16 SvM of 7-10 -10 -8 66t Effective-25or -24to -14to -4b +610 116of SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 .12 .15 -9 -7 -6 -4 6.6 -5 -4 -4 . -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Water Zonal Control Adjustment 699 700 1200 10 8 7 .6 4 3 or No Cooling System Installed b Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family I)etached and Attached Interior MasslCFA TTF9 2 PASS SCORE CARD SC Unit Size (sQ Water Measures 1199 1200 1700 2200 2700 Heater (kedit or Io to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 43 144 WSB 5 3 3 2 2 COND. FLOOR POU 8 5 4 3 3 SE None -37 .24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 30% WSS -25 -16 -12 -10 -8 66t POU - -18 -12 -9 -7 -6 IG None -5 .3 -2 -2 -2 1.1 Solar 7 5 4 3 2 2.5 POU 3.- 2_1 14 1 1 IE None -28 -19 -14 -11 -9 10Y. Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 2.0 Mult.11-Family (individual 15 units) 4 4.2 4.4 4.6 Unit Size (sQ 5 Water 5 4 699 700 1200 1700 1 Heater Credit or ID to b or Type Type less 1199 1699 2199 mom SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3 WS8 9 4 3 2 2 4.5 POU 9 5 3 2 2 SE None- -45 -23 -15, -11 -9 1.9 Solar 2 1 1 0 0 3.4 HWR' .23 -12 -8 -6 -5 4.9 WSB -25 -13 -8 -6 -5 0.9 _RQU -23 -12 .8 .-6 -5 6 None -8 -4 -3 -2 1 -2 3.4 Solar 6 3 2 1 1 4.8 POU +1_0 5.5 - 0 0 6.1 SS% None -30 -15 -10 -8 -0 -6 2.2 Solar 18 9 6 4 4 3.7 pf)l 1 .2 .4 .12 .1 .1 Interior MasslCFA TTF9 2 PASS SCORE CARD SC �Eff. % Glass X Measures 1.-7-) 1. Ceiling Insulation R -'s C;) or Z'se X R -value [381 U -value [0.0301 2. Wall Insulation K_ or 0 X R -value [I I) U -value (0.0981 3. Raised Floor Insulation 94� or SC Eff. % Glass 2.13 - R-valuc 1191 U -value [0.037) 4. Slab Edge Insulation .� or 1 TYPE I PASS (1.11MC b 4.2. ie: exposed R -value 101 slab) S. Infiltration Standard 1 6. Glass Heat Loss lou"L. 144 Type (doublel U -value 10.651 % Total Glass (161 Interior W.-%ss/CFA COND. FLOOR AREA 0 TYPE 2 MAS; ANEA, 1= RE EMD. �L Exterior Wall Mass 0 . 71L X SEorHSPF Duct Efficiency [6.781 Effective SE or [0.72/6.61 0% 5% 10% IS% 20Y. 2S% 30% 357. 40% 4S% -SO% 55% 60% 66t 70% 75% 80% 85% 90% 95% 100% 105% 110yo 115% 120T. M 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 11 Z3 2.5 2.7 2.9 3.2 14 3.6 3.8 4 A.2 4.4 4.6 4.8 5 52. 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 Z3 Z5 2.7 2.0 3.1 3.3 15 17 4 4.2 4.4 4.6 4.8 5 5.2 5 4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 U 2.7 Z9 3.1 3.3 15 U 19 4.1 43 4.5 4.8 5 52 5.4 5F 3D% 0.5 0.7 0.9 1.1 1.4 1.6 11 2 2.2 14 Z6 18 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.6 51, 40Y. 0.7 0.9 1.1 1.3 11.5 1.7 1.9 2.2 14 Z6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 1.5 1.7 1.0 ZI Z3 Z5 U 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4,6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.8 1.8 2 2.2 2.4 2.6 18 3 12 3.5 3.7 3.9 4.1 i.3 4.5 4.7 4.2 5.1 5.3 5.6 5.8 6 C 60% 1 1.2 '11.4 1.7 1.9 ZI Z3 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6; 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 Z8 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 Z2 25 Z7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6 4 75% 1.3 1.5 1.7 1.9 ZI 2.3 7.5 17 3 12 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.11 MY. 1.4 1.6 1.8 2 22 2.4 2.6 2.8 3 13 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.4 56 5.8 6 6.2 64 6 6 65% 1.4 ' 1.7 1.9 2.1 2.3 Z5 2.7 Z9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 6S 67 Wy. 1.5 1.7 2 2.2 Z4 Z5 2.3 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 6- 95% 1 .6 1 .8 2 2.2 2.5 Z7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6A 6.7 69 100Y. 1.7 1.9 2.1 2.3 Z5 Z& 3 3.2 3.4 3,6 18 4 4.2. 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 Z8 3 3.3 3.5 3.7 3.9 4.t 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 1110T. 1.9 2.1 2.3 2.5 2.7 Z9 &1 3.3 3.6 3.8 4 4.2 4.4 4.5 4.0 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 71 1 15% 2 2.2 2 ' 4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7 ^1 ,20% 2 2.3 2.5 2.7 Z9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 SA 5.6 58 6 6.2 S.S 6.7 6.9 7.1 7-- .125% 2.1 Z3 2.S 2A 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4.9 5.1 5.3 5.5 S.7 6.9 6.1 6.3 6.5 6.7 7 7.2 7.; Point System Summary: Climate Zone 11 SCORE CARD SC �Eff. % Glass X Measures 1.-7-) 1. Ceiling Insulation R -'s C;) or Z'se X R -value [381 U -value [0.0301 2. Wall Insulation K_ or 0 X R -value [I I) U -value (0.0981 3. Raised Floor Insulation 94� or SC Eff. % Glass 2.13 - R-valuc 1191 U -value [0.037) 4. Slab Edge Insulation .� or T .04 1.9 R -value 101 F2 factor (0.771 S. Infiltration Standard 1 6. Glass Heat Loss lou"L. 144 Type (doublel U -value 10.651 % Total Glass (161 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? Y N 12. Cooling System Zonal Control? Y N.) 13. Water Heating % Glass SC �Eff. % Glass X 7 "'1 1.-7-) X_� Z'se X 114(,v 7-2 X 0 X 6 % Glass SC Eff. % Glass 2.13 X .(011:0 I.TJ S.1 X T .04 1.9 X 1 1. ?-T '7.Z X 1 /4,75- 0 X 0 TYPE 1 MASS AREA' 0% Interior W.-%ss/CFA COND. FLOOR AREA 0 TYPE 2 MAS; ANEA, 1= RE EMD. �L Exterior Wall Mass 0 . 71L X SEorHSPF Duct Efficiency [6.781 Effective SE or [0.72/6.61 HSPF 10.5615.151 0.1�� X .6-6 = -7. Z? SEER J9.51 Duct Efficiency (0.741 Effective SEER [7-031 S6-- 0 Type [SGJ Credit (none] Point Scores -2- 0 C�� C:) gin t-. -6 22