HomeMy WebLinkAbout021-260-046,.92-1266 BPEM
4"
ADMINISTRATIVE -PERMIT
GATELY,'�J6]hn-VBar�ara*
�.-b2l-266'-`646,
Gr
126f- �-"69�6'r A-ve,.', i dil -e y�
IL
21'21-0- 646- 96-O993,P,E(MH,"
Tj Y, joh - n
Losserl'ive�u
im) - . . . e, Gr�d�ey
r, �-(' lol n t
.ELECTRIC\a op
GAS LINE tA AC U It A L,
COMPACTION ST REt
SUPPORT S UCT REQ NG
C�
.021-2 --0-046 96-0994-MHI
�.GAT Joh'n'
1'2 losser Avenue, GLidle�'
I �( 1. . I L/
ij( 1/96-0993)* c.A
D & D MH
ntr-
021-260-046 PERMIT#.96-2251.
GATELY, John',
1255 Losser Ave., Gridie
� "y 1 .17,
Cont: Daw.Elias Const.:,
,Cov Deck & Carport/MH
4
C
RESIDENTIAL
02'i-26-0-046 -SK6--0991 P,E(M)
GATELY, John
/J�5-r4-W+ Losser Avenue, Gridley
(util/MH)
Contr: D & D MH 51
OFFICE Copy
Address 12
GAS
Meter Date le -,ZD- i
ELECTRIC
Meter By.
DateA
--- --- 146
JOB FINALED (Date) e�-'gv
Signature
V OK
0 Nbt CK
Not Applicab�.
Not Ready MOBILE HOMES
g �e
-quirements - Setbacks - Easements
ge'SojW'Special MH Support Sketch
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4, Wood Awn.; Posts-Beams-Rttrs.-Connectors
5. Aum. Awn.; Columns-Connectons-Splice-Decal-Enclosures
6. Carports: Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s'
1 . Setbacks -Easements
2. Soils: Compaction -Structure Stability
3. Pool Structure: Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/.9 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
ae-d_z �s;tion-Test-Wrap; / I'lt.
AKj_ ,
/Nat. or/ t'L'ft./ /LPG
7. Well Clearance& Disconnect
8. Utility Clearance
Date
Card B-1 A'!Z� Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Dernand-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 -HO Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. E)Cits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4, Wood Awn.; Posts-Beams-Rttrs.-Connectors
5. Aum. Awn.; Columns-Connectons-Splice-Decal-Enclosures
6. Carports: Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s'
1 . Setbacks -Easements
2. Soils: Compaction -Structure Stability
3. Pool Structure: Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/.9 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
*J = OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (Single
Date UNDERFLOOR (Plansl OK exceot #'s
1. Zoning -Setbacks -Ea sements-Flood-Slope
2. Ftg., Main; (Scils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ft9f., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel -Bloc kouts-Wrapped
6. Sternwalls, Garage; Stee I- Bloc kouts-Wra pped
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. Pienums & Ducts; Clea rance- Mate ria I -Support- Ins.
14. Girders -Sills -Anchor Bolts -Joi sts-Ven ts-Cri p p les
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
i6. water Htr.: vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
---------------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
- - -- - -------------------------
20.- Test- Tub -&-Shower.-Second- Floor -Tu b Access --------------------
21. Gas Pipe: Size &-Anchors
- --------- ----- - --------------
------------------------------------------------------------------------- -- ---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B- I
Date ELECTRICAL (Perrn�it) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
----------- - _ ------- - ----------------------------- I -------------- ----------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------------------- ----------
24. Size Boxes & No. of Cond ucto rs- Stapled
-- ----------- --------------------------------------- � - __ -.-- _ ... ..........
25. -Romex Installed Close to Edge of Studs & C.J.
-------------- ---------- ----------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
----------------------------------------------------------------- -------- ------- --
27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI
------------ ____ -------------------------------------------------------- --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
-------------------
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
--------------------- -------------------------------------------------- --
30. Service -Riser Conduc1ors & Ground -Main Disconnect
----------- - ---------------------------------------------- � ....... ....... ..
31. Equip. Clearances Panel s- Motors- Mech. Equip.
------------- , __ - - - --- --------------------- _ .... ....... ......
32. Clothes Closet Light -Shower Light -Spa Light
-- -------- --------------------------- ................ ... . . ..
33. Smoke Detector
-------------- ------------ ----- I .......... ... ... ..
................ .. .. .... ........ .... ........ .. ........... ..... .. ....... ... .. .. ..
-Date-- Card B-1 ........... .. Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL(Permiq OK except o's
34. A.C. Ducts Insulation & Support
-------------- ............................ ............. ....
35. Vent Fan: Exhaust above insulation
--------------------- -------- ........ ............... ... . I . . . .. .
36. Condensate Drain & Overflow: Size & Grad6
----------- __ � ........... ...........
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 001let
--- - -- ----- --- -- - ------------ . ......
38 Attic Access & Platform it FurnanCe in Attic
...... ........... ...........
------ ------- ----------- --- _
Date ..-Card-B-1 ..Date Card B- I
Date Card B- I Date Card B -I
Date FRAMING (Plans) OK except 4*s
39. Sils. Proper Material & Anchors
40. Walls Studs -Nailing. Spacing & Bracing-Plates-SOLind
...... ....... ... .
41. Bearing Walls over Girders & Floor Nailing
.. ....... ... ............. ................. ... ... ..
42. Draft Stop in Walls (rat proof)
...... ...... I . ....... -1 .... ...
43. Fire Stops: Furred Ceilings-Stairs-Chases-TLib
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
___45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist -R ftr. ties- Pu rlin -roof Brac-Truss-Shthng.-Rfng.
- - - ------ 47.- Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
51. Property Line Firewall & Openings
Doors -One -T -Check Garage -3rd Story, 2 Exits
------------- 53. -Stairs; Width -Head room -Rise -Run -Landing -Fire Protection
-------------- 542- plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Sidihg-Nailing Veneer
--------------
-------------- 56. -Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
------------ 57.- Glazing Area -Glass Protection -Skyl ig hts-Plastic
58.- Shear Walls:- Nailing -Bolts
------------- 59.- Insulation -Walls -Ceilings
60. Infiltration-Walls-Winclows
------------- ------------- ____
---------------------
Date Card B-1 Date Card B-1
- -------- - ------- ____
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------- ------------ _ -- - ---------- - -
63. Furnace: Vents-Clearanbe-Comb. Air -Connector -
in Garage: Above Floor-Ducts-Mech. Protection
---------------------------------------------
64. Bedroom Exiting
------------------------
65. G.F.I. & Bath Fixtures & Tub Acc.ess-Spa
- - - -------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
--- --------------
67. Stairs & Rails
------ ----------------------------------------
68. Fireplace or Stove: Clearances -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.C. Duct in Garage -Damper
------ ------------------------------------ - -------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
in Garage: Above Floor-Mech. Protection
------ ------------------------------------------
75 . Plb.. Elec. & Mech. Equip. Listed for Location
------ ---------------------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--- ------------- -------- I --------------------
7, Insulation - Foarn- Looked in Attic 0 Yes
----------------------------
78. Guard Rails & Deck Construct ion- Post Caps
--- ------- ---------------------------------------
79 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
---------------------------
80. Following instIdA Drive 0 Yes 0 No: Walks 0 Yes 0 No:
Planters 0 Yes 0 No
. ... ...... ------ I., ------------------------------
81. Stucco: Brown -Finish
.. .. . ..... ......................................... - --- - - ------
82, A C. Unit: Disconnect. Electrical. Plumbing
. ... ... ... . -- ---------------------------
83. Vents Above Roof: PI bg. -Appliance- Fire place.-Cleara nce to
Openings
------------------
84 Water Well: Disconnect. Electrical. Plumbing
-------------------
65 Exterior Elec. Trim: G.F.I. Receptacle- Uncle rg round
- ----- - ----------------------------------
86 Ventilation ThrOLIghout House
--- ---------------------------------
87 Glass Protection
- ---------------
88. Corrections 'rom Previous Inspections
-- -- --------------------------------------
89 Gas Test -Meters Tagged: Gas -Electric
------------------------------
90, Water & Sewer Connected -C/O to Grade -HD Approval
------------------------------------------
91 Energy Compliance Certificate -Other Certificates
I . . ....... .... ...................
- ----------------
Date Card B -I 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 - Oroville, California. 95965 - Telephone (916) 538-75A1.-
APPLICAT16N.4ND PERMIT 0
ASSESSOR PARCEL NUMBER 021-260-046
ZONING A-9
BUILDINGPERMIT 4) —
OWNER
JOHN GATELY
TELEPHONE
8 6-0935
SO. FT. OCC. BUILDING VALUATIdN/
OWNERS MAILING ADDRESS
1961 LOSSEIR AVE GRIDI EY
CONTRACTORS NAME
D & D HOMES
TELEPHONE
IS39-3303
CONTRACTOR'S MAILING ADDRESS
9943 FEATHER RT14ER B1,11D OROITTIT-P
Fireplace
CONSTRUCTION LENDER
7KNUWN
Total Valuation $
Filing Fee
$ 20.00
LENDERS MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ri,nn
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
4�55__ ;1;2� 1022ER
PERMITIFEE
$ 23.00
PLUMBING PERMIT
Filing Fee 20.00
_41;1�
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 0 Duplex EX Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities If, Installation 0 Other 0
Describe Work: MHU 2 BEDROOM
Mobile Home Tq-(XT)V-T
920.00 60.00
PERMITFEE
0
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'10 0
OV OR LESS
Main Service �OOOOA OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio . ns 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
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
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ACC. BLDS,
3.50 sFor
NEW CONST. MULTI -OUTLET
BRANCH CIRCUITS
97.50
_NON-RESID.
( POWER APPARATUS
SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
SAL 0 .50
OFIXED APPLNS. OR
Ex. Occup. UTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00 20.00
Misc. Wiring
23.00
PERMITFEE
$ 63.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insura9ce carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not ble completed if the permit is for work of a valuation'
of one hundred dollars ($100) or less.)
0 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor
forthwith comply with those provisions.
Date
Owner Contractor 0 Agent
An OSHA permit is required for excavadKons' over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
I
TOTAL FEE $ 166,00
HAZ.
I D. FEES
I IMP VFLOOD
I C.F
P AR �J
HD 14SSU&
toll
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.
B 11 ate"O 101�1
7—
PERMITEXPIRESON
(Date)
I
rReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
IT
W,7
0
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
OWNER Jo /L�,/t
Proposed Building Use.
PERMIT APPLICATION DATA SHEET
Building Inspector
A. P. No. (D Z / — X4 6
CO- Date 51 71�'--�-
At time of permit application, I wals advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
ems h e been submitted . ........................................
n s t�.
lot pla e , signed by preparer of plans . ............ i ..............
n
_�—Cloomtr plet 34ans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..................................
6. Energy Design Compliance and supporting documentation . ....... 2 ..........
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 . ...........
�F of $ . .......
Fep:
m ct fees as shown on attached scheddie'.
California Department of Forestry plan approval/fees .........................
Flood elevation letter (100 year floo�) by California Engineer ...................
W1 &X)sanitation and p'lot plan approval Health Department . ............
15., -City of Chico plumbing permit . .........................................
65<—Vlot plan and businessA* ense approval from City of Biggs/Gridley . ..............
lanning approval for (A),Use: (B) Parking:
. Contact�Land Development about (A) Improvements (B) Drainage ............
Driveway pierm it, (construction approval required prior to occupancy) .... .....
nal,specti
4YPre-in�pecuon Tor required. t eat
F; tr A
o Building Inspector (Date)
21. Contractor'g license information. (No., Name Style, Classification) . ...............
22. Certificate d
./of Workmans ' Compensation Insurance . ..........................
&Owner -Builder Verification (Given to owner Mail to owner .......
Recorded dopy of Agricultural Acknowledgement Statement . ..................
25. Letter of sighature authorization . ........................................
26. Copy of recor,&d deed of parcel creation and 60 right of way to a public road ......
27. Letter oflintenif& building use . ........... * ..............................
28. Mobilehome utilit Alearance .....
29. Documentation of 13gkal access.
30. Documentation of 506N. subdivision developed or (A) Road improvements completed
and (B) Parcel meets zo-hing_area and frontage requirements . ...............
31. Existing violation s/expired permits . ......... : ............................
32. Plan check list . ......................................................
33.
34.
When you issue the_permit, process as follows: Mail to ner. Mail to contractor.
Telephone —XT2, Xr 0 2—a nd hold for pickup at_ Z5�—G> office. Deliver with inspector.
Other
Parcel Creation
Acreage- Applicant Date
Copy of Haz-Mat form sent Health Dept.. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. _ 9ther Date By
The following data must be submitted prior
1. Index permit for above items No.
2. Additional items required:
item hot checked above).
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date
Contractor, designer, owner, was advised ofabove required data by _ phone mail Counter by Date
Plans checked by Date Plans approved by _711 Date 96
Sets of plans on hold in File cabinet AP folder
Copy - Depattment of Public Works
Eff. USB ONLY
FkA Pba Anbcbed
f
FIw Fk. AMha
Scot to B.D. L-zi 3E /7&
TO: Building Department
FROM: Environmental Health
SUBJEM Sanitation Clearance
Avenue -
Owner Location AP#
Plan Approved for. Sewage, Disposal Water Supply: Public' Private Wefl_:::I-
Clearance for bedroom Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental ..Health Specialist Date
21("
COUhTY OF BUTTE -
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
146.9 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
M
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 youhave any questions pertaining to this matter, or -need additional explanation,
please contact this office immediately.
14 0 < b
r -eaz' e.
'61 e
Date L Inspector
REV 10/92
'1--1
CORRECTION NOTICE
05,9L +,e (,A
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, orneed additional explanation,
please contact this office immediately.
N
Date Inspector \A
REV 10/92
COUNTY OF BUTTE
f BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chic 0"�'. CA - (916) 8 9 l-2'7 51
7 County Center Drive, Oroville, CA - (916) 538-7541,
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
05,9L +,e (,A
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, orneed additional explanation,
please contact this office immediately.
N
Date Inspector \A
REV 10/92
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DArr
r)evetmment Plan
US
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—ADM*PERMI . T'
PLANNING COMMISS
PLANNING MANAGEF
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-67S944
6TELY;'John
G
%dridley
1261 Losser Avenu
M /96-0993),-
H I
'Contr: D & D 114H
- I 'T
S
CO0NTY'OF BUTTE -
7 Co-unty Cente
DEPARTMENT,OF DEYELOPMENT SERVICES -
Drive - Oroville; California 95965 - Telephone
APPLICATION AND PERMIT
BUILDING DIVISION
(916) 538-7541 PERMIT NO.
ASSESSOR PARCEL NUMBER '.'�'A-046
0214,
ZONING A-5
BUILDINGPERMIT
OWNER
MR6TK;y
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MMUNG AD3RESS
1761 IMSER WE GRIDI EY
CONTRACTOR'S NAME
D & D MWES
TELEPHONE
532-3301
CONTRACTORS MAILING ADDRESS
. 924"t PEAMER RIM By" ORWTT T E
Fireplace
CONSTRUCTION LENDER
UNi(NOWN
Total Valuation $
Filing Fee $ 20.00
LENDERS MAILING ADDRESS
Permit Fee $ ),i no
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1761 TOSSER AVE
PERMITFEE s 43.00--
PLUMBINGPERMIT Filing Fee' 20.00
GRIMEY
Each Trap 7.00
LOT NO.
S UBDIVIS IONS NAME
1
PARCEL MAP
1
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF 0 Duplex a', Mobilehome 0 Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 15 Other 0
Describe Work: MI / 124 -
Mobile Home IS I GI Wr 920.00
1 1 1
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
a OV OR LESS
Main Service 2000A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I 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 Prof6ssions Code,
and my license is in full force and effect.
License Class V2 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
.0 1, asowner of theproperty, or my employeeswith wages as their sole compensation,
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
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS. 3.50 sFar'
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
&POWER us
SINGLEAOPUPTALREArTCIR.
OUTLET OR FIXTURES
Ex. Occup. ( ,L a 'Z.
Ex. Occup. FIXED A OR
( OUTLETS P(PLENSID. ) FA_ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for -by section 3700 of the Labor Code, for the
performance of the work for which this perriiit is issued.
Er I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier "71V_'A1J-r-AJ6 - - _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
'Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number y3t_7&_1 ?y
(The above secti ot lie completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in -the performance of the work for which this permit is issued, I shall
not erriploy any -person, in jany manner so as to become subject to workers'
compensation laws of California; a ' nd agree that if I should become subject to, the
workers' compensation, provisions of Section -3700 of the Labor Code, I sliall
forthwith comply'with 'those provisions.
X Date
Signature of Applicant - 0 Owner 5r Contractor 0 Agent
An OSHA permit is required for excavarions over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Horne Installation Fee $ 1U0. OU
Energy'Inspection Fee $
OCC
CONST. TYPE
TOTAL,FEE $...143.00
[.HAZ.
I'D. FEES
IMP -�,FLOOD
CDF-
PARCEL
PO HD
ISSUE
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.
By -Yi Date 1 (0//;
PERMITEXPIRESON
Receipt No. 195375
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLICEANT
7
MOBILEHIOME INSTALLATION ACCEPTANCE
11�7- -- COUNTY OF BUfTE,,,,
DEPARTMENT OF40EVELOPMENT SEFZV'IC-ES
BUILDING DIVISION 7 COUNTY CENTER DRIVE'
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
PERMIT NO.:
.2/ —;z e, —
Ownees:
Name: Al
e -a 4- e
LA
Ownees:
Address:
t_4
Mobilehome
Year of
Manufacturer
w D 6,o/
Manufacture:
Serial number
A
17141RAqWl:4
Insignia or
�HUD R ad
�ool�,?
orV.I.N. I�GFZ7
number:
Official. approving installation:
Date:
If the mobilehome is moved or rilocated, the mobilehome instal6tion acceptance shall become invalid. This form shall
not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor
hill
r
COUNTY OF BUTTE -DEPARTMENT OF DEVELOrIMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Califori6ia- 95965 - Telephone (916) 538-754�3/ 5MI 0.
APPLICATION AND PERMIT dlew
ASSESSOR PARCEL NUMBER
021-260-046
ZONING.
A-5
BUILDINGPERMIT
OWNER
JOHN GATELY
TELEPHONE
-84 "-235
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1261 LOSSER AVE GRTDIEY
CONTRACTOR'S NAME
D & D HOMES
TELEPHONE
539-3103
CONTRACTORS MAILING ADDRESS
9943 FEATHER. RIVER. BI QRQJJJJ TV
Fireplace
-11-D
CONSTRUCTION LENDER
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 9 -i
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
-nn
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1261
PERMITFEE
s 43.00
IOSSER
GFIDI Ry
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDrVISIDWS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 0 Duplex IX Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 11 Other 0
4-
Describe Work: MHI 7-'
Mobile Home IS I GI W1
920.00.
1
1 1
PERMITFEE J$
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'10 0
Main Service OOOV OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
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 V2 Lic. No.
OWNER -BUILDER TION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
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
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
a
3.50 ST.'
NEW CONST, MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
( &POWER RATUSI
S.INGL.EA0PL`fArLEr Ft.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ i.00
IBAL Q .50
Ex. Occup. FIXED APPLNS. OR
( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 01
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Qif I have and will maintain workers' compensation insurance, as required by Section
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 -2--isAli
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
1
PERMITFEE
$
Contractor
Policy Number Al
(The above sections n6ed not lie completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith co with those provisions.
X Date
Sig,nature of Applicant 0 Owner Contractor 0 Agent
An OSHA permit is required for excava ?ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
100.00
Energy Inspection Fee Is
Occ
CONST. TYPE
I
TOTAL FEE $ 143.00
FEES
I IMP LI-KOOD7 CDF HD I MS�E`
T'L
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
By �����Date
PERMITEXPIRESON
applicable provisions
to do work
been paid.
(D 1'.)
Receipt No. 195375
C
WHIT E -APPLICANT
WHIT!10.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD
COUNTY 6F BUTTE -DEPARTMENT OF'DE"V.'-E'W1WENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
6 2- 1 2- 9 0
OWNER /a P. No.
Date
Proposed Building Use Building Inspector _ dA -
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 calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings .......................
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mdbilehome data and manufacturer's installation instructions, 2 sets . ...........
Vees of $ . .........................................
r mpact fees as shown on attached schedu�le . .............
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. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). F;re!4AsWct1o� r�4�iest
20. Pre -inspection for required. to Building Inspector Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
-9-1 Own r -Builder Verification (Given to owner Mail to owner ............
�ecorded copy of Agricultural Acknowledgement Statement . ..................
25!'- etter 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 cleaiance . ..........................................
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 . .............. ........................
29 Plan check list . .....................................................
----C3�3
34.
When you issue the _permit, process as follows: Mail too ner. Mail to contractor.
-'1'4\ Telephone,33Z-,3--30Z-and hold for pickup at 0A office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The followin prior�q
g data must be submitted i t I rmit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone — mail Count" by Date
Plans checked by Date Plans approved by_ Date
Sets of plans on hold in File cabinet AP folder
Copy Department of Public Works
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form'Per Building)
School District G JCINd L�z Building Department No.
A. P. Number 0 2 1 -.2 jurisdiction: City County
Property Owner
Property Location/Add,ress
Subdivison
d, A --
Residential Development 5z
No of Living '--M—H �I
WU
)6&1 ' �1077
Commercial/l��dustrial
New
3jo .09
rese
District Ide n tifi cation No.
'd S School District certifies that
(Street Address)
Lot No.
Sq. Footage ige-6
Addition (Group R)
Footage
Addition (Includina Exterior
Roofed Areas)
a
rict Personnel)
(Apoicant)
S'Yla - — 0 2
(Phone Number)
-<W
(Zip Code)
has complied with the requirements of Resolution No. bypaymentof$
representing square feet.
Paid by Check #
Bank Number
Paid by Cash
Remarks:
Z�-
[ABL2L9261 $
FU M
FULL MITIGATION $
Ap ("o
Date
IT, SUDsequeni to ine bcnooi uistrict Hepresentative signing inis tsurte L;ounry bcnoois impact I-ee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district)
feeformmkl (11/94)dmm
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER
6i-)
PROPOSED BUILDING USE
(2) 1 Lj V
1. SCHOOL DISTRICT FEES
(paid at District Office)
40-
2. SHERIFF FEES (paid at Building Division)
Residential ........ x
unit amt.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x
#units amt.
Commercial (sq.ft.). ._x
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00..(paid at Building Division)
6. SRA-TIVYINSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION #
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
A.P.
DATE, Z2
REC. # DATE REC
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
- I . J,
CERTIFICATE OF ANCHOR INSTALLATION
Title 25 CCR Mobilehome Parks Act Section 1326 (b)(3)
I certify those portions of the tiedown system installed below grade were not damaged prior to or as
a result of the installation, were not modified prior to or during the installation, and were installed in.
accordance with the manufacturer's installation instructions, plans and specifications of the
engineered tiedown system referenced on this certificate.
Tiedown System:
. Manufacturer: Ro U IV 10 -Lo - v Yf
Model: —G L i &)
Installed by: Rj-ChA1qjQ V,41V 57.4Uek Al Date: -2 0
Contractor/Owner:Rt'r_ L,4RI) 5A VEA Al - License No.: -3 7
RESIDENTIAL
021-260-046 PERMIT#96-2251
GATELY, John
1255 Losser Ave., Gridley
Cont: Daw Elias Const.
,,Cov Deck & Carport/MH
JOB F ED (Date)
Sig nature
V OK
0 NotOK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1 . Zoning Requirements - Setbacks - Easements
2. Sails; Special MH Support Sketch
3. Sewer; Locaton-Test-Fall-CYO-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locafion-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / tUft.
/ /Nat. or/ PLft.1 /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-VaNe-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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECO, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
P!�Zgning Requirements -Setbacks -Easements
0.o"Footrjge-_S- rs
s�ils-Size-Depth7§pacing-qonnecto -Ste9+
ecks- ' ers an oists- � ebldng-Br&lrng-
.C�bodAwn.;Posf�� Rftrs.0
S*6'Af!T.`Brab 9 s- '2
5. Alum. Awn.; Columns-Connecfions-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 a/.
_5, Date Card B-1
Date CardB-1 '/Z,& Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Sails; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Ughting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.: Bonding; Metal w/S-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I r- 4-C.-5 L4 / CIC- UJ
V.= OK
0 Not OK
Nct Applicable
ZIReady
RESIDENTIAL (Single & Duplex)
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
UNDERFLOOR (Plans) OK except #'s
FRAMING (Continued)
1.
Zoning-Setbacks-Easments-Flood-Slope
47.
2.
Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat clearance
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ t'Ftg. Depth
50.
4.
Ftg. Porches & Decks; Soils -Steel-/ /'Ftg. Depth
Garage Fire Frotection Framing
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
53.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
6a.
Hold Downs and Special Anchors
56.
7.
Slab, Steel0rapped
Stucco Mesh -Drip Screed -Fd. Vents-Underf1r. Access
8.
Piers -Fireplace Ftg.-Steel
59.
9.
D.W.V; Fall-Fittling-Test-2 Way C/0 -Sewer Test
Brace Wall Panels
10.
UF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
62.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
Date
13.
Pienums & Ducts; C lea rance-M ater:al-Support-ins.
FINAL (Plans) OK except #'s
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
64.
15.
Access & Ventilation
Furnace; Vents -C lea rance-Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
16.
Insulation
67.
G.Fl. & Bath Fixtures & Tub Access -Spa
68.
Date
69.
Card B-1 Date Card B-1
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card 6-1
Date
PLUMBING (Permit) OK except #*s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Da te
Card B-1 Date Card B-1
Date
Card B-1 Date Card B -I
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & CJ
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga Cu or Al
30.
Range Circ. / / ga Cu or Al -Oven Circ. ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors-& Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance-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
Da te
Card B-1 Date Card B-1
Date
FRAMING (Plans) 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
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air �ap-Cooking Clearance
73. Elec. Outlets & Recepticales 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-RR.V.
In Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.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 [] Yes
82. Following InstId./Drive 0 Yes 0 No/Walks [) Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
AWc Access: Size & Romex Protection -Draft Stop -ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Frotection Framing
52.
Property Une Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic �e_nts-Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underf1r. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration Ils-Windows
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 -C lea rance-Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.Fl. & 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 �ap-Cooking Clearance
73. Elec. Outlets & Recepticales 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-RR.V.
In Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.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 [] Yes
82. Following InstId./Drive 0 Yes 0 No/Walks [) Yes 0 No/Planters 0 Yes 0 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 -Underground
A8.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Prev�ious Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
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.-DEVIL'OPMENT SERVICES -BUILDING DIVISION PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT 0 'a
ASSESSOR PARCEL NUMBER 021-260-046
ZONINGI A5
BUILDINGPERMIT
OWNER JOHN GATELY
T=!NS 5 4 3
SQ. Fr. OCC. BUILDING VALUATION
495 13 6,435.00
OWNERS MAILING ADDRESS 1255 LOSSER AVE
CONTRACTORS NAME DAW ELIAS CONSTRUCTION
W-1473
CONTRACTORS MAILING ADDRESf 147 LAUREL ST GRIDLEY _714KNOWN
Fireplace
CONSTRUCTION LENDER
Total Valuation 1$ 6,435.00
Filing Fee $ 20.00
LENDERS MAILING ADDRESS
Permit Fee $ 90.00
ARCHITECT OR ENGINEER
CENSE NO.
Plan Checking Fee $ 58.50
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 1255 LOSSER AVE
PERMITFEE S 168.50
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
I
1PARCEL MAP
Solar or heat pump water heater 23.00
—
Water piping 15.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome d( Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other OX
Describe Work: OCVERRED DECK & CARPORT 33 X 15
5
Mobile Home _FTTG Ew7 920.00
I I
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee. 2 0.'0 0
600 OR LESS
Main Service 200VA OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I 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
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
do the work, and the structure is not intended or offered for sale.
113"llwas 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
NEW CONST. DWELLING OCCUR so
OR ADDNS. & ACC. BIDS. 1 3.50 FF.
NEW CONST. MULTI-OUTLEr
aRANCH.CIRCUITS 97.50
—NON-RESID.
( &POWER US
S I N G L E A071PAr LREATT C I R.
OUTLET 08 FIXTURES 20 @ 1.00
Ex. Occup. ( aAL Q .50
FIXED APPUNS..OR
Ex. Occup. ( OUTLETS (RESID) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
II(T"he above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
ertify 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
wor4rs' compensation provisions of section 3700 of the Labor Code, I _1_11
foltrith 0 ply e provisions.
X Date 1-30-
r
Sig a ure of Applicant 0 Ow r 0 Contractor 0 Agent
AnO HA permit is required for ex avations over 60" deep and demolition or construction
lr2 mt IS
of structures over 3 stories in height.
Mobile Home Installation Fe
Energy Inspection Fee Is
OCC
CONST. TYPE
I
TOTAL FEE $ 168.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL
I PD I HD [OK65e
v
This permit is hereby issued under tile applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
Date tOlf V9X_
By I -
PERMITEXPIRESON
(Datei
rReceiptNo. 206435
w D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
WWI—
COUNTY OF BUTTE-. DEPARTMENTbF.�.oFv_,5L,,OPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROV�LLE�, C,ALiF10'R�rA 95965 - TELEPHONE (916) 538-7541
OWNER
PERMIT APPLICATION DATASHEET
�u 6 4
Proposed Building Use
U&
A.,,�. No. c -A/,
Inspector V (?�-- Date
,0 L'�
Aftime of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
All items have been submitted. C% A
'2 Plot plans, 3/4 sets, sigqeekby,,preparer of pl*a'n*s.
-3. Complete plans, 3/4 setd*,-.wgneAy preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ...........
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation ...................
7. Statement of Intent for Non --Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule ...............................
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood , Wlifornia 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. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). ! ........
lrel,Verti.n request
20. Pre -inspection for required. to Building Inspector Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verificationf(biven to owner
Mail to owner
24. Recorded,copy ofAgricultural Acknowledgement Statement . ..................
25. - �etter of sidnature 4uthorization . ........................................
26. Copy of record6dh,�ed 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.
When you iss u e th it, process as follows: - Mail to oVner. Mail to contractor. 11-100
TelephoneVIS --�S,'rq3 and hold for I KkUp at -!-office. Deliver with inspector.
p
Other /`4 1 1 1 1,
2v (0
Parcel Creation zu-n r
tz::-, IZ; I
Acreage ('?'o Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, 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 Co r hit Date
Plans checked by Date Plans approved by Date �O�
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
I 9�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.K. US& ONLY
Plot Plan Anachad A
Floor Pl= Aftchal
Scattoll.D.— In -7 1, -LQ
( j "-�-nky-\ A)f�u-e- - . C -)/-O/()
OwrQr - Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for --bedrauffrifftfle-hom ".ther Ldthfn-A K
Hold final for:
Final clearance O.K. for:
NOTE:
V2- -7 - 9 Lo
Environmental Health Specialist Date
2 /0')
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT'OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drioe, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
9/' -
-OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
1,.A- r be 7L1,d., e-
Date,// 112143b Inspector
REV 10/9v t
(-::2
PERMIT NO.
OWNER
routine inspection indicates that the following violations of Butte 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 questions pertaining to this matter, or need additional eiplanation,
X
please contact this office immediately.
11
46
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COUNTY OF BUTTE
BUILDING DIVISION
DEPAF TN ENT OF DEVELOPMENT SERVICES
1469 Hurnboldt 5bad,.C"'hico, CA - (916) 891-2751
7 County Cent��-'6rive, Proville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
(-::2
PERMIT NO.
OWNER
routine inspection indicates that the following violations of Butte 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 questions pertaining to this matter, or need additional eiplanation,
X
please contact this office immediately.
11
46
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Pate 1� —Ig & Inspector Z L4 H ts
192
REV 1�
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Pate 1� —Ig & Inspector Z L4 H ts
192
REV 1�
-AhrK.
FT41
PROPERTY ADDRESS: I ;Z(,,/
OR'S PARCEL If: 09)-,21,,L)-b'A0
ASSESS
SCALE:
This se ol plans and specificaflons MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same with-
out written perTnission from the Department ot Al
Public Works, County of Butte.
k10
P(�i E
POL
J
Wu - I
NOTE�—All Materials & Workman.,�hipl 13hall 00frig -sF to
Accordance with Recognized Good ' ctices and'
NO
0A
of a quality prescribed fro the Spedfleml use
Uniform Building, Plumbing & Mec Codw
&nd ft National Electrical Code.
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NEC
ALL STRUCTURES AND EQUIPMENI
OVERHANGS SHALL BE CLEAR OF ALL
A SET BACK OF -5- FT. FROM TI
FT. FROM THE REAR PROPERI
5V FT. FROM THE ROAD CENTERL
CLEAR OF STRUCTURES AND EQUIPN
FOR A .2 FT. EAVE OVERHANG.
MECHANICAL, AND PLUMBING
DN ( NOT PLAN CHECKED )
'y WITH CURRENT EDITION
IC AND UPC
33e -
FILE COP�
INCLUDING
:ASEMENTS.
E- SIDE AND
i'LINES AND
JE SHALL BE
INT EXCEPT
C-4
E COUNTY -
DEPARTMENJ
Ap.)ROVED;
> 91A - 09,9 .9 mytt
9'(P'-09?4- MyZ
MEL- 2
Mobilehome Manufacturer: 4-Lsn—w 00"� Manufacture Year: CY (�p
If other than single wide, furnish Setup Model Number:
Width: (ft.) Length: (,)to ft.) Tagalong or Expando Size� (ft.)
__(ft.) x
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTrNGS: Wood pressure treated or foundation grade[ /I Other:
SUPPORTS: Concrete block[�el Other:
Provide Tie Down Specifications for all Mobilehomes: r:21- -144)
Pier Footings Sizes and Location
SINCLE WIDE MULTI-NVIDE
Line I Unel
L ine 2 k,,� Line 2
.................................................................................................
Main Beams
Line2 ................................................................................................ 'kLine 2
Line I Line 3
Line 2
................................................................................................
Main Beams 0 Line 2
Line I
................................................. ine 5
Tag or Triple ine 4
.................................................
Pinel
Line I Piers:
Line I Openings
Size minimum:
r 1 x r I
Size minimum: x
Spacing maximum:
Each side of openings
From ends-maximum:1
L ti
with width over: 7
Line 2 Piers:
Line 4 Piers:
Size minimum:
q] x
Size minimum: x
Spacing maximum:
Spacing maximum:
From ends-maximuml
From ends -maximum:
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
OVER
I
IN,
M-H.L-2
)Mt
T.-A-L"I" TIOND
... .......
1. Owner'sName:- F -00A
2. Assessor's Parcel Number: (-0'2
3 Installer's Name:
4. Is the site currently under permit? Yes[ ] No�<] Pen-nitNo.
5. Is the site an existing site? Yes[)4 No[ (If yes, furnish two plot plans)..
6. What is the electrical rating of the mobilehome? 10 a Amperes.
7. What is the electric service rating of the mobilehome site?I-Q L) Amperes.
8. What is the mobilehome site circuit breaker rating? -1 3 D Amperes.
9. What is the main service breaker rating at this location? I V -D Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ No[ K] If yes, please identify the load and size:
(Load) _(Amperes)
11. Type of gas service at mobilehome site: Naturijr-,li Propane[ ] None[
X, i
12. Size of gas pipe at the mobilchome site from the meter or tank: 3kj —inches.
13. What is the -as pipe length from the meter or tank to the m
0 obilehome? qo 01.).
14. What is the mobilehome gas demand? - Ej COCO - B.T.U.*
*(This information is not required if the pipe, length is less than 6 feet on natu�al gas or
less than 50 feet on propane).
THE OTT -TER SIME OF THTS FORM MUST BE COMPLETED rN ORDER TO
PROCESS THIS PERMIT APPLICATION
0 VE. R
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'APPROVED
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00:Si NOW 96-90-AVU
AP4
OWNER
PERMIT
MH UTIL.CLEARANCE DATE
INSPECTOR v
ELECTRIC GAS
Support
Struc.
Compaction
Test.Req.
ervice
ize
Other
Load' Type
Pipe
Size
Length
YESI NO
YES NO
X0
/Va
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IC)6-017283
And when recorded mail to:
Building Division MAy o 8 1956
#7 County Center Drive
Oroville, Ca. 95965 r40T cOMPARED WITH
nRIGINAL DOCUMENT
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use 'of agriculturitl 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
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All -that real property situate in the County of Butte, State of California, described as foflows:
Date: -:Lna PR P WNEfS\
_U
State of Califigrnia
County of
On M(W
_%efore me, 77- LAD (; EZ
—1 '-) A,\j A - C, xal� L�J ..
personally appeared L personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and ackno"Ied-ed to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the isistrumeitt, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument. A ^ ^
WITNESS mv hand and official seal. *14 1`11�
Signature
AXX
TARA J. GUDGEON
Commission # 1050724 Mir CPS I
Notary Public
Suits County, California
My Commission Exp. MAR. 8. 1999
NOTE TO RECORDLit: DO NOT RECORD THIS SIDE A.A.- I
C�ow
t
E
:-AGRICULTURAL'STATEMENT
Instructions for recording Agricultural Statement of Acknowledgement:
1. hiscrt the legal dcscriotion of the property in the space provided on the other side of this
form. The legal description is the narrative description of the I property - which will be on
your deed. If you don't have access to the deed, the Recorders Office can provide this
information. ( The description may be handwritten or typed in the space provided or attached
on a separate slicet if more space is required).
2. Property owners must sign in the presence of a Notary Pubfic and have the form notarized.
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25
County Ccntcr Drive, Oroville (the Administration Center building). The Recorder will
record both the original and copy. They will keep the original and return the copy to you.
Just bring the copy back to the Building Division at 7 County Center Drive.
Z2
RECORDER'S FEES: $6.00 - Ist. Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday).
OVER
0�/U'7/96 16 43 "iS916 '8'94 0i13
BTEC CHICO
11. .." -.111111IJ
34
Order No. 4-150571
The land referred to harejr4 19 dGaCribed an folloval
All thut certain real Property aitugt& in the County OZ Butte, State of
CalifOrnla, deacrIbad am followas
ThO GOUtharly one-half Of Lot 10, 02 shown an thlit OOrtaln map antitlad.
'GRIDLEY COLONy NUMER p0URw* Whion Map Was filed In the Office of the
Recorder of the County of Butte, 8t8tQ Of California, February 5, 1907 in
Book 6 of maps, At page 0.
LIX424JITINO THUREMM 6*&trIP Of land IS fa6t In width &long the West aid* of
the above deacribed land, am conveyed In Deed from Lillie LONsor to Sutter
Butte Coital Co. corporation, dated November 0, 1917, and recoroaa March
25, 1910 In Boo� a7,O of Deaft, at page 49.
ALSO EXCEPTING THEREFROM thO 91a9torly two hundred (200)
Northerly thirty-five (3S) fOOt of the
as ahowr) an that certain me fOst Of the Southerly one-half (2/2) of Lot Is.
p arktitled, 'ORIDLFtY COLONY NUMBEft FOUR", which
map won Ulod in the office of the Recordor of the 00unty of Butte, State
Of.Callfornia, February 5, 1907, in Book 6.of.mspn, at page 6.
AP No. 021-260-046
16003
OWNER'S NAME: C-7ATifl,
PROPERTY ADDRESS: /;Z(,,l
ASSESSOR'S PARCEL
ISCALE:
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ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME
TO: Edna Gately
FROM: Barry K. Hogan, Planning Manager
DATE: April 25, 1996 FILE: ADM 96-08
PURPOSE: Administrative Permit on AP#021-260-046 for a temporary second dwelling to be
located at 1261 Losser Avenue, Gridley, in the A-5(Agricultural, 5 acre minimum)
zone.
PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following
requirements.
Occupancy of the mobile home shall be limited to Edna Gately. An affidavit attesting to the
relationship of the involved parties was submitted with the permit application.
2. No rent is to be charged to the occupant of the mobile home.
3. The temporary mobile must meet the requirements of the Butte County Environmental Health
Department for domestic water supply and sewage disposal. The granting of this permit does
not remove the requirement of obtaining the appropriate permits from other Divisions,
Departments or Districts.
4. The siting of the mobile home shall be exempt from the site requirements of the residential
zoning district, except as required by this Section, and the Butte County Code Chapter 28A.
5. The mobile home is declared to be a temporary use on the property, accessory to the primary
unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile
home shall not be permitted on a lot or parcel where there is an approved Second Unit.
6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not
exceeding one year for each extension, may be granted if the application for the extension is
filed, with the Planning Division, within 60 calendar days prior to the date of expiration.
7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed
within one hundred twenty (120) days after expiration of the Permit. If it is not removed within
one hundred twenty (120) days, the County shall remove said mobile home and store it at the
owner's expense.
8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any
acts or omissions of the permittee in connection with the use authorized by said Permit
constitute a public nuisance.
9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide
mobile home or $2,000 for a double -wide mobile home.
Permittee Signature Date
APPROVED
Develo ment Plan
DATE
USE PERMIT VARIANCE
MINOR U.P. ADMYERMIT
PLANNING COMMISS.
�V/ PLANNING MANAGER
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21-26-46 92-1266 BPEM
GATELY, John &'Barbara
1261 Losser Ave, Gridley
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ELECTRIC
Meter By
D a t;_ -
JOB FINALED (Date)
t Signature
V
.I 'I�I
,4', A
COUNTY OF BUTTE
DI�PARTMENT OF PUBLIC WORKS-.,-.,
1,460 Humboldt. Road, Chico, CA-' (916') 89'1"2751
County Center Drive, Croville, CA -'(91.6) 588-7544',.�,
747 Elliott Road, Paradise, CA - (916) 872-63.07.
CORRECTION NOTIC E'
A
.............
OWNER VPERMIT 0.
A routine inspection indicate
s that the following violations of Butte County OrdinaAces'exi�st at
the above address and should be corrected. Please notify this office" 'when 'correctio"n of work
is completed. If you have any questions pertaining to this matter, or need additional. explanaition,'..
is office immediately.
P,
A�
go Fog 6014.9-1-VTP �6
Date
-A nspecto'r
REV 11/91
44
COUNTY OF BUTTE
.DEPARTMENT OF PUBLIC WORKS ftl
1469 Humboldt Road, Chico, CA - (91 ' 6) 891-2751'
7 County Center Drive, Oroville, CA - (916).538-7541
747 Elliott Road, Paradise, CA - (916) 872-63071�
CORRECTION NO-f10E
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. lfyg3qiave any questions pertaining to this matter, orne.ed additional explanation,
pI9dji;)WnVrqr`flh is' office immediately.
F"77
CO3UNTYjOF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - -(916) 891-2751
7'County Center Drive, Oro-vilfe, CA - (916) 538-7541
747 Elliott Ro6 , d, Paradise, CA - (916) 872-6307
CORRECTION NOTICb
, /C;z 1-.4,
OWNER rtKMI I NU.
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 worlZ,
is completed. If you have any questions pertaining to this matteri or need additional explanationi
pleas_c�ontaq& this office immediately.
REV 11/91
I 'I-,' I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
469 Humboldt Road, Chico�,' CA - (916) 891-2751
�'7 C A - (916� 538-7'541"-
ounty Center brive, Orovil(6, C
747 Elliott Ro�d, Paradise, CA - (916) 812-:6307
CORRECTIGN NOTICE'
X- M-5- 4 �_
6W_ N E R PERMITNO.-,
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, 6 . r! n' e-ed'additional explanation_
pIeas9.kqj9fW—cfP this office immediately.
"N
10 �F (_,j,0P94_P -+, 4,o:
-I At
�jk P�_,q /.23-r
�01
Date -f -C;ICX
nspector
REV 11 /91
I A6ft
V_
COUNTY OF BUTTE '
DEPARTMENT OF PUBLIC WORKS
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
- I 14a 4.
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 �ofl,work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date 19 Inspector
REV 11 /91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751'
Al .-:I-
7 Co-unty 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 utteCouri`t�y&di'�.,`
nces exist at - -
the above address and should be corrected. Please notify this offi6e "e—n-co-rie6tion of wor�,
is completed. If yo6 have any questions pertaining to this matter, �r in"d fl�ldiiion�il 4ixplaniati6n'.
tact 1 office immediately.
ple�
�Xfoo
"OOF
% 7
0,V
r
lef wzr4 IfV 6
gRl V!5. -7-
-+
REV 11/91
C- j; -z
41t;
,/ = OK
0 Not OK
Not.Applicable
Not Ready- MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements '6� f
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete'
6. Gas; Location -Test-Wra p: 1 /"L"ft.
P'Nat. or/ P1111 /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas;,MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossove rs- Brea ke rs-Clea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requir.ements-Setbacks-EasZments
2. Footings: Soils-Size-Depth-Spacing-Conneq2prs-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rft rs. -Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks-Eak'ments
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.: Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
1�
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (Single
Date -bWDERFLOOR (Plans) OK except #'s
,L� ; 16., 7 _17711 __
& Duplex)
Date FRAMING (Continued)
F ;,,�_n ng- et. s-asements-Flood-Slope
t,,"2. Ftg., Mitni Soils-Elec. Grnd.7
J/" Ftg. Depth
3. Zarage; Soils -Steel -Elk' Grnd.-/ /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel -Bloc kouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab: Steel-WraDoed
Vl*� Eigrs.-Fireplace Ftg.-Steel 1___,
D.W.V.; Fall -Fitting -Test -2 Way C/0-Sewe est
1 5�
Gas Pipe; Size -Anchors - yard gas pipl'S�Slze-test
t_,�ater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
V,--r3PitpP+s-& Ducts; Cleara nce-Materia I -Su pport- Ins.
,,e< -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation j
Dat %,2 :1 - LZ Card B-1 S;tx Dat4i ard B-jZjLQ_,o
Date'e' Card B-1 Date Card B-1
Date ' DEUMING (Permit) OK except #'s
16. 'Vater Htr.. Vent -Access -Co m bust ion Air -Baffle
— -- - -------- - ---- ------ - ----
Wat Pipe: Test & Anchor -Nail Protection
�j
a.. W.V.: Test -Fittings & Anchor -Nail Protection
- -- ----------
.T�9Shovver Pan: Test. First Floor -Tub Access
�7��Tulb & Shower. Second Floor -Tub Access
V/-t221,,Was Pipe: Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELEgIRICAL (Permit) OK except ft's
Fixture & transformer Clearance- Ins. -Protection
I-e-s--Spa—cin-g--L-i-gh-t-s--&--Sw-it-c-h-e-s-a-t--D-o-o-r-s ----------
_,:_ . ------ ------------
s-wL,- �a�es & No. of Cond ucto rs-Sta pled
---------- - - - - - -- - -------------------- - -------------
;W-11,prn,j�_Ins alled Close to Edge of Studs & C.J - -------- --------
Ground made up w/Mech. Fastners-Bond Gas & Water
. - - I ------------------------------------------
N,,�7. 2 Appliance Circuts 1Fn Kitch4n & Conductor Size/GF1
--------- - -------- - ------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
�a
n;e rc Cu or Al -Oven Circ. ga. Cu or Al.
------ ----------- I _nsulated Neutral --------- [1 -Yes - ------ No -------------------
-Riser Conductors & Ground -Main Disconnect
- ------- service --------------------------- - ---------------------------
uip.-Cleara-nces Panels-Motors-Mech. Equip.
2. othes Closet Light -Shower Light -Spa Light
--------------
_ 33. moke Detector
_(N -----------------------------------------------------------------
---------------------------------------------- -----------------------------------
Dale Card B -I Date Card B-1
-------------- --------------------------------------------------------------
Date Card B- I Date Card B-1
Date MECHANICAL (Permit) 0 K except 4's
A_---P_A.C. Ducts Insulation & Support
--------------------------- 7 - - ------------------------------
Fan: Exhalust above nsulation
------------------------
-Drai-n- & Overflow: Size -&-Grade -'-*--'---- ......
7. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
-------------------------------------------------------- - -----------------------
__--94.--A4�-_Access & Platform if Furnance in Attic
-------- - -------------- - -----------------------------------
-- - --------------------------------------------------- ---------------------------
Date -------------- Card -B-1 Date -------------- Card_B- 1 ---------------
Date Card B-1 Date Card B-1
Date ING (Plans) OK except 4's
te��p3 . Sils. Proper Material & Anchors
- -------------------------------------------------
Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--- ------------------------------- - --------------------------
earing Walls over Girders & Floor Nailing
- -----------------------------------------------------------------
-------- ���4aft Stop -in Wall -s -(rat -p -roof) ----------- ------------------------
�I Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
hors -Connectors
ng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
�eplace Ties or Type A Flue -Fireplace Throat clearance
Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
e Fire Protection Framing
rty Line Firewall & Openings
N---52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
T-- I -5777TGairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywoodon Roof Overhang -Attic Vents -Rafter Outriggers
g -Nailing Veneer
- 56. StucSoWesh- Drip Screed -Fd. Vents-Underfir. Access
%,,&7�.ajing Area -Glass Protection -Skyl ig hts- Plastic
--ear Walls: Nailing -Bolts
Insulation -Walls -Ceilings
----------- -------- ___
i �fration-Walls-Windows
----------------
---- ------ -
D -a I -Card B-InP
Date /-'[�Iard B-1 Date Card B-1
Date FINA6,(Plans) OK e`xcept #'s
or & Sidelight Protection- Land i ngs
Smoke Detector
Vents -Clearance -Comb. Air -Connector -
I n Garage: Above Floor-Ducis-Mech. Protection
_,-6-4,121odroom Exiting
G..fI.l,.& Bath Fixtures & Tub Access -Spa
_ae
lec. Trim & Subpanel: Breaker Sizes & Labels
L_ 67—.Stairs & Rails
-------------
or Stove: Clearances -Hearth
---------- ---------
Elec. Ou lets at Wood Panel: Int. & Ext.
70 ixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
lec. Outlets & Receptacles at Kit. Counter
Door: Swing -Landing -Closer
itneD,uc in Garage -Damper
-Clearance-Comb. Air-Connector-P.R.V.
7'. tr. Htr.: Vents
In Garage: Above Floor,-Mech. Protection
P . Mech. Equip. Listed for Location
---------------
7 . lec. Receptacles in Garage: (G.F.I.)-Ropp
�rotection
Insulation -Foam -Looked in Attic ' 0 Yes
-------- - -- -
Guard Rails & Deck Construction -Post Caps
___P3--rdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
V_ , Clearance Looked under Floor C1 Yes
-------------------- - -------
Following instId., DrivTj�es 0 No; Walks Yes 0 No;
Planters 0 Yes CPWo-
---------------------------
---&L_%ucco. Brow n -Finish
A.C. Unit� Disconnect. Electrical, Plumbing
I -Vents Above Roof: Pl1bg A pliance-Fireplace.-Clearance to
5iape s
ter W isconne Efi;ct
5 �X_te rior Elec Trim: G.F.I. Receptacle-Underg round
�(_�--'d6 V lation Throughout House
�.e
G a s o
1,
as
8 ��P tection
_;;,-Z - - - - - - - - - - - - - - - - - - - - - - - - - - -
Correcti s from Previous Inspections
8 39 st- el
9 Ost-Meters Tv;wd, (jar,.Elktric
------ -----
ater & Sewer Connected -C/O to Grade -HD Approval
-- ----------------
2 Z
jl Energy Compliance Certificate -Other Certificates
- --- ----------------- - - ------
----- - ).. /I I&C ___ ---- ------
Date, Card B- I Date Card B-1
--------- - ----
d
Date B-1 Date Card B-1
7 -- - -- ------ I
ard B Date Card B-1
Datei T
Comments at Final:
SIGNATURE - GEN. CONTR./OWNER
DATE
ENERGY CERT10fdAT,ION
G14A
er eLf
LOCATION
A,P. #
DESCRIPTION OF
INSULATION, 4
v
Poor
i
MATERIAL
'-bkAND NA
THICKNESS (INCHES)
H E R M A L RIES,
''EXTERIOR WALL
MATERIAL TYPE FIBERGLASS
hRAND NAME CERTAINTEED
THICKNESS'(INCHES) 3'/L
MAL RES, R-A 1,
:,CEILING
ICERTAtR ED
BATT OR BLANKET TYPE FIBERGLA�t: "'NAM_ TE
THICKNESS (INCHES) to
LOOSE FILL TYPE -MAIM"NAMIk", CERNNT9ED
TAICKNESS (INCHES)
RMAL RES, R-
-LOOR, ELEVATED
FIBERGLASS
�CERTAINTEED
MATERIAL
RAND' NAHk
THICKNESS (INCHES) ET
'11HERMAL RES:
F!.00R, SLAB
MATERIAL
bRAND NAME
THICKNESS (INCHES)
':THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL
.13qAND NAME
THICKNESS (INCHES)
THERMAL RES,
I HEREBY CERTIFY THAT THE ABOVE.fNSULATIO'N WAS INSTALLED
lN THE ABOVE BUILDING IN CONFORMANCkl�WITH.-'THE STATE -'.OF
CALIFORNIA ENERGY REQUIREMENTS.
HAWIUNS -INDUSTRIES INC.
622184
FIRM NAME
STATE.,,,CONTRACTOR'S LICENSE #
-9 2-'
SIGNATURE.
�-DATE
I 14EREBY CERTIFY THE ABOVE INSULATION AND�'ALLAEQUIRED
ITEMS AS SHOWN ON THE BUILDING
DEPAh'rMEHT-APPROVED-PLANS A14D
ATTACAMENTS HAVE BEEN INSTALLED AS ftQUIRED AY THE STATE OF
CW.TFORNIA ENERGY REQUIREMENTS.
FIRM NAME
STATE.- CONTRACTOR'S LICENSE #
SIGNATURE - GEN. CONTR./OWNER
DATE
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATiON AND PERMIT
PERMIT NO.
92-&Z66A
ih .11 v",
ASSESSOR PARC;L NUMBER
21- 6-046
ZONING
A 5
BUILDING PERMIT kJ
I
-"-
OWNER
JOHN & BARBARA GATELY
TELEPHONE
846-0235
SQ.FT. OCC. BUILDING VALUATION
1878 R
101,412
OWNER'S MAILING ADDRESS
885 KENTUCKY STREET GRIDLEY 95948
624 M
11,232
CONTRACTOR'S NAME
UNKNOWN
ITELEPHONE
888 C
11,544
CONTRACTOR'S MAILING ADDRESS
Fireplace i "All
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
125,688
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 688.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 344.25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1261 LOSSER AVE GRIDLEY
Permit tee
$ 1,067.75
PLUMBING PERMIT
FilingFee 1 15.00
Each Trap
91 5.001 45.00
Solar or heat pump water heater
20.001
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
7.00 7.00
Each qas water heater or vent
7.00 7.00
USE OF STRUCTURE
SF ER DuplexF� Mobilehome[_1 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
15.00 1 9,00
Mobile Home S I G
T 615.00
TYPE OF WORK
New[X, AdditionO Remodelo UtilitiesR InstallationEl Other 0
Describe work: 3 EDR.M
Permit Fee
$ 94.00
Contractor
ELECTRICAL PERMIT
1-
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18-50 iq - cin
Main service 20CA TO 1 OOOA)
37.50
'CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
Fl 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)
1, as the owner, am exclusively contracting with. licensed "I"IclUt-
ors. (Sec. 7044)
I am exempt under -Sec. Business and Professions Code
for this reason--.-
NEW CONST DWELLING OCCUPM
OR AODNS. ACC. BLDGS.
3.64 sq.ft.
87-95
NEW CON5TF;L MULTI -OUTLET
NON-RESID* BRANCH CIRCUITS)
@ 5.00
(POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURE
L_
20 @ 76
4AL- P 46
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EAJ
3.00
Temporary service
15.00 jr,_nn
Mobile Home Facilities
-
15.00
Misc. Wiring
'15.00
'_-N.0
Permit Fee
$ 136.05
WORKMEN' ' S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply 1, ith such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
9.00
Cooling
9.00
LHood
6.50 6.50
I Ventilation
4.50, 4.50
$ 44.00
L 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 I I abiIA'ies, judgments, costs, and expenses which may in any way accrue
agai I t d uoi�ty of the granting of this permit.
X n
,jTuence
I Date Lk -,L�,VL
SignalL of Applicant - Owler Rr Contractor R Agent R
A n OSHA permit is required fort.Cavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. Z? il. I
Mobile Home Installation Fee $
Energy Inspection Fee $ 40.00
co's "'
VW
TOTAL FEE
$ 13,91.130
HAZ
10 J��f IMP
I FLZ��
CDF I PARCEL �L
I H
IS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
---) 9AE(;TOVF PUBLIC
By ::;��
PER EXPIRES Date
�*f
the applicable provi-
resolutions to do I
have been paid.
WORKS
Date
I -,uo_
Receipt No. 115664 424.2.5 116015 957.55///�/�1-3 Z
WHITE-D.P.W.. YELL.W-AFS1...R. PINK -INSPECTOR. GOLDENRCID-APP�I.A.T
COUNTY OF BUTTE DEPARTMENT OF PUBVIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541
'L 4 - P 1 ve-
PERMIT APPILICATION DATA SHEET
Permit No,
OWNER o �21 —
Date!��?l
Proposed Building Use Building lnspectoi,4�r
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
,% DATE RECEIVED APPROVED
,4,,t All items have been submitted . ........................ 41 4.
7�lot plans in duplicate/triplicate, signed by preparer of plans t 3_70
33. CE * ns*.. V
omplete plans in duplic ' ate/triplicate, signed by preparer.of pla
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ............ ..............................
6. Energy Design Complian6e and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineer.ed truss details and layout in duplicate (required prior to 'plan check)
9. Mobilehome installation data including manufacturer's installation
instructions
i-0. 'Fees of $ j! 66 ............... (7-517-
11. Chico Urban Area fees paid .......................................
...................
paid ..............
Health Department
.................... * ......
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A)Use.:—(B) Parking: . ......
1
Improvements may be requi�ed. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) . ..
-22. Certificate of Workmans Compensation Insurance ..................
- 2?3
,---,6wner-Builder Verification, (Given to owner 0, Mail to owner 0)
-41 _Q2
2- �.corded copy of Agricult'6ral Acknowledgment Statement ......... 5 (12
-?,5. Letter ofsignatu*regauth * t' ?
L_q><2& _!::51 -Ara
27.
When yo issue the perroiterws as follows: Mai I t WM r. —MAil to contractor.
) ff ice. Deliver w/inspector.
TelephoneFL nd hold for pickup at = -
Copy of Haz-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent ----HealthDept. —FireDept. —Other— Date— By
The following data must be submitted pri mit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Addit)6nal,�_teryjs required:
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by—..date
Contractor, designer, owner, was advised of above required data by—phone—mall --counter by� date
EV -67 9LO�
r=y= Date_!�M'-W-' approved by Date 6111—
Plans checked by— Plans\,
Sets of plans on hold in —File cabinet _AP fo�oer
Copy—DPW
1��p
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
AP
owner loca&i0q.
Driveway permit
'0,
SiXature
has been issued for the above property
date
TO Buildina Department COUNTY OF i3uTTrz
BUILDING DEPT
FROM: Environmental Health MAY 2 8 1992
SUBJECT: Sanitation Clearance
ko .55 e- Y, e- Q /- dL46
Location AP#
Owner
Plan Approved for:
Hold final for:
Sewaqe Disposal L--- Water Supply 4---
7inal clearance O.K. for:
clearance for �a bedroom lati2k-1:�e homie. other
Water supply
Water supply
NOTE
9
te
S �a�n i t Wai aj D t
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541
APPLICATION AND PERMIT
,PERMIT NO.
ASSES RZPARC:�N�IMIIER
ZONING
BUILDING PERMIT
0 WN
0,91E
SO, FT. OCC. BUILDING VALUATI,ON
OWNER'S MAILI G ADO;4�r
5;;j7' SZ_
9
2- -3
C 0 N`y
LT
2Z V/�,z
�;7-
CONTRACTOR -5 M�AILINF, ADDRESrS
Fireplace 11!411 <
CONSTRUCTION LENDER
UNKNOWN
Total Valuati&n $
&
Filing Fee
$
LENDER'S MAIL-ING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
.
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ --2 Od
ARCHITECT OR ENGINEER'S MAILING ADDRE�S
Penalty
$
BUILDING ADDRESS
Permit fee
$ I/) gl- 7, 75 1
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.001
Solar or heat pump water heater
20.00
LOT NO%
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 '7,00
Each gas water heater or vent
7.00 10 V
USE OF STRUCTURE
SFY Duplexj7 MobilehomeF� Other--
SPECIFY
Gas piping system 1 - 5 outlets
5.001 S. O!Z
Building sewer
15.001 le-, .(Jg
Mobile Home S 1 G I IN
I
@ 15.00
TYPE OF WORK
Ne Ad d i i i on L ._J R emode i L U t i I i t i e s .7- InstallationE: Other 0
_2 L-1
DeAbe work: e7v 12 M
Permit Fee
$
!Iff, a
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
600V OR LESS
Main service 200A OR LESS
18.501
Main service 200A TO 1000A)
37.501
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 & offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed UUIILIIIL;L-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADONS. ( ACC. BLDGS.
3.64 sq.tt.rW 7, 57
NEW CONSTR. MULTI -OUTLET
NON-RESIC, BRANCH CIRCUiTS)
@ 5-00
(POWER APPARATUS & )
SINGLE OUTLET CIR
I
Ex. OCCUP( OUTLETS OR FIXTURES
20 V 75d
RIAL a 4G,4
FIXED !R-LNS..OR
Ex. Occup. OUTLE 'S, RESI .) EA.)
i 3.001
service
15.00 f2 =0(
-Temporary
Mobile Home Facilities
Misc. Wiring
15.00
Permit Fee
$IZ :V- 19
Contractor
WORKMEN'S COMPENSATION INSURANCE
rider penalty of perjury (check one):
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.
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
Cooling
EH:ood
6.50
Venti lation
Permit Fee
$ 0 0
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.
1 also agree to save, indemnify and keep harmless the County of Butte' against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date 1-67
Signature of Applicant — Owner El ContractorE] AgentE]
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
41
Energy Inspection Fee $
CONST TY (51157)
VN P' !TOTAL FEE � 0 uc),
0 F ES IMP
!:�� I
FLOOD
—
CDF
--,I
PA:��
PO
HD
ISSUE
—
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
I DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
s5-
Receipt No. 7
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDIENRODIAPPI. CANT
m
CAT. No. NNO1 SOO
TO 2930 (12-90)
(General Acknowledgment)
STATE OF CALIFORNIA
CCOUNT OF -
0
On �Q� -3L9z
personal(y appeared
92-20957 -M-M
Q@ TICOR TITLE INSURANCE I
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that helshe/they executed the same
in his/her/their authorized capacity(ies), and that by
.Whis/her/their signature(s) on the instrument the person(s),
i or the entity upon behalf of which the person(s) acted,
, executed the instrument.
, . WITNESS my hand and official seal.
lw I —
Signaturej006P,=
. ) SS.
e,,*e undersigned, a Notary Public in and for said State,
OFFICIAL SEAL
D�O
REBERA L. BLEDSOE
CALIFORNIA
OUNTY
. 1, 1 99
ICD
:1
L
NOTARY PUBLIC -CALIFORNIA
9 BUTTE COUNTY
_x
&V Comm. Expires Feb. 1, 1993
(This area f or official notarial seal)
END OF DOCUMENT
A
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPM M
Section 26-8. 1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building pi�rmit.
0
1
The
property described here'in is adjacent
92-020957,
to
land or included within an area zoned
I
for
agricultural purposes, and residents
Recorded I
of
this property may be subject to incon-
Official Records I
veniences
or discomfort arising from the
County of I
use
of agricultural chemicals, including,
Butte I
but
not limited to herbicides, pesticides,
Candace J. Grubbs I
and
fertilizers; and from the pursuit
Recorder I
of
agricultural operations including,
8:01am 13 -May -92 I
but
not limited to cultivation, plowing,
spraying,
pruning, and -harvesting which
0
92-20957
Rec Fee
Cash
PUBL
8.00
8.00
CD 2
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows: The land r6forred to heroin to d6ocribed as fol2owst
All that cartain.raal property sit - ust6 in the County Of Butte, state of
California, described as follOwds
The Southarly one-half Of Lot 10, AS DhOWn On that certain map entitl6d,
*GRIDLEY COLONY N"Eft )FOURs, which map wa 2 filed in the office of the
Recorder of the COuntY Of Butte, Stat'A Of Cali,fornia, February 5, 1907 in
Book 6 of maps, at page 0.
RXCRPTINO TMEREMM s' *trio of land 18 foot In wi;lth along the West Side Of
the &Wve deacrib6d land, A" conv6yod in bood frdo Lillie LOSS4t to Sutt4r
Butte Can1l co.4 ! corporation, dated November 8, 1917, And r6COVdAd March
25, 1910 n Poo 70 of Dead*, at PAGO 48 -
ALSO ZXCEPTING THEREFROM the 94ttOrlY %W0*hun4V$d (200) fQGt Of the
Northerly thLrty-fivO (35) feet of %he Southarly one-half (1/2) of Lot %8,
tain map &Atitl ORIDLZY COLONY NUMBER ?OUR:, wh4en
as shown on that car
m1p was filed In tho office Of the of the County of 29t%6 state
^ California, February 5, 1907, in 800k 6 -9f.Mcks, at page a.
Date: 3AF-2
PROPERTY
2(7)dt J'1_" 14
--r7
State of On this the_--� --112�day of before me, the
SS. under -signed Notary Public, pf�rsonally appeared
County o-_C��)
I . �. ^ .01,
�L OF OFFICIAL SEAL
REBMA L. BLEDSOE
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
My Comm. Expires Feb. 1, 1993
Personally known to me. [2K-] 'Proved to me on
of satisfactory
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
W�HEREOF, I hereunto set my hand and official seal.
the basis
evidence.
Present A.P. No.
Notary Public
ra C -r)
6 hil C,4
0
uk
�OUNTV OF 8 E
BUILDWG DEVT
MAY 2 1 1992
TO.- Bob Kei th Pay 20, 1192�'
FROM: Jim Fields
RE.- John' a nd Barbara Gately -House Plans
J
The following additions and changes'were made to -sheets 4r 5 and.*
.6 respectively.
/FOUNDATION PLAN-- 4
Respaced pier blocks they pre under'bearing wall it front
This provides a wall to brace purlins to.
J/ Added pier blocks' and double floor joists under wall in
Master BeAroom. Again -for purlin bracing.
P -'ROOF FRA�ING PLAN 5
t-PrTl- rafters changed to 2 8 @ 16" OC.�
M�_p and valley rafters are 2 x 10.
Added purlins @ 4 places to break up a6d shorten span of
rafters.throughout Living Room area. see section B -B)
IWIGAILS 6
Z'Slhowing purlins and bracing in Section B -B.,
Changed Detail C to show a.post base instead of�redwood
t
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOU8 ITEMS -TO LOOK OUT FOR
&.--Sta* y details: landings-, rise and run, head clearance, -handrails
ec. 3306).
r
�,raar�drail details (Sec. 1711 & 3306(j).
I.-' Brick or stone veneer (Chapter 30).
plaster - weep screeds (Sec. 4706).
5 �P-�p
roof pitch for roof convering (Chapter 32).
6
�* �R covering type - (fire hazard).
insulation - protection.
0
36 halls and stairways.
1HP'n-, area over garage - complete 1 -hour separation required on garage side
"includini supporting walls and posts, etc.
ip—TWO�-ts on three-story dwellings (sec.'3303 & see Mezannines - 1716).
1 U, -4 -tic -access and ventilation (Sec. 3205).
1 r.I�Ilderfloor access and ventilation (Sec. 2516).
1 . Combustion air for fuel burning appliances - L.P.G. requirements.
1A. V_ nts on duplexes.
lj____,,__se- requireme
E
gy design.
1 Flashing at all exterior openings.
17. OF ponsible area requirements.
-7-,4
/ /-7
pvrn'lp 4-OCA-TAOPS.
J
- P -� P
�-fA iFINF
-74Z--377
I
'?�IL_
RESIDENTIAL �HF 8/91
PLAN �_ eCK�NG GUIDE
(S.F., DUPLEX &'MISC. -ONLY)
Bldg. Permit # t
OWNER -7-E A. P . # 1-' 1 - -Z /,
:GENER L Plan Checker P;e:f - 5-G;�-qg
0
oning requireRents: (sideyards and number of permitted living units).
tion. WIG;�L'oc-a-tio" -Z
3�. A�ans signed by designer.
Pro
Proper description of work on application.
ng violations on property.
(�r6 =temss�on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
_7----R-eeorded notice of violation.
PLOT PLAN
t"'�Cm lete parcel size and dimensions.
24"-Setbpacks, sideyards, easements, etc.
3-r-1Yther buildings or structures.
4-1� cd'ing, fills, drainage.
5� �Fllood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
Nustible, and foundations).
7. NU & FAS road setback.
8. ui',Iding or utilities across lot lines (Record form).
FLOOR PLAN
r, ete to scale plan with dimensions.
A�qui r ed windows for liaht and ventilation (Sec. 1205).
0
SRequ . red windows for second exit (Sec. 1204).
hts (Chapter 34 & Sec. 5207).
n-rimpact glass (Sec. 5406).
uired room sizes, ceilina heights (Sec. 1207).
7 FCIs,in baths, garage, kitchen, and exterior outlets (Article 210-8).
L�g�f
fixtures, switches, receptacles, and exterior receptacles for main-
linoancr: of'mechanical equipment.
��Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
t0E-.--Ga-.r_aP_e firewall, door size, and closer (Sec. 503(d)(3)).
.�-ge
1,T- 1,--' 31 ty
_�q� exterior exit door (sec. 3304 (f).
ace and wood stove location, alcoves, and clearance.
1 oke detectors (Sec. 1210).
1 p --showe r size.
Plumbing fixtures, water closet clearances and
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
-Uff-us`ual shape, size, or split level house requiring lateral design.
a:;=�r`estory requiring balloon framing and/or engineering.
�ory building requiring engineered calculations and plans.
hdation plan complete enough to construct building.
6. F_I-ao5_��ostruction details complete enough to construct building.
;'_-El-ev,ations and wall construction details complete enough to construct building
8�-- Roof construction details complete enough to construct building.
construction details and calcs if necessary.
1 fter ties or bearing ridge beam.
1 GAarage door or porch header sizes.
Stud hei7ghts.
1A.e-'Adobe soils - special foundation design.
12�, Retaining walls requiring desion.
15.`,kpecial Inspection required. 0
-fV'- -FIR.
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building) ai.
A.P. Numbe� —()Vouilding Department No.
School District city = county jurisdiction
Property Owner-�)Vtiv!�F M IeM/e A 6tt 7-4�
Project Location/Address E, 62
Subdivision Lot Number
Residential Development: -7
E] Sq. Footage /s/
COUNTY OF sUTTE
BUILC)ING [)EPT # of Living MHI Addition (Gfoup R)
Units
Apo 3 0 W2
Commercial/Industrial: Sq. Footage'
New Addition (Including Exterior
Roofed Areas)
Building ylgp&r-t�ment�Representative Date
(Floor Plans reviewed by -School District Personnel)�
Distric,E';d No._
School District certifies that
6,;2 3,5
(Applicant Name) (Phone Number)
(Street A04res,$)C/
(City) (State) -Zip Code)
has complied with the requirements of Resolution No.
by the payment of representing Wr square feet.
- " � 1�U�6 ///.; 2 a
Sch(�ol District Representative EFate
PAID BY CHEUK NU. R t; YLPiR K 6
BANK NO / / 2,15 // 7 / / �)
PAID BY CASH
white -applicant, yellow-building,(Iepartment, pink -school district
SCHOOL.FEE (8-/88)
12S4CER�rIFICATE OF COMPLIANCE: Residential Page I CF-lF
—, ------------------------------------------------------------------------------
Project Title: GATELY\BASE Run: 302 28 -Jan -92
Project'Address: GATELY\BASE
Building Title: GATELY\BASE
Document Author: MICHAEL F. SROKA
Telephone: 916-742-6148
Building Permit #
Plan Check / Date
Compliance Method: CEC CALRES, Version 1.10 Field Check / Date
Climate Zone: 11
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number df Dwelling Units:
Floor Construction Type:
Infiltration Control:
BUILDING SHELL
Component
Type
---------------
Door
Wall
Floor
Ceiling
GLAZING
INSULATION
Insul
R -value
0
li/
19
30
1878 ft2
SFD Single Family Detached
90 deg
1
Raised floor(/�
CEC–Standard
zd
0
Location/Comments
7 ----------------------------- 01,
Outside
Outside
Crawlspac e
Attic
Glazing
Efficiency
----------
Area
Glass
Interior
Exterior
Overhang
Orientation
(ft2) Panes Type
Shading
Shading
and Fins
-------------
heating output:
----
-97.5 --2--.
- -----
----
-----
----
--------
Window
Clear—
Lght-Drape
None----
Overhang
Window
North
31.0
2 Clear
Lght
Drape
None
None
Window
West
/*
30.0
2 Clear
Lght
Drape
None
None'
Window
West
61.7
2 Clear
Lght
Drape
None
Overhang
Window
South
25.0
2 Clear
Lght
Drape
None
Overhang
Window
South
10.0
2 Clear
Lght
Drape
None
None
Window
East
10.0
2 Clear
Lght
Drape
None
None
THERMAL
MASS
Area
Thick
Type
---------
Exposed?
--------
(ft2)
-----
Ain) Location/Description
----- -------------------------
None
HVAC SYSTEMS
Duct Location
Type .
-------------------
Efficiency
----------
and
R -value
Furnace
0.72 SE
-------
Attic
R-5.7
Air Conditioner
9.50 SEER
Attic
R-5.7
Maximum furnace
heating output:
77714
Btuh
Frame
Type
Metal
Metal
Metal
Metal -
Metal
Metal
Metal
Output Manufacturer/Model #
(Btuh) (or approved equal)
-----------------------
48000
47000
Zonally controlled HVAC? No
CERTIFICATE OF COMPLIANCE: Residential Page 2 CF-lR
Project Title: GATZLY\BASE Run: 302 28 -Jan -92
WATER HEATING SYSTEMS
Tank
Capacity
System Type (gal)
----------------- --------
Storage Gas 50
Manufacturer/Model #
(or approved equal)
-----------------------
REMARKS, NOTES, AND EXCEPTIONAL FEATURES
None
COMPLIANCE STATEMENT
Special
Features/
Credits
-----------
This certificate of compliance lists the building features and performance
specifications needed to comply with Title 24, Chapter 2-53 and Title 20,
Chapter 2, Subchapter 4, Article 1 'of the California Administrative Code. This
certificate has been signed by the individual with overall design responsibility
and the building owner, who shall retain a copy of it and transmit the
certificate to any subsequent purchase * r of the building. When this certificate
of compliance is submitted for a single building plan to be built in multiple
orientations, all building conservation features which vary are indicated in the
Remarks, Notes, and Exceptional Features section.
DESIGNER OWNER
JIM FIELDS JOHN GATELY
FIELDS DRAFTING N\A
PO BOX 1454 885 KENTUCKY ST.
OLIVEHURST, CA. GRIDLEY, CA.
742-3771 846-0235
Lic #:
'A..- J:) ��
SiA�Jd IV Date Signed Date
DOCUMENTATION AUTHOR
MICHAEL F. SROKA
SROKA'S DESIGN & DRAFTING
4140 DAN AVENUE
MARYSVILLE, CALIF.
ENFORCEMENT
Name:
Title:
Agency:
Telephone:
Signed
�%-*RZUW4
Date
CO�PUTER METHOD SUMMARY Page 1 C -2R
--------------------------------------------------------------------------------
Project Title: GATELY\BASE Run:'302 28 -Jan -92
Project Address: GATELY\BASE
Building Title: GATELY\�ASE
Document Author: MICHAEL F. SROKA
Telephone: 916-742-6148
Building Permit #
Plan Check / Date
Compliance Method: CEC CALRESj Version 1.10 Field Check / Date
Climate Zone: 11
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design
Space
Heating
24.55
Space
Cooling
20.34
Water
Heating
10.86
Total
55.75
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Number of Stories:
Proposed Design
---------------
21.46
20.73
10.86
-------- Complies
53.06 Yes
1878 ft2
SFD Single Family Detached
90 deg (East)
1
1
Floor Construction Type: Raised floor
Number of Conditioned Zones: 1
Total Conditioned Volume: 15024 ft3
Conditioned Footprint Area:- 1878 ft2
Ground Floor Area: 1878 ft2
BUILDING ZONE
Zone
Name
------------
HOUSE
INFORMATION
Floor Infiltration
Area Volume Control
(ft2) (ft3) Type Type
------- ------------ ------------
1878 15024 Conditioned CEC—Standard
I
C.OMPUTEk METHOD SUMMARY Page 2 C -2R
Project Title: GATELY\BASE Run: 302 28 -Jan -92
OPAQUE SURFACES
Surface
Type
-----------
Zone = HOUSE
Door
Door
Door
Wall
Wall
Wall
Wall
Wall
Wall
Floor
Ceiling
Area
SURFACES
Insul
True
Solar
Form
3
Location/
(ft2)
-------
U -value
-------
R-val
-----
Azm
----
Tilt
----
Gains
-----
Reference
------------
Comments
-------------
23.3
0.330
0
90
90
Yes
CEC-3x6-Wood..Outside
Open
23.3
0.330
0
270
90
Yes
CEC_3x6-Wood
(ft2)
----- ----
Outside
15.5
0.330
0
90
90
Yes
2468
...Outside
HOUSE
295.6
0.098
11
90
90
Yes
CEC
Rll-166c:Outside
------
313.0
0.098
11
360
90
Yes
CEC-R11-16oc
CEC
Outside
317.0
0.098
11
270
90
Yes
CEC
R11-16oc
Outside
287.0
0.098
11
180
90
Yes
CEC
R11-16oc
Outside
13.0
0.098
11
225
90
Yes
CEC
R11-16oc
Outside
13.0
0.098
11
135
90
Yes
CEC
R11-16oc
Outside
1878.0
0.049
19
90
180
No
CEC_2xRl9
DblLtD
Crawlspace
1878.0
0.033
30
90
0
Yes
CEC-R30-24oc
Metal
Attic
PERIMETER LOSSES
Perimeter
Type
-----------
None
Length F2 Insul Insul
(ft) Factor R-val -Depth (in)
-------- ------ ----- ----------
Location/
Comments
-------------
GLAZING
SURFACES
SC with FMF
Glazing
-------------
Glazing
Area True
Open
Frame
Charactr
Shades
Shades
Name
--------------
Type
----
(ft2)
----- ----
Azm
Tilt
----
Type
------
Type
--------
Name
------------
Open
------
Closed
Zone =
HOUSE
------
W1
Wind
17.5/
90
90
Slider
Metal
CEC
DblLtD'
0.77
0.66
W2
Wind
30.Oe
90
90
Slider
Metal
CEC
DblLtD
0.77
0.66
W3
Wind
5.01
90
90
Fixed
Metal
CEC
- DblLtD'
0.77
0.66
W4
Wind
5.0/
90
90
Fixed ..Metal
CEC
DblLtD
0.77
0.66
W5
Wind
20.0
90
90
Slider
Metal
CEC
DblLtD
0.77
0.66
W6
Wind
20.0/
90
90
Slider
Metal
CEC-DblLtD*.
0.77
0.66
W7
Wind
15.0-//360
90
Slider
Metal
CEC-DblLtD
0.77
0.66
W8
Wind
6.0 F360
90
Slider
Metal
CEC
DblLtD
0.77
0.66
W9
Wind
15.0/
270
90
Slider
Metal
CEC
DblLtD
0.77
0.66
W10
Wind
15.Oe
270
90
Slider
Metal
CEC
DblLtD ..
0.77
0.66
Wil
Wind
15.0v
270
90
Slider
Metal
CEC
DblLtD
0.77
0.66
W12
Wind
15.01
270
90
Slider
Metal
CEC
DblLtD
0.77
0.66
W13
Wind
15.0/
270
90
Slider
Metal
CEC
DblLtD.-
0.77
0.66
W14
Wind
10.0
360
90
Fixed
Metal
CEC
DblLtD
0.77
0.66
W15
Wind
16.6 /270
90
Slider
Metal
CEC-DblLtD.
0.77
0.66
W16
Wind
10.0",'
180
90
Fixed
Metal
CEC
DblLtD
0.77
0.66
W17
Wind
10.0/
225
90
Fixed
Metal
CEC_DblLtD
0.77
0.66
W18
Wind
15.0/
�480
90
Slider
Metal
CEC-DblLtD
0.77
0.66
W19
Wind
10.0
135
90
Fixed
Metal
CEC_DblLtD.
0.77
0.66
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title: GATELY\BASE Run: 302 28 -Jan -92
GLAZING CHARACTERISTICS SC w/o FMF
Glazing ------------- Interior Sc Exterior
Charactr Glazing # of Glass w/Int Shade Ext Shade
Name Type Panes U-val Only Shades Type Shade Type
------------ --------- ----- ----- ------ ------ ---------- ------ ----------
CEC—DblLtD Clear 2 0.65 0.88 0.75 Lght Drape 1.00 None
OVERHANGS
FINS
Glazing
Name
------------
None
THERMAL MASS
Left Fin Right Fin
-------------------------- --------------------------
Glazing Exten Dist Exten Dist
------------- Fin Fin above to Fin Fin above to
Height Width Depth Height glzng glzing Depth Height glzng glzing
------ ------ ------ ------ ----- ------ ------ ------ ----- ------
Mass Name
--------------
None
Vol Cond-
Area Thick Heat duct- Form 3 Inside Location/
Type (ft2) (in) Cap ivity Reference R-val Description
--------- ----- ----- ---- ----- ------------ ------ ------------
SOLAR GAIN DISTRIBUTION
Glazing
Name
------------
None
Winter Summer Targetted
Fraction Fraction Thermal Mass Location/Description
-------- -------- ------------ ------------------------------
Glazing
Glazing
- -------------
Above
Left
Right
Name
Height
Width
Depth
Glazing
Extension
Extension
--------------
W1
------
5*01@
------
30611
------
6'011
---------
11010
---------
116"
---------
451011
W2
510's
61010
61011
loop$
1210"
3240"
W3
5'09'
loops
6101'
11001
229611
261681
W4
5#01@
100"
6'011
11011
261811
22'414
W5
5'011
4'011
6i011
11011
3210"
14@0'1
W6
5@0"
4@011
6'001
loot@
4208"
31411
Wil
510"
31011
74011
11011
4'080
116011
W12
51011
31011
71011
11041
7',0"
80011
W13
5 0
041
310"
70011
11011
119011
410"
W15
3@411
510"
70011
10081
2'6'1
2'611
W16
3148'
300"
12 '
06'
11010
911
10131*
W18
56011
3@001
6&0"
11041
911
41311
FINS
Glazing
Name
------------
None
THERMAL MASS
Left Fin Right Fin
-------------------------- --------------------------
Glazing Exten Dist Exten Dist
------------- Fin Fin above to Fin Fin above to
Height Width Depth Height glzng glzing Depth Height glzng glzing
------ ------ ------ ------ ----- ------ ------ ------ ----- ------
Mass Name
--------------
None
Vol Cond-
Area Thick Heat duct- Form 3 Inside Location/
Type (ft2) (in) Cap ivity Reference R-val Description
--------- ----- ----- ---- ----- ------------ ------ ------------
SOLAR GAIN DISTRIBUTION
Glazing
Name
------------
None
Winter Summer Targetted
Fraction Fraction Thermal Mass Location/Description
-------- -------- ------------ ------------------------------
COMPUTER METHOD SUMMARY Page 4 C -2R
Project.Title: GATPLY\BASE Run: 302 28 -Jan -92
HVAC SYSTEMS
System Name
--------------
Zone = HOUSE
GasFurn.72
AC9.5
Duct Location
System Type Efficiency and R -value Credits
------------------- ---------- ------------- --------------
Furnace 0.72 SE Attic R-5.7
Air Conditioner 9.50 SEER Attic R-5.7
WATER HEATING SYSTEMS
Tank Rated Pilot Special
# of Capacity Rated Standby Input Size Features/
System Type Heaters (gal) Efficiency Loss (Btuh) (Btuh) Credits
----------------- ------- --------- ---------- ------- ------ ------ ------------
Storage Gas 1 50 0.76 RE 3.64% 28000
REMARKS, NOTES, -AND EXCEPTIONAL FEATURES
None
I
, Mandatory Measures Checklist: Residential MF.IR
NOTE: Lowrin 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 Certihcate of Compliance. When this checklist is incorporated into the permit documents, the features noted shull
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they am shown elSewhere in the documents or on this checklist only.
DESCRIPTION
C'2�A-,�-1_5-& / I DESIGNER I ENFORCEMENT
Building Envel ' ope Measures
§2-53k(a): Knimum ceiling insulation R-19 weighted average.
§2-5352(b): Loon fill insulation manufacturer's labeled R -Value.
§2-5352(c): Nfinimurn wall insulation in framed walls R- I I weighted average (does not apply to
exterior mass walls).
§2-5352(k): Slab edge insulation - water absorption raie no greater than 0.3%, water vapor
transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified of installed meets California Energy Commission (CEC) quality
. standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climte Zones 14 and 16 . only.
§2-5317: InfiltrationJExfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and wiridows certified.
c. Doors and windows weaLherstripped; all joints and penetrations caulked and sealed,
f I
§2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fireplaces
I - Nlasonry and famory-built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
§2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired sp= beating equipment has intermittent ignition devices.
§2-5314: HVAC equipment. water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R- 16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(ExcepLion 1): Pipe insulation on swarn and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool HeWng
I. System has:
a. On/off switch on heater.
b. Weatherproof insu-ucLi.on plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
-, \4 T—
§2 -5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator- freezers, freezers and fluorescent lamp ballasts certified U
by the CEC. Indicate make and model number.
roffn Rcvised Dcrcmber 1997
FORM J- I
oa,,,dt,,n Pmeadures A. S. Q D
copy"Urn &F "W
Aft CW0ftWffV 0�
*f Arvfts
S513 "M St'WL H.W.
D.C.
Pftn"d 6n U.S.A.
[�Pl all., N
WORKSHEET FOR MANUAL J
. a�^.e CM5 OCCIINIMBUTIA1 AID C-'nNnrTiatjiNr2
t
j ro
\j
Q�
D --
Calculation Procedures A,B,C,,
-simeadure A - Winter Infiltration HTM Calculation
1, W17ter litration CFM
AC1HR x S Cu. FT. x 0.0167 15 2? CFM
Volume
2. Winter infiltration Btuh
i.i x 2166015& CFM x Winter TD = 1-2 5021 Stuh
3. ',n�;,r Infiltra ion HTM
Btuh Total Window = 4-0, gs HTM
& Door Area
Procedure 8 - Summer Infiltration HTM Calculation
1. Summer Infiltration CF7,
ACf!4R x Cu. Fr. x 0.0167 CFM
Volume
2. Sum stuh
11.11 77X�Ti CF. x Summer TD Stuh
3. Summer Infi!lrall on HTM
stu
h Total Window 61,-r HTM
& Door Area
Procedure C - Latent Infiltration Gain
elull�
0.68 x
�g I - - - �--�S�
rocedure 0 - Equipment 5ming LOSCS
i- Sensible Sizing Load
Entirs 1111mm
For. Waff*
-Y' 12-j a
Address
Cny and State or Province
f 2�- :Btuh
BY-. C'Ommtor
0210 Stuh
Addr*"
city
It A 7� FISM
Equipment Sizing Load - Sensible
Design Conditions
-F Insios db
)i Sumner 2
F Oinside db -*F itnalk,16611)
--F
outsift db
Wftw Design Te"Weirsture 01
Summer Design TemPal'Sture Diffeence -F
- 0.68 x -� Vent. CFM x 9,. diff.
Internal Loads =- 230 x 4 No. People
FIoomRH— Daily Range
Infiltration Load From Procedure C
Hest" Summary
joal Nast Loss ftw Entire House (Lhw 151
veniiismonCFM
vftlarDeelonTerriveraturvDiffel'OnCe. -F
Haiti Fleovived tor ventilation All . 1.1 x
CFM X — F'. stuh
fv.'M Stull
Design lftating Load Fisoulinirmirm .
mouse)
Total Bonet
Coaling Sun --Y
stuh lClituttion Procedure DI DMV TWMWM JM --Snp
Totill Law" Gain
stalklic-houtionprocedunim "ormal r (.-1) 4-5. ( I - -
A
Total . Soft. 4
Ventilis"OnCF1611 - --
ma. "-jcv- Now
i.9 I it
"lls"019 Input
t"voutpul(Bluft L,, ZaMzQ--Effk;i*nvy-;2�'
7"'
ser"a"Coading0tuh)
Latenti0volingfilh,4 . /) Toulcilit-^
Cm&VCFM Z:fQ W"CFM
NWM Setback I V�)
gotoe Thermostat "Dal
C40 ( )
corab. Data
Virindours
Floor
Partitions
Dom
walls
sasemeni Waite
A09 - Z-0 17 /0-9
PW
Ground Slab -
t
j ro
\j
Q�
D --
Calculation Procedures A,B,C,,
-simeadure A - Winter Infiltration HTM Calculation
1, W17ter litration CFM
AC1HR x S Cu. FT. x 0.0167 15 2? CFM
Volume
2. Winter infiltration Btuh
i.i x 2166015& CFM x Winter TD = 1-2 5021 Stuh
3. ',n�;,r Infiltra ion HTM
Btuh Total Window = 4-0, gs HTM
& Door Area
Procedure 8 - Summer Infiltration HTM Calculation
1. Summer Infiltration CF7,
ACf!4R x Cu. Fr. x 0.0167 CFM
Volume
2. Sum stuh
11.11 77X�Ti CF. x Summer TD Stuh
3. Summer Infi!lrall on HTM
stu
h Total Window 61,-r HTM
& Door Area
Procedure C - Latent Infiltration Gain
elull�
0.68 x
�g I - - - �--�S�
rocedure 0 - Equipment 5ming LOSCS
i- Sensible Sizing Load
Entirs 1111mm
Senslbl Ventilation Load
1.1 x ��! Vent. CFM x Summer TD
Stuh
Sensible Load for Structure (Line 19)
f 2�- :Btuh
Sum of Ventilation and Structure Loads
0210 Stuh
Stating & Temperature Swing Multiplier
It A 7� FISM
Equipment Sizing Load - Sensible
7 0 -�-o Btut,
2. Latent Sizing Load
Iltut
Latent Ventilation Load
- 0.68 x -� Vent. CFM x 9,. diff.
Internal Loads =- 230 x 4 No. People
81uh
+ Stuh
Infiltration Load From Procedure C
+ Stuh
I Equipment Sizing Load - Latent
Z-�O Stull
* Refer to Table 6
I Nam of Ro=
Entirs 1111mm
2 Runninc Ft Expa-d Wall
3 R�m Dimensions. FL
4 C�il� HL Ft Directiam Room F—a
TYPE trT&I
10F CO -L
A—
'r
Iltut
EXPOSURE
7t
Exp—d
c
Walls and C
iPartAwns
d
r:dows
GIA., b
Me" -
i.9 I it
Wd. North
anif Gbiss JE &W or WE & NW
'C—linei
A09 - Z-0 17 /0-9
Other Do— /I - "7 1 -?1- -L
d
10
c4acags
-
b
bj
12
lankration HTM
13
SubTal-Btuhl.Aiss =646494104114
14
DOM Btuh LAOS
13-14
ISTotalBuLbI.Am-
16
People a 300 aisil Appliaxwes 12M
17
6 .. P't, Bitch ck'i'.
1181
Da Stub Gal. %
IIII]ToW
Gal. - 17418
7
Return to DPW AGRICULTURAL STATEIN= OF ACKNOWUDGEMENT
r FOR RESIDENTIAL DEVELOPME14T
S6�tion 26-8. 1 of. the , Butte County Code
re,quires this acknowledgement b�! recorded
0
prior to issuance of a building permit.
. 0
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon—
veniences or discomfort arising from the
use of agricultural chemicals, including,
ACCEPTED FOR RECORDING
AT 8:01 A.M.
BUTTE COUNTY RECORDSIR
bul- not 1_Lm.Lteu to herbicides, pesticiaes, NO"r MAY 1 '1992
and fertilizers; and from the pursuit COMPARF01 Wj 3
of agricultural operations including, ORIGINAL 1)(XU TH
but not limited to cultivation, plowing,
spraying, pruning, and -harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul—
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
f ollows:
COUNTY OF EiUT'rg
BUILDING DEPT
MAY 1
Date:
The land referred to har*Ln is daaerib04 As f011Qw9I
All that certain real property Situate In the COuntY Of But", State of
California, describad as follows'
The Southerly one-half of Lot 18, as shown on that certain map entitled,
OGRIOLBY COLONY N"ZR FOUR', which map was filed in the office Of the
Recorder of the County of But%*. State of Call,fornia, Tabruary 5, 1907 In
Book 6 of maps, at page 0.
SXCEPTINO THEREFROM g'g%rjV of land 18 foal in wJ;J%h along the West aid* of
the above described land, an conveyed in 04*d from Lillie Lasser to Sutter
Butte Can!1 Co., a corporation, dated November 8, 1917, 4nd recorded March
23, 1910 n Book 170 of Deeds, at page 48 -
ALSO ZXCEPTING THERRFROM the 211114tbrlY two hundt*d (200) fQ6% Of
Northerly thLrty-fiva (35) feet of %he Southarly one-half (1/2) at Lot 18,
an shown on thev certain m:pOintivIedo PORIOLSY COL40NY NVM59A ?OUR*, VnIch
map was filed in t." offic the Recorder of the County of Butte, 9%8%*
of California, February 5, 1907, in.Dook .6.of.Maps, at page So
W22 3/F`2
PROPERTY OWNERS:
t, /I Cl\ � -
State of �a On this the_,-��-112�day of �a�21'j V19 before me, the
SS. undersioned Notary Public, p,(arsonally appeared
County of—JSLJJJ__)
,
OFFICIAL 3F-` L Personally known to me. EJ Proved to me on the basis
of satisfactory evidence.
LJ
C, to be the person(s) whose name(s)
:"GP%NIA
EUTI*E subscribed to the within instrument and acknowledged that
my Comm. L��;res Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set mv hand and official seal.
Present A.P. No.
Notary Public
CAT. No. NN01500
TO 2930 (12-90) TICOR TITLE INSURANCE
(General Acknowledgment)
STATE OF CIALIFOLR�
COUNTY OF SS.
On C)"�Lf - .4<l / q . 11. f undersigned, a Notary Public in and for said State,
personally appeare'd 4-72"'V'7,17 4C.A2-Q I
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by
of rMts2E2
L
his/her/their signature(s) on the instrument the person(s), D 0
or the entity upon behalf of which the person(s) acted, 4 1 -1 DkILBEC(A L. BLEDSOE
Ll�oexecuted the instrument. rZw PUBLIC- CALIFORNIA
y
6UTTE OCUN7y
1. 1 99
WITNESS my hand and official seal. L IMP; My Comm. Expires Feb. 1, 1993.
ghis area for official notarial seal)
Ca f Compliance: Residential Climate Zone
4ifil ate o Mandatory Measures Checklist: Residential MF -1R
Project Title 6.,AIRLY NOTE: Lowrise residential buildings subject to the Standards must contain these measures sitgardless of the complianci:
approach used. Items marked with an asterisk (1) may be supasoded by mom stringent compliatricia nequatments listed
on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall
LZ64. /'PS -S F P, Av4F Buil4inspantit4l be considered by all parties as binding minimum component porformance specifications for ft mandatory measures
Project Addrew eK_ t;'- -9 12— whether they am shown elsewhere in the documents or on this checklist only.
Jc L -PA Ry I Date
DESIGNER ENFORCEMENT
Te!eWne DESCUPTION
Documentation Author Enforcianew Agency Use Only
Building Envelope Measures
BUILDING DATA Glass Area % Glass §2-5352(a): Minimum ceiling insulation It. 19 weighted average.
North f_'7-5— /' 1!;- §2-5352(by. Loose rill insulation manufacturer's labeled R -Value.
Conditioned Floor Area 1;5;79� Number of Stories East �71 _&�' _71 62-5352(c): Minimum wall insulation in fraimed walls R-1 I weighted average (does not apply to
exterior mass walls).
Slab/Raised Floor Number of Units South 41, 15— -Z - T, §2-5352(k): Slab edge insulation - water absorption rate no greazer than 03%. water vapor
Single Family Detached (SFD) AdditionAlone West transmission rate no greater than 2.0 perrinfinch.
Single Family Attached (SFA) Existing Building Skylight 407 (=> §2-5311: Insulation specified or installed mects; California Energy Commission (CEQ quality
Multi -Family (MF) Existing -Plus -Addition Total _T�77_ standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Infiltration/Fifiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
BUU,DING SHELL INSULA710N.' leakage.
b. Doors and windows ccrtified.
Component Wulation Locafion/Commerits* c. Doors and windows weaftrstripped. all joints and penctragons caulked and se"
12-5352(c): Special infiltration barrier installed to comply with 62-5351 meets CEC quality
T)M R -Value �A�m to gole, It."Pical. etc.)' standards.
12-5352(d): Installation of FircpLacts
1. Masonry and factory -built fireplai:= hive:
Wau .............. P
wau .............. a. Tight rating. closeable metal or glass door
b. Outside air intake with dampa and cmucil
Roof ............. IT Z
c. Flue darnper and contrd
Roof ............. 2. No continuous burning gas pilots allowed.
Floor ............. HVAC and Plumbing System Measures
Floor ............. 62-5352(g) and 2-5303: Spare conditioning equipment sizing: attach calculations.
Slab Edge ..... 02-5352(h) and 2-5315: Setback thermostat on all applicable licaling sysu:ms.
§2-5316(a): Ducts cortsuructed. installed and insulated pu Chapw 10, 1976 UMC.
(3LAZING Shading Devices §2-5316(b): Exhaust systems have damper controls.
62-5314(c): Gas-fircd space heating equipment his intermittent ignition devices.
Glazing Area GlassType Interior Exterior Overhang FramingType 62-5314: HVAC equipment. wata heaters. showerheads and fauccits certified by the dc.
Orientation (SO (singlil. doUble) Loller bUnd. etc.) (Shade=eim ew.) bn""o JMn!tto�od J2 -5352(i): Water beater insulation blanket (R-12 or greater) or combined intiarior/extiarior
insulation (R- 16 or greater). first 5 feet of pipes closest to tank insulated (R-3 or greater).
NorLh hA _rL_ 62-5312(Exception 1): Pipe insulation on steam and steam condensate rctum & recirculating
North piping.
§2-5318(d): Swimming Pool Heating
East 1. System has:
East a. Oploff switch on heater.
b. Weatherproof instruction plate on heatcr�
souLh TTT� c. Plumbed to allow for solar.
Sou Lh 2. 75 percent thermal efficiency.
3. Pool cover.
West q1, --,!F %%r 4. Time clock.
West 5. Directional water inlet.
Lighting and Appliance Measures
Skylight ....... r-�;7
12-5352(i): Lighting - 15 lumens/watt or greater for gcneml lighting in kitchen� and. bathrooms.
THERMAL MASS §2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
Type/Covering Area Thickness 12-5314(a): Refrigerators. nefriScrator-freezers, fmezvs and nuortscent larnp ballasts certified
(slab/exposed, tile, etc.) (00 (inches) Location/Description (kitchen. bath. etc.) by the CEC. Indicate make and model number.
COMPLLANCE STATFIAENT
Miis certificate of compliance Lsu the building feattim xid performance specifications needed to comply with
17itle 24. Chapter 2-53 and Iltle 20.Cliakr2. SubchapW4. Article I of the Cal[ffornia. Administrative code. INS
certificate has been signed by ft individual with overall design reVensibility aW the bu1ilding owner. who shaU
HVAC SYSTEMS Minimum Duct mtain a copy of it and transnift the certificate to say subsequent purdiaser of the building,
Type (furnace, ak Efficiency Location Duct Output Manufacturer Model #
conditioner. heat pilrnp) (SE. SEER.HSPF) (attic, etc.) R -Value (BtUh) (or approved equal) Designer Building Owner
Name: Nan=
Af-ric, 5, 7 ritwum Tide/Fum-
A%111 C_ 57,7 Addineu: Addiness:
DING Tckphonc TeLephone:
Maximum Furnace Heating Output: & Btuh Lic. 0:
HOT WATER SYSTEMS :1D
Tank Manufacturer/Model # R 0 IV FW_ 05y- I
System Type (storage gas. etc.) Capacity (or approved equal) SMQCiF4Ere(s) (signaturie) (datc) (sign4m) (datc)
Documentation Author Enrorcement Agency
Niarne: Namc.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) TiLkiFum Agericy:
Address: Telephone:
1. COling Insulation
2. Wall Insulation
One
Number of stories
Three
R -value
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 -value
2
1
R-1 9
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
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
One
Two
Three
ltle-
Single -
-8
.5
Family
Family
Multi -
R -value
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-vaJue
0.06
.6
-3
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. Ptaised Floor Insulation
-2
4. Slab Edge Insulation
Insulation In Floor
14
25
Number
of stories
R -value
R -value
One
Two
Three
R-0
-17
-8
.5
R -I 1
-3
.2
-1
R-1 9
0
0
0
R-30
3
1
1
U -value
-14
48
a
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
-58
-20
Number of stories
-3
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-1 1
-2
-2
-2
R -I 9
-1-
-2
-2
4. Slab Edge Insulation
7
14
25
-46
-14
R -value
One
Two
Three
R-0
0
0
0
A-5
8
5.
2
R-7
8
6
3
'F2 factor
15
22
-37
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
S. Inriltration (Air Leakage)
Specification Points
0
6. Glass Heat Loss
' Total
-14
48
a
-64
L�value
East
i Percent
�West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
a
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
.2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15'
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-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)
Ellecave pes ces t Glass
(percent Sim x SC)
Effective
-14
48
a
-64
%Glass North
East
South
�West
Skylight
18 5
1
4
1
na
16. 4
2
5
1
na
14 4
2
5
1
na
12 3
3
5
2
na
11 3
3
5
2
na
16 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
,na = not allowed
2
3
4
3
Shading (Shade Ckosed)
Effadve Pes c It Glass
6WV=tg'MXSQ
Effe*A
% Miss NoM East SoA West SWrght
18
-14
48
a
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-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
a
-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
no - rot allowed
9. Interior Thermal Mass
Ceiling Insulation
2.
Interior
Slab Floor
Raised Floor
Mass
Stories
S.
Stories
6.
/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
8
3.0 1
4
6 8
8
9
3.5 2
5
7 9
9
10
4.0 3
6
8 9
10
10
4.5 3
7
8 10
11
11
5.0 4
7
9 11
12
12
5.5 5
8
9 11
12
12
6.0 5
8
10 12
13
13
6.5 6
9
10 12
13
13
7.0 6
9
11 13
13
14
7.5 6
10
11 13
14
14
8.0 7
10
11 13
14
14
8.5 7
10
12 13
14
15
10. Exterior Wall Thermal Mass
5.0
Exterior
ShVle-
Singla-
-17
-13
Wall
Family
Family
wit
mass
DOWW
Aftedied
Family
0.00
0
0
0
-3
0.20
3
2
1
0
0.40
5
4
3
8.0
0.60
8
6
.4
4
0.80
10
8
5
12
1.00
13
10
7
22
1.20
13
12
8
7
1.40
12
13
9
15
1.60
10
13
11.-
26
1.80
10
12
12
13.0
2-00
10
24
13
15
11. Heating System
0.9
Zonal Control Adjustment
1.4
11
SE or
KSPF
10
8
(assumes ducts In atdc)
6
4
Sum of 14
-3.5
No
Cooling
-25 or -24 to
-14 to -4 to +6 to
16 or
SE HSPF
less -15
-5 +5
- +15
more
6.60
0 0
0 0
0
0
0.75 .6.88
3 3
3 2
2
1
0.80 7.33
8 7
6 5
4
3
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
or
EfTecdv'e_SE or HSPF
to
to
(SE or HSPF x duct eMciency)
Type
Effective .25 or -24 to -14 iD 4 to
+6 ID 16 or
SE HSPF less -15
-5 +5
+15 more
0.30 2.75
-73 -64
-56 -47
-39
-30
na 3.41
-45 -39
-34 -29
-24
-18
0.40 3.67
-34 -30
-26 -22
5
-14
0.50 4.58
-10 -9
-8 -7
_'-18
-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
1 7
13
1.00 9.17
37 32
28 24
19
15
Zonal Control Adjustment
HWR
-18
System Type
-9
-7
-6
4.2
Resistance
10 9
7 6
4
3
Other
6 5
4 3
2
2
12. Cooling Syst,m
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
SEER
S.
Infiltration
6.
Glass Heat Loss
(iissume; ducts
In attic)
R -value [01
F2 factor [0.77]
Standard
X
St'n of 7-10
X
-25 of
-24 to t.,1410
-4 lo
+6 to
16 or
SEER
Ins
-15
i .6
+5
+15
more
8.0
-14
-12
-10
-8
-6
-4
8.5
-9
-7
-6
-5
-4
-3
8.9
-5
-4
-4
-3
-2
-2
9.0
-4
1
-3
-2
-2
-1
9.5
0
0
0
0
0
0
10.0
4
3
3 .
2
2
1
10.5
7
6
5
4
3
2
11.0
10
9
7
6
4
3
12.0
15
13
11
9
7
5
13.0
20
17
14
12
9
6
45%
.1.9
50%
Effedive SEER
W%
06
70%
(SEER*duct efficiency)
W%
85%
W%
05%
Stm of 7-10
01/.
0
Effective-25or
-24to -141c
-410
+6 ID
16 or
SEER
I=
-15�
-6
+5
+15
more
5.0
-30
-25
-21
-17
-13
.9
6.0
-12
-11
-9
-7
-6
4
6.6
-5
.4
-4
-3
�2
-2
7.0
0
0
0
0
0
0
8.0
9
8
6
5
4
3
9.0
16
14
12
9
7
5
10.0
22
19
16
13
10
7
11.0
26
23
19
15
12
8
12.0
30
26
22
18
14
9
13.0
33
29
24
20
15
10
0.9
Zonal Control Adjustment
1.4
11
J.e
2
10
8
7
6
4
3
-3.5
No
Cooling
System
Installed
4.5
Lstories
4.9
5.11
5.3
5.6
58
40Y,
One
-5
-4
-4
-3
-2
-2
Two +
3
3
2
2
2
1
single -Family lletached and Attached I
3.8
4
4.3
k
Unit Size (sQ
4.7
Water
5.1
1099 12W'
*1700
2200
2700
Heater
U-9dit
or
ID
to
to
- or
Type
Type
less
1699
2199
2699
more
SG
No
0
0
0_
0
0
or
S o 1�ae,
12
8 .
6
5
4
HP
HWR
8
5
4
3
3
Z4
WSS
5
3
3
2
2
till
POU
8
5
4
3
3
SE
None
-37.
-24
-18
-15
-12.
1.2
Solar
-1
-1
-1
0
0
2.7
HWR
-18
-12
-9
-7
-6
4.2
WSB...
-25
-16
-12
0'
-8
5.6
PQL L
-18
_-12
-9
-7
-6
IG
None
_-5
-3
-2
-2.
-2
3
Solar
7
5
-4
3
2
4.5
POU
.:L-
2
53
1
5.7
E
None
-28
-19
-14
-11
''-9
1.8
Solar
8
5
4
3
3
3.3
POU
-10
-6
-5
-4
-3
4.e
Muld-FarnliY 0"vidual units)
5.2
5.4
5.6
58
.1 -tJnhSize(s
6.2
64
Water
1.3
699
700
1200.
1700
2200
Hower
Credit
or
b
to -
10
or
Type '
Type
less
1199
160
2109
mwe
SG
None
0
0
0_'
0
0
or
Solar
14
7
5
2.4
3, -
HP
HWR
9
5
3
.4
2
2,)4
4.3
WSB
9
4
3
2
2
5.9
POU
9-
5
3
2
2 -
SE
None
-45
-23
-15
-11
-9
3.1
Solar
2
1
1
0
0
4.6
HWR
'-23
-12
-8
-6
'-5
6.1
WSS
.25
-13
-8
-4'
.5
___KtL_
2.2
-V
-12
2.8
3
-5
IG
None
-8
-4
-3
._6
.2
-2
4.9
Solar.,-
6
3
2
1
1
6.4
POU
1
0
-15
0
0
0
2.2
None77-5315
2.7
2.9
-10
-8
-6
3.7
Solar
IS
9
6
4
4
5.2
POU
-8
4
.3
-2
.2
Point System Summary: Climate Zone 11
SCORE CARD Measures
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
or
R -value [01
F2 factor [0.77]
Standard
X
X
• Glass
SC
Eff. % Glass
X
17
X
Interior MasslCFA
X
X
TYPE 1 MASS
AREA
COND. FLOOR
AREA
Interior lvfass/CF�
TYPE 2 MAS�
AREA
A
Exterior Wall Mass
COND. FLOOR AREA
7.nc 4. 21
rwt.d 1b)
X
SEorHSPF
Duct Efficiency [0.78)
Effective SE or
TYPE I MASS
WINC & 4.2. ie: exposed Slab)
HSPF (O.W5. 151
X
SEER 19.5]
Duct Efficiency 10.74]
0%
6%
10%
15%
20%
2S%
30%
36% 40%
45%
.1.9
50%
55%
W%
06
70%
75%
W%
85%
W%
05%
100% 11051/6 1110Y. 115% 120% 125'
01/.
0
0.2
0.4
OS
0.8
1.1
1.3
1.5
1.7
2.1
-2.3
2.5
2.7
2.9
1i
3.4
3.4
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10'/.
0.2
OA
0.6
0.8
1
1.2
1.4
1.6
12
2.1
Z3
Z5
3.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.11
2
2.2
Z4
Z?
Z9
3.1
3.3
3.5
U
3.9-
4.1
4.3
4.5
4.8
5
5.2
5.4
56
3D%
03
0.7
0.9
1.1
1.4
11
J.e
2
2.2
24
2.6
2.8
3
3.2
-3.5
&7
19
4.1
43
4.5
4.7
4.9
5.11
5.3
5.6
58
40Y,
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
11
Z3
2.5
Zlt
3
3.2
U
3.6
&8
4
42
4.4
4.6
4.8
5.1
5.3
6.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
Z4
2.6
18
3
U
3.5
3.7
till
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
S.S
3.0
4
4.2
4A
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
6.3
65%
1.1
1.3 '
1.5
1.7
1.9
2.2
2A
2.6
2.8
3
3.2
3.4
3.6
3.0
4
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
U
2.5
ZY
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.e
s
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.0
2.1
Z3
2.5
2.7
3
3.2
U
3.6
3.8
4
4.2
4.4
4A
4.8
5.1
5.3
S.5
5.7
5.9
6.1
6.3
6.5
801/6
1.4.
I.S.
1.8
2
2.2
2.4
26
2.e
3
3.3
33
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6
5.9
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
S.9
6.1
6.3
65
67
90Y. *
1.5
1.7
-2
2.2
2.4
Z6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
2.5
2.7
2.9
3.1
33
3.5
3.7
3.2
4.1
4.3
4.6
4.8
6
5.2
5.4
5.6
5.8
6
6.2
GA
6.7
6.9
100%
1.7
1.9
2.1
2.3
2.5
2.8
3
3.2
3.4
3.6
&$
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
105%-
1.0
2
2.2
2A
2.6
2.8
3
3.3
33
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6"
5.8
6
6.2
6.4
6.6
66
7
MY.
1.9
2.1
2.3
2.5
2.7
Z9
&1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
6.2
5.4
5.7
5.9
6.1
6.3
6.5
6.1
6.9
7.1
116%
2
2.2
2.4
2.6
2.e
s
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
6.1
5.3
5-S
5.7
5.9
6.2
6.4
-6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
&S
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
SA
5.6
50
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
23
2.8
3
3.2
3A
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
6.9
6.1
U
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD Measures
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
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
- JQ. Exterior Wall Mass
lvjj�W'Dr
11. Heating System
'1/r2bnalContfol?,'(Y/N)
-, ';', , , . �1 I I
Cooling System
Zonal Control? ( Y / N
13. Water Heating
Type [double) U-valuc [0.651 % Total Glass [ 16)
• Glass
or _Z_-valuc
R -value [38)
[0.0301
or
R -value I 11 J
U -value [0.098]
or
R -value [ 19]
U -value [0.037]
or
R -value [01
F2 factor [0.77]
Standard
X
Type [double) U-valuc [0.651 % Total Glass [ 16)
• Glass
Sc
Eff. % Glass
X
X
X
X
X
• Glass
SC
Eff. % Glass
X
X
X
X
X
TYPE 1 MASS
AREA
COND. FLOOR
AREA
Interior lvfass/CF�
TYPE 2 MAS�
AREA
Exterior Wall Mass
COND. FLOOR AREA
X
SEorHSPF
Duct Efficiency [0.78)
Effective SE or
[0.7216.6)
HSPF (O.W5. 151
X
SEER 19.5]
Duct Efficiency 10.74]
Effective SEER 17.03]
Type [SGI Credit [none]
Point Scores
0
Sum 1-6
I"
11%
Point Total:
Sum 7-10