HomeMy WebLinkAbout025-090-059r25-09-59 •• i959-90B,P;E,M
BROCK, Steve &,Patti
CONTR:-R.L. Casey
573 Watson Rd, Biggs
(NEW SF & ATTCH. GARAGE)
090 �
025-090=059 ';` ' ;.=`PERMIT#97=85AG . ;
CONCANNON, --Michael J.
310 Willey. Way, Biggs
Ag Ex Permit -Tack & Stg ••
�j
PPMI,�O-�
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
Agricultural building is defined as follows: Agricultural building is a structure designed an onstructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. 0c,�� 0 q O _ (0,p?
J 7
ZONING _ O
OWNER
/"t4A C0 G /V /V J
PH NE NO.
—�6 S — ®76
OWNE �OSADD�S � L CCA 2 e9 17
LOCATION OF BUILDING
310 t�1 � W
USE OF BUI DING
Ae r_9
SIZE OF STRUCTURE ��t�jp
X Z� �_ -KY —0
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE NDIG ROOF
COVERI
D/7 r<
FLOOR TYPE
C OA) C ,,P e 7 -
ESTIMATED
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with .the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: I
"' i --
FRONT "IDES �REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date IF- i 1-
9
Permit Fee -.$60.00
Receipt No. e AP(04140
ip
Signature of Owner
The above described AG Building is exempt from a buildina permit.
FL PAR P.D RlO'WIG I ISS E
Manager Building Division
By io� Date
White — DPW, Yellow — Assessor, Pink — B. I, Goldenrod — Applicant
ny-r�.A�..rF''e+t,'^ot,..aY'.-'�fyn„r-:=.t:�,ryn^�...�..�.tvt��tali��i�"i �Kf�rs-iy�r',�7'G�{tl'�rY.%"Y"1^�ihn,,,•:h.r'r nr.nt,.,rt,��.���.7=...-r... ....y...� ..
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
n PERMIT APPLICATION DATA SHEET
OWNER: p h � ASSESSOR PARC NUMBER:
-� � . �
Proposed Building Use: rt a 41- Building Inspector: Date -:
At time -of permit applicatio was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
.Aems have been submitted .--------------------------------------------
-----------------------------------------
ll it
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------
03. Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
07. Statement of Intent for Non -Heated and A/C Buildings. -----------------------------------------------
❑ 8. Hazardous Material Form. ---------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications ----------
0 10. Fees of $----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. ------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------
❑ 15. City of Chico plumbing permit. ------------------ ----------------------------------------
0 16. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 17. Planning approval for (A) Use: (B) Parking: _.
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
1119. Encroachment Permit for driveway (construction approval prior to occupancy). --
El 20. Pre -inspection for
required Request to Building Inspector on (Date)
112 1. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -- -------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -•
❑ 24. Letter of signature authorization. --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement.-------------
1-126.
------------
❑26. Letter of intent on building use. ----------------------------------------------
027. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits. ---------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $---------------
E130.
------------
❑30. Other:-------
Wh you issue the permit, process as follows ❑ Mail to owner, �I❑ ail to contractor.
RTelephone ( s and hold for pickup at office. ❑ Deliver with inspector.
ApplicanA'Pollution
/�" Date:
Copy of Haz-Mat form sent 11 Health Department, ❑ Fire Department, ❑ Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
Index permit application for the above items numbered:
2. Additional items required
/f-9%
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by/ ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
RESIDENTIAL ,
' (25-09-59 t, 1959-90B,P,E,I* ,
f : 1
1BROCK, Steve & Patti
�CCNTR: R.L. Casey '
1573 Watson Rd, Biggs
(NEW SF & ATTCH. GARAGE) 1
r ,
12,9
Q
i
OFFICE COPY
Address
A � G S
��. Meter By D4626 '
ELECTRIC
' Meter By Date j'
OFFICE COPY `
I
Address
I* R
GAS
Meter By Date
ELEC RIC 9�
�
MeterB - Date
JOB FINALED (D t) 21-7
;Signature
,
s
RESIDENTIAL ,
' (25-09-59 t, 1959-90B,P,E,I* ,
f : 1
1BROCK, Steve & Patti
�CCNTR: R.L. Casey '
1573 Watson Rd, Biggs
(NEW SF & ATTCH. GARAGE) 1
r ,
12,9
Q
i
OFFICE COPY
Address
A � G S
��. Meter By D4626 '
ELECTRIC
' Meter By Date j'
OFFICE COPY `
I
Address
I* R
GAS
Meter By Date
ELEC RIC 9�
�
MeterB - Date
JOB FINALED (D t) 21-7
;Signature
s/ OK
O = Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /'L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs -Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
- = Not Applicable
Not Ready RESIDENTIAL
=
Date UND FLOOR Plans OK except #'s
. Zoning- backs -Easements -Flood -Slope
2.(ain; Soils-Elec. Grnd.-?,(/" Ftg. Depth
7vFrT-Garage; Soils-Steel-Elec. Grnd. -�/" Ftg. Depth
1._F ., Porches & Decks; Soils -Steel- tg. Depth
emwall , Main; Steel -Bloc kouts- rapped
walls, Garage; Steel-Blockouts-Wrapped
6a. Hold D wns and Special Anchors
7. S ; Steel -Wrapped
Piers -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
v41 -Gas Pipe; Size -Anchors ,r jE'jT
�YYWater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
Pienums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
L Insulation
Dat -2 Card 13-1Date - and B 1
Dat Card B-1 Dat and B-1
Date PLUMBING Permit OK except #'s
1 ater Htr.; Vent -Access -Combustion Air -Baffle
ater Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
---49-1h-ower Pan; Test, First Floor -Tub Access
st Tub & Shower, Second Floor -Tub Access
1. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL Permit OK except #'s
2 Fixture & Transformer Clearance -Ins. Protection
V,--'-23.-Elec. Receptacles Spacing -Lights & Switches at Doors
j,o2!,,,ize Boxes & No. of Conductors -Stapled
5. Romex Installed Close to Edge of Studs & C.J.
ii,26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
t 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
!Psulated Neutral ❑ Yes ❑ No
Service -Riser Conductors & Ground -Main Disconnect
1. uip. Clearances Panels-Motors-Mech. Equip.
32 Clothes Closet Light -Shower Light -Spa Light
i 33. Smoke Detector
Date Card B-1 Date Card 13-1
Date Card B-1 Date Card B-1
Date kiECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
if nt Fan; Exhaust above insulation
ondensate Drain & Overflow; Size & Grade
urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38.,Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FR MING (Plans) OK except #'s
tJ X9. Sils, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
aring Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
ire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. s-Purlin-roof Brac-Truss-ShthW-Rfng.
ace ' s or Type A Flue -F ce T ro clearance
4& tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
k>4'97 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
`6e. -Garage Fire Protection Framing
fsT. Property Line Firewall & Openings
E Doors -One 3' -Check Garage -3rd Story, 2 Exits
3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
ailing Veneer
Screed -Fd. Vents-Underflr. Access
L/ 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date and B- Date -� .� and B-1
Date and B- Date and B -
Dat FINAL (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
oke Detector
3. ace; Vents -Clearance -Comb. Air-Connector-
In`Garage;•Above Floor-Ducts-Mech. Protection
BegXaom Exiting
F.I. & Bath Fixtures & Tub Access -Spa
s 6. Elec. Trim & Subpanel; Breaker Sizes & Labels
'Jiairs & Rails
t,,,- -Fireplace or Stove; Clearances -Hearth
L -,W. Elec. Outlets at Wood Panel; Int. & Ext.
Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
c. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Plb., Elec, & Mech. Equip. Listed for Location
7 ec. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic C1 -1 -es
ward Rails & Deck Construction -Post Caps
is & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
o lowing instld.; Drive's ❑ No; Walks Q es ❑ No;
P anters ❑ Yes ❑ No
to - tucco; ro 'sh
,)4x,,-iTn-1t',Z6isconnect, Electrical, Plumbing
ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
V83-7
Openings
✓S�Water isconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
i.eee'^Ventilation Throughout House
Lwr=vlass Protection
'✓98"�orrections from Previous lyse Etie l
qd�est-Meters T4 d; EI
90. Water & Sewer Connected -C/O to Grade -HD Approval
S�B1�Energy Compliance Certificate -Other Certificates
Date" - Card B-1 Dat Z Card B-1 OWL
Date -/- Card B-1 Date Card B-1
Date / - Card B-1 Ve Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
,,,.r--:••--..�.r`�yy:: tt� ssrw.v:'4+�aY".,�Cz:wa:+i''rr�r�—'..►�++r��.:K-sr.,�`
COUNTY OF BUTTE 'A
DEPARTMENT OF PUBLIC WORKS
+ 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise - Phone: 872-6307
CORRECTION NOTICE 2(20c� fFS"r��a
OWITER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
'1
Date4?-- Q Inspector
---- --- ( COUNTY OF BUTTE
}; DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico, Phone: 891-2751 e_
7 County Center Drive, Orov�iIle — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
'CORRECTI` NOTICE
A routine inspeetion indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or noocridditional explanation, please contact this office immediately.
lr/
Date — Inspector r n
`j�
0
9
COUNTY- OF BUTTE _
tf DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above. address and should be corrected. Please notify this office
when correction of work is completed. If have any question pertaining to this
matter, or need additional a riati ,please contact this office immediately.
pedat L ` r, 0 k)aW
b r
Date1 �� �� Inspect
9
l'vrivitt No.
E N F R C Y C E R T I F I C A T I O N
573 Willy Way RoadZ_Biggsj_ Ca.
LOCATION
A.P. No.
DEscit 1 rr I.ON OF I NSIIIAT I.ON
ROOF
Material_________.-.-
Thickness(Inches)_
EXTERIOR WALT.
Matdrial_ Fiberglass hili.—_
Tbickness(tnchee) 61" --
CEII.IIM
Batt or Blanket'ryI.e 1- L)erglasa [ jW
Thlcknesa(lnches)_ —921_"
1.0006 Flll Type I il,►:i'11�s5.—____
Minimum Thlckneea('Inchee) 72_3L4!1—
Area
"Area covered(ft. ) 1nno.
FLOOR, ELEVATED
Material Fibercllsa s t3at. S -
Tit lcknesa(lnchee)_
FLOOR, SLAB
Material_—
Tit Icknees(Inchee) _
ldtl (laches)
Brand Name
Thermal Resistance (R Value)
Brand Name Owens-Cornlpg
'Thermal Resletance(R Value) R19_
Brand Name_owens,rarntng
Therioal Resistance(R Value) R30
BrandName_-11wPf1-_CnrnInng
Number 0f Bage—jr, Wt. per beg 35 -lb.
"fllennat Reeletance(R Value) R30
Brand Name Owens-Corning
'1'11ermal Reststance(R Value) R19
Brand Name
•1'Ilermal Reeletance(R Valise
FOUNDATION MALI. Brand Name
material
Thickineott(incllee) Thermal Res)stence(R
I hereby certify that tile
ofallf
liStacvtc�oraleEnergy Requlrewente;
was
installed above buildlly
In 000f0twanee with tile
Loerke Insu1aL1uWI:0.__ 49
FIS NAME/OWNER STATE CONTRACTORS LICENSE NO.
December 13, 1990
/4-�P /�aY�
SIC TURF OF INSTAI.IATION APPLICKI'OR DATE
I hereby certify the above lileislatton and all required Items as shown on the
Building Department approved plane and attachments have been installed Of
required by the State of California Energy Requirements. I
All equllunent, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME OWNER (Pleaee prisit) STATE CONTRACTORII LICENSE N0.
SIGNATURE OF QHNERAI. COIII'RACTOR%OWNER DATE
TIIIS CERTIFICATE Mlls'r UE ON FILE Mill TIIE BUILDING DEPARTMENT .PRIOR TO VIM '
IN9PR1 TION APPROVAL AND A COPY SHAM. BE POSTED WITHIN TINE 81111 -DING . +'
Jamiary 19811. °,! ,
V. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • ,
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1959-90
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
25-09-59
ZONING
A-40
_r
BUILDING PERMIT
)
OWNER
Steve & Patti Brock
TELEPHONE
SQ. FT. OCC. BUILDING tL4ATION
2066 R 82 640
OWNER'S MAILING ADDRESS
482 M 6 748
CONTRACTOR'S NAME
R.L. Case
TELEPHONE
8-5278
156 deck 7070
84 cov. 840
CONTRACTOR'S MAI ING ADDRESS
3359 Milkey Way Biggs
Fireplace mas 2,500
CONSTRUCTION LENDER
VNKNOWN
Total Valuation $ 93.508
LENDER'S MAILING ADDRESS
Filing Fee $
10.00
Permit Fee $
35415.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
207.50
Energy Plan Checking Fee $
15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Watson573 d
Permit fee $
647.50
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00 26.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5,00 5.00
Each qas water heater or vent 5.00 5.00
USE OF STRUCTURE
SF [MX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home I S I G JW 10.00e
TYPE OF WORK
New p Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3_B_R 8, att . gar -age _
Permit Fee $ 56.00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 A
2,50
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code a d my license is in 1 force and effect.
LI nse No Classification �/
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCU
OR ADONS. ( ACC. BLOGS. �zOsgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
Ex. Occ Up(OUTLETS OR FIXTURES 9A 50300
Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee $ 86 90
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of ent to Self -Insure.
Ra -1 -shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 1 10.00
Heating 80,000 BTU dual )ag 6.00
Cooling
g 4T 11.00
Hood 3,00 3.00
Ventilation 3 3.00 T 9.00
permit Fee a 39.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the C6untyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a71t� sa d Co ty consequence of the granting of this permit. Date -�V"�V
Signature f Applicant- ner ❑ Contractor ®gent ❑
An OSHA permit is requiredor excavations over 5'0" deep and demolition c s ruct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
o c
P
8
TOTAL FEE $ 8 8.70
ALS E
HAZ
CUA
PARK
PAR
HD
Issue
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
D7EAR OF PUBLIC WORKS
By ate
P IT EXPIRES Date
Receipt No. - s b�, 8 a
WHITE-O.P.W.. TEL - OR. PINK -INSPECTOR, GOLDENROD -APPLICANT
X'S -
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville., Califoroia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
/Qqc —/', / 0 ZONING
PERMIT NO.
OWNER 0 -`f -G
BUILDING PERMIT-
�Q-' ocr- TELEPHONE
�y �J
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADO -ESS
O
CONTRACTOR'S NAME
33 q I W TELEPHONE
^(7
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
• UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee
ARCHITECT OR ENGINEER
LICENSE
10.00
Permit Fee $
No.
Plan Checking
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ �•y i
BUILDING ADDRESS
�s
Penalty Q,'
Permit fee $
�3 I'1
PLUMBING PERMIT Filing Fee 10.00
Each Trap 13 2 00
LOT NO. SUBDIVISION NAME
Solar or heat pump water heater 29.06
�PARCELWater
piping
5.00 S
Each qas water heater or vent 5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
SF ❑ Duplex[] Mobilehome❑ Other
5.00 •0
Building sewer
SPECIFr
TYPE OF WORK
5.00
Mobile Home S G W O.00e
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Permit Fee
Describe work:
$
ronL�cor� uo{/�a�(
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service ;000, AMP ORSS 10.00 I0 CR)
CONTRACTORS LICENSE LAW
Main service EA. ADO'L too AMP 2.50 7.6b
I declare under penalty of perjury
P Y P l Y (check one):
NEW CONST. DWELLING Occup"I fts ft
OR ADDNS. ACC. BLDGS. I q �v3:7b
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIne$S
and Professions Code
NEW CONSTR. ULTI-OUTLET
NON.RESIO BRANCH CIRC ITS 2.50 ea
and my license is in full force and effect.
License No.
(POWER APPARATUS e�
SINGLE OUTLET CIR.
Classification
❑ I,
Ex. Occup (OUTLETS OR FIXTURES 20@30C
5AL030
as the owner, or my employees with wages as their sole com en-
sation, will do the work, and the structure is
Ex. Occup. FIXED APPLNS oR
OuTL-Ts ,REs(D., EA.) 2.00
not intended or offered
for sale. (Sec. 7044)
Temporary sery ce 10.00 —�-
❑ I, as the owner, am exclusively contracting with licensedMobile
ors. (Sec. 7044)Misc. contract-
Home Facilities 15.00
I am exempt under Sec._, Business and Professions Code
Wiring15.00
for this reason
Permit Fee
$ �
WORKMEN'S COMPENSATION INSURANCE
Contractor aP
I declare under penalty of perjury (check one):
❑ The is
MECHANICAL PERMIT FiIingFee 10.00
permit for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
Heating
Im
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Insure.Cooling
❑ Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Hood
3.00
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code,
3•tS�
Ventilation 3
9 da
YOU must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws
Mobile Home Installation Fee S
relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned
Energy Inspectioee n F
Occ $ 3
property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments,
CONST TYPE
TOTAL FEE $ e56,-76
casts, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
HAz CUA PARK $CHL ILO PAR PD=DPSSUE
XDate
This permit is Hereby issued under the applicable provi- Z.
Signature of Applicant — Owner ❑ Confroctor ❑ Agent ❑
sions of the Butte County Code and/or resolutions to do
work indicated above for
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
which fees have .been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No. ?�2.
BY
WNITC-O.P.W., YELLOW Ag8C9gOR PINR-INSPECTOR, GOLD ROD -APPLICANT
PERMIT EXPIRES Date Date
COUNTY OF BUTTE - DEP1ARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER SW>! 5.120M A. P..No. 605 - -Wo -
Proposed Building Use h.J SFIC Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ...............................
2. Plot plans in duplicate/triplicate, signed by preparer of plans.If
3. Complete plans in duplicate/triplicate, signed by preparer. of plans -. ' d
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form..........................................1
AW 6. Energy Design Compliance and supporting documentation ......... t.
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instrction
��Fees of $ cYS/,,.I........................
u ........................ -7-19-90 &2
11. Chico Urban Area fees paid ........................................
12. Park fees paid ....................................................
OIL/2t3 �1 aCC School District fees paid .............. -7-19-96 If San— it on approval from b20 Health Department '7- )o)- c-yJ Y
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18 Improvements may be required. Contact Land Development Section DPW
Il Z 1 Driveway permit (construction approval required prior to occupancy) 96 �
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
1�1l� Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
2 ecorded copy of Agricultural Acknowledgment Statement ......... -7-1,9-90
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 'a(fl-5278 and hold for pickup at office. Deliver w./inspector.
Other
Appl ican Date - 0O
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 per 't is anc Cir le*
new ' em not checked above).
1. Index permit for above items No. - -7
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone _mail mounter by ate
Contractor, designer, own r, w advised of above required data by—phone—mall c inter by date
Plans checked by Da�Plans approved by Date?��9� s
�S-ets of plans on hold in File cabinet AP folder
Copy—DPW
TO
FROM:
rt
SUBJECT:
Suildina Department
Environmental Health,
Sanitation•Clearance
OavnCLocat on AP## L #57 /c 663
Plan Approved for: Sewage DisposalWater Supply
Hold final for:
Final clearance O.R. for:
Clearance for bedroom cme. Other
Water Supply
Water Supply
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
C5,,ev 2 9yV 41""1zse) ?'-s 9
owner location AP #
Driveway permit
si ature
has been issued for the above property.
7 -i9 - 9n
date
. l 9sr9-9 0
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
lerior plaster _ weep screeds (Sec. 4706).
P er roof pitch for roof covering (Chapter 32).
covering type - (fire hazard).
,Rter ties or bearing ridge beam.
a a door or porch header sizes.
ate bracing.
1 Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
-•-k±--'r�`wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
access and ventilation (Sec. 3205).
Ar. Unerfloor access and ventilation (Sec. 2516).
14 -'Combustion air for fuel burning appliances.
_.--Noise requirements on duplexes.
Adobe soils - special foundation design.
.(27...)RgZariping walls requiring design.
1,sual shape, size, or split level house requiring lateral design.
. Flashing at all exterior openings._
g0qTPjfi'0 Ce 'jq� cl-0 AL- W-12—
5/89
5/89
RESIDENTIAL PLAN..CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 15J 'Y`,�
OWNER 37U4�j Q,4r7/ 114OC/C- A.P. # Z45-
GENERAL
Zt
hing requirements: (sideyards and number of permitted living units).
f2! " nation.
t.:�,ta-6r-gy
ns signed by designer.
Design and Compliance.
3!oo
Existing violations on property.
(�Items on data sheet.
PLOT PLAN
Tete parcel size and dimensions. �pa
hacks, sideyards, easements, etc.
3L. cer buildings or structures.
ding, fills, drainage.
/od hazard.
&'�P cial conditions on creation map or compliance document.
7! FAU & FAS road setback.
FT .nnR PLAN
:5:
Complete to scale plan with dimensions. squired windows for light and ventilation (Sec. 1205).
6 -',Required windows for second exit (Sec. 1204).
�, �lights (Chapter 34 & Sec. 5207).
6,�yan impact glass (Sec. 5406).
red room sizes, ceiling heights (Sec. 1207).
, fi
Is in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance
11-emechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
equipment, and plumbing fixtures.
a e firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior exit door (Sec. 3304(e)).
F• eplace and wood stove location, alcoves, and clearance.
43. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
10 Foundation plan complete enough to construct building.
�r construction details complete enough to construct building.
1! Elevations and wall construction details complete enough to construct building.
�f construction details complete enough to construct building.
--5-.'Fireplace construction details and calcs if necessary.
MISCLLANEOUS ITEMS TO LOOK OUT FOR
11--0.1-5 irway details: landings, rise and run, head clearance, handrails (Sec. 3306).
drail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
s^+s m.r}^. � rnq;�+.^.-�-yr,y,�•...---My'ts^t'..,�1'••p;.`^eF""�'Fil++'Y'S� —'. „+..� ��. �,xy.,,.�..3,t �w:'F4'ar.ti wcm�•:k�"'�..�"��sj�ti ^.�`�"; �cauy.-er, x..'s�r
i
BUTTE COUNTY SCHOOLS DEVELOP IITFEE CERTIFICATION FORM
(One Form per Building)
A.P. Number62S'-0g0-0$q Building Department No.
School District (�ji��s City County Jurisdiction
Property Owner <.:tTpAY r Past' 5VZoCk
Project Location/Address . M00A PAX- Sant 61!gSs
Subdivision Lot Number
Residential Development:'
Sq. Footage 26to&
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
14 - 96 1
Buildi-g Department Representative Date
(Floor Plans reviewed by School District Personnel)
► District Id No. 04
X�/nSchool District certifies that
(Applican Name) (Phone Number)
t (Street Address)
(City) (Sta e). (Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ 3,,'j�.�, �$ representing^ p(o� square feet.
School District Representative Date
PAID BY CHECK NO. a F9 7
w..
BANK NO _ '1'O ' 36 % !P
PAID BY CASH
REMARKS:
H
1
f V.
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
Return to DPW) AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
00-30530
prior to issuance of a building permit.
The
property de-scribed herein is adjacent
90-430530 Fee
Check:
Che
to
land or included within an area zoned
Recorded
for
agricultural purposes, and residents
Official Records'.
of
this property may be subject to incon-
County of
veniences or discomfort arising from the
Butte
use
of agricultural chemicals, including,
Candace J. Grubbs
but
not limited to herbicides, pesticides,
and
fertilizers; and from the pursuit
Recorder ,
8: 41am 19 -Jul -90
of
agricultural operations including,
but
not limited to cultivation, plowing,
spraying, pruning, and harvesting which
5.00
5.00
CD
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones- and on adjacent property should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
Lot 12, in Block 2, as shown on that certain Map entitled, "Rio Bonito
Colony, Butte County, Cala.", which Map was filed in the office of the
Recorder of the County of Butte, State of California, February 1, 1892
Book 5 of Maps, at page 31.
025-090-059
Date:
:7---:- - /U
PROPERTY 0
in
State of rt� ) On this the 4\day of 19��before me,
SS. the undersigned Notary Public, person ly appeared
County of �)
��r
Personally known to me. Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
i,44F ti OFFICIAL SEAL subscribed to the within instrument and acknowledged that --
¢�p1..EUREk •. T
RE6EC(A L. BLEDSOE executed the same f or the purposes therein contained. IN WITNESS
�o NOTARYPUBUC- CALIFORNIA WHEREOF, I hereunto set my hand and official seal.
o * BUTTE COUNTY
�••I4IMP my Comm. Expires Feb. 1,1993
Present A.P. No. ()�-09�`� /
Notary Public
EN® OF DOCUMENT
oSvc
0
1. Ceiling Insulation
Detached Attached
Family
Number
of stories
'
R -value One
Two
Three
R-0 -103
- 9
32
R-19 -8
-4
-2.
R30 -2
-1
•1
R38 0
0
0
S.InfiltTation (Air Leakage)
Specification Points
Standard 0 ...
U -value
Detached Attached
Family
R-0
6. Glass Heat Loss
34 '
R-11
_
0.50
-176
-84
-54.
Total
8 6
4
U value
0.30
0.30
-102
-49
32 ..
Percent
_51 to
.41 to
.31 to 0.30 or
0.10
-26
-13
-8 .
Glass Single Double
.60
.50
.40
less
0.08
O.C6
-18
11
-g
-5
-b
-4
50 -121 -53
-39
-24
.10
4
0.0
12
2
_1
40 -90 37 _
.26
.14
3
8
0.022
4 4
2
1
35 -75 -29
-19
.9
1
10
O.CO
11
5
3
30 -61 -21
-13
-4
4.
12
3 1
1
-2
i
.' 4. Slab Edge Insulation
29 -58 -20
-12
3
5
12
R-value
One
Two
Three
28 -55 -18
•10
-2
5
13
2. Wall Insulation
5
2
27 -52 -17
26 -49 -15
-9
.-a
-2
.1
6
7
13
14
17
Single-
Single-
X0.90
25 -46 -14
-7
0
7
14
-1
Family
Family
Multi-
24 -43 -12
-5
1
8
14
R -value
Detached Attached
Family
R-0
-68 -51
34 '
R-11
0 0
0
R-13
2 2
1
R-19
8 6
4
U -value
0.30
-69
Q80
-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
10
5
3
3. Raised
Floor Insulation
-20
Number of stories
Insulation In.Floor
R-vaiue
One
Number of stories
Three
R -value
One Two
Three
_ R-0
-17 -8
-5
R-11
-3 -2
-1
R-19
0 0
0
R-30
3 1
1
U -value
-40
.11
-4
0.60 .
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
34
-22
0.20
-13
-21
-14
0.10
-17
-8
• -5
2 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
16
-20
Number of stories
4
R-vaiue
One
Two
Three
' R-0
-11
-7
5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
-2
i
.' 4. Slab Edge Insulation
11
Y " "
18
Number of Stories
- --
R-value
One
Two
Three
'. R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 fa=r
17
19
9
X0.90
-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
23 .
-40
.11
-4
2
8
15
22
37
-9
3
3
9
15
21
34
-7
-2
4
10
15
20
31
3
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
3
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
7.5hading (Shade Open)
_... ..
`.:.:
Interior '
Slab Floor
Raised Floor : '
Mass
Stories
�Ef1'ectlye
Percent Clava
`
/CFA One
Two Twee Orta
(percent glass x SC)
Three
Effective
`
-4 :: 2
-1
-1
q Glass
North
East
South � West
Skylight
18
5
1
4 1
na
16
4
2
5 1
na
14
4
2
5 1
na
12
3
3
5 2
na --
11
3
3
5 2
na
10
2
3
5 2
1
9
2
3
5 2
2
8
2
3
5 2
2
7
1
3
4 2
2
6
1
3
4 2
3
5
1
2
4 2
3
4
0
2
3 1
3
3
0
1
2 1
3
2
0
0
1 0
3
1
-1
-1
-1 -1
2
0
-1
-2
-4 -2
0
na = not allowed
9
10 12
13
�3. Shading (Shade Closed)
7.0 6
9
Erfective Percent Class
13
14
7.5 6
(per -t
lilac x SC)
14
Effective
8.0 7
10
11 13
14
%Glaze
�
North East
Sault Wee
Soght
is
-144
-48
39 34
na
16
-12
-42
-59 -55
na
14
-10
35
-50 -46
na
12
-8
-29
-40 37
na
11
-7
-26
36 33
rta
10
-6
-23
31 .29
-74"
9
-5
.20
-27 -25
-65
8
-5
-17
-23 -21.
-56
7
-4
-14
-19 -18
-47
6
3
-11
-15 -14
38
5
-2
-9
-11 -10
-30
4
-1
-6
-8 -7
23
3
0
-4
-5 -4
-16
2
1
-1
-2 -1
-9
1
1
I. _.
1 ,. 1
-4 '
1
11. Heating System
1.8
j
22
24
SE or
HSPF
3
'
9. Interior Thermal
_... ..
`.:.:
Interior '
Slab Floor
Raised Floor : '
Mass
Stories
-
Series
-
/CFA One
Two Twee Orta
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
20 -1
2
4 5
6
7
25 0
3
5 7
7-
8
3.0 1
4
6 8
8
9
3.5 2
5
7 9
9
10
4.0 3
6
8 9
10
10
4.5 3
7
8 10
11
11
5.0 4
7
9 11
12
12
5.5 5
8
9 11
12
12
6.0 5
8
10 12
13
13
6.5 6
9
10 12
13
13
7.0 6
9
11 13
13
14
7.5 6
10
11 13
14
14
8.0 7
10
11 13
14
14
8.5 7
10
12 13
14
15
10. Exterior Wall Thermal Mass
0
Exterior
Single- .
Single -
0 t
8.0
Wall
Family
Family
wit
Mass
Detached
Attached
Fame
0.00
0
0
0
1
0.20
3
2
1
11.0
0.40
5
4
3
8
0.60
8
6
4
14
0.80
10
8
5
20
1.00
13
10
7
0.6
1.20
13
12
8
4
1.40
12
13
9
29
1.60
10
13
11....;.
3.9
1.80
10
12
12
-4 -4
2.0.0
10
11
13
3
3 :; 2
2
2
1
11. Heating System
1.8
j
22
24
SE or
HSPF
3
'
(asstrmes ducts In attic)
3.7
_
Sum of 1-8
Attached-:
4.S
-25
or -24 to
-14 to -4 to +6 to
_
16 or
SE HSPF
less -15
-5 +5
+15
more
0.72 6.60
0 0
0 0
0
0
0.75 6.88
3 3
3 2
2
1
0.80 7.33
8 7
6 5
4
3
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
1.9
Effective SE or HSPF
5 3
(SE
or HSPF x duct efficiency)
2
32
Effective -25 or -24 to -14
to -4 b
+6 to 16 or
SE HSPF less -15
3 +5
+15 more
0.30 275
-73 -64
-56 .47
.38
.30
na 3.41
-45 -39
-34 -29
-24
-18
0.40 3.67
-34 -30
-26 -22
-18
-14
0.50 4.58
-10 -9
-8 -7
-5
-4
0.56 5.13
0 0
0 0
0
0
0.60 5.50
5 5
4 3
3
2
0.70 6.42
17 15
13 11
9
7
0.80 7.33
25 22
19 16
13
10
0.90 825
32 28
24 20
17
13
1.00 9.17
37 32
28 24
19
15
Zonal Control Adjustment
-11
System Type
4.6
Solar
8 5
4
Resistance
10 9
7 6
4
3'
Other
6 5
4 3
2
2
i
Cooling System :.
_... ..
`.:.:
3.41 X
�s
Measures
SEER
1. Ceiling Insulation
R -5
or' -_
x .77 =
(amurnet ducts In attic)
U -value (0.030]
,
- Interior Mars/CFAWK
lam/
Stm of 7-10
X�--
R-value(11]
U-value[0.098]
-25or ,24 b rt4 b
-410
+6 to
16 or
SEER less
15 E .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
3 -3
-2
•2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
- 120
15
13 11
9
7
5
_13.0
20
17 .. 14
12
9
6;
Effective SEER
.
(SEER xduct eficlency)
0%
San of 7-10
10%
1S%
Effective -25 or
-2410 .1410
-410
+6 b
16 or
SEER
less
-15 5
+5
+15
more
5.0
30
-25 -21
-17
-13
-9 .
6.0
-12
.11 -9
-7
-6
4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0 t
8.0
9
8 6
S
4
3
9.0
16
14 12
9
7
5 '
10.0
22
19 16
13
10
7 '
11.0
26 ,
7.3 19
15
12
8
120
30
26 22
18
14
9
13.0
33
29 24
20
15
10
0.3
Zonal Control Adjustment
0.6
t
10
8 7
6
4
3
'
No
Cooling System Installed
29
ff
I
=Stories
3.5
3.7
3.9
4.1
4.3
One
-5
-4 -4
-3
.2
-2
Two +
3
3 :; 2
2
2
1
1.6
1.8
j
22
24
26
28
3
32
3.5
3.7
39
Single -Family Detached and
Attached-:
4.S
4.7
nit
5700
5.1
5.3
5.6
1199 1200cit
(s
2200
2700
Heater
Credit
or , b
to
to
or
Type
Type
less _1699
2199
- 3.2
more
SG
None
0 'T- 0
0.
_2699
0
0
or
Solar
12 " 8
6
5
4
HP
-HWR
8 5
4
3
3
1.9
WSB
5 3
3
2
2
32
POU
8 5
_ 4'
3
3
SE
None
37 -24
-18
-15
•12
-
Solar
-1 -1
-1
0
0
1.4
HWR
-18 .12
-9
-7
-6
2.6
WSB
-25 -16
.12
-10'
-8
3.9
POU
. -18 _-12
-9
-7
-6
IG
None
15 .3
.2
_2
_2
60%
Solar
7 5
4
3
2
21
POU
3 2
1
1
1
IE
None
-28 -19
.14
-11
-9
4.6
Solar
8 5
4
3
3
5.9
POU
-10 -6
.5
-4
1.5
Mult]-FamPy (Indlridual
units)
_-3
24
2.6
...t Unit size (so
3
Wrier
3.4
700
tzao
1100
2200
Heater
credit
or `
5.1
5.3
or
Type
Type
less :1199
1699
2199
mare
SG
None
0 r 0
0
0
0
or
Solar
14 7
5
4
3
HP
HWR
9 5
3
2
2
52
WSB
9 .. 4
3
2
2
64
POU
9:_ S
3
2
2
SE
None
-45 -23
-15
.11
19
3.4
Solar
2- 1
1
0
0
43
HWR
'-23' -12
-8 -
-6
-3
5.9
WSB
-25 -13
_8
_6
-5
1.6
eQU_
-:2312_-8
22
6
_5 •
IG
None
4 , -4
.3
.2
.2
'
Solar
.. 6. 1 3
2
1
5.1
5.4
POU_
1__0 ..-,
00;.
6.2
0.
E.
None :
-W = -15
.10 -'
-8
•6
2.3
24
Solar ..
to :: 96
.:.
4
4 ;
3.5
POU :..-8
::: -4
: -3
:.-.2
9 i
Point System summary: taimate Gone 11 ,
SCORE CARD
Eff. % Glass
3.41 X
�s
Measures
�.n
1. Ceiling Insulation
R -5
or' -_
x .77 =
R -value [38]
U -value (0.030]
,
- Interior Mars/CFAWK
lam/
or
X�--
R-value(11]
U-value[0.098]
3. Raised Floor Insulation
R ]
or
2 PASS
R -value [ 19]
U -value [0.037]
Slab Edge Insulation
[0.7216.6]
or
HSPF 10.56/5.151
R -value (0]
F2 factor (0.77]
5. Infiltration
Standard
Zonal Control? ( Y / N)
6. Glass Heat Loss
613 L,
Effective SEER [7.03]
13. Water Heating
Type (double]
U -value [0.65] % Total Glass (16]
Credit [none]
It.1roDt•�.
zt
I rrr
tt 1
ttass
(elite a 4.2,
let exposed ■lab)
.
0%
S%
10%
1S%
20%
2S% 30%
35%
40%
45%
50%
55%
60%
65t
70%
75%
W%
65X
90%
25%
100% COSY. 110% 115% 120% 125`,
0%
0
02
0.4
0.6
0.6
1.1
1.3
1.5
1.7
1.9
21
23
25
27
29
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.6
5
53
10Y.
0.2
0.4
0.6
0.6
1
1.2
1.4
1.6
1.9
21'
23
2S
27
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.0
5
52
54
20%
0.3
0.6
0.6
1
1.2
1.4
1.6
1.8
2
22
24
21
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.6
5
52.
5.4
56
30%
0.5
01
0.9
1.1
1.4
1.6
1.8
2
22
24
26
28
3
32
3.5
3.7
39
4.1
4.3
4.S
4.7
4.9
5.1
5.3
5.6
5 a
40Y.
0.7
09
1.1
1.3
1.5
1.7
1.9
22
24
26
2.6
3
- 3.2
3.4
3.6
3.8
4
4.3
45
4.7
4.9
5.1
5.3
5.5
S:7
S9
50Y.
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
32
3.4
3.6
3.6
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
SS%
0.9
1.1
1.4
1.6
1.6
2
2.2
24
2.6
28
3
12
3.5
3.7
3.9
4.1
41
4.5
4.7
4.9
5.1
5.3
5.6
5.6
6
2
60%
1
12
1.4
1.7
1.9
21
23
2.5
2.7
29
V
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8 '
5
5.2
5.4
5.6
5.9
6.1
.6
63
65%
1.11.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
36
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.0
2
22
25
21
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
52
5.4
5.6
58
6
6.2
64
75%
1.3
15
1.7
1.9
21
23
25
21
3
3.2
3.4
3.5
3.8
4
4.2
4.4
43
4.6
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
Boy.
1.4
1.6
1.8
2
22
2.4
26
2.6
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
'56
5.6
6
6.2
6 4
6 6
85Y.
90%"
1.4
1.5
1.7
1.7
1.9
2
2.1
2.2
2.3
24
25
2.7
29
1.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
52
54
56
5.9
6.1
63
65
67
95%
1.6
1.8
2
22
25
26
27
2.8
2.9
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.2
6.4
65
6a
100%
1.7
to
21
2.3
25
26
3
3.1
3.2
33
3.4
3.5
3.6
3.7
3.8
3.9
4
4.1
4.2
4.3
4.4
4.8
4.8
5
5.2
5.4
5.6
5.6
6
6.2
6.4
6.7
6 9
4.6
4.9
5.1
5.3
55
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.6
2
22
2.4
2.6
26
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.6
6
6.2
6.4
66
6 8
7
110%
1.9
21
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
65
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1.
4.3
4.S
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
72'
120%
2
'
23
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
S.6
58
6
62
6.5
6.7
6.9
7.1
7.3
125%
21
2.3
25
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
65
6.7
7
7.2
7.4
Point System summary: taimate Gone 11 ,
SCORE CARD
Eff. % Glass
3.41 X
�s
Measures
�.n
1. Ceiling Insulation
R -5
or' -_
x .77 =
R -value [38]
U -value (0.030]
2. Wall Insulation
lam/
or
X�--
R-value(11]
U-value[0.098]
3. Raised Floor Insulation
R ]
or
�4.
R -value [ 19]
U -value [0.037]
Slab Edge Insulation
[0.7216.6]
or
HSPF 10.56/5.151
R -value (0]
F2 factor (0.77]
5. Infiltration
Standard
Zonal Control? ( Y / N)
6. Glass Heat Loss
613 L,
Effective SEER [7.03]
13. Water Heating
Type (double]
U -value [0.65] % Total Glass (16]
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
% Glass
SC
Eff. % Glass
3.41 X
�s
=
�.n
X 77 =
l•S�i
z/. 7
x .77 =
3.6 Z
x
6f.
_ /. 7 2--
$
X�--
= -�-
% Glass
SC
Eff. % Glass
3.41 X
�s
=
�.o x
TYPE 2 MASS
y 7 x
,6,4
Ct
x
6f.
_ /. 7 2--
X X
-
= -�-
7
TYPE 1 MASS
AREA
Point Scores
0
Sum 1.6
t -
$-
EtcnorW.us/CFA
COND. FLOOR AREA
-
10. Exterior Wall Mass
TYPE 2 MASS
AREA =
ExteriorWallMass
ND. L OR
AREA
-
11. Heating System
7
X yy
= ��
Zonal Control? ( Y / N)
SE or HSPF
Duct F-tficirnry (0.78]
Effective SE or
_12.
[0.7216.6]
HSPF 10.56/5.151
Cooling System
�.�
x
Zonal Control? ( Y / N)
SEER (9s]
Duct Efficiency [0.74]
Effective SEER [7.03]
13. Water Heating
Credit [none]
Certificate of Compliance:: Residential . Climate Zone 11.
Project Title
57 3 te• �S a•J 3 Building
Project Address 7 0->� /
Checked By / Date
Documenta Lion Author Telephone Enforcement Agency Use Only
BUILDING DATA
Conditioned Floor Area �OG
Stab/Raised Floor A
J,1-01ingle Family Detached (SFD)
[ ] Single Family Attached (SFA)
[ ] Multi -Family (NM
Number of Stories �--
Number of .Units
[ ] Addition Alone
Existing Building
[ ] Existing-Plus-Addidon
BUELDIING SHELL INSULATION
Component Insulation LocatiionlCpmme:Yts
Type R -Value (attic, to gauge, =ion' etc.) •
Wall .............. 1 %
Wall ..............
Roof ............. 38
Roof .............
Floor .............
Floor...........
Slab Edge.....
GLAZING. _ Shading Devices
I -
Mandatory Measures Checklist: Residential - -MF-111
NOTE: lowrise rctidential buikdings subject to the Standards must conuin these mcasures regard lca of the compliance
approach used Items marked -with an asrunk (•) may be mpaseded by more suingent compliance roqutrements fisted
on the Cwficste of Compliance. When this checklist is incorporated into the permit documents, the features noted shall
be considered by all parties as binding minimum component performance speaficatioru for the mandatory measures
' whether they ac shown elsewhere in the documents or on this dneeklist only.
Glass Area % Glass
Overhang Framing Type
North '70 3• `l
North ( ) 0
East eSJ7 �. •
North ( )
South 91.4 N. i
East
West $I? --
Skylight 3Skylight
Total 12G.11IL
Glazing Area Glass Type Interior . Exterior
Overhang Framing Type
Orientation (sf) (single, double) (roller blind, etc.) (shadescre>ett, etc.) (yes/no) (metaltwood)
North ( ) 0
North ( )
East
East ( )
South -
Sou (.h ( )
West ( ) 3
West ( ) -
Skylight ....... -C�s
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen bath, etc.)
S
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output
Manufacturer / Model #
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh)
(or approved equal)
91
Maximum Furnace Heating Output: Btuh -
-
HOT WATER SYSTEMS Tank Manufactur r/Model #
System Type (storage gas, etc.) Capacity (or approved equal)
Special Feature(s) _
�y��
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
DESMPfION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 - ighted average.
62.5352(bY Loose rillinsutuion manufacturer's labeled R -Value.
§2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - ware absorption rate no greater that 03%, rate vapor
transmission rate no greater than 2.0 permhnch.
§2.5311: Insulation specified or installed meets California Energy Commission (CECT quality
standards. Indicate type and form.
§2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: InfiltratioruEafdtration Controls
a Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows ccrtificd.
c Doors and windows wntherstripped: all joints and peneaafons caulked and scald
12.5352(c): Special infiltmtion barrier insullcd to comply with 62-5351 oxen CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built fucplaces have
a. Tight fiuing, closeable metal or glass door
b. Outside air intake with damper and control
c Flu
Flue damper and control
2. No continuous bunting gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach cslcul itions.
§2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• §2-5316(x) Ducts constructed. installed and insulated per Chapter 10. 1976 UMC.
§2.5316(b} Exhaust systems have damper controls.
§2-5314(cj: Gas -rued space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2.5352(i): Water (nater insulation blanks (R-12 or greater) or combined interiorkxmrior
insulation (R-16 or greater). Furst 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exccpdon 1): Pipe insulation on steam and scam condensate mum k recireulaing
piping
§2-5319(dY. Swimming Pool Hating '
1. System herr:
a On/off switch on heater.
b. weatherproof instruction plate on heater:
c Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet
Lighting and Appliance Measures
t §2.53520): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathroom.
§2.5314(c)r Gas rued appliances equipped with intermittent ignition devices.
§2.5314(x): Refrigerators. refrigerator-freezcn. freezers and fluorescent lamp ballasu certified
by the CEC. Indicstc make and model number.
This certificate of compliance lists the building features and performance specifications needed to comply with
Tlde 24, Chapter 2-53 and Title 20, Chaptr; 2. Subd--*pter 4. Article 1 of the California Administrative code. This
certificate has bait signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to airy subsequent purt:llaser of the building.
Designer
Namc
TukJFtrtrc
Address:
Btrildin: er
Name
TitklFiim
Address:
Tckphonc Tckphonc
lic. e.1:
(signaatrc) (dart)
(signantre) .. . .. - -
Docum ntadon Author Enforcement Agency
Name
TitleJFim> Agency:
Address: Tekpttosre
(date)