Loading...
HomeMy WebLinkAbout027-083-0040211083,004 rR00-2376�� MC CORMICK, JACK"- 2855 ACK2855 SOUTH VILLA AVE., OROVILLE CONTR: OWNER 4TH RENEWAL PERMIT 97-2120 027-083-004 01-2434 MCCORMICK, JACK 2855 SOUTH VILLA, OROVILLE STH RENEWAL BP #96-2261 027-083-004 02-3028 MCCORMICK, JACK 2855 SOUTH VILLA, OROVILLE 6T' RENEWAL BP#96-2261 027-083-004 x-224 MCCORMICK, PATRICIA WALED 2855 S VILLA, OROVILL _ Cont: OWNER 91-011 PERMIT TO COMP #91-191 27-083-04 MCCORMICK, Jack JR5? S Villa Ave, (60-640) 1916-91B,P,E, r Palermo q- 1 ' ``I 27-083-04 Permit#1917-91B,P,E,M (new sf) a85S S'_ b6 ila 14v6, /00lerSp 027-08-3-004 92-3120B MCCORMICK, Jack 2855 S Villa Palermo 1st renewal/91-1917 027--083-'004-- 93-2920 2ND RENEWAL/91'-1917 0 027-08-3-004 94-2470 B McCORMICK, Jack 2855 South Villa Avenue, Palermo (3rd. renewal/1917-91) 027-083-004 PERMIT#95-2185 McCORMICK, Jack 2855 South Villa, Palermo _C6mplete BP#91-19'17 027-083-004 PERMIT#96-2261• McCORMICK, Jack 2855 South Villa, Palermo Complete BP#91-1917 027-083-004 PERMIT#91-2120 McCORMICK, Jack, 2855 South Villa, Palermo 1st Renewal BP#96-226$ 027-083-004 #98-2240 MCCORMICK, JACK 2855 SOUTH VILLA, OROVILLE OWNER 2ND RENEWAL OF 96-2261/97-2120 027-083-004 --(ft2'11.91 MC CORMICK, JACK . 2855 SOUTH VILLA., OROVILLE CONTR: OWNER 3RD RENEWAL OF # 9772120 OZ'S - 08 SAD q, ;4*f 4" 1 '^' �. •. �` ,. � 027-083-004 03-3224 'MCCORMICK; PATRICIA 2855 S VILLA`OROVILLE Cont:OWNER PERMIT TO COMP OFFICE COPY Address - �r f GAS Meter By Date ECECTRI Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION or , 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT d'" ASSESSOR PARCEL NUMBER 027-083-004 ZONING BUILDING PERMIT OWNER M CK PATRICIA TELEPHONE —8 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDDRESSDRESS 2855 S. VILLA OROVIRM CA 95966 ) 15.000.W- CONTRACTOR'S NAME ��7�7�,��pp OWN i\ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 15.000.00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 152.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2855 SOUM VILL4 OROVIUE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 14 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT TO COMPLETE 91-1917 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR IESS 23.00 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.POWER 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: tI, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 Voo I CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 6 ACC. S. SO 3.5QFT, NON-aESID. MULTI -OUTLET CIRCUITS @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURESJL 00 BAL @ I.so Ex. Occup. GFucFEE' R.Io,GREn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina H� n PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) `ISI certify that in the performance of the work for which this permit is issued, I shall 1 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 comply with those provisions. [ jf , % �3)L {if _ Date ) Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent_;- An OSHA permit is required for excavations over 5'0" deep and demolition or construction < of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 1$2.00 TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD COF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions In the Butte County Code end/or Resolutions to do work Indic ed abo ;for which fees have been paid. y Date IF PERMI 1EXPIRES �ON�16 �r G' �+L (Date) Receipt No. 411 GI -1W9 1 ZA--'' WHITE-D.D.S.-B.D. CANARY -ASSESSOR t INK-tt$SPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califbehia 65965 • Telephone (530) 538-7541 EERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT '�� ASSESSOR PARCEL NUMBER 027-083-004 ZONING BUILDING PERMIT OWNER MCCORMICK PATRICIA TELEPHONE 533-8983 SQ. FT. OCC. BUILDING VALUATION EST 15 000.0 OWNER'S MAILING ADDRESS 2855 S. VILLA OROVEILE CA. CONTRACTOR'S NAME 7�7� p OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total valuation $ 15,0 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2855 SOUTH VILLA OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 187-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 14 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT TO COMPLETE 91-1917 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 20.A OR LESS 23.00 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 r the following reason: LTfw1ill as owner of the property, or my employees with wagesastheir sole compensation, do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation A-4of one hundred dollars ($100) or less.) 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 comply wAh those provisions. _�� �`—��,�� �� X �� Date Signature of Appli6ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT. ptO RE Ip * MULTBRANCI.OU C 97.50 PowER APPARArus s swoLE oLmET cIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL. @ .50 Ex. Occup. .FIX.aEs oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 182.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work indic ted abo for which fees have been paid. Q y Date P" PERMI EXPIRES ON /4 U' �) Date Receipt No. a WHITE-D.D.S.-B.D. CANARY -ASSES R INK- SPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPIkNT SERVICES - BUILDING DIVISION PERMIT 7 County Center Drive- Oroville, California 95965 - Telephone (530) 538-7541 Rev. 12/96) APPLICATION AND PERMIT � ZONING BUILDING PERMIT ASSESSOR PAR EA- /� TELEPHONE SO. FT, OCC. BUILDING VALUATION ' OWNE'R'S MAJUNp ADDRESS TELEPHONE CONrRACTOR'S NAME ' CONTRAC R'S MAWNG ADD CONSTRUCTION LENDER .--� Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ LICENSE NO. ARCECT OR ENGINEER HR ARCHRECT OR ENGINEERS MAIUNG ADDRESS /� BUILDING ADDRESS !1 G� I �� �C_)N, ^ \ ` /� b-41 b Filing Fee $ 20.00 Permit Fee $ Plan CheckingFee $ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNLSIDNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobliehome ❑ Other SPECFf Solar or heat um water heater 23.00 Water i ing 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ R ode, E3LjUNgs [3 Installation ❑ Other 13 n / U Describe Work: SCJ' Gas piping stem 1 - 5 outlets 15.00 Building sewer 5 .00 115.00 Mobile Home S G W @ PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 eoov DR LEss 23.00 Main Service 20.OR PERMIT FEE PAID $ 7�`i (///` R /�RN $ SRA SHERIFF $ OTHER $ 0 i $ 1 $ J AMOUNT RECEIVED .$ I� DATE RECEIVED �� RF[EIPT # Main Service 200A TO IOOOA 46.00 NEW CONST. DWEWNG OCCUP. 3.50FMr OR ADDNS. 6 ACC. B1.DS. NEW CO MULTIOUTI.ET @7,50 ND"ESM. C POWER APPARATC a se+GLE otmtT cIR u @ 1.00 Ex- Occup. OUnEr OR WTURES BAL @ .so Ex. OccU LFSID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 ventilation PERMIT FEE 4 Mobile Home Installation Fee $ Energy Inspection Fee $ =0 COrsT. TYPE TOTAL FEE $ -- HAL. 0. FEES IMP I FLOOD I CDF PARCa PD HD 'SSUE is 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 Date PERMIT EXPIRES ON pate) OWNER -BUILDER VERIFICATION Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 0I personally plan to provide a major labor and materials for construction of the proposed P P � property ' provement : YES NO O I HA HAVE NOT ❑ 'gned an application for a building permit for the proposed work.. I have co tracted with the following person (firm) to provide the proposed construction: AME: _ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: QP.NE� P'TI'Ll �(/ y 1.PROPERTYO .v DATE: NOTE: Thu Owner -Builder Verifwation is required by Section 19831 and 19832 of the California Hea&h and Safety Code. This verVkadon must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner binder" you are the responsible party of record on such a permit Building permits are not required to lie signed by property owners unless they are personally perfornming their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your.immediate family, and the work (including materials and other costs) is -$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance casts, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Siete Law, contact time Department of Benefit Payments and the Division of Industrial Accidents. If the structure ure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Infommation about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street; Sacramento, CA. 95814. Please complete the "Owner Builder Verification".. on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retrmrned. IJ*IAU�4* '. t C. . Building Inspection NOTE: This Owner -Builder Infornteon is required by Section 19830 ofdie California Health and Sgfkty Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (1',W 2 ASSESSOR PARCEL NUMBER 027-083-004 ZONING BU I LDI NG P ER M IT JACK MC C0RNL1IC1,,, TELEPHONE 33-8983 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2 855SOUTH VILLA AVE. R CO 5 014NER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Lf�75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ suILD2855RESS SOUTH VILLA AVE. ORO Energy Plan Checking Fee $ $ PERMIT FEE $ 194.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6th RENEWAL BP 1 96-2261 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V OR Main Service . AORLESS 23.00 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason: I, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lOooA 46.00 NEW CONST. DW ""NG OCCUP. OR ADDNS. ( a ACC. BLDS. so. 3.50FT. Np gD�Ip . MULTI.mm- 97.50 a OUTLET COWELER APPARATUS IR. Ex. Occup. OUr ET OR FarURES SAL p':0 EX. Occup.50 FIXED APPLNS. OR purLETs RESID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. Date n �© _ pplicant Owner Contractor ❑ Agent '� it is required for excavations over 5'0" deep and demolition or constructioner 3 stories in height. eHA MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 194.75 Hq2. D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County C nd/or Resolutions to do work indicated above f�fchs avebeen paid. /� y Date y14#F,410 -18 PERMIT EXPIRES ON 10-18-03 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT —0f " I2 q— 3 q, ASSESSOR PARCEL NUMBER . 027-083-004 ZONING BU I LDI NG P ERM IT OWNER MCCORMICK JACK TELEPHONE 533-8983 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2855.SOUTH VILLA AM OROYIUE CONTRACTORS � NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 174.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2855 SOUTH VILLA AVE. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE s 194.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF Ox Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Additi `% el ❑ Utilities ❑ Installation ❑ Other Describe Work: (RENEW BP# 96-2261 110 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "00OR LESS Main Service 20.VA ORLESS 23.00 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.POWER 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: I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD S. SO 3.5¢FT. R61D MULT' CIUR ET 97,50 APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTTURES 2L 0'•00 8AL @ .SO Ex. Occup.oFlXvr..=.) ERA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. O 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 PERMIT FEI= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. Q 7 •_ _ ,�n Z ^ �Ap I � �Y�-\11``l�i} (` p��te d e of Applicant - O Owner ❑ Contractor Agent SMrA Apermit is required for excavations over 5'0" deep and demolition or constructionIf of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 194.75 HAZ. D. FEES IMP FLOOD CDF PARCEL I PO HD SSUE This permit is hereby Issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �@y Date / Q PERMIT EXPIRE N �d efe ReceiptNo. 3 3 t Z Oey WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT r) 14 �43 ASSESSOR PARC -Oe3 nay -- ZONING • BUILDING PERMIT OWNER -1/-ne I'WL-C� TE' NE 5 3 3- &9,5-3 $O, F7, OCC. BUILDING VALUATION OWNERSIyL. IUNG ADDRESS �XJ ^� Y CONTRACTOR'S NA)AE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 1 7 Plan Checking Fee $ SUILDING ADDRESS 11"5 s (`/ v "���o �— Energy Plan Checking Fee $ $ PERMIT FEE S �/ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing F±eel USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.010` Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 14 Z°C u,_0 '?tlo -Q,-VQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 020.00 PERMIT FEE t ELECTRICAL PERMIT Filing Feel 20.00 Main Service p°ov�oA�ss 23.00 *PER.MIT FEE PA20 SRA $ SHERIFF # OTHER # Al1AOVNT RECEZVEO ;_1 % �- % ,� �.�. - n *Rt��.t1r �1 " ,Y , V"ER 0 0 * TO BE PVT =HTO COMPUTER Main Service PGOA TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. SO. OR AD DNS. ( 8 ACC. SLDS. 3,5¢FT. N CONS MULTI.OUTLET NON•RES10. 97.50 POWER APPARATUS 6 SOJGLE OUTlE7 CIR. Ex. Occup. OUTLET OR FOCTURES O I'00 SAL SO EX. OCCU FDCED APPLNS. OR OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES.--$ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ �• D. FEES IMP FLOOD COF PARCEL PD 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 Date PERMIT EXPIRES ON (Data) .' OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued *until this verification is received. _ - . 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :YES `� NO ❑ P—2.I HAVE HAVE NOT ❑ signed an application for a building permit for the proposedy work. . have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: 0.1 1 `5 PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK GNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: D TE:- <� 2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be -completed. and returned to our office before we are permitted to issue the permit OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to.subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, • Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of Ilse California Health and Safety.Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 541PERM 0. (Rev. 12/96) APPLICATION AND PERMIT ��//�- ASSUTQPepCf�4(IU U4 / (TV��tjC �lVf�(1R ZONING BUILDING PERMIT "N R .ACK MCCORMICj� TELEPHONE 533-8983 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAIUNG ADDRESS 2855 SOUTH VILLA AVE, OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 174.75 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ 194.75 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _4T14RFNEWAL PERMIT Q7-2121) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service 20.A OR IES. 23.00 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: I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Main Service To 46. 00 CCUOOOA NEW CONST. DWELLING OCCUP. WEL OR ADDNS. ( a ACC. BLDS. so SO 3.5¢FT: NO RES D. CONST.MULTI.OUTLETU. @7,50 bPSINOWGLE ER APOUTLETPARATCIR. US Ex. Occu OUTLET OR FaruaEs 20 p 1.00 BAL Q .50 Ex. Occup. p�xTEjF� .=J 1—. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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, 1 shall forthwith comply with those provisions. n r– Date Ul 'gn ure o Applicant J ❑ Owner ❑ Contractor ❑ Agent �— A HA permit is required for excavations over 60" deep and demolition or constructign of ructures over 3 stories in height. / Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 194.75 I.Af FEES IMP ROOD CDF PARCEL PD 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 hich fees have been paid. PERMIT EXPIRES ON 2 of '" Date Receipt No. WHITE-D.O.S.-B.D-. CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 P IT NO. (Rev. 12/96) APPLICATION AND PERMIT 7 9- aM ASSESSOR PARCEL NUMBER 097-081-004 ZONING - BUILDING PERMIT OWNER TELEPHONE 533-8983 SO. FT. OCC. BUILDING VALUATION '`AWTMTffsVILLA AVE., OROVILLE 95965 CO5fMr NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 174.75 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS J5SOUT-T14 V-ILLAOROVI Energy Plan Checking Fee $ $ PERMIT FEE $ 194.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3RD RENEWAL OF #97-2120 Gas piping system 1- 5 outlets 15.00 Building sewer15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo, oa mss 23.00 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.6 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: I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO IOC 46.00 WEU200A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BWS. 3.5QFT, CONST. MULTI.OUTLET @7,50 PSINGLOUTLET CIR.OWER AP= U E Ex. Occup. OUTLET OR FIXTURES BAL 0 ':S0 Ex. Occup. ouTiErs AMID.O.1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. c _ Date Sin ture of Applicant - ❑Owner ❑ Contrac or ❑ Agent An A permit is required for excavations over 5'0 "deep and demolition or c struction of structures over 3 stories in height.e7 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ ' HA2. I D. FEES IMP I FLOOD FFFFJ_;Zi9 PD I HE I ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo Which fees have been paid. EXPIRES ON r"� � �gp0C) Data Receipt No. -7PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building .permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[X] NO[ ]. 2. I HAVEM HAVE NOT[ ] signed an application for a budding permit for the proposed work. 3. I have contracted with the following person (firm) to' provide -the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followipg-persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNE SOCUL SECURIT) DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of ;. property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit -in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits ie for which they apply. If you plan to do your own work, with the exception of various trades that you„plan to subcontract, you .�„ should be aware of the following information for your benefit and protection: 0 If you employ or otherwise en a e ' anY Persons other than your immediate family, and the work (including F, materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are 4 subject to several obligations including state and federal income tax withholding, federal social security taxes, subject compensation insurance disability insurance costs and unemployment com nation contributions. 4 workerstYPe 0 There may be financial risks*for you if you do not carry out these obligation,'and these risks are especially ' serious with respect to worker's compensation insurance. 0 For more specific information about your obligation under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligation under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed person professing to be contractors is to secure an "ownerbuilder” building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. TManager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code May 1995 2.27 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES/� NO[ 1. 2. I HAVE HAVE NOT[ 1 signed`an application for a building permit for,the proposed w* 3. I have contracted with . the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person -to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE. NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK • SIGNED: PROPER SOCIAL DATE: Q I NOTE: This owner -Builder Verification is required by Section. 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an"ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. . S�14n,clerel Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-08-3-004 ZONING BUILDING PERMIT OWNER JACK MCCORMICK TELEPHONE 533-8983 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS OUTH VILLA AVE OROVIL.LE M CONTRACTOR'S OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Film Fee $ 20.00 Permit Fee 2 ORIGINAL $ 174.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BLIILD12855 DRESS SOUTH VILLA OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 194.75 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _2R__P -RENaWAT 96 2261 Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S n TT TnT /n �� n �-2ND RE''EWAL/% 224 ELECTRICAL PERMIT Fling Fee 20.00 Main Service .A 0. 23.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To ,o 46.00 WELL200A CU NEW CONST. DWELLING OCCUP. 3.5aFo. OR ( & AC cDo� ou�TLEr @7,50 NON•RESID. POWER APPARATUS 8 SINGLE OUTLET CIR. 21 Ex. Occup. OUTLET OR FIXTURES SAL @ 1 1.0 .50 Ex. Occup. ourEiFrs RF�sID.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 194.75 HAZ. I D. FEES I IMP I FLOOD I 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 Date PERMIT EXPIRES ON 9/24/2000 Date Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-08--3004 ZONING BUILDING PERMIT OWNER JACK MCCORN(ICK TELEPHONE 5338983 SO. FT. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS 2856 501111 VILLA AVE',OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS • • Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee •: ORIGINAL $ 174.75 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2855 S01TTF1 VILLA OROVILLr Energy Plan Checking Fee $ $ PERMIT FEE $ 19 .75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IJC Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1.5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: Tl PFI* T.1AT /CIG. ?til Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 7TT1nruT'T.TAT /no ���� ELECTRICAL PERMIT Fling Feel 20.00 Main Service z�o.,OR.ss 23.00 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: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BUDS. 3.50FT. T. NON-RESID. muLT,' O, T , @7.50 8 SINPOWGLER E OURET APPARATUS CIR. 20 � , °O Ex. Occup.ourtET OR FocTUREs BAL o ,50 Ex. Occup. OUTLEEDTSA pESIp,OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 194.75 HAZ. I D. FEES IMP I FLOOD I 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 Date PERMIT EXPIRES ON 9/24/2000 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027.08.3 004 ZONING BUILDING PERMIT OWNER JACK ; Cr,0Rr ICK TELEPHONE 53? 8983 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2356 ';011r! VILLA AVT:',., PP,0VTLLT' CONTRACTOR'S NAME 01-P, 4 F111 TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ' 0R1rI',IAL $ 174.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 7.855 S,)Tr' l VILLA, 0110IFT11r Ener Plan Checking Fee $ Energy g $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other El Describe Work: 3T?Tl PL T01AL.106__2?aw1 Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S '?1."dl t???t13'1,iIIT�f CLQ_ `)')f.•� ELECTRICAL PERMIT Fling Fee 20.00 _... _.. eoov oR LFss Main Service .OA oR LESS 23.00 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.PSINGLE 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: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Main Service To 46.00 NEW CONST. DWELEU OcCcuCU p. SQ. ( ACC.BMS.3.5¢FT . ORw cors . M NON-RESID. 97.50 a OCIR. OWER APPARATUTLET US OUTLET OR FocruREs so Q ,.00 Ex. Occu BAL o .so Ex. Occup. p ED g .=.OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 194.75 HOZ. p, FEES IMP I FLOOD I CDF PARCEL PD 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 Date 9/24/700() PERMIT EXPIRES ON Date Recei tNo. p WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER JACK Z"!XyVf!TCV TELEPHONE 5^1 11()83 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS Y A AYT� M^ )P56 tSMI VILLAL i CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee `` (IC-TITAL $ UT4175 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS /1 T r 2,' 555 Mir VILLA, , nR()A TT,'j',, Ener Plan Checking Fee 9y 9 $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 4 Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (920.00 PERMIT FEE S 7NT) .RI-2.11-JAL/48 7140 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.A0 LIE 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect.P 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: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUR OR ACDNS. ( a ACC. sins. SO 3.50x: NEW CONS MULTI -OUTLET NGN•REsID. @7.50 OWER APPARATUS s SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES �' BAL @ .50 FIXED Ex. Occup. OUTLETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 194. - ) TOTAL FEE $ D� IMP FLOODCDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By .r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 2���11_g4+ Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 FA AUGUST 30, 1999 Burte C. L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 JACK MCCORMICK RE: Building Permit # 98-2240 2855 SOUTH VILLA Expiration Date: 9/29/99 OROVILLE, CA 95966 A.P.# 027-08-3-004 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. JJXXX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Yours very truly, Mic el C. V - ira, C.B.O. Manager, Building Inspection Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUI`TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754lq Q-A jE r No• (Rev. 12/96) APPLICATION AND PERMIT "6 IW -A " ASSESSOR PARCEL NUMBER 027-083-004 ZONING BUILDINGPERMIT OWNER MCCORMICK, JACK 3329983 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS2855 SOUTH VILLA AVE. OROVILLE L CONTRACTOR'SOJ9fU2+R TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2855 SOUTH VILLA Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE $ 194,75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 11 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ,NRENEWAL OF #9-7 Z- 9� �or� % Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t p� / 7_1 7 o ELECTRICAL PERMIT Fling Fee 20.00 Main Service "'.A OR LESS 23.00 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: I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. CDataq12 qlq2 S' n ure of Applicant - ❑Owner ❑Contractor Agehf An A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service WOOL TO fooOA 46. NEW CONST. DWELLING OCCUP. so OR ADONS. ( DW:SO ACC. BLD.. 3.5¢x. r",ON-gESID. T. MULTI.O,. 1 @7.50 POWER APPARATUS 8 SINGLE OUREr CIR. Ex. OCCU OuEr OR FDRUREs BAL Q 1.50 Ex. Occup. DunF�APP RE�S16.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $194.75 HAZ. I D. FEES IMP I FLOOD COF PARCEL PO HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �7 19 D e ReceiptNo. iO WHITE -B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signAtute. Please complete and return this information at your earliest opportunity to avoid unnecessary' in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO 0 2• I HAVE � HAVE NOT signed an application for a building permit for the proposed 3. I have co tracted with the following person (firm) to provide the proposed eonstrimdo" ADDRESS: CITY. ti PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coo_ rclitiase, S upervise, and provide the major work: NAME: ADDRESS: QTY. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ! �: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER SOCIAL SECURITY DATE: - — NOTE: -This Owner -Builder Verification is required by Section 19831-1711832—ofW California Health and Safety Code. This verification must be completed mtd returned to our office before we are permitted to issue the permit OVER =I- I OWNER BUILDER INFORMATION � Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as ` owner•buildee, you are the responsible party of record on such r a permit. Building permits are not required to be signed by property owners unless they are personally performing their ' -' own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" ' liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work(including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors`or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions:_' ♦ There may be financial risks for you if you do not carry out these obligations', and these risks are es ' l '' pec'talysertous with respect to worker's compensation insurance.. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Sere ceq.(and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your . community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned t rely, Mic el C. Vi iia, C.B.O. 61-1 M ger; Building Inspection NOTE. This Owner-Builder,Injormallon is required by Sectlon 19830 ojthe Calyornla Healdr and Safety Code - OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 (Rev. 12/96) APPLIWION'AND PERMIT ASSESSORPARCEL NUMBER 27-083-004 ZONING XX A-5 BytrbING PERMIT OWNER JACK MC CORMICK T YIT'9983 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2855 SOUTH VILLA AVE PALERMO CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 174.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2855 SOUTH VILLA Energy Plan Checking Fee $ $ PALEPJ40 PERMIT FEE $ 194.75 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF I)Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: RENEWAL OF #96-2261 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oa .ss 23.00 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.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License taw, for the following reason: �`j I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. X I am exempt under Sec. Business and Professions Code for this reason OCf iA;PP Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. s0 FT. NON-RESrIDT R NEWCOS-ULCTI.OUTCET - 97,50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES Zo91.o0 BAL Q .50 APPUNS EX. Occup. OUTLETS IRESI6.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. X F' Date Signat a of Applicant - Owner ❑ Contractor ❑ Agent An OSH permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 1 Q4 75 HAZ. D. FEES IMP I FLOOD C°F PARCEL pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. p By / Date PERMIT EXPIRES ONHITE-D.D.S.-B.D. I Date eceiptNo. F CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and. materials for construction of the proposed property improvement: YES 'K NO 0 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAINIE: 'ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAINIE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: CI r SOCIAL SECURITY N ER:_ DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFOR1vIATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by properry owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the.State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. S There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information. about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder .lnformation is required by Section 19830 of the California Health and Safety Code. OVER (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER�� 0� y �O ZONING 141-5, BUILDING PERMIT OWNER G ti>h TELEPHONE 533-81c SO. FT OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ,2955 o tI ;Ila w'�ia CONTRACTOR'S NAME BWN TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS v µ+� L l� e, Energy Plan Checking Fee $ nn FSG / $ PERMIT FEE $ LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O Installation O Other n G /1 / Describe Work: /` �i1,7G 11.41-11101-11.41-11101-- � D T �,L! 9& — ;2' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Ti;_ G W 20.00 @ PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service aoov oR LESS YooA oR LEss 23.00 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: ❑ 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. O 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 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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 comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service YOGA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADONS. ( & ACC. BLAS. 3.5¢F7. NEW CO NON -REBID. � MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMRES BAL ® -50 Ex. Occup. oiFTs RFsID,°Rw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ q1 ,C HAZ. D. FEES IMP FLOOD CDF PARCEL Pp 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 Date PERMIT EXPIRES ON I ate ReceiptNo. 02 y4/1 ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT IV- DEVi&LOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville,• California 95965 - Telephone (916) 538-7541 I yo• APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 027-083-004 ZONING A-5 BUILDING PERMIT OWNER JAvK MC CORPJiICK T %983 SO. FT. OCC. BUILDING VALUATION qQ tow OWNER'S MAILING ADDRESS 2855 SOUTH VILLA AVE OROVILLE CONTRACTOR'S NAME T. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 120.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS SOUTH PERMITFEE $ 369.50 PLUMBING PERMIT Filing Fee 20.00 PALEMO Each,Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Iff Describe Work: TO COMPLETE 91-1917 — (REPLACES 95-2185 Mobile Home I S I G W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service e00V OR LESS ( z00A 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 1 hereby affirmd r penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, I23.00 will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. am exempt under Sec. Business and Professions Code for -this Os�easo NEW CONST. DWELLING OCCUP. OR ADONS. ( 8, ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. (oFIXEE. DTs PUNS.ORa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring PERMITFEE $ Contractor ORKERS' COMPENSATION DECLARATION9 I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) l I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. X __ Date Si I a re of Applicant - J( Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 369.50 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY Date PERMITEXPIRESON 7 (D provisions to do work paid. eJ receiptNo. HITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: " An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES D4 NO[ ]. 2. I HAVE ['%A HAVE NOT[ ] signed an application fora building permit for the proposed work.: 3. I have contracted w_ith,tithe following person (firm) to provide the proposed construction: �- NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired, the. following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: W Ilk CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER:_, SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage , anm y. persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about. your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or, her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work, personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these ;natters. The building permit w11 not be issued -until the verification is returned. - S�tncberel r_ Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P I APPLItATPON AND PERMIT ASSESSOR PARCEL NUMBER 027-08-3-004 ZONING A-5 BUILDING PERMIT OWNER JACK AICCORIMICK TELEPHONE 533-8983 SO. FT. OCC. BUILDING VALUATION u OWNER'S MAILING ADDRESS 2855 SOUTH VILLA AVENUE OROVILLE 8-0523 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2855 SOUTH VILLA PALERMO PERMITFEE $ 369.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ XDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: TO COLIPT,TTF 91-1917 Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( zo-A oR Less ) 23.00 Main Service ( zooA To I000A ) 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP. OR ADDNS. \ 8 ACC. BUDS. ) sO. 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) Cc ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. OUTLET OR FIXTURES Ex. Occup. () BA2@ I•50 L L 30 Ex. Occup. ouTLEt-Drs (RESID ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) RI I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 comply with those provisions. X P, me `' Date Sig at re of Applicant - Owner ❑Contractor ❑Agent An A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. O. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated ab ve for which fees have been PERMITEX RESON tZ4 provisions to do work paid. Receipt No. 155351 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. ` Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[VJ NO[ ]. .2. I' HAVE[' ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: n r. DATE: S EQJ: 1 ' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 if you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin1crel ` - r! Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER , - Ai. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2-7_ 3_ del Z0 BUILDING PERMIT OWNER r / CI /� /_3 C 3 ! SO. FT. OCC. BUI ING VALUATION _ '-. A OWNEi MAftJNO ADDRESB/C �L��- 4- . CONTR,CTO� R TELEPHONE CONTRACTORS MAIUNNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS _ l / / d ��i PERMITFEE $ ,. PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Mobile Home ISI GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service eoov OR LESS M ( 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 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: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ACONS. ( 6 ) SO. 3.5¢ FT. TI.OUTLETLET NEW CONST. MULTI- NON RESID. ( BRANCHAPPARATUS CIRCUITS ) @7.50 (aPSINGLE OUim� CIA. ) Ex. Occup. (OUTLET OR FIXTURES BPL 0 .50 Ex. Occup. ( OU EDFIXp D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ . Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ S HAZ. D. FEES I IMP I FLOOO CDF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. Z 6`— �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M' -mss COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 _ � PERMIT NO. APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER 27-083-004 ZONING A-5 BUILDING PERMIT OWNER JACK MCCORMICK TELEPHONE 2 SO- FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPIONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 367.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2855 SOUTH VILLA AVE., PALERMO PERMIT FEE $ 387.75 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF M Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities ❑ Installation C3 Other Describe Work: 3RD RENEWAL BP#1917-91 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (2ND RENEWAL BP#93-2920) Main Service ( 111V OR LESS 2OOAORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.50 FTS0. , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL@'.50 Ex. Occup. ( FIXED APPWS. OR ) OUTLETS IRESID.I EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of 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 Co ty in consequence of the granting of this permit. r X Date Si cure of Kppficant - K Owner O Contra or O Agent An HA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 387.75 "AZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County ode a d/or Resolutions to do work In 'ca ed above fo h f have been paid. q'T L Da(e-Jr- 1 PERMI EXPIRES ON 9.5.95 /Date) Receipt No. �% WHITE-D.D.S.-B. ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :iWr�r'�.N�r...t���,✓ns✓i�"rt1FX�iv" t'�. �-ter.•;. K u* COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE; CQLIFORNIA95965 -TELEPHONE (916) 538-7541 i PERMIT APPLI OWNER Proposed Building Use TION DATA SHEET ng Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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. 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) by California Engineer . .................. I 14. Sanitation and plot plan approval Health Department . ............ r. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of, Biggs/Gridley. ............. �s r 17. Planning approval for (A) Use: (B) Parking: L. 18. Contact Land Development about (A) Improvements (B) Drainage. ............ 19. Driveway permit (construction approval required prior to occupancy). ........ 'f Fre-Inspection reque 20. Pre -inspection for, required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ " 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .............. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access....................`4................... . 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 ?hec I* t. ... ....... I.... ..t ...... �33. l 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant .iRme Date /C?7/9 Copy of Haz-Mat form sent Health Dept. Fire Dept. V 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 Counter 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 COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center 'Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (Yes or no) 2. I (have/have not) 1'1 A� 12 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name A A Address � ( City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Address N ► 6'1 City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: e Property Owner Social Security Nu er Date NOTE: This Owner -Builder Verification is sent to you as required. by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. V/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM -IT No. APPLICATION SVD PERMIT ASSESSOR PARCEL NUMBER 027-083-004 T({NIN� BUILDING PERMIT OWNER Jack McCormick TL92b523 SQ. FT. OCC. BUILDING VALUATIONIO OWNER'S MAILING ADDRESS 111854 Lakeshore, Auburn CA 95603 2ND RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation s Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee ( z Fee s 367.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 387.75 2855 S. Villa Ave, Palermo PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF)p Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O C)Installation Other EX 2nd Renewal of B.P. #1917-91 Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (1st Renewal was B.P. #92-3120) Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( a ACC. BLDS. ) SO . 3.50 FT. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0`000 Ex. Occup.FIXEDAPPLNS.OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a *�, Certificate of Consent to Self -insure. ISI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1 Date 3 Sin ture of Applicant - Owner ❑ Contractor ❑ Agent A SHA permit is required for excavations over 5"0" deep and demolition or con truction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 387.75 HAZ• 1 D. FEES I IMP FLOOD COF PARCEL I PD 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. DIRECTOR OF PUBLIC ORKS �y ByA4�Date PERMIT EXPIRES ON 9/5/94/ /Dare) //Q �D FReceipt/ No. ^� qTE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION -.41ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER a - Ice 3 •• ooy ZONING /1-6�5 BUILDING PERMIT OWNER zstle k INC l OrM f -C k E 6 6S:23 767'6 S: 2 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MNLWG ADDRESS e r luf � `7 5 / CONTRACTOCNAMrj 0 eV_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ?7, 7 BUILDING ADDRESS s C �I t P J J a PERMIT FEE $ PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAMEPAR CEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE S0� Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other Describe Work: 2 N P NeLo 4 PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 IV OR LESS ) 23.00 2WA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( 6 ACC. BLOS. ) 3.5C FT. CONTRACTORS LICENSE LAWI I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL @ 1.50 Ex. Occu FIXED APPLNS. OR p (OUTLETS IPESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butt against all liabilities, judgments, costs, and expenses which may in any way accru against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor O Agent _J An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ J? 7 5 - ocC CONST. TYPE TOTAL FEE $ HAZ• O. FEES I IMP I FLOOD I CDF PARCEL PD HD I 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. DIRECTOR OF PUBLIC WORKS By ate i PERMIT EXPIRES ON / 0.W Receipt No. C95c�? WHITE-D.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION: Attention Property Owner: Phone: 916-538-7541 An 'owner -builder " building permit has been applied .for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no) C� 2. I hav /have not) UCS signed an -application for a building permit. fo a proposed work. 3.' I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. !+. I plan to provide* portions of this work, .but - I have hired' the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contracto'rs' License Nd* ' 5. I will provide some of the work.but I have contracted (hired) the following persons to provide .the work indicated: Name. Address Phone Type of Work Signed: Property Owner Social Securit umber Date Qr4r� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 !/ APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER 027-083-004 ZONING A 5 BUILDING PERMIT OWNER JACK E. McCORMICK TELEPHONE 268-0523 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11854 LAKESHORE N. AUBURN 95603 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee — OF FEES $ 367.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee _ $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2855 S. VILLA AVE PALERMO 96968 Permit fee $ 382.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [2 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK t Newat Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe Describe work: 1 ST R1TT7;WAT ON B.—R. 41$17 91 _ RENEWAL�r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 20CATO1o0OA) 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 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. ( DWELLING OCCUP.&) 3.6a sq.ft. OR ADDNS. l ACC. BLDGS. NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS @ 500 POWER APPARATUS (SINGLE OUTLET CIR.6 Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. � I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co my in con equence ooh granting of this permit. X VAQ_QDat Sig at a of Applicant — Owner t ❑ Contractor ❑ Agen An A permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 382.75 I HAz I D FEESJ IMP I FLOOD I COF I PARCEL PD 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. I �R7�F PUBLIC WORKS By Date PER IT EXPIRES Date LReceiptNo. 122976 TE-O.P.W., YELLOW-ASS[$90R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet California 95969% Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. A33653OR PARCEL. NUMO R._ ZO�j..FI s BUILDING PERMIT OWNM... < E_ A4cifrm1dc �f�� T LFPM0N6 68- 23 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AOOR ESS S67Lf 0 I CONTRACTOR'S NAME TELEPHONE- CONTRACTOR'S MAILING AODRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDS -R'S MAILING AOOREss - Filing Fee $ 15,00_ Permit Fee ees $ ARCHITECT OR E�I'I(rNGINEE``R - ENGI/NEER'AILING LICENSE NO.Rpkev- Plan Checkin Fee $ - Energy Plan Checking Fee $1 ARCHITECT OR ADDRESS Penalty $ BUILOING ADDRESS �S�SS S. U � � �� Ave. Penult fee - s 384 0'75 PLUMBING PERMIT FiIingFee 115.00 ('e d t-11 n Each Trap 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF�K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ ' Describe work: /,�t mgewod CIA It3_P_ 19/7-q( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service '2000AA OR LESS 18.50 Main service 20GATO 1000A) I 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 71 1 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 ❑ 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) F -1I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.tt\ OR AOONS. ACC. SLOGS. / 3.66 sp.ft. NEW CONSTR.ULT .ourLET NON.RESIO. BRANCH CIRC�'ITS @ 5.00 POWER APDARATUS S (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 1 20 a 76d Ex. Occup. OUTL TS PIRESIOOJREA.1 1 3.001 Temporary service 1 15.00 Home Facilities 15.00 Misc. bYirin g I 15.00 Permit Fee S — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ .I shall.not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor � MECHANICAL PERMIT FiIingFee 15.00 Heating Coolinq Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONSTTYPE ys TOTAL FEE $ 3 82 i r+AC 0FEES IMP i ; FLOOD COf PARCEL PO HO ISSUE i A Date Signature of Applicant — Owner C Contractor l:, Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - :an of structures over 3 stories n he.ght. Iecelpt No. 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. DIRECTOR OF PUBLIC WORKS By _ Date PFRMIT FYPIAFC 1 -in— COUNTY OF BUTTE - Department -of Public Works , 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received., 1. I perso.nally.plan to provide the major.labor and materials for construction of the proposed property improvement (yes or 'no) . 2. I (have/have.not) signed an application for a building permit for the proposed work. 3. I have contractedwith the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired.the.following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following ..persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security4jber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and -19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Co�nfVenter Drive - Oroville, Califonis 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT MIT NO. ASSESSOR PARCEL NUMBER 027-083-004 ZONING A-5 BUILDING PERMIT Jack EM (cMi r-koy268-0523 TELEPHONE - ,SQ, FT. OCC. BUILDING VAI TIO 3,679 R 187,629.00 OWNER'S MAILING ADDRESS 11854 Lakeshore N. Auburn 95603 1.200 M 21,600.00 CONTRACTOR'S NAME Ownpr TELEPHONE 602 Coy 7,826.00 CONTRACTOR'S MAILING ADDRESS Fireplace 2 A. & 01 3.000.00 CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation 1 $ 29o,o55 nn Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 715-50 ARCHITECT OR ENGINEER Rnhprt- 4haw LICENSE NO. 18346 Plan Checking Fee L Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 0e4 V� la A_��P PrTT10 Each Trap ld 2.00 36.00 TPa� T Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME X - � MU PARCEL MAP ��L � Water piping 1 5.00 5,00 Each qas water heater or vent 1 5.00 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 1 5.00 5,00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New 3 Bedroom Single Family _ Permit Fee $66.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 10000 AMP ORSLESS 1 10.00 10.00 Main service EA. ADD'L too AMP 1 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one P Y P I Y( ) _ ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner , or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING o�+') X +/20sgft 122. 00 OR ACDNS. l ACC. I OUT NEW CONSTR. U TI.OUTLET 2,50 ea NO D. BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occu 20 ® you Occup(OUTLETS OR FIXTURES eALO 30 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 1 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $154.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): t ❑ 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. 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 1 to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating DualPack 1 11.00 11.00 Cooling Evap 1 6.00 6.00 Hood 1 3.00 3.00 ventilation 1 3.00 3.00 permit Fee $40.50 Contractor Icertify 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.TOTALFEE Ialso agree to save, indemnify and keep harmless the County of Butte againstK all liabilities, judgments, costs, and expenses which may in any way accrue- ag nst said County in consequence of the granting of this permit. %� Date iezJThis Si of re of Applicant - Owner ❑ Contractor ❑ Agent ❑ An 0 A permit is required for excavations over Qj',degp- molition or construct- ion of structures over 3 stories in height. Ce6 // eo Mobile Home Installation Fee $ Energy Inspection Fee $30.00 Mcqrs $ 1 , 41925 scH FLD CDF PA permit is hereby issued unaer the applicable provi- sions of the Butte Co nty. Code and/or resolutions to do work indicated abo for which fees have been paid. DI E IR F P BLIC WORKS B YLDate..-J PERMIT EXPIRE Date -11--q L Receipt No. 94107 $422.75 PC// q9(p S'[7 WHITE-O.P.W.. FELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTTNwT O1 PUBLIC WORKS - BUILDING DIVISION J. 7 COUNTY CENTER DRIVE - OROVILLE!CALIPbRNJA 95965 - TELEPHONE: 916/538-7541 PERMIT APPL.LCAT10N D°ATA SHEET Permit No. OWNER N c..1/�Gt� CC0010ick A. P. No. -2 6ff3ryQ��i� Proposed Building Use /Vcw Building Inspector Date At time of permit application, I was advised the following data mutt be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED r 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. gineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ �.1. J D ....................................... S - Q l 11. Chico Urban Area fees paid ....................................... 12. Park fees paid . o* o* District fees paid .............. VUEEo anitation approval from A Health Department -),15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ecorded copy of Agricultural Acknowledgment Statement ...fp 25. Letter of signature authorization ................................... 26. r 27. �— When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone -'a,523 and hold for pickup at Qr0 office. Deliver w/inspector. Other O� Applican .Date,)uQ12 `21 1( Copy of ! .az-Mat form sent Health Dept. Ire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to perm't issu n (Circle new item not checked above). 1. Index permit for above items No. _ I 2. Additional items required: S2Q i�Q/iivt f Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone _m co �terr/by date Plans checked by 41Date Al�Plans approved by� Lv Date 4=Zz Sets of plans onn .hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance G da C location owner 7—Q�� CJUL� AP # Driveway permit has been issued for the above property. date si ature F TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance '^ Owner Location AP# � Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^anal clearance O.R. for: Water Supply Clearance for 2 bedroom maw home. other 0- % elf b d` NOTE * * * Sanitarian Date AS S R PARC NUMO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT — •I IZONINQ �. BUILDING PERMIT :C- I BUILDING VALUATION 0-I <, (_qa SO. FT. PERMIT NO. - CO 0TRACTOR''�S NAME yf ". TELEPHONE a ©� CONTRACTOR'S MAILING ADDRESS Fireplace ak ` " 4 ko?000 ' CONS RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEND R'S.MAILING ADDRESS Permit Fee $ 3sh 15 K ' ARC ITE T OR ENGI R t^ LICENSE NO. /� Plan Checking Fee $ 6 / Energy Plan Checking Fee $ 1,5. 0C A CMITECT OR ENGINEER'S MAILING ADDRESS Penalty $ - BUILDING ADORES A4 �,/_o Permit fee - $ PLUMBING PERMIT Filing Fee 10.00 Each Trap llg 2.00 Solar or heat pump water heater 20.00 LOT NO. SU BDI VISION NAME P`ARC EL MAP Water piping 5.00 e Each Qas water heater or vent 5.00 USE OF STRUCTURE._...___ . _ _ SF;J- Duplex❑ Mobile home ❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New 'Addition[] Remodel(]utilities InstalIation❑ Other ❑ Describe work' /'C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov DR Less 10.00 /Q,QI 100 AMP OR LESS Main service EA. ADO'L 100 -AMP. -. .2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): . -' - --� P Y P fry ( ) r ate' ' ❑ I am licensed under provisions of Chapt. 9; Div.-3"of the Business and Professions Code • and rry license is in full force and effect. ...License No. Classification. ❑ 1, as the owner, or my employees -with wages as their sole;compen- sation, will do the work,and.the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , :Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP '/z¢sgft OR ADDNS. ACC. SLOGS. N•EW-'CONSTR. U TI.OUTLET NFTNsR£Sl BRANCH CIRC IT$ 2.50 ea POWER APPARATUS e (.GLE OUTLET CIR. ) zo a $oe Ex. OCCUp(OUTLETs OR FI X'TURES eAL*304 FIXED Ex. Occup. OUTLETS (RESID ILNS KEA.) 2.00 Temporary service 10.00 Q Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department14ou 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 yotr 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. 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 Contractor. MECHANICAL PERMIT Filing Fee 10.00 Heating 1 P. SO df Cooling P 6, 0, Hood 3.00 3,01 Ventilation Permit Fee $ 0r Contractor Mobile Home Installation Fee S Energy Inspection Fee $`Q OCC Butte to enter upon the above-mentioned property for inspection purposes. CONST TYPES / �- I also agree to save, indemnify and keep harmless the County of Butte against NAz CUA PARK scN� i FSO TOTAL FEE E PAR IPO I r,o. Is all liabilities, judgments, costs, and expenses which may in any way accrue SUI a ainst said County in consequence of the granting of this permit. This permit is hereby issued unser the applicable provl- Date ;ions of the Butte County. Code and/or resolutions to do Si a to of Applicant — O.ner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. /`� Receipt No. /v —/V��Zaz& By \J P/C 11 t, \T 11...7 Date BUTTE COUNTY CHOOLS DEVELOPMENT FEE CERTIFICATION FORM Qa"- b if)- 00'� (One Form per Building) Tel? 090?_vvd A.P. Number C&3- Or 41 Building Department No. School District X0 9/(-W City County [M Jurisdiction Property Owner -J-Ad eL,961 1;!�k y �. Project Location/Address �. �/,&e, A/0%0 Subdivision tc Lot Number Residential Development: F-1 Sq. Footage of Living MHI`' LAddjif*,on, (Group R) Units Commercial/Industrial:akXdditlft"(Including Sq. Footage New Exterior Roofed Areas) B ilding Department Represent ` i r'1 ' t.,> >;� Date (Floor Plans reviewed by School District Personnel.)% District Id No. 920 307 _ ,, &��School District certifies that �G x=03 (Applicant Name) (Phone Number) (Street Address) OAA)�A-rA q s9 (o ff (City) (State) (Zip Code) has complied with the requirements of Resolution No. /y by Pe payment of $ 570 . Fol representing ?67� square feet. S h 1 District ReDresolfftative Date PAID BY CHECK NO. , BANK NO ?Q - 70 9 7z3'W l PAID BY CASH """"" white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) c�J�'� `COIL / Bldg. Permit # / moi/ � �_ ?11/ OWNER /L1' �t Ct. A.P. # Plan Checker GENERAJ,- Z Zoning requirements: (sideyards and number of permitted living units). Valuation. c3� K ans signed by designer. ,4 -.---'Proper description of work on application. b�Existing violations on .property. ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN omplete parcel size and dimensions. :.-etbacks, sideyards, easements, etc. Zbuildings or structures. ding, fills, drainage., &: .!�ood hazard. f�! Special conditions on creation map, u�ble, and foundations). - � . (noise, CDF, fire sprinklers, non -comb - i FYJ FAS road setback. • • . • , , &/Building or utilities across lot'lines (Record --.,form)., FLOOR PLAN Y Complete to scale plan with dimensions. 1 "-e uired windows for light and -ventilation (Sec. 1205). uired windows for second exit (Sec.'1204)'. Skylights (Chapter 34 & Sec. 5207). ujman impact glass (Sec. 5406). 6/ equired room sizes.,, ceiling heights (Sec. 1207). CIs in baths, garage; kitchen, and exterior outlets (Article 210-8). �! Light fixtures, switches, receptacles, and' exterior receptacles for main- /t.enance of mechanical equipment. E 9/ Locations of water heater, heating and cooling equipment, other electrical 9,P --gas equipment. . arage firewall, door size, and closer (Sec. 503(d)(35).%, 1t—l'/ 3'0" exterior exit door (sec. 3304 (f). h2/replace and 'wood stove location, alcoves, and clearance. 1Smoke detectors (Sec. 1210). '' 14-.-'rl umbing fixtures, water closet clearances and shower size. STRUCL12AL DETAILS andard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. 3Foundation plan complete enough to construct building. 4 -Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. Roof onstruction details complete enough to construct building. eplace construction,details and ca.lcs if necessary. after ties or-bearing'ridge beam. Gage door or porch header sizes. ud heights. 1 Adobe soils - special foundation design. 2 R taining walls requiring design. -i-T.--Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 1_ Stairway details: landings, rise and run; head clearance, handrails (Sec. 3306). _2::�uardrail details (Sec. 1711 & 3306(j). . :a:-ck or stone veneer (Chapter 30) . � xrt-e-rfor plaster - weep screeds (Sec. 4706). g/ -oper roof pitch for roof convering (Chapter 32). 6!Roof covering type - (fire hazard). '—�`.'56am insulation - protection. &.---3--6" halls and stairways. ---3'' Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. rY(�'Twe exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). P-1 access and ventilation (Sec. 3205). 1& -.'Underfloor access and ventilation (Sec. 2516). �ombus "on air for fuel burning appliances - L.P.G. requirements. e requirements on duplexes. 1 E e-rgy design. . Fl _hing at all exterior openings. 1 DF responsible area requirements. �� .d"J RESIDENTIAL 27-083-04 1916-91B,P,E,M MCCORMICK, Jack o9*5p S Villa Ave, Palermo (60-640) OFFICE COPY Address GAS �17 Meter By Date 62— ELECTRIC Meter By �" Date OFFICE COPY i Address GAS Meter By Date__ E ELECTRIC Meter By Da J=OK O=Not OK Not = 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: / P'L"ft. / /"Nat. or/ /" L" ft./ P'LPG 1 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 -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector i 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- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric r 9. Siding; Nailing -Veneer -Stucco -Mesh 10.x, Roof; Shthg-Roofing 11. Ext. -,'Steps -Doors -Landings 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- Bea ms- Rftrs.-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.x, Roof; Shthg-Roofing 11. Ext. -,'Steps -Doors -Landings Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 f Date POOLS (Plans) OK except #'s 1. Setbacks -Easements y 7 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 J=OK O = Not OK = Not Applicable dy Not ReaRESIDENTIAL ' = Date 'UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd., tg. Depth Ftg., Garage; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. 51ab; Steel -Wrapped ✓> P' s -Fireplace Ftg.-Steel D.W.V.; Fall -Fit ' -Test-2 Way C/O -Sewer Test_ 10. UF. ipe; Size -Anchors - yard gas piping: sizeko!!��jtie-W� ater Pipe; Test-Anchor-Regulator-ServiceVe T 12. E19Underground Pie s & Ducts; Clearance -Material -Support -Ins. Gi -Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date Card B-1 ate Card B-1 Da4e0Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except q's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 7. Water Pipe; Test & Anchor -Nail Protection 8. D._W.V.: Test -Fittings & Anchor -Nail Protection --- - ower Pan: Test. First Floor -Tub Access --- --- -- ----- ----- ---- --- - - ---_Test Tub & Shower. -Second Floor -Tub Access .aJ.rGas Pipe: Size & Anchors Date----------- Card _B- 1 ----- Date - Card -B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22 .Fixture & Transformer Clearance -Ins. Protection - ---------------- ----------------- ------------------------- - - - - 2 .3.-Elec. Receptacles Spacing -L ghts & Switches at Doors ----------- ---- -------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -- omex Installed Close to Edge of Studs & C.J. rEquip Ground made up w/Mech. Fastners-Bond Gas & Water ----- - --- ---- ------------------------------------------------------------- 27. 2- Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------ ---- 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size 1 ga. Cu or At -------------- - ---------------------------- 29 ------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 11 No Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------------- --- -- -Equip Clearances Panels-Motors-Mech. Equip - - ---- - ----- --------------------------------------------- 3 Clothes Closet Light -Shower Light -Spa Light - ----------- 3 Smoke Detector ------------------------------------------------------------------ ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 •---------------------------------------- --------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's �. C. Ducts Insulation & Support ----- -- -- ------------------------------------------------------------------ ­45-Vent Fan: Exhaust above insulation --__ 6�-Condensate Drain & Overflow: Size & Grade - - ---- -------------- - ------ - ------ ------------ urnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ----- - ------------------------------------------- - - --3d--dtlieAccess & Platform if. Furnance in Attic ------------- ------------------------------------------------------------------- Date Card B_7 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's Sils. Proper Material & Anchors . -- alts Studs -Nailing Spacing & Bracing -Plates -Sound 41. ring Walls over Girders & Floor Nailing ------------ --- - --------------- ---------- 2. aft Stop m Walls (rat proofs - ---- ----------- ----- -- ------------------------------------------------------- 43. re Stops: Furred Ceilings -Stairs -Chases -Tub --------- ---------------------------------------------------------- 44. Headers & Beam -Size & Bearing (Single & Duplex) Date FRAMING (Continued) ---455.. Hangers -Post Caps -Anchors -Connectors --��6. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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 rage Fire Protection Framing L--'-5-1. Property Line Firewall & Openings _ _{_�Doors-One 3' -Check Garage -3rd Story, 2 Exits i,rs: Width -Headroom -Rise -Run -Landing -Fire Protection --54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 1,--15-Siding-Nailing Veneer ---- I 46--3tTFC -o Mesh -Drip Screed -Fd. Vents-Underflr. Access X--"5-7 zing Area -Glass Protection -Skylights -Plastic ------ y- _ Shear Walls: -Nailing -Bolts 5 u ation-Walls-Ceilings ----------- ---------- 60. infiltration -Walls -Windows ------- fir ------nJ-'1L�s. Date _ �77. and B_ - Date 1 _ Z' Card B-1 Dat 3 d B-1 Date Card B-1 Date FINA1. (Plans) OK except #'s r & Sidelight Protection 62. oke Detector 3. Fur ce: Vents -Clearance -Comb. Air-Connector- �5F-1_ rage: Above Floor-Ducts-Mech. Protection - ----- --_o Exiting - & Bath Fixtures & Tub Access -Spa ---_ 6 ec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails -------------------------- ------- or Stove: Clearances -Hearth ------------- ---- ------------------- 6t IeC. Outlets at Wood Panel: Int. & Ext. - -- Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. .lec. Outlets & Receptacles at Kit. Counter _ - --- 72. ge Fire Door Swing -Landing -Closer A. C. Duct in Garage -Damper 7 tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. I arage: Above Floor-Mech. Protection 5. Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage: (G.F.I.)-Romex: Protection 7;.solation-Foam-Looked in Attic Yes - ----------- ------------- ----------- 8,.Zuard Rails & Deck Construction -Post Caps 9. Fdn Vents & Crawl Hole Door -Drainage 000d -Earth tearance Looked under Floor Yes d0. Following insttd. Drive es No: Walks es ❑ No; Planters ❑Yes _ --------------- -_ -------��- Brown -Finish -- 8V Disconnect. Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to O enings-------------- 4. Water Well: Disconnect, Electrical, Plumbing xterior Elec. Trim: G.F.I. Receptacle -Underground - -- ------------------------- 86. Ventilation Throughout House 87. Glass Protection 08. Corrections from Previous Inspections �d9. Gd est -Meters T fid; -EI c '- - - - ----------------=------�7--- ---- Water & Sewer Connected -C/O to Grade -HD Approval -- ------ -- -- - -- --- 9Energy Compliance Certificate -Other Certificates Dat .� and B- -- a Card B-1 -- ----- -- - - - - --- -rd B- ---------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final_ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS _s 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 'W (C-1Z O aER EMIT 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, y please tt is office imm diately. ll � WOO r. COUNTY, OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial bay, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE.. AN 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 Dat Ins O w n e r lee 6RIY& Permit N o. ENERGYnCERTIFJCATION C;2 -7 So . III LOCATION A.P. N.O. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS 6j THERMAL RES CEILING BATT OR.BLANKET TYPE-FiberglasBRAND NAME CERTAINTEED THICKNESS /pVY THERMAL RES. p LOOSE FILLTYPE_INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS 6 ,t, THERMAL RES. 36 FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH .FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. # 62.2184. F R E 0 ER STATE CONTR. LICENSE NO. z - I ereby i y Mabove insulation and all required items as shown* on the. Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. g 6 LEL v2L- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. I ATUWE OF GENERAL CONTRACTOR/OWNER DAT This certificate must be on - file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Groville;'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 916 - W 1;__," ASSESSOR PARCEL NUMBER 027-0 - ZONING _ BUILDING PERMIT OWNER Jack E. McCormick (9161 TELEPHONE 268-n523 ,SQA FT. OCC, BUILDING V ATION C 638 -19's-IR no OWNER'S MAILING ADDRESS 11854 'a, CONTRACTOR'S NAME Ownpr TELEPHONE 60 COV 780.00 CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,500.00 CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation $ 52,242-00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee ; 292.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 146.00 Energy Plan Checking Fee $ -]a` ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Ila Aire P21 ermo Each Trap 81 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME a I#L o --C['T u S PARCEL MAP OUgu- 4f- 3 Water piping 1 5.00 5,00 Each Qas water heater or vent 1 5.00 5.00 USE OF STRUCTURE SF F1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 5.00 5.00 Mobile Home S I G I W t0.00ea TYPE OF WORK New [] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1 Bedroom 60/640 _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eo0v OR LESS 10.00 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. �' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING Oc ,/,Osgft 40.15 OR ADDNS. ACC. BLDGS. ����� X NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RES, D BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eLo FIXED Ex. Occup. PR1 OUTLETS (RESID,IEA.2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $60.15 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. IQI I shall not employ any person in any manner so as to become subject IPl 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 Filing Fee 10.00 Heating Cooling g 1 6.00 6.00 Hood 3.00 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per it. Cr Date e of Applicant - Owner ❑ Contractor ElAgent Sig 4rA An permit is required for excavations over 5'0" dee and molition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 or, j c�T P .dam TOTAL FEE $ 624.15 Az. cuA PARK scH FL cDF PAR PD HD Iss e. 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. IR. OR OF PUBLIC WORKS `'rJ l- J ^� By Date PERMIT EX41d Date Receipt No. 94107 $201.00 PC//��g /,� `WHITE-D.P.W., YELLOW-ASB[330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARaI'WNT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t . 1-' PERMIT APPLICATION DATA SHEET OWNER Permit No.0 �JAA.. P. No. _/1 _nnU Proposed Building Use Nt (jJ 64- 61/0 lljLe Bui (ding Inspector tw 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........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................. 0 ........................ 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including rUnufacturer's installation instructions rr11 s� 1 d1l................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................... 0 ............... 12. Park feesaid 13• P��6 �,% � School District fees paid .............. S� 14. Sanitation approval from Health Department :Qf 54CA _ 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 19. �Hyeway ns ruc Ion i d prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . 24. Recorded copy of Agricultural Acknowledgment Statement ..&.-.fir AI 25. Letter ofbture authorization ....... 0 .... APjr1,OAV I r 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 6= and hold for pickup at ©_office. Deliver w/inspector. Other n_ c k 7`E-9`57 Applican PPP Date Copy of !-laz-Mat form sent Health Dept. ire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior tQ per it issu nce: (Circle.new item not checke above). 1. Index permit for above items No.� 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by—.date— Contractor, y .dateContractor, desig�r, owner, was advised of above required data by_phone_mall ount by date Plans checby /Z�_Date- �c' / Plans approved by Date Sets of plans on hold in File cabinet AAP folder Copy—DPW r,z "� R0��y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT —ASSESSOR PARCEL NUMBER^Vv 3 ZONIN = BUILDING PERMIT _ D" Rn TLEPH NE E SO. FT. OCC. BUILDING VALUATION � O7NE • L� LING A ORr � I ►^C'- I tI' n 605, C TRACTOR•s NAM iwh&r' TELEPHONE /I © cq CC CONTRACTOR -3 MAILING ADDRESS Fireplace " If CTRUCTION LENOER OXTotal UNKNOWN Valuation S Flling Fee $ 10.00 LENDER• MAILING ADDRESS Permit Fee $ d AR HIECT OR ENGI R LICENSE No. 1(6y��Jj Plan Checking Fee $ Energy Plan Checking Fee g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME .... PARCEL MAP Water piping 5.00 S Each oas water heater or vent 5.00 SJ" Q _ USE OF -STRUCTURE.- SF 2 DuplexMobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition[]-- Remodel tilities Installation❑- Other❑ Describe work: �C`J�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00• ` Main service s0ov OR LESS 100 AMP ORLS 10.00 %Q. d Main service EA. ADO -L 100•AMP. - ..2.50 ... CONTRACTORS LICENSE LAW.. .- • .- ._,. __ ,;., -_-„ _. �,,,�-, a_ I declare under penalty of perjury' (check one):" ' 1 ❑ • 1, am licensed'under provisions of Chapt. 9, Div: 3 'of the Business(POWER and Professions Code and my license Is In full force and effect. - -License NO. Classification. ❑ 1, as the owner, -or my -employees with wages as -their sole compen- sation, will do tbe"work,and the structure is notintended or offered for sale. . (Sec. 7044) N71 1, as the owner; am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I, am exempt under Sec. , Business and Professions. Code for this reason NEW CONST. ! DWELLING occu dam OR AOONS, t ACC. BLOCS. (/ /z¢sgtt 0 NEW-'CONSTR U TI.OUTLET NOMsR£Sl BRANCH CIRCUITS 2.50 ea APPARATUS 6 `.GLE OUTLET CIR. Ex. OCCUp� OUTLETS OR FIXTURES .2 A0O3S09 ... FIXED APPLNS. OR EX. Occup. OUTLETS IRESIO.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor --•- - •_._..—_.. _. _...._._.. "WORKMEN'S'C061PENSATION ""''" INSURANCE I declare under penalty of perjury (check one): _ ., _ ❑ The permit is for 5100.00 (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. r" I shall not employ any person in any manner so as to become, subject `"' J_ to the W. C. laws of California. Notice to Applicant: It after making this statement, should yoo 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. I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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 ag inst said County in consequence of the granting of this permit. X Date ALJ / Si a re of Applicant — Owner ❑ Contractor ❑ Agent ❑ t) An A permit is required for excavations over 5'" deep and demolition or construct. ion of structures "e(r in height.If MECHANICAL PERMIT Filing Fee 10.00 Heating 161 1 /J61 1-11 Cooling (0�0 Hood 3.00 Ventilation Permit Fee $ 0 D Contractor Mobile Home Installation Fee S Energy Inspection Fee $ 3 D.Q occ CONST TYPE -� TOTAL FEES LFLO MAL. CUA I PARK sCHt_ i I CDF PAR I PO I HD. ISSUE This permit is hereby issued unoer sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC _.,r,..,--.. r _ the appllcaole provl- resolutions to do fees have been paid. WORKS _ Date /3lsttories Receipt No. `Cv QBy .+ �..% It CNIf"�_ CJnIl/l I Return to D.P.W. • 91-023506 1 Re.c Fee 7.00 I Check' 7.00 Recorded Official Records I County of Butte I Candace J*Grubbs I Recorder I 1:06pm 12 -Jun -91 I XX 2 ' NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A-) (3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) . Applicant i )� K (= '1 �(� [� Date Ale I Zone A- s Building Permit # I' do declare, that the dwelling (Bui ding Permit # ) at address (present) L on AP #_ zr7- is intended for the sole occupancy of one adult or two adult persons who are 60 years of age .or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is 'more particularly des- cribed in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County -Code. Signed ,M Dated STATE OF CALIFORNIA COUNTY OF NEVADA June 11, 1991 ON before me, the undersigned, a Notary Public in and for said State, personally appeared Jack E. McCormick a�proved to me on the basis of satisfactory evidence to be the person(MO whose name( is/k)MX subscribed to the within instrument and acknowledged to me that heAMwwYqMX executed the same. WITNESS my hand and official seal OF ICTAL SEAL VUA NOMY KC --C RNIA NEVMA COUMY Signa t e My Comm. E*ms Jan.11.189E Lot 5, in Block 67, as shown on Map entitled, "Hap of Palermo and `;ubdivisions 1 and 2, with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. A t e, - BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIF CATION FORM 0,-�7-0F3-00q (One Form per Building) TO 07c2 -d00 A.P. Number 2-7- VQ.3`a0L/ -Building Department No. School District o& 16 City n County M Jurisdiction Property Owner r1Z M 0-CvrM 6' ck Project Location/Address �S a VI/4- AM, 4,419fM Subdivision Lot Number Residential Development: 63S' Sq. Footage # of Living MHI Addition (Group R) Units 1 Commercial/Industrial: _ New l W"I Building Department epresentativ e Sq. Footage Addition (Including Exterior Roofed Areas) r Date (Floor Plans reviewed by School District Personnel) District Id. No. 920 3:0.66 1 . . I 1 School District certifies that 10"4 vsd3 (App l icant Name) �^ ",-(Phone > Number) L reet Address S5� '_," 61 (City) ( Statep)� ( Zip pCode ) has complied with the requirements of Reso``lution No. by he payment of $ O�)d.07 representing square square feet. hool District ReDr sentative Date PAID BY CHECK NO. BANK NO D^ v 97 3d l I PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL..FEE (8/88) BUILDING SHELL INSULATION -------------------------- Component ________________________ Component Insul ^ CERTIFICATE OF COMPLIANCE: RESIDENTIAL . . . . � Pag~ '^1 ' � CF -1R . , Project Title.......... MCCORM7CK REo.��. Project Address........ SOUTH VILLA RD --------------------- . OROVILLE CA | ^ | 'Documentation Author... Frances M. Porta |Building | Company................ SLP ENERGY-CALCS | ' | Telephone.............. (9k6) 477-5628 | Plan Check / Date | Compliance Method...... MICROPAS3 by Enercomp, Inc. 1 Field Check/ Date � Climate Zone; .......^. ---------- ------- -....... | MICROPAS3 v3.01 File-MCCORMI`C Weather-CTZ11 Program -FORM CF -1R ' ' | | User#-M�1166 Us�r�SLPNERGY-CALCS Run-MCCORMICK E RES | ------------ ____!-_____--__________�_����_�_�....... z_L........ 1_ ........... _ GENERAL INFORMATION _________________ Conditioned Floor Area..... 3679' sf � Building Type.............. Single Family Detached Building Front Orientatioi . Front Facing 180 . ^ deg (S)~ Number of Dwelling Units... 1 ` Number of Stories.......... 1 ` Floor Construction Type.... Raised Floor ' � Infiltration Control....... Standard BUILDING SHELL INSULATION -------------------------- Component ________________________ Component Insul Type _________ R -value Location/Comments W ll ________ ____________�___�_ _____�__�_____________R-30 T. NORTH � TO CRAWLSPACF.--. � noor I L Door R-0 SOUTH, EAST, NORTH GLAZING Glazing Area Interior Exterior � Frami- ~ ng Orientation (sf)'Pa ies Shading Shading Overhang. Type ___________________ ______ __________ ______________ ------------------ Window _______________Window Front (S) 2 HVYDRAPES 50% bug scrn Yes Metal . Window Left (W) 92 HVYDRAPES 50% bug scrn `Yes Metal Window Back (N) ' 311 m^ 2 HVYDRAPES 50% bug scrn 'Yes Metal ' � ' ASSUMED HVAC SYSTEMS ____________________ ' Assumed Duct Duct ' Assumed System Efficiency Location R -value _________ ____________ ____=__=_____ _____�_ Gas 0.720 SE' Attic R-6.4 Air Conditioner 8.90 SEER 'Attic . R-6.4 � .` . . ~ , ' ^~' ' ` . CERTfFICATE OF COMPLIANCE: RESIDENTI�L Page 2 CF -1R =============================================================================== Project Title.......... MCCORMICK RES Date........ 07/31/91 =============================================================================== | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -FORM | User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK RES | _.... ..... ... .... .... ..... .... ..... .... ____________________ ACTUAL HVAC SYSTEMS ' Actual Output Manufacturer and Model # Actual System Efficiency (Btuh) (or approved equal) ________ __________--- ___ Heating Cooling Cooling Coil CEC Maximum Output for Gas Central Furnaces: 118060 Btuh WATER HEATING SYSTEMS Tank Capacity Manufacturer and Model # Energy System Type (gal) (or approved equal) Credits Storage, GasNone SPECIAL FEATURES/REMARKS HVAC HAS NOT BEEN CHOSEN AT THIS TIME BUT MINIMUM EFFICENCY OF .72 FOR HEATING AND .89 FOR COOLING OR GREATER WILL BE USED CERTIFICATE OF COMPLIANCE: RESIDENTIAL . , Page 3 CF -1R Project Title.......... MCCORMICK RES � Date........ 07/31/91 | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -FORM CF -1R � | User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK RES / _______________________________________________________________________________ COMPLIANCE STATEMENT 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 purchaser 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 Special Features/Remarks section. DESIGNER Name.... STEPHEN D JACKSON Company. NOSKCAJ INC Address. 19499 PURDON RD NEVADA CITY CA 95959 Phone... (916)265-8637 License. 448959 Signed (date) DOCUMENTATION AUTHOR Name.... Frances M. Porta Company. SLP ENERGY-CALCS Address. 13999 SUN VIEW CT. PENN VALLEY, CA. 95946 Phone... (916) 477-5628 Sign OWNER Name.... JACK MCCORNICK Company. Address. SOUTH VILLA RD OROVILLE CA Phone... Signed Name.... Title... Agency.. Phone... Signed (date) ENFORCEMENT AGENCY (date) o . COMPOTER METHOD SUMMARY ' Page 1, C -2R Project Title.......... MCCORMICK RES Date........ 07/31/91 Project Address........ SOUTH VILLA RD --------------------- 8.54 = 5.54 ________ OROVILLE CA | | Documentation Author... Frances M. Porta | Building Permit # | Company................ SLP ENERGY-CALCS | | Telephone.............. (916) 477-5628 1 Plan Check Date | Compliance Method...... MICROPAS3 by Enercomp, Inc. | | Field Check/ ( Date ( Climate Zone........... =============================================================================== 11 -------______________ | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -FORM C -2R | | User#-MP1166 _______________________________________________________________________________ User -SLP ENERGY-CALCS Run-MCCORMICK RES | ================================================================= = MICROPAS3 ENERGY USE SUMMARY = = --------------------- = v Energy Use = (kBtu/sƒ-yr) = _______________________ = Space Heating.......... = Space Cooling.......... = Water Heating.......... = = Total = ����_____________ Standard Proposed = = Compliance = Design __________ Design __________ Margin = __________ 26.50 25.28 = 1.22 = 19.27 10.73 8.54 = 5.54 ________ 4.85 0.69 = 51.31 ________ 40.86 ________ = 10.45 = = = *** Building complies *** = ================================================================= GENERAL INFORMATION Conditioned Floor Area..... 3679 sf Building Type..............' Single Family Detached Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... 1 Number of Building Stories. l Weather Data Type.......... ReducedYear Floor Construction Type.... Raised Floor- Number loorNumber of Building Zones... 1 Conditioned Volume......... 30168 cf Footprint Area............. 3679 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 15.6 % of FA Average Ceiling Height..... 8.2 ft BUILDING ZONE INFORMATION Floor Vent Special Cond- Area Volume # of Thermostat Height Vent Area Zone Type itioned ______________ _n--------------- (sf) (cf) Units Type =___________ (ft) (sf) HOUSE _________ _____ ______ --------- Residence Yes 3679 30168 1.00 Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R =============================================================================== Project Title.......... MCCORMICK RES Date........ 07/31/91 =============================================================================== | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -FORM C -2R � | User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK RES � _______________________________________________________________________________ OPAQUE SURFACES GLAZING SURFACES ----------------- Area _______________ SC Interior Sc Open U- Act Glass Shade GIs-I.- Type ls+Type value Azmth Tilt Only Type Shade ______ _____ _____ ____ _____ __________ ----- Slider 0.65 180 90 0.77 HVYDRAPES 0.66 Slider 0.65 270 90 0.77 HVYDRAPES 0.66 Slider 0.65 360 90 0.77 HVYDRAPES 0.66 ' Slider 0.65 360 90 0.77 HVYDRAPES 0.66 Slider 0.65 360 90 0.77 HVYDRAPES 0.66 OVERHANGS Area Window Overhang Overhang Surface (sf) Height Length Height ___________ ______ ______ ________ -------- HOUSE ' 1 Window 255 Area U- Insul Act (sf) _____ Solar Location/ Form 3 Surface ____________ (sf) ______ value _____ R-val _____ Azmth _____ Tilt ____ Gains _____ Comments Reference 1--! 0 U'S E" Window 9 2 Metal 3 Window ________________ -------------- ___________HOUSE 1 Wall 668 0.065 R-19 180 90 Yes SOUTH 2 Wall 264 0.065 R719 90 90 No EAST ���---- 3 Wall 136 0.065 R-19 90 90 No EAST 4 Wall 372 0.065 R-19 270 90 Yes WEST 5 Wall 44 0.065 R-19 270 90 No WEST 6 Floor 3679 0.035 R-30 0 0 No TO CRAWLSPACE 7 Roof....... 3679 0.035 R-30 0 0 No . .. ...... . . . ......... . ATTIC 8 Door 40 0.330 R-0 180 90 Yes SOUTH 9 Wall 240 0.065 R-19 360 90 Yes NORTH 10 Wall 176 0.065 R-19 360 90 Yes NORTH 11 Wall 272 0.065 R-19 360 90 Yes NORTH 12 Door 20 0.330 R-0 90 90 No EAST 13 Door 20 0.330 R-0 360 90 Yes NORTH GLAZING SURFACES ----------------- Area _______________ SC Interior Sc Open U- Act Glass Shade GIs-I.- Type ls+Type value Azmth Tilt Only Type Shade ______ _____ _____ ____ _____ __________ ----- Slider 0.65 180 90 0.77 HVYDRAPES 0.66 Slider 0.65 270 90 0.77 HVYDRAPES 0.66 Slider 0.65 360 90 0.77 HVYDRAPES 0.66 ' Slider 0.65 360 90 0.77 HVYDRAPES 0.66 Slider 0.65 360 90 0.77 HVYDRAPES 0.66 OVERHANGS Area Window Overhang Overhang Surface (sf) Height Length Height ___________ ______ ______ ________ -------- HOUSE ' 1 Window 255 Area # of Frame Surface ___________ (sf) _____ Panes _____ Type -------- HOUSE 6.8 1 Window 255 2 Metal 2 Window 9 2 Metal 3 Window 123 2 Metal 4 Window 102 2 Metal 5 Window 86 2 Metal GLAZING SURFACES ----------------- Area _______________ SC Interior Sc Open U- Act Glass Shade GIs-I.- Type ls+Type value Azmth Tilt Only Type Shade ______ _____ _____ ____ _____ __________ ----- Slider 0.65 180 90 0.77 HVYDRAPES 0.66 Slider 0.65 270 90 0.77 HVYDRAPES 0.66 Slider 0.65 360 90 0.77 HVYDRAPES 0.66 ' Slider 0.65 360 90 0.77 HVYDRAPES 0.66 Slider 0.65 360 90 0.77 HVYDRAPES 0.66 OVERHANGS Area Window Overhang Overhang Surface (sf) Height Length Height ___________ ______ ______ ________ -------- HOUSE ' 1 Window 255 '. 2 Window ' 9 3 Window 123 4 Window 102 5 Window 86 ` 6.8 224.0 2.0 6.8 224.0 2.0 6.8 724.0' 2.0 6.8 224.0 2.0 6.8 224.0 2.0 , COMPUTER METHOD SUMMARY Page 3 C -2R =============================================================================== Project Title.......... MCCORMICK RES Date........ 07/31/91 =============================================================================== | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -FORM C -2R | � User#-MP1166 User -SLP ENERGY -CAWS; Run-MCCORMICK RES | _______________________________________________________________________________ EXTERIOR SHADING ------------ Area Shading SC of ' Surface (sf) Type Ext Shade ____________ ______ _______________ --------- HOUSE 1 Window 255 50% bugscrn 0.819- 2 .842 Window 9 50% bug scrn 0.84 3 Window 123 50% bug scrn 0.84 4 Window 102 50% bug scrn 0.84 5 Window 86 50% bug scrn 0.84 HVAC SYSTEMS ------------- Minimum ___________Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency ________________ ____________ _____________ _______ ------------ MUSE _________MUSE Gas 0.720 SE Attic R-6.4 0.841 Air Conditioner 8.90 SEER Attic R-6.4 0.831 WATER HEATING SYSTEMS _____________________ Capa- Pilot System # of city Effic- Standby Input Size Type Heaters (gal) iency Loss Rating (Btuh) Credits __________ _______ ________ ___________ ______ ____________ ________ __________ Storage Gas 1 50 0.790 RE 2.00% 43000 Btuh n/a NONE SPECIAL FEATURES/REMARKS ------------------------ HVAC HAS NOT BEEN CHOSEN AT THIS TIME BUT' MINIMUM EFFICENCY OF ^71 FOR HEATING AND ."9 FOR COOLING OR GREATER WILL BE USED WATER HEATING Page 1 DHW- Project HWProject Title.......... MCCORMICK RES Date........ 07/31/91 Project Address........ SOUTH VILLA RD --------------------- OROVILLE CA ( | Documentation Author... Frances M. Porta | Building Permit # | Company................ SLP ENERGY-CALCS | | Telephone.............. (916) 477-5628' | Plan Check / Date | | � Compliance Method...... MICROPAS3 by Enercomp, Inc. < Field C.eck/ Date | Climate Zone........... 11 -----------------____ =============================================================================== | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -WATER HEATING � | User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK RES � _______________________________________________________________________________ ' GENERAL INFORMATION --------------------- Conditioned __________________Conditioned Floor Area..... 3679 sf Building Type.............. Single Number of Dwelling Units... 1 WATER HEATER INPUTS ___________________ System Type................ DHW Number of Heaters.......... 1 TankType.................. Storage Heater Element Type........ Gas Tank Volume................ 50 gal Rated Input................ 43000 Btuh Recovery Efficiency........ 0.79 RE Standby Loss............... 0.02 Credit Type................ .None PumpPower................. 0 W Pump Operation............. 24 hr/day Pump Controller Power...... O W CALCULATION DETAILS ' ___________________ COMBINED HYDRONIC DISTRIBUTION Heat supplied by fan ...... Fan coil loss: fan off .... Fan coil loss: fan on ..... Pipe heat loss ............ Space Heat Operation....... LOADS Annual savings with Credit. DHW recovery load ......... Space heat load ........... Pipe loss load ............ Fan Coil Loss ............. Total load ................ SOURCE ENERGY ' 0 Btuh 0 Btuh 0 Btuh 0 kBtu/sf-yr 0 hr/yr- LOADS r/yr 0 kBtu/yr 11292 kBtu/yr 0 kBtu/yr 0 kBtu/yr 0 kBtu/yr 11292 kBtu/yr ^ � WATE' HEATING =============================================================================== Page 2 DHW Project Title.......... MCCORMICK RES =============================================================================== Date........ 07/31/91 | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -WATER HEATING � | User#-MP1166 User -SLP ENERGY-CALCS _______________________________________________________________________________ Run-MCCORMICK RES � Total recovery energy ..... 14294 kBtu/yr Pilot light energy ........ 0 kBtu/yr Standby loss energy ....... 3543 kBtu/yr DHW Pump energy ........... 0 kBtu/yr Solar Pump Energy ......... 0 kBtu/yr Space Heat Fan and Pump ... 0 kBtu/yr Boiler exhaust Fan ........ 0 kBtu/yr Boiler to Storage Pump .... 0 kBtu/yr Total Fan/Pump ............ 0 kBtu/yr Total Source Energy ....... 17836 kBtu/yr ELECTRIC USE ____________ Recovery Energy .........^.. ' Standby Loss Energy........ Pump and Fan Energy........ Total Electric Use......... FUEL USE Recovery Energy............ Pilot Light Energy......... Standby Loss Energy........ Total Fuel Use............. 0 kWh 0 kWh 0 kWh MEMMI 14294 kBtu 0 kBtu 3543 kBtu 17836 kBtu TOTAL SOURCE USE ________________ Total Electric Use......... 0.00 kBtu/sf Total Fuel Use............. 4.85 kBtu/sf Total Use ................ -.. 4.85 kBtu/sf HVAC SIZING ' Paqe 1 HVAC Project Title.......... MCCORMICK RES Date........ 07/31/91 Project Address........ SOUTH VILLA RD --------------------- OROVILLE CA | � Documentation Author... Frances M. Porta | Building Pe.mit # | Company................ SLP ENERGY-CALCS � | Telephone.............. (916) 477-5628 | Plan Check / Date ( | | Compliance Method...... MICROPAS3 by Enercomp, Inc. | Field Check/ Date'| Climate Zone........... 11 -------________ =============================================================================== | MICROPAS3 v3.01 File-MCCORMIC Weather-CTZ11 Program -HVAC SIZING | < User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK RES | _______________________________________________________________________________ GENERAL INFORMATION Floor Area................. 3679 sf Volume..................... 30168 cf Sizing Location............ OROVILLE RS Latitude.............!..... 39.5 degrees Winter Outside Design ...... IMF Winter Inside Design....... 70 F ` Summer Outside Design.4.... 104 F Summer Inside Design....... 78 F Summer Range............... 37 F Shading Used............... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY -------------------------------- Heating Cooling Description (Btuh) (Btuh) ----- 1 --------------------------- ----------- --------------- Opaque Conduction and Solar...... 17004 5878 Glazing Conduction............... 14950 9718 Glazing Solar.................... n/a 6376 Infiltration..................... 17160 7045 Internal Gain.................... n/a 2100 Ducts............................ 4911 3112 Sensible Load.................... 54025 34228 Latent Load...................... n/a 6846 / ___________ ------------ Total __________Total Load 54025 41073 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. CEC Maximum for gas central furnaces only: 1.3 x ( 54025 + (10 x 3679)) = 118060 Btuh Mandatory Measures Checklist:- Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(6): • Loose fill insulation manufacturer's labeled R -Value. DESIGNER I ENFORCEMENT * §2-5352(c): Minimum wall insulation in framed walls R -I1 weighted average (does not apply to exterior mass walls). V/ §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2=5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with 62-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -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. IiVAC 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 space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): 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(Exception I): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c.. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. 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. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 ` . . ^ C� . CERTIFICATE OF OMPLIANCE: RESIDENTIAL' Page 1 CF -1R Project` Title...;. . . . .. ' MCCORMICK RES ' Pro`ect Address........ SOUTH VILLA RD ' ` . ----------------�---- '^ , OROVILLE CA |. | Documentation Author... Frances M. Porta ^ , | Building Permit # | Company............�... SLP ENERGY-CALCS' � ' | Telephohe.............�' (916).477-5628 ' | Plan Check / Date | - � ^ Compliance Method.:.A. 'MICROPAS3 by Enercomp, Inc. | 1 Field Check/ Date � Climate Zone........... 11 ----- _---�'----------- | ' MICROPAS3 v3.01 File -GH .Weather-CTZ11 Program -FORM CF -1R ' | | ' User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK GH �_____________________________________________________________________________ ' | . GENERAL INFORMATION . . _____________ � Conditioned Floor -Area ..... 638 sf . ' Building Type.............. Single Family Detached Building Front Orientation. Front Facing 150 deg (SE) ' 'Number of Dwelling Units.,. 1 Number,of Stories.......;.. 1 _ -Floor Construction Type.... Raised Floor / ' Infiltration Control....... Standard ' BUILDING SHELL INSULATION _... .... ______________________ . , 'Component Insul . . Type R -value Location/Comments .... ..... ..... ..... .... .... _.... ..... ________ _______�_________________________ ' � Wall ' R-19 SOUTH, EAST, WEST, NORTH ' ' - Floor R-19 TO CRAWLSPACE ., . ^ . . Roof R-30 ATTIC ^' Door R-0 SOUTH, WEST GLAZING Glazing Area� # of Interior Exterior � Framing Orientatioh f) . (sPanes,Shading ' Shading -____________ ______ Overhang . Type _____ __________ ______________ Window Front (SE)' 92 2 HVYDRAPES 50% bug __--- ___ ' scrn Yes ________ Metal Window 'Back (NW) 68 2 HVYDRAPES 50%�bug . scrn Yes . Metal ASSUMED HVAC SYSTEMS . . ' ____________________ . . ' Assumed Duct Duct Assumed System' Efficiency Location R-valhe _______________ ____0______ ____________ _ Gas 0.720 SE Attic _______ R-6.4 Air Conditioner 8.90 SEER Attic ' , ^ ' . . . . . . . ^ . . CERTIFICATE OF CQMPLIANCE:` RES' DENTIAL ` ~ Page 2 C1___-1R . . Project Title.......... MCCORMJCK RES Date........ 08/01/91 | . ' MICROPAS`� v3.01 Qle-GH Weather-CTZ1 1 Program-FORM CF-1R � .| | . ' User#-MP1166 User-SLPENERGY-CALCS 'Run-MCCORMICK GH �____�_____�__�______________________________________________________ ` . . . � ~ ACTUAL HVAC SYSTEMS ^ / ___________________ M . . ^ Actual Output Manufacturer and odel # Actt..t al System- - Effici?ncy (Btuh) (or approved equal> ' __________ ___________ -------- ____7____________________________ ' Heating Coolihg ....... ... ....... ... ____ ' ' ' Copling Coil * ' CEC Maximum Output for Gas Central' Furnaces:.52000 Btuh . . ' 'ATER HEATING SYSTEMS ' ' . ' _____________________ - ~ Tank . ' . . Capacity Manufacturgr and Model # Energy ' System Type^ 1(gal) (or approved equal) 'Credits _____________ _________ -------------- ................. ___________ - Storage, Gas 50 None '^ ` SPECIAL FEATURES/REMARKS ^, ' . ________________ ~ ` � . HVAC HAS NOT BEEN CHOSEN AT THIS TIME BUT �� ' MINIMUM EFFICENCY'OF .72 FOR HEATING AND .89 FOR COOLING OR GREATERWILL BE USED ` . . . ' - ^ . . . . . / . . . ^ ` . ' ` ` ` ` CERTIFICATE OF COMPLIANCE: RESIDENTIAL ' � Page 3' ' CF -1R ' ^ . =============================================================================== Project Title......:... MCCORMICK RES Date........ 08/01/91 | � MICROPAS3 v3.01 File -GH Weather-CTZ11 Program -FORM | User#-MP1166 User -SLP ENERGY-CALCS Run_MCCORMICK GH | ' ------------------------------------------ _____________________________________ COMPLIANCE STATEMENT This gertificate of dompliance lists the building features and performance speckications needpd 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 puqchaser of'the buildingy When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservatio6 features whlich'vpry . . are indicated it the Special Features/Remarks section. , .. ^ . ` DESIGNERT � . OWNER . . Name.... . STEPHEN D JACKSON ' Name.... JACK MCCORNICK CoMpany. NOSKCAJ INC ._ , Company. Address. 19499 PURDON RD.. Address. SOUTH VILLA RD NEVADA CITY CA 95959 � . OROVILLE CA ' Phone... (916)265-8637 Phone... ` License. . ' 448959 ' . Sibned ' . ' . Signed ^ (date) ' �oare/ ' / DOCUMENTATION AUTHOR � Name.^^ .. Frances M.-Port�-.i Company. SLVENERGY-CALCS Address. 13999 SUN VIEW CT. rPENN VALLEY, CA. 95946 'Pho Sign( g ENFORCEMENT AGENCY Name.... Title... ' Agepcy.. ^ '. ^ Phone... Signed ^ ^ (date) ` . .. . /. ^ . . INFORMATION COMPUTER METHOD SUMMARY _________________________ Floom . ' ' Page 1 C -2R Project Title.......... MCCORMICK RES , � Date ....... a 08/01/91 Prbject Address........ SOUTH VILLA RD --------------------- (cf) _________ OROVIiLE CA (ft) ______ � | | Documentation Author... Frances M. Porta 1.00 Setback | Building Permit # | Company................ SLP ENERGY-CALCS | | Tele'hone...... L....... (916) 477-5628 ( Plan Check / Date 1 Compliance Method...... MICROPAS3 by Enercomp, Inc. | Field Check/ Date | Climate Zone........... 11 ---------------- ------------------- 1 |' MICROPAS3 v3.01 File -GH Weather-CTZ11 Program -FORM C -2R ' | | ` User#-MP1166 ------------------- �����������������------------------------------------------� User -SLP ENERGY-CALCS Run-MCCORMICK GH' | . .. . .. . ` ' = . . = � MICROPAS3 ENERGY USE _________________=__________ SUMMARY . = . = . = Energy Use Standard Proposed Complia'ce .= = (kBtu/sf-yr) = ___--------- _ Design -------- __ __________ Design __________ Margin = ' = Space Heating.......... 31.39 36.69 __________ = -5.30. = = Space Cooling ....... ;.^ ...31.17 23.04 = Water Heating.......... ~ 31.97 ' . 27.96 4.01 = / = Total ' 94.3. ^ R7.69 ---- ______ = 6.84 = = *** Building complies *** = = Zone Type . __________ GHOUSE Residence GENERAL INFORMATION Conditioned Floor Area..... 638 sf Building Type.............. Single Family Detached Building Front Orientation. Frbnt'Facing 150 deg (SE) Number of_Dwelling Units... 1. Number of Building Storiep. 1 '. Weather Data' Type.......... ReducedYear ~ . ' - Floor Construction Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume......,.. 5104 cf. Footprint Area...;.....,... 638 sf Slab -On -Grade Area...7, ... 0 Of ' Glazing Percentage......... 25.1 % of FA Average Ceiling Height..... 8 ft BUILDING ZONE INFORMATION _________________________ Floom . ' ~ ~'Vent Spedial Cond- Area. Volume # of Thermostat Height Vent Area itioned (sf) ____ _______ _________ (cf) _________ Units Type _____ ____________ (ft) ______ � . (sf)% ^ _________ Yes' 638. 5104 1.00 Setback 2.0 n/a' ' . . ^ . ' COMPUTER METHOD SUMMARY . Age 2 C -2R Prgject Title.......... MCCORMICK RES Date........ 08/01/91 | -MICROPAS3 v3.01 File -GH �Weather-CTZ11 Program -FORM C72R . | ' | ^ User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK GH,' --------------------------- ------------------------- -------- =__________ . . .. '. . OPAQUE SURFACES GLAZING -SURFACES ' ^ Area U- Insul Act Aria Sglar Location/ Fgrm 3 Surface ____________ Shade (sf) ------------ ^value R-Aal __�__ Azmth _____ Tilt ____ Gains _____ Comments ' Reference ____________2___ ____________ GHOUSE . ' . .' . . 1 Window 92 2 Metal 1 wall 268 &065 R719 150 90 Yes`SOUTH ' 2 Wall 168 0.065 R-19 60 ' 90 No EAST 3 Wall 168 0.065 R-19 240 90 No WEST ' 4 Wall 268 0.065 R-19 330 90 Yes NORTH 5 Floor 638 0.065 R-19 0 0 No TO CRAWLSPACE 6 Roof 638 0.035 R-30 0 0 No ATTIC . - 7 Door 40 0.330 R-0 150 90 No SOUTH ^ 8 Door ' 40 '`0.330 R-0 240 90 No WEST . ' ' GLAZING -SURFACES ' SC Interior SC Aria # of Name Open U- . Act ' Glass Shade Gls+ Surface ` (sf) ___________ _____ Pan6s Type _____ ________ . Type value Azmth . _ ______ _____ ____ Tilt Only ____ ____ _ Type __________ Shade _____ . GHOUSE ' ' . .' . . 1 Window 92 2 Metal Slider 0.65' 150 90 0.77 HV RAPES 0.66 ' 2 Window' 68 2 Metal' Slider 0.65 330 � 90 0.77 HVYDRAPES A66-- . . OVERHANGS ` . . . ^ Area Window Oyerhang Overhang' ` Surface ' .(sf) Height Length Height `-_______ . ____ GHOUSE ______ ______ -_______ . ' 1 Window 92 6.8 67.0 2.0 ' 2 Window ^ . 68` 6.8 67.0 .' 2.0 . , . . . EXTERIOR SHADING ' ' Area Shading SC of ' . Surface ' (sf) 'Type L______________ Ext Shade GHOUSE ' _________ 1 Window 92 50% bug scrn 0.84 . ,. ' 2 Window ' 68 50% bug scrn 0.84 ' HVAC SYSTEMS __________ minimum- Duct Duct . Duct ^ ' System Type ______________ . ____________ Efficiency, Location _____________ R-lalue Efficiency' _______ ----------- _________Gas Gas ' 0.72d'SE Attic R-6.4 0.841 ' Air Conditioner . . . . 8.90 SEER Attic .. . R-6.4. 0.831 . . .^ . COMPUTER METHOD SUMMARY Paoe 3 C -2F Project Title.......... MCCORMICK RES Date........ 08/01/91 =============================================================================== | MICROPAS3 v3.01 File -GH Weather-CTZ11 Program -FORM C -2R | | User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK GH | _______________________________________________________________________________ WATER HEATING SYSTEMS __________-__________ Capa- System # of city Effic- Standby Input Type Heaters (gal) iency Loss Rating __________ _______ ________ ___________ ______ ____________ Storage ` Gas 1 50 0.790 RE 2.00% 43000 Btuh SPECIAL FEATURES/REMARKS ________________________ HVAC HAS NOT BEEN CHOSEN AT THIS TIME BUT MINIMUM EFFICENCY OF .72 FOR HEATING AND .89 FOR COOLING OR GREATER WILL BE USED Pilot �Size (Btuh) Credits ________ __________ n/a NONE ^ ` '. . . WATER HEATING �� . . Page .1- ............. ============= ^ Projdct Title.....^w.... MCCORMICK RES ' Date.....,.. 08/01/91 ProjeK Address........ SOUTH VILLA'RD ' ----__---------------' ' OROVILLE CA ' | | Documentation Author... Francel M. Porta | Building7Permit # | Company....,..........; SLP ENERGY-CALCS Telephone ............. e (916) 477-5628 | Plan Check / Date 1 | . | Compliance Method.i.... MICROPAS3 b' Enercomp, Inc. | Field Check/ Date | Climate Zone............ 11 ' . ....... 2 ................ | MICROPAS3 v3;01 File -GH W'ather-CTZ11 Program -WATER HEATING � | ' User#-MP1166 Usek-SLP ENERGY-CALCS .Run-MCCORMICK GH | . ---------------- _------------------- _---------------- _--------------------------- . . . ' GENERAL INFORMATION `. -------------------- Conditioned ------------------ Conditioned Floor Area..... 638 sf ` Building Fype........ ...... Single Number of Dwelling Units... 1 . ^ . . '. . WATER HEATER INPUTS .' , . _______�___________ . . � ' . - System Type... .......;.... DHW Number of He9tens...... 1 �... Tank Type...............Storage Heater Element Type........ Gas ` ` ' Tank Volume................ 50'gal Rated Input................ 43000 Btuh Recovery Efficiency......... 0.79 RE Standby Los,;.............. 0,02 ' Credit Type..;............. None . Pump Power.....,........... 0 W ' ^ Pump Operation.........`.... 24 hr/day ^ Pump Controller Power...... 0 W ' . . . , ` . ^ CALCULATION DETAILS . . . COMBINED'HYDRONIC DISTRIBUTION ' . . . Heat supplied by fan ...... 0 Btuh Fan coil lossh fan off .... 0 Btuh . �` Fan coil loss: fan on 0 Btuh Pipe heat loss .'^.......... 0 kBtu/sf-yr ^ .Space Heat Operation..,.... 0 hr/yr ^ - r LOADS ' ' _ Annual savings with Credit. ^ 0 kBtu/yr . . .. DHW recovery load ..�...... 11292 kBtu/y� Space heat load ........... . 0 kBtu/yr Pipe -loss load ............ .. 0 kBtu/yr ' ' Fan Coil Loss ...,......... 0 kBtu/yr ' . . . . . ` Total load ....:�.......,... 11292 kBtu/yr , - ~ ` SOURCE ENERGY . ' . . . ^ .. ' WATER HEATING Page 2 DHW =============================================================================== Project Title.......... MCCORMICK RES Date........ 08/01/91 =============================================================================== | MICROPAS3 v3.01 File -GH Weather-CTZ11 Program -WATER HEATING | | User#-MP1166 User -SLP ENERGY-CALCS Run-MCCORMICK GH' | _______________________________________________________________________________ Total recovery energy ..... 14294 kBtu/yr Pilot light energy .......^. 0 kBtu/yr Standby loss energy ....... 3543 kBtu/yr DHW Pump energy ........... 0 kBtu/yr Solar Pump Energy ......... 0 kBtu/yr Space Heat Fan and Pump ... 0 kBtu/yr Boiler exhaust Fan ........ 0 kBtu/yr Boiler to Storage Pump .... 0 kBtu/yr Total Fan/Pump ............ 0 kBtu/yr Total Source Energy .:..... 17836 kBtu/yr ELECTRIC USE ____________ Recbvery Energy............ 0 kWh Standby Loss Energy..,..... 0 kWh Pump and Fan Energy........ , 0 kWh Total Electric Use......... 0 kWh FUEL USE Recovery Energy..........,. 14294 kBtu Pilot Light Energy......... 0 kBtu Standby Loss Energy........ 3543 kBtu Total Fuel Use............. 17836 kBtu TOTAL SOURCE USE Total Electric Use......... 0.00 kBtu/sf Total Fuel Use............. 27.96 kBtu/sf Total Use.................. 27.96 kBtu/sf , .. . HVAC GIZING Pane 1 HVA[ Project Title.......... MCCORMICK RES Date........ 08/01/91 Project Address ....... 6 SOUTH VILLA RD ' -----------------_--- OROVILLE CA | | Documentation Author...Frances M. Porta | Building Permit # | Company................ SLP ENERGY-CALCS } | Telephone............... (916) 477-5628 | Plan Check / Date | | . . | Compliance Method...... MICROPAS3 by Enercomp, Inc. | Field Check/ Date | Climate Zbne........... 11 --------------------- =============================================================================== | MICRQPAS3 v3.01 File -GH Weather-CTZ11 Program -HVAC SIZING | < ' User#-MP1166 Use& -SLP ENERGY-CALCS Run-MCCORMICK GH | --------------------------------------------------------------------------------- ` GENERAL INFORMATION -------------------- � Floor Area................. 638,sf Volume..................... 5104 cf ' Sizing Location............ OROVILLE RS ' Latitude................... 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F ^ Summer Inside Design....... 78 F ` Summer Range............... 37 F Shading Used............... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY __________________________ ` Heating Cooling' Description (Btuh) (Btuh) _________________________________A___________ ___________ . Opaque Conduction and Solar..,... 5875 1986 Glazing Conduction............... 4160 / 2704 Glazing Solar.....'............... n/a 3433 ' Infiltration..................... 2903 1192 Internal Gain...............,.... n/a, 1650 ^ DAti..... ................. ' 1294 ' 1096 .. Sensible Load.........,.......... 14232 .12061 LatentLoad...................... . n/a 2412 ___________ ------------ Total __________Total Load 14232 14474 , . Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. - ' CEC Maximum for gas central furnaces only: 45000 + 100.0 x.(0.72 - 0.71) x 7000 = 52000 Btuh ' a , Mandatory Measures Checklist:- Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain those measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures DESIGNER 1 ENFORCEMENT * §2-5352(x): Minimum ceiling insulation R-19 weighted average. L/ §2-5352(b): - Loose fill insulation manufacturer's labeled R -Value. * §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards: Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -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 space heating equipment has intermittent ignition devices. LX §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). L/ §2-5312(Exception 1): Pipe insulation on steam and steam condensate return 8t recirculating piping. §2-5318(4): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency, 3. Pool cover. 4. 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. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 zz t_f } , �97 i _ I_�.. ~ �_, t L. S ,.• 1 i • 1 .. � � �—i- , 1 i 'r" - t 1 ' � � t ` Y� ,� T %� 1�� i-•,�-'i _ I 1'_t"i �' I ""Y' �: 1 , , 4 � ��M r .,t„� � 1 �� � ,�j f ' r t { =� J..T, 4_ ,.. + ..1,. ..Ir—I i. .. _�--i--r °...�-�--� � � � ' 4 7 I .• i Ij d �� '� { � �j �� - � �._{ 1 i....�. t 1 1...� i .! Ir �� �.. 4 Ij I 3' ._t l�'/,Y tilt 1 9 p•—!—�--�1�—_I _���� —"`'-- —.y l . 1--t` 19it !._H.�..� _, _9 ... _ ..� . � .t. L._! A } ._z..,�. j�l.. _.� 1 � �. i t .� �� T � ,.. i.. I I i °..�. � •� C�r, —.— L;l .-F°-r �!.�q... (�. �al--•t� "?fiig'( i.a.. 1 , 1... ...� .. I I I i 14+ r °+I- -�— i_ } iIj _ 1 77 ' j �1 1,_ _;. i�_� (_—'.�. �,.� � L.� i I__, � P= � I_ ( � 1 t � ' I'i'i ,• % i.. .�� � T (..j � (� I I , J., ! I i 41.1. v Z y Ji 1` f ;_i" �,�t _ � ,•� i _, i"'. ! � � � 9A '�'�n i I I s..1 � # 1 J I- 11 �-, , 1 • 1 sj r -�- 3o 133HS +!�✓��t� 31` G 2 A8 43N91SK r C)UIJ2aUl15ua Nuys .jagoa usOwG4 .._. .�.�:�.�,^..,.�,ti::�.:I.:;+.�.��.y,a.—.�1t�l..d:LL..��lo !-:.tidlt ,till,��.°...*��'•l.�i*.3%��".�__.=_•�� +LL:.....� .. �� �'"1'f �, .. fe. ItN^��? , -" �`—' -• ,9"I"- ha.aiA�� _: ilii U:.1:�. robert shaw engineering JOB NAME A/C JOB # DESIGNED BY /71 DATE SHEET OF�j— C ter_.�G. 7 _ .._�. U/ � � _ fT - _; __ _ _ 1 !.�� _ : _I=j�_._ _ � �-- - !�_,_�._ -- _ `-�� I ; -- 7-H d�jKl$- 1-4 f �.. I.. I I Tr .F E� �-�-�_a._�� ..� �.�:_ �_FU�� -!�/� I�,��i���i, I..�C•ctr�lG'�.1 _ I_,-��r- k - _ ~�--�=�=j i — -�--,-�-?- �� I 1=;_ _} - _. _ .�_, t.. i_ __'1 j� X °S} l�Jv, �._- { ' 1_ I �_I 1-1 1- �-j }-.�_i I ; '�ec�t ,Ilp �.U.-•� {_ -I ' a _ _I . .. , -.dj11" •. ? � – ' - } I.^'f..1 .�� }_(.,..jr _i� 1 i ! �it ^f i � 1111—;--'.-1_--.r -!-1 I - '. t '_.. 7 if jr — —Lj �— `j`11 ! JOB NAME _ DESIGNED BY x� `IEj�jI ; SNI I II� `�' �c,•, r i �eP+^.I I I� �^i"!7 ht �r P'�� � i7,77 T robert shaw engineering. JOB # G��Z DATE. �' SHEET _ OF T— :.t.�.u..�. �""� d5u 1�,��I�Is.r++.fi� ��{t� ` ,l!'rt4', _:.',r. •� �r.,t . 7 ,r•e vLa .ne �_,. ,tL11.'•�. �.:�dILJ'.�ls�---1-• 4-} � ulta...(:d.el. i c�.�_,.�.c u-.ys _ .fir - m.:i.,t,..._.a�:= M..`--�_,_,� •—• � L'� � j� ��¢®us�lusev!`M1�muMinti®svmmYO®n:ucLLulaw.l.lilcuh cite uc 6.G_�acc aT-'LY_.u_. R...J.,• .iT_..�.._W�.rL .i S ntrrl.er�Wac � f roberi snow JOB NAME �r..✓�,�'� �:- JOB #�� DESIGNED BY �``- '` DATE < �G`' SHEETS OF - alHT ._a..L-._L_�_LI_.. : +� v ! tt./✓�I�1� �� O yew=! f J ,BJP � � ?!. � /•-�.i � � . �/; � I s /'�. :� ;.� �., ,• Return to D.P.W. Ad ?-_3 5 0 6 9170235" 1 Rec, Fee - 1 'Check Recorded 1 Official Records 1 County of Butte Candace -J. Grubbs 1 7.00 7.00 cor er I 1:06pm 12 -Jun -91 1 XX 2 NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A) (3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE. FAMILY RESIDENTIAL ZONES) Applicant R -k nIQCOQ�il�� C� Date Zone A•— s AP# Z7— Q�/Building Permit # I, C do declare, that the dwelling (Bui ding Permit # - ) at address (present) Z�S�G� IL�a Ak on AP #� /�?33-C� is intended for the sole occupancy of one adult or two adult persons who are 60 years of age. or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property �is more particularly des- cribed in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. i Attach Notarization. Form 0 9f-23506 Lot 5, in Block 67, as shown on Clap entitled, "Hap of Palermo and Subdivisions 1 and 2, with Addition to No. 1 of the Palermo Citrus Tract", which map was j filed in the office of the Recorder of the County of Butte, State of California, I1 September 17, 1888. i STATE OF CALIFORNIA COUNTY OF NEVADA f June 11, 1991 ON before me, the undersigned, a Notary Public ' in and for said State, personally appeared Jack E. M c C o r X�'d(f�(D(D�(�4t�c X(XrD�(�P� proved to me on the basis of satisfactory evidence to be the.person M. whose name( subscribed to the within instrument and acknowledged to me that hehMWAO executed the same. d WITNESS my hand and official seal " NEW" COutrtlf Nhr Comm, Exam, Jan. 11,1998 Signat e END OF DOCUMENT 9 All that .real :pro:perty:'`situate in.the.County of Butte, State of California, described as follows: Lot ^5, in Block 67, as shown on Map entitled, "Hap of Palermo and Subdivisions 1 and 2, with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. Date: 9/ PROPERTY OWNERS: State of On this the A� Y1 day of \/un c, , 1991, before me, the SS. undersigned Notary Public, personally appeared County of aG c� ) :I�it:A19QFFMAN ' Personally known to me. F9•"�Ooved to me on the basis NOTARY I'UeLIC-CALIFORNIA • Primip otfieeinBUTTECeun • of satisfactory evidence. MvCoinmfss!onExri oaJULY1A, 994 • to be the person( whose name(') J. c " ° A ° 9-4-6 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 27 -083 — C) T 'N&Vary Public END OF DOCUMENT 91-23505 'Return to DPW AGRICULTURAL STATEP�ENENT OF ACKNOWLEDGEMENT FOR RESIDEiyTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. t 5.00 1 Rec Fee The property described herein is adjacent i Check 5.00 to land or included within an area zoned Recorded I for agricultural purposes, and residents Official Records of this property may be subject to incon- County of ._ veniences or discomfort arising from the Butte 1 use of agricultural chemicals, including, J. Grubbs I but not limited to herbicides, pesticides, CandaceRecorder I and fertilizers; and from the pursuit 12 -Jun -91 XX 1 of agricultural operations including, 1 e06pm but not limited to cultivation, plouring, 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 :pro:perty:'`situate in.the.County of Butte, State of California, described as follows: Lot ^5, in Block 67, as shown on Map entitled, "Hap of Palermo and Subdivisions 1 and 2, with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. Date: 9/ PROPERTY OWNERS: State of On this the A� Y1 day of \/un c, , 1991, before me, the SS. undersigned Notary Public, personally appeared County of aG c� ) :I�it:A19QFFMAN ' Personally known to me. F9•"�Ooved to me on the basis NOTARY I'UeLIC-CALIFORNIA • Primip otfieeinBUTTECeun • of satisfactory evidence. MvCoinmfss!onExri oaJULY1A, 994 • to be the person( whose name(') J. c " ° A ° 9-4-6 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 27 -083 — C) T 'N&Vary Public END OF DOCUMENT d04cs-10 fel �iutte L'ounty BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 JACK MCCORMICK JULY 21, 1994 11854 LAKESHORE AUBURN, CA 95603 RE: Building Permit #94-2920 Expiration Date: 09/05/94 DEAR MR. MCCORMICK: A.P. # 02`7=083=004'�j With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X] Permit work.started, but not completed. Permit may be.renewed. for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee s:o n. Please return all copies of the application form. L ] No inspections have been made. -on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where.the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may -be started until a new.permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROM.T.F office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb. Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 C.eruncaw of Comp lance: Kesiaenuai climate zone 11 W COI?M(C-V _ i Project;i'Itle 17/1-11 / - _ 171 Buildin P it# Project Address /_ 0 / _ 4-0 ( . - 2 �—g-C? 1 LP LP Checked By/ Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA C �� PI -S 3 4 Al �flit� { Conditioned Floor Area �Number of Stories Slab/Raised Floor oFi9 Number of .Units (y�Single Family Detached (SFD) [ ] Addition.Alone [ ] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION! Component . Insulation Locafion/Gamrnents Type R -Value (attic, to garage, r pi_z, etc) Wahl .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING —Glazing - Orientation -- Glaring .. .. Orientation Shading Devices Glass Area % Glass North Fast South _/o West p Skylight p Total Area Glass Type Interior Exterior Overhang Framing Type roil �...__L �_..t.t_♦ .__,.__ �..- .. _ - North Nomh, ) East r) East �( ) South South ( ) West ( ) (— West ( ) Skylight ....... .. THERMAL MASS "Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Locatiofl/DCSCription (kitchen, bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat a n) (SB, SEER,HSPF) (attic, etc.) R -Value tui or approved •equaal V 17'71 e, --� -r�et!—� B l 1 M COUNTY UJI Maximum Furnace Heating Output:00 Btuh APPR0 HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc.) Capacity /) (or approved equal) Special Feature(s) S' C-7— SPECIAL 7SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) ..e 1 1 t Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent compliers requirement listed on ttc Certificate of Compliance. When this dhocklist is incorporated into the permit documents, the features noted shag be considered by all panics as binding minimum component performance specifrstions for the mandatory measua whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEWNr Building Envelope Measures §2.5352(x): Minimum ceiling insulation R-19 wughted avenge. §2.5352(bY Loose fill insulation 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 - water absorption rue no greater tun 03%, water vapor transmission rate no greats than 2.0 permfutch. §2-5311: Insulation spocified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352((); Vapor barriers mandatory in Climate Innis 14 and 16 only. §2.5317: Infiltration/Exfiltntion Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage - b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and pcaeomdons caulked and staled §2-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2-5352(d), Installation of Fireplaces 1. Masonry and factory -built fueplaccs have L Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure §2.5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2-5315: Setback themroatas on all applicable Mating systems. • 12-5316(1): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. 12-5316ft Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has inter. ittertt ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and rauccu certified by the CEC. 12.5352(i): Wates heae insulationblanket(R-12 or iDcater) or combined interior(exlerior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return tit recirculating piping. §2-5318(dY- Swimming Pool Heating 1. System has: a. Ort/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 inlct Lighting and Appliance Measures §2-53520: Lighting - 25 lumcnslwatt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fu -td appliances equipped with intermittent ignition devices. 42.5314(a): Refrigerators, refrigerator -freezers, fmcmn and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists tit. building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptrz2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design respcnsibWcy and the Wilding owner. who shall retain a copy of it and transmit the certificate aro any subsequent purdtaser of the building. Designer Building Owner Name_ Name: Tuk/Firret: Tak/Fimc Address: Amoss: Tekphorte: Telephone: tic. A: (signature) (date) (tg arae) (date) Documentation Author Enforcement Agency Naim Name: Tt1c/Finn: Atrnry: Address: Telephone: F R -value One Two . Three R-0 44 1. Ceiling Insulation -8 -5 Number of stories -3 - R -value One Two Three 0 R-0 -103 -49 32 R-30 R'-19 -8 -4 -2 1. R-30 .2 -1 .1 Single R-38 0 0 0 -144 U -value -46 0.50 0.50 -176 -84 -54 38 0.30 -102 -49 32 -46 0.10 -26 -13 -8 -69 0.08 -18 -9 -6. 0.20 O.C6 -11 -5 -4 -14 0.04 -4 -2 .1 -8 0.02 4 2 1 -11 0.00 11 5 3 0.06 2. wall Insulation -3 .2 Single- Single - -1 0 Family Family Multi - 4 R -value Detached Attached Family 0.00 R-0 -68 -51 34 3 R-11 0 0 0 27 R-13 2 2 1 --- - - R-19 -------8.-_. 6.-----4- - _ U -value -11 -- ... _Q.80 __,,1 53 - .--114 _ .. -76. -4. 0.50 -91 -68 -46 R-11 0.30 -47 36 .24 .2 0.10 0 0 0 .2 0.08 4 3 2 -5 0.06 9 7 5 - 0.04 14 11 7 One 0.02 19 14 10 R-0 0.00 24 18 12 0 3. Raised Floor Insulation 8 5 Insulation In Floor R-7 8 Number of stories 3 R -value One Two . Three R-0 44 -17 -8 -5 R-11 -3 .2 .1 R-19 0 0 0 R-30 3 1 1. _ U -value Glass Single Double .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 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 13 27 Number of stories -17 R -value One Two Three R-0 -11 -7 -5 R-5 -4. -4 3 R-11 -2 .2 .2 R-19 .-1 .2 -2 4. Slab ledge Insulation -5 1 8 Number of Stories _ R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 4 10 1s 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. Infiltration (Air Leakage) Specification Points Standard o 6. Glass Heat Loss -14 -48 -69 Total %Glass North East South :West U -value 18 5 Percent 4 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 •37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 .9 -2 6 13 26 -49 -15 _8 -1 7 14 25 -46 -14 -7 -0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 .2 4 10 1s 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 5 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Ptrealt Class (Percent glass x SC) Effective -14 -48 -69 -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 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 2 3 4 3 lB. Shading (Shade Closed) Effective Percent Glass (Percent glass x SC) %Gctim iese North East South West Skylight 18 -14 -48 -69 -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 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 3 -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 rta • not allowed 9. Interior Thermal Mass X = Interior X Slab Floor Raised Floor SEER Mass -5 Stories Stories -4 3 ]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 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 it 13 14 14 8.5 7 10 12 13 • 14 15 10. Exterior Wall Thermal Mass -4 Exterior -5 Single- Single. 3 -2 Wall 7.0 Family Family Multi 0 Mass 0 Deleched Attached Family 0.00 5 0 0 0 9.0 0.20 14 12 3 2 1 5 0.40 22 5 4 3 10 0.60 11.0 8 6 4 15 0.80 8 10 8 5 26 22 1.00 14 13 10 7 33 1.20 20 13 12 8 or 1.40 to 12 13 9 8 7 1.60 4 10 13 11.. 2199 1.80 SG 10 12 12 0 200 0, 10 11 13 Solar 11. Heating System 7 5 d ,i3r',_ HP SE or HSPF ' 9 5 3 (assumes ducts In attic) 2 1.8 WSB 9 Sum of 1-6 _ 2 2 13 -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 _23 _12_8 Efrective SE or HSPF -6 -5 (SE or HSPF x duct efficiency) None Effective -25 or -24 to -14 to :4 to +610 16 or SE HSPF less -15 -5 +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 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 1.6 Zonal Control Adjustment 2 System Type 2.6 28 3 Resistance 10 9 7 6 4 3 Other 4.3 6 5 4 3 2 2 12. Cooling Syst.:m X = X = SEER One -5 -4 -4 3 (assumti ducts to attic) Two + 3 3 Sim of 7-10 2 2 1 single -Family -25 or -24 to P-1410 -4110 +610 16 Or SEER less -15 1 5 +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 Solar -1 -1 -1 0 0 Efredive SEER -18 -12 -9 (SEER xduct eMclenc7) -6 WS8 Suit of 7-10 -16 -12 Effective -25 or -24 to -14 lo -4 lo . +610 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 8.0 9 8 6 5 4 3 i 9.0 16 14 12 9 7 5 10.d 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 or Zonal Control Adjustment to to 10 8 7 6 4 3 No Cooling System Installed -Stories X = X = One -5 -4 -4 3 -2 -2 Two + 3 3 :: 2 2 2 1 single -Family Detached and Attached = X IUnit Size (sQ Water = .09 71200 1700 2200 2700 Heater l:reddor • to to to or Type Type less 1 1699 2199 2699 more SG None 00 0. 0 0 or Solar 12 '.I 8 6 5 4 HP HWR 8 5 4 3 3 le.tp.t.d .IDI WS8 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 15 .12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WS8 -25 -16 -12 -10' -8 70% POU -18 _-12 -9 -7 -6 IG None -5 -3 -2 _ -2 -2 10% Solar 7 5 4 3 2 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 .9 its% Solar 8 5 4. 3 3 0.6 POU -10 3 -5 -4 -3 21 Multi -Family (individual units) 29 3.2 U 3.6 Unit Size (sq 4 Water 4.4 699 700 1200 1700 2200 . Heater Credit or tor` to to or 1 TYPO TYPO less 1199 1699 2199 more SG None 0 0 0 0, 0 or Solar 14 7 5 d ,i3r',_ HP HWR 9 5 3 2 2 1.8 WSB 9 4 3 2 2 13 POU 9 5 3 2 2' SE None 45 -23 -15 (+-y 11 �-i 0.S Solar 2 1 1 0 0 2 HWR -23 -12 -8 -6 '-5 3.5 WSB -25 -13 -8 -6 -5 4.9 _ POU _23 _12_8 - -6 -5 IG None -8 -4 -3 -2 ; -2 24 Solar 6 3 2 1 1 3.8 POU 1 0 • 0 0 0 IE None -30 15 -10 -8 -6 1.3 Solar 18 9 6 4 4 27 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 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. IntirioThermal Mass � �-10.1Exteri6ra411 Mass /i'11. Heatingm ;Syst Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value 1381 U-valuc (0.0301 or R -value II I) U -value [0.0981 or R-value[191 U -value [0.0371 or R -value 101 F2 factor 10.771 Standard Type (double] U -value (0.65] % Tool Glass 1161 t% Glass SC Eff. % Glass Point Scores Sum 1.6 X = X = X = X Interior Mass/CFA = % Glass SC Eff. % Glass X = TM 2 loss X = X = X = - = TYPE 1 MASS AREA $ a COND. FLOOR AREA InteriorNtss/CFA Il.l.V711C�..:) TYPE 2MASS AREA = $ EzteriorWalllvlass ND. FLOOR AREA Sum? -10 4 TYPE 1 PASS (e1MC a 4.2, lea e= sed slab) Duct Efficiency [0.781 Effective SE or [0.77/6.61 HSPF [0-W5.151 X = SEER (9-51 le.tp.t.d .IDI Duct Efficiency (0.741 Effective SEER [7.031 -�- 40% 4S% W% Sit 70% 7S% 80% 100% 105% 1107: 140% 0% S% 10% 15% toy. 2S% 30% 3S% 50% 5S% SW. 90% 9S% its% 12s- 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 2.3 25 27 29 3.2 U 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 JOY. 02 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 27 2.9 11 13 15 17 4 4.2 4.4 4.6 -7.8- 5 5.2 5.4 2o% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 13 15 11 19 4.1 4.3 4.5 4.8 S 5.2 5.4 56 30% 0.S 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 26 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 407'. a7 09 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 16 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% &9 1.1 1.3 1.5 1.7 1.9 21 23 ZS 27 3 32 U 3.5 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 22 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 S3 5.6 5.8 6 6.2 6o% 1 12 1.4 1.7 1.9 21 Z3 25 27 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 3.2 14 3.6 3.8 4 4.3 4.5 4.7 4.9 S.1 53 55 5.7 5.9 6.1 64 7011. 1.2 1.4 1.6 1.8 2 22 25 27 29 11 13 15 17 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 62 64 75% 1.3 15 1.7 1.9 21 Z3 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 5.1 6.3 6.S 807: 1.4 1.6 1.8 2 2.2 2.4 26 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 S.1 S.4 S.6 5.8 6 62 64 66 65% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 5.6 59 6.1 63 65 67 9W.' 1.5 1.7 2 2.2 24 262.6 3 3.2 3.4 3.6 18 4.1 4.3 4.5 4.7 4.9 5.1 53 5.S 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 22 25 27 29 3.1 33 3.5 17 19 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100'1. 1.7 13 21 2.3 ZS Ze 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 St 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 rosy. 1.8 2 22 2.4 2.6 28 3 13 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 Z3 2.5 27 Z9 11 13 16 3.8 4 42 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 Z4 Z.6 2.8 3 3.2 14 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 S3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 23 2.5 2.7 29 3.1 13 1S 17 3.9 4.1 4.4 4.6 4.8 5 S.2 5.4 S.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 2.5 2.8 3 3.2 14 16 3.8 4 4.2 tt 4.6 4.9 5.1 5.3 15 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 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. IntirioThermal Mass � �-10.1Exteri6ra411 Mass /i'11. Heatingm ;Syst Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value 1381 U-valuc (0.0301 or R -value II I) U -value [0.0981 or R-value[191 U -value [0.0371 or R -value 101 F2 factor 10.771 Standard Type (double] U -value (0.65] % Tool Glass 1161 t% Glass SC Eff. % Glass Point Scores Sum 1.6 Type [SGI Credo [none] Point Total: X = X = X = X X = % Glass SC Eff. % Glass X = X = X = X = X = TYPE 1 MASS AREA $ a COND. FLOOR AREA InteriorNtss/CFA TYPE 2MASS AREA = $ EzteriorWalllvlass ND. FLOOR AREA Sum? -10 X - SE or HSPF Duct Efficiency [0.781 Effective SE or [0.77/6.61 HSPF [0-W5.151 X = SEER (9-51 Duct Efficiency (0.741 Effective SEER [7.031 Type [SGI Credo [none] Point Total: Certificate of CotnpLlance: residential G Title 5 Project Address rMAIN 40ve-i) Documentadon Author Ciimate Gone 11 Buildin �d 7Q� O (� Caedced By / Date Fntomenent Agency Use Only AC Oj �M1 Cer r7 Glass Area %Glass BUII.DING DATA 2 North . .64-5, Conditioned Floor Area--7�j�� Slab/Raised Floor Number of Stories Number of .Units East South �— , [ Single Family Detached (SFD) [ J Addition Alone West f Z (] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi-Family(MF) [ ] Existing -Plus -Addition Total -5-, 77 BUILDING SHELL INSULATION Component Insulation Locafinn/Camments Type R -Value (astir:, :o gang4 t 2i=4 etc),:, Wall .............. Wall .............. Roof ............. Roos' ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (yollcr blind, etc.) (shadescreett, etc.) (ye*o) (metal/wood) North ( ) North ( ) East ( ) East ( ) South Sou Lh ( ) West ( ) West ( • Skylight........ 2V• THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen, bath. etc.) 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) ti —i'-7- ?moi�. ��� lv Maximum Furnace Heating Output:10& 3- Btuh SUI MG DEPARTMENY— HOT WATER SYSTEMS Tank Manufacturer/Model # / D System Type (storage gas, etc.) Capacity (or approved equal) Spr� (� V _�5 t G e 5-0 H Arc SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOT1; (.owrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (,)maybe superseded by more stringent compliance requuernum listed on the Certirrcuc of Compliance. Wben this checklist is incorporated into the permit documrnta, the features noted shall be considered by all parties as binding minimum component perfommangx specifications for the mandawry measures whether they arc shown elsewhere in the documents or on this chadlist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(bY Loose fall insulation manufacturer's labeled R -Value. ° §2.5352(c): Minimum wall insulation in framed walls R -I I weighted average (does rat apply to exterior mass walls). §2-5352 ft Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate nes greater than 2.0 poWuxh. 12-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards- Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only, §2.5317: InfilawiceVEafilt ation Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c Doors and windows weatherstripped; all joints and penetrations caulked and sealed 62-5352(e): Special iardtration barrier installed to comply with 02-5351 meetsCEC quality standards. §2.5352(ft Installation of Fueplaces I. Masonry and factory -built fireplaces have a. Tight rating, closable 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 12-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 12.5316(a): Ducts eonstnrcted, installed and insulated per Chapter 10, 1976 UMC. §2.53I6(b} Exhaust systems have damper control:. 42-5314(c): Gas -rued space heating equipment has intermittent ignition devices, i §2-5314: HVAC equipment, water heaters, showenccads and faucets certified by the CEC. 12.5352(i): Water heave insulation blanket (R-12 or mpeater) or combined imerior/eate6or i insulation (R-16 or grater); fust 5 feet of pipes closest to tank insulated (R-3 or greater), §2.5312(Eaception 1): Pipe insulation on steam and steam condensate return & recirculating I piping. t §2.5318(d): Swimming Pool Heating 1. System has a. On/off switch on heater. b. Weatherproof instruction plate on Ante: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inIcL a Lighting and Appliance pleasures 12.53520): Lighting - 25 lumens watt or greater for general lighting in kitchens and bathrooms. i §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers. fmczczs and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of ootnpliance lists the. building featur» and perfonnanice specifications needed to comply with Title 24. Chapter 2-53 and Title 20. (1aptrx 2. Subchapter 4. Article I 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 purdmwr of the building. Designer Name: Tule/t=tma: Address: Tick -phone: Lic. (signature) (date) Documentation Author Narm: Titk/Firm; Address: Building Owner Nam= Titk/Fimt: Address: Tekphon= r name) (date) Enforcement Agency Name: Ag—y' Telepionc 11 1. Ceiling Insulation U -value Number of stones Number of stories R -value One Two Three • R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 .1 R38 0 0 0 U -value 0.02 19 14 10 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. O.C6 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 0.04 -1 0 Single- Single - 4 2 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 -4 -4 3 R-11 U -value -14 Number of stories - ._..�_. ,Q.80._- - _ �- _ � .-76 0.50 91 68 46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -46 0.50 Insulation in Floor -58 ;.a S. Infiltration (Air Leakage) Specification Points s'mrtdard 0 6. Glass Heat Loss -14 Number of stories -69 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 -121 -53 -39 - --.-.0.60 . -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 30 0.30 59 -34 -22 0.20 -13 -21 -14 0.10 -17 .8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 " Controlled Ventilation Crawispace 26 -49 Number of stories -8 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 .-1 -2 -2 4. Slab Fdge Insulation 2 -" - Number of Stories 37 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 10 16 19 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. Infiltration (Air Leakage) Specification Points s'mrtdard 0 6. Glass Heat Loss -14 -48 -69 Total %Glass North East South ':West U -value 18 5 Percent 4 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 .7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 _18-26 -11 -9 -3 __-2.. -7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1. 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) - Effective Pemstt class (percent glass x SC) Effective -14 -48 -69 -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 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 2 3 4 3 8. Shading (Shade Closed) Etteetive Percent class (percent grass x SC) Effective %Gists NoM' East South West Sky*1 18 -14 -48 -69 -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 35 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 .2 -9 -11 -10 .30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 9. Interior Thermal Mass Raised Floor Insulation = Interior Slab Floor Raised Floor Mass Stories Stories One /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 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 -9 Exterior Simple. Single. 2S WS8 Wall Family Family Multi -10 Mass Detached Attached Family 0.00 0 0 0 -15 5 0.20 3 2 1 5.0 0.40 5 4 3 -13 0.60 8 6 4 -11 -9 0.80 10 8 5 6.6 1.00 13 10 7 _2 1.20 13 12 a 0 0 1.40 12 13 9 8.0 1.60 10 13 11...: 4 1.80 10 12 12 i 200 10 11 13 1 11. Heating System 19 16 13 10 SE or KSPF 11.0 26 23 19 (assumes ducts In attic) 12 8 120 Sum of 1.6 26 22 _ 14 .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 HP Effective SE or HSPF 9 (SE or HSPF x duct efficiency) 3 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 5 +5 +15 more 4 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16. 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m Raised Floor Insulation = or X = SEER One -5 -4 -4 3 (assumti ducts In attic) Two + 3 3 Stm of 7-10 2 2 1 single-Famn7 -25 or -2410 P14 b -4 b +6 to 16 at SEER less •15 15 +5 +15 more 8.0 -14 -12 -10 -8 5 -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 ` Solar -1 -1 .1 0 0 1.1 Effestive SEER -18 -12 -9 (SEER xduct of 1dencl) -6 2S WS8 St:n of 7-10 -16 -12 -10 Effective -25 or -24 to -14 b -4 b . +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 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 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 to Zonal Control Adjustment or Type Type 10 8 7 6 4 3 No Coolin; System Installed -Stories Raised Floor Insulation = or X = R -value 1191 One -5 -4 -4 3 .2 -2 Two + 3 3 .. 2 2 2 1 single-Famn7 Detached and Attached = Type [doublet Unit Size (SO 7. Water = :199 _ 1200' 1700 2200 2700 Heater Credit or • b to to . or Type Type Wss.�1699 InteriorNus/CFA 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 ' 8 6 5 4 HP HWR 8 5 4 3 3 Duct Efficiency (0.74) Effective SEER [7.03] WSB 5 3 3 2 2 25% POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 ` Solar -1 -1 .1 0 0 1.1 HWR -18 -12 -9 -7 -6 2S WS8 -25 -16 -12 -10 -8 4 POU -18 _-12 -9 -7. -6 IG None -5 -3 -2 .2 -2 1.4 Solar 7 5 .4 3 2 11 POU 3_ 2 1 1 1 IE None -28 -19 --14 5.4 -11 .9 0.6 Solar 8 5 4 3 3 2 POU -10 -6 -5 -4 -3 15 Multi-Famlt7 (Indlvldual units) 4.1 4.3 4.S 4.8 I Unit Size (so 5.1 Water 56 699 700 1200 1700 2200 Heater Credd or b to to or Type Type fess 1199 1699 2199 more SG None 0 0 0 0 r0,. or Solar 14 7 5 4 3 i HP HWR 9 5 3 2 2 12 WSB 9 4 3 2 2 4.7 POU 9 5 3 11/Ig12 SE None -45 -23 -15 -11 -9 1.9 Solar 2 1 1 0 0 14 HWR -23 -12 -8 -6,.q 5' 4.6 WSB -25 -13 -8 -6 t -S 5.9 _ POU _23 _12_8 1.1 -6 5 IG None -8 -4 -3 .2 ; -2 32 Solar 6 3 2 1 1 4.7 POU 1 0 0 0 0 IE None 30 15 -10 -8 -6 21 Solar 18 9 6 4 4 3.5 POU -8 . -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value 1381 U -value [0.0301 2. Wall Insulation or R-value[III U -value 10.0981 3. Raised Floor Insulation = or X = R -value 1191 U -value (0.037) 4. \Slab Edge Insulation X or Interior Mass/CFA R -value [01 F2 factor [0.77) S. Infiltration Standard 6. Glass Heat Loss TT►t 2 IMss X = Type [doublet U -value [0.65) % Tout Glass [ 161 7. Shading (Shade Open) = l "J _ ( '� Sc Eff. % Glass TYPE 1 MASS AREA _ % COND. FLOOR AREA InteriorNus/CFA 11rpo..11 (c�ted tW .l..l TYPE 2 MASS AREA 9 Exterior Wall Wass C ND. L OR AREA Sum 7-10 t TYPE 1 MtSs (UIMC a 4.2, Le: exposed _ e slab) - HSPF [0-6/5.151 X = ,.. Duct Efficiency (0.74) Effective SEER [7.03] 0% 5% 10% 1S% MY. 25% 30% 35% 40% 4S% SO% SS% 60% 6556 70% 75% W% 857 90% 9S% IWY. 105% 110% 1tS% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 21 23 2S 27 29 32 14 16 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 19 21 23. 2S 27 2.9 11 13 IS 17 4 4.2 4.4 4.6 ' •4.8- S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.8 1.8 2 22 24 27 29 11 13 15 11 19 4.1 4.3 4.S 4.8 S 5.1 5.4 56 30% QS 07 0.9 1.1 1.4 1.6 1.8 2 22 24 28 28 3 32 3.S 17 39 4.1 4.3 4.5 4.7 4.9 S.1 5.3 S.6 58 40Y. 417 0.9 1.1 1.3 1.S 1.7 19 22 24 26 2.8 3 12 14 16 18 4 4.3 4.5 4.7 49 5.1 S.3 S.5 5.7 5.9 SO% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 14 3.6 18 4 42 4.4 4.6 4.8 S.1 5.3 5.5 S.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 15 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.6 S.8 6 6.2 60% 112 1.4 1.7 1.9 21 23 25 27 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 29 11 13 15 17 19 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 62 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 12 14 18 18 4 4.2 4.4 4.6 49 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 11 19 4.1 4.3 4.5 4.1 4.9 5.1 5.4 56 5.8 6 62 64 66 65% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 11 3.3 3.5 18 4 4.2 4.4 4.6 4.8 S 52 54 5.6 S9 6.1 63 65 67 90%' 1.5 1.7 2 2.2 24 26 28 3 3.2 3.4 3.8 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 22 , 2S 27 29 11 33 3.5 3.7 19 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 19 21 2.3 2S 28 3 12 3.4 16 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.1 7 10S% 1.8 2 22 2.4 26 28 3 13 3S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 23 2.S 27 29 11 13 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 262.8 3 3.2 14 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 13 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 23 2S 2.1 29 3.1 13 1S 17 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 25 28 3 3.2 14 3.6 18 4 4.2 4.4 4.6 49 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value 1381 U -value [0.0301 2. Wall Insulation or R-value[III U -value 10.0981 3. Raised Floor Insulation = or X = R -value 1191 U -value (0.037) 4. \Slab Edge Insulation X or X R -value [01 F2 factor [0.77) S. Infiltration Standard 6. Glass Heat Loss X = Type [doublet U -value [0.65) % Tout Glass [ 161 7. Shading (Shade Open) = l "J _ = % Glass Sc Eff. % Glass 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 1' 1VE-3derior Wall Mass •ill. Heating System _Zonal Control? ( Y / N ) ' : I- ) C A °' 12: -Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores 0 Sum 15 Type (SG] Credit [none] Point Total: X = X = X = X = X = % Glass SC Eff. % Glass X = X = X X = X = TYPE 1 MASS AREA _ % COND. FLOOR AREA InteriorNus/CFA TYPE 2 MASS AREA 9 Exterior Wall Wass C ND. L OR AREA Sum 7-10 X = SE or HSPF Duct Efficiency [0.78) Effective SE or [0.7216.6] HSPF [0-6/5.151 X = SEER 19-1 Duct Efficiency (0.74) Effective SEER [7.03] Type (SG] Credit [none] Point Total: