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027-350-170
�- -i3,67-;-`91B,-P.; E; M { F ALAZAR ; Cynthia., --y - x�� q ' 021!Cgx Ln, 'Orovl-le Cont: `'Barry Scott -' PERMIT#95-2062. ; SALAZAR Cynthia , 2021 Cox Ln.; Oroville a' Y. Cont; :Don ,Scribner Cosnt. f New Pri Det "Garage_ 1 s 1 y , T I t c��; ^ �� u7 `l j( I 7 RESIDENTIAL 1 _ '"__17=22-170-- -- 13'67-919,p-, E, iq � SALAZAR, Cynthia 2021 Cox Ln, Oroville Cotn: Barry Scott (new sf) 3 r, i y OFFICE COPY Address ~ L RI ��Date Y OFFICE COPY ' Address '162-f f GAS Date 4 Meter By 4— ELECTRIC Meter By Dat JOB FINALE Signature v=OK O = Not OK =N tRpeaad�ab)e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s' 1. Zoning Requirements -Setbacks -Easements t 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete . 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L" it./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except # o 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel, 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability. , 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL (Single & Duplex) = Date UND RFLOOR (Plans) OK except #'s oning-Setbacks-Easements-FI d -Slope _ Ftg., Main; Soils-Elec. Grnd. Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. FtI., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped mwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped _ iers-Fireplace Ftg.-Steel 9 D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test as Pipe; Size -Anchors ji-water Pipe; Test-Anchor-Regulator-Servitst 12. Electric; Underground 13. Pienu & Ducts; Clearance -Material -Support -Ins. ers-Sills-Anchor Bolts -Joists -Vents -Cripples 1 Insulation Date- and B Date Card B-1 Date and B-1 Date Card B-1 Date PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle 1LWater Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -er Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access aas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date AL-CCTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 2 Elec. Receptacles Spacing -Lights & Switches at Doors 24. Siz oxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 2 uip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. FBenge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. - Insulated Neutral 0 Yes 0 No e 'ce-Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. 32. thes 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 #'s ucts Insulation & Support 35. Ve Fan; Exhaust above insulation 3 fi_ondensate Drain &Overflow; Size &Grade 37. Ftirnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date RAMING (Plans) OK except #'s Sils, Proper Material & Anchors Ae-Walls Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing Walls over Girders & Floor Nailing �4 raft Stop in Walls (rat proof) 48K-f7rStops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat clearance 8. Atli Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions rage Fire Protection Framing 51. Property Line Firewall & Openings 52. fr Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Siding -Nailing Veneer 5jueco Mesh -Drip Screed -Fd. Vents-Underflr. Access A, -!r7_ Glazing Area -Glass Protection -Skylights -Plastic Sh r Walls; Nailing -Bolts 5 solation -Walls -Ceilings 60. Infiltration -Walls -Windows Dat and B-1 Date Card B-1 Date - -.i/ Card B-1 Date Card B-1 Date FlbtAt(Plans) OK except #'s _!, ' 02Ext. Steps -Door & Sidelight Protection -Landings a S ke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garaqe: Above Floor-Ducts-Mech. Protection . /65. GiF I. & Bath Fixtures & Tub Access -Spa �/f .Trim & Subpanel; Breaker Sizes & Labels 67, air Rails Fir or Stove; Clearances -Hearth 1 Flee. Outlets at Wood Panel; Int. & Ext. v1_0. . & Appliance; Grnd.-Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter 72. rage Fire Door; Swing -Landing -Closer C. Duct in Garage -Damper leWtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. V In Garage; Above Floor-Mech. Protection ,_WfJtb Elec. & Mech. Equip. Listed for Location 6 c. Receptacles in Garage; (G. F.I.) -Rome x P otection u nation -Foam -Looked in Attic LEIYes L/,. '(78.' uard Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage ood-Earthl Clearance Looked under Floor _-Yes Following instld.; Drive Yes WNo; Walks WT Yes ❑ No; Planters ❑ Yes PNo �, X83-9tacCt7' Brown -Finish nit; Disconnect, Electrical, Plumbing Vent Above Roof; Plbg.-Appliance-Fireplace.-Clearance to f♦/84.VAKFF Well; Disconnect, Electrical, Plumbing _26. ExtaAoT-Elec. Trim; G.F.I. Receptacle -Underground f1- _.8G Ventilation Throughout House Glas Protection rrections from Previous spections Gas Test -Meters T EI c 90. W ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date / / I Card B-1 Z Date Card B-1 Date - _Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) p ENERGY C F: RTA F I C ATJ 0 14 AL CONTRACTOR r -OWNER _) STATE CONTRACTOR'S LICENSE # S81;NATURE a MAWKINS INDUSTRIES INC. F;IR!l NAME I A TU R E 1-14 -_-v - ? / DATE 622184 STATE CONTRACTOR'S LICENSE # DATE 42 n0.fmr-:R AND STREET ("ll, y t C 0 L I WIFY SUBDIVISION LOT NUMBER DESCR-1 I'll (III OF INSULAI-1011 Pc;bf, MATERIAL BRAND NAME IfICKNESS (INCHES) THERMAL RES. t)(it"hIOR WALL 11,ATERIAL TYPE Fiberglass BRAND NAME CertainTeed T"4A1lCKNEqS ( INCHES) THERMAL RES. C E I 11' N G Bkl'T OR BLANKET TYPE Fiberglass BRAND NAME Certain'reed 1','.ICKNESS (INCHES) THERMAL RES. "LDOSE PILL TYPE Fiberglass BRAND NAME InsulSafe 111 THICKNERS (INCHES) A;2- THERMAL RES. 30 FLOOR, ELEVATED MATERIAL-, Fiberglass BRAND NAME CertainTeed jk . HI.CKNEqS ( INCHES) THERMAL RES. FLOOR, SLAM IIATERI A L. BRAND NAME imclIF-S) THERMAL RES. :-WIDTH 7301,4DATIO1.1 WALL A i TERIAL BRAND NAME 'THICKNESS (INCHES) THERMAL RES. HEATING sysTEH !AKE MODEL i'iATED BONNET CAPACITY T! DECLARATION I. .HEREBY CERTIFY THAT' THE ABOVE INSULATION WAS INSTALLED IN �11E.-I"ImILDII-IG AT THE AF30VE LOCATION IN CONFORMANCE WITH THE CURRENT REGULATIONS SETTING ENERGY CONSERVATION STANDARDS FOR':; FEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24 1 OF THE GA " "PORNIA ADMINISTRATIVE CODE). AL CONTRACTOR r -OWNER _) STATE CONTRACTOR'S LICENSE # S81;NATURE a MAWKINS INDUSTRIES INC. F;IR!l NAME I A TU R E 1-14 -_-v - ? / DATE 622184 STATE CONTRACTOR'S LICENSE # DATE 42 t r '�"•1f•'i�•[V1vY'/'^�. � 'i.-'�.I''y„��I-�'.'V+r-'�"'�_ '" IIT"••�.�.. % �i�� /�L .L/"Vr+r COUNTY OF BUTTE DEPARTMENT (W.- PUBLIC WORKS 196 Memorial,Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 Inspector COUNTY OF EJUTTE DEPARTMENT OF PUBLIC WORKS —" 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 r 747 Elliott Road, Paradise - Phone: 872-6307 CORRECTION NOTICE VNER PER IT4 .- 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 you completed. If have an p y y question pertaining to this matter,oy ed additional explanation, please contact this office immediately.\ to inLI � s Date- `` IS —!3 1 Ins COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS; { 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive; Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3�7 INER PERMIT NO. t r A routine inspection indicates that the following violations of. County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phorie: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Z•m. / X97 z A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please%contact this office immediately. Date �� Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cali? Iornia 95665 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r�0 g.r ASSESSOR PARCEL NUMBER 27-22-170 ZONING ` A5 BUILDING PERMIT OWNER , , C°nthia Salazar TELEPHONE 534-9603 SO. FT. OCC. BUILDING VALUATION 1500 R 76 500 OWNER:S MAILING ADDRESS 1960 Helman St., Oroville 95965 528 M 9,504 CONTRACTOR'S NAME Barr Scott TELEPHONE 386 Cov 5,018 CONTRACTOR'S MAILING ADDRESS Fireplace"A" 1,500 CONSTRUCTION LENDER Feather River State Bank UNKNOWN Total Valuation Is 92,522 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Yuba City Permit Fee $ 412.00 ARCHITECT OR ENGINEER One LICENSE NO. Plan Checking Fee $ 206.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2 Cox Lane Oroville Permit fee $ 643.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 S Solar or heat pump water heater 20.00 LOT NO. 11 SUBDIVISION NAME Valencia Tract PARCEL MAP (� - Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ©X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 9-00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 2$R _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main sere ice EA. ACC'LJMrP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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. 1-1i, 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) ontract- 04 I, as the owner, am exclusively contracting with licensed contract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADDNS. 1 ( DWELLING OCCUP.8d) ACC. BLDGS. yZr>sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS APPARATUS IN (SINGLE OUTLET CIR. 200301 Ex. OCCUp OUTLETS OR FIXTURES &AL030 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heatin ro ane wall furnace 6.00 Cooling eva coolers 2 6.00 12.00 Hood 3.00 3.00 Ventilation 1 13.00 3.00 Permit Fee $ 34.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County oto 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 conse uence of the granting of this permit. X =�- Date 6 NA y �/ Sign tura of Applicant - Owner 9 Contractor ❑ Agent ❑ An OSHA permit is required for excavation ove 5' " deep and demolition or construct- ion of structures over 3 stories in height. / Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 c CONS TYPE �/�/ TOTAL F E $ 826.20 1 HAz. CUA PARK scH FL coF PA PD I Ho Issu This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. D E OR OF UBLIC WORKS l By Date PER )I REe Date I L Receipt No. 565._U (8``9(0��{{7��4-261.00// WHITE-D.P.N ELLOV7= 3g0R, PINK -INSPECTOR, GOLDENROD -APPLICANT .. .. .. .. .. � Y �...' Y." . y . . r �.. .�..�i `c r �. ,_ ..-yi'7•.r•-+ S 'R:'►..! .,.i'�'' _� 7. �(-ice'~ •v; -r- .. COUNTY OF BUTTE - DEPARTMENT'OF"PTIV3LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA; 95965 - TELEPHONE: 916/538-7541 PERMIT PPLICATION=DATA SHEET . Permit No. OWNER t a So 4 2 a lt,� A. P. No. Proposed Building Use A-1 Lt 5j ), Building Inspector Date �� f 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 .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions..�GS 10. Fees of $_ Q 11. Chico Urban Area fees paid ....................................... 12. Park fees...... .... 13. 00) p716 i S ool Distr)'}t fees paid .............. a 14. Sanitation approval from �(7 LJ / /! C' Health Department 9/ 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. Driveway permit (construction approval required prior to occupancy) 5-6-q/ /20 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 ❑) ..... 124. Recorded copy of Agricultural Acknowledgment Statement ......... _5--_20-q/ 25. Letter of signature authorization .............. ................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 534 _960-_l and hold for pickup at 0 C office. Deliver w/inspector. ther Applicant Date �,4y 9/ Copy of Hinz -Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri to permit issuance: (Cir le pew it m not checked above). 1. Index permit for above items No. Z 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nall-counter by -.date Contractor, designer, owner, was advised of above required data by -phone -mal l -counter by date Plans checked by Date Plans approved by Date4--Z 7-- Sets of plans on hold in File cabinet AP folder Copy -DPW TO: Building Department FROM: Encroachment Permit Section RE: Diiveway Clearaoce Sol Z ZO Z 7— A P #owner location Driveway permit yl o `Yg 3 4�5 has been issued for the above property. n b �a 1e' date sign re TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance owner Location AP# Plan Approved for: Sewage Disposal �- Water Suppd'� Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom ze home. Other NOTE �e,e Sanitarian Date TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance G Sa I CL -2- _Ct r _..� Owner Location AP# Plan Approved for: Hold final for: Sewaqe Disposal _ Water Supply !L-�I Final clearance O.R. for: Clearance for C) -bedroom mobile �e- Other NOTE * * * Water Supply Water Supply Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Carifornia 91965 - Telephone: 916/538-7541 APPLICAT . RMIT ASSESS R PARCEL NUMBER ZONINyy�� BUILDING PERMIT OWNER C f CI_ va TELEPHONE Q z 2r 5 _c�� SO. FT. OCC. BUILDING VALUATION 0 - Q OWNER'S MAILl�7N/G f DDRESS % /760 L!t?[ZarYL n0v6 �l C1 �5�� `Q CTRACTOR'S 117 AOc I `\J TELEPHONE n o✓ Q CONTRACT R'S MAILING ADDRESS Fireplace 1L` CobiSTR U¢TION L�'p ER 1 /—G'atl2C�r K",VEir^ fi CP Vl UNKNOWN Total Valuation $ FilingFee C $ 10.00 LENDER'S MAILING ADDRESS 1l 1 "l u � �� �f Permit Fee $ ) Q ARCHITECT OR ENGINEER - LICENSEo. Plan Checking Fee $ BOG. D Energy Plan Checking Fee $ 66 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ �3 D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 //0.00 Solar or heat pump water heater 20.00 LOT NO. I SUBDIVI IO NAME a l F Vl C ✓�bt�� PARCEL MAP Water piping 5.00 p Each qas water heater or vent 5.00 p r� USE OF STRUCTURE SF [] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5 n Building sewer 5.00 ` DD Mobile Home SG W 1 0.00 ea TYPE OF WORK NewVSt Addition[] Remodel Utilities[] Installation❑ Other ❑ Describe work: C2 t � Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;$o AMP V OR ORSLESS 10.00 0,00 Main service EA. ADD'L too AMP 2.50 oj,3 0 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occu OR ACDNS. ( ACC. BLDGS. �% , h0sq ft SO, NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t eALe 30 FIXED PR Ex. Occup. OUTLETS (RESID 1EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heats g lin Cooling va �vlors G.cpc? /a.00 Hood 3.00 3, 00 Ventilation / 00 1 3 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 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE oo{� TOTAL FEE $ g lam// . d HAz. CUA PARK CHL SF FLD CD PAR PO I HO. I SSUE This permit is hereby issued unser 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 PERMIT EXPIRES Date + ©? — a (o Receipt No. WHITE-D.P.W.. TtLLO As R, N CC OR, LDrNROD-APPLICANT e-/ RESIDENTIAL PLAN CHECKING GUIDE. .(S.F., DUPLEX & MISC. ONLY) 12/90 j/ Bldg. Permit # OWNER (. •t/ Ci (A?� Ca A.P. # ZZ��iL Plan Checker.. GENERAL 5;oning requirements: (sideyards and number of_permitted.living units). aluation. ans signed by designer. ta! Proper description of work on application. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc)._>' 7---lleeeed- PLOT PLAN - ���Setbacks, mplete parcel size and dimensions. sideyards, easements, etc. ;�-�l o o !dhazard. 6. o n-dttiona on crea ion map,not , _ FLOG PLAN omplete to scale plan with dimensions. -~- equired windows for light and ventilation (Seca 1205). Required windows for second exit (Sec. 1204). Human impact .glass (Sec. 5406). 6�jRequired room sizes, ceiling heights (Sec. 1207): 17/ AGI -s in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, .switches, receptacles, and exterior, receptacles for. main - of of mechanical e uipment. _ Locations of wate eater, hea an q n other electrical o gas equipment. _9x--gas firewall, door size, and closer (Sec. 503(d)(3)). 13'0" exterior exit doo (sec. 3304 (f): e a wooa �ov� location, alcove—s r�i e. �,12r.' § oke detectors (Sec. 1210) . 1*-. Plumbing fixtures, water closet clearances and shower size.. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) - equiring la„ rPr�l�c;on.,,_, dation plan complete enough to construct building. oor construction details complete enough to construct building. .evations and wall construction details complete enough to construct building. 6 --"'Roof construction details complete enough to construct building. %/ j� r cs 4,, -'A -after ties or bearin rid eam. �KuSj�S Gara oor or ch siz stud heights. 1- u v�e-s eE }ate €er9d� g n. • b 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR C. per roof pitch for roof convring (Chapter 32). Roof covering type - (fireA aazzard). 36" halls and stairways. Q r side n nes - ). 1 attic access and ventilation (Sec. 3205). l U erfloor access and ventilation (Sec. 2516). . Com ustion air for fuel burning appliances - L.P.G. requirements. • ergy design. AAA ZA 5^3 cf— cl�03 Flashing at all exterior openings. re S Gfa /� %NfJEi C.( alt J CERTIFICATE OF COMPLIANCE: Residential Page 1 -CF-1R Project Title: SALAZAR ' . Run: 129 13 -Mar -91 Project Address: COX LANE SALAZAR --------------- ORIVILLE, CA Building Title: SALAZAR Building Permit # Document Author: KENNETH MARKLEY Telephone: Area 916 phone 673-2615 ---- ------------ - plan ChecT / Date Compliance Method: CEC CALRES, Version 1A0----------------------- hecR./ Date Climate Zone: 11 /F-TeldGENERAL INFORMATION Conditioned Floor Area: 1500 ft2 Building Type: SFD Single Familyhed Building Front Orient 180 deg (South) Number of Dwelling Units: 1 Floor Construction Type: Raised floor Infiltration Control: `^ CEC _ Standard ,� / BUILDING SHELL INSULATION Area -/ Component Insul Frame Orientation ----------------- Type R -value Locat and Fins Type Door Door ~ 0 0 Outside Uncondition ' / ���^�"y --� Wall 19 Outside�-- Window ' Wall 19 Uncondi d 23800 Ceiling 30 Attic East "33.3 2Clear Floor 19 Crawlspao�� None Metal GLAZING Glazing Area ' ior Overhang Frame Orientation ----------------- (f t2) Pa _____ __/,Clear _____ Shading%ading _______\-- Typeiency �------�----------- and Fins Type Window South 64.0 2Clear Furnace Lght Dr ___ ________ Overhang ----- ___ Metal Window East 10.0 2 Attic Lght DrOverhang 23800 CH16-31 Metal Window East "33.3 2Clear Zonally Lght Dra � None Metal Window North 60.0 2 Clear Lght Dra~ne Overhang Metal THERMAL MASS Area Type Exposed? (ft2 None / Thick (in) Location/Description `\ HVAC SYSTEMS ' Duct Location Output Manufa /Model # Typeiency �------�----------- �������� and R -value (Btuh) (or approved equal) Furnace 72 SE Attic R-5.8 ' 40000 UGUJ-05 Air Conditioner �1.95 SEER Attic R-5.8 23800 CH16-31 Maximum furnace ` heating output: 52140 Btuh Zonally controlled HVAC? No CERTIFICATE OF COMPLIANCE: Reildential page 2 Cf R project 7itle: SALAZAR Faun: 129 13--Mar-- WATER HEATING SYSTEMS Tank: Capacity System Type (gal) Storage Gas M Manufacturer/Model # (or approved equal) ----------------------- REMARKS, NOTES, AND EXCEPTIONAL FEATURES None COMPLIANCE STATEMENT Special F6atures/ Credits This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 And Title 20, Chapter 2, Subchapter 4, Artir_1e I of the California Administrative Code. ThJ certificate has been signed by the individual with overall design respongi b i 1 and the building owner, who shall retain -a copy of it and transmit the certificate to any subsequent purchaser of the I_ ui. 1 di ngd When this c_er-t i f i c_•a l of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in t Remarks, Notes, and Exceptional Features -section. DESIGNER FRANK BYRD SHS 1415 N REALE ROAD YUBA CITY, CA 9,991 1 800 SBS 1234 Li c #:------`P-�`_v--_- / ^� Signed I.)ate DOCUMENTATION AUTHOR KENNETH MARKLEY Jake I_ Hendrix; Heating & Air 429 A Bridges Steet Yuba City, CA 95991 OWNER Signed Dz, ENFORCEMENT AGENCY Name: Title: Auencv: Area 916 phone 673-2615 Telephone: i ned �D e Signed ----------- ----------------- Dl COMPUTER METHOD SUMMARY Page l C. R ------------ --------------------------------------------------------------- Project Title: SALAZAR -Run: 129 1.3 -Mar -1 Project Address: COX LANE SALAZAR-------------- ORIVILLE, CA, Building Title: SALAZAR building Permit # Document Author: KENNETH MARKLEY _________ _ _____ Telephone: Area 916 phone 673-2615 Plan CheA / Date --------------------- Compliance Method: CEC CALRES,,Ver-sion 1.10 Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY ( kBtu/f t2 -yr ) Energy Use Standard Design Space Heating 2.67 Space Cooling 21.22 Water Heating 13,60 Total 59.49 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: Proposed Design -------------- 17.84 13.02 M60 --------- Complies 44.46 Yes 1500 ft2 .SFD Single Family Detached 180 deg (South) 1 1 Floor Construction Type: Raised floor Number of Conditioned Zones: 1 Total Conditioned Volume: 12000 ft3 Conditioned Footprint Area: 1500 ft2 Ground Floor Area: 1500 ft2 BUILDING ZONE INFORMATION RFl oor Zone Area Name (ft2) A 1500 Volume ` (f t3) 12000 Type ------------ Conditioned Infiltration Control Type ------------ CEC-Standard ' R COMPUTER METHOD �SUMMARY Page 2 [ ' � ~ Project Title: SALAZAR Run: 129 13-Mar- =============================================================================^ OPAQUE SURFACES Surface Type ----------- Zone = A Door Door Wall Wall Wall Wall Wall Wall Wall Ceiling Floor Area 1 12.5 Insul True Slider Solar Form 3 Location/ (f t2) ------- U -value ------- R-val ----- Azm ---- Tilt ---- Gains ----- Reference ------------ Comments ----------- 23.3 0.330 0 180 90 Yes CEC_3x6-Wood Slider Outside 23.3 0.330 0 90 90 'No CEC_3x6-Wood 90Slider Unconditioned 292.7 0.065 19 180 90 Yes CEC_R19-16oc 135 Outside 62.7 0.065 19 90 90 Yes CEC_R19-16oc 9.0 Outside 22.0 0.065 19 225 90 Yes CEC_R19-16oc Wind Outside 22.0 0.085 19 135 90 Yes CEC_R19-16oc 0.6/ Outside 136.7 0.065 19 90 90 No CEC_R19-16oc 0.77 Unconditioned 340.0 0.065 19 380 90 Yes CEC_R19-16oc Outside 256.0 0.065 19 270 90 Yes CEC_R19-16oc CEC_DblLtD Outside 1500.0 0.033 30 180 0 Yes CEG_ R30-246c Attic 1500.0 0.049 19 180 180 No CEC_2xR19 Crawlspace=~= PERIMETER LOSSES Perimeter Length Type (ft) ----------- ________ None GLAZING SURFACES Glazing Name ---------- Zone = A W1 W2 W3 ' W4 W5 W6 W7 we W9 W10 W11 F2 Insul Insul Factor R-val Depth (in) ______ _____ ---------- Area Type (ft2) _ �___ ----- ~ Location/ Comments ------------- SC with FMF Glazing ------ True Open Open Frame Charactr Shades Shade� Azm Tilt Type Type Name Open Close� ____ ____ ______ ________ ____________ ______ ------ Wind 1 12.5 180 90 Slider Metal CEC_Dbl .tD 0.77 0.66 Wind 12.5 180 90 Slider Metal CEC_DblLtD 0.77 -0.6� Wind 10.0 225 90 Slider Metal CEC_DblLtD 0.77 0.6e Wind 20.0 180 90Slider Metal CEC_DblLtD 0.77 0.6e. Wind 10.0 135 90 Slider Metal CEC_DblLtD 0.77 0.6e. Wind 9.0 180 90 Slider Metal CEC_DblLtD 0.77 0.6, Wind 33.3 90 90 Slider Metal CEC_DblLtD 0.6/ Wind 15.0 360 90 Slider Metal CEC_DblLtD 0.77 0.6e. Wind 15.0 360 90 Slider Metal CEC_DblLtD 0.77 0.6� Wind 15.0 360 90 Slider Metal CEC_DblLtD 0.77 0.6� Wind 15.0 360 90 Slider Metal CEC_DblLtD 0.77 0.61. GLAZING CHARACTERISTICS SC w/o FMF Glazing ------------- Interior SC Exterior Charactr Glazing # of Glass w/Int Shade Ext Shade Name Type Panes U-val Only Shades Type Shade Type - CEC_DblLtD Clear 2 0.65 0.88 0.75 Lght Drape 1.00 None COMPUTER -METHOD SUMMARY R Page 3 Project Title: SALAZAR Run: 129 13 -Mar -- OVERHANGS THERMAL MASS Vol Cond- Area ThicIt Heat duct- Form 3 Inside Location/ Mass Name Type (ft2) (in) Cap ivity Reference R-val Descriptic -------------- ------ ----- ------ ---- --------------- ------ ---------- None SOLAR GAIN DISTRIBUTION Glazing Winter Summer- Targetted Name Fraction Fraction Thermal Mass. Location/Description ---------------------------------------- ------------------------------ None HVAC SYSTEMS Duct Location System Name System Type Efficiency and R -value Credits -------------------------------------------------------- --------------- Zone = A RUUD3HZ Furnace 0.72 SE Attic R-5.8 GHS -22-261 Air Conditioner 11.95 SEER Attic R-5.8 Glazing Glazing -----------=- Above Left Right Name Height Width Depth G1a'zing Extension Extension W1 5'0.812'611 -------- 2.011 0.011 --------- 5.011 --------- 18'6" W2 5'0" 2'6" 2'0" 010" 12'0" 11'6" W.3 5'0" 2.011 6.011 1'411 3,.0„ 2.011 W4 5'011 4,011 6.011 1'4" 7.1011 2'011 WS 5'016 2'011 6'01 1 '41' .0" 2.0" W63'0 ti,'0�� 6'011 1 '411 310„ 8.0" W8 5.01 ,, . 0„ 2'011 01011 9 .0" 42'0" W9 5'011 ,,•011 2'011 0.061 21'0" :,0.01 W10 5.0.1 ,,.0..2.011 0.0.. .32'0" 19'011 W11 5'0" 3'0" 2'0" - 010" 47'0" 4'0" FINS --------•------------------ Left Fin Right Fin Glazing Exten.Dis•t ------------------------ Exten Dist Glazing ------------- Fin Fin above -to Fin Fin above to Name ------------ Height Width Depths ------ ------ ------ Height ------ glzng ----- glzing Depth ------ Height glzng glzi None ------ ------ ----- ----- THERMAL MASS Vol Cond- Area ThicIt Heat duct- Form 3 Inside Location/ Mass Name Type (ft2) (in) Cap ivity Reference R-val Descriptic -------------- ------ ----- ------ ---- --------------- ------ ---------- None SOLAR GAIN DISTRIBUTION Glazing Winter Summer- Targetted Name Fraction Fraction Thermal Mass. Location/Description ---------------------------------------- ------------------------------ None HVAC SYSTEMS Duct Location System Name System Type Efficiency and R -value Credits -------------------------------------------------------- --------------- Zone = A RUUD3HZ Furnace 0.72 SE Attic R-5.8 GHS -22-261 Air Conditioner 11.95 SEER Attic R-5.8 F: COMPUTER METHOD SUMMARY Page 4 (. Project Title: SAL -AZAR Run: 129 WATER HEATING SYSTEMS Tank Rated Pilot Special # of Capacity Rated Standby Input Size Features/ System Type Heaters (gal) Efficiency Loss (Btuh) (Ptuh) Credits ---------- -------- ---------------------- Storage -------- Storage Gas 1 50 0.76 RE 3.64% 28000 -- REMARKS, NOTES, AND EXCEPTIONAL FEATURES None 0 s Return to DPW AGRICFLTURAL STATEi4`TT'OF ACPiOWLEDGaENT FOR RESIDE!NTIAL DEVELOP1,fE`dT Section 2.6-8.1 of the Butte County.. Code requires this acknowledgement be recorded prior to issuance of a building permit. AMEPTED FO 'FAV Tce property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- MA 2" 1 137 - veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit BUTTE COUNTY RE-COMER of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 .prop.erty situate in -the County of Butte, State of California, described ..as follows: Lo'T �� I AS�i�ovinl o N i i�AT C.c`2 i !� �nl N.ink- i� LE -D/ VALE n1 t A �0 �� \�U < <G �OVN�y CAL�Fc2N�A I W�11LN MA� Vr'AS Rec.O,Zot D L r l —I. O FF ( C -E CF THE RECOP_DcP` cF -1 4Ac- C�-�vN �� of 3o—i Te) STa.TE of CaLiF'o2�.liA i PACE S8. Date: Zo AAA %1 l' jq/ State of611) �) SS. County of ) pn! �uGuST 1�� I l 13) Ir[ t3GCjK CF MA(�5� A i PROPERTY OWNERS: On this the day of 191x?/ , before me, the undersigned Notary Public, perso lly appeared Personally known to me. �q Proved to me on the basis CNOTARY IAL SEAL of satisfactory evidence. LCARTER o be the persons) whose name(s) LIC - CALIFORNIA SUNYubscribed to the within instrument and acknowledged that pires k4y 13, 1992 executed the same for the purposes therein contained. IN WIT\'ESS kok GAR WK: WHEREOF, I hereunto set my hand and official seal. Present A.P. No. IJ l - �[ J — / 0 Notary Public . — �� .. ,-✓mss. w..:f..ya r w .. 7�3"/" Ts},.p iK"�'.7e�r�i1;I Mr �. �y r ."Ka.` 1 � '�' -. ,{ � � •-- .RY. c. iia .err^. c�4.: S ir,�,:sY^..: ,��, a , .ntr..''s.V.1:'r > 8, BUTTE COUNTY.SCHOOLS DEVELOPMENT FBE CERTIFICATION FORM ` _ZZ0 .-- 1'7, (One Form per >Building) �- as - I il A.P. Number Building epartment No. , ',School District 0(0 am 0A frJ City � County M Jurisdiction .-,. Property Owner Cun 4A je, Se, I a Z-4 ✓1 Project Location/Address Co 4n (10 Vf /lam Subdivisib'n,y(,f EP• ne a Ira e� f Lot Number Residential Development: F-1 a Sq. Footage l_SOD # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage r' New Addition (Including Exterior Roofed Areas) lD Building-Depa tment Representative Date r (EFloor•Plans reviewed by School District Personnel) \, Di'strict'.Id No. l0 H (AJpli'cant Name) SOI School District certifies that. one. Number (Street Address) cb I/ Libi (city) • ( State.) ' ( Zip Code ) has complied with the requirements of Resolution No. M6 —90 by the payment of $J Z0�� representing /�,SDa square feet. Sc ool District Representative ' DA to PAID BY CHECK NO . -# /6REMARKS': BANK NO PAID BY CASH white -applicant, yellow -b ilding department, pink -school district SCHOOL.:F.EE. (8/88) F Return to DPW AGRICUL AL TURSTATEMENT OF ACKNOWLEDGEMFBT FOR RESIDENTIAL DEVI UOPMEWI Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1 All that real :pro:perty.`situate in -the County of Butte, State of California, described as follows: LoT �I I AS 5No\Jn1 04P LED� It VALkz- N C° to i�r��-c SU43Dtv�stc�tJ r`Io. 1 13v—,TEC " OUNty CALlF02NlA 1 .\,QWCH MAP WAS R > t j -c+4e 0Pf=(C-E "or TUE RtcoP_bE2 nF - i "C_ CoU" �.1 of 63U i -rc) � TaTE OP CALkPo"'A� oN1 Au&uS-r 1�� IR 13� t" Boo lc 1 pF' MA(3S� P�T PAE7C � a Date: o AAA y q/ PROPERTY OWNERS: State of ) On this the,-- day of 19,�?/ , before me, the SS. undersigned Notary Public, persorally appeared County of �) Personally known to me. M Proved to me on the basis 7INYOTARY IAL SEAL of satisfactory evidence. L CARTJjO o be the person(s) whose name(s) LIC -CALIFORNIAE OOUNN ubscribed to the within instrument and acknowledged thatpires KAY 13, 1993 executed the same for the purposes therein contained. IN WITNESS 1CA: WHEREOF, I Hereunto -set my hand and official seal. Present A.P. No. J .l - a- - / 0 Notary Public END OF DOCUMENT 91-019602 1 Rec Fee 5.00 The property described herein is adjacent I Cash 5.00 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, 'Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 8:01am 21 -May -91 I CD 1 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 �I I AS 5No\Jn1 04P LED� It VALkz- N C° to i�r��-c SU43Dtv�stc�tJ r`Io. 1 13v—,TEC " OUNty CALlF02NlA 1 .\,QWCH MAP WAS R > t j -c+4e 0Pf=(C-E "or TUE RtcoP_bE2 nF - i "C_ CoU" �.1 of 63U i -rc) � TaTE OP CALkPo"'A� oN1 Au&uS-r 1�� IR 13� t" Boo lc 1 pF' MA(3S� P�T PAE7C � a Date: o AAA y q/ PROPERTY OWNERS: State of ) On this the,-- day of 19,�?/ , before me, the SS. undersigned Notary Public, persorally appeared County of �) Personally known to me. M Proved to me on the basis 7INYOTARY IAL SEAL of satisfactory evidence. L CARTJjO o be the person(s) whose name(s) LIC -CALIFORNIAE OOUNN ubscribed to the within instrument and acknowledged thatpires KAY 13, 1993 executed the same for the purposes therein contained. IN WITNESS 1CA: WHEREOF, I Hereunto -set my hand and official seal. Present A.P. No. J .l - a- - / 0 Notary Public END OF DOCUMENT 'c F, RESIDENTIAL �62-7�i9�} 7fl PERMIT#95-2062 SALAZAR, Cynthia 2021 Cox Ln., Oroville Cont; Don Scribner Cosnt. New Pri Det Garage 5� JOB FINALED ( te) —_ n Signature 3. %1 OK O = Not OK_ =NofReadyable MOBILE HOMES r' 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./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert: of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEO Date , . DECKS, COVERS, CARPORTS, GARAQtS, (Plans)OK except #'s I v 1. 4pning Req uire ments-Setbacks-E sements U 2 6,e Footings; Soils-Size-Depth-Spaci g -Connectors -Steel 3. Decks; Griders and/or Joists -De king -Bracing -Stairs -Rails - 4. Wood Awn.; Posts-Beams-Rftrs.- onnectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Sp - ecal-Enclosure 6. Carports; Windows -Doors 7. Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date and Date Card B-1 DatV t, Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater , 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-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 Not Ready RESIDENTIAL'(; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13 Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------------- ------ ------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access -------------------- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ------------------------ ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------- 23 Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------------------- -------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------- Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------- - -----------------------------'------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ---------------------- -------------------------- ---- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- --------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- ---------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------ -- 32. Clothes Closet Light -Shower Light -Spa Light ---------- -------------------------------------------------- 33. Smoke Detector ----------------------------- ----------- --------------------------------------- Date Card B-1 Date Card B-1 - ------------------ ---- --------- - ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------- ----.--------------- ------------------------- ------------- 36. Condensate Drain & Overflow: Size & Grade --------- -------------------- ------- - - - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------- ---- --- -------------------------------------------------- 38. Attic -Access-&. P-latfo-rm if Furnance in Attic -------- ------------------------------------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sits. Proper Material & Anchors - - - ------ --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing-P(ates-Sound ---------- - --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------- --------------------------------------------------------------- 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---- --- ----- ---------------------------------------- -- --------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------------------ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- 55.--- Siding -Nailing Veneer ----- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings -------------- 60. Infiltration -Walls -Windows ------ ------ - ----------- - -Date Card B-1 Date Card B-1 --- -------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61.- Ext. Steps -Door & Sidelight Protection -Landings ---------------------- -- 62. §moke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------- ------------------- 64. Bedroom Exiting 65.__G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------ 67. Stags & Rails _ 68. Fireplace or Stove Clearances -Hearth ..-..------ - ----------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71.--Elec. Outlets & Receptacles at Kit. Counter ------------------------ --------------- 72. -Garage--Door: Door: Swing -Landing -Closer ---------------------- - 73. A.C. Duct in Garage -Damper -- --------------------------- 74. - 74. Wtr. Htr.: Vents -Clearance -Comb. Air.-Connector-P.R.V. - In Garage: Above Floor-Mech. Protection - --- - ----- - ----------- 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------- . ------------------------------- 7 Insulation -Foam -Looked in Attic ❑ Yes ------------78.-Guard-Rails & Deck--- Construction -Post Caps ----------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------------- --- 81-. Stucco_Brown-Finish -------------------------------- --- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -- -------------------------------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground --------- -- ------------------------------- -- 86. Ventilation Throughout House -- ----------- 87. Glass Protection 88. Corrections from Previous Inspections .. - - - -------------- ----------------- ----------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ - - - - - - - ------- 91. ----- 91. Energy Compliance Certificate -Other Certificates ------------------------------------------ --- DCard B-1 Date Card B-1 --- ate ---------------- -------------------- ------------- Date Card B-1 Date Card B-1 ----------------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. - ' APPLICATION AND PERMIT-=-�i9coa ASSESSOR PARCEL NUMBER tl - qn- t2ON�I _5 BUILDING PERMIT OWNER CYNTHIA SALAZAR TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 2021 COX LN OROVILLE 95965 960 P.1 17,280.00 CONTRACTOR'S NAME DON SCRIBNER CONSTRUCTUIN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMMWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 189.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 122.85 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2021 COX LN PERMITFEE $ 331.85 OROVILLE CA 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRIVATE DET. GARAGE 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 9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24 X 40 Mobile Home S G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service EOOV OR LESS )\ ( zooA OR LESS 23.00 Main Service ( 200A 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 licnse is in f II force and effect. �p License Claess Lic. No. 3 rZ4 Z -3 (/ 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. ❑ 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) sO. 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FLXTURES ) 20 Q I.00 sAL S0 EX. Occup. OUTLETS (RESID.) ( ) 5.00 Temporary Service 23.00, Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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.) m, 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. ` S X _____ Date I?—MY g -- Sig ature of Applicant - ❑ Owner 0VContractor ❑ 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 Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 331.85 HAZ. D. FEES . -- IMP FLOOD �� CDF ✓ PARCEL PD HD . — _ SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w"feen paid. /(�ILS By ate /( PERMITEXPIRESON (Date 185305 - 222.70// , Receipt No. v WHITE-D.D.S.-B.D. CANARY -ASSESSOR PAWINSPECTC GOL ENROD-APPLICANT COUNTYOF BUTTE - DEPARTMENT'OF DEVELOPMENTSERVICES - BUILDING DIVIdON 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPL` ICATION1DATASHEET OWNER A P. No. ;Proposed Building Use Building Inspector Date 191,2r_ A2 r q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 'DATE RECENED BY f 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.0ans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet sgnature on plans . ............. 5. Hazardous Material Form. ....... ` ...... t........................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0 Fees of $ Inc�. I _............................ Impact fees as shown on attached schedule . ............. /...... /. California Department of Forestry plan approva /fees .. 3. Flood elevation letter (100 year fl o d) by C liforn sneer. . . 14. Sanitation and plot plan approval � Health Department . ............ 15. City of Chico plumbing permit ........... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .......... Ire-Inspectionreqs. 20. Pre -inspection for required. . to Building Inspector (Date) ` 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder 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 . .......................................... r 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list. '"................................... . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at i n . office. I Other Parcel Creation °S�t Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: nce: (Circle new item not checked above). with inspector. _Date L-- 9� -39 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 r T i B 3 dnLS Date Z Sets of plans on hold in _ File cabinet AP folder Copy - Department of Public Works H.H. USE ONS Plat Plan Attuhed Floor Plan Anachad q Sent to B. D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 47-0,Jv-Sa aG� 1 V-, Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: ,Environmental Health Specialist Date OWNER'.S NAME: C N A J�1- jA Z A RECEIVED G PERMIT NUMBER: I 9 A. P.#: 22-2 Z- d DATE L RESIDENTIAL F� NON RESIDENTIAL RECEIVED BY FC). 71m --------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA SHEET 'k -'REQUESTED BY PLAN CHECKER OTHER 7-O Dj o (� ��� V I OP {" REQUESTED BY CORRECTION NOTICE [] YES Q NO ITEM: LOCATION IN BUILDING WHERE.CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor ame and Address) Call 53q-9669 and hold for pickup at office. C Lj"/V4-�A- Deliver with next inspection. REVISED PLAN CHECK �FEES SPPAID: $15.00 $30.00 Additional Fees Not Required Certificate of Compliance: Residential Title Documentation Author Telephone BUILDING DATA ,s Conditioned Floor Area 15' 0_ : Slab ed Floor Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) Number of Stories Number of -Units —7— [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Climate Zone 11 Building Permit # Checked By / Date Enforcement Agency Use Only Glass Area North Fast South 7 West 0 Skylight U Total BUU,DING SHELL INSULATION Component Insulation Locatilon/Comments Type R -Value (attic, .ter &stage. t MiCCL etc.) Wall .............. it —� Wall .............. ` Roof............. — o Roof Floor ............. Floor ............. : Slab Edge..... GLAZING Shading Devices Glazing Area G1assType Interior Exterior Overhang FramingType Orientation Of) (sinl;K- double) (yoller blind. etc.) (shadescreen. etc.) (ye*o) (metallwood) North ( ) _Z� North ( ) East ( ) East South ( ) / _ South ( ) West ( ) v West ( ) Skylight....... v THERMAL MASS Type/Covering Area Thickness ' (slab/exposed, tile. etc.) (SO (inches) Locadon/DesCription (kitchen. bath, etc.) 5 A 4o . / f HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump) (SE, SEER HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) . U ,r �Ja4 C iVOW,- A CoD LNF Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # -� S stem T (storage as, etc.) Capacity ora roved equal) S h'e�t OU NTY 11 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) J 1 Z � �e 1 r v i r � Mandatory Measures Checklist: Residential MF-tR NOTE: L.owrise residential buildings subjou to Ute Standards must contain these meaaues regardless of the compliance approach used Items marked with an asterisk (') may be superseded by more stringent compliance requuements fisted on the Certificate of Compliance. When this checklist is incorporated ifito the permit documents, the fcwwu noted shall be considered by all parties as binding minimum component performance specifications for the mandatary measures whether they arc shown elsewhere in the documents or on this rhodaist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §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. 62.5311: 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/Exfiltradon 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 12.5352(e): Special infiltration barrier installed to comply with 12-5351 mats 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 conal c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures §2-5352(8) and 2-5303: space conditioning equipment sizing: attach calculations. §2-5352(h) and 2.5315: Setback thermostat en 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-fi cd space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters. showerheads and faucets oul irred by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) orcombined interior/exterior insulation (R-16 or grrater); rust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return dr. recirculating piping, §2-5318(d): Swimming Pool Heating 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. . Lighting and Appliance Measures 62-53520): Lighting - 25 lumensfwatt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, Geezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists ttr. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Mile 20. C apier 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 ceWficate to my subsequent purdtaser of the building. Designer Name: TukJl-irm: Address: ' Telephone t.ic. 4: (signature) (•tat") Documentation Author Namcr TitklFum: Address: Building Owner Name: TitkJFrm: Address: Telephone (7ib,ialtYe) alc) Enforcement Agency Name: Agency: Tekpho= 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 .1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3. 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawispace Single- Number of stories Number of stories 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 4. Slab Edge Insulation 37 _ -- -- 0.60. -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace Single- Slab Floor Number of stories Mass 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 Edge Insulation 37 _ -- -14 Number.of Stories 35 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 28 -55 -18 '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 SWidard 0 - 6. Glass Heat Loss Total Single- Slab Floor ENeetive Percent Clan Mass U, -value Percent South :West .51 to .41 to .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 40 -90 37 -26 -14 3 t 35 -75 -29 -19 -9 1 1 30 31 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 46 -14 -7 0 7 1 24 -43 -12 -5 1 8 1 23 -40 -11 -4 2 8 1 22 -37 -9 3 3 9 1 21 34 -7 -2 4 10 1 20 31 -6 0 5 10 1 19 -29 4 1 6 11 1 18 -26 3 2 7 12 1 17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 it 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 3 9 11 14 17 1 9 .1 10 13 15 17 2 8 2 12 14 16 18 2 7. Shading (Shade Open) --Efreetire Percent Clan (percent Elan x SC) ) or is I I D 2 2 3 3 4 4 4 5 5 5 5 5 5 7 7 7 9 9 3 3 Effective Single- Slab Floor ENeetive Percent Clan Mass %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 -t -2 0 na = not allowed -23 3 0 -4 IB. Shading (Shade Closed) Single- Slab Floor ENeetive Percent Clan Mass Family (percent glass x SC) MU16 Effecdve Stories Attached /CFA One Two %leas North East South West Skyfpht 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 1 -15 -14 38 5 -2 . -9 -11 -10 -30 4 .1 5 -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 . rat allowed 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories MU16 Mass Stories Attached /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 Exterior Single- Single - Sum of 15 Wall Family Family MU16 Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 0.80 8 10 6 8 4 5 1.00 1.20 13 13 10 12 7 8 1.40 1.60 12 10 13 13 9 11 1.80 10 12 12 200 10 11 13 11. Heating System SE or KSPF (assumes ducts in attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other . 6 5. 4 3 2 2 12. Cooling Syst:,m North b. Sum of 15 c. South SEER One -25 or -24 to -14 to d 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 10.5 7 Effective SE or HSPF 3 2 (SE or HSPF x duct efficiency) 10 Effective -25 or -24 to -1410 .4 to +610 16 or SE HSPF less -15 5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 ` 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other . 6 5. 4 3 2 2 12. Cooling Syst:,m North b. East c. South SEER One -5 -4 -4 -3 (assumes ducts in attic) Two + 3 3 Sten of 7.10 2 2 1 Single -Family -25 or -24 to -410 +610 16 or SEER less r1410 -15 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 05% Solar -1 -1 -1 0 0 0.8 Effective SEER -18 -12 -9 (SEER xauet efficiency) _ 23 WSB Sun of 7-10 -16 -12 Effective -25 or -24 to -14 to .410 +6 b 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 3 . -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 .9 7 5 10.0 22 19 16 13 10 7 11.0 26 . 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories North b. East c. South d. One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Oetached and Attached % Glass Unit Size (sQ Eff. % Glass ' Water ;199 120n 1700 2200 2700 Heater l,redit or • 10 to to or Type Type less 31699 2199 2699 more SG None 0 A 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 SE or HSPF WSB 5 3 3 2 2 20% POU 8 _ 5_ 4 50% 3 SE None - 37 -24 18 _3 15 -12 05% Solar -1 -1 -1 0 0 0.8 HWR -18 -12 -9 -7 -6 23 WSB -25 -16 -12 -10 -8 3.8 POU -18 _-12 -9 -7 -6 IG None -5 -3 -2 .2 -2 1.2 Solar 7 5 4 3 2 Z7 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 20% Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.1 MuIU-Family (Indivldual 3.7 units) 4.1 4.3 4.5 4.8 Unit Size (sQ 5.2 Water 5 6 699 700 1200 1700 2200 Heater Credd or. to to to or Type Type less ._1199 1699 2199 more SG None 0 0 0 0 0 or. Solar 14 7 5 4 3 HP HWR 9 5 3 2 2' 3.2 WSB 9 4 3 2 2 4.7 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 21 Solar 2 1 1 0 0 3.6 HWA -23 -12 -8 5 '-5 5.1 WSB -25 -13 -8 3 -5 _QQU_" 1.1 _23 -12 A_-6 2 -5 IG None -8 " -4 -3 -2 i .2 - Solar 6 3 -2 1 1 5.3 POU 1_0 _ 0 0 0_.. IE None 30_ 15 -10 __ -8 �& 2.7 Solar 18. 9 6 4 4 4.2 POU -8 -4 .3 -2 -2 5.6 5.9 _4L 63 65% 1.1 InteriorMass/CFA Point System Summary: Climate Zone 11 SCORE CARD 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 or R -value [ 191 U -value 10.0371 or R -value (01 F2 factor [0.771 D X O = V % Glass TT►[ Z PASS Eff. % Glass ' ' 4-1 X 46 n.,o X ,46 X - InteriorlVnaalCFA )I.MINC-4.1) -petal slab) TYPE 2 MASS AREA _a- Exterior Wall Mass t TTPe I HMS (UI11C a,4.2, les exposed slab) -i_ t ' X _0 = f Z SE or HSPF Duct Efficient 10.781 0% 5% 10% 15% 20% 2S% 30% 36%,40%.45% = --4-- 50% SSW 60% St 70% 75% 80% 8515 90% 05% 100% 105% 110% 115% 120% 125`1 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 .2.1 23 2S 2.7' 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 25 Z7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.0 .5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 39 4.1 4.3 4.5 4.8 5 5.2 5.4 5 6 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 Z2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.8 28 3 32 3.5 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3' 1.5 1.7 1.9 2.2 24 2.6 28 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.6' 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.0 Zi 2.3 2.5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.0 2 2.2 2.4 26 2.0 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 857 1.4 1.7 1.9 2.1 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.0 4 4.2 4.4 4.6 4.8 5 52 54 S.6 5.9 6.1 63 6S 67 907' 1.S 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66• 68 95% 1.8 1.8. 2 2.2 2.5 27 2.9 3.1 33 3.5 3.1 3.9 4.1 4.3 4.6 4.0 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 t00% 1.7 1.9� 21 2.3 2.5 Z8 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 1 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 56 5.6 6 6.2 6.4 6.6 68 7 11075 1.9 2.1 2.3 2.5 2.7 2.9 9.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.0 S 5.2 5.4 5.6 59 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) A. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System • Zonal Control? (Y / N ) 12. Cooling System, 4 , 6 Zonal Control?..( Y / N) 13. Water Heating Measures -3 0 or R -value 1381 U•value 10.0301 R %/,? or R -value [I I I U -value [0.0981 or R -value [ 191 U -value 10.0371 or R -value (01 F2 factor [0.771 Standard on, I h, Ir Point Scores -2- 0 Z 0 /Q,r�r ", 4e8 T lq Type [doable) U -value [0.651 % Total Glass [ 161 Sum 1-6 % Glass SC Eff. % Glass �•--? X r 77 = 41i /5 X 4-/, X D X D X O = V % Glass SC Eff. % Glass ' 4-1 X 46 n.,o X ,46 X TYPE 1 MASS AREA AREA InteriorlVnaalCFA COND. FLOOR TYPE 2 MASS AREA _a- Exterior Wall Mass EUN-D-7 L OR AREA t ' X _0 = f Z SE or HSPF Duct Efficient 10.781 Effective SE or 10.72/6.61 HSPF 10.5615.151 tis X -e- = --4-- SEER 19.51 Duct Efficiency [0.741 Effective SEER [7.031 Type [SG] Credit [none] 0 0 0 Sum 7.10 Point Total: