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Home My WebLink About028-170-177r y I . e INN t. BE RNA SHANELEC.. _ ` 028 :1.7 0 .017 * �' 96-118 A� if W/S Settle- Ln, 600'W Stony Oaks Blvd ,BERNARD SHANELEE 1 Oroville 40:'STONEY OAKDS LOOP} BANGOR r; Hom r � Contr: Modular s, Newcastle- Permit#2329-84B,P,E,M:(AG EXEPT FOR FARM•MACHINE STG) r(sin 1e g family a w ' . 28-17-72 POW Contr: Mod la omes 9 , ., I: Permit#28—84E(temp ele/2329-84) t� 1J ' IL BUILDING DIVISION ANTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION -PERMIT. PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER 6e arc S _ e<— PHONE NO. Ion OWNER'S ADDRESS � � S 4-(w e- O c, r,- t,c� �jigi3 aN l � LOCATION OF BUILDING ` USE OF BUILDING FA RMHA 141AT S T O RA G E SIZE OF STRUCTURE a'� q X _ so. FT. TYPE OF CONSTRUCTION: WOOD FRAMEy STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION = , $ l °off AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: - , e , a e;5 mll" ti`s �� /hv"4/ FRONT SIDES REAR ' AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. } I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. f Date 2/ S/- P 96 Permit Fee - $60.00 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. FLOOD PAROL I P.D I ROOF G I ISSUE' Manager Building Division By i c U White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date ✓r �� J'�t�iv7fr?)..ir?.;r.. �^ ... .. � -. .ti• -r}-... i�•+t1 `•-�..`wt .,. ..t^,�!'y*.ty..-r...FrK'.r^,,.?'••`,*Ntifk.,^:t':<'nMlt. ;.. iF7'�6� ,,,7 `i n .... J ' it � . � fh `'-. }., • F'. .lt .�.� COUNTY-OEkUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION - k, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector A. P. No. Date At time of permit application,- I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ....................................:.. . 2. Plot plans,'3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. ......... j......... 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. 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: I . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ...... Pre -Inspection request 20. Pre -inspection for requirbd. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. i 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recordedlcopy 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 . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ........... .......................... 32. Plan check list. ........ ......... 33. �.'� • CJ .. .. u 4 en 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p( pat office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. . Fire Dept. Other Date By The 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 bye_ Date, Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by, Date ' k i Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 'l PERMIT NO. 2329-84B,P,E,M PERMIT EXPIRES OWNER BERNARD SHANELEC CONTR. Modular Homes, Newcastle ASSESSOR PARCEL 28-17-72 LOCATION N/S Settler Ln, 600'W Stoney Oaks Blvd b OFFICE COPY ti Address GASI Meter By Date , ELECTRIC Date Meter By is Temp. Power Pole j Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E'' JOB FINALED (Date) Signature s s V o OK O V Not OK = Not Applicable = Not Ready MOBILEHOMES Y MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG "' 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit t 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 5� V = OK O = Not OK —•= iddtAdplicable �E = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE tOOR P ns OK exce t#'s DateFRAI)pFN'_(Zontinued) on' requirements—Setbacks—Easements Ei4 +'a Property Line Firewall & Openings Z_Allg., Main; Soils—Steel—Elec. Grnd.— / Ftg. Depth 4 .• xt oors—One 3'—Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils—Steel— / /" Ftg. Depth tairs; Wi th—Headroom—Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth iX Ply od on Roof Overhang—Attic Vents—Rafter Outriggers emwalls, Main; Steel—Blockouts—Wrapped—Slab 5 iding—Nailing—Veneer 6: Sidmwalls, Garage; Steel—Blockouts—Wrapped—Slab 53. Ptucdo Mesh—Drip Screed—Fdn. Vents—Underflr. Access 7. •Pis—Fireplace Ftg.—Steel 5t._G,Iezing Area—Glass Protection—Skylights—Plastic "W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test 5 ear Walls; Nailing—Bolts - 9. Gas Pipe; Size—Anchors ater Pipe; Test—Anchors—Regulator—Service Test 11. Electric; Underground 1 Plenums & Ducts; Clearance—Material—Support—Ins. V_--Girders—Sills—Anchor Bolts—Joists—Vents—Cripples rd -BI Dat and -BI Date Card -BI Card -BI ate Card -BI Date Date Card -BI Date qa6tl' Dat Card -BI Date Date FIN (Plans) OK except N's C BI Dat � Card -BI Date Date PLUMBING ( it) OK except q's ater Ht.; Vent—Access—Combustion AirF 5 . xt. Steps—Door & Sidelight Protection -Landings 5K S oke Detector rnace; Vents—Clearance—Comb. Air—Connector- Air—Connector— n Garage; Above Floor—Ducts—Mech. Protection 1�/OVater Pipe; Test & Anchors—Nail Protection rater Test—Fttngs & Anchors -Nail Protection room Exiting Shower Pan; Test, First Floor—Tub Access 6 . .F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor—Tub Access 60eElec. Trim & Subpanel; Breaker Sizes—Labels 10,4as Pipe; Size & Anchors s & Rails replace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65eKit. Fixt. & Appliance: Grnd.—Air Gap—Cooking Clearance Card -BI Date Card -BI Date 6K Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL P pit OK except q's rage Fire Door; Swing—Landing—Closer Duct in Garage—Damper 2Qv-'fri`xture & Transformer Clearance—Ins. Protectionarage; Above Floor—Mech. Protection Wtr. Htr.; Vents—Clearance—Comb. Air—Connect — .R 21i/€lec. Receptacles Spacing—Lights &Switches at Doors ; 7 , P ;, Elec. & Mech. Equip. Listed for Location 2k^Size Boxes & No. of Conductors—Stapled : Receptacles in Garage; (G. F.I.)—Romex Protec. 2 Romex Installed Close to Edge of Studs & C.J. Insulation—Foam—Looked in Attic ❑Yes 2 quip. Ground made up w/Mech. Fasteners—Bond Gas & Water 7 R ' Deck Construction—Post Caps n. Vents & Crawl Hole D r—Drainage & Wood -Earth Clearance L d under Floor . 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / a. Cur A.C. Ware -Size /jff ga. Cu o 27. Range Circ. / ga. Cu or Oven Circ. / / ga. Cu or At, ' Insulated Neutral ❑Yes o 7 ollowing instld.:Driv s ❑ No; Walks ❑Yes o; Planters ❑Yes No co; Brown—Finish &%—Riser Conductors & Ground—Main Disconnect 29 -.—Equip. Clearances; Panels—Motors—Mech. Equip. 391—Clothes Closet Light—Shower Light 7V C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet 74/Vents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. 79. fiater Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle—Underground Card B -I Date : Card -Bl Date g e -l'ation throughout House Card B -I Date Date I Card -BI Date MEC NICAL (Permit) OK except q's g , 4aProtection 8 . orrec ions from Previous Inspections 8 G Test—Meters Tagged; Gas—Electric A. . ucts; Insulation & Support 85_,::,:Vater & Sewer Connected—C/O to Grade—HD Approval Vent Fan; Exhaust above Insulation g nergy Compliance Certificate—Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI � Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 1 4 Card -BI Date Card -BI Date Card -BI Date Date FRAMI P OK except q's Comments at Final: ills; Proper Material & Anchors I- W IIs; Studs Nailing, Spacing & Bracing—Plates—Sound I. 3 earing Walls over Girders & Floor Nailing D ft Stop in Walls (rat proof) 4 Fire Stops; Furred Ceilings—Stairs—Chases—Tub Header & Beam—Size & Bearing gers—Post Caps—Anchors—Connectors C Joist—Rftr. Ties—Purl in—Roof Brac.—Truss—Shthng.—Rfn_p_. replace Ties or Type A Flue—Fireplace Throat 4 is Access; Size & Romex Protection—Draft Stop—Ins. Baffles 49Z' drm. Windows or Exiting Doors—Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE '��k6 Q -Cue-( C-1 C- 9-30 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office im'mediately. - 4,.3 64z> c -Nr- , . 6 -Q 1?1 / / ,-' ( 4ecs- - cc ') .' I, \ �o� t—e .4 (2sro�-ec;+- r-, , � -Q- V, U 4 �" I I I "InZ44 WE + ^j 7 UC,(/ /) Inspector— Z-�? Date a -C Inspector— Z-�? Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OW17E R Pr=MKAI: 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. tzo e- c— C:R "i 11/� I C(Ze:;r t- , r C-� cA -- "'00' lnspector—�' Date— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way; Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Eiliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 29 - 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 . CORRECTION NOTICE I A routine inspe9on indicates that the following violations of County Ordinance exist at th Vtove address a ' nd should I be corrected. Please notify this office when cvection of work is completed. It you have any question pertaining to this "Ite,,?'or P need additional explanation, please contact this office Immediately. r Inspec Da I e0l f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi I I e — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE .. PERMIT NO. A routine Inspection indicateg 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 Inspec Date�� 41— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need. additional explanation, please contact this office immediately. '/ rg Inspector - Date INSULATIO[i CERTIFICATE NAMEADDRESS S1 bNE iyAkS LovP. RAC, GA PERMIT VO, 2-3A,7—oil INSULATION: CEILING R -VALUE WALLS -R-VALUE FLOORS R -VALUE GENERAL CONTRACTOR %�/%% elGlllle ' ADDRESS CONTRACTORS LIC, # .- a BY _ INSULATION CONTRACTOR - ADDRESS CONTRACTORS LIC, #_T�`�f��Sl�/ B.Y/�� /� i►-� COUNTY OF BUTTE - DEPARTMet4f OF PUBLIC WORKS 7 County Center Drive Oroville, Californfa'95965 telephone 916/534-4541 APPLICATION AND PERMIT PERRRMIITN�+O.! cJ ? ASSESSOR PARCEL NU^ BE ,,_ - /ry``7 Iry ZONI t D BUILDING PERMI OWNEV O E S0, FT. OCC. BUILDING VALUATION OWNE 'S MAILINGDRES - CON ACT R• N M r– ELEPHONE4 CO TRACTO 'S MAI N ADDRESS ' Fireplace _ C NSTRUCTION LENDER UNKj OW �/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Agj- \ECT OR ENG NE � LI CENSE'NO. Plan Checking Fee $ " Penalty $ A TNEE 'S ARRCHHITECT R AILIN DDRESS Permit fee $ BUILDING DDRES. PLUMBING PERMIT Filing Fee 10.00 S O Each Trap 2.00 DO Solar Water Heater 20.00 ter piping 5.00 ,00 LOT NO.SUBDIVISION _ NAM PARCEL MAP Each qas water heater or 5.00 Gas piping system 1 - e 5.00 USE OF STRUCTURE SF P9 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer5.00 Mobile Home S G W 10-00e4 TYPE OF WORK New a Addition❑ Remodel❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FitiIng Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS 0, Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLIN & OR ADDNS. ( ACC . BL G 1 2�20sgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio o m license is in fu rce and effect. I y License No. • Classification 92 El 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 CONSTR MULTI -OUT -LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / zoesoa Ex. Occup(o TS OR FIXTURES BAL®30 FIXED APP LNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 70 1 Contractor MECHANICAL PERMIT FiIingFee 10.00 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. ❑ '1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions -of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating , Cooling Hood 3.00 Ventilation permit Fee $ t�je7 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte t nter pon the above-mentioned property for inspection pur ores. I als agr a save, indemnif a armless the County of utte ainst tsmay in a way accru)agai i s ounty in cis p iX all abill i s judgments�ffa�E�nate Signature of A I — OwnerEl Contractor ❑ Agent An SHA �i�uired for excavations over 5'0' ion r construct- on of s c 0 eiiiiiF 3 stories in height. Mobile Home Installation Fee $ 0,07 r TOTAL PERMI EE $ occuP. GROUP TYPE OF CONST, PARCEL D D ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By PE IT EXPIRES Date the appli resolu Ions fees have been WORKS Date oV� to do paid. i Receipt No. �^ A, 0U WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLIC NT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.� ASSESSOR PARCEL N=M EFS , \ice ZONING BUILDING PERMIT OWUAf e,(— TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN D S _ S �V CON ACT R'S NAME T PHON CONTRACT 'S I ING ADDRESS f t Fireplace C61,19TIRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I' 'es ❑ tai lation ❑ Other Describe work: fJ� �� Y _ Yermlt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 7 2/2Qsgff 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 CONSTR ULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2,50 ea NEW CONSTR POWER APPARATUS &\ NON.RESID. SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES SALQ300 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co quence the granting of this permit. X - Date y" K -'gam Signature of Applic nt - Owner ER Contractor ❑ Agent ❑ An OSHA permit is required for excav 'ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE of CONST. [-IPARCFLI PO I ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TO F PUBLIC BY PERMIT EXPIRES Dae the applicable provi- resolutions to do fees have been paid. WORKS Date �� r Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR, PI -INSPECTOR, GOLDENROD -APPLICANT R SIDENTIAL PLAN CHECKING GUIDE (S.F. , .DUPLEX, & MISC. ONLY) Q Bldg, Permit # 2 -g OWNER DEK►N �7 C A., P. �� Z E' Z- . A. 'GENERAL Zoning requirements (sideyards'and parking).. ;1 Valuation. _3 --Signature by R.C.E. or Architect (if required). B ,. PLO'g PLAN Complete parcel size and dimensions. 'Setbacks, sideyards,.easements,.etc.. e` Other buildings or structures Grading, fills, drainage. C. FF.LO�PLAN t Complete to scale plan with dimensions. Required windows for light and ventilation (.Sec. 1405). _Required windows. for second exit (Sec 1404) Allowable glazing for.energy requirements (20% max. per; State.law). -/Human impact glass (Sec. 5406). equi.red room sizes, ceiling heights (Sec. 1407). - �! G..F.C:I.'s in baths_ and .exterior outlets (Sec. 210-8). Light fixtures,.switches, receptacles., and exterior receptacles for.maintenance of. mechanical equipment. Locations of water heater, heating.& cooling equipment, other electrical or gas. equipment, and plumbing fixtures: ""Garage firewall, door size, and closer (Sec.'.503(d)(4)). 1 1 3'O" exterior exit door (Sec. 3303d.). Ll�-ireplace- location. 1-:" Smoke detectors (Sec. 1413).. D. STRUCTURAL DETAILS d0Foundation plan complete. enough to construct building. 00r construction detailscomplete enough to construct building. 3• levations'and wall construction details complete enough to construct building'. Roof construction details complete enough to construct building - Fireplace construction details and calcs if over one-story in_height. sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CX plywood on exposed locations and overhangs. 2Stairway details (Sec. 3305). Guardrail details (Sec. 171.6). w•— Brick or stone veneer (Chapter 30). "-Exterior plaster.- weep. screeds.(Sec. 4706 &4708). b� Pr.ope-rroof pitch for roof covering (Chapter 32) �! Rafter. ties or bearing ridge beam. IAWsI 8 Garage door or porch header sizes. AT' Adequate bracing: *-&—. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc: . 44---�•ao (2) exits on three-story dwellings (Sec. 3302). Return to DPW AGRICULTURAL STATEMENT.OF ACKNOWLEDGEMENT 84-308�;J c - FOR RESIDENTIAL DEVELOPMENT )FFIRiAI- sE. Section 26-8.1 of the Butte County Code requires this acknowledgement SuM MNIY-GA1•'`' ' be recorded prior .to issuance of a building permit. 1) f�-(SIJ `'f`' The property described herein is adjacent to land or included AUG Z8 100s within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from�,,`II'',; , '�'i` the use of agricultural chemicals, including, but not limited to herbicides ti Clides,U F. and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and'on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 11, TOWNSHIP 18 NORTH, RANGE 5 EAST, M. D. B. & M.,BUTTE COUNTY, CALIFORNIA. TAX PARCEL NUMBER: 028-17-0-072-0 Date: PROPERTY OWNERS: i State of CALIFORNIA ) On this the day of 109f� , before SS. me, the undersigned Notary Public personally appeared County of SANTA CLARA ) SOPHIA P. SHANELEC Present A.P. No. ;Z 0 -/ ( "7 21, AKA SOPHIA S. JOHNSON OFFICIAY,SEAL Personally known basis Lv to me. L/ proved to me on the JOYCE M ZAFFARANO of satisfactory evidence. NOTARY PUSUC = CAUFORNIA to be the person (s) . whose name (s ) ,�o su scribed to o� SANTA CLARA COUNTY MV comm. uplrm AUG 17, 1981 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. Not iVy AP &b 1 is Present A.P. No. ;Z 0 -/ ( "7 21, RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY®R Owner aQD -SwA(QeLJF4 Climate Zone it Permit No. 232'1 Floor Area IRU Compliance path: Package ❑ A ❑ B ❑ C ®Point System []Budget ❑ Other /�►'iS Ib3 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS _(1) 'INSULATION: Roof/Ceiling P-�o•oo �. Wall 14.00 ❑ Slab Floor Perimeter -- `-� �- Raised Floor Iq•0 0 (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. 9• (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. �. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier E) Electrical outlet plate gasket ❑ (F),Air-to-air heat.exchanger (3) 'GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple . VL Total Bldg 2, 13.E K___ North Sr. -7 2.41 c� _ East (03-32- 3.30 t� _ South 74. 32 4-.13 West 56 •OD 2.12 9� ❑ Skylights R (B) Shading . Shading Coefficient Description East South . P(P ( West ❑ Skylights ❑ (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area -ftZ Description (E) Thermal mass Type IS04( L - Area 40 Ft . 2 HC= fV •O4 R=. MC= Location ' ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type. - Area Ft.Z HC= R= MC= Location 7/83 J X O FE] FORM 1 (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable,,and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A). -Heating Central Gas Furnace 71 % (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar ACOP :type (liquid or air) Collector brand_ and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other 1 (describe) * (B) Cooling 9 Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. 7L (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. A (E) AN INTERMITTENT IGNITION DEVICE shall. be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. %_J (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORK 1 (6) DOMESTIC WATER SYSTEM -(A) Gas Only MOM SC Gallons (brand and model numbe ) (tank ize) 13 Heat Pump w/Electr i,c Backup p` 50 p (brand and model number) Gallons 2 (tank size) ❑ * Active Solar' (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-.3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the ' following: . LESS THAa Heating: Winter design temperature 30 °, elevation Iva* ', heating load G(13°40BTU elevation factor 1.00 x heating load = maximum outlet capacity gas furnace bl130o BTU Cooling: Summer design temperature 14_°, cooling load' 140 BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing'of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter.2-53 of the Califo nia dministration Code. 7/83 S URE OF BUILDING DESIGNER OR APPLICANT 3 N40-14-010 SUNNYVALE,, CALIFORNIA, • .• OCTOBER 10, 1984. " REFERENCE BUILDING PERMIT NO. 2329-84 COUNTY. OF BUTTE y DEPT. OF.+PUBLIC WORKS 7 COUNTY CENTER DRIVE ` OROVILLE,"CALIFORNIA'95965 DEAR PERSONNEL, AM WRITING TO' INFORM YOUR DEPARTMENT OF 'A BUILDING DESCREPANCY IN A HOME THAT IS BEING BUILT FOR; ME BY MODULAR CUSTOM HOMES OF 9010 N. MAIN ST. NEWCASTLE, CA •, ON THE ABOVE NUMBERED PERMIT. t THE FRAMING-ON THIS BUILDING IS NEARLY FINISHED AND UPON MY INSPECTION I FOUND THAT ABOUT 50 PERCENT OF THE SHORT 2 X,10 FLOOR JOISTS ON SECOND FLOOR FRAMING HAVE DRY ROT. r THE BUILDER HAS BEEN NOTIFIED AND THE CONSTRUCTION SUPERVISOR AGREED TO LOOK INTO THE MATTER. F I•REQUEST THAT YOUR DEPARTMENT NOT APPROVE THEFRAMING UNTIL THE, AFFECTED JOISTS ARE REPLACED OR TREATED IN SUCH MANNER AS,TO STOP THE, DRY ROT DETERIORATION. = YOUR.HELP IN THIS MATTER WILL BE GREATLY APPRECIATED. SINCERELY, BERNARD J.' SHANELEC 1035 ROCKROSE •AVE: SUNNYVALE, • CA 94086 ' do i 'IeZe a��o�,�F. i File Noin 11J+ OUNTY (For Action 1, 2,3) 1 rks Dept. (For Information �) r . Mtce. & Yards& Grnds. sp. Admin. 1 ) Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. 00 3 � Oli � '00A 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W(JI-tK6 PERMIT N rt 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 pG APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT, 28-17-72 OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION d Sha elec OWNER'S MAILING ADDRESS 1035 Rockrose Ave. Sunnyvale, CA 94086 CONTRACTOR'S NAME TELEPHONE lst renewal permit # Modular Homes 663-3333 CONTRACTOR'S MAILING ADDRESS MW 9010 N. Main St. Newcastle CA 95658 Fireplace CONSTRUCTION LENDER )C MOWN AAA Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS , Permit Fee @ k FEE $ 143.75 ARCHITECT OR ENGINEER Joseph A, Yours LICENSE No. 23525 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS N S Settler Ln. app. 600"W Stony Oa Permit fee $ 153.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - Swedes lat Solar or heat pump water heater 20,00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP _. - __ — Each qas water heater or vent - 5.00 USE OF STRUCTURE SF9 Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation❑ Other 11 Permit Fee Describe work: Contractor I ELECTRICAL PERMIT 1st renewal Permit#2329-84 eoov OR LESS Main service too AMP OR LESS Main service EA. ADD -L tlio AMP CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING oCCUP.ei\ OR ADDNS. ACC. BLDGS. I I declare under pen Ity of perjury (check one): NEW CON5TF;L ULTI.OUTLET I NON•RE51D BRANCH CIRC ITS F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business (SPOWER OUTLET US.e) and Professions Code and my license is in full force and effect. Ex. Occup(OUTLETS OR FIXTURES License No. Classification _FIXED APPLNS. OR I, as the owner, or my employees with wages as their sole compen= Ex. Occup. -OUTLET S IREsID.I EA.) El sation, will do the work,and the structure Is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thjsore13son 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. 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 oeWinst said County in consequence of the granting of this permit. X I Date ignature 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. Receipt No. WNITE-O.P.W•. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Filing Fee 10.00 10.00 2.50 /22sq ft 2.50 ea 2.00 10.00 15.00 15.00 S Contractor MECHANICAL PERMIT FilingFBe 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 153.75 OCCUP.1 CONST.TYPEI I I'PLOOOIPARCELI PD ND 139UE 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 PERMIT EXPIRES Date 8-28-86 ..-,..�......--..�.-+»n�,as,.�.......—..-..--�.�ra�e.n.>.ire.rl.-.-...-�..-..--...--..-.-.w.+-+.—� sn[S:P.-iw•r•Cir;+va:.T.a"�'T..�="lR'�•R6ff�llR•,. n - GFX.• �J�.i' /2 Z�x�o'�/6"-. t G l000'�/ . 7-1 962_,7737,7 CAS - S•o I -77) _ �� i j J r�"�-"i .� /S. -_ • �f' rte/% P • . � A 1 C�✓L�. /cs= �i.�, . �j -a . ' 7 ��C35 TfsJ�a Ga ✓r -, Dry k otf ESS/py 10 L3J CP i1i F } _LU • 00 000. F /y ::�.�. ` ��;~' �,�8`�� '�� •_�'. �; � �, r��:��,�t ,_' .� if OF: Cal\F . S. 4 1 �. L t ( \•+K^ ( 1. i 3 � = i s 7 ( r j (' < t f ' r e t TM•r r {r ;k2 .�,.� - r - � ., w,•-w•�+!a-•++�.A�......e •"T -a. •:--.e-"_"^T'1'-+ i _ q. --..• »....•.._L c .i �.. r- �- s,....: -> -....ti --. L f :,• -s. a •.( t i'- ;,� - t t T r. 2 _+ - � ��_j�.. •. � ..-,.t-. >. �•,�ry �_a t 1 -:-.•r• / .�.. 6�. +.� . ,x.:.-t-.•j.•r 1 ,'_s, } s- } r << "r• ,.. r ... � - C ( __� r t � L{_.7. +�. ^i -t r. - i •t � •c ( � � c- ♦ --L { t � �. i.. b �"-� i t n « � ... •..; a � . a. r .. . .•t. s 1 .. r �. .._t Y»-3--• ,.cf t- ( i .. ♦ a e _ . K y'1 s+»��'_tMf `r"'..._-4 .t,..q r_. t -�-.i _...� ' (.na... ; y. .L{.•4y_T. c--s.�:--�"' _...., _•.; ._ _. , 1 .,.i _ �y� �.. ._t..= r �..j � _ t r •Y a •i ( {� � .t.n `1-., ,i � F f y. « :.l _ .., -. - T^ w� }. t �•rk-`., 3 1 � - 'moi .i •..' 'W _.r. �'.r + �:..- '-. .- �..� . .. _. .... � ( ,. -... F ; � i �. -. { i. T ...� ... !._. �.._ 1 .. ............u..�...y:�..,Y.r..-�>~r..�:.......�.�.,:.:�., Z..z_-:.�_.r....-..�.».....,.v�.._ , ...»...___........:.:.... _._:__:�.;,.:.�:....;.....�Fa....ars...�.,..'..'.:..,:s..�:.w'�',......_�_.>-:.. �::.;:.__..,..(......,.__..:_t...�.�__ ._� 058:10 R2 3/28/84 VH/dr 7 - Attachment D Fo rm 2 (Revised 3/84) Climate Zones 2, 4, 6. and 8-15 COMPLIANCE CHECKLIST ' For Low -Rise Residential Buildings (except hotels and motels) Step 1: Enter on the form the values for each measure from your building plan and specifications sheet. Step 2: Enter points on this page while working through the point system Building Shell. Measure *Total Floor Area. 20 ft2 Q 1. Slab -on -Ground; Perimeter �. ft.,•Depth�_in: R- 2. Raised Floor R -Value. . . . .• . . . . . . . . . . . . . . R- 3. Ceiling Insulation or Construction Assembly . . . . . . R - Attic, Percent of Roof Over Conditioned Space /00% . . . . . . ft2 4. Wall Insulation or Construction Assembly. . . . . . . . . . . . R - Glazing; Total % Floor Area Single Double Triple a S. North -Facing. ..: 2'- x" ft2 55aft 7E t2 ft2 • ft2ft2 ft2 6. East -Facing fi a i 7. South -Facing. ft 2ft2 ft2 8. West -Facing i ft ft 9. Skylight.. _ x .F -•ft2 ft ft 10: Shading Coefficient y (excluding, overhangj_ f� L a. East , . • _�SC • , . . . • • , . • , . s r + b. South. 4:• F�. SC . . . . . . . . ` c. West . ' . .2.�1. SC . . . . . . . . d. north. . . . . . . ..Z.`L SC e. Skylight SC 11. Horizontal South Overhang Length. ft . . . . . . . . . . . . . 12. Movable Insulation, % Floor Area. 9; 13. Infiltration (indicate Standard,.dium or }g t} /✓J��j 14. Thermal Mass Exterior Wall Thermal Mass 2 Area, Heat Capacity, R -Value -ft Interior. Thermal Mass , Area,Heat;.Cepacity.' R-Yalue:�� r i.`8 ft2°,. 0f1C. R- HVAC system**x 7 15. Gas Furnace without Refrigeratfoa Cooling; 'V (Seasonal Efficiency)'. r `;• . ,AIR SE 't- s 'i •,. M. Heat Pump (Energy Efficiency Ratia). . . . . . . EER 11. Gas Furnace witff'Refrigeratiort::Cool i� 3 t`, Seasonal Efficiency' and' Seasonal>� Points � r , •, f Energy Efficiency Ratio.*, 18. Active Solar (Net Solar Fraction;�f} iNSF 19. Zonally Controlled Electric- 4 Resistance Space Heating., (Yes/No) r Domestic Water Heating** 20. Solar With Gas Backup (Net, Solar fraction, Z) �3NSF Q f is i 2I. Other Water Heating (Describe>type)S Compliance f� Point System all. ... w �'iN o - bra r\ ,. . • . • • � _ `�•x,• (tvt^ het 1st items; not a point.- system measure,; d, **Attach documentation for efficiencies and NSF. FJ 4h`k. �'' 4 .. i �F>` (r Y �. •^•c, f °.�C c f �...a' � •1• ,,v; r 7 .. . - PROJECT DATA SUMMARY owner A•3 protect LI et�r F��,t-�1E cotit�sT��aTi m � system type JUL 17 1984 MeOuLAA MoME:44o*, 1H4= - documentation autnor date Form .1 cnecveo oy date SITE INFCRMATION Heating Degree Day (from Appendix C) .......................................................— HDD 1 OF. day Outside Design Temperature (from Apoendtx C or Appendix G) .................. _.. Tow 2 of PROPOSED BUILDING ENVELOPE INFORMATION / 9� Gross Floor Area if Low -Rise (from Calculations) ............................................ Af 3 ft2 Gross Wall Area if High -Rise (from Calculations) ............................................ Aw 4 G ft2 ft2 Designed Glazing Area (from Calculations)..................:................................... A9 5 Basic Glazing Area 116% of Line 3if low-rise or 40% of Line if high-rise)........ Aby 6 ft2 Description of Assembly Glazing VAL U91 7 • Btu/ (hr.ft2.oF) Ug2 B Btu/ (hr.ft2•oF1 Ug3 9 Btu/ (hr .ft2 -OF) Wall .G�i�TLCi�.�Q� Uw1 10 A �. Btu/ (hr. ft2 .,OF I U.2 11 Btu/ (hr.ft2•oF) Uw3 12 Btu/ (hr•ft2 •°F) Uw4 13 Btu/ (hr-ft2-OF) Ceding/Roof .QT%�/C Ut1 14 t 4v-3� Btu/ (hr .ft2•OF) Ut2 15 Btu/ (hr .ft2 •OF) Floor 9 Z kV4 Ufl t6 . Q� Btu/ (hr .ft2 •OF) Uf2 17 Btu/ (hr .ft2•°F) PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace -Building Design Hourly Heat Loss (from Form 2) ..................................... qh 18 Btu/hr Maximum Allowed Bonnet Capacity, 1.5 x Line 18..« ........................................... 19 Btu/hr Proposed Furnace Make Model Description Rated Sonnet Capacity Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 5)............ .................. .. sLCCe 20 S Lowest Life Cycle Cost of the Other Systems (from Form 5) ................... sLCCk',,'d 21 S Non-Depletable Energy w/Electric Resistance Bads -Up J Percentage of Annual Heat Loss Met by Non-Depletable Energy, Source (from Calculations)....................................................«.......«. » ... 22 % Heat Pump with Electric Resistance Supplementary Hest Percentage of Annual Heat Loss Met by Electric Resistance (from Calculations) .... 23 %, PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8) ..' Electric Resimnos Alone Electric Resistance Life Cycle Cos! (from Form 6) ................................. wLCCe 24 S , lowest Life Cycle Cost. of the Other Systems (from Form 6) ................... wLCCbwest 25 S PROPOSED SWIMMING POOL HEATING SYSTEM INFORMATION (Chapter 9) : Solar Life Cycle Cost (from Form 7)............................................................... pLCCs 26 3 Natural Gas Life Cycle Cost (from Form 7) ...............................:....................« pLCCn9 27 S.' ; HOURLY AND ANNUAL Form 2 BUILDING HEAT LOSS RATE sy,9� .✓�L.c.. /910.9. - owner protect Checked by AcTyA�.. 1r3TV Lo -191"s system type date MopULA^ }}oMES 1Na JUL 171984 documentation author date ' HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE A� For All Conditions Other Than the Following 70°F —�°F = �Tw1 1 OF z To. from Form 1 For'Insulated Floor Over Vented Unheated Space, , , ...... Line 1 —*2..- ATw2 2 OF For Uninsulated Floor Over Vented Unheated Space ..... Line 2 — 50F • . _ &Tw3 3 OF CONDUCTIVE HEAT LOSS - U from Form Framing pTw Area. ft2 or 1, or Fyfrom Factor from from -?- Deurlptlon of Assembly Length, ft Table 4-1 Table 3-6 above claatifq l7V^_ 2S9 x x I. o x440 Btu/hr X x x WOU .�XT�r�/OiQ /7B 9 x, D.gln x D y �r X_ x x f x x X_ x x 1 � Ceilinglaoof .47*7*14:Z x 4 40,0/ x 1./7. x / D X_ x x IQ ��_ 1�4/ l 35 x O Floor G' .�%✓�r o x x y . x x x T t�ttMr x x x X_ x x '. x x x Subtotal 4.. Btuft INFLITRATION (Enter 0 on Line 5 if tttere is positive ventilation) - i 920=2 x` 8 n, .01 iDf x OF. 5 1/os9 ft Y - — - -Gross Flow Area`. weighted I from Table3-7 AT. from Average - Ceiling Height Line 1 F VENTILATION (Enter 0 on Line 6 if there is no positive ventilation) h3/titin x'. OF x 1.08 ' ............... 6 Ventilation Rate from ATw from Line 1 ' Calculations Subtotal 7 Stu/1W DYCT HEAT LOSS (Eater 0 on Line if there are no ducts) ?/ / s... 0.15 x Line 7 m' 8 TOTAL (Line 7+8)' % 0 Stu/hr ANNUAL HEAT LOSS OF-day/yr x Btu/hr x x 24 M/day HOD from Appendix C Hourly Hat Lou C from from Line 9 Table 3.8 z Qh oF. p�Tw from Line 1 10 Btu/yr HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY 32 Form 3 owner project checked by _FGOO/,q O✓.ER C14,4W4 5�Ac,E system type date . J U L 17 1984 documentation author date List of Construction Components R /,::"G *P1kc/ooI!V. 0. 93 - 5: 6. Sketch of Construction Assembly 7. 8. Check'onev Inside Surface Air Film heating Wall Outside Surface Air Film' heating • Total Thermal Resistance (RTi door heagng 1/RT, Overall Heat Transfer Coefficient (U)'.- • O '4 & Btu! 1hr. ft2.On ..z 3 HEAT TRANSFER COEFFICIENT Form 3 PROPOSED CONSTRUCTION ASSEMBLY �,yA.y.EG Ec �9lv9 owner project CheCked by EXTE,PiD.Q D.� �OHliYlOitl d/.4LL system typedate JUL 17 1984 MDOyL.9�P f�O�IE S /NG. documentation autnor date Slietch of Construction Assembly • .F � .yG.V , � M'Check one:. Wait Weight 3�"= lbm/ft2 loor List of Construction Components R 2. 2e 3. 4. 6. 7. Inside Surface Air Film- .. Outside Surface Air Film ri heating Total Thermal Resistance (RT) neatin9 WRT, Overall Heat Transfer Coefficient (U)'�. Btu/ (hr•h2-ZF► HEAT TRANSFER COEFFICIENT Form. 3 PROPOSED CONSTRUCTION ASSEMBLY owner Project checked by system typedate Mov414 Ale .210011E5 U U L 17 1884 documentation author - date List of Construction Components R 1. 'E/G 1,A/4 -/4/57S 2 ~ 3/�� iN.5t/L qT/OJT %0 4. 5. 6. Sketch of Construction Assembly 7. 8. Check one: Wall Weight 1 bm/ft2 Leiling/Roof Floor Inside Surface Air Film —�= heating � Outside Surface Air Film --— . heating Total Thermal Resistance fRT) Heating 1/RT, Overall Heat Transfer Coefficient (U) 11 ® Btu/ (hr •ft2•=F)