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029-134-014
IC 'r• F 1 3[1 4-1 "f APPLICATION FOR CERTIFICATE - OF MERGER 029-134-014 PERMIT#98-0614 APN#_ O? -?-/33 p/5� TRACY, Eric & Michelle p2q U/7 1268 5roadway, Richvale Conv� 'rage to Guest House plans Gn -Fr to 029-13-0-014 00-1617 TRACY, ERIC & NIICHELLS RIC E 1268 BROADWAY, /9 CONTR: OWNER S TRAPS CLEAN OUT & Cb 'r• F 1 3[1 4-1 "f �r p �t,c wof`�` Department C o u n t i J. Michael Crump, Director Warner C. Phillips, Assistant Director June 27, 2003 Mildred Reynolds P.O. Box 477 Richvale, CA 95974 of Public o f B u t Re: Application for Certificate of Single Merger FAP 029-: 33-01 &4 017 Dear Ms. Reynolds: Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 F- BUTTE (530) 538-7266 COUNTV (FAX) 538-7171 JUN 3 P ZIjr►3 DEVELOPMENT y; SERVICES ,,d On June 27, 2003, the Department of'Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project. Enclosed please find a conformed copy of the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on June 27, 2003, under Serial Number 2003-0042235, in the office of the Butte County Recorder. If you have any questions concerning. this matter, please -contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, �✓ Stuart Edell Manager, Land Development Division SE/kp cc: ,/nvironmental Health Department Building Division Michael Mooney Michael Evans RECORDING REQUESTED BY and AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DMSION 7 County Center Drive Oroville, CA 95965 CQPY of Document Recorded 27 -Jun -2003 2003-0042235 Has not been compared with original BUTTE COUNTY RECORDER CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBERS) , 00 NUMBER OF EXISTING PARCELS: ral EXISTING PARCELS CREATED BY: ❑ PATENT ❑ GRANT DEED ❑ GIFT DEED ❑ PARCEL MAP I(SUBDIVSION MAP 'OTHER RECORDING DATA: YEAR S E 9 ID - Co MAPs 53 SND BOOK / PAGE OR SERIAL NUMBER: FOIE i2_�E Z - (LEGU►2 c�E�S S c--)Lkku Qo . 96 -355F?- SUBDIVISION 355SZSUBDMSION / PARCEL MAP: BLOCK LOTS) 5&4-, Sias As of the date of recordation, those lands noted above are merged to create one single parcel of land as described in Exhibit A attached hereto. JUNE 27, 2003 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that single parcel as described in Exhibit A attached hereto. OWNER S SIGNA TURES MUST BE NOTARIZED Print name and fide (If applicable) below signature line N1lL, Eli o . 17-E oL-�S Sign and print name & N1pi(:,M4-CE �:UW> -AZ LLC name & title - Dt-?,jEF IC I A-iz -f �- (� G 3 Dat .� vim— < <i, Date CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of Califo06r +� ss. County County of j ���— 4r� BEVERLY MINOR Cornmission a 1351406 Notary Public - California_ Contra Costa CoVnfy MyCorrmExpiresApir 15.2006 Z❑ ersonally known to me proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WJNESS my hand and offoal seal. Signal( Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached ocument Title or Type of Document: t "� n Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer / Signer's Name: Ml 4 -L4 l� Q tLV_,gd(d S' -EI/Individual Top of thumb here ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 01999 National Notary Association - 9350 De Soto Ave., P.O. Boz 2402 - Chatsworth, CA 91313-2402 - www.nationalnotary.org Prod. No. 5907 Reorder. Call Toll -Free 1-900.876-6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of Calif 01 � I \ ss. County of On ,e_, . �-C i before me, Date�� personally appeared BEVERLY MINOR Commission # 1351406 Notc" Public - California _ Contra Costa County My Comm E)phWApr 15, 2006 and Tale of pfrr & (e.g., Jane Doe, ❑ personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WIT N S my hand and officials I. — //(��� J Signature o Pubic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached D?cument � / I r ' Title or Type of Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual / ,P--f-orporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: ITHUMBPRIINIT 0 1999 National Notary Association - 9350 De Solo Ave., P.O. Box 2402 - Chatsworth. CA 91313.2402 - www.nationalnotary.org Prod. No. 5907 Reorder. Call Toll -Free 1.600.97&6527 MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5 Madrone Avenue, Suite A Oroville, CA 95966 PHONE: 530-533-2131 FAX: 530-534-0902 EXHIBIT A All 'that certain real property situated in the unincorporated area of Butte County, California, merged into one parcel and being all of Lots 564, 565, 566 567, and a portion of Lot 152, as shown on that certain map entitled, "Town of Richvale", which map was filed in the Office of the Recorder of the County of Butte, State of California, on January 17, 1910 in Book 6 of Maps, at Page 53, and being more particularly described as follows: BEGINNING at the Southeast corner of said Lot 567, thence northerly along the east line of said Lot 567, North 140 feet to the Northeast corner of said Lot 567; thence continuing northerly along the northerly projection of the said east line of Lot 567, .10 feet to the northerly line of that' certain South 10 feet of said Lot 152, heretofore abandoned by order of the Butte County Board of Supervisors, a certified copy of which order was recorded August 15, 1996, Instrument No. 96-30266, of Official Records of Butte County; thence leaving said east line projection, westerly along the north line of said South 10 feet of Lot 152, West 120 feet to the northerly projection of the west line of Lot 564, said Town of Richvale map; thence leaving said northerly line .of the South 10 feet of Lot 152, southerly along the projected west line of said Lot 564, 10 feet to the Northwest corner of said Lot 564, thence continuing southerly along the west line of said Lot 564, 140 feet to the Southwest corner of said Lot 564; thence along the south line of said Lots 564, 565, 566 and 567, East 120 feet to the Point of Beginning. Containing 0.41 acres more or less. The Basis of Bearings for this description is the same as shown on said Town of Richvale map. All new structures must meet the Fire Safe Regulations of Butte County and Public Resources Code 4290. END OF DOCUMENT x029-13-4-014 00-1617 TRACY, ERIC & NHCHELLS 1268 BROADWAY, RICHVALE CONTR: OWNER CLEAN OUT DRAINS & TRAPS j 9 x029-13-4-014 00-1617 TRACY, ERIC & NHCHELLS 1268 BROADWAY, RICHVALE CONTR: OWNER CLEAN OUT DRAINS & TRAPS COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 "'/ E MI N . [/�" (Rev. 12/96) APPLICATION AND PERMIT /7 ASSESSOR PARCEL NUMBER 029-134-014 ZONING BUILDINGPERMIT OWNER ERIC & MICHELLE TRACY TELEPHONE 882-5107 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1268 BROADWAY, RICHVALH 95974 CONTRACTOR'S NAME 0' M ��( TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS .S+A,%IE Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XD Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 2 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities Ci installation ❑ Other ❑ Describe Work: CLEAN OuT DRAINS & 2 TRAPS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE 4Q. ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law �f the following reason: I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number V0001he above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 1certify 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 iworke4s' compensation pro 'sions of section 3700 of the Labor Code, I shall fort wwiith comp) with th pr isions. { X 1 Date I t Sipa rZ-- f pp icant- wner ❑ Conttacto ❑ Agent An OSHA permit is required for excava ions ove60' eep and demolition or construction of structures over 3 stories in height. v Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( & ACC. BLDS. 3.5¢FT. NDN.EW RESID. ANCHoUTLET @7.50 PO ER APPARATUS d SINGLE OUTLET CIR. 20 .00 EX. Occup. OUTLEr OR FIXTURES BAL ®1. 0 PP I'S 5.00 Ex. Occup. oLmFrs Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 49.00 I.A D . FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ie q7A jL �// �j Date` By i X17 PERMIT EXPIRES ON 1/ ate ReceiptNo. 302101 I $49.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " )- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96*) APPLICATION AND PERMIT " Ir ASSESSOR PARCEL NUMBER 029-134-014 ZONING BUILDING PERMIT OWNER ERIC & MICHELLE TRACY 882- TELEPHNE 5107 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1268 BROADWAY, RICHVALE 95974 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 5] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 2 1 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities di Installation ❑ Other ❑ Describe Work: CLEAN OUT DRATN4 R, 9 T AjAPPC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE SAQ nn ELECTRICAL PERMIT Fling Fee 20.00 000R LESS Main Service zo.VA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fpf the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' co enation laws of California, and agree that if I should become subject to the orke ' compensation r 'sions of section 3700 of the Labor Code, I shall fort Ith c mpl ith p isions. X Date f pp Ican - t V10wner ❑ Con acto ❑ Agent An OSHA permit is required for excava ions ove '0" eep and demolition or construction of structures over 3 stories in height. Main Service zooA TO i000A 46.00 NEW CONST. OW , LJNG OCCUP. 3.5Qso ( OR ADDNS.NEW CONST. MUL�TIC-ou�TLET NON-REsiO. @7.50 POWER APPARATUS a SINGLE OurLET C'R. EX. OCCU OUTI.Er OR FW URES 20 p 1.00 BAL Q .so Ex. Occup. OUTLETS pEESSIp.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 4 9.00 HAz. D. FEES IMP FLOOD CDF pARC0. PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. , By, . Date I PERMIT EXPIRES ON L -64N Data s— ReceiptNo. 302101 / $49-00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �% ��J O / ZONING BUILDING PERMIT OWNER y�,t T LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME / ��/ / D/lJ Com/� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS p� /_ r/1' (P 1?0,q—bA)1d Energy Plan Checking Fee $ /1 2�`U�' $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 16 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uilitiespp Installation ❑ Other ❑ Describe Work:%i Gl1/10d� n Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 0 Mobile Home S G W @20.00 PERMIT FEE S (� ELECTRICAL PERMIT Filing Fee 20.00 000OR UES Main Service A OR LESS 23.00 jj J / p O- r Receipt No. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. 3 5¢So. OR AD DNS. ( b ACC. BLD S. FT. NEW CONST. MUITI.OUTLET NOFFRESID. @7.50 POWER APPARATUS b SINGLE OUTLET CIR. OUTLET OR FDRURES 20 Q I.00 Ex. Occup. BAL_ @ .50 Ex. Occup. OFUTIETS RESID.OEA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ Z,�� HAZ. I D. FEES IMP FL000 CDF I PARCEL I PO HD 6SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and. return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit ail . be issued until this verification is received. 1. I personally plan to provide the major labor -and materials for construction of the proposed property improvement : YES[ ) NO[ I. Z. I HAVE[ j HAVE NOT[ - ]signed ari :application'for' a:building permit for the proposed work...: . 3. I have contracted with the following person (firm) to provide_ the proposed construction: NAME: ADDRESS: CITY:. PHONE: CONT'RACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person 'to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the follo*g4e$sons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGD: 7 PROPERTY OWNER: SOCL-kL SECURITY NUMBER: y DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of . . property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of iecoid on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades_ that you plan to subcontract, you should be aware of the following information for your benefit and protection: - 0 If you employ or otherwise engage any ' persons other than your immediate family, and the 'work `(mcluding materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you.are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. .. 0 There may be financial risks for you if you do not carry out these obligations, "and these risks are: especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0,xner-Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 RESIDENTIAL i 029-134-014 PERMIT#98-0614 TRACY, Eric & Michelle PERMIT NO., 1268 Broadway, Richvale Conv Garage to Guest House PERMIT EXP. OWNER CONTR. ASSESSOR PARCEL `LOCATION I f� A . K i OFFICE COPY Address GAS i� Meter By Dat ,j ELECTRIC Da��� Meter By r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E Q JOB FINALED (Date) Signature S V = OK �✓ O = Not OK Not = NotReady Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test•Fall•C/O-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'LYL / /Nat or/ /L'It./ /LPG 7. Well Clearance 8 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 accept #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Ste-Spacing-Maniage Line 3. Gas; MH Test DernarKWahe•Connector 4. Electricity; MH Test-Crossovem-Breakers-Clearances S. 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. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date COVEK CMMAM GARAGES (Plans) .K except #'s 1. Zoning Requirements-Setbadks-Easements - 2. Footings; SCIsSizL, a hSpadng.ConnecOX Steel 3. Decks; Gkders and/kxJoistsOedking-BracngStairs-Rails 4. Wood Awn:; Posts-Seams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connec*msSplice-Decal-Enclosures 6. Carports: Windows -Doors 7. Ek cftic 8. Fmg.: SilsvAnchorsStuds-Rtt►shusses 9. Siding; Nailinga/eneerStucco-Mesh 10. Rbof;Sht g -Roofing - 11. Ext; StepaDoorglandirgs 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacka-Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steet-Connections-Thicknesa . Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR S. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-TerminalsUsted 7. Elec.; Bonding; Metal w/6 -Circulating Equip.+leater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Endosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesFWater Supply Test 11. Ught Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 It ✓ = OK O = Not CK- - = Not Applicable = Not Ready r Date / UNDERFLOOR (Plans) OK except #'s 1 ningSetbacks-Easments-FloodStope Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalis, Main;Steel-BlockoutsANrapped 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/0 -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. 'Water Pipe; Test-Anchors-RegulatorService Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts.Joists-Vents-Crippies RESIDENTIAL (Single & Duplex) Date 15. Access & Ventilation Mesh -Drip Screed -Fd. Vents-Underflr. Access 23. 16. Insulation t ,Elec. Receptacles Spacing -Lights & Switches at Doors Interior / Exterior Wall Panels 5. Boxes & No. of Conductors Stapled Date S - Card B-1 Date Card B-1 Date Equip. Ground made up w/Mech Fastners-Bond Gas & Water Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI _.-11. Water Htr.; Vent -Access -Combustion Air Baffle 31. Service -Riser Conductors & Ground -Main Disconect r," 1 �/ Water Pipe; Test & Anchor -Nail Protection Equip. Clearances Panels -Motors -Meth. Epuip. 19. D.W.V.; Test Fittings & Anchor -Nail Protection L/4. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Cab B-1 Date Card B,1 Date 22. Gas Pipe; Sixe & Anchors Date MECHANICAL (Permit) OK except #'s 35. Date Card B-1 Date Card B-1 Date 37. Condensate Drain & Overflow, Size & Grade Card B-1 Date Card B-1 Date Siding -Nailing Veneer ELECTRICAL (Permit) OK except #'s Mesh -Drip Screed -Fd. Vents-Underflr. Access 23. Fixture & Transformer Clearance -Ins. Protection 59j9hear t ,Elec. Receptacles Spacing -Lights & Switches at Doors Interior / Exterior Wall Panels 5. Boxes & No. of Conductors Stapled Infiltration -Wails -Windows mex Installed Close to Edge of Studs & C.J. Date! Date Card B- Date Card B-1 Card B-1 Date Card B-1 Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33�lothes Closet Light -Shower Light -Spa Light L/4. Smoke Detector Date Cab B-1 Date Card B,1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumarnre-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Pians) OK except #'s 40: aSits Proper Materials & Anchors C_-1_1 Walls Studs -Nailing Spacing & Braces -Plates -Sound aring Walls over Girders & Floor Nailing v� Draft Stop in Walls (rat proof) � - tops, Furred Ceilings -Stairs -Chasers -Tubs 0Headers & Reams -Size & Bearing Date FRAMING (Continued) IJ- angers -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-roH Brac: TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance ---49-Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles j1drm. Windows or Exiting Doors -Sill HgL & Dimensions 1. Garage Fire Protection Framing 2.�roperty Line Firewall & Openings L,11&3. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits --54. Stairs; Wid"eadroom-Rise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers e� 56. Siding -Nailing Veneer stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access t-:-'55"lazing Area -Class Protection -Skylights -Plastic 59j9hear Walls; Nailing -Bolts 1�60,ce Interior / Exterior Wall Panels . Insulation -Walls -Ceilings Infiltration -Wails -Windows Date! Date Card B- Date Card B-1 Card B-1 Date Card B-1 Date fJNAL (Plans) OK except #'s 4-'63. Fal Steps -Door & Sideliaht Protection-Landinas Vents -Clearance -Comb, Air-Conector- Above Floor -Ducts -Meeh. Protection Bath Fixtures & Tub Access -Spa t_,-9. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Ogg. Outlets 8 Receticales at Kit. Counter rage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper �Vtriritr�llents-Clearance-Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77.Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn.ents & Crawl Hole Door Drainage & Wood -Earth Ce ance Looked under Floor 0 Yes Following.lnstld./Drive 0 YeaDA&ANalks 0 Yes @Oftfianters 0 Yes 0 No W. SLuctl 3BmAm-Finish X. Vents cof, Plbg-Appliance-Fireplace-Clearance to Openings 86. er Well, Disconnect, Electrical, Plumbing Ext ' ec. Trim, G.F.I. Receptacle -Underground ,Afn'tilation Throught House Glass Protection 90. Corrections from Previous Inspections 9 Gas Test -Meters Tagged, Gas -Electric er &Sewer Connected -C/O to Grade -HD Approval r% ergy Compliance Certificate -Other Certificates Dat Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date ZR,) -YY Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT 6F DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541P RM NO. (Rev. 12/96) APPLICATION AND PERMIT 9` ASSE(Tr� AYE NUj,IB V 14 ZoRNH BUILDING PERMIT DW"fRIC ANCD} MICHELLE TRACY TA 'EW604 SO. FT. OCC. BUILDING VALUATION 6080 OWN_4447_� ERS 0MA'6 Dlb2, RICHVALE CA 95974 CONTCWXKXV V V V V UNKNOWN TELEPHONEX.N' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 00 -99. 80 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SO BUILDING ADDRESS 1268 BROADWAY, RICHVALE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 191.50 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GUEST HOUSE SPECIFY Each Trap 7.00 7. Solar or heat pump water heater 23.00 Water piping 15.00 15. Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: RATSR EDN, INSULATE, r.nNV GARAGE, TO GUEST HOUSE Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEES ELECTRICAL PERMIT Filing Fee 1 20.00 RLESS "OOVMain Service 20OA OR LESS 23.0023. QQ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.50 FT: NEW CONST. MULTI.OUTLEr NON-RESID. AN @7.50 POWER 8 SINGLE OUTLAPPARATUS Er CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 p 1.00 @ .so Ex. Occup. ouTEis RESID.OEA 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ply with those prov' ions. X Date _ /� Signature of Ian caner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating DAL 30. 00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ IA 146 -nn cc CONST. TYPE vtii TOTAL FEE $1,h ' HAZ. . FEES IMP FLOOD CDF PARYL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �""�� ,,, By if1�� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale ReceiptNo. 236464/161.50PC// j� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ' COi�NTYVF Bd.tT-�"-' DEPARTMENT OP DEVELOPMENT SERVICES -BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: O �G Proposed Building Use: Building Inspector: (�� Date: l> At time of permit application, I was advised the following data must be submitted• prior to peffnit rocessing and/or issuance: r Date Received By 111. All items have been submitted .------------------------------------------------------------------------------------ Plot plans, ed by the preparer of plans. ------------------------------------------------------------ , Complete pl 3 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. En ' eered truss details and layout in duplicate (required prior to plan review) No faxes! a�KZergy Design Compliance and supporting documentation.---------------------------------------------------- / ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ 0. Fees $ ------------------- and installation instructions including Tie Down Secifications.------------------ p 119. Manufaacc tured Home data r ,,------------------------------� `- —"`�J Impact fees as shown on the attached schedule.f------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 1. lood elevation certificate. --------------------------------------------- AV 4. Sanitation and plot plan approval Health Department. 11' 5. City of Chico plumbing permit. -------------------------------------- W71.Plot plan and business license approval from the City of Biggs. --- . .Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). -------------------- 0 22. Workers' Compensation carrier and policy number. -------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - ----------------------- 0 24. Letter of signature authorization. ----------------------------------------------------------------- k5. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- ❑26. Letter of intent on building use. ------------------------------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------------------------------ 0 29. ❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. .J VA • - (Date) ❑Telephone and hold for pickup at offic . ❑ Deliver with inspector. Q Q� Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Polltm n By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: D By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by hone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, oer, a iced of the above required data b 13 phone, ❑ mail, ❑ Building Divi ' n co ter, byD}te: Plans reviewed by: Date: Z Plans approved by: Date: Sets of plans on hold inJ6 Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a) „10l ZON1 G BUILDING PERMIT OWNER� ,fn I� I ' r ezlc-OWNERS � MON; „ w, ( SO. FT. OCC. BUILDING VALUATION /I MAO ADDRESS �J��T��`- f1 CONTRACTOR'S NAME HONE ? LOME Pra 1�i ('c CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER r {� Fireplace LENDER'S MAILING ADD�IESS V� N � ^ _n ,C�Jy(j�� `L'llL'/ Total Valuation $ ARCHITECT OR ENGINEER U*Q 1_ F_� NSE NO. Filin Fee $ 20.00 Permit Fee $ D ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADKESS ^, PC4�om lxJ Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fedl 20.00 Each Trap 7.00 �— USEOFSTRUCTURE f Gil/SF ❑ Duplex ❑ Mobilehome Other (IlkPJ 51 -�'i0we SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 131" Remodel ❑ Utilities—Installation ❑ Other ❑ Describe Work: U1,2 -"p 1D rrt.+ ' l i`1�111 E Ga`_s Piping system 1 - 5 outlets 15.00 Bu'ilding sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 1� GGC- ©t�5 ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby aff'/Mur�cler penalty of perjury that I am licensed under provisions of Chapter 9 (comm5cing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property• am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service YOGA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. BLDs. s0. �10 0C 3.5¢FT. r",OµESIDCONST. RcUTr.MULTI-OUTLET 97.50 6 SINGLER AOUTLET CIR. EX. OCCU OUTLET OR FIXTURES @ ''50 BA0 .00 Ex. Occup. ° q D.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S O WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work ;f -a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 61 V:Rf Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ �- CONST. TYPE LOcc HA=. D. FEES IMP FLOOD CDF PARCEL PO HD sS UE This permit is hereby issued under the of the Butte Cou ty_ de an /or r vyjy�h fe ave indicated ae four6 �� B ERM PIR S ON applicable provisions Resolutio o work bee�aid. r �j ate _ Defe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District. A�� �F[` Building Department No. A.P. Number — �J Jurisdiction: Q City County Property Owner er /C. / /(���/� T/ oc V - Property Location/Address �v 7- Subdivision Lot No. Residential Development Q Q No of Living Mobile Home Units Installation rU Sq. Footage 3/ AWdi Group R) �cOnv, p�fion o� t�q/CtQe 7�0 Gv�s� �©rts`J Sq. Footage Commercial/Industrial New Addition moor runs revieweO Dy ocnooi uisinci rersonnei) District Identification No. (Including Exterior Roofed Areas) 6 Date G / � �,%i) , F 1 P �i. School District certifies that % r I ( -� l C c, If (Applicant) (Street Address) (Phone Number) i (-)C/- le_ (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing jr' square feet. I CJ / by payment of $ JFBi29�26� $ [FULL MITIGATION $ Date i Paid by Check # Remarks: N6iice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(e), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you fro6).challenging the imposition of the -fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (2/97)dmm oaa-a3�-o�� Mood �� Gn�o �ME as ! mmmmmm s m■o�u� ��u Ell MEN Ing Imp f�L.sr,,,,,�,,••''s's%%s's'ss's's?%i't3s.Nf..;s:fss„ .., t +.:�:%'t%'s% �r`t%'s's � • ,ssssss,LLs:/���;� ¢#.'%%.s?i��.s 's;�'�,%.'s ;•''•,�., t »' ii��'t s�'��,,L Y.EYf'.CtL�k+,06Y.KdKLLLLLLLL.{...... !LLLENNLL t .. /.N.LLLLLLLLLLLL[+.NN{LL�..... N....t... .KELNt.LLN3t/.LLL«LULNt.+.LLLLL.3/.< 5 \ 5 ' I I I I I I City Sewer I I Pump r � I NI Well I I I I I O I O I O I . � I I I• I ®a W I 2 I vj co LU GC b� U) 'ij House Gfi+ tion � CY �• -tea+ �Ir L,U al U Ull: LU ----- � — — — —— — — —— 75.00 0VD � ® < 0 Bam I I 01 I e �I ...y s e� •4;-_ tv E ¢ 6S w Guest House/Garage PG&6 I I I I I - I I I I I I I I Driveway I ti P. C? b Cl) N M 29.26 L- 14.48 �� 14.78 5.63 3 � 38 ► 1 5.97 ---,1 1 5.88 A j 3' -0" 1 2'-0" I T-0" be&oom Window ) ;en dimensions cat 24" h 5.72 � earooemee' ana he�i 3in.k to be removed (p) 3'-0" Pocket door iE 3.13 PJAIN IC (p) Non load bearing partition „ wall Ox�(0 0 • G — 14.26 ALL CONSTRUCTION TO BE PERFORMED PER 1994 UBC AND TITLE 24. Heater (p) Firewall aun,- � '5110 Provide one-hour protection on garage side of c rnmon wail to- � gether with self- losing 1-3/8" thick solid -core do r. Garage Storage Wive- rot a f roved P occeSS ,fib ��✓a a,�/i ('1600' 1 mbbor*e b& 8' Garage Door (p) 2'-6" 9.00 — � —1.00 ProviJe Iavcdcrl� ELECTRICAL, MF_G uN1Crf%, AND M -L SHALLCOMPLY PLY VVrT H CURRENT EDMIO +1 OF MEG, UMC AND UPC. 9 WTTE Cary a, APPROVE[ Cl? 07 T-'loor- lc w 1 4o J? rased 4" wig '�6v p p51 ce» crepe 2.13 Guest Room Building Plan Drawn by Eric Tracy 4/9/98 1/4" = 1' 022 t7� C/'' 0 (61 � . �0?ax \Ot �► la (�YYLO �f to p. Standard 2x4 Stud walls covered with stucco All outside walls are set on a 6" concrete sill Construction Plan Drawn by Eric Tracy 1/4" = 1' �— OUz-.-C.0 IMPAC NEN CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 Project Address........ 1268 Broadway ******* Richvale, California *v4.50* k- OW Documentation Author... Donna Wallace******* P mi u n Wallace Energy Consulting .a/- 399 East 9th Avenue P an ect Da e Chico, CA 95926 916-893-4982 Field Check/ Date- Climate a eClimate Zone.. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room Component Type GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.. ...... Floor Construction Type.... Glazing Percentage......... Average Glazing U -value.... 319 sf Single Family Detached Addition Alone Front Facing 180 deg (S) .21 1 Slab On Grade 17.6 % of floor area 0.87 Btu/hr-sf-F BUILDING SHELL INSULATION Frame Cavity Sheathing Insul Assembly Type R -value R -value R -value U -value Location/Comments Wall Wood R-13 R-0 R-13 0.081 Typical Wall Wood R-13 R-0 R-13 0.078 Storage Door n/a R-0 R-n/a R-0 0.330 Storage Roof Wood R-.8 R-30 R-30.8 0.028 Typical S1abEdge n/a R-0 R-n/a R-0 0.720 Cvr. to O.S. SlabEdge n/a R-0 R-n/a R-0 0.500 Cvr. to Stor. FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Door Front (S) 20.0 1.190 1 Drapes.Std None None Glz<50% Window Left (W) 18.0 0.600 2 Blinds.Lt None None fU,�i'nyl Window Back (N) 12.0 0.600 2 B.li�nds.Lt, None None Vinyl• Window Back (N) 6.0 1.190 1 Drapes.Std None None Metal THERMAL MASS Area Thickness Type Exposed (sf) (in) Location/Comments SlabOnGrade No 319 3.5 Typical CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM 'CF -1R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room HVAC SYSTEMS Minimum Duct Equipment Type Efficiency Location HPPackage 6.21 HSPF None HPPackage 8.70 SEER None Duct R -value R-0 R-0 SPECIAL FEATURES/REMARKS Square footage = 21.5 x 14.83 = 319 sf Thermostat Type NoSetback NoSetback The Owner plans to install a through -the -wall room heat pump for heating and cooling. It is recommended that the heat pump have an output of at least 8000 Btu/hour. The minimum EER for a heat pump with an output of 8000 Btu/hour = 10.0 - (0.16 x 8000/1000) = 8.7 EER The minimum COP for the heat pump = 1.3 + (0.16 x 8.7) = 2.69 COP Reference: P400-95-005 page B-54 Micropas uses SEER and HSPF efficiencies in its calculations. An EER can be substituted for SEER. COP can be converted to an HSPF as follows: HSPF = (3.2 x COP) - 2.4 Reference: P400-95-002 page G-29 So, the minimum HSPF for the heat pump described above = (3.2 x 2.69) - 2.4 = 6.21 HSPF To achieve compliance, this house requires a heat pump with a minimum HSPF of 6.21 (COP of 2.69) and a minimum 8.7 EER. The Owner may install a water heater in the addition, without / V0 n'w penalty, of the following type: gas storage water heater, 50 gallons or less, with an energy factor of 0.54 or greater, and a h point of use credit. An external insulation blanket is not required. Reference: P400-95-002, Table 7-2, page 7-5. Ujlg4.n� 1 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM CF -1R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Eric Tracy Company. Address. 1268 Broadway Richvale, California Phone... (530) 882-4604 License. Name.... Title... Agency.. Phone... DOCUMENTATION AUTHOR Name.... Donna Wallace Company. Wallace Energy Consulting Address. 399 East 9th Avenue Chico, CA 95926 Phone... 916-893-4982 - =--�Ylz_vz�e Signed.. (date) . - ENFORCEMENT AGENCY Signed.. ate MANDATORY MEASURES -CHECKLIST: RESIDENTIAL MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterick (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures *150(a): Minimum R-19 ceiling insulation. R-30 150(b): Loose fill insulation manufacturer's labeled R -value. By Owner *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal framed walls (does not apply to exterior mass walls). R-13 N/A 150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. N/A 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. Fiberglass Batts 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. Loose Fill Insulation & 116-17: Fenestration Products, Exterior Doors and Infilitration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Manufactured fenestration products have label with certified U -value and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and Existing & By Owner sealed. N/A 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs N/A 1. Masonry and factory -built fireplaces have: a. Closable metal or glass door b. Outside air intake with damper and control c. Flue damper and control N/A 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. By Owner 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. Attached 150(i): Setback thermostat on all applicable heating and/or cooling systems. N/A 150(j): Pipe and Tank Insulation 1. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 3. All buried or exposed piping insulated in recirculating sections of hot water By Owner systems. 4. Cooling system piping below 55 degrees Fahrenheit insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and seated to comply with UMC Sections 601 and 603; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. N/A 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" pipe between filter and heater for future solar heating. N/A b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and circulation pump time switch. N/A 115: Gas-firedjcentral furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr.) Lighting Measures 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved.. By Owner Residential Compliance Form March 1, 1996 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 Project Address 1268 Bro d ******* ........ a way Richvale, California *v4.50* Documentation Author... Donna Wallace ******* Building Permit Wallace Energy Consulting 399 East 9th Avenue Plan Check Da e Chico, CA 95926 916-893-4982 Field Check/ DaYe__ Climate Zone.. ..... it Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room MICROPAS4 ENERGY USE SUMMARY Energy 'Use (kBtu/sf-yr) Space Heating.......... SpaceCooling.......... Standard Design 37.52 15.86 Proposed Compliance Design Margin 40.54 -3.02 12.72 3.14 Total 53.38 53.26 0.12 * ADDITION COMPLIES -A4 *** Water Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 319 sf Single Family Detached Addition Alone Front Facing 180 deg (S) .21 1 FullYear Slab On Grade 1 2393 cf 319 sf 319 sf 319 sf 17.6 % of floor area 0.87 Btu/hr-sf-F 7.5 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Zone Type (sf) (cf) Units HOUSE Residence 319 2393 0.21 Cond- Thermostat itioned Type Vent Special Height Vent Area (ft) (sf) Yes NoSetback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room Surface HOUSE - New 1 Wall 2 Wall 3 Wall 4 Wall 5 Door 6 Roof Surface HOUSE - New Surface Length F2 (ft) Factor Insul Solar R-val Gains Location/Comments 7 S1abEdge 51 0.720 R-0 No Cvr. to O.S. 8 SlabEdge 22 0.500 R-0 No Cvr. to Stor. HOUSE - New 1 Door 2 Window 3 Window 4 Window 5 Window OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ (sf) value R-val Azm Tilt Gains Reference Comments Open 91 0.081 13 180 90 Yes W.13.2X4.16B Typical 143 0.081 13 270 90 Yes W.13.2X4.16B Only 93 0.081 13 0 90 Yes W.13.2X4.16B 1.190 143 0.078 13 90 90 No W.13.2X4.16C Storage 18 0.330 0 90 90 No None Storage 319 0.028 30.8 n/a 0 No R.30.2X6.16B Typical 90 0.88 PERIMETER LOSSES Blinds.Lt 12.0 HOUSE - New Surface Length F2 (ft) Factor Insul Solar R-val Gains Location/Comments 7 S1abEdge 51 0.720 R-0 No Cvr. to O.S. 8 SlabEdge 22 0.500 R-0 No Cvr. to Stor. HOUSE - New 1 Door 2 Window 3 Window 4 Window 5 Window Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value HOUSE - New 1 S1abOnGrade 319 3.5 System Type HOUSE HPPackage HPPackage 28.0 0.98 R-2.0 HVAC SYSTEMS Minimum Duct Efficiencv Location 6.21 HSPF None 8.70 SEER None Location/Comments Typical Duct Duct R -value Efficiency R-0 1.000 R-0 1.000 FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ (sf) es Type Type value Azm Tlt Only Shade Description 20.0 1 Glz<50% Hinged 1.190 180 90 1.00 0.78 Drapes.Std 9.0 2 Vinyl Slider 0.600 270 90 0.88 0.58 Blinds.Lt 9.0 2 Vinyl Slider 0.600 270 90 0.88 0.58 Blinds.Lt 12.0 2 Vinyl Slider 0.600 0 90 0.88 0.58 Blinds.Lt 6.0 1 Metal Slider 1.190 0 90 1.00 0.78 Drapes.Std THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value HOUSE - New 1 S1abOnGrade 319 3.5 System Type HOUSE HPPackage HPPackage 28.0 0.98 R-2.0 HVAC SYSTEMS Minimum Duct Efficiencv Location 6.21 HSPF None 8.70 SEER None Location/Comments Typical Duct Duct R -value Efficiency R-0 1.000 R-0 1.000 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM C -2R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room SPECIAL FEATURES/REMARKS Square footage = 21.5 x 14.83 = 319 sf The Owner plans to install a through -the -wall room heat pump for heating and cooling. It is recommended that the heat pump have an output of at least 8000 Btu/hour. The minimum EER for a heat pump with an output of 8000 Btu/hour = 10.0 - (0.16 x 8000/1000) = 8.7 EER The minimum COP for the heat pump = 1.3 + (0.16 x 8.7) = 2.69 COP Reference: P400-95-005 page B-54 Micropas uses SEER and HSPF efficiencies in its calculations. An EER can be substituted for SEER. COP can be converted to an HSPF as follows: HSPF = (3.2 x COP) - 2.4 Reference: P400-95-002 page G-29 So, the minimum HSPF for the heat pump described above (3.2 x 2.69) - 2.4 = 6.21 HSPF To achieve compliance, this house requires a heat pump with a minimum HSPF of 6.21 (COP of 2.69) and a minimum 8.7 EER. The Owner may install a water heater in the addition, without penalty, of the following type: gas storage water heater, 50 gallons or less, with an energy factor of 0.54 or greater, and a point of use credit. An external insulation blanket is not required. Reference: P400-95-002, Table 7-2, page 7-5. CONSTRUCTION ASSEMBLY Page 1 3R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM 3R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Parallel Path Method Reference Name . W.13.2X4.16B Description .... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 13 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Material Cavity Frame Name Description R -Value R -Value O. FILM.EX Exterior air film: winter value 0.17 0.17 1. STUCCO.0.88 0.875 inch stucco 0.17 0.17 2c. BLOWN.R13 R-13 blown insul (cavity = 3.5 in) 13.00 -- 2f. FIR.2X4 2x4 fir -- 3.46 3. WOOD.1.00 0.75 inch wood 0.93 0.93 4. GYP.0.50 0.50 inch gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 15.41 5.87 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 15.41 x 0.85) + (1 / 5.87 x 0.15) = 0.081 Btu/hr-sf-F Total R -Value: 1 / 0.081 = 12.39 hr-sf-F/Btu CONSTRUCTION AS Page 2 3R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM 3R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room Parallel Path Method Reference Name . W.13.2X4.16C Description .... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 13 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value O. FILM.EX Exterior air film: winter value 0.17 0.17 1. GYP.0.63 0.625 inch gypsum or plaster board 0.56 0.56 2c. BLOWN.R13 R-13 blown insul (cavity = 3.5 in) 13.00 -- 2f. FIR.2X4 2x4 fir -- 3.46 3. WOOD.1.00 0.75 inch wood 0.93 0.93 4. GYP.0.50 0.50 inch gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 15.79 6.25 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value; (1 / 15.79 x 0.85) + (1 / 6.25 x 0.15) = 0.078 Btu/hr-sf-F Total R -Value: 1 / 0.078 = 12.85 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 3 3R Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -FORM 3R User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room Sketch of Construction Assembly Parallel Path Method Reference Name . R.30.2X6.16B Description .... Roof R-30 2x6 16oc Type ........... Roof R -Value ........ 30.8 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ..... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.10 LIST OF CONSTRUCTION COMPONENTS Material Name Description O. FILM.EX Exterior air film: winter value 1. WOOD.1.00 0.75 inch wood 2c. AIR.RF.3..50 3.5 in & greater air space: heat flow up 2f. FIR.2X6 2x6 fir 3. WOOD.1.00 0.75 inch wood 4. BATT.R30.0 R-30 batt insul (cavity = 9.25 in) 5. SUSP.TILE 0.5 inch suspended acoustic tile I. FILM.IN.RF Inside air film: heat flow straight up Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity Framing U -Value: (1 / 34.70 x 0.90) + (1 / 39.34 x 0.10) _ Total R -Value : 1 / 0.028 = Cavity Frame R -Value R -Value 0.17 0.17 0.93 0.93 0.80 -- -- 5.45 0.93 0.93 30.00 30.00 1.26 1.26 0.61 0.61 34.70 39.34 Total 0.028 Btu/hr-sf-F 35.11 hr-sf-F/Btu HVAC SIZING Page 1 HVAC Project Title.......... Eric Tracy Guest Room Date........ 04/17/98 Project Address 1268 Broadwa ******* Richvale, California *v4.50* Documentation Author... Donna Wallace ******* Building Permi Wallace Energy Consulting 399 East 9th Avenue Plan Check Da e Chico, CA 95926 916-893-4982 Field Check/ Da e Climate Zone.. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -TRACY Wth-CTZ11S92 Program -HVAC SIZING User#-MP0995 User -Wallace Energy Consulting Run -Eric Tracy Guest Room GENERAL INFORMATION FloorArea ................. Volume.. .. ............ Front Orientation.......... Sizing Location............ Latitude... .. ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange........ ..... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 319 sf 2393 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 180 deg (S) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 4011 1068 Glazing Conduction ............... 1958 1272 Glazing Solar .................... n/a 1404 Infiltration ..................... 1361 559 InternalGain .................... n/a 47 Ducts............................ 0 0 Sensible Load .................... 7330 4350 Latent Load ...................... n/a 870 Minimum Total Load 7330 5220 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. -- ` COUNTY OF BUTTE BUILDING DIVISION �+ DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE (11e'� 1�4 -14 - OWNER PERMIT NO. A routine inspection indicat that the following :i.IrJ..nc. of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work ° is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i/ / i+ a -j j11/e1 REV 10/92 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 1268 Broadway Richvale Number and StreetCi1ar County Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches) 2. CEILING Brand Name Thermal Resistance (R -V Batt or Blanket Type Fiberglass Batts Brand Name Johns Manville Thickness (inches) 10.25" Thermal Resistance (R -Value)_ Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. fib. Minimum Thickness inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R30 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 3.5" 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) DECLARATION Brand Name Johns Manville Thermal Resistance (R -Value) R13 Brand Name Johns Manville Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150 n LOERKE INSULATION CO., INC. Item �s Signature, a ensta inSubcontractor Co. Name)Or General Contractor (Co. Name) Or Owner Item #s Signature, Date Installing Subcontractor Co. ame Or General Contractor (Co.Name) Or wner Item #s Signature, Date Installing Subcontractpr_ (Co.� ame) Or General Contractor (Co., Or Owner