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030-462-015
03Q" 6=2 015 2,-\ CA'EYT _jh r X92 333;4 °BPEM —�� --O y. tR 1810',20t'h ySt f �,. ,contr Charles Caret's t s .ewer sf n • y q �. .. • N i.i ; r ! s 030-46'2-015 Permit 9' 4-1538 `B' t- CAREY, 'Rhonda 1810 20th St 0roville'�j (add ' deck/SF)' � S r G ;.•'V•y1l .. t oft• - - s �� ik e o ' y 11 1 • , 1 M1 I� • I I RESIDENTIAL . r e 030-406-2-015 CAREY, Rhonda Permit#94-1538 B 1810 20th St, Oroville Tadd deck/SF) _ JOB FINALED (Date I -- Signature =OK. O = Not OK No Readyable = MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance ti Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8, Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f i MISCELLANEOUS Date RECK5r<-'0VERS; CARPORTS, GARAGES, (Plans)OK except #'s Zo g Requirements -Setbacks -Easements F ,ngs; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. ports; Wi w -Doors Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. R f�hthg-Roofing VExt.; Steps -Doors -Landings Date Card B Date Card B-1 Date Card Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elect; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ------ 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth - 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection --------- ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -- ------------ 24. Size Boxes & No. of Conductors-Stapled -------------------------------------------------------------- ---------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ----------- - - - --------- --------- --- --------------------- - 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ----------- --------------------------------------------------------------- 28. Subfeed Wire Size i I ga. Cu or AI-A.C. Wire Size r i ga. Cu or AI 29. Range Circ r / ga Cu or AI -Oven Circ. i r ga. Cu or Al. Insula -ted Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------- ------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. -- ------------------------------------------------------------------ -------------- 32. Clothes Closet Light -Shower Light -Spa Light -------- ----- - --------- ---- ----- 33. Smoke Detector -------------------- ------------- ------------------------------------ Date Card B-1 Date Card B-1 ----------- - ------------------------------------- ------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ir's 34. A.C. Ducts Insulation & Support -------------------------------------------------------- 35. Vent Fan Exhaust above insulation ------------ - ------- ---- ------------------------ ----- -- 36. Condensate Drain & Overflow: Size & Grade ----------- -- ---- -- --------------- ----------- - - - 37.- Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - ----- - --- --- ---------- ---- ------ 38 Attic Access & Platform if Furnance in Attic --------------------------- - - --------- ------ --- - --------------- ---- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sits. Proper Material & Anchors - --- ----- -- ----------- -------------------------- --- --- - ---- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - --------------- ----------------------- -- ------- --- 41. Bearing Walls over Girders & Floor Nailing - - ---- ----- --------------- ------ --- -- ----- --- --- -- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - ----------- --- --------------- ------------------ ------ ------ - ----- -- 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garaae Fire Protection Framino 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------------------- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------------ 58. Shear Walls; Nailing -Bolts Date Date 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------------------------ ____ .65. ---------------------------65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------------- 67. Stairs & Rails 68 Fireplace or Stove: Clearances -Hearth - - - - -- -- - -- -� ----------------- 6J. Elec. Outlets at Wood Panel: Int. & Ext. ------ -------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ - .---------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door_Swing-Landing-Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------ 7;-. Insulation -Foam -Looked in -Attic ❑ Yes -------------------------------------- -- 78. Guard Rails & Deck -Const ruct ion- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------- - -------- - 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters 0 -Yes -_0 No 81. Stucco: Brown -Finish --------------------------- --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing .. -- ------- -------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------ ----------------------------- - 9 -- 85. Exterior Elec. Trim: G.F.I. Receptacle- Underround ... - .. . - - ------------------ --------------------- 86. Ventilation Throughout House -- - - ------------------ -- --------------------- 87. Glass Protection 88. Corrections from Previous Inspections --- - - - - - - ------------------ - ----------------------- 89. Gas Test -Meters Tagged: Gas -Electric -- ... ......------------------ --------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - --------- --------------- - 91. Energy Compliance Certificate -Other Certificates -- --- ---- ------------ ---------- ----- - Date Card B-1 Date Card B-1 ------ --- --- ---------------------------- - ----- Date Card B-1 Date Card B-1 ----- ------ ------------------------- -- Date Card B-1 Date Card B-1 Comments at Final: 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access -------------------- - ----- --------------------------- 20. Test Tub & Shower, Second Floor -Tub Access ----------------------------------------- 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------------- Date ---------------------- Date Date - Card B-1 Date Card B-1 ------------------------------------------------- -------------------------------------------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection --------- ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -- ------------ 24. Size Boxes & No. of Conductors-Stapled -------------------------------------------------------------- ---------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ----------- - - - --------- --------- --- --------------------- - 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ----------- --------------------------------------------------------------- 28. Subfeed Wire Size i I ga. Cu or AI-A.C. Wire Size r i ga. Cu or AI 29. Range Circ r / ga Cu or AI -Oven Circ. i r ga. Cu or Al. Insula -ted Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------- ------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. -- ------------------------------------------------------------------ -------------- 32. Clothes Closet Light -Shower Light -Spa Light -------- ----- - --------- ---- ----- 33. Smoke Detector -------------------- ------------- ------------------------------------ Date Card B-1 Date Card B-1 ----------- - ------------------------------------- ------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ir's 34. A.C. Ducts Insulation & Support -------------------------------------------------------- 35. Vent Fan Exhaust above insulation ------------ - ------- ---- ------------------------ ----- -- 36. Condensate Drain & Overflow: Size & Grade ----------- -- ---- -- --------------- ----------- - - - 37.- Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - ----- - --- --- ---------- ---- ------ 38 Attic Access & Platform if Furnance in Attic --------------------------- - - --------- ------ --- - --------------- ---- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sits. Proper Material & Anchors - --- ----- -- ----------- -------------------------- --- --- - ---- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - --------------- ----------------------- -- ------- --- 41. Bearing Walls over Girders & Floor Nailing - - ---- ----- --------------- ------ --- -- ----- --- --- -- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - ----------- --- --------------- ------------------ ------ ------ - ----- -- 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garaae Fire Protection Framino 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------------------- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------------ 58. Shear Walls; Nailing -Bolts Date Date 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------------------------ ____ .65. ---------------------------65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------------- 67. Stairs & Rails 68 Fireplace or Stove: Clearances -Hearth - - - - -- -- - -- -� ----------------- 6J. Elec. Outlets at Wood Panel: Int. & Ext. ------ -------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ - .---------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door_Swing-Landing-Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------ 7;-. Insulation -Foam -Looked in -Attic ❑ Yes -------------------------------------- -- 78. Guard Rails & Deck -Const ruct ion- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------- - -------- - 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters 0 -Yes -_0 No 81. Stucco: Brown -Finish --------------------------- --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing .. -- ------- -------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------ ----------------------------- - 9 -- 85. Exterior Elec. Trim: G.F.I. Receptacle- Underround ... - .. . - - ------------------ --------------------- 86. Ventilation Throughout House -- - - ------------------ -- --------------------- 87. Glass Protection 88. Corrections from Previous Inspections --- - - - - - - ------------------ - ----------------------- 89. Gas Test -Meters Tagged: Gas -Electric -- ... ......------------------ --------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - --------- --------------- - 91. Energy Compliance Certificate -Other Certificates -- --- ---- ------------ ---------- ----- - Date Card B-1 Date Card B-1 ------ --- --- ---------------------------- - ----- Date Card B-1 Date Card B-1 ----- ------ ------------------------- -- Date Card B-1 Date Card B-1 Comments at Final: 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califoraia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 94-1538 (��� AT161 PAF10ElN 015 ZONING AR BUILDING PERMIT OWNER(J RHONDA CAREY TELEPHONE 534-7318 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1810 20TH ST., OROVILLE CA 95965 395 0 2765 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTflUE CT10N LENDER NON UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1810 20TH ST, OROVILLEPLUMBING PERMIT FEE $ 109.10 PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 NO'.^ LOT /v I SUBDIVISION'S NAME P EL MAP<g� Each gas water heater or vent 15.00 USE OF STRUCTURE SFXJ Duplex ❑ Mobilehome ❑ Other SPECIVY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition] Remodel ❑ Utilities ❑ Installation ❑ Other 1:1Contractor Describe Work: ADD DECK PERMIT FEE g ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '1101 11 LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( & ACC. BLOS. ) S 3.50 FTD.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20@1 B .50 Ex. Occup' ( FIXED APPLNS. OR OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ,co 140 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of h ting of this permit. ® t X Date / 7 Signature of Applicant-elO r ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 109.10 HAZ- D. FEES 1` JFlop V cOF PAflCEI PD HD I This it is hereby issued under the applicable provisions of the une Count Code and/or Resolutions to do work ind ate a ve for which fees have been paid. Date PERMIT EXPIRES ON (Date) Receipt No. 163204 — 09./!7 � _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLD ENR -APPLICANT Z COUNTY OF BUTTE a Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: - 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. •I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) X.1y j signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4.' I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: 'Name Address Phone Type of Work Signed: Property Owner Date 6 z", z`. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and.Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. �,`..-. r.,n i:p.,.. ..}. n....y>^r. ra s,.{•+�"`t-". .y,�",.r r• -t«, ..-..fie ....•....-.4+'w ..-.re.-•• -W -IN Y..:..�. ren--••-�"'v .,.1"a nr�a. r.t :.'Y�..,. ,.... s.r.re-r...•.y,-'%�-ma y,. -rr .. . COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. 62 )/� Proposed Building Use Building Inspector Date / OE4 I/ 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 . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . . Mobil home data and manufacturer's installation instructions, 2 sets 0. Fees of $ 45V. 06 . ........................... .% 45 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) byalifornia Engineer . ................. . 14. Sanitation and plot plan approvaln ((-..; Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . -PreanspecGon request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 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 . ...................................... P 33.E an check lisr� ................ ...... . dv�TU ..f' OGuNc�- �►FFr� 34. When you issue the jpermit, process as follows: Mail to owner. Mail to contractor. Telephoneand hold for pickup at �,�� office. Deliver with inspector. Other Parcel Creation Acreage Applicant Oe,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 by _ Date Contractor, designer, owner was advised of above required data by _ phone -mail Count b _ Date Plans checked by Date �o-� Plans approved by Date f plans on hold in File cabinet AP folder9 [� Copy - Department of Public Works RESIDENTIAL vm 030-46-2-015 92-3334 B E CAREY, Rhonda 1810 20th St, Oroville contr: Charles Carey new sf G����a� OFFICE COPY Address i i GAS /� r; Meter By /•`J Date M er BY Address GAS Meter gy— ELECTRI Date j Meter By 1 JOB FINALED (Date) J Signature V=OK O = Not OK , N t Readyot MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2.,Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete `• 4. Water; Location -Test -Easement Needed (Sketch)" . 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1� Date MOBILE HOME INSTALLATION (Plans) OK except #'s, z 1. Zoning Requirements -Setbacks Easements s. - 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Conrieotor , 6. Water; MH Test -Regulator -Connector \ 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements'Setbacks-Easements ` 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gr'iders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing vV 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg;,Sils-Anchors=Studs-Rftrs-Trusses \, iV 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s .. 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 'A .., S Ir � 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ZI4 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (%E' = Date UN RFLOOR (Plans) OK except . Z ing-Setbacks-Easemen food -Slope W9 ., Main; Soils-Elec. G d.- '((iFtg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/j'}iFtg. Depth g., Porches & Decks; Soils -Steel-/ /Ftg. Depth `O v emwalls, Main; Steel -Bloc kouts-Wra pped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. d Downs and Special Anchors SI . Steel -Wrapped rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date ^i2 rd B-1 ate o• rd B- Date/Q L -E 9449ard B-1 &4 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle _ Water Pipe: Test & Anchor -Nail Protection W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access r20' -Test Tub & Shower, Second Floor -Tub Access - --------------------- ---------------- �Gas Pipe; Size & Anchors Date Card 6-1 Date Card B-1 -------------------- - ------------------ --- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's ,eT Fixture & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors------------ ------------14-Size-Boxes-&-N-o.-of Conductors -Stapled il;�<mex Installed Close to Edge of Studs & C.J. ----------------- ------------------p ---------------_ ----- ------ ----- quip. Ground made"u w/Meth. Fastner and s & Water _--;'�--------------------------------------------- --- .�Appliance Circuts in Kitchen & Conductor Size/GFI ---------- -------- ubfeed Wire Size / �a Cu orA C. Wire Size / / ga Cu r Al ange Circ / I ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral--------- ❑Yes- O - No ------------------- 3W Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------- 3�quip. Clearances Panels -Motors -Meth. Equip. ------------------------------------------ ---- ---- - -- s Closet Light -Shower Light -Spa Light ----------------- -------------------------------------------------------- Smoke Detector ---- --- - rd - ---- -----Date - - - ------------- - - - - D - ate - - ^j Card B-1 Date Card -B- Date Card B-1 Date Card B-1 Date MECJAANICAL (Permit) OK except a's C. Ducts Insulation & Support --------------- Ven ------------------------------- ent -Fan--Exhaust above insulation ----- _ ondensate Drain & Overflow: Size & Grade -- C - ------ ---------------- ---- �rnance-Vent: Access -Comb Air -Return Air Vent -115 outlet --- -- ---------------------------------------------------- 3r---- - Access-&- Platform if Furnance in Attic --- -- - - --- ---------- ------------- Date J Card B_1 Date Card B-1 --- ---- -- - ------ ----------- --- -------rd ---- -- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 3 s. Proper Material & Anchors Walls Studs -Nailing. Spacing & Bracing -Plates -Sound Z -- ----------------------------------- - ----------------------- ------------------------------- -------------------------- AT B66-arin -Walls over Girders & Floor Nailing ------------ -- - -- ----------------- Stop in Walls (rat proof) ---------------------------- --- ---- ---------------------------------------- 43. F'•e Stops: Furred Ceilings -Stairs -Chases -Tub 44. doeders & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) --- _gers-Post Caps -Anchors -Connectors --�- ! Cln oist-Rftr. ties-Purlin-r f Brac-Truss-Shthn - Fire a Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions -- 4�napge Fire Protection Framing Property Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------- -- - -- lairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---- -- pl cod on Roof Overhang -Attic Vents -Rafter Outriggers _ _Siding -Nailing Veneer 5 Screed -Fd. Vents-Underflr. Access ------------ - - -- - Glazing Area -Glass Protection -Skylights -Plastic ear Walls. Nailing -Bolts ---- -_ Insulatio -Wall eilings ✓j 9 60. Infiltration -Walls -Windows Card Date Card B-1 Date? -///moi Card B-1 i'l'- Date Card B-1 Date / ENAJC(Plans) OK except ti's r & Sidelight Protectio m_ oke Detector rnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection --------- - - --- _ edr m Exiting 6,;;- & Bath Fixtures & Tub Access -Spa Y Elec. Trim & Subpanel: Breaker Sizes & Labels �--8i"-STairs & Rails rs. Fireplace or Stove: -Clearances -Hearth -------------------- 0utlets at Wood Panel: Int. & Ext. -Ki1.Fi & Appliance: Grnd.-Air Gap -Cooking Clearance I . Outlets & Receptacles at Kit. Counter ---------- - - - ----------------------- ------ arage Fire Door: Swing -Landing -Closer 7 C. D t-iti- Garage -Damper tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In ge: Above Floor -Meth. Protection,_ ------QTS �Elec.-& Mech. Equip: -Listed for Location L-`_7-- 6. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection nsulation -Foam-Looked in Attic ❑ Yes ----------------------------------------- n871L card Rails & Deck Construction -Post Caps --------------------- ----------------- — ,ents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes % -- - - - - -- - -- --- ------------------�-.,-r- Follo ing instld.; Drive'4 es ❑ No; Walks ❑ Yes No; PI ters ❑ Yes gl-wo- ---------_-- -ucco Brown -Finish C. Unit: Disconnect_ Electrical, Plumbing — nts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - "'-8 I W-115TWell: Disconnect, Electrical, Plumbing EA4enor Elec. Trim; G.F.I. Receptacle -Underground d✓ 6. Ven ion Throughout House d7. Glass Protection - --------------------_ orrect'ons from Previous Inspections ------ --------------- --------------------- ------- 89. Gas est -Meters Tagged; Gas -Electric -- - - - --------------- -------- 90 ater & Sewer Connected -C/O to Grade-HDApproval ergy Compliance Certificate -Other Certificates /--- Date and -B--1 ate _Card B-1 D---- - ------ ----- Date Card B-1 ---Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Orovillg, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3334 ASSESSOR PARCEL NUMBER 030-462-015 ZONING AR BUILDING PERMIT OWNER RHONDA CAREY TELEPHONE 534-7611 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 71 EVANSWOOD CIRCLE OROVILLE 1814 R 97 956 552 M 9 936 CONTRACTOR'S NAME UNKNOWN TELEPHONE 163 C 2,119 CONTRACTOR'S MAILING ADDRESS Fireplace 1 "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1 f LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 639.50 ARCHIT�ETCT OR ENGINEER ONE LICENSE NO. Plan Checking Fee $ 319.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20,00 Penalty $ BUILDING ADDRESS 1810 20TH STREET OROVILLE 95965 Permit fee $ 994.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 81 5.001 40.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME --]PARCEL MAP 92-86 Water piping 7.00 7.00 Each qas water heater or vent 7.00 7,00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15 00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New[ Addition El Remodel❑ Utilities[] Installation❑ Other[] Describe work: SF 4 BDRM Permit Fee $ 89-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18 . 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 Main service 200A TO 1000A) 37.50 OCCUR.&) NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. / 3.6a sq.ft. NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS h) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L_76 EX. Occup. OU LETS P(RESID )REA.) I 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ 131.30 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating .00 Coolin 9 ��� Hood 6.50 6.50 Ventilation4.5 Permit Fee .00 $ 48.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t aid Coun y in consequence of the granting of this permit. X �,,,, D 9 , '�t _ �( �, Date Signature of Applicant - OwnerJE4 Contractor ❑ Agent ❑ '��/�G� An OSHA permit is required for excavations over 5'0" deep dem litioll�dr'E nstruct- ion of structures over 3 stories in height. -3 '7) - Mobile Home Installation Fee S Ener Inspection Fee $ Energy P 40.00 occ CONST TYPE TOTAL FEE $1 303.05 f HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte C unty Code and/or work indicated a for which fees DI O OF UBLIC By PER IT EXPIR S Date applicable provi- resolutions to do have been paid. WORKS Date D Receipt No. 125822 PC FEE 399.75 // 126209 903.30 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ri /5 ap COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6 j)•- 6-7 —0/ ZONING BUILDING PERMIT OWNERTELEPHONE ONPA say- r I SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS NTop _o.\ NAME ��/ VI�C'l C .. ..'. kAL .i R'S1l'!rA!' !^�r 'orf rJ P' _ CONSTHuCTION LL. Zt2R UNKNOWN 1 19 Fireplace U D Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECTNJA_ OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ J�Z> $ k9 I?s ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ RID .0p Penalty $ BUILDING ADDRESS Ooh ryee� Q J _ !/ K�-� Permit fee $ Al IN PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 ,L)C) Solar or heat pump water heater 20.00 LOT NO. a4 SUBDIVISION NAME PARCEL OAP 7. Oho Water piping 7.00 _ V� Each qas water heater or vent 7.00 .()(-) USE OF STRUCTURE SOuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 T. OC> Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New — Addition❑ Remodel❑ UttiilliitiesL❑] InstallationC Other❑ Describe work: �� y/e. Permit Fee $ ift 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR00V OR LESS Main service 200A TO 1000AI 18.50 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason NEW CONST.DWELLING O c �` OR ADDNS. ( ACC. BLDGS' (O/ 3.60 sq.f[. 80 NEW CONSTR.ULTI.0UTLET NON.RESID BRANCH CIRC ITS @ 5 00 (POWER APPARATUS S) SINGLE OUTLET CIR. - Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED P Ex. Occup. OUTLETS (RESID )REA.� 3.00 Temporary service 15.00 ,s•Q'p Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 13 a WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 1-00 Cooling . �© Hood 6.50 ,!50 Ventilation 50 o Permit Fee pelt F $ o. O 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes.coN I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner 9 PP ❑ Contractor ❑ Age ❑ An OSHA ion of structurestover r39stories in heigvhttions over S'0" deep and de lit onlor cors,,uct- Mobile Home Installation Fee $ Ener Inspection Fee S Energy P VV TOTAL FEE $ 0 O� r,Az 0FEES IMP FLOOD CDF PAR L PO D ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1,2582-2-- PCb-15 3 9 97 1,2 2o9-443 WNITC-D. P. W., TELLOW-ASSESSOR• PINK -INSPECTOR, GOLDENROD-APPLIC T t 'M 1K �.: pl.a. .� fii �"i ti� e� � �•^ � �w-.,���,rc .ti. ,.}�T'';�. �.. :-:COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 536.7541 PERMIT APPLICATION DATA SHEET OWNER �1&914 841-6-!l A. P. No. Q,30 " 1(67- - 0/ -S - Proposed Building Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ............. ........... 2. Plot plans, 3/4 sets, signed by preparer of plans. M. j / ................ 2 3 42 3. Complete plans, 3/4 sets, signed by preparer of plansZNi 4✓ ... * ........... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. .> ........................... . .............. 6. Energy Design Compliance and supporting documentation. ....).............. 7. Statement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehomg data and manufacturer's installation instructions, 2 sets. ....... . 10. Fees of $ Q3,-.3 . ........ . 11. Impact fees as shown on attached sched.ule) ...... J.. t 0 R o 12. California Department of Forestry plan approval/fees. .......................... 13. Flood elevation letter (100 year flood) 3b California Engineer. ............::.::. _ �L V. 14. Sanitation and plot plan approval 'TI Health Department. 10 - 8-4:12 ✓�Y 15. City of Chico plumbing permit . ........................................ --- 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ....... 18. Contact Land Development about ( Improvements (B) Drainage. ........... r 5zU 7 ✓� 9. Driveway permit (construction approval required prior to occupancy). .. cti.on.. req*ua 2Pre-Inspe 0. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ . Recorded copy of Agricultural Acknowledgement Statement . ................. /O- 7 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.- r and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When u issue the permit, JJ�ocess as follows: Mail to owner. Mail to contractor. Telephone- 3,q-7 / and hold for pickup at 61eQ office. Deliver with inspector. Other Parcel Creation - q 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 pri to prmi i s e' Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter b Date Plans checked by Date Plans approved by� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF' BUTTE . • . • • . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE n oe C- 3ti33 OWNER PERMIT NO: A routine inspection indicates that the following violations of Butte. County Ordinances exist at ,_ '; the above address and should be corrected. Please notify this -office when correction of -,work is comp) ed. If you have any questions pertaining to this er, or need additional explanation pleas contact this office immediately. % Ktv I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE y �Z -3C'r OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r the above address and should be corrected. Please notify this office when correction of work is completed. liyou have any questions pertaining to this matter, or need additional explanation, please cont3A' this office immediately. tf a2C�di,D� 'l C- 2- a/z 7'C'- ZG tz- s5 -T� r , TO , C� � ' ��-�-� f�i"T f c ✓�-c� �, SS F � i Date 2'�r REV 11/91 Inspector " 1 r„ COUNTY OF BUTTE - DEPARTMENT "OF PUBLIC WORKS - BUILDING DIVISION 7 CWNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER %l &a1V91f_ [. ;44�_y i PROPOSED BUILDING USE chool Distric Fees (paid at District Office): ,,. 2. Sheriff Fees -(paid at Building Department) A. P. NO. O 45' DATE')121,LgZ . REC. # DATE REC o� Residential ..... X unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Q o0 Residential (per unit) X =$ J # units amt. Commerical(per sq.ft.) X _$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) jf�5. Dr D�tr�:ete� Contact'Land Development) ,,. 6. Other 7. Other ................ s 126av9 io/8% (0 _0_C_ _fl-_ time of permit application, I was advised the above fees are required to be paid prix- to issuance of the permit. APPLICANT DATE �I %Z RECEIPT 13146 OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION — ISSV - r. r� THERMALITO: IRRIGATION DISTRICT $ ..,, ft 410 GRAND AVENUE - OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name. Date: ' Address: Acct. No: ' A.P. No.:- o. Phone: Phone: No. Units: Applicant/Agent: Agents Proof':` � s Address: far r., Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1 st mo. S.C. ' Other Total Fees Collected By: ' Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER CAlga y GENERAL �oning requirements: (sideyards and number Y. Valuation. ans signed by designer. 3►!P�,k Proper description of work on application. misting violations on property. 8/91 Bldg. Permit # 3S;7 - A. P. A.P. # 90—�Z -/—_ Plan Checker RK__ /O �'7 - of permitted living _units). Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). �e =ded notice of violation. PLOT PLAN i! Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. her buildings or structures. ' rading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). 7. FAU & FAS road setback. (noise, CDF,.fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN 1t""required lete to scale plan with dimensions. ired windows for light and ventilation (Sec. 1205). windows for second exit (Sec. 1204). R.Loca-tions,of ghts (Chapter 34 & Sec. 5207).impact'glass (Sec. 5406)..red room sizes, ceiling heights (Sec. 1207). in baths, garage, kitchen,, and exterior outletsArticle°210=8)'. fixtures, switches, receptacles,` and exterior receptacles for main- ce of mechanical equipment. water hea-ter, heating and `cooling "equipment, other electrical' �Gj.' gas equipment. 1 e.f.ir:ewa�ll,"'door size, and closer (Sec. 503(d)(3)). . 13! x,;3'0" exterior -.exit door (sec. 3304 M. 1 eplace and wood stove location, alcoves, and clearance. 1V.Plumbing ke detectors (Sec. 1210). 1 fixtures, water closet clearances and shower size. STRUCT DETAILS 1. Standard bracing or engineered design (Table 25V) pe, size, or split level house requiring lateral design. erestory requiring balloon framing and/or engineering. ree story building requiring engineered calculations and plans. 5V Foundation plan complete enough to construct building. construction details complete enough to construct building. elevations and wall construction details complete enough to construct building 8. Roof construction details complete enough to construct building. replace construction details and calcs if necessary. 1 R ter ties or bearing ridge beam. , 1 image door or porch header sizes. 12/Stud heights. 1 . Adobe soils - special foundation design. 1 Retaining walls requiring design. 15 Special Inspection required. 8/91 �. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS•°ITEMS TO LOOK OUTS`FOR ,1 -.---Stairway etails: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details(*Sec-._171 & 3306(j). r1 or stone veneer (Chapter 30). ,-4 rior laster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). 6 Roof covering type - (fire hazard). insulation - protection. 36" halls and stairways. 9 Livii%-arga over garage - complete 1 -hour separation required on garage side �Atc tiding supporting wails and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 access and ventilation (Sec. 3205). door access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. 1t -9requirements on duplexes. 1 Entergy design. ashing at all exterior openings. . . re ponsible area requirements. /0-_47-- 92 cp o4 SHte=T © �IN6. CF'RoNT� /14/r-ar 6D owvap_ i4 - r �E w r L - L, SO'M" %-r VES16411 R ® /3 G CtJl4-l�l� ll (o PO 2 G N- . I3t� _ 4 X! 'z— C 0 2 41K 12 - le a Q D s F: >02cc. N PIER ScZ !8 s4� Rti S 4 4- Pd R c. H Po s -r- /4 A7CH o R S 2 �Qe Pas 44, q� J - i° KyV1 ;;. V `. v^wrr ryy p r. �.4 r V J• 3 D -4.coa o r7 bL4 ooh ��-, BUTTE COUNTY SCHOOLS 1t -PACT FEE CERTIFICATION FORM oCJ 4 (One Form Per Building) School District ��G� Building Department No. � �o 1.16 - 10 -0�7 �0 A.P. Number Jurisdiction 0 City [ County to z� Property Owner l ��E ` fir '� �W Property Location/Address • 1 � �' Subdivison Lot No. Residential DevelopmentSq. Footage /qz3 ; No. of Lnnng MHI Addition (Group R) Units Commerci I/ ndustrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) zt District Identification No. o M4)/Z1��lion N16 School District certifies that (Applicanly (ttreet.Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. /Qsg.) by payment of $ representing square feet. School District Representative Date Paid by Check NumberA� )_ Remarks: Bank Number Paid by Cash If,, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the.School District is notified by the a0plicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CECQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. t> White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) Return to DPW AGRICULTURAL STATEMENT OF A . OWLEDGEIMENT Q. 2 4 3 02 FOR RESIDEMAL DEVELOPMENT Section 26-8.1 of the Butte County 'Code requires this acknowledgement be recorded - prior to issuance of a building permit. The property .described herein is adjacent 92-043072, to land or included within an area zoned I Recorded I for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of I veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I and fertilizers.; and from the pursuit 2:31pm 24 -Sep -92 I of agricultural operations including -- - - but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. z� Rec Fee 8.00 Check 8.00 PUBL XX 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property, situate in the County of Butte, State of California, described as follows: Date: ,.7 - PROPERTY OWNERB: /J State of - ) On this theo� day of before me, " the SS. under-signed'Notary Public, personally appeared County of C] Personally known to me.Proved to me on the basis ._ PATSY M CARTER#966M of satisfactory evidence. �p�,c to be the person(s) whose name(s) , IME COUNN subscribed to the within instrument and.acknowledged that COMM 01 " "ky 17 -IM executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A . No.. ��C'��p --2- s otary Public. r ..': •-ice Y RECORDING REQUESTED BY ORDER e AND WHEN RECORDED MAIL TO MICHAEL ALAN CAREY Name Street 1048 12TH St. CRY &. State LOROVILLE, CA. Name Street Address Cary & State L AP 9 MAIL TAX STATEMENTS TO 0-1 92-43072 I SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Quitclaim Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY .7 !v T'� Q 5/00u S A The undersigned grantor(s) declare(s): Documentary transfer tax is $ ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SHELIA ROXANNE CAREY hereby REMISES, RELEASES AND QUITCLAIMS to MICHAEL ALAN CAREY the following described real property in the County of BUTTE , State of California: Parcel -.- 4 as shown on that certain Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on June 17, 1983► in Book 92. -of Parcel Maps at Page 86, being a portion of lot 3 as shown on that certain parcel Map of 'a portion of Lots 3,4,5.5, and 8, Block 118, Thermalito, which Map was filed in the office of the Recorder of the County of Butte, State of California, June 23, 1976, in Book 57 of Parcel Maps at pages 78 and 79• A.P. No. 30-46-2-1.7 .C1 1/ CEND OF DOCUM Rhonda Carey 71 Evanswood Circle Oroville, CA 95965 Dear Ms. Carey: f CUIINTY CENTER DRIVE - OROVILLF-. CALIFORNIA 9;9G5-339/ TELEPHONt.: (916) 538-7541 FAX: (916) 53:1-2140 October 1, 1993 RE: Building Permit # 92-3334 Expiration Date 10/08/93 A. P. # 030-462-015 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for 2 the 1A I original building permit fee (plus a $26.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Yours very'truly, j J.F. Glander Manager, Building Inspection Attachments: fTI Renewal -Application ® Owner -Builder Information FTIOwner-Builder Verification Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 . T TRUSWAL SYSTEMS CORPORATION 11728 MAGNOLIA AVE.. STE. A. RIVERSIDE. CA 92505 (800) 468-7610 (714) 689-5100 FAx:(714) 689-2524 February 8, 1993 Las Plumas . P.O. Box 1947 Oroville, CA 95965 To Whom It May Concern, Concerning the use of Simpson TC24 and/or TC26 or equivalent truss connectors. Such connectors allow horizontal movement of scissor trusses at bearings during installation of roof materials. They continue to allow a 1'4" horizontal movement between truss and bearing after installation of roof materials for other loading conditions (wind, seismic, construction, snow). Because of this we do not recommend the use of these connectors. ypically the roof diaphragm is used to con e orizontal movement of the walls. A connection between t e truss an the bearing wal`Ts to transfer this movement is recommended. The minimum connection we recommend is 3-8d toe -nails at eaeh�bearing which will resist (for wind and seismic loads) 60# withdrawal and 220) horizontal at each bearing. z`�' e�-x-�- vcl ,(o 11 ') ? — Since ely, rry/i1,. Messamer, P.E. Chief Engineer CIVIL Af�% T/ZGtE , Uxy G00d 81L ' ON suwn-ld Stiff F SW3ISJS -iumsnai PZ:9T 26i60/ZO L TRUSWAL TRUSWAL SYSTEMS CORPORATION 11728 MAGNOLIA AVE., STE. A. RIVERSIDE. CA 92505 (800) 468-7610 (714) 689-5100 FAx:(714) 689-2524 February 8, 1993 Las Plumas P.O. Box 1947 Oroville, CA 95965 To Whom It May Concern, Concerning the use of Simpson TC24 and/or TC26 or equivalent truss connectors. Such connectors allow horizontal movement of scissor trusses at bearings during installation of roof materials. They continue to allow.a 114" horizontal movement between truss and bearing after installation of roof materials for other loading conditions (wind, seismic, construction, snow). Because of this we do not recommend the use of these connectors. Typically the roof diaphragm is used to control the horizontal movement of the walls. A connection between the truss and the bearing walls to transfer this movement is reco=ended. The minimum connection we recommend is 3-8d toe -nails at each bearing which will resist (for wind and seismic loads) 60# withdrawal and 220# horizontal at each bearing. Since ely, L,// yz;�- Messamer, P.E. Chief Engineer 900J 8TL*ON CIVIL 1F CA1L1 suwnld SU -1 E- sw3151S -iumsnHi bz:9T 26i60iz0 't IN FIELD FALSE FRAME DETAILS FOR CLEAR SPAN TRUSSES ONLY 12" MAX. FROM PANEL POINT OPTIONAL PLANT SHELF VERTICALS WITH 3-10d 24" MAX. NAILS EACH END TYP. *ADDITIONAL 2x4 LATERAL BRACING IS REQUIRED AT 10'-0" o.c. MAXIMUM ABOVE THE FALSE FRAME. ATTACH BRACE WITH (2)-10d NAILS EACH. THIS DETAIL APPLIES TO ANY PITCH, ANY SPAN, ANY TOP CHORD LOADING, AND ANY TRUSS CONFIGURATION FOR 24" o.c. SPACING AND 10 PSF BOTTOM CHORD LOADING, MAXIMUM. ANY ADDITIONAL LOADS HUNG FROM THE FALSE FRAME OR ANY BEARING WALLS UNDER FALSE FRAME REQUIRE SPECIFIC DESIGN CONSIDERATION. NON-BEARING PARTITION WALLS ARE PERMISSIBLE. TRUSS DESIGN IS SEPARATE FROM THIS DETAIL. USE #2 or BETTER 2x4 MATERIAL FOR FALSE' FRAME CHORD WITH VERTICALS LOCATED AT EACH PANEL POINT ON BOTTOM CHORD, * 12" MAXIMUM, EXCEPT AT HEEL, OR AT ANY LESSER SPACING. CHORD MATERIAL MAY BE SPLICED AT ANY CONVENIENT LOCATION WITH A 2x4x24" BLOCK WITH 5-1Od NAILS EACH END. USE WEB MATERIAL SIMILAR TO SPECIFIC TRUSS DESIGN INVOLVED. FALSE FRAMES MAY ALSO BE ATTACHED TO FLAT BOTTOM CHORD TRUSSES IN A SIMILAR MANNER. FALSE FRAMES ATTACHED TO TOP CHORDS OF TRUSSES REQUIRE SPECIFIC DESIGN CONSIDERATION. ALT. LUMBER GRADES, MIN. #2 DOUG FIR -LARCH #2 HEM -FIR #2 SPRUCE -PINE -FIR 1450F -1.2E MSR (ANY SPECIE) FELE No. FALSE FRAME DETAILS DATE:_ 2-8-93 REE3 D L 0 ? Des. sY: GD CK. BY: 3850 E. MIRALOMA AYE. ANAHEIM, CA. 92806 t700d 8I L ' ON MAX. SPACING OF VERTICALS 12' 12' 10' MATCH SPECIE ABOVE * gvarar r _ IVIIL .a suwnid su-i E- SW31SAS -iumsmji VE :9I 26i60/ZO J THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 cBUNo APR 1993 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: ' ` '' Date: 67;1c!z�O." Address: L J,_; cit_ Acct. No: A. P. No.: Phone: ' ' '" No. Units: ` 'y Applicant/Agent: Agents Proof: Address: e Fees: Phone: Application $ �' Arrearage Preliminary Review By: Date: CSA 26 e• Remarks: '' t 21. .+ �,� i . '1.,..c;,, SC -OR -1 `! C:i. .a rail - t+il 1st mo. S.C. ,. t�J ` X31 Vr �L Y/..t i li �w. • . - Other .+. J, r- .,'r _ C� ,.� r .Il' ,. :�J..I;l,.:t: • L+»J Total Fees Y Collected By: Date: Field Review By: Date: '- Remarks: Iens t� 4 t MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 1. Ceiling Insulation S. Inriltration,(Air Leakage) Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -8. -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value U -value 2 1 0 ' 3 2 y 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 '-2 0.04 -1 0 2. Wall Insulation 0.02 - 4 2 Single- Single - 10 5 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value : -2 -2 4. Slab Edie Insulation 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 .11 7 0.02 19 14 10 0.00 24 18 12 1 0.60 6 4 3. Raised Floor Insulation 0.50 9 Insulation In Floor 3 S. Inriltration,(Air Leakage) Specification Number of stories 4 5 5 R -value One Two Three R-0 -17 8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 2 1 0 ' 3 2 y .51 to - -0.60 . -144 -70 -46 0.50 -120 =58 -38 0.40 -95 -46 1.30 0.30 -69 -34 -22 _ 0.20 -43 -21 -14 0.10 -17 8 -5 0.08 -11 -6 -4 0.06 8 -3 '-2 0.04 -1 0 0 0.02 - 4 2 1 ..0.00. 10 5 3 Controlled Ventilation Crawlspace -55 -18 Number of stories -2 Fl -value One Two Three. R-0 -11 -7 -5 . R-5 4 -4 3 R-11 -2 -2 -2 R-19 -1 : -2 -2 4. Slab Edie Insulation 7 ' 14 24 Number of Stories " R -value One Two Three R-0 0 0 0 R-5 8 5 •2 R-7 8 6 .3 . F2 factor 15 21 -34 0.90 4 -3 -1 0.80 -1 -i 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration,(Air Leakage) 7..Shading (Shade Open) Effective Pes t Glass (pa Cent Slant x SC) Effective %Glass North East South :West Skylight 18 16 14 Specification 1 2 2 4 5 5 Points na na na. 12 it 10 SWWW 3 3 3 5 5 5- 2 2 2 0 9 8 7 • 6. Glass Heat Loss 3 3 3 5 5 4 2 2 2 ' Total 6 5 1 -3 1 2 4 4 2 2 U -value 4 3 2 1 1 Percent 2 1 0 ' 3 2 y .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 -12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 • 7 ' 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 11 6 10 14 17 14 -14 '3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Pes t Glass (pa Cent Slant x SC) Effective %Glass North East South :West Skylight 18 16 14 5 4 4 1 2 2 4 5 5 1 1 1 na na na. 12 it 10 3 3 2 3 3 3 5 5 5- 2 2 2 na na 1 9 8 7 2 2 1 3 3 3 5 5 4 2 2 2 2 2 2 6 5 1 -3 1 2 4 4 2 2 3 3 4 3 2 1 : 0 0 0/ 2 1 0 ' 3 2 y 1 1 �� -1 3 3 3 2. ' 0 -1 -2 -4 -2 0 :na = not allowed 9. -5 -20 -27 & Shading (Shade Closed) " Effective P4reeat Glass (permettt glass x SO Effective %Ghas North East Stints Weal S W10t 18 -14 -48 -69 -64 * na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na . 12 8 -29 -40 -37 na 11 -7 -26 -36 -33 na _ 10. -6 -23 31 -29 -74 9. -5 -20 -27 -25 85 8 -5 -17 -23 -21.. -56• 7 14 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 10 -11 -10 -30_ 4 -1 -6 -8 -7 0 3 0 -4 -5 -4 -16 2 i 1 -1 - �_i1 . 13 -9 1 1 1 7.0 6 1 -4 0 2 3 4 3 0 na . not allowed 9. interior Thermal Mass Climate Zone 11 SCORE CARD Interior Slab Floor Raised Floor Mass Stories Stories Measures /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2. 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1- 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 . 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 30% Exterior single- single - S;an of 7-10 50% Wall Family Family Multi Mass DetadW Attached Fam4 0.00 0 0 0 +5 0.20 3 2 1 -30 0.40 5 4 3 -9 0.60 8 6 4 -7 0.80 10 8 5 -5 1.00 13 10 7 -2 1.20 13 12 8 0 1.40 12 13 9 9 1.60 10 13 11.... .. 1.80 10 12 12 9 2.00 10 11 13 22 11. Heating System 13 10 7 SE or HSPF 26 23 19 (assumes ducts In attic) 12 8 I 12.0 Sum of 18 26 22 18 14 -25 or -24 to -14 to -4 to +6 to 16 -or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 :6.88 3 3 3 2 2 1 0.80 .7.33 8 7 6 5 4 •3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71_.20 _lk- `15'13 11 •8 -2 Effective SE or HSPF Two + (SE or HSPF x duct efficiency) "44 3 ., 2 Effective -25 or ,24 to to 4 to +6 ID 16 or SE HSPF less 45 -5 +5 +15 more 0.30 '235 -73 84 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 1 -24 -18 0.40 3.67- -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 1 9 7.. 0:80 7.33 25 22 '19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 3 System Type 1.3 1.5 WSB Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Systrm Climate Zone 11 SCORE CARD Eff. % Glass a. North 1 g X SEER Measures b. East 1. Ceiling Insulation (assume; ducts In attic) Interior Mass/CFA R -value 1381 C><m of 7-10 2. Wall Insulation (> or ,25 or -24 In r1410 -410 +6 to 16 or SEER less -15 i 8 +5 +15 more 8.0 -14 -12 -10 -8. -6 -4 8.5 -9 -7 -6 -5 -4 -3 n 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 '• 120 15 13 11 9 7 5 13.0 20 17.1 14 12 9 6 Type [SG1 Credit [none] 0% Eftedive SEER 10% 15% 20% (SEER xAuct effictency) 30% 35% 40% S;an of 7-10 50% 55% EffwM-25 or -20) -1410 -4 to 46 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 . -21 -17 713 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 -3 . 4 -2 7.0 0 . 0 0 0 0 0 8.0 9 8 6 5 4 13 . 9.0 16 14 12 9 -7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 I 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 1.8 Zonal Control Adjustment 2.2 24 27 10 8 7 6 4 3 i No Cooling System Installed 4.5 LStories 5 5.2 5.4 56 30% One -5 -4 4 -3 -2 -2 Two + 3 3 ., 2 2 2 1 Single -Family Ifetaehed and Attached 3.2 3.5 b Unit Size [so 3.9 Water 4.3 ;199.' 120r; '1700 2200 2700 Heater U-edii . or I to to to ,or. - Type Type less. 1699 2199 2699 more 2.4 SG None 0 0 0.. 0 0 3.8 or Solar 12. ' .8 . 6 5 4 ' 5.3 HP HWR 8 5 4 3 3 1.3 1.5 WSB 5 3 3 2 2 27 3 POU . •8 5 4 3 •3__ 42 SE None -37 -24 -18 -15 -12 5.7 5.9 Solar -1 -1 -1 0 0 ' 1.8 HWR -18 -12 -9 -7 .6 ' 3 3.2 WSB.... -25 -16 -12 -10- 8 4.5 4.7 POU =1B _-12 -9 5.6 -6 IG None' ' =5 -3 -2 _-7 -2 -2 '. Solar 7_, .5- •4 3 2 j POU ..3.. 2 1 1 1 IE None -28_ -19 -14 -11 -9 : Solar 8 5 4- 3 3 1.1 POU -10 •6 -5 -4 -3 2.4 Multi -Family (Individual units) - 3 3.2 Un8 Size (6f► 3.6 3.8 Water 4.3 699 700 1200 1700 2200 Healer Credit or to to 10 or Type Type less 1199 1m 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3. HP HWR 9 5 3 2' r'2 6 WSB T X 9 4 3 2 2 1.7 POU 9 5 3 2 2 SE None 45 23 -15 -11 -9 I Solar. 2 1 1 0 0 5.5 HWR --25 6.1 6.3 6.5 eOY. WSB -13 8 8 5 2.4 -12 8.. -6 -5 IG None.- -8 , .4 - -3 2 2 '. 4.7 Solar.;16 3 2 1 1 .. _..POU : 1 0_ 0 0 0 fE None ` 30 . -15 -10 8 8 1 Solar 18 9 6 4 4 4 POU ;. 8 t 4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass a. North 1 g X t> = Measures b. East 1. Ceiling Insulation 7 C7 or c. South Interior Mass/CFA R -value 1381 U -value [0.030] 2. Wall Insulation (> or e. Skylight 0 X t rTpc 2 .MASS R -value [ i l ] U -value [0.098] 3. Raised Floor Insulation or %Glass .' SC R -value 1191 U -value [0.0371 4. Slab Edge Insulation or b. East 07 e T_ x = R -value [01 F2 factor [0.77] S. Infiltration Standard d. West 6. Glass Heat Loss e. Skylight 11.7•UINC Ic.ccet.a •1.6) Type [double] U -value [0.65] TYPE 1 MASS AREA $ COND. FLOOR'AREA Interio sa/CFA a t TYPE I MASS (UIMC ! 4.2, Le: exposed slab) -�- --- TYPE 2 MASS AREA Exterior Wall Mass ND. PLOOR AREA 11. Heating System 17y x 1,93 _ a Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.5615. IS) .12. Cooling System ,9 X f Zonal Control? (Y / N) SEE[ -5l Duct Efficiency [0.74) ,- Effoctivo SEER 17.031 13. Water Heating Type [SG1 Credit [none] 0% 5% 10% 15% 20% 25% 30% 35% 40% 45Y. 50% 55% 60% 65tiG 70% 75% 80% 851'. 90% 95% My. 105% 110% 115%.120% 125 OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3• '2.5; 2.7 2.9 3.2. 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 9.1 3.3 , 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.6 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22. 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 + 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 eOY. 1.4 1.6 1.82.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 ' 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 66 05% 1.4 1.7 1.9 eee4� 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 9o%' 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 66 95Y. 1.6 1.6 , 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 8.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 6.4 6.6 6.8 7 110%. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.S 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2' 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 6.2 6.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2:3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3, 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass a. North 1 g X t> = Measures b. East 1. Ceiling Insulation 7 C7 or c. South rt R -value 1381 U -value [0.030] 2. Wall Insulation (> or e. Skylight 0 X R -value [ i l ] U -value [0.098] 3. Raised Floor Insulation or %Glass .' SC R -value 1191 U -value [0.0371 4. Slab Edge Insulation or b. East 07 e T_ x = R -value [01 F2 factor [0.77] S. Infiltration Standard d. West 6. Glass Heat Loss e. Skylight D X Type [double] U -value [0.65] 7. Shading (Shade Open) 1 ¢• g Bo Total Glass 116] Point Scores ,v IC C Sum 1.6 y Sum 7-10 Point Total: ,3 0 % Glass SC Eff. % Glass a. North 1 g X t> = r 4_ b. East -7.9' X c. South rt d. West 2► X e. Skylight 0 X 8. Shading (Shade Closed) %Glass .' SC Eff.,% Glass : a. North'_ - b. East 07 e T_ x = $ r c. South 2 r I X d. West 2. X e. Skylight D X 9. Interior Thermal Mass TYPE 1 MASS AREA $ COND. FLOOR'AREA Interio sa/CFA a 10. Exterior Wall MESS TYPE 2 MASS AREA Exterior Wall Mass ND. PLOOR AREA 11. Heating System 17y x 1,93 _ a Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.5615. IS) .12. Cooling System ,9 X f Zonal Control? (Y / N) SEE[ -5l Duct Efficiency [0.74) ,- Effoctivo SEER 17.031 13. Water Heating Type [SG1 Credit [none] Point Scores ,v IC C Sum 1.6 y Sum 7-10 Point Total: ,3 0 Certificate of Compliance: Residential, Climate Zone 11 Project Title4-- g$"T"' BuiWut Permit N Project Address — Zy_- to Cliecked By / Date Documentation Author Telephone Fndorom utt Agency Use Only BUILDING DATAGlass Area It Glass North 3/119 Conditioned Floor Area t Number of Stories J_ East 7�_ Stab/Raised Floor St.% . Number of .Units South 2#1_ [X Single Family Detached (SFD) [ ] Addition Alone West-- Z t (] Single Family Attached (SFA) [ ] Existing Building T y�h'ght —�to (] Multi -Family (NM [ ] Existing -Plus -Addition BUII,DING SHELL INSULAT16N Component Insulation Locaffon/CcimmenM Type R -Value (attic, to garage, typi..el, etc-) Wall ............. BAN S. FIPtNT-V0"r%L Wall ............. JZ5MA4 A) WS 7--. fi 3 Roof .............• 3U Roof ............. _ Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Gla: ing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single. double) (yoller blind, etc.) (sltadescrexn, etc.) b"Aw) (matftl�wood) North( ) D_ S L., L North ( ) East ( ) A East ( ) South South ( ) West West ( ) Skylight....... Pj THERMAL MASS Type/Covering Area 'Thickness (slab/exposed, tile. etc.) (sf) (inches) LoeadoWDescription (kitchen, bath. etc.) W iVYL., Z95'I +z 1 :nL_E 49 EN�-R.yT, o oreyt�► HVAC SYSTEMS Minimum Duct Type (furnace, air -Efficiency Location Duct Output Manufacturer / Model # - conditioner, heat pump) (SE, SEER,HSPF) (attic, etc-) R -Value (Btuh) (or approved equal) 172 4TT14, 5,7 Maximum Furnace Heating Output: 50, Z77 Btuh t `7'. � , p.• -� HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special`Featyretsj� r �• sQAd&- SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) r V Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these manures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by mare stringent compliance regnrrernlents listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted Nall be considered by all parties as binding minimum component performance spoaficadons for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRJMON I DESIGNER I ENFORCEMENT Building Envelope Measures • 62-5352(1): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 1 2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 purnfi nch. §2.531 l: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Tones 14 and 16 only. §2-5317: InfiltratioNExfeltradon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherst ipped: all joints and penetration caulked and sealed §2.53352(2(Special infiltration barrier instal led to comply with 12.5351 meta CEC quality 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. 62-5352(h) and 2-5315: Setback dwmtostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. 62.5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fired space hating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water haters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fuer 5 feu of pipes closest to Lank insulated (R-3 or grater). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return d: recirculating piping. §2.53 18(d): Swimming Pool Heating 1. system has'. a. Or4off switch on hater. b. Weatherproof instruction plate on hater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(1): Lighting - 25 Iumcns/watt or greater for general lighting in kitchens and bathrooms. 62-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(x): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the ]7uilding fatures and perforn ianc a specifications needed to comply with. Title 24. Chapter 2-53 and 71de 20, Chaplet 2. Subdsipter4. Article l of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Building Owner Name: Address. Telephone: M t.ic. «: (siputure) (date) Documentation Author Name: Titk/Fum: Address: Name: TidoFum- Address: Te (signature) (date) Enforcement Agency Name: Agemy- Telcphor=