HomeMy WebLinkAbout039-054-032:ro T _
FAILURE TO OBTAIN FINAL
3/16/92
-54-32 3246-90B P,,
BLACK, Jim '
9444 Dwyer Ct, Durham
(new sf )
�,3o.yv
Permit#4236-90B,, X39-54-32
(fi lers/sf -
39-54-32 9 056B
BLACK,Jim
.9444 Dwyer Ct, Durham .
complete/90=4236
=� 3, /2-
039-540-032
039-540-032 PERMIT#96-1600
GALVIN, Mike & Betsy �`
9444 Dwyer Ct., Durham
Cont: Care -Free Pools
New Pri Swimming Pool
B07-1061 039-540-032
MISCELLANEOUS . Re -Roof
REROOF - 48 SQUARES, 4/
9444 DWYER CT 11v-017
&
GALVIN, MICHAEL J ELIZABET
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 5
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1061 Issued: 5/15/2007
Address: 9444 DWYER CT Area: DURHAM
Owner: GALVIN, MICHAEL J & APN: 039-540-032
Applicant: Map Page:
Permit Type: Re -Roof
Description: REROOF - 48 SQUARES
Flood Zone: None SRA Area: No
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing,
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Ins ection Type
I IVR I INSP DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Elec/Bonding/Light Nitch
.502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture: 8
L C,o�
Model Name/Number:
e
Serial Numbers: I
Length x Width:
S
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-6837 cxt 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801
-rrolea anal is a i,eruncate of occupancy for tnesiuennai vmy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
02
I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 9444 DWYER CT
Owner:
Permit NO: B07-1061
APN: 039-540-032
GALVIN, MICHAEL J & ELIZA
Issued Date: 5/15/2007 By GLB
Permit type: MISCELLANEOUS
9444 DWYER CT
Subtype: Re -Roof
DURHAM, CA 95938
Expiration Date: 5/14/2008
Description: REROOF - 48 SQUARES
(530) 891-4935
Occupancy: Zoning:
Contractor
Applicant:
Square Footage:
UNIVERSAL ROOFING SYSTEMS
Building Garage Remdl/Addn
3065 MONTICELLO LANE
ty CHICO, CA 95973
Other Porch/Patio Total
(530)342-1269
FEE INFORMATION
DBMSC Re -Roofing $275.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
UNIVERSAL ROOFING SYSTEP 758821 / C39 / 2/28/2008
I HEREBY AFFIRM UNDER PENALTY F P JUR hat I am licensed under provisions of Chapter
(commencing with Section 70PP) of Di ' 3 of the B siness and Professions Code, and my license
is in full force and effect.
X —, 5/15/2007
Date
I.,-- WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I 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.
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
s My Workers' Compensation insurance carrier and policy number are;
Cartier. State Fund Policy Number: 1838206 Exp. Date:10/1/2007
(This section need not be completed if the permitis or onsundt�llars (3100) orless.)
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manna s to became subject to the Workers'
Compensation laws of California, and agree the ' shout ecome subject to the workers'
compensation provisions of S lion 3700 Labor Co , I shall forthwith comply with those
provisions.
��
ar/—Aw
5/15/2007
WARNING:,F&WME TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
Total Charged: $275.00 Fees Paid: $275.00
Balance Due: $0.00 Receipt No: B3083
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
Owner's Signature
5/15/2007
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidew at, orbsi
sudewalk. I hereby authorize representatives of Butte
County to enter the abo m " oned roperty for inspection purposes. I hereby certify that I am the
propert�e-or am h i d to ton the property owner's behalf.
5/15/2007
Owner Con or OR. Agent for Owner DAgent for Contractor
FILE COPY
1
BUTTE COUNTY
0���0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
00 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o __'�� - 0 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
o - o
Website: www.buttecounty.net/dds
OV "PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name I
AlViti
First Name
Mailing Address .
City
ate CA
Zip
Phone �41 r -/13-S-
Fax
E-mail
CONTRACTOR
Name
Address
City c�
State
Zip r7S5/ 3
Phone 3Sa_l�o
Fax
E-mail L.ock.A�j�. re to 6).1 • �. a4
Lic. #
Class
PERMIT
NO.. f I
tl 1
BIN #
PROJECT LOCATION
API 6 1
Property Address
City 7 i
p rw
WORKER'S COMPENSATION
Policy Number Il�����
Carrier C / /GI a
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION) OR SCOPE OF WORK:
vt� 00S�►s1� .
X1,
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Cccupan0l
(Note previous use):
For office use only:
ARCHITECT/ENGINEER
Name
LcX.�karC �./rV1✓brS`P l�xna•-'
Address
, //J � ,
City
State
Afate
Zip
Phone
Fax
Fax
E-mail
State License Number
PERMIT
NO.. f I
tl 1
BIN #
PROJECT LOCATION
API 6 1
Property Address
City 7 i
p rw
WORKER'S COMPENSATION
Policy Number Il�����
Carrier C / /GI a
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION) OR SCOPE OF WORK:
vt� 00S�►s1� .
X1,
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Cccupan0l
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name
( ►n-.
LcX.�karC �./rV1✓brS`P l�xna•-'
Address
, //J � ,
City
W
State
Zip
Phone
Fax
E-mail
PERMIT
NO.. f I
tl 1
BIN #
PROJECT LOCATION
API 6 1
Property Address
City 7 i
p rw
WORKER'S COMPENSATION
Policy Number Il�����
Carrier C / /GI a
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION) OR SCOPE OF WORK:
vt� 00S�►s1� .
X1,
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Cccupan0l
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
RESIDENTIAL
039-540-032 PERMIT#96-1600
GALVIN, Mike & Betsy
9444 Dwyer Ct., Durham
Cont: Care -Free Pools
New Pri Swimming Pool
a
JOB FINALED (Date)�—
Signature
V=OK
O = Not OK
Not ' = Not Ready MOBILE HOMES '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
i
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
4 !
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ NL"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
a
6. Water; MH Test -Regulator -Connector
t
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
I
11. Cert of Occupancy
i1
ti
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-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
S. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS s OK except #'s
e s -Easements
oils; C paction-Structure Stability
ool Structure; Steel -Connections -Thickness
Dead en -Linin
Rece cies and Lighting, Distance-GFI
Pool Lighting; 15 Volts-GFI
6. Elec • c osur s; Conduit Entries -Terminals -Listed
nding; Metal w/6 -Circulating Equip. -Heater
lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
fg'�'T51 (e 1teflumb.; Cir. Test -Water Supply Test ,
Date "'�(�(� `j/(� . Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
---------------
eD6
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL -(,c
=
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
----- - ------------ --------
- 17. Water Pipe: Test & Anchor -Nail Protection
--------------------
18. D.W.V ; TeS%Fittings & Anchor -Nail Protection
-----19.-Shower Pan: Test, First Floor -Tub Access-
- ----------
------------------
20. -Test-Tub Shower. - Second - Floor -Tub Access
------------& ---------------------------------------------------
21. Gas Pipe: Size & Anchors
---------
- -----------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------ ---- ---- ------------ -- -- ------ --- ------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except rr'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 wrMech. Fastners-Bond Gas & Water
---------------------------------------------------------------
-.------ --- . - --
27. 2 Appliance Circuts in Kitchen & Conductor SizetGFI
---------------.._..--------------------------------------- - --------
28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ga
Cu or At
--------- - -- -- - ........... ........... ..
29. Range Circ. / I ga. Cu or AI -Oven Circ. 1 1 ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------- --------------------- ......... .._. ..
30. Service -Riser Conductors & Ground -Main Disconnect
---------- .----...... _ .. ... ... ... ... ..
31. Equip Clearances Panels- Motors- Mech Equip
---- - --- - . ... ....... - --.. ....... ... ... ....... ..
32 Clothes Closet Light -Shower Light -Spa Light
---------- -- - .........
-- - 33 Smoke Detector
------------ -------......... ........ - - ------------ --- _ .. - ----- .
Date Card B-1Date Card B-1
- --- - ........ ......... .. .... .----- ...
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A C. Ducts Insulation & Support
------- - ----------- ---- - -------
35. Vent Fan: Exhaust above insulation
----- ------- --- ..... -- ......
36. Condensate Dram & 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 P s
39 S Is. 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 Ce rings -Stags -Chases -Tub
-------- _..... -
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Prig. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
----------------- -- -- ---
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
----------------------------------- -
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: Nailin Bolls
59. -.Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-- ----------------------
Date Card B-1
------------------
Date Card B-1
Date Card B-1
Date Card B-1
Date FINAL (Plans) OK except ir'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 G.F.I. & Bath Fixtures & Tub Access -Spa
...... --. .. _ .. -- - - - ----- - ---- - -
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----- -----------------------------
67. Stags & Rails
- --- --- -------------------------------
68. Fireplace or Stove: Clearances -Hearth
.. ... ..----------------------------- -----
69 Elec. Outlets at Wood Panel: Int. & Ext.
--- --- _-- ..------------------------ -- - ----------
70. Kil.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-Mech. Protection
.- - ------------------------------------ -----
75. Plb.. Elec. & Mech. Equip. Listed for Location
...... ------------------------------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-
--- --------- -----------------------------------------
7, Insulation -Foam -Looked in Attic ❑ Yes
------ -----------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
. --- ------------ --
79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
--------------------
a0 Following instld, Drive ❑ Yes ❑ No: Walks ❑ Yes :1 No:
Planters ❑ Yes ❑ No
- -------------------------------------------
81. Stucco: Brown -Finish
----- --------- ----------------------------
82 A C Unit: Disconnect. Electrical, Plumbing
---
--- --------------------------- -- -----
83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to
Openings
-- --- -- - - - - - - - - - - --- --------------
84 Water Well: D sconnect. Electrical. Plumbing
85 Exterior Elec. Trim. G F I Receptacle -Underground
. .. .. . - - - - - - - - -- - - ---- -- -- -- - ------
86 Ventilation Throughout House
87 Glass Protection
88 Corrections Irom 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-1Date Card B-1
--- - --------------------------- --- ---------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
APPLICATION AND PERMIT 70 _/&00
A$$f.�S,$2Z- 5
ZONING
BUILDING PERMIT
O�WJN3ERy
TELEPHONE 891-4935
SO. FT. OCC. BUILDING VALUATION
EST. 16,000
OWNERS "UNG ADDRESS
Q444 DWYER ICT, DURHAM 95938
CONTRACTOR'S NAME
CARE -FREE, POOLS
TELEPHONE
342-4639
CONTRACTORS "UNG ADDRESS
9 AJySSJJM WAY, 95998
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation Is
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 171.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$ 214.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other POOL
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MASTER 9t'--501
—
Mobile Home S I G I W
@20.00
PERMITFEE
$ 35.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service500v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license isinfull lffoLce and effect. 3�a ��,�
C� J�J
License Class J Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ACDNS. ( 8 ACC. BLDS. )
SO.
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(g SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FUTURES )
2L Q I.50
aAL .SO
EX. Occup. FIXED APPLNS.
D.OEA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL
30.00
PERMITFEE
$ 50,00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
S'- 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' ompensation insurance carrier and policy number are:
Carrier P
MECHANICAL PERMIT
Filing Fee 20.00
g
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number /R—(
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�r -70C
X Re;j ___ Date — `0 9
_
Signature of Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 299. O
[of
HAZ.
a
D. FEES
IMP FLOOD
COF
._
PARCEL
PD HD
UE
This permit is hereby issued under the
the Butte County Code and/or
indi ve r which fees have
By �f�
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date 730 9b
T/3o/Yf
(Date)
O' 1% q--)
Receipt No. 2.
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
''Y�_=��".:�„�+'l�rs*�.-asrnrr+�•�atrv7�' _,�r.�r�...,s�ra+"ia'w'�+yv�'>IRs.oa�-' .-.. _.
s
COUNTYOF BUTTE - DEPARTMENTOF DEVI OPMENTSERVICES -BUILDING DIVISION
•'1►1:1 4
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
AAc- t qALUlej A P_ No 77- 2
Proposed Building Use
_ Building Inspector
Date % 6
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). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. •....................... .
13.
14.
Flood elevation letter (100 year flooe,A�C�olifornia:Engineer...................
Sanitation and plot plan approval .O Health�Department. ............
15.
City of Chico plumbing permit. ........ +` .................... .
16.
Plot plan and business license approval from Cityof 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). ..
20.
Pre -Inspection request
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 authoriza`tion........................................ .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ...................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
Whe�fiou issue the er�it,,Rrgp ss as follows: Mail to ow er. M d to contractor.
Telephone �� tL 77114..55 and hold for pickup at �Nt 141' office. Deliver with inspector.
Other
Parcel Creation
k'
Acreage
Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail C unter by_ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
• E.H. USE ONLY
• ,� .. Plot Plan AttacLed
r '
Flo" Plan AU=W
Scotto B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other �,Qn 1
Hold final for:
Final clearance O.K. for:
NOTE:
Health Specialist Date
r, -QS A
YJ!'tD VUEu J
--- _ _ _. _. baci wrA uxf`z xri
l.
_.__.__._.._.._..moM
-rvga23u`.�h♦ CJ griblAl.H :��frr}T
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
L L11.411
1600
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 completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. ,
A-164 �V. A1) 7,9517
Inspector
REV 10/92
4-
S�
t:7 �
,C?
•.
Inspector
REV 10/92
(z_//-�j� - e.c ►'- r- m �ss�� on/ REI ESI IAL
39 - 2 - oors-1—be — —
(�JStJtnl� mFt��INr �i3o�r �xPl� 246-90B,P,E,M�
_ BLACK, Jim
9444 Dwyer Ct, Durham
�5'q2 o ti (new sf )
jp
JOB FINALED (Date)
Signature L
d=ok
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS \
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements _
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -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
' =
Date UNDERFLOOR (Plans)'OK except #'s
J atoning -Setbacks -Easements -Flood -Slope
. Ftg., Main; Soils-Elec. Grnd.-/12IT Fig. Depth
Ftg., Garage; Soils-Steel-Elec. Grwa.-4-&' Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
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. Insulation
Date \a- ) ��q p Card 8-1 G G Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
1. ater Htr.; Vent -A ess-Combustion Air -Baffle
a er Pipe; & Anchor ail P ection
D.W.V., ittin & Anchor it otectio
hower Pan First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sim& Anc.Ws
0 FiXV- S a%14kLerZ-
Date Card B-1
GG Date 3 2y�� Card B-1��r
Date :a Card B-1 C� Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
20 Elec. Receptacles Spacing -Lights & Switches at Doors
?A! Size Boxes & No. of Conductors -Stapled
2 : Romex Installed Close to Edge of Studs & C.J.
Equip. Grgdnd made up w/Mech. Fastners-Bond 49 & Watch
272 Appliance Circuts in Kitchen & Conductor Size/GFI
*SubfeecyWire Size /, / ga. Cu or $PA.C. Wire Size /G}/ ga.
CuCu or 11 1
Range Circ. /I� ga. Ci or AI -Oven Circ./ ga. Cu or
I�
nsulated nsulated Neutral A Yes QQ No
2tfService-Riser Conductors & Ground -Main Disconnect
34"Equip. Clearances Panels-Motors-Mech. Equip.
. Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date Z_S c t Card B-1 G (2; Date Card B-1
Date Card B-1 6;(5 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
W. A.C. Ducts Insulation & Support
3yVent Fan; Exhaust above insulation
. Condensate(MIZ & Overflow; Size & Grade
urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
. Attic Access & Platform if Furnance in Attic
Date Z -S -fit Card B-1 GG Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3leSils, Proper Material & Anchors
41f Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4e Bearing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
Fire Stop rr eilin tairs-Chases-Tub
44 Headers & Beam -Size & Bearing
(Single& Duplex)
Date FRAMING (Continued)
4V -Hangers -Post Caps -Anchors -Connectors
4VCing. Joist-Rftr. ties -Purl in—roof Brac-Truss-Shthng.-Ring.
4t4 Fireplace Ties or Type A Flue -Fireplace Throat clearance
4K Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4YBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5p!Garage Fire Protection Framing
5.VProperty Line Firewall & Openings
5YExt. Doors -One T -Check Garage -3rd Story, 2 Exits
53 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Wplywood on Roof Overhang -Attic Vents -Rafter Outriggers
5,/'Siding-Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5i!Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
5P!rnsuWfon-WSk-Cekgs
Infilt;o6n-Wa11SWi doves
Date 2_.s,91 Card B-1 e—,C, Date Card B-1
Date M -7-e) ( Card B-1 �.x(' Date Card B-1
Date FINAL (Plans) OK except #'s
.&T-1=xt. Steps -Door & Sidelight Protection -Landings
,52_r�r oke Detector
qd�Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
"groom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & Labels
trs & Rails
Fireplace or Stove; Clearances -Hearth
6. ec. utlets at Wood Panel; Int. & Ext.
70r'16t.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71 e . Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
7 . Duct in Garage -Damper
le-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
Ip—Garage; Above Floor-Mech. Protection
F, ., Elec. & Mech. Equip. Listed for Location
E c. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic 0 Yes
7 . uard Rails & Deck Construction -Post Caps
7T-F-d—n. Vents & Crawl Hole Door -Drainage & Wood -Earth
CI rance Looked under Floor 0 Yes
8 Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
8T.-'STucco; Brown -Finish
8 . A. . Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; PIbg.-Appliance-Firep lace. -Clearance to
Openings
r Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
tilation Throughout House
glass Protection
Corrections from Previous Inspections
AK2.:T Tei( -Meters Tagged; GdsEleaffic
ter & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date Card B-1 GG. Date Card B-1
Date \+ 9,01ZCard B-1 CC, Date Card B-1
Date t-2�Ct�ard B-1 GG Date Card B-1
Commentts at Final:
(NOTE: An entry must be made each time you visit job site)
... COUNTY OF BUTTE
DEPARTMENT of PUBLIC WORK
196 Memorial Way, cmm —Phone 891-2751 .
7County ceterDwm.o_me—Pk_:qk-ktf
747Elliott Road, Paradise— P#m:92 307 - M
CORRECTION NOTICE
�tA(� /2_R0
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ommmc %
e.■ M the above address and A_m be corrected. Please notify this office \k
when correction of work mcmlkk.iyou hn any question MAmmg�mm S
matter, or meakm_m%plmk,e,please contact this office immediately.
..
. ./
NiQGY C0mPCP »£± C (r p,e.zArk I—C)
/,/AE - .
� � w w
�
< \
. �
7
�
.�/
Date-) s e— Inspector <
� . �
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
N CORRECTION NOTICE
��Nc,\�- 321c"cia
OWNER PERMTT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
If
t�.
6: 5 N LL D1?z12
4lfo
NNIL PROS EcrioV n r- f (,,M a I^/G
et(z —,Of t?"oP G�cc,t,JG
Date e, S- 91 Inspector
taC
LOCAtION
ENERGY CERTIFICATION
A. P. NO.
ROOF
Material-....__
Brand
_
Thickness__
__
'Thermal Resistance (R Value)
EXTERIOR WALL
—
Material FIBERGLASS
Brand Name CERTAINTEED
Thickness (Inches)--
_
Thermal Resistance (R Value) _
&3
CEILING
Batt or Blanket Type FIBERGLASS
Brand Name CERTAINTEED
Thickness (Inches) Id
_
Thermal Resistance (R Value).a
Loose Fill Type.._UBERGLASS
Brand Name CERTAINTEED
Minimum Thickness (Inches)—L
_
No. of Bags_ Weight/Bag_25_lbs
Area Covered (Sq.& Thermal Resistance (R Value)13o
FLOOR,ELEVATED
Material FIBERGLASS
Brand Name CERTAINTEED
Thickness Inches)
_Thermal Resistance (R Value) ---------
FLOOR, SLAB
___
Material _
Urand Name
_
Thickness (Inches)
__ _
Thermal Resistance (R Value)__.,
FOUNDATION WALL
Material _
Brand Name
Thickness (Inches) —
Thermal Resistance (R Value)
I IIEREBY CERTIFY THAT THE ABOVE, INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKIN-S I.NOUS.I��NC ___ 379407-
Firm Name/Owner State Contractor's License No.
Signature Date
I IIEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
Firm Name Owner
Signature Gen. Contractor/Owner
30
Date — - ---
7—`--� —
Date
x
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
-
ZONING
A-5
"'
BUILDING PERMIT
OWNER
ERBlack
TELEPHONE
342-2169
SQ. FT. OCC.1 BUILDING VALUATION
2,594 R 103 760.00
OWNER'S MAILING ADDRESS
P.O. Box 636 Durahm 95938
744 M 10 416.00
CONTRACTOR'S NAME
Same
TELEPHONE
596 C 5 960.00
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 A 1,000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 121 136.00
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $ 488.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 244.00
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $757.00
PLUMBING PERMIT Filing Fee 10.00
Dwyer Ct., Durham
Each Trap Ill 2.00 22.00
Solar or heat pump water heater 20.00
LOT NO.
5
SUBDIVISION NAME
PARCEL MAP
PM 116 _�l
Water piping 1 5.00 5,00
Each pas water heater or vent 1 5.00 5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00 1 5.00
Building sewer 1 5.00 5.00
Mobile Home -FSTG I W 10.00e
TYPE OF WORK
New l Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 4 BEdroom _
Permit Fee $ 52.00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 6001 OR LESS 10.00
100 AMP OR LESS 10.00
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
1 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. 6S L Classification ,
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING oCCUP.&
OR ADDNS. ( ACC. BLDGS. ! X 2/2¢SQ ft 83•45
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON.RESID BRWEANHPCIRCPARATUS ITS
RCA
POe
(SINGLE OUTLET CIR. )
Ex . OCCOp(OUTLETS OR FIXTURES 2ALO 30
ALO 300
Ex. Occup. OUTLETS PFIXED APLNS R
(RESID )EA.) 2.00
Temporary service 10.00 10.00
Mobile Home Facilities 15.00
Misc. lyirin 15.00
g
Permit Fee $115.95
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Dual Pqk
Cooling
9 1. 11.00
Hood 3.00 3.00
Ventilation 23.00 6.00
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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
agai st said County in consequen of the granting of this permit.
X � � � \ l�
KKK333... `tel ///���---... Date
Signature of Applicant - Ojerl�] Contractor ® Agent ❑
An OSHA permit is required fxcavations over 5'0" deep and demolition or construct-
res over 3 storieheight.
Mobile Home Installation Fee $
Energy Inspection Fee $ Q.oO
occ
lb3
CONST TYPE
TOTAL F E $990.9
HA2
cuA
PARK
--
scH
FLD
' P R PD
HD I s
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above h fees have been paid.
DIRE OF P LI WORKS
_
By Date'�
PER IT EXPIRES e �✓ -+ �_
�oncol,:sl,uCtu
73434
eN P.W 0W g R, PINR•INgP EC TO R, f.0 ENROD-APPLICANT
COUNTY OF BUTTE - DEPAR,TMENT OF. PIC_WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL0�5*1_Jf JRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �/ IV1 �" ' ' C /< A. P. No. t
Proposed Building Use S Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance.11
DATE RECEIVED APPROVED
1. All items have been submitted . .................................... i
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check) 10-1
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
Parke s ...........
paid ......................................
(�st� School District fees paid .............. 0 4 / U
ie --sanitation approval from ef 14 / C Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy),&Vy`�
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance � .................
Owner -Builder Verification (Given to owner o, Mail'to, owner 1:1). .
-0ecorded copy of Agricultural Acknowledgment Statement ......... 10
25. Letter of signature authorization ....................... �.a�........ .
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor. 6C
_Telephone and hold for pickup at office. Deliver w/inspector.
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
y -The following data must be submitted prior to permit is u nce: (Circle new item not checked above).
1. Index permit for above items No. -
2.
o. 2. Additional items required:
Contractor, designer, own , was advised of above required data by phone--jnail_counter by—date /0 -//-90
Contractor, designer, owner, was advised of above required data by—phone—mall , coy¢ter by date
Plans chec
4 Sets
COpyT?&N 9
Date Plans approved by
plans on hold in File cabinet AP folder
Date/ —//— I0
TO W Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner
Loctation
Plan 'Approved for: Sewaqe Disposal
Hold final for:
Final clearance O.K. for:
Clearance . for -- -- bedroom m -b• home. Other
a I
AP#
Water Supply
Water Supply
Water.Supply
NOTE. s
Sanita ian Date
o��
5P -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califdrnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
S ESSO PA CEL NUMBFR
G^Ji —
ZONIN
BUILDING PERMIT
OWNER �
TELEPHONE
b
SO. FT. OC BUILDING VALUATION
OWNER ING DORESS � � �
CONT:'
TELEPHONE
CON A T MAILING ADDRESS
Fireplace 42
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 6
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS W 1,
Permit fee
$ �1
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 Q
Solar or heat pump water heater
20.00
LOT NO,-
5
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00 0 Q
.USE OF STRUCTURE
S Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00(%
Building sewer
5.00
Mobile Home S G W
—+
O.00e�
TYPE OF WORK
New Addition ❑ //Re odel Uttilities ❑ ❑ InstallationOther ❑
Describe work: LY� D �'!%
/
i
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 Q
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
penalty I declare under perjury
p y of p er I y (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. 7944)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&\
OR ADONS. ACC. BLDGS.
h2sgft
LET NEW CONSTR ULT' -OUT
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS °
(SINGLE OUTLET CIR.
Ex.Occup(OUTLETSOR FIXTURES
ZOLt
°ALC4�3ot
FIXED
Ex. Occup. OUTLETS P(RESIO )LNS REA.)
2.00
Temporary service
10.00 ,&
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 5100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
r Q
Hood
3.00 ; U
Ventilation
Q
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against'
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ e
Energy Inspection Fee $ t s
occ
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
SCHL
FLD
PAR
P
HO
ISSUE
Th;s permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, P'NK•INSPECTOR, GOLDENROD -APPLICANT
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
terior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof covering (Chapter 32).
of covering type - (fire hazard).
'4. after ties or bearing ridge beam.
rage door or porch header sizes.
9. Adequate bracing.
._ '._ving area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
ATX -'o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
]r_!Attic access and ventilation (Sec. 3205).
--13-.-Underfloor access and ventilation (Sec. 2516).
ambustion air for fuel burning appliances.
-1-5. Noise requirements on duplexes.
--1-E'Adobe soils - special foundation design.
__17�. etaining walls requiring design.
-48-.-UPas
ual shape, size, or split level house requiring lateral design.
. Flashing at all exterior openings.
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
_ Bldg. Permit #
OWNER A.P. #�c1-5 -
GENERAL
I1: ning requirements: (sideyards
ly-aluation.
signed by designer.
ll+, ergy Design and Compliance.
6,5 Existing violations on property.
Items on data sheet.
PLOT PLAN
and number of permitted living units).
41-�Complete parcel size and dimensions.
a-- S tbacks, sideyards, easements, etc.
1,,//3. Other buildings or structures.
'Grading, fills, drainage.
Food hazard.
,6/. ecial conditions on creation map or compliance document.
7. FAU & FAS road setback.
'PLO1R PLAN
�mplete to scale plan with dimensions.
a. ---Required windows for light and ventilation (Sec. 1205).
L quired windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
an impact glass (Sec. 5406).
squired room sizes, ceiling heights (Sec. 1207).
71/ GF�s in baths, garage, and exterior outlets (Article 210-8).
8. --'Light fixtures, switches, receptacles, and exterior receptacles for maintenance
o echanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
arage firewall, door size, and closer (Sec. 503(d)(3)).
lt1- 3'0" exterior exit door (Sec. 3304(e)).
eplace and wood stove location, alcoves, and clearance.
18--'g-m—oke detectors (Sec. 1210).
STRUCTURAL DETAILS
oundation plan complete enough to construct building.
oor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
4 -"--Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
---2- Guardrail details (Sec. 1711 & 3306(j)).
.Brick or stone veneer (Chapter 30).
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
One Feer Building)
A.P. Number3%A-Z/'" 20 $uilding Department No.
School District DliS L) City D County �- Jurisdiction
Property Owner A in
Project Location/Address Lam,, � �L G le --T- () K 14A 94
Subdivision
Lot Number
Residential Development: a ` Z,5q Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
New
aSq. Footage
Addition (Including Exterior
Roofed Areas)
%D
Date
(Floor Plans reviewed by School District Personnel)
District Id No.—
'4)t L'q-
o.'4)tL'g- , 1_14 School District certifies that
Applicant Name
c0 Ly u P/L 60-
(Str et Address)
City)
has complied with the
by th
(State)
requirements of Resolution No.
ayment of $ •ypV4? 761
�1� - '6,W &-A
chool District Representat
' V C'� -d/e-
ne Number)
S5. e
;Zip Co
representing ;�,ss�! square feet.
ve
PAID BY CHECK NO. /!, /- REMARKS:
BANK NO
PAID BY CASH
/b /6-- ,55 09
Date
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
` `RECORDING REQUESTED BY:
MID VALLEY TITLE COMPANY
#116615DMP
BUTTE COUNTY RECORDER
SERIAL NO. 90 - gV1,F/
RECORDED AT THE REQUEST OF
MID VALLEY TITLE COMPANY
DATE RECORDED; OCT 15. 1990
TIME: F.1100/9K
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL 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 to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zoneswhich have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
'All that real property situate in the. County of Butte, State of California, described
as follows:
SEE ATTACHED LEGAL DESCRIPTION
Date: October 12, 1990
•
0
PRO ERTY OWNERS: ( )
JAMES R. BLACK
State of California ) On this the 12th day of October 19 go , before"
SS. me, the undersigned Notary Public, personally appeared
County of Butte )
'JAMES R. BLACK y
Personally known to me. L/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose fiame(s) ;G subscribed to
the within instrument and acknowledged that he
Pl OF OFFICIAL SEAL
executed the same for the purposes therein contained.
y DEE PALMER IN WITNESS WHEREOF, I hereunto set m and and official seal.
�® o NOTARY PUBLIC . CALIFORNIA
BUTTE COUNTY
My Comm. Expires April 26. 1994
Notary Public
Present A.P. No 039-24-0=020-0 '
1
. ORDER NO. BU -116615 DMP
DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TURNER'S 3RD
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 25,
1990, .IN BOOK 118 OF MAPS, AT PAGE(S) 57-,'58 AND 59.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC
UTILITY PURPOSES OVER DWYER COURT, AS SHOWN ON THE ABOVE MAP.
SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED JULY
25, 1990, UNDER BUTTE COUNTY -:RECORDER'S SERIAL NO. 90-31406.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER DWYER COURT, AS SHOWN ON THAT CERTAIN MAP ENTITLED,.
"TURNER'S 3RD SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
JULY 25, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 57, 58 AND 59.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PAGE 4
RECORDING REQUESTED BY:
MID VALLEY TITLE COMPANY
##116615DMP
Z7
Return to DPW
90-4 4.1 81.
90-044181 1 Rec Fee 7.00
Check 7.00
Recorded
Official Records
County of
Butte
Candace J. Grubbs
Recorder
8:00am 15 -`Oct -90 1 `JJ 2,
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this ackpowledgement
be recorded prior to issuance of a building permit.
M
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the. County of Butte, State of California, described
as follows:
SEE ATTACHED LEGAL DESCRIPTION
Date: October 12, 1990
PRO ERT Y OWNERS:
JAMES R. BLACK
i
State of California ) On this the 12th day of October 19 90,, beforef
) SS. me, the undersigned Notary Public, personally appeared
County of . Butte )
S
Present A.P.
,x/ Personally known to me. L/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) is subscribed to
the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set In and and official seal.
Notary Public
No. ,-0.39-24-0-020-0
aL °Fry
OFFICIAL SEAL
DEE PALMER
NOTARY PUBLIC • CALIFORNIA
�'9llFORNP
BUTTE COUNTY
My Comm. Expires April 26. 1994
S
Present A.P.
,x/ Personally known to me. L/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) is subscribed to
the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set In and and official seal.
Notary Public
No. ,-0.39-24-0-020-0
DESCRIPTION:
,9 �o 4 4 18 1
ORDER NO. BU -116615 DMP
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I•
LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TURNER'S 3RD
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,.ON JULY 25,
1990,1N BOOK 118 OF MAPS, AT PAGES) 57-, '58 AND 59.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT -FOR ROAD.=AND PUBLIC
UTILITY PURPOSES OVER DWYER COURT, AS SHOWN ON THE ABOVE MAP.
SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED JULY
25, 1990, UNDER BUTTE. COUNTY -RECORDER'S SERIAL NO. 90-31406.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND. PUBLIC UTILITY PURPOSES
OVER DWYER COURT, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"TURNER'S 3RD SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
JULY 25, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 57, 58 AND 59.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
END OF ®OCUNili-NT
James Black
P.O. Box 636
Durham, CA 95938
RE: Building Code Violation
9444 Dwyer Court, Durham
Dear Mr. Black:
April 1, 1992
A.P. #: 39-54-32
us.
This is a warning letter to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain approval of previous corrections and failure to obtain
final inspection for fire sprinklers prior to occupancy of the residence
and permit expiration. Failure to comply with correction notice dated
1/29/92.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, apply for the re-
quired permits to make corrections and complete project, and pay the appro-
priate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such 'compliance is not obtained.. If
voluntary compliance is not obtained, enforcement `rill be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please- contact Rod Taylor
or Jim Glander of this office.
RT:dms
cc: Assessor
Building Inspector
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
Manager, Building Inspection
-
R SI ► ENTIAL
i
39-54-32 4236-90B
BLACK, Jim
9444 Dwyer Ct, Durham
(fire sprinklers/sf)
S'— 9a-
Z'z8-9z- Nor KNFa42 Fin/AL
Pnl56�,err6A Rr - INSPEc rro,\/ FEE
9r -a- a Fi1VA(-- G(ZAcE
Ifotis� IS Co�v�P�Et � �flrvD o���Pl��1
k
0
C�
c.
JOB FINALED (Date)
Signature rocesS /G C
J=Ok
O = Not OK
=Not Applicable MOBILE HOMES
' =Not Ready ,
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. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Ekits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (S
' =
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
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. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except ft's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except N'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 ft's
39. Sils, 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
jingle,& Duplex)
Date 'FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin -roof Bra c-Truss-Shthng. -Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insu lation-Walls-Ceili nqs
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking 0learance
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-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes ❑ No;
Planters ❑ 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
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. 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:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS PERMIT NO.
-7-Coun,;y Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Z 36 —qo.,
APPLICATION AND PERMIT , A `
ASSESSOR P REEL ER
.39-51r-32
ZO
W
BUILDING PERMIT
Jim Black OWN
T 4 _�CV6
SO. FT. OCC. BUILDING VALUATION
259401,3D 3372
OWNER'S MAILING ADDRESS
P.O. Box 636, Durham, CA 95938
CONTRACTOR'S NAME
Same
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 44.5)0
ARCHITECT OR ENGINEER -
None
LICENSE NO.
Plan Checking Fee
$ 22.`25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9444 Dwyer Ct., Durham
Permit fee
$ 76.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: fire sprinklers _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0 AMP ORV OR LE LESS10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 91 Div. Of the Business
and Professio s Code and til �e71S In � orce pd e_ffQCt.
/ !/b/
License No. as si Iication
❑ I, as the owner, or my employ es with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.&
A )
New DONSTR.
, hQsgft
ULTBI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS .&)
( SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
eAL030
SALO 30
FIXED PR
Ex. Occup. OUTLETS (RESID.)EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.76.75
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
again said County in consequence of the anting of this permit.
Q
X Date I 1 d
Signature i t v#rir or or V Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
w
CONST TYPE
TOTA_-]L FEE $
HAz
CUA
PARK
SCHL
FLD
PAR
PD
HD
Iss
Th;s permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
7DI E R OF LIC WORKS
1
By i % Dae /h 64
PERMIT EXPIRES ate
Receipt No. 84676
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
�..�:: �`;;a; •;�' .y.4�i, .r.,_tyl1S�FF1�I�i.�.,Y;>�� ^ *t .. :�: • �{ aiYrr'•:Yr+;'".� :zr•_....'.Y�'!► ._�'�r+r'�„'°P "..` 1,
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIV�OROVILLE, CALIFORNIA„95965,; TELEPHONE: 916/538-7541
PERMIT APPLICATION_ DATA SHEET
_; Permit No.
OWNER l/ ! C � A ,
Proposed Building Use — `r�, .S Building Inspector Date
At time Off pe;;mtt application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. .@ ...................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ............................................. ... ...
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ................................... ...............
13. School District fees ai,d ............. .
14. Sanitation approval from Health Department
15. City of Chico plumbing permit....... ...................... ,
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date) +
21. Contractor's license information (No., Name Style, Classifications ...
J
2.2. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... �~
24. Recorded copy of Agricultural Acknowledgment Statement .... C.
*25 Letter gff itature authRrizatlon j� 4 . S. .. .
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pi kup at/ office. Deliver %W/inspector.
Other
ApplicantF Date'�Z
J
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 r o permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
•ontracto designer, owner, was advised of above required data by_phone_�” aiI—counter by�G ..date
on ractor, designer, owner, was advised of above required data by_phone_n�all_ccoount r b date—
Plans checked by Date Plans approved by v 9 Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASS SS DR PARCEL N R
9,
.O �
ZONING
BUILDING PERMIT
TEL ONE
S0. FT. OCC. BUILDING VALUATION
O ER'5 MAILI ADDRESS
_ C
14 ,
CO RAC TOR'S NAM
TELEPHONE
CONT ACTOR'S MAILING ADDRESS
Fireplace
CONJTUCTIOO. LENDER
l
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCM T CT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$ i
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
g
BUILDING ADDRESS ^,
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
1A
Solar or heat pump water heater
20.00
LOT NO.
SU8DIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SFX Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U 'Iities ❑ InslIallationcl Other
Describe work: �Ti : 0 In i h I� c S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR101 OR LESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑I am licensed under prOVISIOnS Of Chapt. 9, Div. 3 of the BUSIneS$
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)
❑ 1 am exempt under Sec. - , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.ai
OR ADONS. ( ACC. BLDGS.
, /20sgft
NEW CONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
- POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
2AL@
eALa30¢
30
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.I EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject I
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XThis
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
/ PButte
TOTAL FEE $ �(p
HAz
I CUA PARK
scHL
FLo
PAR
PD
HD
IssuE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. M
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER'S NAME: 11VED_
PERMIT NUMBER.:.—� �j A . P . # : 4 /
77)RESIDENTIAL F] NON RESIDENTIAL RECEIVED BY
�! -- - - - - - - - - - - - - - - REQUIRED PRIOR TO ———— — — — — ——
PERMIT ISSUANCE
0 FROM DATA SHEET a REQUESTED BY PLAN CHECKER
n OTHER
C
--—————————f---——————————————————————————
REQUESTED BY CORRECTION NOTICE Q YES Q NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
---------------------------------------
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
(Address)
Mail to contractor
(Name and Address)
Call %,. and hold for pickup at office.
Deliver with next in pectijP--
$15.00
S HECK FEES PAID:
$30. V Additional Fees Not Required
Q
F�
x,
C Q)C i i
Li
1 14 ,��d4ra hZ/Al
�� /32�) i9S
� .:;`Lo
= � • THIS ,S�iz�rt//rL�fZ �
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b it •51o.¢tC
�Oti�i%zOL 7-? 26V VZ-
'0 celll�a6�� 1011A5
3zx ZA Y16 -
��-15Lt-32
SMECOUNTY..".
8 LMG DEPARTME
-APPACVED
ro-
�� /32�) i9S
� .:;`Lo
= � • THIS ,S�iz�rt//rL�fZ �
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'0 celll�a6�� 1011A5
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SMECOUNTY..".
8 LMG DEPARTME
-APPACVED
RESIDENTIAL FIRE SPRINKLER; FLUSH PENDENT
MODEL F991 AQUARIUS Tm 4.2 K -FACTOR
B (DIA.)
1. The Sprinkler Unit consists of Components 2 thru 14.
2. The Fusible Element Assembly consists of Components 6 thru 14.
1 -Push -on Components:
GENERAL DESCRIPTION
"
Plate 6 -Retaining 8 -Inner Loading
11 -Solder Element
The 4.2 K -factor Model F991 Aqua-
12 -Disc Spring
3 -Arms
13 -Insulating
4 -Body 7 -Heat 9 -Outer Loading
rius Pendent Residential Fire Sprink-
5-Gasketed Collectors Plate
Dim.
Inches
MM
lers (Ref. Figure A) are automatic
E___
q—
2-1/4
"57.2
sprinklers of the fusible solder type.
B—
2-1/2
63.5
They are low profile, flush sprinklers
C—Min.
5/8
15.9
which are intended to be used in
CD—Nom.
3/4
7/8
19.1
22 2
*wet' pipe residential fire sprinkler
systems for one- and two-family
dwellings and mobile homes per
NFPA 13D, and
qiwet pipe fire sprinkler systems for
the residential portions of any
occupancy pet NFPA.13.
Small in size and attractive in appear-
ance, the F991 Aquarius Sprinklers
blend in with their surroundings. The
F991 Sprinklers produce a hemispher-
ical water discharge pattern below the
-deflector.
Both a Push -on Escutcheon Plate as
illustrated in Figure A and a Clamp -on
Escutcheon Plate as described in Tech-
nical Data Sheet TD810 are available
for use with the Aquarius Sprinkler
Unit. The Push -lin Escutcheon Plate
is intended for use with steel pipe or
copper tubing and the Clamp -on
Escutcheon Plate was designed_ for use
with plastic piping.
The 1`991 Sprinklers have been de-
signed to operate with a particular
fusible element temperature rating
and heat sensitivity characteristic,
as well as to discharge water in a.
specific pattern and quantity per
square foot relationship. The com-
bination of the performance charac-
teristics which are associated with
-the F991 Sprinklers have been proven
to help in the control of residential
type fires and, therefore, to improve
the chance for occupants to escape
or be evacuated.
Fire sprinkler systems are not a sub-
stitute *for intelligent fire safety
awareness or construction materials
d Y u' ed b buildin
C—Max.
D—Nom. 1-1/16 27.0
E— 2 50.8
F— 1-1/2 38.1
7/16'111.1
MA
MAKE -IN
I
L
Ile NPT '.
FACE OF
SPRINKLER
FITTING
0 ` 14
TWO WRENCH
LUGS (SHOWN ityir�.Yi:L_•.•y ..:
90. OUT OF
POSITION).
MODEL NO..
TEMPERATURE
RATING. S
YEAR OF
MANUFACTURE
NOTES:
B (DIA.)
1. The Sprinkler Unit consists of Components 2 thru 14.
2. The Fusible Element Assembly consists of Components 6 thru 14.
1 -Push -on Components:
Escutcheon
10 -Loading Screw
Plate 6 -Retaining 8 -Inner Loading
11 -Solder Element
2 -Dust Cap Ring Plate
12 -Disc Spring
3 -Arms
13 -Insulating
4 -Body 7 -Heat 9 -Outer Loading
Washer
5-Gasketed Collectors Plate
14 -Tamper
Button-
Resistant
Deflector FIGURE A
Plug
MODEL F991 AQUARIUS PENDENT RESIDENTIAL
FIRE SPRINKLER
an prat Ices req Ir IF g
codes. Residential Fire Sprinklers are listed The Model F991 Aquarius Pendent
by Underwriters Laboratories Inc. and Residential Fire Sprinklers are ap-
Underwriters' Laboratories of Canada. proved by the New York City Board
The listings only apply to the -service of Standards and Appeals under Cal -
conditions and installation/usage cri- endar Number 334-79—SA.
APPROVALS AND STANDARDS teria indicated in the Technical Data
The Model F991 Aquarius Pendent section. Any questions concerning an interpre-
__ ..---_----.._.._
Printed in U.S.A. 9-87--
pG�lNE2 �Lh�C
er ��/v -
Z>�7E 229
SYSTEM cTEtz
�H S� I/o S!'�'2/�✓�`CLE/zS �f�u�.v �Av
CLos� jr/TCf�EN
ZE11Z S�UiNc
��2e�4-s
OWNER'S NAME:'142, RECEIVED
PERMIT BER: L f sZ % Q A . P . # : _—� �3� DATE L /
RESIDENTIAL R NON RESIDENTIAL RECEIVED BY TIME
REQUIRED PRIOR TO PERMIT ISSUANCE
----------
FROM DATA SHEETEQUESTED BY PLAN CHECKER
OTHER
REQUESTED BY CORRECTION NOTICE R YES NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
--—=
------------
WHEN APPROVED, PROCESS AS FOLLOWS—: ——--——————————————————
Mail. to owner
(Address)
Mail to contractor
(Name and Address)
::::/:Deliver
it and hold for pickup at office.
with next inspection.
REVISED PLAN CHECK �FEEESS PAID:
`
.$15.00 . $30.00 � Additional Fees Not Required
Jim Black
P.O. Box 636
Durham, CA 95938
Dear Mr. Black:
November 13, 1990
RE: Permit #3246-90
(A.P. #39-54-32)
I
With reference to the above subject and the permit we issued for a new
single family residence at 9444 Dwyer Court in Durham, the permit was
issued without the map requirement for a residential fire sprinkler system.
The map recorded in map book 118, page 57 requires all residences con-
structed in the development be equipped with a fire sprinkler system.
Please be advised that a fire sprinkler will be required to be installed
and approved by this office prior to final approval and occupancy.
A separate permit and engineered plans will be required and only a licensed
fire sprinkler contractor (C-16) is allowed to install the system per
the License Board.
Should you have any questions concerning this matter, please contact this
office.
JFG: ds
cc: Chico Office
Yours very truly,
William Cheff
Director of Public Works
, _y
J.F. Glander
Chief Building Inspector
k
File No.
VPublic
UNTY (For Action 1, 2, 3,
E
-4
f `
s Dept. (For Infomation
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge
Constr. Engr.
Surveys
Mapping
T ran sp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Add,.
w
�---MAXIMUM
MINIMUM REQUIRED FLOW
COVERAGE
(MINIMUM RESIDUAL PRESSURE)
AREA
FT -i-
ONE SPRINKLER
MULTIPLE SPRINKLERS
FLOWING,GPM
FLOWING,GPM*
14. x 14
18 ( 18.4)
13 (9.6)
16 x 16
22 -- (27.4)
16 (14':5) --
66.
O
BUTTE COUMY..
eunoIuo DEPARTMENT
/APPROVED
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ti C,13)
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INSTALLATION OF SPRINKLER SYSTEMS IN ONE- AND TWO-FAMILY DWELLINGS AND MOBILE HOMES
Table 4-4.3 (b) Pressure Losses (psi/ft) Copper Tubing - Types K, L•& M..0 = 150
Flow Rate - GPM
Tubing Type
Site in. to 12 14 16 18 20 25 30 35 40 45 50
?A M
0.08
0.12
0.16
0.20.
0.25
0.30
0.46
0.64
0.85
-
-
-
L
0.10
0.14
0.18
0.25
0.29
0.35
0.55
0.75
1.00
-
-
K
0.13
0.18
0.24
0.30
0.38
0.46
0.69
0.97
1.28
-
-
-
1 M
0.02
0.03
0.04
0.06
0.07
0.08
0.13
0.18
0.24
0.30
0.38
0.46
L
0.03
0.04
0.05
0.06
0.08
0.10
0.15
0.20
0.27
0.55
0.43
0.53
K
0.03
0.04
0.06
0.07
0.09
0.11
0.17
0.24
0.31
0.40
0.50
0.61
1 Y. M
0.01
0.01
0.02
0.02
0.03
0.03
0.05
0.07
0.09
0.11
0.14
0.17
L
0.01
0.01
0.02
0.0E
0.03
0.03
0.05
0.07
0.10
0.12
0.16
0.19
K
0.01
0.01
0.02
0.02
0.03
0.04
0.06
0.08
0.11
0.13
0.17
0.20
1 t,§ M
-
0.01
0.01
0.01
0.01
0.01
0.02
0.03
0.04
0.05
0.06
0.08
L
-
0.01
0.01
0.01
0.01
0.01
0.02
0.03
0.04
0.05
0.07
0.08
K.
-
0:01
0.01
0.01
0.01
0.02
0.02
0.03
6.05,
0.06
0.07
0.09
2 M
-
-
-
-
-
-
0.01
0.01
0.01
0.01
0.02
0.02
L
-
-
-
-
--
0.01
0.01
0.01
0.01
0.02
0.02
K
-
-
-
-
-
-
0.01
0.01
0.01
0.01
0.02
0.02
For SI Units:
I gal. = 9.785
L: I psi = 0.0689 bar;
1 it = 0.3048 m.
Table 44.3 (c)
Equivalent Length of
Pipe in Feet for
Steel
and Copper Fittings
and Valves
Based on Crane Technical Paper No. 410.
For SI Units: 1 ft = 0.3048 m
Table 4-4.3 (d)
Pressure Losses in Water Meters
Pressure Loss (psi)
Meter Flow (gpm)
(Inches) 18 23 26 31 39 52
5/8 9 14 18 26 '
3/4 4 8 9 13
1 2 3 3 4 6 10
1.1/2 •• 1 2 2 4 7
2 •• '• •• 1 2 3
NOTE: Lower pressure losses may be used when supporting
data is provided by the meter manufacturer.
• Above maximum rated flow of commonly available meters.
•• Less than 1 psi.
For Sl Units: 1 gpm = 3.785L/min; 1 in. = 25.4 mm
4-4.4 To size piping for systems with an elevated tank,
pump or pump -tank combination, determine the
pressure at the water supply outlet and proceed through
steps (c), (e), (g), (h), (i), 0) and (k) of 4-4.3.
4-5 Piping Configurations. Piping configurations
may be looped, gridded, straight run, or combinations
thereof.
4-6 Location of Sprinklers. Sprinklers shall be in-
stalled in all areas.
Exception No. 1: Sprinklers may be omitted from
bathrooms not exceeding 55 sq ft (5.1 m2) with noncom-
bustible plumbing fixtures.
Exception No. 2: Sprinklers may be omitted from small
closets where the least dimension does not exceed 3 ft (0.9
m) and the area does not exceed 24 sq ft (2.2 m2) and the
walls and ceiling are surfaced with noncombustible
materials.
Exception No. 3: Sprinklers may be omitted from open
attached porches, garages, carports and similar struc-
tures.
Exception No. 4: Sprinklers may be omitted from attics
and crawl spaces which are not used or intended for living
purposes or storage.
Tees
Valves
Fitting/Valve
Elbows
Flow
Flow
Globe
Diameter
45 90 Long
Thru
Thru
"Y"
In.
Degrees Degrees Radius
Branch
Run
Gate
Angle
Globe
Pattern
Cock
Check
1 2 1
4
1
1
10
21
11
3
3
1
1 3 2
5
2
1
12
28
15
4
4
1A
2 3 2
6
2
2
15
35
18
5
5
•11h
2 4 3
8
3
2
18
43
22
6
6
2
3 5 3
10
3
2
24
57
28
7
8
Based on Crane Technical Paper No. 410.
For SI Units: 1 ft = 0.3048 m
Table 4-4.3 (d)
Pressure Losses in Water Meters
Pressure Loss (psi)
Meter Flow (gpm)
(Inches) 18 23 26 31 39 52
5/8 9 14 18 26 '
3/4 4 8 9 13
1 2 3 3 4 6 10
1.1/2 •• 1 2 2 4 7
2 •• '• •• 1 2 3
NOTE: Lower pressure losses may be used when supporting
data is provided by the meter manufacturer.
• Above maximum rated flow of commonly available meters.
•• Less than 1 psi.
For Sl Units: 1 gpm = 3.785L/min; 1 in. = 25.4 mm
4-4.4 To size piping for systems with an elevated tank,
pump or pump -tank combination, determine the
pressure at the water supply outlet and proceed through
steps (c), (e), (g), (h), (i), 0) and (k) of 4-4.3.
4-5 Piping Configurations. Piping configurations
may be looped, gridded, straight run, or combinations
thereof.
4-6 Location of Sprinklers. Sprinklers shall be in-
stalled in all areas.
Exception No. 1: Sprinklers may be omitted from
bathrooms not exceeding 55 sq ft (5.1 m2) with noncom-
bustible plumbing fixtures.
Exception No. 2: Sprinklers may be omitted from small
closets where the least dimension does not exceed 3 ft (0.9
m) and the area does not exceed 24 sq ft (2.2 m2) and the
walls and ceiling are surfaced with noncombustible
materials.
Exception No. 3: Sprinklers may be omitted from open
attached porches, garages, carports and similar struc-
tures.
Exception No. 4: Sprinklers may be omitted from attics
and crawl spaces which are not used or intended for living
purposes or storage.
RESIDENTIAL FIRE SPRINKLER, FLUSH PENDENT
MODEL F991 AQUARIUST"; 4.2 K -FACTOR
GENERAL DESCRIPTION
The 4.2 K -factor Model F991 Aqua-
rius Pendent Residential Fire Sprink-
lers (Ref. Figure A) are automatic
sprinklers of the fusible solder type.
They are low profile, flush sprinklers
which are intended to be used in
*wet pipe residential fire sprinkler
systems for one- and two-family
dwellings and mobile homes per
NFPA 13D. and
•wet pipe fire sprinkler systems for
the residential portions of any
occupancy per NFPA 1:3.
Small in size and attractive in appear-
ance, the F991 Aquarius Sprinklers
blend in with their surroundings. The
F991 Sprinklers produce a hemispher-
ical water discharge pattern below the
deflector.
Both a Push -on Escutcheon Plate as
illustrated in Figure A and a Clamp -on
Escutcheon Plate as described in Tech-
nical Data Sheet TD810 are available
for use with the Aquarius Sprinkler
Unit. The Push -on Escutcheon Plate
is intended for use with steel pipe. or
copper tubing and the Clamp -on
Escutcheon Plate was designed for use
with plastic piping.
The F991 Sprinklers have been de-
signed to operate with a particular
fusible element temperature rating
and heat sensitivity characteristic,
as well as to discharge water in a
specific pattern and quantity per
square foot relationship. The com-
bination of the performance charac-
teristics which are associated with
the F991 Sprinklers have been proven
to help in the control of residential
type fires and, therefore, to improve
the chance for occupants to escape
or be evacuated.
Fire sprinkler systems are not a sub.
stitute for intelligent fire safety
awareness or construction materials
and practices required by building
codes.
APPROVALS AND STANDARDS
The Model F991 Aquarius Pendent
Printed in U.S.A. 9-87
7/16" (11.1 mm)
MAKE -IN —
L
I '.
FACE OF /Z` NPT
SPRINKLER
FITTING
E (DIA.)
F (DIA.)
0%--14
0�
Dim. Inches MM
A—
2-1/4
57.2
B—
2-1/2
63.5
C—Min.
5/8
15.9
C—Nom.
3/4
19.1
C—Max.
7/8
22.2
D—Nom.
1-1/16
27.0
E—
2
50.8
F—
1-1/2
38.1
TWO WRENCH
LUGS (SHOWN
90' OUT OF
POSITION)
MODEL NO.,
TEMPERATURE
RATING, 8
YEAR OF
MANUFACTURE
NOTES: h� 8 (DIA.) —
1. The Sprinkler Unit consists of Components 2 thru 14.
2. The Fusible Element Assembly consists of Components 6 thru 14.
1 -Push -on
Components:
Escutcheon
10 -Loading Screw
Plate
2 -Dust Cap
6 -Retaining
8 -Inner Loading
11 -Solder Element
3 -Arms
Ring
Plate
12 -Disc Spring
4 -Body
7 -Heat
9 -Outer Loading
13 -Insulating
Washer
5-Gasketed
Collectors
Plate
14 -Tamper
Button-
Resistant
Deflector
FIGURE A Plug
MODEL F991 AQUARIUS PENDENT RESIDENTIAL FIRE SPRINKLER
Residential Fire Sprinklers are listed
by Underwriters Laboratories Inc. and
Underwriters' Laboratories of Canada.
The listings only apply to the service
conditions and installation/usage cri-
teria indicated in the Technical Data
section.
The Model F991 Aquarius Pendent
Residential Fire Sprinklers are ap-
proved by the New York City Board
of Standards and Appeals under Cal-
endar Number 334-79—SA.
Any questions concerning an interpre-
TD586
tation of NFPA 13 or 13D sprinkler
system design/installation standards, as
well as requests for system/design in-
stallation standards not presently
covered by NFPA 13 or 13D, should
be addressed to the:
Secretary, Standards Council
National Fire Protection Association
Batterymarch Park
Quincy, MA 02269
WARNINGS
The Model F991 Aquarius Pendent
Residential Fire Sprinklers described
herein must be installed and maintain-
ed in compliance with this document,
as well as with the applicable stan-
dards of the National Fire Protection
Association, in addition to the stan-
dards of any other authorities having
jurisdiction. Failure to do so may
impair the integrity of these devices.
Because of the above cited stipulations
and the varied nature of residential
type architecture, there will be some
compartment designs which cannot be
fully sprinklered in accordance with
the recommendations of NFPA 13 or
13D. In the event of this condition,
consult the authorities having jurisdic-
tion for guidance.
It is the responsibility of an installing
contractor to provide a copy of this
document to the owner or his repre-
sentative and, in turn, it is the obliga-
tion of the owner to provide a copy of
this document to a succeeding owner.
The owner is responsible for maintain-
ing his fire protection system and
devices in proper operating condition.
The installing contractor or sprinkler
manufacturer should be contacted
relative to any questions.
TECHNICAL DATA
The Model F991 Aquarius Pendent
Residential Fire Sprinklers have a
160F/71C temperature rating and are
rated for use at a maximum service
pressure of 175 psi.
The F991 Aquarius Sprinklers are
ordered in two parts; the Push -on
Escutcheon Plate which is Compo-
nent 1 in Figure A, and the Sprinkler
Unit which consists of Components
2 thru 14 in Figure A.
The F991 Sprinkler Unit is available
with a chrome plated finish as "stan-
dard order" and a bright brass finish
can be provided on a "special order"
basis. A painted finish for the F991
Sprinkler Unit is not available.
The Push -on Escutcheon Plate is
available with either a chrome plated
or white painted finish on a "standard
order" basis. A bright brass finish and
FIGURE B
NOMINAL DISCHARGE CURVE
painted finishes, other than white, can
be provided for the Push -on Escutch-
eon Plate on a "special order" basis.
The Push -on Escutcheon Plate, which
provides 1/4 inch of adjustment, is in-
stalled by simply slipping it over the
Body. Four prongs located around the
inside diameter of the Plate hold it
against the Body.
The F991 Sprinkler Unit is shipped
with a plastic Protective Cap covering
the outside of the Fusible Element and
the lower portion of the Body. The
Protective Cap can be left in position
while the Sprinkler Unit is being
installed and then it is slid off once the
ceiling installation is complete and the
sprinkler system is ready to be put
into service.
The nominal discharge curve for the
F991 is plotted in Figure B and it re-
presents the flow "Q" in U.S. gallons
per minute (GPM) as determined by
the formula: Q = K6 where the nom-
inal sprinkler discharge coefficient is
"K" and "p" = pressure in pounds per
square inch (psi). Listing standards
permit the actual value of K to vary
from 4.0 to 4.4.
Referring to Figure A, a Solder Ele-
ment (11) is compression loaded be-
tween the Loading Screw (10) and
Heat Collectors (7). When the Heat
Collectors are exposed to a tempera-
ture sufficient to melt the solder, the
contracting force exerted by the Re-
taining Ring (6) separates the Inner
and Outer Loading Plates (8, 9), with
the Outer Loading Plate squeezing the
solder out from between the Loading
Screw and the lower Heat Collector.
Once the Retaining Ring has collapsed,
the Fusible Element Assembly (con-
sists of Components 6 thru 14) falls
out of the Body, and simultaneously,
—2—
the Gasketed Button -Deflector (5) is
forced down by system pressure into
its operated position. The two Arms
13) guide and stop the Gasketed But-
ton -Deflector.
The Push -on Escutcheon Plate is
installed by simply slipping it over
the Body. Four prongs located around
the inside diameter of the Plate hold
it against the Body.
NOTES
The Push -on Escutcheon Plate can
NOT be used to hold the F991 Sprink-
ler Unit in position. When using the
Push -on Escutcheon Plate, the Sprink-
ler Unit must be secured in position by
firmly fastening the sprinkler system
piping to the dwelling structure.
If the Sprinkler Unit is not properly
secured in position, reaction forces
resulting from sprinkler operation
could alter its orientation and water
distribution pattern.
Refer to Technical Data Sheet TD810
for information on the Damp -on Es-
cutcheon Plate which is suitable for
use with plastic piping.
The Body is bronze per.ASTM 8584
(C83600 or C84400) and the Dust
Cap is polyolefin. The Heat Collectors
are copper per ASTM B152(C11000)
and the Inner and Outer Loading
Plates are brass per ASTM B16
(C36000) or ASTM B140(C31400 or
C31600). The Loading Screw and two
Arms are Type 302 stainless steel per
ASTM A276 or Type 303 per ASTM
A582. The Disc Spring is a chrome
plated high strength carbon steel
and the Retaining Ring is titanium per
ASTM 8348 (Grade 5). The Gas-
keted Button -Deflector consists of
a sintered brass button -deflector per
MPIF CZP-0220-T and the gasket is
Teflont. The Push -on Escutcheon
Plate is formed from a low carbon
sheet steel.
The Model F991 Aquarius Pendent
Residential Fire Sprinklers must only
be installed and utilized in accordance
with the following described criteria
which are provided by the manufac-
turer.
anufac-
turer.
These restrictions relate to
•the general service conditions neces-
sary to sprinkler performance and
integrity,
•the minimum amount of water which
must be discharged from an opera-
ting sprinkler,
*the maximum area which can be
covered by the spray from an opera-
ting sprinkler,
• installation requirements necessary
!DuPont Registered Trademark
C
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FIGURE B
NOMINAL DISCHARGE CURVE
painted finishes, other than white, can
be provided for the Push -on Escutch-
eon Plate on a "special order" basis.
The Push -on Escutcheon Plate, which
provides 1/4 inch of adjustment, is in-
stalled by simply slipping it over the
Body. Four prongs located around the
inside diameter of the Plate hold it
against the Body.
The F991 Sprinkler Unit is shipped
with a plastic Protective Cap covering
the outside of the Fusible Element and
the lower portion of the Body. The
Protective Cap can be left in position
while the Sprinkler Unit is being
installed and then it is slid off once the
ceiling installation is complete and the
sprinkler system is ready to be put
into service.
The nominal discharge curve for the
F991 is plotted in Figure B and it re-
presents the flow "Q" in U.S. gallons
per minute (GPM) as determined by
the formula: Q = K6 where the nom-
inal sprinkler discharge coefficient is
"K" and "p" = pressure in pounds per
square inch (psi). Listing standards
permit the actual value of K to vary
from 4.0 to 4.4.
Referring to Figure A, a Solder Ele-
ment (11) is compression loaded be-
tween the Loading Screw (10) and
Heat Collectors (7). When the Heat
Collectors are exposed to a tempera-
ture sufficient to melt the solder, the
contracting force exerted by the Re-
taining Ring (6) separates the Inner
and Outer Loading Plates (8, 9), with
the Outer Loading Plate squeezing the
solder out from between the Loading
Screw and the lower Heat Collector.
Once the Retaining Ring has collapsed,
the Fusible Element Assembly (con-
sists of Components 6 thru 14) falls
out of the Body, and simultaneously,
—2—
the Gasketed Button -Deflector (5) is
forced down by system pressure into
its operated position. The two Arms
13) guide and stop the Gasketed But-
ton -Deflector.
The Push -on Escutcheon Plate is
installed by simply slipping it over
the Body. Four prongs located around
the inside diameter of the Plate hold
it against the Body.
NOTES
The Push -on Escutcheon Plate can
NOT be used to hold the F991 Sprink-
ler Unit in position. When using the
Push -on Escutcheon Plate, the Sprink-
ler Unit must be secured in position by
firmly fastening the sprinkler system
piping to the dwelling structure.
If the Sprinkler Unit is not properly
secured in position, reaction forces
resulting from sprinkler operation
could alter its orientation and water
distribution pattern.
Refer to Technical Data Sheet TD810
for information on the Damp -on Es-
cutcheon Plate which is suitable for
use with plastic piping.
The Body is bronze per.ASTM 8584
(C83600 or C84400) and the Dust
Cap is polyolefin. The Heat Collectors
are copper per ASTM B152(C11000)
and the Inner and Outer Loading
Plates are brass per ASTM B16
(C36000) or ASTM B140(C31400 or
C31600). The Loading Screw and two
Arms are Type 302 stainless steel per
ASTM A276 or Type 303 per ASTM
A582. The Disc Spring is a chrome
plated high strength carbon steel
and the Retaining Ring is titanium per
ASTM 8348 (Grade 5). The Gas-
keted Button -Deflector consists of
a sintered brass button -deflector per
MPIF CZP-0220-T and the gasket is
Teflont. The Push -on Escutcheon
Plate is formed from a low carbon
sheet steel.
The Model F991 Aquarius Pendent
Residential Fire Sprinklers must only
be installed and utilized in accordance
with the following described criteria
which are provided by the manufac-
turer.
anufac-
turer.
These restrictions relate to
•the general service conditions neces-
sary to sprinkler performance and
integrity,
•the minimum amount of water which
must be discharged from an opera-
ting sprinkler,
*the maximum area which can be
covered by the spray from an opera-
ting sprinkler,
• installation requirements necessary
!DuPont Registered Trademark
C
C
to the proper operational sensitivity
of the sprinklers,
• preventing the wetting (i.e., cold
soldering) of the Fusible Element
Assembly of a non -operated sprink-
ler, which is adjacent to one which
has operated, and
• preventing the weakening followed
by the possible release of a sprink-
ler's Fusible Element Assembly, due
to exposure to heat sources other
than abnormal fire.
NOTES
1. Residential Fire Sprinkler Systems
should only be designed and in-
stalled by those competent and
completely familiar with automatic
sprinkler system design, installation
procedures, and techniques.
2. Several criteria may apply to the
installation and usage of each
sprinkler. Consequently, it is rec-
ommended that the sprinkler sys-
tem designer review and develop
a working understanding of the
complete list of criteria, prior to
initiating the design of the sprinkler
system.
3. Questions concerning sprinkler in-
stallation and usage criteria, which
are not covered by the following
instructions, should be mailed to
the attention of the Technical
Data Department. Include sketches
and technical details, as appro-
priate.
4. In some instances, the requirements
of this document concern specifica-
tions which are more stringent than
those specified in NFPA 13 or 13D
and, which take precedence over
those specified in NFPA 13 or 13D.
General Service Conditions
The F991 Sprinklers must only be util-
ized
1. in wet pipe automatic sprinkler sys-
tems,
2. within residential portions of any
occupancy (per NFPA 13) or with-
in residential "Dwelling Units" (per
NFPA 13D),
3. at a maximum service pressure of
175 psi,
4. at a maximum temperature of
115F/46C (including the combined
effects of ambient temperature and
solar radiation),
5. with all interconnecting system pip-
ing, as well as sprinklers maintained
at a minimum temperature of 40F/
4C, and
6. with water supplies which are sub-
stantially free of contaminants and
particles of a size greater than 1/8
inch.
MAXIMUM
COVERAGE
AREA
FT. x FT.
MINIMUM REQUIRED FLOW
(MINIMUM RESIDUAL PRESSURE)
ONE SPRINKLER
FLOWING;GPM
MULTIPLE SPRINKLERS
FLOWING, GPM*
14 x 14
18 ( 18.4)
13 (9.6)
16 x 16
22 (27.4)
16 (14.5)
Refer to different Hydraulic Design Criteria for wet pipe fire sprinkler systems in the
residential portions of any occupancy per NFPA 13 and, one- and two-family dwellings
and mobile homes per NFPA 13D.
TABLE A
HYDRAULIC DESIGN CRITERIA FOR
4.2 K -FACTOR MODEL F991 SPRINKLERS
Hydraulic Design Criteria
NOTES
In order to be treated as individual
compartments, spaces such as hall-
ways, rooms, dinettes, stairwells, and
landings must be separated by soffits,
beams, or lintels having a height of 8
or more inches.
The number of sprinklers within each
compartment must be as few as possi-
ble. Do NOT use more sprinklers than
necessary to cover a particular space.
Model F991 Sprinklers utilized in wet
pipe automatic sprinkler systems that
are installed in dwellings or mobile
homes per NFPA 13D, must be hy-
draulically designed to provide a dis-
charge from any single sprinkler and
any two adjacent sprinklers within
the same compartment which is not
less than the minimum flow rates
specified in Table A.
Model F991 Sprinklers utilized in wet
pipe automatic sprinkler systems that
are installed within dwelling units of
any occupancy per NFPA 13, must be
hydraulically designed to provide a
discharge from the most hydrauli-
cally demanding single sprinkler and
a discharge from each of any four
sprinklers covering adjacent areas
within the same compartment Jvhich
is not less than the minimum flow
rates specified in Table A. When a
compartment contains less than four
sprinklers, the hydraulic design area
must include all -sprinklers within
that compartment plus the sprinklers
in adjoining compartments, hallways,
or stairwells, up to a maximum of four
sprinklers. In all cases, the design area
must include the four most hydraulic-
ally demanding sprinklers.
Spray Coverage Criteria
The nominal wetting patterns for
the F991 Sprinklers, at the mini-
mum required flow conditions (Ref.
—3—
Table A), are illustrated in Figure C.
The following are the F991 Sprinkler
installation criteria necessary to as-
suring that they will provide their
design distribution of water spray.
1. The maximum area to be covered
by a single F991 is not to exceed
the maximum coverage area de-
fined in 'the preceding subsection
on Hydraulic Design Criteria and
any 90° quadrant is limited to 25
percent of the maximum total
coverage area (i.e., 49 sq. ft. for 14
ft. x 14 ft, and 64 sq. ft. for 16 ft.
x 16 ft.).
2. The maximum permitted distance
from an F991 Sprinkler to a wall
or partition is 7 ft. for the 14 ft.
x 14 ft. coverage area and 8 ft. for
the 16 ft. x 16 ft. coverage area
(Ref. Dimension "a" in Figure D).
3. The maximum permitted distance
between adjacent F991 Sprinklers
within the same compartment is
14 ft. for the 14 ft. x 14 ft. cover-
age area and 16 ft. for the 16 it.
x 16 ft. coverage area (Ref. Dimen-
sion "b" in Figure D).
4. An F991 Sprinkler must be located
at least 4 inches beyond the outside
corner of an alcove wall or parti-
tion, as shown by dimension "d" in
Figure D.
5. F991 Sprinklers located on pitched
ceilings and/or overhangs must be
positioned in accordance with the
criteria illustrated in Figure E.
6. The maximum permitted distance
between the mounting surface of an
F991 Sprinkler and the bottom of
ceiling mounted obstructions such
as overhangs and light fixtures is
as shown in Figure F.
7. An F991 Sprinkler that is located
on a level ceiling must be position-
ed away from an intersecting pitch-
ed ceiling in accordance with the
minimum requirement given in
Figure G.
8. An F991 Sprinkler that is located
on a pitched ceiling must be posi-
tioned away from an intersecting
level ceiling in accordance with the
�
�
�
o'
2'
4 .
6'
8.
0' 0 .
o' 2'
4 . 4 .
6' 6'
8' 8.+���
14'X14'DOVERAGEAREA
* 4 .
9
�
' \
c
4'
6'
8.
2 .
4 1
6'
"8.u J22 GPMIt�
�
�
10'X 16'COVERAGE AREA
--
FIGURE C
NOMINAL WETTING PATTERNS AT MINIMUM REQUIRED FLOW CONDITIONS*
*See Technical Data and Warranty Sections.
minimum requirement given in distance from the sprinkler to th� |. Lintels of atleast 3 inches in height
Figure H. peak i, not to be |o,s than 2 feet and pmfomb|v 8 inches should be
(Ref. Dimensions ^o^ and 'f^ in used over all passageways from one
/VOTE Fiuv,o E), ,nvve to another, in order to reduce
The spray from the F991 is distributed the possibility of ,p,i"k|o, opera -
radially outward and downward from The F901 Sprinklers must NOT be tions outside the fire area.
the kle, deflector. Coused
ly, the sprinklers must bolocated such u� beneath soffits or beams having x ||. Beams nfut least 3inches inheight
that there w�lnot beonybxnd depth of more than 3_1/8 inches, should be used to border each of
shielded from spray by partitions, b. above o, below opon.8,iddod type 5 or more adjoining areas ofFS9dividers,rw«m mVv�dividers,ond Sprinkler coverage (within the same
parts dwelling
structure. o. with beam,, joistoverhangs or other suspended s, n,ducts having n»mpo,tmvnt), inorder todecrease
a height of more than 3 inches |o' the time tofirst sprinkler operation
Operational Sensitivity Criteria ooted within the sprinkler coverage as well as to reduce the possibility
areas. ofmultiple sprinkler operations.
The F991 Sprinklers must be in-
stalled NOTE
1. beneath solid ceilings having x Beams having « height more than Cold Soldering Criteria
smooth or textured surface. 3 h/ch'z may be located with /6mr
2. with a bottom of Heat Collector centerlines along the 0wund/ks 1 �yith reference to Figures D and E, Fin. A) to ceiling distance separating adjacent sprinkler co,m~
o�e«/e«x the minimum ,oquimddismncobe-
of hetwoon 5/8and 4 inches.
twoon adjacent F991 Sprinklers is
3. at least 4 inches away from ave,ti' 8feot �
oo| wo|| surface (He[ Dimension It is recommended that as part of the
' exoop�osno�ed � �
"d" in Figures D and E), and sprinkler system design, the designer %. When F091 Sprinklers must be |o'
4. not more than 3 feet ve,dcv||v review the dwelling plans and, whom m,od on intersecting pitched nei|'
dnwn from the peak of v pitched appropriate, advise the nvvne, o, his ings, they must bolocated asshown
ceiling., except that the horizontal representative as to the following. in Figure E'1 with u partition or
900 (TYP.) (a)
(a)
Fig.D-1
Ha) (a) -i
— (a) (a)-
la)
Fig. D-3
(b)(c)
(a)Ll/Fin_n-9
(b)(c)
(d) (a) (a) d)
(d) (a)
I
(d) (d) (d)
Fig. D-7 (b)(c) Fig. D-8 Fig. D-9
LEGEND
♦ SPRINKLER
INTERIOR WALL SURFACE
(a) 7 FEET IS THE MAXIMUM PERMITTED FOR THE 14'X 14' COVERAGE AND 8
FEET IS THE MAXIMUM PERMITTED FOR THE 16'X 16' COVERAGE.
(b) 14 FEET IS THE MAXIMUM PERMITTED FOR THE 14'X 14' COVERAGE'AND 16
FEET IS THE MAXIMUM PERMITTED FOR THE 16'X 16' COVERAGE.
(c) 8 FEET IS THE MINIMUM REQUIRED.
(d) 4 INCHES IS THE MINIMUM REQUIRED.
FIGURE D
PLAN VIEW ILLUSTRATIONS OF
SPRINKLER -TO -WALL AND SPRINKLERJO-SPRINKLER
POSITIONING CRITERIA
-5-
J�ro�
l°1`al o��aJ (e)
Fig. E-1
M�
I -Ig. t -if
I (d) I (d) I I Fig. E-3 1 . I Fig. E-4
LEGEND
SPRINKLER
L.L1( INTERIOR SURFACE
la) 7 FEET IS THE MAXIMUM PERMITTED FOR THE 14' X (d) 4 INCHES IS THE MINIMUM REQUIRED.
14' COVERAGE AND 8 FEET IS THE MAXIMUM PERMIT-
TED FOR THE 16'X 16' COVERAGE. (e) MAXIMUM OF 3 FEET EXCEPT THAT (f) MUST BE AT
LEAST 2 FEET.
(b) 14 FEET IS THE MAXIMUM PERMITTED FOR THE 14' X (f) 2 FEET IS THE MINIMUM REQUIRED.
14' COVERAGE AND 16 FEET IS THE MAXIMUM PER-
MITTED FOR THE 16'X 16' COVERAGE. (g) SEE COLD SOLDERING CRITERIA NO. 2.
(c) 8 FEET IS THE MINIMUM REQUIRED. (h) SEE COLD SOLDERING CRITERIA NO. 3.
FIGURE E
ELEVATION VIEW ILLUSTRATIONS OF
POSITIONING CRITERIA FOR SPRINKLERS LOCATED ON PITCHED CEILINGS AND/OR OVERHANGS
24
iv(MAX.)
--
V
( MAX.)
En 18
2
U
02
ui
�w
S U
W2
CL F 12
Ny
D—
Z0
X _j
Qa
�F_
cr
W
> 6
0
0 1 2 3 4 5 6 7
FIGURE F DISTANCE TO OBSTRUCTION 'H'OR 'S', FEET
MAXIMUM PERMITTED VERTICAL DISTANCE BETWEEN THE SPRINKLER MOUNTING SURFACE AND
THE BOTTOM OF CEILING MOUNTED OBSTRUCTIONS SUCH AS BEAMS, OVERHANGS AND LIGHT FIXTURES
Qm
8
C
beam extending down from the
peak to at least one inch below the
centerline of the sprinkler mount-
ing surface.
NOTE
Use of a partition or beam ex-
tending down from the peak will
also tend to decrease the time to
first sprinkler operation.
3. When F991 Sprinklers must be lo-
cated at different elevations on a
pitched ceiling, they are to be lo-
cated as .shown in Figure EA. Al-
so, a baffle may be required mid-
way between the sprinklers. Refer
to Figure I for the baffle installa-
tion requirements.
4. When adjacent F991 Sprinklers
must be located on intersecting
level and pitched ceilings, the
sprinklers must be spaced apart in
accordance with the criteria given
in Figures J and K.
Heat Source Criteria
The F991 Sprinklers must NOT be
located
1. where the temperature of the Fus-
ible Element Assembly will ex-
ceed a temperature of 115F/46C
(including the combined effects of
ambient temperature and solar
radiation),
2. where they will be exposed to the
rays of the sun passing thru glass
or plastic skylights,
3. in an unventilated compartment
containing a furnace or water
heater,
4, in an unventilated attic or in an
unventilated -concealed compart-
ment under an uninsulated roof,
5. in a ventilated compartment
where the temperature of the Fus-
ible Element Assembly will ex-
ceed 115F/46C,
6. within the following distances of
exposed light fixtures:
Wattage Minimum
Range Distance
Less than 250 6 inches
250-499 1 foot
500-999 2 feet
1,000 and more 3 feet
7. within 2 feet of the outside edge
of a ceiling mounted, downward
discharging heating diffuser,
8. within 2 feet of the left or right
edges of a horizontal discharging
heat diffuser or within 3 feet of
the front of a horizontal discharg-
ing heat diffuser,
9, within 18 inches of the side of an
uninsulated heating duct,
10. within 1 foot of an uninsulated
hot water pipe,
Lu
W
3
0='
w -
¢w
�Z 2
wa
�N
20
DJ 1
�Q
zZ
_z
�0
N 0
0 0
O
X
...........11......
H
(MIN.)
5 10 15 20 25 30 35 40 45 50 65 60
CEILING ANGLE 'A', DEGREES
FIGURE G
MINIMUM REQUIRED HORIZONTAL DISTANCE BETWEEN
A SPRINKLER LOCATED ON A LEVEL CEILING
AND AN INTERSECTING PITCHED CEILING
5
w 4
O "'
L, LL
� N
dV 3
wz
o� Q
i F-
�N 2
�0
z�
�z
a
J
N 1
0
0 5 10 15 20 25 30 35 40 45 .50 55 60
CEILING ANG LE'A', DEGREES
FIGURE H
MINIMUM REQUIRED SLANT DISTANCE BETWEEN
A LEVEL CEILING AND A SPRINKLER
LOCATED ON AN INTERSECTING PITCHED CEILING
—7-
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operation could alter its orienta-
tion and water distribution pattern.
3. Use only a non -hardening type of
Teflont based pipe joint sealant
and apply it sparingly to the male
threads only.
4. Hand tighten the Sprinkler with
the attached Protective Cap (as
shipped), into the sprinkler fitting.
5. Using the Model F871 Aquarius
Sprinkler Wrench shown in Fig-
ure Q, tighten the Sprinkler into
the fitting. Align the Wrench
Lugs of all Sprinklers within a
compartment to be parallel to one
of the compartment walls.
NOTE
If the compartment has one or
more corners in which the intersect-
ing walls are not perpendicular to
each other, then check with the
sprinkler system designer to see
which wall the Wrench Lugs should
be made parallel to.
The Wrench is slipped over the
Protective Cap and can be mounted
to a 1/2 inch socket drive rachet. A
radial force of 10 to 18 lbs. applied
to a typical 9 inch long rachet
handle will exert the 7 to 14 ft.lbs.
of torque required for a leak tight
sprinkler joint.
NOTE
A maximum of 21 ft.lbs. of torque
is to be used to install the sprinkler.
Higher levels of torque may distort
the sprinkler orifice seat with
consequentleakage.
6. Do not remove the Protective Cap
at this time. The Protective Cap is
intended to protect the sprinkler
until the ceiling installation is com-
plete and the sprinkler system is
ready to be put into service.
NOTE
Failure to use the Protective Cap,
while the ceiling installation is
being completed, can result in the
accidental damage or painting of a
sprinkler. Damaged or painted
sprinklers must be replaced.
7. After the ceiling installation is com-
plete or the sprinkler system is
ready to be put into service, slide
off the Protective Cap.
NOTE
Failure to remove the Protective
Cap will prevent proper operation
of the sprinkler.
8. Align the two slots on the inside
edge of the Push -on Escutcheon
Plate with the Wrench Lugs on
the sprinkler Body and then push
12
� 11
W
LIJ
LL
W 10
CC W
5 U
OZ
W Q
cc N s
�o
� J
24
z� B
20
N
S
O
x
6
St
(MIN) / A
*THE MINIMUM REQUIRED VALUE OF
'H' IS ESSENTIALLY INDEPENDENT OF
ANGLE'A'.
tREFER TO FIGURE H FOR MINIMUM
REQUIRED SLANT DISTANCE.
0
SLANT DISTANCE 'S', FEET
FIGURE K
MINIMUM HORIZONTAL SPACING CRITERIA FOR
ADJACENT SPRINKLERS LOCATED ON
INTERSECTING LEVEL AND PITCHED CEILINGS
ENGAGE SLOTS WITH SPRINKLER
WRENCH LUGS
:AT IS
:RPENDICULAR
J PLANE OF
WRENCH LUGS
K[T n921VF
FIGURE Q
MODEL F871 AQUARIUS
SPRINKLER WRENCH
the Escutcheon Plate up over the
Body of the sprinkler until its out-
side edge comes in contact with
the mounting surface.
NOTE
Do not attempt to make-up for in-
sufficient adjustment in an Escut-
cheon Plate by under- or over -tight-
ening the Sprinkler. Readjust the
position of the sprinkler fitting to
suit.
—9-
(DuPont Registered Trademark
NOTE: SPRINKLERS MUST BE LOCATED OUTSIDE OF SHADED AREAS SHOWN IN FIGURES L THRU P.
I-B-
ITYPI
FIGURE L
POSITIONING CRITERIA FOR SPRINKLERS
TO BE.LOCATED NEAR A RANGE OR WALL OVEN
S F'
FRONT EE
OF FIREPI
FT.
FIGURE M
POSITIONING CRITERIA FOR SPRINKLERS TO BE
LOCATED NEAR A RECESSED HEARTH FIREPLACE
8 FT.(TYP,)
FIGURE N
POSITIONING CRITERIA FOR SPRINKLERS
TO BE LOCATED NEAR AN OPEN HEARTH FIREPLACE
-10-
3r,
N.
FIGURE O
POSITIONING CRITERIA FOR SPRINKLERS
TO BE LOCATED NEAR A COAL
OR WOOD BURNING STOVE
IB IN, (TCP, TO FLUES)
4 41 a
>�eN2 r -B IN.(TYP.)
L6 IN. (TYPJ
6 IN.I ALL AROUND)
FIGURE P
POSITIONING CRITERIA FOR SPRINKLERS
TO BE LOCATED NEAR A FURNACE
OR WATER HEATER
3
CARE AND MAINTENANCE
The F991 Sprinklers must never be
^hipped, stored, or used where their
temperature will exceed 115F/46C
and they must never be painted,
plated, coated or otherwise altered
after leaving the factory. Modified or
over -heated sprinklers must be
replaced.
NOTE
Particular care to prevent over -heating
must be exercised when storing sprink-
lers in cars, trucks, trains, or other
vehicles on warm, bright sunny days.
Care must be exercised to avoid dam-
age to the F991 Sprinklers — both be-
fore and after installation. Sprinklers
damaged by dropping, striking, wrench
twist/slippage, or the like, must be
replaced.
NOTES
Absence of art Escutcheon Plate may
delay the time to sprinkler operation
in a fire situation.
Before closing a fire protection system
main control valve for maintenance
work on the fire protection system
which it controls, permission to shut
down the affected fire protection sys-
tem must be obtained from the proper
authorities and all personnel who may
be affected by this action must be
notified.
The F991 Sprinkler must only be re-
placed with pendent units which are
listed for residential fire protection
service and which have the same nom-
inal K -factor, the same coverage area,
the same or lower flow ratings (as in-
dicated under "Hydraulic Design
Criteria"), and the same or higher
temperature rating.
NOTES
It is recommended that residential fire
sprinkler systems be inspected quarter-
ly and maintained in accordance with
the advice and suggestions given in
NFPA 13A and NFPA 13D.
Wet pipe sprinkler systems must be
maintained at a minimum temperature
of 40F/4C. Exposure to freezing tem-
peratures can result in bursting of the
pipe and/or sprinkler.
Do NOT enclose sprinklers within
drapes, curtains, or valances.
Do NOT hang anything from the
sprinklers.
Automatic sprinklers are NOT to be
tested with a heat source. Weakening
or operation of the Fusible Element
Assembly can result.
Do NOT cleanse the sprinklers with
soap. and water, detergents, ammonia,
cleaning fluids, or other chemicals.
Remove dust, lint, cobwebT, cocoons,
insects, and larvae -by gently brushing
with a feather duster or gently vac-
uuming with a soft bristle (i.e., -dust-
ing) brush attachment.
The minimum vertical clearance be-
tween the tops of free standing parti-
tions, room dividers, cabinets, storage
racks, stock piles, etc., and the mount-
ing surface of each adjacent overhead
sprinkler is NOT to be less than the
clearance given below.
Ilorizontal Distance Minimum
from Sprinkler Vertical
to Item, Ft. Clearance, In.
More then 6 ............ 24
Front 3 to 6 ............ 19
Between 2 and 3 ......... 16
From I to 2 ............ 13
Less than I ............. 10
Exercise suitable safety precautions in
the use and storage of highly flamma-
ble and potentially explosive materials.
The rapid rate of fire development and
spread which can be caused by such
materials may reduce the ability of the
sprinkler system to aid in the control
of a fire in which they are involved.
REMODELING
When remodeling such as by adding
false beams or light fixtures or chang-
ing the location of compartment walls,
first verify that the new construction
will not violate the installation require-
ments stated under WARNINGS. Alter
the new construction and/or the
sprinkler system to suit the require-
ments of this document.
WARRANTY
The data provided in Figure C is not
intended for use as a minimum wetting
pattern specification.
For details on Limited Warranty, see
back page.
ORDERING PROCEDURE
Orders for Model F991 Aquarius
Pendent Residential Fire Sprinklers,
Push -on Escutcheon Plates, and the
Aquarius Sprinkler Wrench must
include the description and Product
Symbol Number (PSN) where ap-
plicable.
Sprinkler Unit:
Specify: Model F991 Aquarius Pen.
dent Residential Sprinkler Unit with
(specify type) finish, PSN (specify).
Chrome Plated Finish
160F/71C ....... PSN 58-991-9-160
Bright Brass Plated Finish
160F/71C . .... .. PSN 58-991-2-160
—11—
NOTES
The Push -on Escutcheon Plate for the
F991 Sprinkler Unit and the Sprinkler
Wrench must be ordered separately.
The Push -on Escutcheon Plate, which
is described below, is intended for use
with steel pipe or copper tubing. Re-
fer to TD810 for information on the
Clamp -on Escutcheon Plate which is
suitable for use with plastic piping.
Push -on Escutcheon Plates:
Specify: (Specify Type) finish Push -
on Escutcheon Plate for Aquarius
Sprinkler Unit, PSN (Specify).
White painted finish . PSN 56-991-0-001
Chrome plated finish . PSN 56-991-9-001
Bright brass plated finish. .
..........
. .. . ... ... ... PSN 56-991-2-001
Product Symbol Numbers are not
specified when ordering Push -on Es-
cutcheon Plates with special painted
finishes. It is suggested that a color
chip be provided when ordering spe-
cial painted finishes. Otherwise, re-
sponsibility for duplication of the
desired finish cannot be accepted.
Sprinkler Wrench:
Specify: Model F871 Aquarius Sprink-
ler Wrench, PSN 56-871-1-001.
Orders for NFPA publications should
be addressed to the:
Publication Sales Department
NFPA
Battermarch Park
Quincy, MA 02269
PATENTS
The following patents are applicable
to the Model F991 Aquarius Pendent
Residential Fire Sprnklers:
COUNTRY PATENT NO.
U . S. A . ................4,618,002
United Kingdom ... .. . .. . .2,155,328
CONVERSION FACTORS
Parenthetical metric conversions cited here-
in are approximate.
1 inch
= 25.400 mm
1 foot
= 0.3048m
1 pound
= 0.4536 kg
1 ft.lb.
= 1.356 Nm
1 psi
= 6.895 kPa
= 0.0689 bar*
0.0703 kg[cm20
1 U.S. gallon
= 3.785 dm3
= 3.785 liters*
*Not recognised International System units.
WEIGHT
The nominal weight of the Model
F991 Aquarius Pendent Residential
Fire Sprinkler Unit (with Protective
Cap) is 4 ounces and the weight of
the Push -on Escutcheon Plate is 0.4
ounces.
,+-:as..y+�"�;*.?i.Si�'�+�':+..=.�i+�', .:e{G:.lt'�lil.�r:T�>b.'¢' '.�yC?o;,�y 4T�y �:-;��";`�� � , v an:.. _ . ,p: ,; tir. •. :
9-54-32
1
92-1056B
BLACK, Jim Y
;i 9444 Dwyer Ct
Durham
complete/90_4236:
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANQ.PERMIT
PERMIT NO.
ASSESSOR_PAR.CEL3NUMB R
3J((77]]''�___554�— 2z
ZONING r
S$ I
BUILDING PERMIT
OWNER
JIM BLANC
TELEPHONE
342-2169.
SO. FT. OCC. BUILDING VALUATION
3 7
OWNER'S MAILING A D 55
P.O. BOX66 DURHAM 95938
CONTRAC_TOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
.372
Filing Fee
$ 15.00
LENDER ING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
r PS?
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHIT ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9444 DWM CT DURHAM 95938
Permit fee
$ 67.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFYMobile
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lit' [I Inst Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ��5 1 Classification \�
❑ 1, as the owner, or my employees With wages as their sole compen-
sation, will do the work,and the structure is not intended or dffered
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 OCCUPM
OR ADDNS. 1 ACC. BLDGS.
3.6Q sq.ft.
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUSe
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
AD 76
FIXED APLNS, OR
P
EX. Occup. OUTLETS IRESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin 9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
y] 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 1 15.00
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
r ? I \
e _
X `_ l K ,- � � r- -•- �4 Date� 1. �'�
Mobile Home Installation Fee S
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE $ 67.50
HAz
DFEES I
IMP
I FLOOD
I COF
I PARCEL
I PD
HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
,. Contractor Agent
Signature of Applicant — Owne � ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
1154'1. f./.1'.}
Receipt No.
WHITE•D.P.W., YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
-QC)
IT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please.notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
C0m?I"tT--jLSi RiNKLrL2
W/1 rd 36 `-)A ys
G �� Inspector
••• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
i
' 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
_
OWNER
-QC)
IT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please.notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
C0m?I"tT--jLSi RiNKLrL2
W/1 rd 36 `-)A ys
G �� Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
39-54-32
ZONING
SR 1
BUILDING PERMI
/ A
OWNER
JIM BLACK
TELEPHONE
342-2169
SQ. FT. OCC. BUILDING VALUAT,(ON
3,372
OWNER'S MAILING ADDRESS
P.O. BOX 636 DURHAM 95938
CONTRACTOR'S NAME
SAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3.372
Filing Fee
$ 15.00
LENDER ING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee
$
Energy Plan Checking Fee
$
ARCHIT ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9444 D14YER CT DURHAM 95938
Permit fee
$ 67.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
77Each
PARCEL MAP
Water piping
7.00
qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New❑ Addition F1 Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: PFRMTT T() COMPLETE A 4936-90 _
FIRE SPRINKLERS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[ i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. •��� C-'1 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 OCCUP.N
OR ADDNS. (ACC. BLDGS.
3.6Qsq.ft.
NEW CONSTR
.ULTI.OUT LET
NONRESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
EX. OCCUp. OUTLETS PIRESID IFIXED APLNS.REAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said County in consequen of the granting of this permit.
X �� - 1y-- Date
Signature of Applicant — Own Contractor Agent ❑
An OSHA 4�' , `
permit is required For excavations over 5'0deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
$ 67.50
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte Count ode and/or
work �indi% r which fees
OF PUBLIC
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date 9
Receipt No. 115521 67.50 7_tBY
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
"{t .ref^ 1^R�cF+..�.-7Yi�.'�7R9�t.'.�"r" r� • ./ iY'if�"i"...i`t:p.'!r.'TtiTM'+h.v�1J"^'Y'1 �.,('i`�I"`rV".i�'�•tiw _
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE,- OROftE';CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �..
PERMIT-AP•PL1rCATION DATA SHEET
e Permit No.
OWNER I yv� G �� A. P. No.
Proposed Building Use S Building Inspector Date "—/—a Z
i
At time of permit application, I was advised the following data must b6slubmitted,prior to permit processing and/or issuance:
A DATE RECEIVED APPROVED
1.
All items have been submitted . ......................
'plans
2.
Plot plans in duplicate/triplicate, signed by pareparer of ....... .
3.
Complete plans in duplicate/triplicate,'signea by preparer. of plans . .
4.
Complete engineered plans and calcs, with wet signature on plans ..
5.
Hazardous Material Form ...........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ..............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions.......................................................
10.
Fees of $ ........................
11.
Chico Urban Area fees paid ....................................... A
12.
Park fees paid .................................................... -
13.
School District fees paid ..............
14.
Sanitation approval from Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
17.
Planning approval for (A) Use: (B) Parking:
18.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21.
Contractor's license information (No., Name Style, Classifications ...
22.
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
26.
27.
When
you issue the permit, process as follows:Mail to owner. Mail to contractor.
Telephone and hold for pic office. Deliver w/inspector.
up a
Other
A p p I i c a n C .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—counter by date
Plans checked by
Copy—DPW
Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
A95ESSOR PARCEL SER
—
�'j� — -3
ZONING
BUILDING PERMIT
OWNER
Jf � c
TELEPHONE
2 6
S0. FT. OCC. BUILDING VALUATION
OWNER'S MING/RESS6 3� ^I✓)C)
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation $
Filing Fee
$ 15,00
LENDE 'S MAILING ADDRESS
Permit Fee
$
OR^ENNGINEER
ARCHITE T`u�'
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$-
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
W
Permit fee _
$675-0
PLUMBING PERMIT
Filing Fee 1 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
1 7.00
,� USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Additio ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: &rm/ A -9D
�rf r? Sof Ir��Cielf S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A To t000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
El 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
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ed
OR AODNS. ACC. SLOGS.
3.64 sq.ft.
NEW CONSTR ULT'.OUTLET
NON-RES10 BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS 6
SINGLE OUTLET C1R. )
\OUTLETS
Ex. Occup(OR FIXTURES
20 @ 76
FIXED APLNS.
Ex. Occup. OUTLETS PIRESIO 1REAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building 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
FiIingFee 15.00
Heating
Coolin g
Hood
6.50
I Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures` over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE
r J�
!
HAz
1 0FEES I
IMP
I FLOOD
I CDF
PARCEL
PO
HD
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
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. I
S5
�_ 6
COUNTY OF BUTTE -Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1.\ I personally plan to provide the major labor and materials for construction of
`-the proposed property improvement es or no)
ii
2.�I have have not) signed an application for a building permit
.: for the proposed work.
3. I have contracted with the following person
construction:
Name
Address
(firm) to provide the proposed.
Phone Contractors License No.
C ity
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number
Date���
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832_.of the California Health and Safety Code. - -
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
Certificate of Compliance: Residential Climate Zone 11
Project Tide T- - t'
. 99 yy OGtJ �/I�L C:.l 1�%/Q/p1%/�'!�► . Euil it N
Documentation Author Telephone
Checked B y / Date
Enforoement Agency Use Onlv
wan ..............
BUTTE COUNTY
Roof .............0
Roof .............
Glass Area
% Glass
BUILDING DATA
North_
�1 34
3'.i
�—
'Conditioned Floor Area Pig el
Number of Stories /
Shading Devices
East
�7 . S
_
•�
Orientation
Floor 5�
Number of .Units
North ( )
South
North ( )—
.-Slab/Raised
[&]�Single Family Detached (SFD)
[ ] Addition -Alone
57 s-
West
Skylight
3 Z
f•
l
[ ] Single Family Attached (SFA)
[ ] Existing Building
_
Total
West
[ ] Multi -Family (MF)
(] Existing -Plus -Addition
West ( )
M
Skylight.......
BUILDING SHELL INSULATION.
THERMAL MASS
Type/Covering
Component Insulation Location/CommWits
(slab/exposed, tile,
etc.)
_ (sf) (inches) Locadon/Description (kitchen, bath, etc.)
Tyj?e R -Value (attic, .to
gang icel. etcJ
Wall ..............
wan ..............
BUTTE COUNTY
Roof .............0
Roof .............
� � BUILDING DEPARTMENT
Floor .............
Floor.
Slab Edge .....
APPROVED
�—
GLAZING
Shading Devices
Glazing
Area
Glass Type Interior Exterior Overhang Framing Type
Orientation
(sf)
(single, double) (yoller blind. etc.) (shadescreen. etc.) (yes/no) (metalli ood)
North ( )
09 3A
North ( )—
East ( )
57 s-
& i `•
East ( )
l
South ( )
OAS
_
South
West
West ( )
M
Skylight.......
1 '�
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile,
etc.)
_ (sf) (inches) Locadon/Description (kitchen, bath, etc.)
,SLOPS VJ AIV(— of 4& 3J6'' rz^.,792-V . ®7 iB#T -s . C4yAXNLV
r
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)
_ .
-23-
-2 Gs
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
S. G. 4-.S
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of Ute compliance
approach used Items marked with an asterisk (•) may be supersedod by more stringent compliance requlr its listed
on the Certificam of compliance. When this checLb'st is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(br Loose fall insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in famed walls R-11 weighted average (does not apply to
exterior mass walls). •
12-5352ft Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission ate no greater than 2.0 penn/inch.
§2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
52.5352((): Vapor barriers mandatory in Climate Zones Wand 16 only.
§2.5317: Infiltration/Exfiltation Controls
a. Doors and windows between conditioned and unconditioned spaces desiVied to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
§2.5352(e): Special infdtmtion barrier installed to comply with 02-5351 meets CEC quality
standards.
§2.5352(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 bunting gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaim systems have damper controls.
§2-5314(c): Gas -rued space heating equipment has intermittent ignition devices.
§2.5314: HVAC equipment, water heaters, showerheads and faucets certiftod by the CEC.
§2.5352(i): Water heater insulation blanket (R.12 or greater) or combined interiodexterior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
I. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
12.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and. bathrooms.
12-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator -freezers, fmsczus and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
1 This certificate of compliance lists dr. building featutts and performance specifications needed to comply with
t Title 24. Chapter 2-53 and Title 20, Mptec 2. Subchapter 4. Article 1 of the California Administrative code- This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and traimit the certificate to any subsequent putdtaser of the building.
1
Designer Building Owner
Name: Name
Titk/Fimt TitkJFirm
I Address: Address:
Telephone: Tekphonc
I Lic.
(s ature) (dam) (signature) (date)
t Documentation Author '. Enforcement Agency
Name: = Naaw
TitkJFirm AtenW.
iAddress. Telephone:
1. Ceiling Insulation
Number of stories
R -value One Two
R-0 -103 -49
R-19 -8 -4
R-30 -2 -1
R-38 . 0 0
U -value
_ 0.50 -176 -84
0.30 -102 -49
0.10 -26 -13
0.08 -18 -9
0.06 -11 -5
0.04 -4 -2
0.02 4 2
0.00 11 5
Three
-32
-2
-1
0
-54
732
-8
-6.. .
-4
-1
1
3
2. Wall Insulation
0.80
-1
-1 0
Single-
Single -
2 1
0.60
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
-75
-29
-19
0.80
-153
' -114
•-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
.14
10
0.00
24
18
12
3. Raised Floor Insulation
14
25
Insulation in Floor
-14
-7
Number
of stories
14
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
21
34
-7
- 0.60.
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
.3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
17
Number of stories
-14
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
•t. Slab Edge Insulation
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
0.90
-4
3 -1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
5. Infiltration (Air Leakage)
Specification Points
Standard o
6. Glass Heat Loss
Total
5
1 4 1
na
16
U -value
2 5 1
Percent
14
4
.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
y 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
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16•
18
20
SG
None
0
_1199
0
SE or ASPF
0
0
7. Shading (Shade Open)
Etrectlre Percent Glass
(percent &I&= x SC)
'ffective
r. Glass North East South West Skylight
18
5
1 4 1
na
16
4
2 5 1
na
14
4
2 5 1
na_
12
3
3 5 2
na
11
3
3 5 2
na
10
2
3 5 2
1
9
2
3 5 2
2
8
2
3 5 2
2
7
1
3 4 2
2
6
1
3 4 2
3
5
1
2 4 2
3
4
0
2 3 1
3
3
0
1 2 1
3
2
0
0 1 0
3
1
-1
-1 -1 -1
2
0
-1
-2 -4 -2
0
)a = not allowed
-30
4
1B. Shading (Shade Closed)
-6
-8
-7
Efifectlye Percatt Giasr
3
0
-4
(Percent than x SC)
-4
Effectin
%Class North East South West Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na • not allowed
9. Interior Thermal Mass
Syst.tm
Eff. % Glass
Interior
'
Slab Floor Raised Floor
U -value [0.037]
Mass
-5
Stories Stories
fi
/CFA
One
Two Three One
Two Three
0.0
-8
-5 -4 -2
-1
-1
0A
-8
-5 3 -1
0
0
0.3
t-7
-4 -2 0
1
1
0.5
-6
3 -1 1
1
2
0.7
-5
-2 -1 1
2
2
0.9
-5
-1 0 2
3 -
3
1.1
-4
-1 1 3
4
4
1.3
-3
0 2 3
4
5
1.5
-3
1 2 4
5
5
20
-1
2 4 5
6
7
25
0
3 5 7
7
8
3:0
4
-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 1
6.0
5
8 10 12
13
13
6.5
6
9 10 12
13
13 1
7.0
6
9 11 13
13
14
7.5
6
10 it 13
14
14
8.0
7
10 11 13
14
14
8.5
7
10 12 13 •
14
15
10. Exterior Wall Thermal Mass
-4 -4
Exterior
Single- Single -
-2 i
7.0
Wall
0 0
Family Famiy
Multi
0
Mass
9
Detached Attached
Family
0.00
3
0 0
.0
1
0.20
7
3 2
1
22
0.40
13
5 4
3
11.0
0.60
23 19
8 6
4
8
0.80
30
10 8
5
14
1.00
13.0
13 10
7
20
1.20
10
13 12
8
0.9
1.40
1.3
12 13
9
6
1.60
3
10 13
11..
Installed
1.80
to
10 12
12
Type
200
less
10 it
13
i
11. Heating System
SG
None
0
_1199
0
SE or ASPF
0
0
or
(assumes ducts In attic)
14
7
5
4
Sum of 1.8
.
HWR
9
5
-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
5
3 3 3 2
2
1
0.80
7.33
8 7. 6 5
4
3
0.85
7.79
13 11 10 8
7
5
0.90
8.25
17 15 13 11
9
7
0.95
8.71
20 18 15 13
11
8
-5
6.2
Effective SE or HSPF
-25
-13
(SE or HSPF x duct efficiency)
-6
Effective -25 or -24 to -14 to :4 to
+6 b 16 or
SE HSPF
less -15 -5 +5
+15 more
2.9
0.30
2.75
-73 -64 -56 -47
-38
-30
na
3.41
-45 -39 -34 -29
-24
-18
0.40
3.67
-34 -30 -26 -22
-18
-14
0.50
4.58
-10 -9 -8 -7
-5
-4
0.56
5.13
0 0 0 0
0
0
0.60
5.50
5 5 4 3
3
2
0.70
6.42
17 15 13 11
9
7
0.80
7.33
25 22 19 16
13
10
0.90
8.25
32 28 24 20
17
13
1.00
9.17
37 32 28 24
19
15
25
Zonal Control Adjustment
2.9
System
Type
3.5
3.7
3.9
Resistance
10 9 7 6
4
3
Other
5.2
6 5 4 3
2
2
12. Cooling
Syst.tm
Eff. % Glass
.,F 3 X
R -value [ 191
U -value [0.037]
SEER
-5
-4
fi
3
(assumes ducts
In attic)
Two +
3
3
Stm of 7-10
2
2
1
COND. FLOOR AREA
-25 or -24 to 1-14 to
-4 b
+6 to
16 or
SEER
less
45 f -6
+5
+15
more
8.0
-14
-12 t -10
-8
•6
-4 1
. 8.5
-9
-7 -6
.5.
.4
3
..1 8.9
-5
-4 .4
3
-2
-2
9.0
-4
-3 -3
-2
-2
-1 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
SE
None
1
Effee live SEER
-24
-18
-15
(SEER xduct efficiency)
0.6
Solar
-1
Sun of 7-10
.1
0
0
Effective -25 or
-24 to -1410
-410
+6 to
16 or
SEER
less
-15 -6
+5
+15
more
5.0
-30
-25 -21
-17
-13
.9
6.0
-12
-11 -9
-7
-6
-4 1
6.6
-5
-4 -4
3
.. -2
-2 i
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
'
Zonal Contro! Adjustment
0.9
Water
1.3
10
8 7
6
4
3
Heater
No Cooling System
Installed
l0
-Stones
or
Eff. % Glass
.,F 3 X
R -value [ 191
U -value [0.037]
One
-5
-4
fi
3
-2
-2
Two +
3
3
:. 2
2
2
1
COND. FLOOR AREA
GS
-
Type [double]
Exterior Wall Mass
U -value [0.65]
t1.
pet.d t*d ..11 l.bl
lue.---
Single -Family
Detached and Attached
Sc
Eff. % Glass
Duct Efficiency [0.78]
1 Unit Size (sq
[0.72!6.6]
Water
(U1AC
099
12M.
1700
2200
2700
Heater
Credit
or
10
to
to
or
Type
Type
less
,1699
2199
2699
more
SG
None
0
0
0..
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
1.7
WSB
5
3
3-
2
2
3.2
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
0.6
Solar
-1
-1
.1
0
0
2.1
HWR
-18
-12
-9
-7
-6
3.5
WSB
-25
-16
-12
-10'
-8
-5
POU
-18
_ -12
-9
7_
-6
IG
None
-5
-3
-2
-2
-2
24
Solar
7
5
4
3
2
3.9
POU
3_
2
1
1
1
IE
None
-28
-19
-14
-11
-9
1.4
Solar
8
5
.4
3
3
2.8
POU
-10
-6
-5
-4
-3
4.3
Multi
-Family (individual
units)
5.1
5.3
5.6
58
Unit Size (s
0.7
0.9
Water
1.3
699
700
120e
1700
2200
Heater
Credit
or
l0
to
to
or
Type
Type
less
4.7
1699
2199
more
SG
None
0
_1199
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
4.4
WSB
9
4
3
2
2
5.9
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
.9
3.2
Solar
2
1
1
0
0
4.7
HWR
.23
-12
.-8
3
-5
6.2
WSB
-25
-13
-8
-6
-5
21
_ RQU
_23
-:!Z--8-
2.9
3.1
-5
IG
None
' -8
-4
-3
_.-6
-2
-2
' 5
Solar
.6
3
2
1
1
65%
POU
1
_' 0
. 0_
0
2.2
IE
None
30
-15
-10
• -8
_0
-6 -
3.8
Solar
18
9
6
4
4
-
POU
-8
-4
-3
-2
_2
Interior Mass/CFA
� rrae t puss
or
Eff. % Glass
.,F 3 X
R -value [ 191
U -value [0.037]
,
.6�r-
or
R -value (01
F2 factor [0.77]
Standard
TYPE 1 MASS
�a . 3
r06 I-
COND. FLOOR AREA
GS
-
Type [double]
Exterior Wall Mass
U -value [0.65]
t1.
pet.d t*d ..11 l.bl
lue.---
% Glass
Sc
Eff. % Glass
Duct Efficiency [0.78]
Effective SE or
[0.72!6.6]
t TYPE 1 KASS
(U1AC
& 4.2, ie: slab)
exposed -
SEER [9.5]
Duct Efficiency [0.74]
. Effective SEER [7.03]
X
7
= e.
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
06
70%
75%
80%
85%
9o%
95%
100% 105% 1101/. 115Y. 120% 125-
01%
0
0.2
0.4
0.6
0.8
•1.1
1.3
-1.5
1.7
/.9
21
23
2S
2.7
2.9
3.2
3.4
9.8
3.8
4
4.2
4.4
4.6
4.8
5
5.3
101/.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
23
2S
2.7
2.9
3.1
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
21
29
9.1
3.3
3S
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40Y.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.S
4.7
4.9
5.1
5.3
5.5
5.7
5.9
509E
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2S
27
3
32
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
24
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%
11.2
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
' 5
5.2
S.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.5
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.6
2
2.2
25
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
US
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
S.S
5.7
5.9
6.1
6.3
6.5
80%.
1.4
1.6
1.8
2
2.2
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
64
66
85%
1.4
1.7
1.9
2.1
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
52
54
5.6
5.9
6.1
63
65
67
90%"
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
6A
66
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3+
3.3_
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
2.1
2.3
2.5
28
3
3.2
3.4
3.8
9.t
4
4,2-
4.4
4.6
4.9
5.1
5.3
5S
5.7
5.9
6.1
6.3
6.S
6.7
7
105%
1.6
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
5.8
6
6.2
6.4
6.6
68
7
110Y.
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
S
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.S
2.7
2.9
3.1
3.3
3.S
3.7
3.9
4.1
4.4
4.6
4.8
S
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
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
Measures
1. Ceiling Insulation 30 or
R -value [381 U -value [0.030]
2. Wall Insulation / or
R -value [11] U -value [0.098]
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
% Glass
or
Eff. % Glass
.,F 3 X
R -value [ 191
U -value [0.037]
.6�r-
or
R -value (01
F2 factor [0.77]
Standard
TYPE 1 MASS
�a . 3
r06 I-
COND. FLOOR AREA
GS
-
Type [double]
Exterior Wall Mass
U -value [0.65]
F. Total Glass [16]
% Glass
Sc
Eff. % Glass
Duct Efficiency [0.78]
Effective SE or
[0.72!6.6]
HSPF [0.56/5.15]
�.5 X.
SEER [9.5]
Duct Efficiency [0.74]
. Effective SEER [7.03]
X
7
= e.
% Glass
SC
Eff. % Glass
.,F 3 X
TYPE 1 MASS
AREA $
InteriorW- ss1CFA
COND. FLOOR AREA
TYPE 2 MASS
AREA 6
Exterior Wall Mass
ND. L OR
AREA .
,7X X
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
[0.72!6.6]
HSPF [0.56/5.15]
�.5 X.
SEER [9.5]
Duct Efficiency [0.74]
. Effective SEER [7.03]
Type [SG]
Credit [none] r
Point Scores
it =
0
Sum b
Point Total.