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039-540-003
039-54-0-003•j 92 '2989 BI . 4 CARLSEN•;, Ken &Sue . 9488 Dillon contr :.hRober.t Bell` new, sf 0340-003 01-0270 CARLS N MR. 948NDRLSSHINE U�LSMS•�I CO a) NEW POOL MASTER # 5 0 7 NOTES I 1.I RESIDENTIAL V�/ 039-540-003 01-0275 CARLSEN, KEN MR. 9488 DILIJ;ON CT., DURHAM CONTR: SUNSHINE POOLS NEW POOL MASTER # 510-97 SPECIAL CONDITIONS CHECKED;' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) `, 2-, o I Signature C j r s 1 r. I 1.I RESIDENTIAL V�/ 039-540-003 01-0275 CARLSEN, KEN MR. 9488 DILIJ;ON CT., DURHAM CONTR: SUNSHINE POOLS NEW POOL MASTER # 510-97 SPECIAL CONDITIONS CHECKED;' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) `, 2-, o I Signature C d = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s J., Set cks-Easements Date oils mpaction-Structure Stability Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements c.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector PI ; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date p / 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rffrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s J., Set cks-Easements oils mpaction-Structure Stability of Structure; Steel -Connections -Thickness Dead Men -Lining 4. E .; Receptacles and Lighting, Distance-GFI Elec.; Pool Lighting; 15 Volts-GFI 6. c.; Enclosures; Conduit Entries -Terminals -Listed (� c.; Bonding; Metal w/5' -Circulating Equip. -Heater N Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Department Approval PI ; Cir. Test -Water Supply Test Light Niche Date p / Card 13-1 %L i Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg- Appliance- Fireplace -Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outr ggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 1 nfiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Inslld./Drive J Yes J No/Walks J Yes J No/Plailers J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg- Appliance- Fireplace -Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 09 A COUNTY OF B1UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-540-003 ZONIN ST'i 1 BUILDING PERMIT OWNER CAR KEN MR- TELEPHONE 343-1302 SO. FT. OCC. BUILDING VALUATION EST . OWNERS MAILING ADDRESS CONTRACTOR'S NAME SUNSHINE POOLS TELEPHONE 1349-4294 CONTRACTORS MAILING ADDRESS - 2185 WEST SACRAMENTO AVE-, C.14TCD CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 17,000.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 180.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S 223.00 LOT NO.SUBDNISIONSNAME 3 sub- 116-9 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe work: NEW POOL MASTER # 510-97 MMM/SUNSHINE POOLS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ 35.01) ELECTRICAL PERMIT Fling Fee 20.00 Main Service "*.' pq egg 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -j-' 'I License Class ��53 � - � Lic. No. 3�7'� /2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f • hwith compylwith those provisions. X Date L_ " - 0 i Signature f Applicant - ❑ O ner Ok Contractor [I Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO IOooA 46.00So NEW CONST. DWELLING OCCUP. SO W OR ADDNS. s Acc, eLoS. 3.50FT. NNjOWRESID. MULTI-OIJTLET @7,50 PBINOWER APPAMrus Q D LE OUTLET CIR. so ®1.00 Ex. Occup. OUTLET ORFWTURES BAL .so Ex. Occup. DTs A.16.) En 5.00 .70 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ' UU PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 308.00 HAZ. .--• D. PEs IMP _ X FLOOD c- CDP �^ P CEL X ro HD X ISSUE X This permit Is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. j 6 Te ReceiptNo. WHITE-D.D.S.- .D. CANARY.ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION � 7 County Center Drive a Oroviller California 95965 a Telephone (530) 538-7541 _Q�.PERMrT No. ;Ray.,2126i APPLICATION AND PERMIT O� •'• O3 BUILDING PERMIT oa SO. FT. OCC. BUILDING VALUATION owra, waars As O «< Acte Ckp_b c15 -q --?L3 oo�na+enaruaoa moon wanes aooaos Fireplace Total Valuation = o" O10D�� uarse MO Firina Fee i 20.00 Ar+CMW an pOMMI wanes ADOWN Permit Fee i (w Plan Checkin Fee eAAMA°°AW ? Energy Plan Checking Fee S i PERMIT FEE _ , r°T"D eusav 0"WA - 3 J r, "g O PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each I rap 7.00 Solar or heat pump water heater 29.00 SF k Duplex O Mobilehome O Other Water piping j IS -00 srec�v Each as water heater or vent 13.00 TYPE OF WORK Gas piping tem t - S outlets 15.00 Now O Addition O Remodel O U01se O hetaalstioonnC0 Otfw O sewer 15.00 Work: t' D — 24 —Building mobile Home I S I G I W (920.00 Describe PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service tea" 23.00 ice 200A To 1~ 4E.00 .owELLtq oocu3.St$Q a AOC. eu)t.' wulnov�ru . ovrw oe RmAn 'MeAi seu rEx.occup. .n Qom5.00 Service 23.00 ome Facilities 20.00 rin 23.00 ,. Old PERMIT FEE S �• Ol7 r *PERMIT FEE PAID MECHANICAL PERMIT Filing Fee 20.00 ,�� Heating SRA ' ' Cooling SHERIFF $ Hood e.so Ventilatlon OTHER $ $ PERMIT FEI: S Moble Home Instailation Fee S $ Energy Inspection Fee $ occ co►sT. Type TO AL FEE $ �Q AMOUNT RECEIVED $ �� '� ""Z a �D Co. ^� This permit Is hereby Issued under the applkable provisions of the Butte County Code and/or Resolutkxu to do work D ��� 6 *RECEIPT (Q Indicated above for which fees have been paid. NUMBER * TA RC IN rr Twtrel 0A V 01 rrCb a., ■ — ry 9 v 9 i11% a v vvn45 v a %.W% III—, Uum _� PERMIT EXPIRES ON G � 4 v � �\ t v .- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 (20A�a� PERMIT APPLICATION DATA SHEET OWNER: 3 ASSESSOR PARC ER: n3l? , 59 D 06 3 Proposed Building Use: Building Inspector: Date: —9 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 iiems have been submitted -------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufagtured Home data and installation instructions including Tie Down Specifications .------------------ ❑10 ❑11 $ fees as shown on the attached schedule. Department of Forestry plan approval/fees. 3/rF lood elevation certificate. ----- 4. Sanitation and plot plan approv 5. City of Chico plumbing permit. Health Department. ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- -- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -. ❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 029. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) It, When you issue the permit, process as follows 11 Mail to owner, tail to contractor. -❑Telephone and hold for pickup at!4�� ❑ Deliver 'th inspector. �A�pplicant: ate: �2 - / - o l Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: I By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required ❑ P1an.Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, 13mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D�l ion counter, by Date: Plans reviewed by: Date: Plans approved by: O Date: r Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Sy Not Plan Attached Floor Plan Arta a C'cre-I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ✓ Private Well Clearance for Ae . Other Hold final for: Final clearance O.K. for: (VOTE: ft Environmental Health Specialist Date .ai 8/96 e R S D NTIAL ; 039-54-0-003 .92-2989 BPEM CARLSEN, Ken& Sue. 9488 Dillon Ct, Durham.. contr: Robert Bell new sf r - U OFFICE COPY Address 9yB8 CC °``r NAW H F_A n72 GAS Meter By ZIQL_ Date Y28-53 ELECTRIC ' Meter By -Date�� OFFICE COPY Address ,98 11 L(, a✓ (f T- T- Ew\ NIZA T-iMPo2A G 1=C ) 7 GAS Meter By Date —� ELECTRIC Meter By Date ) I` JOB FINALED (Date) Signature �� �J J=OK , O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except If's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-,1 Date MOBILE HOME INSTALLATION (Plans) OK except If'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 It'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.-Connectors 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 If'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, h t h J OK tI = Not OK = Not Applicable Not Ready RESIDENTIAL = Date UN FLOOR (Plans) OK except #'s Hing -Setbacks -Easement -Flood-Slope W. fig., Main; Soils-Elec. G d. -A?_/" Ftg. Depth %e g., Garage; Soils-Steel-Elec. Ftg. Depth Ftg., Porches & Decks; Soils-Steel-,{Z/Ftg. Depth Sgt mwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Vb-.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. F. Gas Pipe; Si Anchors - yard gas piping: size -test Water Pipe t- nchor-Regulator-Service Test 12--ff%mtric; Underground 43 -•Pie Tums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date `O -2�6 Ae Card B-1 G C.,- Date Card B-1 Date Vk,-C�-4je-Card B-1 CG Date Card B-1 Date PLUMBING (Permit),OK except a's Htr_: Vent_Access-Combustion Air -Baffle ------------------------------- 1 . Water Pipe: Test & Anchor -Nail Protection ------------------------------------------ ------- 8. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- — ------------------- tAe'Shower Pan; Test. First Floor -Tub Access 215.�est Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Z.?Ct % Card B-1 C- Date Card B-1 ------ ----- ---------•-- ---------------- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except p's — 2�Fixture & Transformer Clearance -Ins. Protection -------- ----------------------------------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors ------------ --------------------------------------------------------- - 4. Size Boxes & No. of Conductors -Stapled Z------------------------------------------------------------- Romex Installed Close to Edge of Studs & C.J---------------------- -- ----------------------------------------------------------------------- - - 6. Equip. Ground made up w!Mech. Fastners-Bond Gas. & Water ----------- -1 ----------- ------------------ ------------------------------------------------------- _______ __ Ci. 2 Appliance Circuts in Kitchen & Conductor Size!GFI .4e. 9"Weed Wire Sizer r ga Cu or AI-A.C. Wire Size f! ga ---------------- -- AI - —----------------- �Aange Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes— —❑ No -------------------------------------------- ------------- Service -Riser Conductors & Ground -Main Disconnect _ atr. Equip. Clearances Panels -Motors -Meth. Equip. ----- ---- -Clothes Closet - i ------ower Light -Spa -Light ------------- ----- --------------- 3e Smoke Detector ------------------- -------------------------------------------------------- -------g---------q---------------- ------------------------------------------------- Date e,,ae 3 Card B-1 Date Card B-1 ------ ---- ---- ---------G --------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's A.C. Ducts Insulation & Support , . Vent Fan; Exhaust above insulation ------- ---- Condensate Drain & Overflow: Size & Grade - ---•----------------------------------------------- 3 "Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------- / ------------------------------------------------------------ 36 Attic -Access-&. Platform if Furnance in Attic ----------------------- ---- -------------------------------------------------------------------------- - Date $e2e,913 Card B_1 G Date Card B-1 ------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except p's 3{9_ S Is. Proper Material & Anchors ------- ----------------------------------- - ------------------------ Walls - --- --- - - --- ----- --- ----- Walls Studs -Nailing. Spacing r n Plates -Sound ---------- -- ------------------- ----- -- ------------------------- Be .ing Walls over Girders & Floor Nailing - - - - ------------------------------ - -------------------------- raft Slop in Walls (rat proof) ----------------- ---------------------------------------------------------------- re to urred Ceilings -Stairs -Chases -Tub . Headers & Beam -Size & Bearing Single & Duplex) ,FF. Date FRAMING (Continued) 46r Hangers -Post Caps -Anchors -Connectors -- _0 ng. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shlhng.-Ring. ---- —Fireplace Ties or Type A Flue -Fireplace Throat clearance -- --- 4KAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions W. Garage Fire Protection Framing Property Line Firewall & Openings Doors -One 3' -Check Garage -3rd Story, 2 Exits 99, -.Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Siding -Nailing Veneer ---------------------- 96r-6tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ing Area Glass Protection -Skylights- Plastic -- 5 ear Walls; Nailing -Bolts 4.Ins � 7n- ngs� 130 Infiltrat+6n-Wa�Jt*s-Wi ws ------------------------------------ Date y_,q' Card B-1 Date Z .Card B-1 _ t! S `-=_42 ------ — Date =?4 :411 Card B-1 Ga Date Card B-1 Date II_ L (Plans) OK except n's _xt. Steps -Door & Sidelight Protecti-Landings Smoke Detector ------------------------- -- urnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ----------------- 4. Bedroom Exitinq G.F.I. & Bath Fixtures & Tub Access -Spa -- Elec. Trim & Subpanel_Breaker Sizes & Labels ---------------- --------- - ---------- — re lace or Stove: Clearances -Hearth J. Elec. Outlets at Wood Panel; Int. & Ext. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer t�73"'lCC. Duct in Garage -Damper �gEleHtr Vents -Clearance -Comb Air-Connector-P.R.V. c. arage: Above Floor -Meth. Protection &-Mech. Equip. Listed for Location �IF��Ein.. Receptacles in Garage; (G.F.I.)-Romex Protection �. Insulation -Foam -Looked in Attic teYes ------------------------------------ - - — - uard Rails & Deck Construction -Post Caps 7+ Vents & Crawl Hole Door -Drainage od-Earth V Clearance Looked under Floo Ye _ 80. lowing instld. Drive —es ❑ N'(;7 !es ❑ No; Planters ❑ Yes P -Po- ---------- --------------------- -9tnCco: Brown -Finish ---- ----- ------ --- - _ A C_Unit_ Disconnect_ Electrical, Plumbing 83. s Above Roof; Plbg.-Appliance-Fireplace. -Clearance to -------------------------------- Openings _ --BA—Water Well: Disconnect, Electrical, Plumbing e o.r Elec. Trim: G.F.I. Receptacle -Underground ---- ------ Ventilauon Throughout House lass Protection a8 ections from Previous Inspections --_ V;086. -89. Gas Test -Meters Tagged Gas -Electric - ---------------------------------------- - ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval _ . Energy Com plia ertificate -Other C icates -------------- --------------------------- Date 8 Card B-1 Date Card E-1 Date - - Card B_t — Date Card E-1 Date Card B-1 Date Card E-1 Comments at Final: COUNTY OF BUTTE j 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 C- K n/g P -zg aq OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -\1 -"k- �'i >t" Q- t t0 2 , Date e-22 1 � Inspector REV 10192 LOCAT ION ROOF MATERIAL THICKNESS ENERCY•CERTIFICATION Z-4,/ .3 0 6-1 LO, A.P.I DESCRIPTION OF INSULATION EXTERIOR WALL MATERIAL Fiberglass THICKNESS CEILING BRAND NAME THERMAL RES. BRAND NAME Cert' eed THERMAL RES.- BATT ES. BATT OR BLANKET TYP -FIBERGLASS BRAND NAME Certineed THICKNESS ICS / Z 'j, THERMAL RES._ - .-3-0 LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR -ELEVATED MATERIAL Fibergla s THICKNESS r5 //t/ // FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass THICKNESS BRAND NAME Cer eed THERMAL RES. BRAND NAME_ THERMAL RES. Certineed I HEREBY CERTIFY THAT -THE ABOVE INSULATION WAS INSTALLED•IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWIIN WA4T1 T11C1TT.ATTn9 LTC. #650722 f Ihereby 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. All equipmentdevices and materials are of the quality prescribed or are pecifically a--Z�,rZ�C Z pproved by the State of Cj ll f . �•� --- ------------- FIRH M NEAR) (P ASE PRINT) STATE CONT. LIC1 SIGNATURE OF GENERAL CON V OWNER DATE This certificate must be on file with the Building Dept. prior id -Final and Dosted within th- h»ildinv. 1 i . APA'Awyerip .n Cetfifi 6ate Co, n" f . . _. -��, No 2161*--,-. _91m Certificate THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were man- ufactured in accordance with the specifications indicated below. t -. XCl ANSI Standard A190.1-1983, for Structural Glued Laminated Timber Job Name WESTERN BUYERS Job Location ELK GROVE, CALIFORNIA Customer's Order No. WB -7247 Date 10-0q—q1 Mfgr's Order No Signature Company "" 09-01215 Title QIIAI ITY WNTROI gllRFRVISOR 4111 ISE CASCADE CORP Address P• U. BOX 50 Date ll —� =L BOISE, ID 83728 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. • waoo •�y, rQ�Q'�VORq�`or`��♦ fir• G F t ��e b sSEAL • Michael R. O'Halloran Executive Vice President ASHINGI AMERICAN W000 SYSTEMS- A RELATED CORPORATION OFAMERICAN PLYW000 ASSOCIATION - l Boise Cascade. ACKNOWLEDGMENT Timber and Mood Products Group CUSTOMER ORDER DATE PAGE ORDER/INVOICE NO. P.O. BOX 62 • BOISE, IDAHO 83707-0062 :w -4-96 =f ,10/09/91 2 09-01215 TERMS •.. _} ,� . CUSTOMER ORDER NO. ORDER DATE _2% CD ADE 15 DAYS ~ ' - 10/10/91 F.O.B. SHIP WEEK OF_ FREIGHT PREPAID 13 -•11/01/91 . COPIES TO: TOTAL FG- EACH BF MARK PCS SIZE ITEM PRICE/L. F. LAMINATED BEAMS 1600 4C -5- 3-1/8 X 12 X 60 320 720 6A--2- 5-1/8 X 9 X 60 360 1680 6B -4- 5-1/.8 X 10-1/2 X 60 420 7680 6C -16- 5-1/8 X 12 X 60 480 4320 6D -8- 5-1/8 X 13-1/2 X 60 540 4800 6E -8- 5-1/8 X 15 X 60 600 1980 6F -3- 5-1/8 X 16-1/2 X 60 660 3600 613 -5- 5-1/8 X 18 X 60 720 1440 8D -2- 6-3/4 X 13-1/2 X 60 720 1600 8E -2- 6-3/4 X 15 X 60 800 TOTAL PRICE 1 D0--'21 '92. 11:40 ,WESTERN BUYERS -DISTRIBUTION CNTR P 2i6 PA' t Certificate ° _ 2234 w a THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that- the structural wood products identified below and marked with a collective mark of American Wood Systems (ANUS) were man- ufactured in accordance with the specifications indicated below. . ANSI Standard A190.1-1983, for Structural Glued Laminated Timber Jab Name WESTERN BUYERS: ' Job location -- - ' ELK GROVE, CALIFORNIA WB -21729 :2-11-92 09-00049 Customer's Order No. Date Mfgr's Order No. i eY ' Signature AVY s,.. Titie QUALITY -CONTROL SUPERVISOR Compa6y._.0ISE CASCADE CORP— Address P • 0. BOX SO Date 60!�E, I0 8372-8 IT IS' HEREBY CERTIFIED that the structural g14ed laminated timber production of the above-named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American LVood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the ddequacy of glue bond. SEA ' : Q, by >, Michael R. O'Halloran . Executive Vice President fd aMLRiCAPJ WOOD °YSTrM n ref r Aft CORPORATION OF AMENCAN P raC�OU aSSOCIATION- — r =� L1Ll. GlC- 1 I• -4C NIL:- ILMI't GUILt:�—U 1JIKInUIIUsi LI1IK I".b/U A PAOIA ID hber'2`'K TO CERTIFICATE OF CONFORMANCE NO. 2234-91 GATED 2-21-92 Job Name WESTERN BUYERS ELK GROVE, CALIFORNIA Job L=Iion Customer's Order No. WB -21729 oated 2-11-92 Mfgr's Order No. 09-00049 The following gives the additional specifications that were used in the manufacture of the mernbers on this job: 1. l.tsrniaer Species DOUGLAS FIR/LARCH., Grading rules WCL1B #16 Paragraph 154 thru 154C Grades.. _ 24T 22T 20T L1 L20 L2 L3 Slope of grain 1:16 1:14 1:12 1:08 2. Moisture ' Range Content 9-12% Variation per member 5% 3, End Joint HORIZONTAL FINGER JOINT A 4. Adhesive Conforms to ASTM 2559-82 specifications. Type PENACOLITE R-300 Batch No. C8 281-1 5. Gluing Pressure 100 psi minimum Pressure Period 12 hours minimum Glue spread 58 - 60 l.bs . 6. Fabrication Conforms to specification of ANSI Standard A190,1-1983 BOISE CASCADE CORPORATION Company mi allty cont upetvlsor Ltir Gl jc 71 4!9 l-dt� I tt�'rI tLlYtK'J-Ulti I k'!I U I ll'N LIN I K r. :I/ C. 1� Nem APA MV rump. _ • m' xxt N b e''r 1 t TO CERTIFICATE & CONF'ORtOlANCE NO. -2234-91 DATED 2-21-92 r WESTERN BUYERS .lob Name — - - ELK GROVE; CALIFORNIA Job Location �--- Cus:amer's Oder No.14B-2X729 t?atee 2-11-92 Mfgr's Order iia 09-00049 The follaMng identifies the members and gives the basic specifications that were used on this job:. Lumber'Species. DOUGLAS FIR/LARCH — Memtier Adhesive Appearance identirzaiion Quantity sizo Combination 'type Grade Camber ***. SEE ATTACHED ORDER ACKNOWLEDGMENT FOR EXACT SPECIFICATIONS ** r, BOISE CASCADE. CORPORATION Company Milf ity Cont perwsor. Date AMERICAN WOOD SYSTEMS - A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION t DEC 21 '92 11:40 WESTERN BU1'ERS-DISTRIBUTION CNTR P.4/6 Boise Cascade yTimber and Wood Products Gro* upSTOMER ORDER DATc PAGE P.O. BOX 62 a BOISr:, IQAHO 83707-0062 397r-.- 2/11/92 1 Q9-00049-00 FRMS CUSTOMERt ORDER'TIO. ORDER DATE AQE 15 DAYS, F.O.B.. SHIP WEEK O� FREIGHT PREPAID 2/2/9:2 COPIES TO: ... 8...�L.YN.,N V r. ::i:.- :''>•; ROUTE:CALIFORNIA LOAQ: LEGAL COMMON CARRIER TRUCK SPECIAL INSTRUCTIONS.. *---= SPECIFICATIONS ---- *DOUGLAS FIR/LARCH '"EXTERIOR GLUE *STRESS 2400-F V-4 *ARCH'ITECTURAL APPEARANCE - S3S *INDIVIDUAL WRAP *ENDS & SIDES SEALED *A. P: A. /E. W. S. CERTI FI ED *ONE.END SQUARE ONE EVD WILD *CAMBER'2000' RADIUS *NO SHOP DRAWING * * *ANSI A190.1-1983 REPLACES VOLUNTARY PRODUCT STANDARD PS 56-73. SHIP.WITH 9-48 DILI— c1 J_c l'1:d4l IJ 5Ith:'N if�UYLK:,-1)1`_�IN1tUI1'JI'I (;N!N. N.5i6 1 oise Cascade �V�x =RV . Timbe' r and. Wood products (.7ro ap CUSTOMER ORDER DATE PAGE e. • P.O. Box G2 a BOISE IDAHO 83707-0052 397 2/11/92 _ 2 09-0009-00 TERM$ . CUSTOMER ORDER NO. � ORDER DATE _DAY.��lET lfz DAY�g WB ?-1 2- F.O.B. SHIP WEEK OF FREIGHT PREPAID 2/24/92.'' COPIES TO - . •-........ ..................................... .... B GLYNN MILL DELV BUT TOTAL EST. PCs. MARK SIZE, LENGTH PRICE PRICE / PC 80FT WGHT . STOCK'ARCHITECTURAL BEAM 1 031360 3-1/8 X 13-1/2 X 60' 360 360 652 4 E31560 3-1/8 X 15 X 60•' 400 1,601 2898 2-A5960 5-1/8 X 9 X 60' 360 .720 1303 10 B5106'0 5--1/8 X 10-1/2 X 60' 420' 4,200 7602 18 C51260 5-1/8 X 12 X 60' 480 8,640 15638 20 051360 5-1/8 X 13-1/2 X 60' 540 103800 19548 10 E51560 5-1/8 X 15 X 60' 600 6,000 10860 8 F51660 5-1/8 X 16-1/2 X 60'650 5,280 9557 4 G51860 5-1/8 X 18 X 601 720 2,880 5213 1 H5.1960 5-1,/8 X 19-1/2 X 60' ✓ 780 780 1412 1 I52160 5-1/8 X 21 X 60' 8110 840 1520 3 06.1260 6-3/4 X 12 - X 60' 640 1,921 3477 1 06.360 6-3/4 X 13-1/2 •X 60' 720 720• 1303 6 E61560 6-3/4 X 15 X 60' 800 40799 8686 4 F61660 5-3/4 X 16-1/2 X 60' 880 3,521 6373 4 G61850 6-3/4 X 18 X 60' 960 3.840 69'0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 •, APPLICATION AND PERMIT PERMIT NO. 92-2989 ASSES OR PARCEL NUMBER 039-540-003 ZONING *- SR 1 BUILDING PERMIT OWNER KEN & SUE CARLSEN TELEPHONE 343-7722 SO. FT. OCC. BUILDING VAL ON 2432 SQ f OWNER'S MAILING ADDRESS 1673 HOOKER OAK AVE CHICO 95929 672 M 12,096 CONTRACTOR'S NAMETELEPHONE ROBERT BELL 872-0610 872 COV 11,336 CONTRACTOR'S MAILING ADDRESS 1380 PARK WAY DRIVE PARADISE 95969 Fireplace"A" 1,500 CONSTRUCTION LENDER UNKNOWN 1'e rl t Total Valuation $ 156.260 LENDER'S MAILING ADDRESS }SKS_ q 5 2,S Filing Fee $ 15.00 Permit Fee $ 797.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 398.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS T DURHAM Permit tee $ 1230.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 55.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME DURHAM VALLEY ESTATES PARCEL MAP 116-10 Water piping 7.00 7.00 Each pas water heater or vent 7.00 7.00 USE OF STRUCTURE SFX:] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 9,00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewFN Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 BDRM 2 BATH Permit Fee $ 104.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 18-50 CONTRACTORS LICENSE LAW 1 CI re under penalty of perjury (check one): I am licensed ujider provisions of Chapt. 9, Div. 3 of the Business and Professio end my license is in full force and effect. License No. lam/ Classification ❑ I, as the owner, or my employees with wages as thgir sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO 1000A) 37.50 NEW CONST. ( DWELLING OCCUR.&) OR ADDNS. ACC. BLDGS. / 3.54sq.ft. 108.60 NEW CONSTR. MULTI.CUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76d APLNS EX. Occup. OUTLETS PIRESI DIRE A.) I 3.00 Temporary service 15.00 nn Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 157.10 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9.00 SPLIT SYSTEM Cooling g 5 TON 9.00 Hood 6.50 6.50 Ventilation 2 4.50 9.00 permit Fee $ 48.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all Iiabil' es, judgments, cosy?, and expenses which may iV way accrue against a' conse n the granting of this pe X Z Date Signature of Applicant - owner ❑ Contract Agent ❑ An OSHA permit is required for excavations over 5-e6" lleep and demolition r co st t ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 cc - 3 CONSTT PE W/ TOTAL FE $ 1580.10 HAz DFEE IMP FLOOD F PARCEL o 0 Is u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC BY PER CPIRES Date the applicable provi- resolution s to do have been paid. WORKS Date - v Receipt No. 122687 PC FEE 478.50(1106,10y0° WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .. ., _ ,. t< , � tee'.. �.,.,�r,i:�•.. �h COUNTY OF BUTTE - DEPARTMENT OF PUBLIC, WORKS - BUILDING DIVISION ter 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOWI 95965 - TELEPHONE (916) 538-7541 1 PERMIT APPLICATION DATA SHEET OWNER rC A/ A- 5Gl_: -Car (S e --,.i A. P. No. Z Ct - 5 O 4e/3/ Proposed Building Use /Ve, W.� /-I:- Building Inspector I 3 Date _ a -.9 Lf Attime-of permit application *II Was advise the fQp�`vyi%0�/a mUst bgsubmitted prior to permit processing and/or issuance: - C1 C.�uL J I DATE RECEIVED BY 1. 7 q5q �,g All items h�e, res -Ate. �-.... . 2. Plbi pT5'h , 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. 8. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehom Ct a d manufacturer's installation instructions, 2 sets. . 'r 10. es of $ . ........... ..... 92 Impact fees as shown on attached schedule . ..............% 12. California Department of Forestry plan approval/fees. ....:..'....�.............. 13. .T 14. Flood elevation letter (100 year flo by California Engineer............... ..... . Sanitation and plot plan approval I e- O Health Department . .....:...... 7'��Z_ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. 8. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. ........ . == 19. Driveway permit (construction approval required prior to occupancy). . Pre-Inspection request 20. Pre -inspection for . required. .. to Building Inspector (Date) 21. Contractor's license information: (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .. � ....................... . 23. C Owner -Builder Verification (Given to owner , Mail to owner ). .... . Recortled Agricultural Acknowledgement Statement 97- 24. copy of . ................' .. a/361 J*4 25. Letter of signature authorization. .... :........:.. .................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....- 27. Letter of intent on building use . ........................................ 28. Mobilehome utility clearance. " 29. Documentation of legal access . ............................... ........... 30. Documentation of 50% subdivision developed or (A) Road improvements completed i and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist....................................................... , 33. 34. ' Whe u issue the permit, process as follows: Mail o owner Mail to contractor. ;> Telephone ?f ).2- Ob 10 and hold for pickup at Mail 0.0 office. Deliver with insp ctor. Other ` Parcel Creation -/ �/ rwTu/ W 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: (C 1. Index permit for above items No. 2. Additional items required: checked above). Contractor, designer, owner, was advised of above required data y _ phone _ mail Counter by _ Date Contractor, er, owner, vyas advised of above required dat by _ phone _ mail Counter by _ Date Plans c ee Ub -S Dateasysv,�roved by Date Sets of plans on hold in File cabinet Copy - Department of Public Works TO: Building Departmei t FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit 1^� si ature has-been issued for the -above property. COUNTY OF BUTTE date ' BUILDING DEPT SEP 2 4 1992 ,4Pjj V.. TO , .. FROM: SUBJECT: Building Repartment Environmental Health Sanitation Clearance owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for.: Clearance for --h— bedroom a home. Other NOTE s * r Water Supply Water Supply Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 959e5 - Telephone: 918.'538-7541 APPLICATION AND,PERMIT AlOQ33 UM69R 5 .- p n z N / BUILDING PERMIT OWNaw K� 5in2 G � 5 c T LBP oNE 77 i 1 SO. FT. OCC. BUILDING VALUATION J ^' Z OWNER'S MAILING AOORE33 3 ao e CON A TOR'3 "Al o T LEPHONE 0Z 10 ��- U0. f CONTRACTOR'S t! 3 OM �� Ea33 Vn/a/o d'15 e F Fireplace a -0 CON TRUCnnTION L OER ck ` 6--,J 1 /` UNKNOWN Total Valuation 5 S Filing Fee 15,QQ LENOER'3 MAILING AOORF-33 _ _ n f -(J© X (0 5 90 t Z ,,4o Ce, 9 5'9 1& 5 Permit Fee $ c* -o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 9 8 50 Energy Plan Checking Fee ARCHITECT OR ENGINEER -3 MAILING ADDRESS Penalty $ BUILDING ADDRESS. _ Permit fee $ % • �,.� PLUMBING PERMIT Filing Fee 15.00 — LJr t ON eT Each Trap // I 5.001 r IAZI""L Solar or heat pump water heater 20.00 LOT NO. 3 SUBDI VISION NAME PARCEL MAP >~ T � f ll� 10 �$�Gr.�C �% � Water piping .7.00 :� Each gas water heater or vent 7.00 ,p -o USE OF RUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 p•.p Building sewer 15.00 %5,0-0 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: .2 82 -a Permit Fee $ , 0-0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service '288A OR LESS at ook 1 18.50Z 9. 5-D Main service 20CATO t000Ar 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 and my license is in full for and effect. License :Jo. 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) ❑ 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 ELLING O' UP. NEW OR ADONS. CONST. ( ACC. LDGS e 3.6esq.ft.1109,66 NEW CONSTR- 'AU L - I-OUTL VON.RESIC. 9RANCH rIRC 'ITS @ 5.00 (POWER APPARATUS &) 1SINGLE OUTLET CIR. j Ex. Occup( OUTLETS OR FIXTURES 120 76d i AA d Ex. Occup. OUTLETS IRESIO )REA.) i 3.00 Temporary service 1 15.00 &-�01 Mobile Home Facilities 15.00 i Misc. Wiring g 15.00 Permit Fee $ % r 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 Filing Fee 15.00 i Heating /Do o O 'D ,tri 5 �i 4- S Cooling yi�a Hood 6.50 1 Ventilation. Z Y$ 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 liabili ie , judgments, costs, and expenses which may in a y way accrue against s t n on a ce of the granting of this perm Mobile Home Installation Fee S O.p Energy Inspection Fee $ O, o cop T E l� TOTAL FEES is r OFEES IMP FLOOD f PALACE PD /tO SSUE i X t/' Date Z �Z Signature of Applicant — Owner ❑ Contracto Agent Of An OSHA permit isrequired for excavations over 5'0" deep an) demolition or construct- ion of srructurre over 7 stories in height. Receipt No, ! X 2- C817 r ffid 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 9 M COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING. DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER ILL ,-J A— S t.� - l 6. r 1 s e �� A.P. NO . PROPOSED BUILDING USE Ne LO S DATE2- REC. # School Distric Fees r)U-.- h a-4A�- � (paid at Distr t Office) Sheriff Fees ;6 (o, (paid at Building Department) Residential ... ....._('X = unit amt. Commercial(per.sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per.unit) _ X =$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) 6. Other 25 8-7-7 DATE REC 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT D DATE 2 4/�/ �i�`�ia.•'�'Zfi", �'7;'ar+�. �fi",'r �4a,��"'^�"`t'��{+�y�r-•"`:li..""}r�,.�wrr yyE"^T...r't,r-.it1�^t�7"M`MFrMrr }iT-PF�. „� i"�f�...,*M. . s. -,,.M r.,•... �. . + wT'tF'js' L,: •7i'-"., s..s.• `Ti r". .?,r,.*'- tE• .rN �r•inf �•...,.-,�,. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per JBuilding) School District Building Department No. A.P. Number, �1 :A Q �� \Jrisdiction \ City w'� County Property Owner G- (1� 5 C 40) � .. — "I x. couwy of suir a BUIUNc DEPT SEP z a 1991 Property Location/Address i ik 1 0 ^/ Subdivison `" 1 �� �r 1 t t. L- t No. Residential Development 0 0 0 Sq. Footage �..- No. of Living MHI Addition . (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) BuilOirig Department Representative V— Date District Identification No. 1p g961� _O j)/School District certifies that (Applicant) ,,p72 (Street Address) (Phone Number) �u�i2 c � ��- �S•� 3 � IIS (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ 9a" '� by payment of $ representing School I square feet. Paid by Check Number Remarks: �J Bank Number Paid by Cash Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ReLurn to D114 Sec t.i un require~ prior to ACRIC:ULTURAL STA`1'EMI-INT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 26-8.1. of. Lhe ButLe County Code LhLs acknowledgement be recorded issuance of a building permit. NOT COMPARED WITH SEP 3:0 1992 rima NAL MCUMENT me pr.operi y described herein is adjacent to 'land or included within an area zoned fur �rgric•uLtural. purposes, and res:idenLs or Chis properly mr.iy he suh.ject to incon- vcLn i oncos or d i.scomfurt .ir i sing f rom Lhe: use of .Fig r.ic'uJ L.urai chemicals, including, huL not 1imLLaci to herbicides, pesticides, and Eert..i lAzers; and from the pursuit 'of agr.icu1Lural opera Lions including, but not. I:imi 1. cd to cultivation, plowing, spraying, pri.in:ing, and harvesting which occasiona11.y. generate dust, smoke, noise, and odor. Butte County has esLabIished agricuI- Lural zones which have as a priority use for productive agricultural purposes, crud resident r, within sa i.d zones and on adjacent property should be prepared to accept such i nr•unven i encu or cl.iscomforL from normal, necessary farm operations. A11 that: rolluws: real properLy situate -in the Cuunl y of Butte, StaLe of Cali.for. n i n , dc:acr i hvd as Date : FOR REt�®RDIiV &:01 A.M. CANDACE J.. ®l1M COUNI.Y RECORDER OWNERS: State o - / /d On this the C'- day u �Q l��O� hefore me, j SS. the undersigned Notary Public, personally appeared County o. JOANNE S. VAN NUYS Personally known to nle . .Proved to me on Lhc Ims i s COMM. I973616 I of satisfactory c>vi ICIWU. • Notary Public — Calltomia to be Lhe person whose name BUTTECOUNTY subscribed to the within instrument and acknowledged lith My Comm. Expires SEP 20, 1996 executed the same for the purposes therein conLai_ned. r WI IYNES~ WHEREOF, I hereunto set my hand and official seat. Present A.P. No. ��� Do3 Notary Muhl is DESCRIPTION: 92-21500 ORDER NO. BU -127562 TB ALL THAT CERTAIN REAL PROPERTY SITUATE. IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: LOT .3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM VALLEY ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 4, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 9, 10, 11 AND 12. PARCEL II• A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER, ACROSS AND UNDER DILLON CT. AND G. WARREN DR., -AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM VALLEY ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 4, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 9, 10, 11 AND 12. PARCEL III• A 10 FOOT STORM DRAIN EASEMENT OVER LOTS 2, 16, 17 AND 18, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "DURHAM VALLEY ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 4, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 9, 10, 11 AND 12. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC: ONLY) .• y Bldg. Permit # a OWNER A.P. # GENERAL Plan Checker 415 ��'Valuation. Zoning requirements: (sideyards and number of permitted living units). '3' -RTans signed by designer. Proper description of work on application. Existing violations on property. /Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). .tel Recorded notice of violation. PLOT PLAN mplete parcel size and dimensions. etbacks,,sideyards, easements, etc. her buildings or structures. �• rading, fills, drainage. �lood hazard. Special conditions on creation map, ustible, and foundations). L7�FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). m nnR PT-.AN- 0 T.AN omplete to scale plan with dimensions. � quired windows'for light and ventilation.(Sec: = . 1205) kl Required windows for second exit (Sec. 1204). c�ylights (Chapter 34 & Sec. 5207).*-_ Y, Human impact glass (Sec. 5406). _ il�-Required room sizes, ceiling -heights (Sec. 1207). CIs in baths, garage,,kitchen, and exterior outlets (Article r---Offight fixtures, switches, receptacles, and exterior receptacles /tenance of mechanical equipment. 210-� for main - Locations of water heater, heating and cooling equipment, other electrical or gas equipment. -- Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). ireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. ISpecial Inspection required. building 1 8/91 RESIpENTIAL PLAR CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOKOUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). —Exterior plaster - weep screeds (Sec. 4706). �o_per roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). -:-'Foam insulation - protection. 6" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. D-.*'Tw exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). r -.--Attic access and ventilation (Sec. 3205). 2 -.-Underfloor access and ventilation (Sec. 2516). 3—.Combustion air for fuel burning appliances - L.P.G. requirements. 4. Noise requirements on duplexes. Winergy design. ashing at all exterior openings. r. OF responsible area requirements. I 1. I. Gerling 4nsulauuu -4 3 -1 0.80 Number of stories .1 0 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 -1 R38 0 0 0 U -value -90 37 -26 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 -52 -17 -9 -2 2. Wall Insulation 13 26 -49 Single- Single - -1 7 Family Family Mul6- 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 -37 -9 -3 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 17 16 Insulation in Floor 0 4 9 Number of stories 17 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 12 -9 6 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 c14 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 .2 .1 Number of stories 1 Fl -value One Two Three R-0 -11 -7 .5 R-5 -4 -4 3 . R-11 .2 -2 .2 R-19 .1 .2 .2 .4. Slab Edge Insulation 3 0.85 -- Number of Stones 7 _ 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 S. Infiltration (Air Leakage) Speeilimbon Points $1aflQafd 0 6. Glass Heat loss Total (assume; duets In attic) AREA � $ Interior U -value %Glass North Percent South West .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 •40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 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 7..Shading (Shade Open) Effective Petreatt class (percent glass x SC) Effective (assume; duets In attic) AREA � $ Interior Slab Floor Raised Floor %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. w 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 na = not allowed 13 7.0 6 9 11 13 IB. Shading (Shade Closed) 7.5 6 Effective Peremt Glass 14 14 (Percent `las x SC)Effecdo - 14 14 6.5 7 10 12 13 14 %Gbu NoM Est South West Sigftt 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 -471 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 0.75 6.88 3 3 3 2 2 Y. interior I nermal Mass (assume; duets In attic) AREA � $ Interior Slab Floor Raised Floor Mass AREA Stories Stories -25 or /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -8 -5 3 .1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 - 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 6.5 7 10 12 13 14 15 10. E-Kterior Wall Thermal Mass 0 Exterior 0 Single- single - 0 8.0 Wall 8 6 Family Family Multi 3 Mass 16 Detached AMiched Famk 0.00 5 0 0 0 19 16 0.20 10 3 2 1 26 0.40 15 5 4 3 j 12.0 0.60 26 22 8 6 4 9 0.80 33 10 8 5 15 1.00 4.3 13 10 7 I 1.20 8 7 13 12 8 3 1.40 No Cooling, System Installed 12 13 9 1.6 1.60 ' 10 13 11.. .' 1.80 -4 -4 10 12 12 -2 200 3 10 11 13 2 11. Heating System Single -Family lletaehed and Attached 5.3 5.6 Unit Size (so SE or HSPF Water 0.9 099 1200 1700 (assumes duets In attic) 2700 Heater Credit or -1 to Sum of 15 to .or Type Type 25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 .5 +5 -+15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 _ 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 _. 20 18. - 15 -: 13 " 11 8 = None 3 -24 Efrective SE or HSPF : _. -12 (SE or HSPF x duct efficiency) Solar Effective -25 or -24 to -14 to .4 to 46 b 16 or . - SE HSPF less -15 5 +5* •+15 more 0.30 2.75 -73 -64 =56 -47 -38 30 na 3.41 -45 -39 -34 -29 -24 -18--- 0.40 3.67 -34 .-30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 :5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3- 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19: 16 13 10 0.90 8.25 32 28 . 24 ,. 20 17 01 1.00 9.17 37- 32 x,28 i 241='.19' '15,, 1.1 Zonal Control Adjustment -10 -6 . System Type -3 24 Resistance 10 9- 7 6 4 3 Other 3.6 6 5 4 3 2' , i ,,2 699 700 1200 1700 2200 HType eater � or to to 6.1 _ SEER t Tyre 2 swss (assume; duets In attic) AREA � $ Sim of 7-10 ND. L R AREA -25 or -24 to p-1410 -410 +6 to 16 or SEER less -15 ; .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 .7 .6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 .2 9.0 •1 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 ` 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 20% 25% 1 35% 40%.45% S0% 55% EfYeitite SEER GN 70% 75% (SEER xduct efficiency) 90% 95% 10D% 105% 110% 115% 120% 125• S ,%n of 7-10 0 0.2 Effective -25 or -24 to -1410 -410 +610 16W SEER less .15 .6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11• .9 -7 5 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 j 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 4.3 Zonal Control Adjustment 4.8 I 10 8 7 6 4 3 0.7 No Cooling, System Installed 1.1 !-Stories 1.6 1.8 ' 2.2 24 One -5 -4 -4 .3 -2 -2 Two + 3 3 •. 2 2 2 1 Single -Family lletaehed and Attached 5.3 5.6 Unit Size (so 401/. Water 0.9 099 1200 1700 2200 2700 Heater Credit or -1 to to to .or Type Type less 116M 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 ' ` 8 6 5 4 HP HWR 8 5 4 3 3 27 WSB 5. 3 3 2 2 4 POU 8_ 54 4.6 3 3 SE None 3 -24 _7 18 -15 -12 0.9 Solar -1 -1 .1 0 0 2.2 HWR -18 -12 -9 -7 -6 - WSB.. -25 -16 -12 -10 -8 _ POU . -15..12 -9 . -7 -6 IG None "S -3 .2 .2 .2 1.7 Solar 7_' 5 4 3 2 2.9 POU 3 _... 2 1 1 1 i E None -28 -19 -14 -11 -9 5.4 Solar - 8 • 5 4 3 3 1.1 POU ' -10 -6 . -5 -4 -3 24 Muld-Famlh (indlvldual units) 2.8 3 3.2 Unit Size (s 3.6 3.8 Water 4.3 699 700 1200 1700 2200 HType eater � or to to 6.1 _ 70% 1.2 less 1199 1699 2199 mare SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 6 WSB 9 4 3 2 2 1.7 POU 9 5 3 2 2 SE None 45 -23 -15 -11 .9 4.2 Solar. 2 1 1 0 0 5.5 5.7 5.9 6.1 6.3 6.5 ` WSB -25 -13 -8 -6 5 2.4 26 2.8 -6 3.3 IG None --8 -4 -3 .2 _-5 j .2 4.7 Solar 6 3 2 1 r 1 6 POU . 1-,_ 0 0 0 1.4 IE None _. 30 -15 -10 -8 -6 2.9 Solar 18 9 6 4 4 4.2 POU -8 -4 -3 -2 -2 t Tyre 2 swss TYPE 2 MASS AREA � $ Exterior Wall Mass ND. L R AREA S 7-10 X i = 1 Effective SE SE or HSPF Duet Efficienry [0.78] or [0.7216.6]G� �Gj D i f X e� = HSPF [0.5615.15] -7. 2--5y -� �- SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.03] Y (l. l -VIII[ -4.21 \ TYPE 1 "SS (UIMC s 4.2. Le: exposed Slab) �� r'C.t9.t1a .I�bl o% s% 10% 15% 20% 25% 30% 35% 40%.45% S0% 55% 60% GN 70% 75% 80% &We 90% 95% 10D% 105% 110% 115% 120% 125• 07. 0 0.2 0.4 0.6 0.8 1.1 X1.3 1.5 1.7 1.9 21 2.3 2S 2.7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6' 1.9 2.1 23 25; 2.7 2.9 &1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.6 2 2.2 24 -27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 S 5.2 5.4 56 30% 0.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 16- 2.8 3 3.2 33 3.7 &9 4.1 4.3 -4.5 4.7 4.9 5.1 5.3 5.6 58 401/. 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 43 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 ' 3.8 4 4.2 4.4 4.6 • 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S S.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 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 1.5 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 6 6 65% 1.4 1.7 1.9 2.1 2.3 2S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 54 5.6 5.9 6.1 6.3 65 ' 67 90Y. ' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 6 8 95Y. 1.6 1.8 2 22 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 .1001/. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 63 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 S.6 5.8 6 6.2 6.4 6.6 So 7 110% 1.9 2.1 2.3 • 2.5 27 29 &1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 &1 6.3 6.5 6.7 69 7.1 115% 2 2.2 . 2.4 2.6 28 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 S.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.1 3.9 4.1 4.4 4.6 4.8 5 S.2 S.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3A 3.8 3.8 4 4.2 4.4 4.6' 4.9 5.1 S.3 5.S 5.7 5.9 6.1 &3 6.5 &1 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation , _O or It -value [38] U -value [0.030] 2. Wall Insulation C /GI or R -value I ) U -value (0.098] 3. Raised Floor Insulation � or R -value 19] U -value [0.037] 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', or R -value (0] F2 factor (0.77] Type [double] U -value [0.65] 9b Total Glass 61 % Glass SCEff. % Gl to - (. X n 5', 6 P I.k X = 77 -. X = D. 9 X = I W a X. _ % Glass SC Ef--f. /% Glass X� _ �f'• X -Y x = y_.X = r TYPE 1 MASS AREA a 8 COND. FLOOR AREA 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores -L 0 '19 Sum 1.6 Interior NnsalCFA TYPE 2 MASS AREA � $ Exterior Wall Mass ND. L R AREA S 7-10 X i = 1 Effective SE SE or HSPF Duet Efficienry [0.78] or [0.7216.6]G� �Gj D i f X e� = HSPF [0.5615.15] -7. 2--5y -� �- SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.03] Type (SG] Credit [none] Pont Total:. Certificate of Compliance: Residential Climate Zone 11 Project Tide - Building PermCCit r LJ Project Address ( y ( Checked By/ Date Documentation Author Telephone Enforcement Agency Use Only Glass Area % Glass BUILDING DATA North A0 /. �5 !_ , G� Conditio Area �a Number of Stories L East � 2 .3 SlaCQ Number of Units _� South / Izo (Single Family Detached (SFD) [ ] Addition -Alone West —".2/— () Single Family Attached (SFA) (] Existing Building Skylight O _CL Total ?J u. S / (] Multi -Family (MF) [ ] Existing -Plus -Addition BUU,DING SHELL INSULATION Component Insulation Locaf on/Comments Type R -Value (attic, to_gwage. typiatsl. am) Wall .............. Roof ............. Roof ............. Floor ............. i Floor ............. Slab Edge..... GLAZING Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (St) (single, doubles) (7o11a blind. etc. s}tadesoreen. etc. metaUwood) Nomh Z4 North ( ) East East ( ) South ( )cZ South ( ) West West ( ) Skylight....... 6_ - THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen. bath. -etc.) - HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Ucation Duct Output conditioner. hent uIn ) (SE. SEER.HSPF) (attic. etc.) R -Value tun �- y Manufacturer/ 5 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must conutip these measttres regardless of the aamPliance approach used. Items marked with an asterisk (•) may be supaxded by more stringau compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the Permit documents, thCreOWU noted &hall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEME?rr Building Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weighted average. 62.5352(b), Loose fill insulation manufactumCs labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k)- Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permftnch. 62-5311: Insulation specified or installed matt California Energy Commission (CECT quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. 12.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and peneaauions cau&W and sealed 12-5352(e): Special infiltration barrier installed to comply with 12-5351 macer CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12.5352(8) and 2-5303: Space conditioning equipment sizing: attach calculation. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. 12.5316(br Exhaust systems have damper controls. 12.5314(e): Gas -furl space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water neaten, showerheads and faucets certified by the CEC. §2.5352(1): water heater insulation blanket (R-12 or greats) or combined int Aorhaterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). 62-5312(Exception 1): Pipe insulation on steam and steam condensate retum A recirculating piping. §2-53 18(d): Swimming Pool Heating 1. System has. a. Orloff 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 r 12.5352(1): Lighting - 25 lumenstwatt or greater for general fighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building featmm and puformance specifications needed to comply with Title 24. Chapter -2-53 and Title 20.0apteir2. Subchapter4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer - Building Owner Name: T u Name: - TttWFum T L Ttdelfir t: Address: / G Add=: Telephone Lk. N: _ Documentation Author Name: Titk/Fttr,L Address: (date) Telephone: (si�naaue) (date) Enforcement Agency Name: Agency: Tekphmc