HomeMy WebLinkAbout039-540-016a' FAILURE TO FINAL PERMITS
2/26/92
1
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39-54-16 2129-90B,P,E,M .
SORENS'M Wendell ft. �' •"
9459 _Dill Ct, Dur
(<new` single..f� i1Y)
. s n
ZB,PiE,M
39-54-16Permit 406
(new sf - 0/640)
39-5 -16 2186-91B,P,E
ZANETTE, Luigi & Miranda
9459 Dillon Ct, Durham
cont: Sunshine Pools
(swimming pool/sf) n I
39-54- _U:_629 B
SORENSON,' Wende ]�
9459 Dillon Ct, Dur.-,am
(complete` wk, std, under -0
'0-640)
39-54-16
92-680B
SORENSON, W dell'' .
9459 •Diet, Durham-,
(Com -' terwk std under y 2129)';• #*
O
4
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(Y1 ACIA W e-� A 96 U r— p.e-2M 1 7-
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ARE
39-54-16 �t 2129-90B,
?-Am N�1T� `�•
SORENSON, Wendell. t�
9459 Dillon Ct, Durham
(new single family) J
.ate / ,� _ -- •� . T'
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SR xrt.�
r OFFICE COPY 1 r
:�• ' Address '
GAS
�x Meter By Date 2-11, I
ELECTRIC
[ Meter By �.—
l Date
` OFFICE COPY
Address LIQGAS
Meter By N� S
ELECTRIC _ Date t/�
Meter By /'j (a
Date
JOB FIN
( 1 —
Signature V
✓=OK
O = Not OK
N t Readiyable MOBILE HOMES '
Date MOBILE HOME UTILITIES (Plans) OK except Ws '
1. Zoning Requirements -Setbacks -Easements`
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ P'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 #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line i
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fell -Flex Connector
8. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
S. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy 4
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 w ' - -
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-Ooofing
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
8. 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
V _'OK
O=Not OK ,.
- = Not Applicpble RESIDENTIAL
• = Not Aeady;
Date UNDERFLOOR Plans OK except #'s
•' ing-Setk(cks-Ea ments-Flood-S pe
2eTtg., MaK- Soils-Elec. Gr .-4u' Ftg. Depth
9. Ftg., GaVge; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
y Stemwalls, Main; Steel -Bloc kouts-Wrapped
!' Stemwalls, Garage; Steel -Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. P -Fireplace Ftg.-Steel
. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Size -Anchors
fr"Water Pipe; Test -Anchor -Regulator -Service Test
1 c; Underground
1 kPie s & Ducts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date� Card B-1 Date Card B-1
Date 9 • /1-'70 Card B-1 Date Card B-1
Date PLUMBING Permit OK except #'s
ie'Water Htr.; Vent-Access-Combustion_Air-Baffle
/1g Q&.V.; Tesf-Fittings & Anchor-QWLFg aaclionD -
h I,'- hower Pan; Test, First Floor -Tub Access /./5-1Xk_ J/
'16 Test Tub & Shower, Second Floor -Tub Access
Gas Pipe;_vOCAnChors
Date �\-Q -0)3 Card B-1 (3(�;, Date Card B-1
Date 11- 15,-gpCard B-1 � Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
2e Elec. Receptacles Spacing -Lights & Switches at Doors
2,4: Size Boxes & No. of Conductors -Stapled
26. Romex Installed Close to Edge of Studs & C.J.
(,Equip. Groutfd made up w/Mech. Fastners-Bo ater
7,LA Appliance Circuts in Kitchen & Conductor Size/GFI
2YSubfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size /P ga.
Cu or
Q9.'Range Circ. / / ga. Cu or AI -Oven Circ. QO/ ga. Gor Al.
Insulated Neutral E,4, Yes 0 No
36. Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
V. Clothes Closet Light -Shower Light -Spa Light
moke Detector
Date (X -&\b Card B-1 G Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
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
(Single & Duplex)
Date FRAMING (Continued)
45. Hangdrs-Post Caps -Anchors -Connectors .
Cing. oast es- roof Brac-Trus -Sht . Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
AW-fldrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50!Garage Fire Protection Framing
&$.1froperty Line Firewall & Openings
92.1'&t. Doors -One T -Check Garage -3rd Story, 2 Exits
59-4Wrs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
! ', -C . Stucco Me -Drip S eed-Fd. V s-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear ; N ' g -Bolts
9. nsuIWTon-Watts-CeiJWgs-
0. Infieation-WaW-Windows
Date �p-Zq•VWard B-1 �s Date 11-1 �ClIacard B-1
Date f t- ?j •C1O Card B-1 (�5 Date \ 1 _Zn -C%4 Card B-1 G�
. Date FINAL Plans OK except #'s
6 s boor & Sidelight Protectio - ings
G62!'. moke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
60..-Tedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
601"Elec. Trim & Subpanel; Breaker Sizes & Labels
airs & Rails
Fireplace or Stove; Clearances -Hearth
B@'ETo. Outlets at Wood Panel; Int. & Ext.
Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
7 Garage Fire Door; Swing -Landing -Closer
7Z.uct in Garage -Damper
Cw"Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
*-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7;"I-nsulation- Foam- Looked in Attic Yes
78. '13-0ard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
Following instld.; Drive 0 Yes 13 No; Walks ❑ Yes Q' No;
Planters ❑ Yes g No
cco;r i ish
rn , isconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
&U_WffM Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
V .tilation Throughout House
Glass Protection
Corrections from Previous Ins
r 23f
Date1\-8 Ct c7 Card B-1 G Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
Sils, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
q)%Bearing Walls over Girders & Floor Nailing
0ire
ft Stop in Walls (rat proof)
Stops; Furred Ceilings -Stair C es Tub
Headers & Beam -Size & Bearing
96 -Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date k-23��11 Card B-1 (��� Date Card B -1 -
Date Card B-1 G G Date Card B-1
Date �7� ._,t7y' 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 OF PUBLIC WORKS
• 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
s 747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
nl !�Cs a o 6?- -!� a
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
'F -o I ( .-I I e/ C- c::,eo / -177Z - 662-[
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701
5- U"-2rFIC4rla,✓ of neo,,✓,✓ OOA; rP1?aiide,
Date — 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
CORRECTION NOTICE
2-12r-qo
OWNER PERMIT N0.
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.
Date — f Inspect _
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Date — f Inspect _
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
• CORRECTION NOTICE
2f 21i
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
CCAS F%V'WG tti,✓Z�' ri,2SIZa tS
2 — CG224-crra-6 k— ,, ',.tyf,
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Date / / 1�' 0C> Inspector 1f
COUNTY OF BUTTE I
• 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
CORRECTION NOTICE
09"EA S o r1 2/act-90
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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Date 1 � — 8 "Cl h Inspector /� _
COUNTY OF BUTTE
i`. DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1 rl5Q'(,C'c1v'4
Date '?-7-!1 ) Inspector /1;,.)�(��;.n
n.,..wc r .»+-rte••-•or�w.�+... ,, � ,.. Jtr-swowrr .-.xiF.""e'a* -.JR4"T+w�'r's.�"'.'eTpC.zr.=7X�.�e
y COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER I • PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
F v
Date� Inspect'6 � . _
�� �or
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. CD
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 Zl2
APP!_!N AND PERMIT
ASSESSOR PARCEL NUMBER
39-54-16 ,
ZON
X
BUILDING PERMIT
OWNER
Wendell
LGo Senson
TEL Ho E-
873-1
SO. FT. OCC. BUILDING VALUATION
3,418 R 134 720.00
OWNER'S MAILING ADDR
P.O. Box 4209 Chico §5927
1,008 M 14 112.00
CONTRACTOR'S NAME
Owner
TELEPHONE
410 C 49010.00
CONTRACTOR'S MAILING ADDRESS
Fireplace A 2,000.00
CONSTRUCTION LENDER
Sarramento
UNKNOWN
Total Valuation $ 156 842.00
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
100 Cohassett Rd., Chico
Permit Fee $ 5p75.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 287.75
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 888,2.5
PLUMBING PERMIT Filing Fee 10.00
Di 11 on Ct tliirhnm
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
16
NAME
Durham Valley Estates
PARCEL MAP
J/6-/ o
Water piping 5.00 5.00
Each qas 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
Building sewer 1 5.00
Mobile Home Is G W 10.00 e
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 4 Redrnnm _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 10001 OR 0 AMP ORSLESS 1 10.00 10,00
Main service EA. ADD'L too AMP 1 2.50 2,50
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 ful force and effect.SINGLE
'
License No. ���� Classification
- -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
LIN CCUR.&)
/
ADONSX 2'h¢sgft110.65
oR CONSTWELGS
NEW CONSTR. ULT' -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
OUTLET C'R.
.20@50t
Ex. OCCu OR FIXTURES 30
p�OUXED
FI
Ex. OCCUp. OUTLETS (RESID
P)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 133.15
Contractor
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.
❑ 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 7.50
Dual Pack
Cooling 5 T 11.00
Hood 1 3.00 3.00
Ventilation 3 3.00 9.00
permit Fee $40.50
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 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
again t i C in consequence of the granting of this ermit.
Date -
gnatu o Applicant - Owner Contractor ❑ Agent ❑ �Qyo v
An OSHA ermit is required for ex vations over 5'l)" deep and de oli Ion or cons ruct
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
CONS PE
V
TOTAL FEE $ 1,107.90
HAz
CUA
PARK
SCHL
FL
PAR
P
HD
IssuE
s permit is nereby issued under the applicable provi-
ion of the Butte County Code and/or resolutions to do
t --k indicated above for which fees have been paid.
DI E ORO PUBLIC WORKS
By ate 3
PER IT EXPIRES ate
Receipt No. 66401 PC $342.75 // 7& �� - p -3
WNITE•O.P.W., TELLOW-ASSE930R, PINK•INSPECTOR. GOLDENROD A T
COUNTY OF BUTTE- DEPARTMENT OF PU LIC WORKS - BUILDING DIVISION
• 7 COUNTY CENTER DRIVE - OROVl, EaCA[�IFORNIA 5965 -TELEPHONE: 16/538-7541
PER fi. � CATION DAT . SHEET/`
Wit,
Permit No.
OWNER ���/V ���iL� /��.�0 ;A' � A. P. o.
Proposed Bui Ici�ing Use �/ l� Building Inspector Date
At time of permit application, I was advised the following data must be submitted1prior 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
pinstructions
LAUrte^
.
.
Fees of % �o J ,...................................... S Z3 g0
11.
Chico Urban Area fees paid .......................................
12.,Park fees d ....................................................
—rK-0 School District fees paid .............. 2—
14. Sanitation approval from Health Department — S'q 0
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
T 17.
Planning approval for (A) Use: (B) Parking: ....
18.
19.
Improvements may be required. Contact Land Development Section DPW
Driveway (construction,approval required to occupancy)
20.
permit prior
Pre -Inspection for required Pre-Inspec. request to
Building Inspector
(Date)
21.
Contractor's license information (No., Name Style, Classjficati0n) ...
22.
Certificate of Workmans Compensation Insurance ...................
�3.
.
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
Recorded copy of Agricultural Acknowledgment Statement ......... Z
5.
Letter f i na authorization ....................................
27.
When
you issue the ermit, process as follows: Mail ner. Mail to contractors:
Telephone��and hold for pickup at office.Deliver
w/inspector.
Copy of Hez-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
1. Index permit for above items No.
2. Additional items required:
it issuances (Ci
checked above),
• I
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by_—phone_mall_ce er by date
r �e- t� 1 c�--
Plans checked by Date ��nl �apptoued by Date
Sets of plans on hold in File cabinet
Copy—DPW
's TO Building Department
f` FROM: Environmental Health
SUBJECT:: Sanitation Clearance
Owner Location AP#
r -
Plan Approved for: Sewage Disposal Water Supply �-
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom meb4l=e home. Other
NOTE ***
-7,3-50
San i rian Date
V
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
e —.
---rte A
owner location P #
i
�1 has been issued for the above property.
Driveway permit A/�2P
date
si ature
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Ojoville, California 95965 - Telephone: 916/538-7541.
APPLICATION AND PERMIT
ASSESSOR PARC NUMBER -
SY' — f0
ZONING
BUILDING PERMIT
OWNER
S� (�=-��S(� y
TELEPHONE
73 /gss,
SQ. FT. OC BUILDING VALUATION
OWNER'S MAILING ADDRESS
1910 bk- 67
2_0 C t -/-CD 2_7O
-
/ 2-
CONTRACTOR'S NA�A.E
IT
"
v
CONTRAC OR'S MAILING ADDRESS
Fireplacep��-
- - - -
CONST ON LEND
UNKNOWN'
Total Valuation $
R' AI NG AD RE s
Ivy1
ARCHITECT- R ENG( ER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$ 7S
$ 7
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ rr D
Penalty
$
BUILDING ADDRESS L
�- O N C T 1�v� ��
Permit fee
a k
a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00 Z6 ,00
Solar or heat pump water heater
20,00
LOT O.
SUBDIVISION NAME\,
tPo ff AM VA LLe T �
PARCEL MAP
Water piping
j,QO O iS
Each qas water heater or vent
5,00 - L IV
{,, USE OF STRUCTURE
SIX .Duplex❑ Mobilehome❑ Other
/ \ SPECT FY
Gas piping system 1 - 5 outlets
5.00 v d
Building sewer
5.00
Mobile Home S G W
0.00 e
TYPE OF WORK
Newx .Additionn�❑ ReemJgdfel [] Utilities ❑ Installation❑ 'Other[]
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR 00 AMP ORLESS
Main service 5
10.00/0,0
CONTRACTORS LICENSE LAW
Id clave 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.
�( (3
License No. 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 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 EA. ADD'L 100 AMP
2,50 t
NEW CONST. DWELLING OCc uP.�
OR ADDNS. AGC. BLDGS.
'hQsgft
NEW CONSTR. MULTI -OUTLET
NON-RESI D BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS e�
(SINGLE OUTLET CIR.
Ex. OCcu p�OUTLETS OR FIXTURES
20e5oe
eAL&30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.I EA.)
2,00 -
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
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 10.00
Heating
Dv
Conlin 9
Q�
Hood
3,00
Ventilation
Ips rQ
Permit Fee
S ,
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 Ii dities, luogmen s, costs, and expenses which may in any way accrue
ag i ou i co sequence of a granting of this permit.
X
Si tore o Ap icant — Owner ❑ Contractor ❑ Agent ❑
An OSHA perm t is required for excavations over 5'0" deep and demolition or construct-
ion of struct&as over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ D
HAZ
'CUA
PARK
SCHL
FLO
PAR
PD
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.xoyl 2 7
WHITE-D.P.W.. 7 LaYF-A $ Ir "�TNK-(NSPeCTOR, OOLOENROD-APPLICANT
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RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
GENERAL
foning requirements: (sideyards
A Valuation.
Plans signed by designer.
Energy Design and Compliance.
Existing violations on property.
6 Items on data sheet.
PLOT PLAN
Bldg. Permit #
and number of permitted living units).
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Ipecial conditions on creation map or compliance document.
FAU & FAS road setback.
FLOOR PLAN
omplete to scale plan with dimensions.
Required windows.for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
�kylights (Chapter 34 & Sec. 5207).
. Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
;--,- GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles
of mechanical equipment.
Locations of water heater heating and cooling equipment, other
Kias equipment, and plumbing fixtures.
arage firewall, door size, and closer (Sec. 503(d)(3)).
- 3'0" exterior exit door (Sec. 3304(e)).
�fireplace and wood stove location, alcoves, and clearance.
moke detectors (Sec. 1210).
5/89
for maintenance
electrical or
STRUCTURAL DETAILS
4 Foundation plan complete enough to construct building.
�l. Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
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).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
rx
terior plaster - weep.screeds (Sec. 4706).
oper roof pitch for roof covering (Chapter 32).
of covering type - (fire hazard).
fter ties or bearing ridge beam.
rage door or porch header sizes.
equate bracing.
. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
. Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
. Combustion air for fuel burning appliances.
1Voise requirements on duplexes.
Adobe soils - special foundation design.
Retaining: walls_ requiring _design..
. Unusual shape, size, or split level house requiring lateral design.
lashing at all exterior openings.
--�, 90-36439'.
4+ ,4
o'_ ' - , vb" ORDER NO. BU -114636 TB
DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 16, 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.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS,
SUPPORT AND STORM DRAIN OVER, ACROSS AND UNDER DILLON CT. AND G.
WARREN DR., AS SHOWN ON THE ABOVE DESCRIBED MAP.
ALSO RESERVING THEREFROM A 10 FOOT STORM DRAIN EASEMENT FOR THE
BENEFIT OF LOTS 1 THRU 20, INCLUSIVE, AS SHOWN ON THE ABOVE
DESCRIBED MAP.
SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MAY
9, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-16849.
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, 3, 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.
PAGE 5 END OF ®®CVA#EN 9
Return to DPW
9Q-36439
90-036439 ! R e c F e e
Cash
Recorded
Official Records
County of
Butte
Candace J. Grubbs
Recorder
8:01am 24 -Aug -90
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.
CD
7.00
7.00
2
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: August 23, 1990
s
B
PROPERTY
0001 MI.' 0:0 IMUMMOUSM.:
. Z!MAM M: ��
14 State of ) On this the day of , 19 , before
SS. me, the undersigned Notary Public, personally appeared
County of )
Ll Personally known to me. / / Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose bame(s) subscribed to
the within instrument and acknowledged that
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
Present A.P. No.
� '; X39-� �-� �� 3��'� �� r� �/ • ..
.l.
I
STATE OF CALIFBe Iss.
COUNTY OF I
On August 23, 1990 before me, the undersigned, a Notary Public in and for
said State, personally appeared Kelly L. Sorenson
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument as the Attorney in fact of Wendell T. Sorenson
and acknowledged to me that he/she subscribed the n
of Wendell T. Sorenson
thereto as principal(s), and his/her own name as Attorney in
Fact.
WITNESS mynd and official seal.
Signa
Tami Barlow
OFFICIAL $PAL
TAMI BARLOW
4N NOTAAY.PUBLIC — CALIPORNIA
PAlNCIPAL 0016Ii IN
BUTTE COUNTY
My Commission Expires October 24,1992
(This area for official notarial seal)
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DATE: 8- 15 Flo
JOB NO: 4 4--1
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20 Declaration Drive
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One'Form per Building)
A.P. Number Building Department No.
School District City D County � Jurisdiction
Property Owner
W&,'*-�. L �.3-�: P 4 [ft'6-r
Project Location/Address LJC27� /& l%1LL4A1 CAT
Subdivision r UK 4,1 A4 ✓,+ L L F `� �S� Lot Number �O
Residential Development: T 3,/1 s"
Sq. Footage O
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
.Roofed Areas)
Buildin4j Department Representative.' Date
(Floor Plans reviewed by School District Personnel)
District Id No.
�,Qlcr'%7Lc� u2c �iv�/ School District certifies that
Applicaant Name) (Phone Number)
Street Address
C"/Z, Le elli9 9s 9a7
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ Q' representing square feet.
Date
PAID BY CHECK NO. REMARKS:
BANK NO //-a d .3 7
PAID BY CASH
white -applicant, yellow -building department, pink -school district
r
SCHOOL.FEE (8/88•)
J 93 �De
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Coun*bpnterDrive - Orovllle, California 95985 - Telephone: 918,`538.7541
APPLICATION AND PERMIT
PERMIT
r
A53935OR R NU
ZONING
SR -1
BUILDING PERMIT
_39-5-40-016
wNKR
6dNn
e oN0
T s HONK
573-0940
SO. FT. OCC. BUILDING VALU ON
Est. 500.00
OWDK�
P.O. Box 4209, Chico 95927
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 500.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $30.00
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each 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
Mob le Home Is G W @ 15.00
TYPE OF WORK
New r"_7 Addition El Remodel❑ Utilities❑ Installation❑ Other®
Describe work: Permit to Complete B.P. #2129-90 _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO 1000A) I37.50
CONTRACTORS LICENSE LAW
I de la a under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full orc a effect.
tl11�Ex.
License No. –Ll � � 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.&) 3.64sq.ft.
OR AODNS. l ACC. BLDGS.
NEW CONST_ R ULTI.OUTLET @ 5.00
NO N.RESID BRANCH CIRC ITS
(POWER APPARATUS B).
SINGLE OUTLET CIR
Occup(OUTLETS OR FIXTURES 20 76d
Ex. OCCup. OUTLETS P(RESID IREA.) I 3.00
Temporary service j 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
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 als agree to save, indemnify and keep harmless the County of Butte against
all I abi s, judgments, costs, and expenses which may in any way accrue
ag C unt in consequence of the granting of this ermi
I — Z
Date
F l;cant – Owner
g pp ❑ Contractor Agent
i naturefermit
An OSHA is required For excavations over 5'0 ' eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $30.00
HAz
1 11FEES I
IMP
FLOOD
CDF
I PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi
sions of the Butte County Code and/or resolutions to do
work Indic ed abo for which fees have been paid.
D R OF PUBLIC WORKS
By �'— to L CL
PERfftf EXPIRES Date J
Receipt No. �1 O 3
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
J c , , _ .� t _ �� _ . � , � r . 1•'��"`i _ .,c_rt'.. �, v ^,.','.n".- M1."r _ y !r .. !�\y.. � . v.. ..._w . . ,- . ,
1,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT- PPLICATION DATX"SHEET
Permit No.
OWNER__ O/1C+/.So.✓ A. P. No. �S 6
Proposed Building Use `s�/ Building Inspector Date ,3— �—
::ZII
mit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
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 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. J
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
-
Telephone and hold for pickup at office. V_A eliver w/inspector.
Other
I
Applicant
to Il_q -Z_ /-Z_
Copy of Haz-Mat form sent ',- Health Dept. Fire Dedt. Air Pollution Date
Copy of plans sent Health Dept. Fire D pt. 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_—nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date
;t
Plans checked by Date Plans approved by Date _
Sets of plans on hold in File cabinet AP folder
Copy—DPW
L,
all /_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
I` 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
31 � - 1 -
Z�'J ° .1
' BUILDING PERMIT
OWNER w'
TELE HON IL--
SQ. FT. OCC. BUILDING VALUATION
eto�
'�Ofl
OWNER'S AILINGdDDRESS
CONTRACTOR NAM
Dw/✓1tq_
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
S4.0o
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty _
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
//,,,jCir
Each Trap
5.00
,OOA ff 4M .
Solar or heat pump water heater _
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF�Duplex❑ Mobilehome❑ Other
PECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
NewU Addition[] Remodel❑ Utilities[] Installation[] Other❑
Describe work: r Mr m coj_ O/Lv�—_ 2-1 Z9 -C1 a _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA)
_
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professio'nsi Code and my license is In full orce and effect.
LicQnse .Jo. _\(� I l� 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.&)
OR ADDNS. ACC. BLDGS. /
3.64sq.1t.
NEW CONSTR. MU L TI -OUTLET
NO N•R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLE TS OR FIXTURE
20 76
JAL, 0 461
Ex. Occup. OUTLETS FIXED (REJSID )S. REA.)
I 3.00
Temporary service
15.00
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
Filing Fee 15.00
Heating
Cooling
EHood
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 I'abil' ies, judgments, costs, and expenses which may in any way accrue
aga' St o my i consequence of the granting of this per
X Date ✓I
si nature of Applicant owner
pp ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5' " deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
$
occ
CONST TYPE
TOTAL FEES
HAz
DFEES I
IMP
I FLOOD
I CDF
I PARCEL
PD
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. 11//03
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
' v
qc
7 826uillf Co T.
39-54-16 4062-90B,P�,E,M
;a
SORENSON, Wendell
�►�At, P�1CKy (Z�� 7 '� 9459 Dillon Ct, Durham
y (new sf - 60/640)
t-AAFSv4G M'
perm j+- 4o covnple etcp�rt% 3-10 -�Q3
�--
J=Ok .
0 N6 OK
Not Not Ready
adyMOBILE HOMES
N.
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exwpt #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-Siet!l,
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-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
1
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. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
N.
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exwpt #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-Siet!l,
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-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 RESMENTIAL (Single & Duplex)
=
Date *UND RFLOOR (Plans) OK exce t #'s
Zoning -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth
5e,Stemwalis, Main; Steel-Blockouts-Wrapped I
6. Stemwalls, Garage; Steel -Blockouts-Wrapped
Date 3 -? 5-011 Card B-1 G G Date Card B-1
Date 1 Card B-1 r,07 Date Card B-1
Date FRAMING (Plans) OK except #'s
ils, Proper Material & Anchors
401"Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4P!Bearing Walls over Girders & Floor Nailing
aft Stop in Walls (pt proof)
Fire Stops' urr Ceiling Stairs -Chases -Tub
44' -Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Han ers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. ties -Pu rlin -root Brac-Truss- thug.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Th at clearance
4,8' Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
V 49--13drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5'6-tarage Fire Protection Framing
,541PRroperty Line Firewall & Openings
,y< Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
5378tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
5eplywood on Roof Overhang -Attic Vents -Rafter Outriggers
. Siding-Nailin5 Veneer
Stucco M -Drip Screed -Fd. Vents-Underflr. Access
Z. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
S nsulation-WaIW-_C,eiKgs„
8 nfiltr ion -W s-Wi ws
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 (�
Date FINAL (Plans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
60. -Smoke Detector
ST Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
8#-8edroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66`. Elec. Trim & Subpanel; Breaker Sizes & Labels
gr7airs & Rails
Ot-Fireplace or Stove; Clearances -Hearth -�
lit -Sec. Outlets at Wood Panel; Int. & Ext.
6.it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
K. Elec. Outlets & Receptacles at Kit. Counter
72"ftarage Fire Door; Swing -Landing -Closer
73-A C Duct in Garage -Damper
7 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
76. Eilee. Receptacles in Garage; (G.F.I.)-Romex Protection
7 Insulation -Foam -Looked in Attic 0 Yes
778 Gard Rails & Deck Construction -Post Caps
7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
,B6"Following instld.; Drive 11 Yes ❑ No; Walks ❑ Yes O No;
Planters 0 Yes CI No
Stucco' Finish
A.C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
64-W-ater Well; Disconnect, Electrical, Plumbing
88"Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation Throughout House
. Glass Protection
Corrections from Previous Inspections
W Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
1 Energy Compliance Certificate -Other Certificates
Date U ( Card B-1 G 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)
6a. Hold Downs and Special Anchors
v,09la-6: Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
,9r 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 7 _A'ct
I Card B-1 i Date Card B-1
Date E - J4
-4q t Card B-1 ., Date Card B-1
Date
PLUMBING Permit OK except #'s
f+f'Water Htr., nt�Access-Combustion Air -Baffle
iZ7� ater Pipe; Test & Anchor -Nail Protection
D .V.; Test -Fittings & Anchor -Nail Protection
s7-7 -41 Y.
Shower Pan; Test, First Floor -Tub Access ONO,
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date 3 •,? c,
C, \ Card B71 G 6 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
2.5- Ro ex Installed Close to Edge of Studs & C.J.
quip. Gy6und made up w/Mech. Fastners Bond caae'rWate
27!2 -Appliance Circuts in Kitchen &Conductor Size/G-FI
Subfeed Wire Size /?_/ ga. Cu or(PA.C. Wire -Size / / ga.
Cu or Al
R7t1Jr; Circ. / / ga. Cu or AI -Oven Circ. /Ify ga.(g)or Al.
Insulated Neutral A Yes 0 No
Ar-Servic -R' . J gnductors & Ground -Main Disconnect
Equip nels otors-Mech. Equip.
32_-6Fethes Closet Light -Shower Light -Spa Light
36 --Smoke Detector
Date ?,.CS.,Ct( Card B-1 Com., Date Card B-1
Date Lj -?,,A
1 Card B-1 Cr. Date Card B-1
Date a
MECHANICAL (Permit) OK except #'s
34. A.0 Ducts Insulation & Support
i3 -*,-Vent Fan' xhaust ve insulatio
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 3 -? 5-011 Card B-1 G G Date Card B-1
Date 1 Card B-1 r,07 Date Card B-1
Date FRAMING (Plans) OK except #'s
ils, Proper Material & Anchors
401"Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4P!Bearing Walls over Girders & Floor Nailing
aft Stop in Walls (pt proof)
Fire Stops' urr Ceiling Stairs -Chases -Tub
44' -Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Han ers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. ties -Pu rlin -root Brac-Truss- thug.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Th at clearance
4,8' Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
V 49--13drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5'6-tarage Fire Protection Framing
,541PRroperty Line Firewall & Openings
,y< Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
5378tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
5eplywood on Roof Overhang -Attic Vents -Rafter Outriggers
. Siding-Nailin5 Veneer
Stucco M -Drip Screed -Fd. Vents-Underflr. Access
Z. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
S nsulation-WaIW-_C,eiKgs„
8 nfiltr ion -W s-Wi ws
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 (�
Date FINAL (Plans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
60. -Smoke Detector
ST Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
8#-8edroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66`. Elec. Trim & Subpanel; Breaker Sizes & Labels
gr7airs & Rails
Ot-Fireplace or Stove; Clearances -Hearth -�
lit -Sec. Outlets at Wood Panel; Int. & Ext.
6.it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
K. Elec. Outlets & Receptacles at Kit. Counter
72"ftarage Fire Door; Swing -Landing -Closer
73-A C Duct in Garage -Damper
7 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
76. Eilee. Receptacles in Garage; (G.F.I.)-Romex Protection
7 Insulation -Foam -Looked in Attic 0 Yes
778 Gard Rails & Deck Construction -Post Caps
7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
,B6"Following instld.; Drive 11 Yes ❑ No; Walks ❑ Yes O No;
Planters 0 Yes CI No
Stucco' Finish
A.C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
64-W-ater Well; Disconnect, Electrical, Plumbing
88"Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation Throughout House
. Glass Protection
Corrections from Previous Inspections
W Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
1 Energy Compliance Certificate -Other Certificates
Date U ( Card B-1 G 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)
0 2 e r1 so a r15.�. 'Permit Permit No.
ENERGY
Le L 0 V% (2 4- -,
LOCATION
ROOF
MATERIAL_
THICKNESS
EXTERIOR WALL
CERTIFICATION
I
DESCRIPTION OF INSULATION
BRAND NAME
THERMAL RES.
A.P. NO.
MATERIAL FIBE GLASS BRAND NAME Cf4TAINTEED
THICKNESS THERMAL RES. — 1
CEILING
��
BATT OR BLANKET TYRro– RAND NAME RTAINTEED
THICKNESS LZ THERMAL RES. — 3 IS
LOOSE FILLTYPE INSUL–SAFE IIIBRAND NAME CEgAINTEED
THICKNESS 1 " THERMAL RES.
FLOOR,ELEVATED
MATERIAL FIBERGLASS BRAND NAME AERTAINTEED
THICKNESS ' 14'' THERMAL RES. Vd=— t
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE,, -STATE OF*CALIF. ENERGY REQUIREMENTS.
FIRM NAME OWNED/ �' STATE CONTR. LICENSE NO.
!Z-'7-40
I hereby certify the above insulation and all required items as shown
on the Building Depart. approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
-------------------------------- -------------------------------
FI RM NAME/OWNER ( PLEASE PRINT) STATE CONTRACI'OR'S '%'(' .
SIGNATURE OF GENERAL CONTRACTOR/OWNER 1)ATI.
This certificate must be on file with_the BUILDING DEPARTMFNT prioy to
final inspection approval and a copy shall be posted within the t,uild,jn�:.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
i
747ElliottRoad, Paradise— Phone: 872-6307
CORRECTION NOTICE
SoRi�(45o4 qd("?_a-,%
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
ma
jr, or need additional explanations, please contact this
/office immediately.
` C'AN CIL. O N /n/SL,Awa
Date 3 -ea --i/ Inspector /7
COUNTY OF BUTTE
....DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
41002-110
2 IP -°i -0, A
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
-mat;e< or need additional explanation, please contact this office immediately.
VA
0 0 t—,c e, 1'b
(0-orce, r qrCX (Lt e AL, VS Q) 1Z CS
A
,7-e,
IN
-J \1 L -
Sojl� Wkr-M, AA4, GA --s PiPilla-
PaGui iza Ar Li c
I rT%/IJG
Gr 1,j& A ndjs
Date 3-e- 5- q, Inspector /I
F,
CbUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95065 - Telephone: 916/538-7541
,,APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER ♦
39-54-16
ZONI
BUILDING PERMI
OWNER -
WENDELL SORENSON
TELEPHONE
873-1858
SO. FT. OCC. BUILDING UATION
544 R
21760
OWNER'S MAILING ADDRESS
P.O. BOX 4209, CHICO 95927 ^
CONTRACTOR'SNAME
SAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
SAME
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation I $
24. a6d
FilingFee
11
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 152.50
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER _TFE'�S
LICENSE NO.
Plan Checking Fee
$ 76.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9459 DILL`ON COURT DURHAM
Permit fee,
-,-
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
4 2.00 8.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 5.00
Each qas water heater or vent
5.00 1 5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New[: Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 60/640 _
Permit Fee
$ 38.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 OR 0 AMP ORSLESS
10.00 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 rce and effect.
f-7� I4 Classification
License No.
❑ 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW ADDNST ( DWEACCLLING
GOCCUP.� S.
2'h¢sgft 13,60
NE w coNSTR ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS s
(SINGLE OUTLET CIR.
Ex. Occup(OUTLE TS OR FIXTURES
20@50aSAL030
FIXED APP N .
Ex. Occup. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin g
15.00
Permit Fee
$ 33.60
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
f;o I have placed on file with the County of Butte Building Department
`-P 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 10.00
Heating
6,00
HEAT PUMP
Cooling
g
6.00
Hood
3.00 3.00
Ventilation
Permit Fee
$ 25.00
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 ofCONST
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
iaai t said Cou ty , consequence of the granting of this permit.This
'��(Date___1( rl l
na,u,. of. pplicant - Owner LSI. Contractor ❑ Agent ❑
An OSHA permit is required for excavations ove eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
TYPE
TOTAL FEE $ S 380.35
HAz
CUA
PARK
SCHL
FLD
PAR PD ''
HD Issu
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PER(& IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Z'� " FL
Receipt No. 84531 ,35� C�
WNITC-D.P.W., TELLOW-A53l990R, PINR•IN9.TOR.
+_.",�(y.�V-....;i'd'`.,;re�,.' -' '° r,a:�r''�''•i!����""'_.Y'✓''iy' v"7'i9�`�f('✓Pii�'�R,r+. ..s:�+y..�.,;yYf'--�i,.r.-
d
COUNTY OF BUTTE - EPARTMENT (*.RUB.LIC WORKS - BUILDING DIVISION
I COUNTY CENTS E - O,ROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/535=7541
OWNERPY(4..�: "
(O.// O
�
Proposed Building Use''-
,APPLICATION DATA SHEET
L Building Inspector
Permit No
. P„No.
x.�..
At time of permit application, I was advised the fO11t _- , i!`d"ata"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 .........
71, 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........ �Q.....................................
Fees of $
11. Chico Urban Area fees paid .......................................
12. Parkfe paid ......................................
r h* iy"1* ool�rict fees paid ............... G
Sanitation approval from (�Vl 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 regUlred 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. LetSero Ign ure authorization
26. 6C���
27.
When you issue the tAAa:nd
s follows: Ma' jo owner. Mail to contractor.
Telephone hold for pickup atoffice. Deliver w/inspector.
Other j r
Applicant
bate
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 rt permit iss a e: ( it le 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_lnail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by _Date
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
owner
_ Location
Plan Approved tor:
Sewage Disposal k-' Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
q
Clearance for bedroom mobile home. Other A bn
_ . . . A. n ► k__(1.- _
- Date
San tarian
. �,1,\,11r"11
COUNTY OF BUTTE - DEPAR-TUENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Calitrriia 9 965 - Te,epncne: 916 'E38-7511
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PA EL NUMB R 4
— —
7r4I
BUILDING PERMIT
OWNER� 1 �� C^12 s�
-E� PH N
SO. FT. ! 0 BUILDING VALUATION
I
_ .
OV{pQ�F}{w5 MAy}ING AOOR E552 e9 q
�. 1. ��
I
CONTRACTOR'SNAME
TELEPHONE
'
CO RACTOR'S MATLING ADDRESS
Fireplace
CONSTRUCTION LENDERUNKNOWN
��
Total Valuation11 5
Filin Fee
9
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ —
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ -
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
E LD I „x
BUILD GCep�L
S
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00' Q
(A r a
Solar or heat pump water heater
20.00
LOO.
SU8 VISION NAME
LJI��� -
PARCEL MAP
Water piping
5.00 5 od
Each qas water heater or vent
5,00 Q
USE OF STRU - URE
SFPZ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 Q
Building sewer
5.00
Mobile Home S FG FW
110-00 6
TYPE OF WORK
New Addition❑ Remodel[]Utilities[:]Installation❑ Other ❑
Describ work:
too
Permit Fee
$ 9a. 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 611'1 OR LESS
100 AMP OR LESS
10.00 C7
Main service EA. ADD•L 100 AMP
2.50
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. 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 -Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OR ADDNST ( DACCLLIL11 1CCJ
12'/¢sgft
NEW CONST R. . UL. OUTLET
NON.P. E SID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e}
SINGLE OUTLET CIR.
Ex, Occup( OR FIXTURES
5AL2AL930e
IXED
EX. OCCUp. OUTLETS PRE510 IRE A.)
I 2.00
Temporary service
10.00 -�
Home Facilities
15.00
Misc. `Kirin g
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 subjectD
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 1 10.00
Heating
I I Z.00
at
Cooling
.o
Hood
3.00 d
Ventilation
�—
ermit 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 LI 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 3
Energy Inspection Fee $
OCC CONST T'f?E
NOTAL FEE S
HAZ CUA I PARK
I SCHL
I FAD I PAP. [PD
HD ISSUE
Th:s permit is nereby Issueo unser
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By p
PERMIT EXP19ES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -A r—o . PINK -INSPECTOR. GOLOENROD-APPLICANT
'W F _T4'
. , 6 V -+mow �Z #'4i' r �:5=t ~•c TMrn~. � v- _ . , , _ .. _ „ . _. ,c .�
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION—FORM
41 (One Form' per. Building)
A.P. Number 59 -5 "f.' Building Department No.
School District Voy4qkyl City Q County W Jurisdiction
)Property Owner We h It re nsn n ;
Project Location/Address �' Lon 0 0rQ'{/J� �
Sub_,daivision Lot Number
N
Residential Development:
Commercial/Industrial:
L_i_Ja
# of Living MHI
Units
New
Building Department Representative
Sq. Footage 5-114
Addition (Group IR)
Sq. Footage
Addition (Including Exterior
Roofed Areas)
A
l Oqt_-�
Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No.
' prm U ii,, �,ed School District certifies that
[� (Applicant \N ))
�ame� (Phone Number)
(Street Address)
'k 'c" O—A g
(City) (State) (Zip Code)
.has complied with the requirements of Resolution No.
by the pa ment of $ `~f %' representing '5441 square feet .
kl"'ktE" Ic�2-19 t9
School DistrictiRepresentative Date
PAID BY CHECK NO.
BANK NO I 01�652
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district j
SCHOOL.FEE
�-I-
(8/88)'
i
RESIDENTIAL PLAN CHECKING GUIDE 5/89
(S.. -F. , DUPLEX & MISC. ONLY)
Bldg. Permit iff d a Q a
OWNER A. P. # 3Q -S --1�
GENERAL
-
/Zo.ing requirements: (sideyards and number of permitted. living units)..
aluation.
Plans signed b
g y designer.
Energy Design and Compliance.
Existing.violations on property. -
6. Items on data sheet.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage. -
Flood hazard.
Special conditions on creation map or- compliance.docume:it. _
FAU & FAS road setback.
FLOOR PLAN
VG
omplete to scale plan with dimensions.
equired windows for light and ventilation (Sec. 1205).
equired windows for second exit (Sec. 1204),
kylights (Chapter 34 & Sec. 5207).
uman impact glass (Sec. 5406).
equired room sizes, ceiling heights (Sec. 1207)....FCIs in baths, garage, and exterior outlets (Article 210-8).
ight^.-fixtures,.. switches,_ receptacles, and exterior receptacles for maintenance
of mechanical.* equipment:::
ocations of water heater, heating.and cooling equipment, other electrical or -
as equipment, and plumbing fixtures.
rage firewall, door size, and closer (Sec. 503(d)(3)).
1 — 3'0" exterior exit door (Sec. 3304(e)).
. Fireplace and wood stove location, alcoves, and clearance.
. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
F
oundation plan complete enough to construct building
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
oof construction details complete enough to construct building.
Fireplace construction detailsand talcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick.. or stone veneer (Chapter 30)...
5/89
RESIDENTIAL PLAN CHECKING GUIDE
t
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)_
xterior plaster - weep screeds (Sec. 4706).
p -per roof pitch for. roof covering (Chapter 32).
Roof covering type - (fire hazard)..
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separatLon-required on garage side
including supporting walls and posts, etc.
o exits on three-story dwellings (S - 1716)
(Sec. 3303 &see Mezannines
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
or fuel burning appliances.
Combustion airf;.
Noise requirements on duplexes.
Adobe soils -special foundation design- ,' •.
3 ..Retaining walls requiring design-
11Unusual shape, size, or split level house requiring lateral design.::
9!Flashing at all exterior openings. .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Californla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-0629
ASSESSOR PARCEL NUMBER
16
ZONING
BUILDING PERMIT
OWNER54
WENDELL SORENSON
PHONE
873-1858
T. OCC. B DING VALUATION
OWNER'S MAILING ADDRESS
P 0 BOX 4209 CHICO CA 95927
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 500
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9459 DILLON COURT DURHAM
Permit fee
$ 30.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [I(XIDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK XX
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: PERMIT TO COMPLETE 4062-90 _
60-640
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO IOOOA)
37.50
CONTRACTORS LICENSE LAW
under penalty of perjury (check one):
I deWand
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
Professio s C d d my license is in f I force/and effect.
License No. Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCURM
OR AODNS. 1 ACC. BLDGS.
3.6$sq.ft.
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
AO 76d
Ex. Occup. out R
OUTLETS ((RESID.)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.
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
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 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 li bilities, judgments, costs, and expenses which may in any way accrue
a a' t said Coun consequ a of the granting of this peejrm:
X \. Date ✓�
$i oture o A icant — Owner Contractor ❑ Agent%
An OSHA permit is required for exc ations 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 $ 30.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISS
This permit is hereby issued under the
sions of;Butte County Code and/or
work di ted abov r hich fee
DIREC PU LIKS
By
PER EXPIRES ate0
applicable pro i
re - olutions to do
ve been paid.
Dat
owl
Receipt No. 109942
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
�� 9z
ASSESSOR PARCEL NUMBER/
S'�r/
ZONING /
BUILDING PERMIT
OWNER
TELEPHONE
5-7 3/
S0. FT. OCC. BUILDING VALUATION
OWNER' VILING ADDRESS
1`1�-9
CONTRA TOR'S NAM t
AV
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ �z 061
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
D/LLD /U �%`�
Permit fee
$ O
PLUMBING PERMIT
Filing Fee 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
7.00
�,( USE OF STRUCTURE
SF �f Duplex❑ Mobilehome❑ Other
\ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: % C L —
o 6 2 _Gl
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20GATO 10o0A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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 .Jo. Classification
Fl 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.ty\
OR ADONS. ACC. BLDGS. //
3.6dsq.f[.
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUS e
SINGLE OUTLET SR.
Ex. Occup( OR FIXTURES
20 76d
RA
Ex. OCCUp. OUTLETS IIRESIO IFIXED APPLNSREA
3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. byirin 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 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.
X Date
Si nature of Applicant – Owner
g pp ❑ Connector ❑ 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
TOTAL FEE $ -3a p
HAz
1 11 FEES I
IMP
I FLOOD
I CDF
I 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. ��7i
WHITE•O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J,+'
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
4> 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIPAPPLICATION DATA SHEET
/ Permit No.
OWNER�7y�/rii� DF A. P.�
Proposed Building Use ��PL�7 Building Inspector Date3Z-7 AZ
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
L-'- '/ 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. a! 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. Mai co ractor.
Telephone and hold for pickup at - office. Deliver w/inspector.
Other_ . / ( 1
Applicant
Date
Copy of Haz-Mat form sent Health Dept./ Ire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire De t. 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---jnaiI—counter by ..date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
HEATING & AIR CONDITIONING Nc
November 27, 1991
:Sorenson Construction
P.O. Box 4209
Chico, Ca 95927
Att: Kelly Sorenson .
Dear .Kelly;
OnNovember 27,. I inspected the -air conditioning units a 7425
Dillion Court, in Durham.' You expressed to me your concern that
-the concrete curbs around the units may cause future problems.
-I feel that this is not the case. The curbs are low, to enable .
easy removal of the panels and also for servicing the equipment.
'There.may be leaves or debris build up, so the owners should be
instructed to keep the area surrounding the units clean. If I
can'be.of any further assistance; please call.
Sincere ,
J n A. Gray, Jr. 9
P esi ent v
�. v (.0 i 7`�d 04-/V
4,0 UISM
�) o ��
GO��►
�cA
JAG/lw (o
LIC. NO. 405424
3025 SOUTHGATE LN. • CHICO, CALIFORNIA 95928
(916) 891-4926 * FAX 891-3452
GOLDEN BAY CONSTRUCrION,.INC. f.
1200 INDUSTRIAL ROAD, SUITE #1Ao�
ffSANCARLOS, CA 94070 /V 5
�0./�a%
BUTTE COUNTY DEPT OF PUBLIC WORKS r,aicn 7, 1992 -
7 COUNTY CENTER DR.
OROVLLLE, CA 95965
RE: 9459 Dillon Court, Durham A.P. #: 39-54-16
Dear Sirs,
I, Luigi Zanette, owner of GOLDEN BAY CONSTRUCTION and owner
of above said property am responding to your letter sent to contractor
Wendell Sorenson. There seems to be a bit of confusion in that the premises
have been inspected and there is a correction list of,which Wendell has
completed with the exception of the concrete work on the back patio area.
My construction company did the work in question and it seems that your county
is trying to enforce a code that there -is to be a 3' landing. In San Carlos
they only require a landing such as that when it goes to stairs. If you inspected
the premises you would see that putting a landing that big would be unsafe.
As you come out of the patio doors there is a step of standard size that
brings you to the back patio. I feel that a large (3') step or landing
such as your calling it would confuse people and I would have alot of
accidents.
As it is now my liability if someone were to get hurt on these premises
I do not wish to.change my design. I absolve Butte County from all
liablity in this matter and appreciate your time and patience in this matter.
Respectfully Submitted,
Luigi Zanette O
GOLDEN BAY CONSTRUCTION, INC.
"v
2�Xgy-qa
HEATING & AIR CONDITIONING iNc
November 27,'1991
i%,`�''``
.Sorenson Construction
P.O. Box 42090'
Chico, Ca 95927
Att: Kelly Sorenson
Dear Kelly;
On November 27, I inspected .the. air conditioning units at 9459
,.billion Court, in Durham. You expressed to me your concern that
the concrete curbs around the units may cause future problems.
I feel that this is not the case. The curbs are low, to enable
easy removal of'the.panels and also for servicing the equipment.
There.may be leaves or debris build up, so the owners should be
instructed to keep the area surrounding the units clean. If I
can'be.of any further assistance, please call.
Sjz_c.ere1,q'1
Jn Je
. Gray, Jr
P esint
JAG/lw
LIC. NO. 405424
3025 SOUTHGATE LN. o CHICO, CALIFORNIA 95928
(916) 891-4926 o FAX 891-3452
GOLDEN BAY CONSTRUCTION, INC.
1200 INDUSTRIAL ROAD, SUITE #1
SAN CARLOS, CA 94070
BUTTE COUNTY DEPT OF PUBLIC WORKS
7 COUNTY CENTER DR.
OROVILLE, CA 95965
RE: 9459 Dillon Court, Durham
Dear Sirs,
A.P. #: 39-54-16
March 5, 1992
I, Luigi Zanette, owner of GOLDEN BAY CONSTRUCTION and owner
of above said property am responding to your letter sent tb- contractor
Wendell Sorenson....There seems to be a bit of confusion in that the premises
have been inspected and there is a correction list of which Wendell has
completed with the exception of the concrete work on the back patio area.
My construction company did the work in question and it seems that your county
is trying to enforce a code that there is to be a 3' landing. In San Carlos
they only require a landing such as that when it goes to stairs. If you inspected
the premises you would see that putting a landing that big would be unsafe.
As you come out of the patio doors there is a step of standard size that
brings you to the back patio. I feel that a large (3') step or landing
such as your calling it would confuse people and I would have alot of
accidents.
As it is now my liability if someone were to get hurt on these premises
I do not.wish to change my design. I absolve Butte County from all
liablity in this matter and appreciate your time and patience in this matter.
Zctfiilly Submitted,
l
Luigi ette
GOLDEN BAY CONSTRUCTION, INC.
Sam ria-i�
Ao�
g C/
es 0 —136 F
0 er
ENERGY
(2,a �` +_ i (, 1--_ '__-� .
LOCATION
Permit No.
CERTIFICATION
.DESCRIPTION OF INSULATION
ROOF
MATERIAL BRAND NAME_
THICKNESS. THERMAL RES.
EXTERIOR WALL
A. P. NO.
MATERIAL FIBE GLASS
BRAND NAME CF4TAINTEED
THICKNESS A14
THERMAL RES.
_
---1
CEILING �- o l a
BATT OR BLANKET TY;�rC"
RAND NAME
RTAINTEED
THICKNESS LZ �.
THERMAL RES.
--'?
LOOSE FILLTYPE INSUL-SAFE,IIIBRAND
NAME. CE"AINTEED
THICKNESS
THERMAL RES.
FLOOR,ELEVATED
MATERIAL. FIBERGLASS.
BRAND NAME (,ERTAINTEED
THICKNESS
THERMAL RES. 06
t
FLOOR, SLAB
MATERIAL
BRAND NAME
THICKNESS.
THERMAL RES.
WIDTH
FOUNDATION WALL
'
MATERIAL:
BRAND'NAME
THICKNESS.
THERMAL RES.
I HEREBY CERTIFY THAT. THE ABOVE INSULATION.WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCW TH THPTATE OF CALIF. ENERGY REQUIREMENTS.'
7
.—FIRM NAME WNfSTATE CONTR. LICENSE NO.
17- —7 d
I hereby certify the .above. insulation and all required items as shown
on the Building Depart... approved.pla.ns,and attachments have been.installed .
as r.equir.ed by the State of California Energy Requirements.
All equipment, devices andmaterials are of.the.quality 1�resc.ribed o.r
are specifically approved by the State of Calif:
FIRM NAME/ OWNER ( PLEASE PRI NT) NATE CONT.R.ACTO R' S
SIGNATURE. OF GLNERAL CONTRACTOR/OWNER DATE.
This certificate must be on file'with the BUILDING DEPARtMFNT prior Vo
final inspection approval and a copy shall be posted within the building.
JANUARY 1984
m
C1
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0
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tiro
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y
ii
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(0 r
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r
a STATE OF CALIFORNIA ;SS.
-i COUNTY OF Rnt-f-e )
On November 30 , 1990 ,before me, the undersigned, a Notary Public in and for
said State, personally appeared * *LUIGI ZANETTE* *
personally known to me (or proved to me on the basis of satis-
factory evidence) to be the person(s) whose name(s) is/are sub-
scribed to the within instrument and acknowledged to me that
he/she/they executed the same.
WITNESS my hand and official seal.
1
1-3,
1
Signature— • .
Tame Barlow
0 OFFICIAL SEAL
TAMI BARLOW
NOTARY PUBLIC — CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY
My Commission Expires October 24,1992
(This area for official notarial seal)
Return to D.P.W.
RECORDING REQUESTED BY;
MID VALLEY TITLE.
90-5217-7
90-052177 R e c F e e
Check
Recorded ;
Official Records
i County of ;
Butte ;
Candace J. Grubbs
Recorder ;
8:OOam 5 -Dec -90
NOTICE OF COMPLIANCE
WITH COUNTY CODE SECTION 24-202 (A) (3)
r TO BE RECORDED BY OWNER
(ADDITIONAL DWELLING IN SINGLE
FAMILY RESIDENTIAL ZONES)
7.00
7.00
CD 2
Applicant Luigi Zanette Date Nov. 30, 1990
Zone AP#!n Building Permit #
I, Luigi Zanette do declare, that the dwelling
(Building Permit # ) at address (present)9459 Dillon Ct.
Durham, CA. on AP. # 39-54-16 is
intended for.. the sole occupancy of one adult or two adult persons who are
60 years of 'age or over, and the area of floor space of the dwelling unit
does.not-exceed 640 square feet. .Said property is more particularly des-
cribed;:in,.Exhibit "A" attached hereto.
I also understand that violations of these provisions are subject to the
penalties provided in Section 24-63.1 of the Butte Countyode.
Signed
• Dated
49,0521,77
j • �
r..W.m+�Fw iNMR•F-^•.. �+h.e•irw->wn�+mw.r?iW.s�G?rW.'41i....•i�,6cv4+s.Y+fir.o+nc•I�uww.+xYy�Mr�•a.t:�4a+w.�4ux-`r.of+!`1h94 +�+^P.d�leti -.=i..�rt
.._ 4'C A Tf F /j � .c, ��+,.r-a.._.......<,-.-�..�.� `ems„"• r.'*'
7� ORDER NO. BU -114636 TB
DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 16, 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.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS,
SUPPORT AND STORM DRAIN OVER, ACROSS AND UNDER DILLON CT. AND G.
WARREN DR., AS SHOWN ON THE ABOVE DESCRIBED MAP.
ALSO RESERVING THEREFROM A 10 FOOT STORM DRAIN EASEMENT FOR THE
BENEFIT OF LOTS 1 THRU 20, INCLUSIVE, AS SHOWN ON THE ABOVE
DESCRIBED MAP.
SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MAY
9, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-16849.
PARCEL II•
Y -A NON-EXCLUSIVE -EASEMENT . FOR ".INGRESS, EGRESS;- SUPPORT LAND 'STORM
BRAIN ' OVER, ACROSS AND UNDER DILLON t�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, 3, 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.
.... ..., F.NP OF DOCUMENT ....: .. .... .
t.
Uv ./ Z
RO�DTIAL ®6 �a
r. 39-54-16 2186-91B,P,E
ZANETTE, Luigi & Miranda
9459 Dillon Ct, Durham
cont; Sunshine Pools
(swimming pool/sf)
�c
JOB FINALE
Bigriature
J=OK
O = Not OK
Not A:pplic
Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
i
3. Sewer; Location -Test -Fall -C/O Concrete
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.-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 CaA B-1 Date Card B-1
Date POO lans) OK except #'s
b ks-Easements
S s; Compaction -Structure Stability
ioo'Pooi Structure; Steel -Connections -Thickness
Dead Men -Lining
ec. Receptacles and Lighting, Distances -GA
Pool Lighting; 15 volts-GFI
Iec.;Enclosures; Conduit Entries -Terminals -Listed
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
&OIE-lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxe nclosures-Panel boards -Ins. to Main in Conduit
nloth Department Approval
lumb.; Cir. Test -Water Supply Test
QCE tr- AJf (,E[r_ a,-&-5/ Ga
-40
Date (� Card B-1 Date Card B-1
Date i
.�_Joia I Card B-1 Date Card B-1
q
r
J
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
_ Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
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- 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 CaA B-1 Date Card B-1
Date POO lans) OK except #'s
b ks-Easements
S s; Compaction -Structure Stability
ioo'Pooi Structure; Steel -Connections -Thickness
Dead Men -Lining
ec. Receptacles and Lighting, Distances -GA
Pool Lighting; 15 volts-GFI
Iec.;Enclosures; Conduit Entries -Terminals -Listed
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
&OIE-lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxe nclosures-Panel boards -Ins. to Main in Conduit
nloth Department Approval
lumb.; Cir. Test -Water Supply Test
QCE tr- AJf (,E[r_ a,-&-5/ Ga
-40
Date (� Card B-1 Date Card B-1
Date i
.�_Joia I Card B-1 Date Card B-1
q
r
J
w
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except ti'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. 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 ti'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 f+'si
22. Fixture & Transformer Clearance -Ins. Protection
------------------ ------------------------------ --
23. Elec. Receptacles Spacing -Lights& Switches at Doors
24. Size Boxes & No. of Conductors -Stapled �r
------------------------------------------------ ------------------------
25. Romex Installed Close to Edge of Studs & C.J.
------------------------------------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
--------- -------- ---------------- -- ----- -------------------------------
27. 2 Appliance CircuIs in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size / / ga.
_ Cu or AI
- --------------------------------------------------
29. Range Circ / ga. Cu or AI -Oven Circ. / / ga, Cu or Al.
Insulated Neutral ❑ -Yes ❑ No
---------------------------------------
30.
-------------------------- ---------- -- ---- --
30. Service -Riser Conductors & Ground -Main Disconnect
------------- - ------------------------------------------
31. Equip. Clearances Panels-Motors-Mech. Equip.
-----------------------------
-------------- 31-.-Equip.-Clea-ra-nces
Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
-------------------------------------------------
-------------- ------------------------ - ---------------------------------------
Date
--------------
Date Card B-1Date Card B-1
----------------------------------- --------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti'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 #'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.
-------------44. Headers & Beam -Size & Bearing
hO=.
'Ingle & Duplex) '
Date I FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. 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; Nailing -Bolts
_ 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--- ------------ f--------
--------------------- -
Date _ % Card B-1 Date Card B-1
Date "' Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------- ------------
64. Bedroom Exiting
--------------- ----------- ---
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66.'Elec. Trim & Subpanel; Breaker Sizes & Labels
---------- -------------------------
67-'Slairs & Rails
-------------
68. Fireplace or Stove: Clearances -Hearth -
69. Elec. Outlets at Wood Panel; Int. & Ext.
-- ------ -- --------------------- ---
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
--------71..'--Outlets 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 ❑ Yes
---------------------------------------
78.Guard `Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.'Drive ❑ Yes 1:1No: Walks 11Yes 11 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; --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
Comments at Final:
Date _ Card B-1
Date Card B-1
Date Card B-1
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"
CORRECTION NOTICE
I
4A1VA1 $6P-gl
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, pr need additional explanation, please contact this office immediately.
(C
..sem
Date 8—�� 9� Inspector %Ju�r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
—
ZOVING
BUILDING PERMIT
OWNER ,4-otiran � y .1
Zanette 916
'Ji—P171-10 NE
882-4439
SQ. FT. OCC. BUILDING VALUATION
Est. Pool 1,9"0-0-0.00
OWNER'S MAILI .DDRES
1900 Tridiigtrial Rd., #1, San Carlos 94070
CONTRACTOR'SNAME TELEPHONE
1345-4254
CONTRACTOR'S MAILING ADDRESS
FireDlace
CONSTRUCTION LENDE
UNKNOWN
Tojail Valuation $19,000.00
Filing Fee
$ '0,00
LENDER'S MAILING. ADDRESS -
Pe- sic Fce
$134.50
_
AR CHI : V. E7 OR Lv INEEAT — --
LICEr15E NO•
Plan Chep'King Fee
$ 15.00
Ener Plan Checking Fee
Energy ecg
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
_
Penalty
$
BUILDING ADDRESS
Permit fee
$159.50
PLUMBING PERMIT
Filing Fee 10.00
9459 Dill on Ct - Durham
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
16
SUBDIVISION NAME
Durham Valley Est.
PARCEL MAP
1116-10
Water piping
5.00 5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehome❑ Other Swimming Pnnl
SP CIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New (2 Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: Swimming Pool
Master #500-88
Permit Fee
$ 15.00 119
Contractor
_
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
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. 3'S7a7F Classification. C -S3
❑ 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.III
DR ACDNS. ACC. BLDGS.
, �a2sgft
NEW CONSTRES'D, U OUTLET
NON-ESIBRANCHCIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
OUTLETS OR FIXTURES
Ex. Occup(zAL0
eL93030
EX. QCCUp. OUTLETS P(RESIDFIXED IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IVirin g
15.00
Pool Electric
1 15.00 15.00
Permit Fee
$ 25.00
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
penult 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 liabi ities, judgments, costs, and expenses which may in any way accrue
again s id Coun ypon qu nce of the granting of this permit.
X Date
Signature of Applicant — Own r ❑ Contractor K Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
—
TOTAL FEE $214.50
HAz.
can PARK
SCHL
I FLD CDF
PAR
PD 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.
D UBLIC WORKS
Teight.
BvJ Date
PE MIT EXPIRE Date
a
Receipt No.
WNIT!-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENkR DRIVE - O�LLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERM ILAP.'sPL�ICATION DATA SHEET r
Permit No.
OWNER 2
Proposed Building Use�.�r� r Building Inspector Date 9-1'_41
At time of permit 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
w
5. Hazardous Material Form ........................................ ' .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and WC 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 paid ..............
i4. Sanitation approval from ?.L,+IT 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. Q Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other ll
Applicant�a-Q�vt CJ r.,wL��/L .Date —J Y
Copy of !-laz-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 —mal l—counter by date
Plans checked by
Copy—DPW
Date Plans approved byL
Sets of plans on hold in File cabinet AP folder
Date ,/
TO Buildinv Department Y
FROM: Environmental Health
SUBJECT: -Sanitation Clearance
t
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold -final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other ,�R,l
NOTE.**
Sani arian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
. - APPLICATION AND PERMIT
-
-1SSESS0R PARCEL NUMBER t
• _ _` ^ , 16t
ZONI G
—
BUILDING PERMIT
Water piping
OWNER
A IV
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Gas piping system 1 - 5 outlets
OWN R'S MAILING A00R SS �+ � /1 ^
A
200 �ruousTn�/a gal �4IV C1}rz1,os C
1
..•
y t
• CONTR �+COR'3 NAM
TELEPHa E
u.. vr.
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESIO., EA.)
CONTRACTOR'S MAILING AOORESS
�lj
9�A U�
Fireplace ;
Misc. `Tiring I
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
'
Filing Fee S 10.00
LENOER'S MAILING AOORESS
Permit Fee $ s—a ;
'
ARCHITECT ORGINEER
LICENSE NO.
Plan Checking Fee S I
Energy Plan Checking Fee `S
ARCHI CT OR ENGINEnR'S MAILING AOORESS
Penalty S
Contractor
B uILOING AOORESS
Permit fee $ SO
PLUMBING PERMIT FilingFee 10.00
LOT NO. SUBDIVISION NAME PARCEL MAP
u 'L = S T
USE OF STRUCTURE
SF JX Ouplex Q Mobi lehomeQ Other
SPECIFY
TYPE OF WORK
Each Trao
2.00
Solar or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0 00-00ea
EX. OCCUp(OUTLETS OR FIXTURES
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESIO., EA.)
515.00
Filing Fee 10.00
10.00
2.50
'/z25q ft
2.50 ea
zoeJac
eAL! 301
2.00
10.00
15.00
15.00 Q
s 2-5.00
FilingFee I 10.00
3.00 1
S
S
S
to building construction, and hereby authorize representatives 0 the County or occ I CONST —.PE
Butte to enter uoon the above-mentioned property for inspection purposes. G
•1 also agree to save, indemnity and keep harmless the County of Butte against TOTAL FEES
j ""z CUA '°"x i all liabilities, judgments, costs, and expenses which may in any way accrue ( :�o ssuE
against said County in consequence of the granting of this permit. I ! 1 I scH� BAR oO +o
I...S permit Is nereov Issueo urcer the aopiocaole prbvl-
X Date lions or the Butte County COce and/or resoiutiens to ao
+— Agent I work inoicatea above for wroth fees have been paid.
Signature of Applicant — Owner C Contractor
An OSHA Permit is required for excavations over 5'0" deep and �emoiition or construct. DIRECTOR OF PUBLIC 'NORKS
ion of structures over 3 stories in height.
Receipt No.
By Date _
Newti Addition❑ RemodelQ . tjtilities�nl In tallation❑ Other F]
Describe work: p
�ns�er X00 `� O
Permit Fee
Contractor
ELECTRICAL PERMIT
`'Iain service 6100V OR OLE
RSLS
I00 AMP OR ESS
Main service EA. AOO'L 100 AMP
'
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
3
Q 1 am licensed under provisions of Chapt. 9, Div. of the Business
and Professions Code and my license is in .full force and effect.
License No. Classification
❑ I. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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 OC CUPM
OR AOONS. 1 ACC. BLDGS. I
NEW CONSTR. UL I.OUTLET
NON.RESID 9RANCH CIRC ITS
(P OWER APPARATUS d)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESIO., EA.)
Temporary service
Mobile Home Facilities
Misc. `Tiring I
Permit Fee
---
"
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q The permit is for 5100.00 (valuation) or less.
QI 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.
Q 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
Heating
Cooling
Hood
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 fLaws relating
'
Mobile Home Installation Fee
Energy Insoection Fee
515.00
Filing Fee 10.00
10.00
2.50
'/z25q ft
2.50 ea
zoeJac
eAL! 301
2.00
10.00
15.00
15.00 Q
s 2-5.00
FilingFee I 10.00
3.00 1
S
S
S
to building construction, and hereby authorize representatives 0 the County or occ I CONST —.PE
Butte to enter uoon the above-mentioned property for inspection purposes. G
•1 also agree to save, indemnity and keep harmless the County of Butte against TOTAL FEES
j ""z CUA '°"x i all liabilities, judgments, costs, and expenses which may in any way accrue ( :�o ssuE
against said County in consequence of the granting of this permit. I ! 1 I scH� BAR oO +o
I...S permit Is nereov Issueo urcer the aopiocaole prbvl-
X Date lions or the Butte County COce and/or resoiutiens to ao
+— Agent I work inoicatea above for wroth fees have been paid.
Signature of Applicant — Owner C Contractor
An OSHA Permit is required for excavations over 5'0" deep and �emoiition or construct. DIRECTOR OF PUBLIC 'NORKS
ion of structures over 3 stories in height.
Receipt No.
By Date _
VIOLATION CHECK LIST
A. P. #_-5 -5 Address
Owner
Owner's Address
Owner's Phone No. —2 9'k, -J Supervisoral District
Tenant's Name Phone -No.
Type of Violation in Detail with Code Section Priority No.
Specific Plot Plan with C/V Noted _yes no Penalties Required
1st. Notice Sent ,Z 2nd. Notice Sent
. ate Date
Comments and/or Determination
z9
Disposition
For Citation Citation
(Date) (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
3S.
PRCOF OF S=1111C BY I%M
6
am. over the age of 1E aad.. noc a pare cc tb'.is causi-.
cri:�
era =he°; ;
Building Division
oc_:=r= ed.. M? bnsaess address is Departmentf Development: Services
Q i Couat7 . ce_'• Dr=ve-
Cali ornsa_ Orov4-l-Te, CA. 95965
se_---ved_ the! forego:=;; 30-Da7- Violation Letter
(039-54=0-016)
by- enclosr::+g; a-- true-_ cop7-
i= a:, s -- Tad_. envelope- and: demos-;-- said: envel ore_ . the Uaite:.•.
z=s .wick, posra_e: fia p- prepaid.. on -,15th, of March
?? ` _93', and.. addressed:. as fcl._ows:
Luigi and Miranda Zanette
9459 Dillon Court
Durham, CA 95954
7.declare under ;e=al.7 of der ur7 under the laws -of
the, Stace of. Cal ; *or-. ia_-%"hac- the: zore_oing. is. =ze4 =d. cor-e_c--
ant:.. chac` C.`-' G declsrac_on was execuced. oa• 3/15/93
ac nrnv; 11 o 4 ormia.
David Purvis
Manager, Building Inspection
COMPLAINANT:
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS•
CAME FO
�'�'
AGA
SEES+Ya011 a
s .
OV LOCA
,�J,
WANTSTOSEEza�M
vwRUSH,.
aiirriFs37i`��.
RETURNED YOUR
�
�1 H
8�PCCIALATTENTION�
CALL u
. ,.
qUtt4e-
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Sunshine Pools
ADDRESS: 705 Lawn Drive
CITY & STATE: Chico, CA 95926 IMPORTANT:
.Jul 17 , 1990 SEE INSTRUCTIONS
DATE OF CLAIM: Y ON REVERSE SIDE
rrrnurr rf AIII TA ADDADT"ICUT RF['FIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Refund due to wrong AP#. Permit #2256-90B,P,E
Receipt 66426 dated 7/3/90 -
3 90.Total
Total Permit Fees Paid -------------- ---------------- $232.75
Retain Building Permit Filing Fee -----$10.00
Retain Plumbing Permit Filing Fee----- 10.00
Retain Electrical Permit Filing Fee--- 10.00
307
Total Fees Retained --------------------------------
TOTAL REFUND DUE ----------------------------------- $202.75
TOTAL
$202175
I. the undersigned, declare under penalty of perjury that the services -or articles claimed have a performed or delivers end that this
claim is true and correct as stated. '
�.lCIG. 19/D, at C'H�C CaIif. Ze'—.(.Dated this ........... �.................. day of ........................ , ...... ............................ :... .......... ......... ......... ..
Signa re of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the r
Oroville ............
Dated this..........17t................. day of .....jil .y............. 19..90 at ........ ................... . Calif ...............;r9ent
} De Heed or Authorized D ep ^
Dept. /t Exp• '
Code 440.-" 02. Code. 42� OSOQ PAYABLE FROM Const • ermits FUND
.................. ..
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
i
DEPT. & SUB. PROD.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE ENCUMB.
GROSS AMT.
I
(SAI
_Ii 1N F/I s
��� �� ���
P�
F��
OWNERS NAME:
PERMIT NUMBER:
RESIDENTIAL
NON RESIDENTIAL
RECEIVED BY: DATE:
A.P.# TIME:
RECEIPT #
-----------------------------------------------------------------
REQUIRED PRIOR.TO PERMIT.ISSUANCE
FROM DATA SHEET _ REQUESTED BY PLAN CHECKER ENGINEERING
OTHER
REQUESTED BY CORRECTION YES NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
Mail to contractor
Call
and hold for pickup at the
Deliver with next inspection.
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 Additional Fees Not Required
office.
CbUNTY 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 •'
• 39-54-16
ZONING
BUILDING PERMIT
OWNER Dick Jones
TELEPHONE
343-8583
SO. FT. OCC, BUILDING
VALUATION
Est 17,000.00
OWNER'S MAILING ADDRESS
377 Connors Court, 5 26
CONTRACTOR'S NAME
Sunshine Pools
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
7 Chico 95926
_77
Fireplace
CONSTRUCTION LENDER
NKNOWN
Total Valuation 1$17,000. 0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
128.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
!$
$ 4.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 192.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
16
NAME
1 Durham Valley Estates
PARCEL MAP
Water piping
1 5.00 5,00
Each oas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pnnl
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
TYPE OF WORK
New® Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: Master #500-88 _
En
Permit Fee
$15.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service j00VAMP OROR LESS10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
QC 1 am licensed under provisions Of Chapt. 9, Div. 3 of the BUslnesS
and Professions Code and my license Is In full force and effect.
License No.���� `� Classification �1+�
❑ 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.h
OR ADDNS. ACC. BLDGS.
,
2/20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
!POWER APPARATUS tri
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
eA @90
Ex. OCCUp- OUTLETS FIXED P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring Pool Electric
1 15.00 15.00
Permit Fee
$ 25.00
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.
(ji� I shall not employ any person in any manner so as to become subject
P1 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
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
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
agains id Cou y in on§squence of the granting of this permit.
T7r 5C7
X Date //
Signature of pplicant — Owner L Contractor 9 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
TOTAL FEE $ 232.75
HAz
I CUA I
PARK
I SCHL
I FLD
I PAR
I PD
HD
IssuE
This permit is nereby issued under
sions or 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. 66426
WHITE-D.P.W.. YELLOW-ASSE3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
/ , '~�
� '�
39-54-16 ( )
Permit#2250-90B,9^E
�
\ol/a�) ^
(swimming Po , '
COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95955 - TELEPHONE: 918/538-7541
PERMIT APPLICATION DATA SHEET 41p
Permit No.
OWNER 25/CAe 1%Q ESx r 0'
-:ArProposed Building Use Building, Inspector Dane
At time of permit 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 .................................................... r
13. School District fees paid ..............
14. Sanitation approval from Health Department r
15. City of Chico plumbing permit ..................................... f
16. Plot plan and business license approval from City of A"
(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.
t Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant ADate, �, • 3
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date } '4.
Copy of plans sent Health Dept. _Fire Dept. Other Date By,
? The following data must be submitted prior to permit issuance: (Circle nem �cAked, bove).
1. Index permit for above items No. 9el'
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Wendell T. Sorenton
P.O. Box 4209
Chico, CA 95927-4209
RE: Building Code Violations
9459'Dillon Court, Durham
Dear Mr. Sorenson:
March 15, 1993
A.P. #039-54-0-016
We sent you a warning letter dated March 2, 199,1 notifying you that you
are in violation of the Butte County Code at the above referenced location.
As of this date, the following violations still exist.
Failure to obtain approval of previous co`r'rections and failure"to obtain
final inspection prior to" occupancy and" periri t_ ekpiration'for con4L
truction of new single family' residence" and `60=640' sin'gl`e family`°
residence in violation of the 1988 Uniform Building Code as adopted
by Section 26-1 of the Butte County Code as followS:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees within thirty (30)
days of the date of this letter. After permit issuance and field author-
ization to proceed, the corrections must be completed and approved by this
office within the permit specified time.
Unless the violation(s) is (are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact David
Purvis or 'Bill. Barron of this office at (916)538-7541.
Yours very truly,
JFG:dms David Purvis
Manager, Building Inspection
?'.ZCCF OF' SZ_"11r_r= BY' t-%=
I. am over- =te- asre of 12 and. acc a oar -.-r a -m cb=s taus.-.
4 4i, e e
Building- Division.M-7- bus-ness- add=zzm. is: %yartment r D - geveloqmear Se-xvicas
.4
zr/ Counr_7. Canter ur-_ve,
sexr-7ed- the-=oragoia 30 -Dar- Violation- Letter -
(039 -54=0-016)
w-i:1"T-. 1308=aq!_-_ iLT � fi prepa-id: am:. .15th. ofMarch
93! and- addressed= as-- f621:awz:::
Wendell Sorenson
P.O. Box 4209
Chico, CA 95927-4209
7' deC" --a under- !;ema!!:7 of zer-ar-r- wader- t!:e Laws of
cue. _'Ztata. aj!_ Cal 4 or --:La- mtac: tee. fforeactasr La =am- =CL c=r-_ac=.
anti- tsar_ C!7-iz dec'---mC=;Qm: Was e--ac*1ca.-i. on.. 3/15/93
Ormv-i 11 'm;:Or-
David Purvis
Manager, Building Inspection
Luigi and-Miianda'Zanette
9459 Dillon Court'" _
Durham, CA 95954
RE: Building Code Violatid is " "--
9459--Dillon. Cour.t,--nurham• --
March 15, 1993
A.P. x'039-54-0-016
Dear Mr. and Mrs. Zanette:
We sent you a warning letter dated Flarch 2, 1992 notifying you that you
are in violation of the Butte County Code at the above referenced location.
As of this date, the following violations still exist.
Failure to' obtain approval of`previous`correctiohi and`"fa`ilure to obtain--
final inspection prior' to occupancy and permit""expita`ton-`for con-
struction of new -single` -family residence find d -'60=640~ single --family
residence in violation of the 1988 Uniform "Building `Code as adopted
by Section 26-1 of the Butte County Code as follows:
(a) Section 301(a) Permits -Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees within thirty (30)
days of the date of this letter. After permit issuance and field author-
ization to proceed, the corrections must be completed and approved by this
office within the permit specified time.
Unless the violation(s) is (are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have any questions concerning, this matter, please contact David
Purvis or Bill Barron of this office at (916)538-7541.
JFG:dms
Yours very truly,
David _PU_ fvis
Manager, Building Inspection
Wendell T. Sorenson
P.O. Box 4209
Chico, CA 95927-4209
f
RE: Building Code Violation
94.59 Dillon Court, Durham
Dear Mr. Sorenson:
March 2, 1992
A.P. #: 39-54-16
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 the required inspections and approvals for new single
family and 60/640 single family prior to expiration of the permits.
Residences are being occupied without final inspections and approvals
from this office. Failure to comply with correction notice dated
11/18/91.
_+ 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 will 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.
Yours very truly,
William Cheff
Director of Public Works
RT:dms J.F. Glander
BuildingInspector Manager, Building Inspection
cc: Assesso
Luigi & Miranda Zannette
709 Melissa Drive
San Mateo, CA 94402
RE: Building Code Violations
9459 Dillon Court, Durham
March 2, 1992 \
A.P. #: 39-54-16
Dear Mr. & Mrs. Zannette:
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 the required inspections and and approvals for new -
single family residence and 60-640 single family prior to expiration
of the permits. Occupying residences without the required final in-
spections and approvals from this office. Failure to comply with
correction notice dated 11/18/91.
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 will 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.
4 Yours very truly,
William Cheff
Director of Public Works
RT:dms J.F. Glander
+ Fuilding Inspector Manager, Building Inspection
cc: Assessor
1. Ceiling Insulation
S. Inriltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
Number of stories
-48
R -value
One
Two
Three
R-0
-103
49
32
R-19
-8
-4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
-10
4
0.20
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
3
13
Controlled
Ventilation Crawlspace
2. Wall Insulation
-9
-2
Number of stories
Single-
Single -
R -value
One
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
15
22
- -
0.80
-153-
-114 '
..--76
0.50
-91
-68
-46
0.30 .
-47
-36
-24
..0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00.
24
18
12
-1
0
12
0.70
3. Raised Floor Insulation
2
1
Insulation
In.Floor
6
4
2
Number of stories
0.50
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
S. Inriltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
U -value
-48
-69
-64
j
------0.60
,
-144
-70
.46
.51 to
0.50
-120
-58
-36
.!
0.40
-95
-46
50
-121
0.30-
-69
34
-10
4
0.20
-43
-21
:-t4
-14
0.10
-17
-8
=5
. ;
0.08
-11
-6
-4 . -
30
0.06
-6
-3
-4
4
0.04
-1
0
-.0-
-12
0.02
4
2
1
-55
0.00
10
5
3
13
Controlled
Ventilation Crawlspace
-17
-9
-2
Number of stories
13
26
R -value
One
Two
Three
7
R-0
-11
-7
` 5
-7
R-5
-4
-4
3
-43
R-11
-2
-2
-2
14
R-19
-1
-2
-2
2
4. Slab Edge Insulation
15
22
- -
-9
Number of Stories
3
9
R -value
One
Two
Three
-
R-0
0
0
.0
-31
R-5
8
5
2
16
R-7
8
6
3
6
F2 factor
16
18
-26
-3
0.90
-4
-3
-1
17
0.80
-1
-1
0
12
0.70
2
2
1
4
0.60
6
4
2
-17
0.50
9
6
3
17 "
0.40
12
8
4
S. Inriltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
-14
-48
-69
-64
U -value
East
Percent
:.West
Skylight
.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
ti
14
17
19
9
-1
10
13
15 '
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Elfectlre Percent Glass
(percent ghat x SC)
Effective
-14
-48
-69
-64
%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
na = not allowed
2
3
4
3
lB. Shading (Shade Closed)
Effective Percent Glace
(percent gisin x SC)
Effective
%last North Ead Sotto West Silly of
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
Interior
Slab Floor
Raised Floor
Mass
Measures
Stories
Family
Family
Stories
-4
/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
8.5
f --
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
Eff. % Glass
Measures
Wall
Family
Family
Multi
-4
Mass
Detached
Attached
Family
0.00
0
0
0
I
0.20
3
2
1
-4 to
0.40
5
4
3
-15 1 -6
0.60
8
6
4
-14
0.80
10
8
5
8.5
1.00
13
10
7
3
1.20
13
12
8-
-2
1.40
12
13
9
-2
1.60
10
13
11-...:
..
1.80
10'
12
12
4
2.00
10
11
13
i
11. Heating System
6 5
4
3
2"
SE or HSPF
10
9 7
6
(assumes ducts in aide)
..
- 120
15
Sum of 1.6
9
12
7
9
5 '
6
_
-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
it
8
-11. -9
EfTective SE or HSPF
=6
(SE or HSPF x duct efficiency)
6.6
Effective
.25 or -24 to -1410 O to +6 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
13
1.00 9.17
37 32
.28 24
19
15
4
Zonal Control Adjustment
or
System Type
Installed
to
or
Resistance
10 9
7 6
4
3 -
Other
6- 5
4. 3
2
2
12. Cooling Syst.!m
SCORE CARD
SC
Eff. % Glass
Measures
1. Ceiling Insulation
SEER
One
' -5
-4
-4
3
(assumes ducts
In attic)
Two +
3
3 ,..
Stir 01 1-10
2
2
1
TYPE 1 MASS
-25 or -24 to 614 to
-4 to
+6 to
16 or
SEER
less
-15 1 -6
+5 .
+15
more
8.0
-14
.12 ? -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4.
3
q..
8.9
-5
.4 -4
3
-2
-2
9.0
-4
-3 -3
-2
-2
-1 i
9.5
0
0 0
0
0
0;
10.0
4
3 3
2
2
1 1
10.5
7
6 5
4
3
2"
11.0
10
9 7
6
4
3
- 120
15
13 11
14
9
12
7
9
5 '
6
13.0
20
-17 .t) -
3
•3
SE
None
37
Effedve SEER
-18
-15.
-12
(SEER xduct efficiency)
Solar
-1
-1
Sun of 7-10
0
0
Effective -25 or -24 to ;14 to
-410
+6 b
16 or
SEER
lest
-15 -5
+5
+15
more
-5.0
-30
-25 ' -21
-17
43
.9
6.0
-12
-11. -9
-7
=6
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 '
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
1.1
Zonal
Control Adjustment
1.6
699
j
10
8 7
6
4
3
or
No Cooling System
Installed
to
-Stories
SCORE CARD
SC
Eff. % Glass
Measures
1. Ceiling Insulation
RV or
One
' -5
-4
-4
3
.2
.2 .
Two +
3
3 ,..
2
2
2
1
TYPE 1 MASS
. TTPx 2 RATS
InteriorWis3/CFA
COND. FLOOR
Z.
Single•Famlly detached and Attached
-
TYPE 2 MASS
Unit Size (sQ
Exterior Wall Mass
Water
ND . L OR
i139 ;1200
11700
2200
2700
Heater
Credit
' or
to
to
to
.0(. --
Or --
Type.
Type.
Type
loss.
1699
2199
2699
more
SG
None
0' F
0
0..
0
0
or
Solar
12 ' 1
8
6
5
4
HP
-HWR
8
5
4
3
3
40%
WSB
5
3
3
2
2
75%
POU
8
5
4
3
•3
SE
None
37
-24
-18
-15.
-12
1.5
Solar
-1
-1
-1
0
0
2.9
HWR
-18
-12
-9
-7
-6
4.4
WS8 .
-25
-16
-12
-10'
-8
0.4
POU .
-1.0 _-12
1
-9
_7
-6
IG
None
5
-3
-2
-2
-2
3.3
Solar
. 7 .
5
4
13
2
4.8
POU
3 __
_2
1
11
0.6
IE
None
-28
-19
-14
-11
-9
2.2
Solar
8
5
4
3.
3
3.1
POU
-10 '
-6
-5
-4
-3
S.2
Multi-Famlly (individual units)
56
30%
0.5
0.7
Unit Size (s
1.1
1.4
Water
1.6
699
700
1200
1700
2200
Heater
Credit
or
b.to
3.9
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0,
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
4.9
WSB
9
4
3
2
' 2
0.9
POU
9
5
3
2
2
SE
None
-45
-23
-15
11
.9
3.8
Solar
2
1
1
0
.0
5.3
HWR
-23
-12
-8
-6
-5
1.1
WSB
-25
-13
-8
-6
-5
2.6
_POU
_23
-12
-8 _-6
3.7
.5
IG
None
-8
-4
-3
.2
.2
-
Solar
6
3
2
1
1
1.4
POU
1
0
0
0
0
IE
None
-30
15
-10 -'-8
4
-6
4.4
Solar
.18
9
6
4
4
5.9
POU
-8
-4
,3
-2
-2
Point System Summary: Climate Zone 11 ;
SCORE CARD
SC
Eff. % Glass
Measures
1. Ceiling Insulation
RV or
Z. Ir
r
2. Wall Insulation
or
2.R -
-value I1) U -value [0.0981
Interior Mass/CFA
/ ct or
R -value 119] U -value [0.037]
X
X
-;2. 2 /
- '7q = 3l
TYPE 1 MASS
. TTPx 2 RATS
InteriorWis3/CFA
COND. FLOOR
AREA
-
TYPE 2 MASS
AREA 8
Exterior Wall Mass
ND . L OR
AREA
.Aa
X
• rF-3
-
SE or HSPF.
Duct Efficiency 10.781
Effective SE or
,C.itK�`.b'
HSPF 10.56/5.151
X
�-
SE [9SJ
Duct Efficiency [0.74]
{ TYPE 1
MASS
(VIMC 4.2, let exposed slab)
Type [SG)
Credit [none]
0%
5%
10%
15% 20%
25%
30%
35%
40%
45%
S07b
55%,W%
04
70%
75%
80%
WY.
90%
95%
100% 105% 110Y. 115% 120% 125`
OY.
0
0.2
0.4
0.6
0.8
1.9
1.3
1.5
1.7
1.9
21
23
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
25~
2.7
2.9
3.1
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
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3.1
3.9
4.1
4.3
4.5
4.8
S
S.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.6
2
22
24
26
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
40%
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
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
.21
23
25
27
3
3.2
3.4
3.8
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
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8'
S
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.S
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
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
2.3
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
MY.
1.4
1.61.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6
5.8
.6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
6.3
65
67
90Y. ' -
1.5
1.7
2
2.2
24
262.8
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
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
25
28
3
3.2
3.4
3.6
9.8
4
4.2
4.4
4.5
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
105%
1.8
2
22
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.6
6
6.2
6.4
6.6
6.8
7
110%
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
'6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.8
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
21
23
25
2.8
3
3.2
3.4
3.8
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
SC
Eff. % Glass
Measures
1. Ceiling Insulation
RV or
Z. Ir
R --value [38] - U -value (0.030)
2. Wall Insulation
or
2.R -
-value I1) U -value [0.0981
3. Raised Floor Insulation
/ ct or
R -value 119] 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
11. Heating System
Zonal Control? (YIN)
12. Cooling System
Zonal Control? ( Y I N )
13. Water Heating
or
R -value [01 F2 factor [0.77]
r.__-1_--3
d� 11 13.1
Type [double] U -value 10.651 % Total Glass [ 161
% Glass Sc Eff. % Glass
X�_n
Com-% -
��- X =
X = �_
% Glass
SC
Eff. % Glass
3 3
X
4y =
Z. Ir
3 d'
X
=
2.R -
/
0.
X
X
-;2. 2 /
- '7q = 3l
TYPE 1 MASS
AREA B
InteriorWis3/CFA
COND. FLOOR
AREA
TYPE 2 MASS
AREA 8
Exterior Wall Mass
ND . L OR
AREA
.Aa
X
• rF-3
-
SE or HSPF.
Duct Efficiency 10.781
Effective SE or
HSPF 10.56/5.151
X
�-
SE [9SJ
Duct Efficiency [0.74]
Effective SEER [7.03]
SCS
Type [SG)
Credit [none]
Point Scores
0
Sum 1-6
-
1 Sum77-10
t�
Point Total:.
' Residential
Certificate of Compliance:
Climate Zone 11
•
R Mandatory Measures Checklist: Residential MF -111
4%/`
i NOTE: L-owrise residential buildings subject to the Standards must contain these measures mgwdkss of the compliance
approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted
Pro feet Title J
Buildin Permit M
g
Cenite of Compliance. When Otis checklist is incorporated into the permit documents. the featd=noted shall
/ on Utefia
+ be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether Otey are shown elsewhere in the documents or on this checklist only.
Project Address
Checked By/ Date
DESCDESIGNER ENFORCEMENT .
• Documentation Author Telephone
Enforcement Agency Use only
Building ng Envelope Measures
E
Glass Area % Glass
1i • §2.5352(a): Minimum ceiling insulation R•19 weighted average.
BUII.DING DATA
North
§2.5352ft Loose fill insulation manufacturer's labeled R -Value.
Number of Stories
East
' §2.5352(c): Minimum wall insulation in framed walls R•I I weighted average (does not apply to
Conditioned Floor Area
cxtuior mass walls).
Slab/Raised Floor Number of :Units
South
§2.5352(kr Slab edge insulation - water absorption rate no greater than o3%. water vapor
] Single Family Detached (SFD) [ l Addition Alone
West
Skylight
transmission rate no greater than 2.0 perm/inch.[
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
[ ] Single Family Attached (SFA) [ ] Existing Building
standards Indicate type and form.
[ ] Multi -Family (M [ ] Existing -Plus -Addition
l')
Total
low
§2-5352(0: vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfilc ation Controls
a. Doors and windows brAween conditioned and unconditioned spaces designed to limit air
BUILDING SHELLINSULATIONI-' •
la ` flied.
�, �, .
Component Insulation Loean(�+a(wt±lriltrLXt$
j b. Doorsrsand windows cervi
I c. Doors and windows weatherstripnd ped: all joints and penetrations MUWA aseakd
installed 12 meet: CEC
'Type R -Value (attic, .ter garages rmi>ral. etc-)
§2-5352(e): Special infiltration barrier to comply with .5351 quality
standards
- ..
Wall ..............
§2.5352(d): installation of Ftreplaaes
1. Masonry and factory -built fireplaces have:
Wall ..............
a. Tight fitting. closeable metal or glass door
b. Outside au intake with damper and control
Roof
c. Flue damper and control
.............
Roof
( 2. No continuous burning gas pilots allowed.
.............
Floor
HVAC and Plumbing System Measures
.............
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
Floor. ••.••§2-5352(h)
and 2-5315: Setback Utennostas on Al applicable heating systems.
Slab Edge .....
• §2-5316(a): Ducts constructed. installed and insulated per Chapter 10.1976 UMC.
GLAZING Shading Devi `
§2.5316(br Exhaust systems have damper controls.
§2.5314(c): Gas•fued space heating equipment has intermittent ignition devices.
Glazing Area Glass Type Interior Exterior
Overhang Framing Type
§2-5314: HVAC equipment, water heater. showerheads and faucets eenified by the CEC.
Orientation (SO (single, double) (colla blind. etc.) (shadescreim etc.) (yeshto) (metallwood)
§2-5352(1): Water heater insulation blanket (R•12 or greater) or combined interiorlexterior
insulation (R-16 or greater). fust 5 feu of pipes closest to tank insulated (R-3 or greater).
North ( 1
§2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
North (
piping-
§2.5318(d): Swimming Pool Hating
East ( )
I. System has:
a. On/off switch on hater.
East ( )
b. Weatherproof instruction plate on heater
South ( ) _
C. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
South ( ) —'
3. Pool cover.
West_ ( )
4. Time clock.
5. Directional water inlet.
_ _
West ( ) _
Lighting and Appliance Measures
Skylight....... —
§2-53520): Lighting • 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
THERMAL MASS w
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
Type/Covering Area Thickness
§2.5314(a): Refrigerators. refrigerator -freezers, freezersand fluorescent lamp ballasts cenified
by the CEC. Indicate make and model number.
(slab/exposed, tate, etc.) <sf) (inches) LocationiDescription(kitchen. bath, etc.)
COMPLU+INCE STATEMENT
This certificate of compliance lists ft, building features and performance specifications needed to comply with
Title 24, Chapter2-53 and Title 20, ChapteirZ Subchapter 4. Article I of the California Administrative code. This
_,.
certificate has been signed by the individual with overall design respcnsibiliV and the building owner. who shall
HVAC SYSTEMS Minimum Duct
retain a copy of it and transmit the certificate to any subsequent purdtaser of the building.
Type (furnace. air Efficiency Location Duct Output
Manufacturer / Model #
Designer Building Owner
conditioner, heat plump) (SE. SEER HSPF) (attic etc.) R -Value (Btuh)
(or approved equal)
I
Name: Name:
Tuk/Firm: Titk/Fum:
Address: Address:
Tekpho= Tckphonc
Maximum Fumace Heating Output: Btuh
ase. 0:
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal)
Special Feature(s)
; (sitnamm) (date) (signature) (date)
i
Documentation Author Enforcement Agency
Name: Name:
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
rtie/Ftt„t At«tty:
Address: Tekpho=
Certificate of Compliance: Residential Climate Zone 11
Project Title
Building Permit #
Project Address
l7tedced By /Dace
rs,,,.,,,,.e..#atr..,, a,.ar,nr Telephone Enforcement Agency Use Only
BUILDING DATA
Conditioned Floor Area Number of Stories
Slab/Raised Floor Number of Units
[ ] Single Family Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MFS [ ] Existing -Plus -Addition
BUILDING SHELL INSULATION!
Component Insulation Locaflon/Comments
Type R -Value (attic, to garage, t /pical, etc.)
Wall ..............
Wall .............
Roof .............
Roof .............
Floor ............. — -
€Floor .............
-.. "Slab Edge.....
:. '.GLAZING Shading Devices
—
`" ;Glazing Area Glass Type Interior Exterior
Glass Area % Glass
North
East
South
West
Skylight
Total
Overhang Framing Type
No rth ( )
- `Nort.h ( )
`,East ( )
East ( )
�SOuth
South
West ( )
West
Skylight.......
THERMAL MASS"�
Type/Covering Area Thickness
(slab/eased, tile, etc.) 00 (inches) Location/Description
(kitchen, bath, etc.)
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)
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 Chet'` "'Residential
MF -1R
NOTE: Lowrise residcndal buildings sub the Standards must contain the trtcasttres legardlen of Ute romQliartee
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is ircorporatcd into the permit documents. the features noted shall
be considered by all parties as binding minimum component perfomtance specifications for the mandatory rJtcasures
whether they are shown elsewhere in the document or on this checklist only.
DESCRJPTION
Building Envelope Measures
§2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor
transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Inftltration/Exfiltation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit au
leakage.
b. Doors and windows certified.
c. Doors and windows weathersaipped: all joints and penetrations caulked and sealed.
§2-5352(e): Special infiltration barrier installed to comply with 02.5351 mmu CEC quality
standards.
§2.5352(d): Installation of Futplaces
I. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside au intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
02.5352(8) and 2-5303: Space conditioning equipment siring: attach al ulationL
§2-5352(h) and 2-5315: Setback thermosta.& all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have dam is
pat controls.
§2-5314(c): Gas -fated space heating equipment rias intermittent ignition devices.
§2-5314: HVAC equipment, water heaters; showesheads and faucets certified by the CEC.
§2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorlexterior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate return At recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. 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
§2-53526): Lighting - 25 lumcns/watt or greater for general lighting 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.
DESIGNER I ENFORCEMENT
COMPLIANCE STATEMENT
This certificate of compliance lists the: building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapter 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 transmit the certificate to any subsequent purdtaser of the building.
Designer
Name:
TuleJFctm:
Address:
i Telephone:
f
Building Owner
Nairne:
Titk/Fum:
Address:
Telephone:
Certificate of Compliance: Residential Climate Zone 11 '
Project Title -
�� drD� Building Permit #
ProfectAddress A 5
Checked By/ Date
Documentation Author Telephone Enforcement Agency Use Only
BUILDING DATA Glass Area % Glass
North I ,3•
Condid ea loo Number of Stories / East /10
Slab iced ll Number of Units _L South 5 s
[ Single Family Detached (SFD) [ ] Addition Alone West /39 'V. /
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight� 0' d
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total �� 13.
BUII.DING SHELL INSULATION
Component Insulation Locatiinn/Comments
Type R -Value (attic, to garage, ripiscl, etc.j
Wall ..............
Wall ..............
Roof .............
Roof .............
Floor ............. _
Floor ............. _
Slab Edge .....
GLAZING Shading Devices
Glazing Area Glass Type Interior, Exterior Overhang Framing Type
Orientation (SJ) (single, double) (yoller blind. etc.) (shadescreen. etc.) (yes/no) (metaltwood)
North ( ) Gi
North
East
East ( )
South
South
West ( )
West
Skylight .......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.)
Jym
HVAC SYSTEMS
Type (furnace, air
conditioner, heat pump)
Minimum Duct
Efficiency Location Duct Output Manufacturer/ Model #
SE, SEER,HSPF) (attic; etc.) R -Value (Btuh) (or approved equal)
�r
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model # W- G ®�
���� `�
VWV
System Type (storage gas, etc.) Capacity (or approved equal) _ ��� cal FegW 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 measurta regardless O tho compliance
approach used. Items marked with an asterisk (•) may be supasedw by more stringent compliance rcquuements listed
on the Certificate of Compliance. Wben this checklist is incorporated into the pormit documutts, the features noted shall
be considered by all panics as binding minimum component performance specifications for the mandatory measures
whether they arc 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(b): Loose fill insulation manufacturer's labeled R -Value.
' §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Stab edge insulation - water absorption rate no greater than 03%, water vapor
transmission rate no greater than 2.0 permlu>ch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2.5352((): Vapor barriers mandatory in Climate Tones 14 and 16 only.
§2.5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
e. Doors and windows weathcrstripped; all joints and penetrations caulked and sealed.
§2.5352(c): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2.5352(d): Installation of Fireplaces
I. Masonry and factory -built fireplaces have:
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damps and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: 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): Exhaust systems have damper controls.
§2-5314(c): Gas -fuel space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and fauccu certified by the CEC.
§2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorlemerior
insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exccption 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
§2.53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fuel appliances equipped with intermiacnt ignition devices.
§2.5314(a): Refrigerators. refrigerator -freezers, freezers and Iluomscent lamp ballasts certified
by the CEC. Indicate make and model number.
O 1' `Y : t}'-u� ►fl
DESIGNER I ENFORCEMENT
This Certificate of compliance lists lir building feamrefi and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapter 2, Subthapter4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design resNnsibility and the building owner. who shall
retain a copy of it and transmit the Certificate to any subsequent purritaser of the building.
Designer
Nana:
Address.
Telephone
Lic. N:
(signature)
Building
Name:
Tide/Fum:
Address:
Telephone:
(date) (sign ttrre),
- Documentation Author _. r
Name:
Address:
Enforcement Agency
Name ;
Agency:
Tekpiwnc .
d
2. Wall Insulation
3.
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
2
1
R-19
8
6
4
U -value
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
14
11
7
d
2. Wall Insulation
3.
Raised Floor Insulation
Number of stories
Single-
Single -
One
Insulation in.Floor
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
0 0
0
Three
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
Controlled Ventilation Crawlspace
3.
Raised Floor Insulation
Number of stories
-1
R -value
One
Insulation in.Floor
Three
'
;1*
-7
Number of stories
R-5
<p
-4
R -value
One Two
Three
-2
.'
R-0
-17 -8
-5
.2
`
R-11
-3 -2
-1
Number of Stories
26
R-19
0 0
0
Three
R-0
R-30
3 1
1
:1
8
U -value
2
R-7
8
6
0.60
-144 -70
-46
-58
-20
0.50
-120 -58
38
_
r
0.40
-95 -46
-30
.2
5
0.30
-69 -34
-22
-17
.9
0.20
-43 -21
-14
26
-49
0.10
-17 -8
-5
7
14
0.08
-11 -6
-4
.7
0
0.06
-6 -3
-2
-43
-12
0.04
-1 0
0
14
23
0.02
4 2
1
2
8
0.00
10 5
3
Controlled Ventilation Crawlspace
-4
3 .1
Number of stories
-1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
.2
•1. Slab Edge Insulation
4
40
-
Number of Stories
26
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)
Spedfication 'Points
Standard 0
6. Glass Heat Loss
Total ..
......::...
_...._ .__
....,
:.......U
-value....::
East
Percent
:West
Skylight
.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 Percent Glass
(percent glass x SC)
Effective
0
Slab Floor
Erfeclire Perc4ytt Glass
Mass
%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
na = not allowed
-23
3
0
-4
t3. Shading (Shade Closed)
0
Slab Floor
Erfeclire Perc4ytt Glass
Mass
3
(Aavmt glass x SC)
1
Effective
Stories
4
1CFA
One
Two
%Glass
Norlh
East
South
West
STAN
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na i
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
3
7
8
10
11
11
5.0
4
7
9
9. Interior Thermal Mass
Interior
0
Slab Floor
Raised Floor
Mass
3
Stories
1
0.40
Stories
4
1CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
4
-2
-i
.1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
3
-1
11
7.79
2
• 11
..5....__.__2._.._,1..._....1_
8
7
5
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
25
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior Single- . Single -
Wall Family Family Multi
Mass Detached Atw+.m • r..;6
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11 .
1.80
10
12
12 i
2.00
10
11
13
11. Heating System
SE or HSPF
(assumes duct! In attle)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling
Syst.!m
Sum of 1.6
One
SEER
-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
1
10.5
Efrective
SE or HSPF
4
3
(SE or HSPF x duct efficiency)
11.0
10
Effective -25 or -24 to •14 b
.4 to
+6 to 16 or
SE HSPF less
-15
-5
+5
+15 more
7
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
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling
Syst.!m
One
SEER
-4
-4
-3
-2
(assumes duets
In attic)
3
3'
2
Stm of 7-10
2
1
Single -Family
i
Petached
-25 or -24 to A4 to
-4 b
+6 to
16 or
SEER
less
-15 -6
+5
+15
more
8.0
14
12 -10
8
6
t;redit
8.5
-9
-7 -6
-5
-4
3
8.9
-5
-4 -4
3
-2
-2
9.0
-4
3 -3
-2
.2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
=- 120
15
13 11
• 9
7
5
13.0
20
17 ,. 14
12
9
6 r
0%
Solar
.i
-1
.1
0
0
1.3
Effective SEER
-18
-12
-9
(SEER xauct cMdency)
-
,2.7
WSB .
Sun of 7-10
-16
-12
-10
Effective -25 or -24 to -1410
-4b
+610
16 or •
SER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9 '
6.0
-12
.1i -9
-7
-6
-4 .
6.6
-5
d -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
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
-Stories
One
-5
-4
-4
-3
-2
-2
Two +
3
3'
2
2
2
1
Single -Family
i
Petached
and
Attached
Unit Size (sQ
Water
099
1200
1700
2200
2700
Heater
t;redit
or •)
to
to
to
. or
Type
Type
less
.1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
1 8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
2S%
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
0%
Solar
-1
-1
.1
0
0
1.3
HWR
-18
-12
-9
-7
-6
,2.7
WSB .
-25
-16
-12
-10
-8
4.2
POU
•18
_-12
-9
-7
-6
IG
None
'15
•3
-2
•2
-2
Solar
7
. 5
4
3
2
POU
3
2
1
1
1
IE
None
-28
19
-14
•11
.9
Solar
8
5
4
3
3
2
POU
•10
-6
-5
-4
.3
3.S
Multi
-Family
(individual units)
4.3
Water
!.e
99
Unit Size (s
' 700 1200
Q
1700
2200
Heater
Gedd
0.7
b
to
1.4
,
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0,
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
2.2
WSB
9
4
3
2
2
3.6
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
1.1
Solar
2
1
1
0
0
25
HWR
.23
-12
-8
-6
-5
4
WSB
-25
-13
•8
-6
5
5.5
_ PQU
_23
_12_8_
55%
_ -6
.5
IG
None
-8
-4
-3
-2
,
_2
28
Solar
6
3
2
1
1`
42
POU
10
4.9
0
0
0
IE
None
3
_0 15
-10 -
-8
*-6
1.7
Solar
18
9
6
4
4
3.1
POU
-8
-4
.3
-2
-2
rolnt system Summary: (;timate Gone 11
SCORE CARD
Measures
1. Ceiling Insulation .30 or
R -value [38] U -value (0.0301
2. Wall Insulation / or
R-value[1IT- U -value [0.098]
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
or
R-value[19) U -value [0.037]
or
R -value (01 F2 factor 10.771
c.,...a,._a
Type [double] U -value [0.651
Point Scores
0
% Total Glais [ 161 Sum 1
% Glass SC Eff. % Gl
a. North- 7 x_ _
b. East 7_�_ x =
c. South _6,,0 X = 3
d. West o?- S x = �_
e. Skylight (- / x =
8. Shading (Shade Closed)
% Glass SC 'Eff. % GI ss
a. North - 7 x _
b. East 7- a x =
c. South , p x = ,
d. West _ x 6e
e. Skylight / , ( x 2Z =
9. Interior Thermal Mass TYPE 1 MASS AREA = CJU %
Interior Nass/CFA COND. FLOOR AREA
10. Exterior Wall Mass TYPE 2 MASS AREA =
Exterior Wall Mass ND . L OR AREA
11. Heating System L_ X
Zonal Control? ( Y / N) St or MPF Duct Efficiency [0.78] Effective SE or
10.7216.61 HSP 0.5615.15]
12. Cooling System d ' X =
Zonal Control? ( Y / N) SEER [9 41 Duct Efficiency [0.74] Effective SEER [7.03]
13. Water Heating __
Type [SG1 Credit (nano]
Point Total:
Interior plass/CFA
I TnxI PASS
I1.7.u,Nc.4.71
Ic-peted •I_b)
'
I TYPE
I
MUS
(UIMC • 4.2,
!e:
exposed slab)
0%
5%
10Y.
15%
20%
2S%
30% 35%
40%
45%
50%
55%
W%i 6S'/.
70%
75%
W%
85Y.
90%
95%
100% 105Y. 110Y. 115% 120% 125-
0%
0
0.2
0.4
0.8
0.8
1.1
1.3
1.5
1.7
1.9
21
'23
2S
,2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4.4.6
4.8
5
53
_..,... 10%
0.2
:01-04"0.8"
0.4
0.6.._0.0
-1.
...1.2
_..1.4.._1:6.._.1:0.....21....23....25.
-.._27._.29....31...._3.3._.
3 S. ....
....
3 7._
4, %-..
4 _.
_. ......
.........
. __ 20% "-
1 �
1:2
" 1.4
1.6
-" 1.8
2
2.2
24
21
28
" 3.1
3.3
3.S
3.1
3.9
1.1
4.3
LS
!.e
S
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
2.6
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
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
4.5
4.7
4.9
5.1
5.3
•5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
21
3
32
3.!
3.6
&S
4
42
4.4
4.6
4.8
5.1
5.3
5.5
S.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
42
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
23
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8 '
S
5.2
5.4
S.6
5.9
6.1
6 3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
MY.
1.2
1.4
1.6
1.9
2
22
25
27
29
31
33
3.S
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
23
25
29
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
S.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
3.7
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%
WY.'
1.4
1.5
1.1
1.7
1.9
2
2.1
2.2
2.3
24
Z5
26
2.7
2.8
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
6S
67
95%
1.6
1.8
2
2.2
2.5
27
2.9
3
3.1
3.2
33
3.4
3.5
3.63.8
3.7
3.9
4.1
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
100%
1.7
1.9
21
2.3
Z5
28
3
3.2
3A
3.6
9.8
4
4.2
4.3
4.4
4.6
4.6
4.8
4.9
S
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
S.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
j105%
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
8
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
27
29
9.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
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
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.S
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
50
6
6.2
6.5
6.7
6.9
7.1
.7.2
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
rolnt system Summary: (;timate Gone 11
SCORE CARD
Measures
1. Ceiling Insulation .30 or
R -value [38] U -value (0.0301
2. Wall Insulation / or
R-value[1IT- U -value [0.098]
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
or
R-value[19) U -value [0.037]
or
R -value (01 F2 factor 10.771
c.,...a,._a
Type [double] U -value [0.651
Point Scores
0
% Total Glais [ 161 Sum 1
% Glass SC Eff. % Gl
a. North- 7 x_ _
b. East 7_�_ x =
c. South _6,,0 X = 3
d. West o?- S x = �_
e. Skylight (- / x =
8. Shading (Shade Closed)
% Glass SC 'Eff. % GI ss
a. North - 7 x _
b. East 7- a x =
c. South , p x = ,
d. West _ x 6e
e. Skylight / , ( x 2Z =
9. Interior Thermal Mass TYPE 1 MASS AREA = CJU %
Interior Nass/CFA COND. FLOOR AREA
10. Exterior Wall Mass TYPE 2 MASS AREA =
Exterior Wall Mass ND . L OR AREA
11. Heating System L_ X
Zonal Control? ( Y / N) St or MPF Duct Efficiency [0.78] Effective SE or
10.7216.61 HSP 0.5615.15]
12. Cooling System d ' X =
Zonal Control? ( Y / N) SEER [9 41 Duct Efficiency [0.74] Effective SEER [7.03]
13. Water Heating __
Type [SG1 Credit (nano]
Point Total:
Certificate of Compliance: Residential Climate Zone 11
Project Title / a _ 9�
Building Permit##
Chedted By/ Date
Documentation Author Telephone Fnfomement Agency Use Only
BUILDING DATA Glass Area % Glass
North `10R S 9. 7
Conditioned Floor Area 5W Number of Stories East ;7 c _ 7-Q,
MS ab)Raised Floor Number of -Units South Z'7
Single Family Detached (SFD) [ ] Addition Alone West 3 • 1-2-15
(] Single Family Attached (SFA) [ ] Existing Building Skylight
(] Multi -Family (MF) [ l Existing -Plus -Addition Total
B UELDING SHELL INSULATION.
Component Insulation Locatiion/Camments
Type R -Value (atltic..to garage, r,Tiocl, etc.)
Wall ..............
Roof .............
Roof ............. _
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Devices
Glaring Area Glass Type Interior Exterior Overhang Framing Type
Orientation (SO (single, double) (yoller blind. etc.) (shadescreen. etc) (ye*o) (metaltwood)
North
North ( )
East ( )_
East
South
South ( )
West ( ) /� •. S
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (So (inches) LOcadon/DCScription (kitchen, bath etc.)
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)
Maximum Fumace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
KAMA
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrice residential buildings subject to the Standards must contain these measures regardless of the tan Lance
approach used Items marked with an asterisk (•) may be superseded by more stringent compliuice regWrremend listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the feattaes noted shad
be considered by all paries as binding minimum component performance specifications for the mandatory measures
_.__._,._....__..__._ ....................... wnethertheyarc hewndsewhaeintlfedocument:oronthischecklistonlyr-:--
DESCRIPTION
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted avenge.
§2.5352(DY Loose fill insulation manufacturer's labeled R -Value.
•
12-5352(c): Minimum wall insulation in framed walls R -I 1 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 pcmVuKh-
§2.5311: Insulation specified or installed mats California Energy Commission (CEC) quality
standards. Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: 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 penetrations caulked and staled.
62.5352(e): Special inWtration barrier insWkd tocomply with §2-5351 meetsCEC quality
standards.
12-5352(d): Installation of Fireplaces
1. Masonry and factory -built fucpla= have:
a. Tight fitting, closeable metal or glass door
b. Outside au intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
j
02.5352(8) and 2-5303: space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback theme wz on an applicable heating systems.
• §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
f §2.5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
1 §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/we for
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exccp6on 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
t 1. System has:
i 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 inlcL
Lighting and Appliance Measures
§2.5352(j): Lighting - 25 lumens/watt or greater for general lighting 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.
DESIGNER I ENFORCEMENT
COMPLIANCE STATEMENT
This certificate of compliance lists tin bualdiag features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Mile 20, Chaptrr2. Subchapter 4. 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
t Name
TitWFum:
Address:
Tekphonc
Lie. 4:
(signature) (date)
Documentation Author
Name:
TttWFum:
Address:
Building Owner
Name
rak/Fum:
Address:
Telephone
,lana ) (dart)
Enforcement Agency
Name:
Agency:
Tekpimc-
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