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HomeMy WebLinkAbout039-540-018r` 39-54=18 4249-89B,P,E,M' ' ] P SORENSON,-.Wendell 9499 Dillon`Ct, Durham ..' (new, ., 039-54-0-0 00-1036 p, MEGIBOW, BO • 9499 DILLON COURT, ' CONT: PERFECTION POOL 3i of POOL B07,-2490 039-540-018 '. MISCELLANEOUS Gas Reconnect NEW GAS STOVE 9499 DILLON CT MEGIBOW, MARVIN cr)l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9499 DILLON CT Owner: Permit No: B07-2490 APN: 039-540-018 MEGIBOW, MARVIN Issued Date: 12/10/2007 By KEJ Permit type: MISCELLANEOUS 9499 DILLON CT Subtype: Gas Reconnect DURHAM, CA 95938 Expiration Date: 12/09/2008 Description: NEW GAS STOVE (530) 893-9092 Occupancy: Zoning: Contractor Applicant: Square Footage: BACKYARD LIVING INC BACKYARD LIVING INC Building Garage Remdl/Addn 135A W 8TH AVENUE 135A W 8TH AVENUE CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530) 898-0838 (530) 898-0838 FEE INFORMATION DBP Gas System (enter outlets) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5555 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License BACKYARD LIVING INC 842126 / D34 D35 / 07/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commenc' gwith Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractofs License Law [Chapter 9 (commencing with Section 7000) is in fu fo and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects _ X 12/10/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). n I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Preferred employerspolicy Number: WKN1150434 Exp. 13a1e:04/01/2008 Contractor's License Law.). (This section need not be completed if the permitis or once hundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 12/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date p isions. X 12/10/2007 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURKERS'COMPENSATION COVERAGE IS UNLAWFUL, WARNING: FAILURE TO SECU RKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is is a the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the operty owner or am authorized to act on the property owners behalf. l,�a�c�ea Ir.. 1lks 12/10/2007 ,w CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Pe a [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. DAgent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip . . 'k BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name EC, � $o tz First Name a1 4 30Nld c C Mailing AddressQYqq 31NAl C City b���1� Z' Phone Phone2R3?oq2- !! l EFa E-mail CONTRACTOR Name e/ hg> /,l VId �'1 r 7rMC. Address �� � W '8 (R fVC O CityC�ll C� Stater, Z' Phone Fax E-mail Lic. # Srt/2 2 b Class ARCHITECT/ENGINEER Name Address G5 -A o Address .� �' � h • -rt( � £ City CR, L"c� State Cry Zi 2•b Phone3;�- Fax E-mail State License Number APPLICANT INFORMATION Name R& (Z� �.1l/(►j, C - Address G5 -A o City Cktco Stat I Yes Phone (i �r � 4 a l Q D Fax E-mail - q. PROJECT LOCAT N AP# o'M b, • c> Property Addresscm-1 h M0.4 C 1 City U 2 N (q Cp;.- PERMIT NO. )-'1-1 ) BIN k WORKER'S COMPENSATION Policy Number ' \ �0 ''5 © 32— Carrier If hiring anyone other than license contractors, 3 certificate of worker's compensation must be shown at the time of permit issuance. y,I I �1� "� LENDING A GEtNCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. NOTES RESIDENTIAL 039=54-0-018 00-1036 PERMIT NO. MEGIBOW, BONNIE_ _ 9499 DILLON COURT, DURHAM CONT: PERFECTION POOLS POOL i I f y SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER z s c' y JOB FINALED (Date) Signature 1 ✓ = QK 0 = Not CK - = Not Applicable = Not Ready M013ILE HOMES Date MOBILE,L OME UTILITIES (Plans) OK except #'s Footings; SoiIs- Size- Depth-Spacing•Connectors-Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance 8 Discorinect 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANE-OUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoiIs- Size- Depth-Spacing•Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s Soi ; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Linins 4. glec.; Receptacles and Lighting, Distance-GFI 5. I c.; Pool Lighting; 15 Volts-GFI ec.; Enclosures; Conduit Entries -Terminals -Listed -(Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. •*Iffiec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit Ith epartment Approval umb.; Cir. Test -Water Supply Test 2Z . Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '� _/ . r� '4 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors ' 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mach Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes D No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) -, 46. Hangers -Post Caps -Anchors -Connectors ' 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels - 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive j Yes 0 No/Walks ❑ Yes :1 No/Planters 0 Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE ji BUILDING DIVISION f DEPARTMENT OF DEVELOPMENT SERVICES . 411 Main Street • Chico, CA • (530) 891-2751 - 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWN PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, f, please c ntact this office immediately. t 10aI la-dolli %.0'va •/ UL i r Date b D Inspector REV 10IJ2 W 55-e l / . 462 4e =gA S i Date b D Inspector REV 10IJ2 W 55-e l / . " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541X/ 0• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-54-0-018 ZONING BUILDING PERMIT OWNER BONNIE MEGIBOW TELEPHONE 893-9092 SO. FT. OCC. BUILDING VALUATION EST 27,000 OWNER'S MAILING ADDRESS 94099 DE LLON COURT DURHAM CA 95938 CONT PERFECTION POOLS TELEPHONE 00"r 1'7s fX?f LOTH ST. , CHICO, CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 308 .00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL - MASTER 500-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 600VOR LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 1� /' / / License Class LS 3 Lic. No. J 66 4.'a V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cc pens tspn insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the w rs' compensation provisions of section 3700 of the Labor Code, I shall orthwl comply those provisions. a X Date / D Sign r of Applicant - ❑Owner ❑Contractor ❑ Agent An OSH permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ht. Main Service To 46.00so WELL200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50 FT; P1 RcESiDT' MULTI -OUTLET @7,50 POWER APPARATUS a sINGLE our X cIR. 20 Ex. Occup. OUTLET OR FDnURES BAL 9'. 1.00 Ex. Occup. GFlxunF RL. DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL 130.00 PERMIT FEE $ 50.00 MECHANICAL PERMIT Filing Fee 20.00 Heating 11 Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 393.00 HAZ. I D. F [MPJ FLTJ CDFJ PARC I PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r 1 A,� 5 BY D to J PERMIT EXPIRES ON 2 6 0l Date Receipt No. -�. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754y)D /jam No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .. _ / 2ON,IS pe BUILDING PERMIT OWNER � p�✓i✓i /<��G �6� t „�/ I'll TELEPHONE i3_ 409'L SO. FT_ OCC_ BUILDING VALUATION Z 01 0 OWNER'S MA17 ADDRESS CONTRALTO 'S NAM�^ ) TE NONE CorTOR'S MAIL 47ESS dpi ✓ \— /J / 2 -C? 1 CONSTRUCTION LENDER 1 Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Z1- ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ AL3 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ Lor No SUBDIVISIONS NAME PMC P —/D ! PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: O — Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G1 W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason TO Main Service 200A 1000A 46.00 NEIN CONST. DWELLING CUP. OCCUR OR ADONS. ( a ACC. BLOS. SO 3.52Fr. T. Npµq°ESI., MULTI -OUTLET @7.50 POWER APPAw�TUS a swGLE otmtT cIR. Ex. Occup. OUTLET OR FIXTURES x ' 50 BAL .SO Ex. Occup. OUTLETS RESIO.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 X-- / PERMIT FEE $ v WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 storiei h h Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Insta6ation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TO L FEE $ HAz. O FEES I IM FL000 coF P c Po HD uE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: B0 NNl f 19,r G, 3 Co tJ ASSESSOR PARCEL NUMBER: Proposed Building Use: ,nom„ -A irg ,9 Building Inspector: Date: .. At time of permit application I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------------- 1 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees-------------- 1113. ------------ ❑13. Flood elevation certificate. --------------------------------------------. V\�JA4. Sanitation and plot plan approval ridlo Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for ,M required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, OGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . -------- 1130. Other: (Date) ;Whn n you issue the permit�rocess as follows ❑ Mail to owner, ❑Mail to con actor. lephone ��, QN3� and hold for pickup at Q(>'al%��office. ❑ liver with inspector. Applica1'otllut�ion Dater// 00 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building v' ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: j Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: V.11_- 0__- n___u_­^'­*_'_ - TO: Building Department FROM: Environmental Health r SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan At�c od Sent to B.D. / ME$old 9,,C qq i lwy- C'-- _ e.39- 5-40 —Old Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 _._....� _...- to LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 00-1036 Expiration Date: 5-26-01 A.P.# 039-540-018 BONNIE MEGIBOW, 9499 DILLON CT, DURHAM With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: tx] Permit work started, but not completed. Permit may be renewed for '/� the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on.permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. Building Inspection MCV:lt Attachments CC: PERFECTION POOLS Chico Office - 411 Main Street, Chico / 891-2751 r r RESIDENTIAL 39-54-18 4249-89B,P,E,M SORENSON, Wendell 9499 Dillon Ct, Durham (new SF) z IZ 2 Po w i' +a GL 3 JOB FINALE Signature J=OK O=Not OK ' = Not Readyable MOBILE HOMES. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L' ft./ /"LPG 7. 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy N. Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 v MISCELLANEOUS ' , Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ' ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors $hthg.-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-Pane Iboards- 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 4 =bK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single &Duplex) Date UN FLOOR Plans OK except #'s Zoning -Setbacks -Ease en -Flood-Slope . Ftg., Main; Soils -EI . Gr d. -/)7J" Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors _9-' 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Un 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Z JL -W Card B-1 G6,J Date Date Card B -1 (f 16 _� Date Card B-1 Card B-1 Date PLUMBING Permit OK except #'s eLR%Water Htr. t- cces -Co bustion Ai - f e F�7 Water Pipe; Te-sT4 Anchor ail Protection D.W.V.; ittings & Anchor Nail Pro hon ho er Pan; a first Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access C* Gas Pipe ize Anchors Date Gfi'_C9 G'i0 Card B-1 GC,- Date ,-5" I0 Card B-1 GC;, Date t Th -Ct O Card B-1 rmay Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 2X'-Elec. Receptacles Spacing -Lights & Switches at Doors WSize Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Gro nd made up w/Mech. Fastners-Bond QCs & W er Z7l2 Appliance Circuts in Kitchen & Conductor Size/GFI WSubfeed Wire Size /\ / ga. Cu orCA>A.C. Wire Size /C./ ga. Cu or An 29:-- nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 39 -Service- Riser Conductors & Ground -Main Disconnect 3a4 Equip. Clearances Panels-Motors-Mech. Equip. 32^Clothes Closet Light -Shower Light -Spa Light 33!Smoke Detector Date [,�rl o Card B-1 C,� G Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ,' A.C. Ducts Insulation & Support 0 Vent Fan; Exhaust above insulation 30 -Condensate Drain & Overflow; Size & Grade �r Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 3,K -Attic Access & Platform if Furnance in Attic Date !I _,&Aft Card B-1 C.r Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39!Sils, Proper Material & Anchors 4AiWalls Studs -Nailing, Spacing & Bracing -Plates -Sound 4�!Bearing Walls over Girders & Floor Nailing 4VDraft Stop in Walls (rat proof) 45.4ire Stops; Furred Ceilings -Stairs -Chases -Tub 4.K Headers & Beam -Size & Bearing Date FRAMING (Continued) 5 Hangers -Post Caps -Anchors -Connectors (41K Cing. Jois R,ft-r.. ti s-Purlin-roof Brac-Truss Nhng.-Ring. 47!f=ireplace Ties or'Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 40.'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5Q. Garage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd Story, 2 Exits .53 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5,eplywood on Roof rhang-Attic Vents -Rafter Outriggers 35.-9iding-Nai1' eneer 56. Stu esh-Drip Screed -Fd. Vents-Underflr. Access 5.7' Glazing Area -Glass Protection -Skylights -Plastic. Shear Walls; Nagiliig-Boffs 5 sy)arion-WqX- eiiyrtgs 60 nfilt ion -W s-Winsld`ws Date iq4-, j t- Card B-1 6 Date 5- Card B-1 Date 14 -Zj-c and B-1 (: Date Card B-1 Date FI Plans OK except #'s E . Steps -Door & Sidelight Protection Landings 6t'.0 -Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel Br er izes & Labels. 49-01=s & Rails Fireplace or Stove; Clearances -Hearth 139-'EfB . Outlets at Wood Panel; Int. & Ext. 7 Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 4fflec. Outlets & Receptacles at Kit. Counter QfTA age Fire Door; Swing -Landing -Closer Duct in Garage -Damper Wtr. Htr.; Vents -Clearance b fir- onnector In Garage; Above Floor-Mech. rotection Plb., Elec. & Mech. Equip. Listed for Location 7*oflec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes 7 and Rails & Deck Construction -Post Caps 711r?CM Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Eladr ❑ Yes Following instld.; Drive IS Yes ❑ No; Walks RYes ❑ No; Planters ❑ Yes No 8 tucco; Brown-Fi A.C. Unit; Disconnect, Electrical, Plumbing 8e."V­ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8#-Vq§rer Well; Disconnect, Electrical, Plumbing 84e<x-terior Elec. Trim; G.F.I. Receptacle -Underground . Ventilation Throughout House 8 . Glass Protection Corrections from Previous Inspections 89. Gas T -Meters Tagged; Gas -Electric r & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date Card B-1Date Card B-1- iy(:e Date �6Card B-1 Date Card B-1 Date r(.) $-q r 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 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE S424g - 89 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 coyir4,Ction of work is completed. If you have any question pertaining to this matterl,4r need additional explanation, please contact this office immediately. JST Ri'sNft,!ss, 1-90_gr - v 1^4- '' F(-_oM Sol(,. c� N- r AIQ mA,)r- _ 12'� o f o f C o m tp(1 ,1,n1 f GI _C f R6rCc 2eG ("j�Cr� /n/ /LI iC'l�lL,/ r -HA of 6 ' F(lam J✓fC M0rJ TR(Q �4rAKr2 Foe GA(Z6A6r �'S oSRI� ,5M wAslfirA rE"gleGy (YM PLAIVCC� CFR - r ✓f,2ot/r&a— rplzoyflS ftAVf, 6 Date 91 - Cr - 9 O Inspector QV o � Date 91 - Cr - 9 O Inspector COUNTY OF BUTTE r` 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' y CORRECTION NOTICE. t' `fZ�9-fig 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. Inspector Date r �w ' r il .�k :a - y1 e1 r Inspector Date 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 So>z�L�s��r qzg�-85 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 matt or need additional explanation, please contact this office immediately. - STfXnli"S LIA440T (n -rc) Noi✓ - t?iF-AR /r &VA LC: >e'/ P&. 2 r r -i = /I'- **' - f3 C 4--1�1AY. IA n/ (3tzA ci�,S 1,rNGrA )r- sr(e►i r -S f, 8 � fZCFra2- Tn LA, Q:ef, Z5/7 Fol Roof �-. Prro,iih /Soni g rgic oof Pimm SizwG O S rA C L Ptd r!'t r A TrS Ji✓ %?o 44 /4� % - 1ntS iAi, MSr. Tl�B A'A CC/- <s Inspector zf_, -s Date 9 -1 '170 • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 6 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ?og�.JSc�nl 4z4gi Rq 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. RPPK-6JEC_-s 5C I- /,/5 /-fir TO S %T Inspector /-11V'y Date 1 _S qd �f. . - .- Txj • Iry d' 'txi t P 3 Owner Permit No"':-: LOCATION r ENERGY CERTIFICATION DESCRIPTION OF INSULATION A. P. ? - ROOF MATERIAL BRAND NAME THICKNESS THERMALVALUE) EXTERIOR WALL MATERIAL Fiber lass THICK ? CEILING , BATT OR BLANKET TYPE.. THICKNESS 1 O" LOOSE FILL TYPE INSUL-SAFE III THICKNESS __/ Z �� FLOOR, ELEVATED MATERIAL FIBERGLASS THICKNESS BRAND NAME Certainteed THERMAL RESISTANCE (R VALUE) BRAND NAME Certainteed THERMAL RESISTANCE (R VALUE) AC —jiro BRAND NAME Certainteed THERMAL RESISTANCE (R VALUE) o BRAND NAME CERTAINTEED THERMAL RESISTANCE FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE). WIDTH FOUNDATION WALL MATERIAL THICKNESS BRAND NAME THERMAL RESISTANCE (R VALUE) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. SHASTA INSULATION �I RM/fQAME / OGJ�R , ' I hereby certify the above insulation and Department approved plans and attachments of California Energy Requirements. All equipment, devices and materials are approved by the State o Califo nia. ---_- __� ---- FWUO�F NER ISE PRINT SGENERAL CONTRACTOR/OWNER W530235 STATE CONTRACTOR"S LICENSE NO. -5---r/ — 970 all required items as shown on the Building have been installed as required by the State of the quality prescribed or are specifically ---------- X17133---------------- STATE CONTRACTOR"/s LICE NSE NO. ---------------- / �1cz_- ?/-------- DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 COUNTY OF BUTTE --APARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE 4 PERMIT N ASSESSOR PARCEL NUMBER rJ �` 3 ZONGIZ , — BUILDING PERMIT OWNERTELEPHONE W fy�lQfil_L_ .Soa0/✓s0n/ ��3-1 S.'`3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P� o yILO,�, CONTZA//C/T'O/R�'S N1A-EE On F�✓,S'o _ / TELEPHONE �C'�/ �Q J s y/ O CONTR A)DTOR'S MAILING S � Fire0%AIr�2 place QO O CONSTSCTION LENDER ,n clW111,716-wrin, J���� UNKNOWN e�/— Total Valuation $ QLl Filin Fee 9 $ 10.00 LENDER'S MAILING ADO ESS j Z O UA0 Com« % Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ b �•/ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 99 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /LLfl�/ Each Trap 1 2.00 Z Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION nVISION NAME .(/ v�N�B� V/dLLF �-s'r PARCEL MAP epiping 5.00 Water p'p g a' Each qas water heater or vent 5.00 USE OF STRUCTURE SF4--'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S Building sewer 5.00 S o Mobile Home S I G I W O.00e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ALT CZ — S//4�1L ,rl ,I? `� _ 13��� �Mhfrfi� tr�P-L2, seol S� Permit Fee $ 304 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS 0 0� Main service EA. ADD'L 100 AMP 2.50 2 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. 90133 Classification F-1 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 OR ACDNS. ACONST. DCC. BLDGS.WELLING OCCUP. ) '/z2sgft % NEW CON5TRMULTI-OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) EX. Occup(OUTLETS OR FIXTURES e zAOL0050C30 FIXED PR Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.0p Heating X 0 karlu -1 a" s Lim Cooling Hood 3.00 3 0 Ventilation. 3 3— 1 12 - Permit Fee $ Z 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 aUist kcouDkrw consequence of the granting of this ermit. f Date —` gnatur pplicant — OwneT,Contractor ❑ Agent ❑ An OSHA permit is required for excavations o er 5'0" deep a demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ p o� 2 J cor,�T_Tvpe �NFEE / TOTAL AL E $ t/ HAz CUA PARK AR D D Issu Th;s 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. IR CT OF PUBLIC WORKS By. Date PERMIT EXPIRES Date �j Receipt No. ✓ , 6/� 3Z2 7� /�� O wNlTc-a. P. w.. LI(n,e-Ag' gda/�NK /ROCUI�" PLICANT Z COUNTY OF BUTTE `ND EPAFiY�; YMEOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DF&E - OMOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET j' // Permit No.— CD OWNER (_V,�' yvOz-LL A. P. No. Proposed Building Use /� S/. 1-11?4- , Building Inspector C S Date JZ'- / q A ,- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 7 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 110. Fees of $ instructions. g. ..................... .......................... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. Q .)A A/,A^ School District fees paid .............. 4. Sanitation approval from C W z 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) Ea�E RyS. 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 .................. 023. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... . Recorded copy of Agricultural Acknowledgment Statement ......... Letter Of signature authorization ................................... 27. When you issue the permit, process as follows: Mail to owner. _ Telephone7���and hold for pickup atoffice. Other Copy of plans sent Health Dept., Applicant Fire Dept., " Other Mail to contractor. —Deliver w/inspector. Date ate r �— U / The following data must be submitted prior to permit issua e: (Circle new i m pot checked above). 1. Index permit for above items No. 2. Additional items required:' Contractor, design owner, was advised of above required data by phone_lnaiI—counter byip .date Contractor, designer, owner, was advised of above required data by —phone _maiI—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in __11. File cabinet AP folder Iii �MNE FROM: Encroachment Permit Section RE: Driveway Clearance owner. location AP Driveway permit ne &r has been issued for the above property. date si ature TOBu ldi o Department FROM: Environmental Health SUBJECT: Sanitation Clearance JA Owner Loca on Ap# Plan Approved for: Sewage Disposal Hold final for:. Final clearance O.K. for: Clearance for bedroom ==home. Other NOTB * * * LP /11 Ssni arian Water Supply Water Supply Water Supply Date BUTTE COUNTY SCHOOLS DEVELOPMENT -FEE CERTIFICATION FORM (One.Form'per Building) A.P. Number 3a%- j �-J� Building Department No.. (f School District 10✓/.k'1A M City County Jurisdiction Property Owner Project Location/Address k �j.LLa•J C Subdivision L_meln V Fp1_try f!` Lot Number c Residential Development: ' yB� F -Sq. Footage 3)1 cl ' # of Living MHI Addition (Group R)* Units Commercial/Industrial: O Sq. Footage. . New Addition (Including Exterior Roofed Areas) �_ /LAW :Wilding Department Representative Date ' ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that -� (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with'the requirements of Resolution No. 7" by thpayment of $ representing. square feet. n o.ol District Representative Date PAID BY CHECK NO. /� REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district, SCHOOL.FEE (8/88) ,.STATE OF CALIFORN COUNTY OF- before me, the undersigned, a Notary Public in and for •tsaid State, personally personally known to me (or proved to me on the basis of satisfa/ct�ory) evidence) to be thhe§e�rso�nwhose name is subscribed to the within instrument as the Attorney in fact of w i71e j � l �C . , A/-7 and acknowledged to me that=:�;= Lend a / thereto as principal(s), and his/her own name as Attorney in Fr,ct. WITNESS my hand and official seal. % Signat 111MI 1111525 ....----- OFFiCrALSEAL TAMC BARLOW f NOTARY pUBUC — CALIFORNIA pRINCIPALOFFICE IN �N BUTTE COUNTY My Commission Expires October 24,1992 .............. 111111111111111H (This area for official notarial seal) ,PARTY SHOWN �c7itSoe� GaC,5f 90-007087.. 1 Rec' Fee 5.00:' 1 Check, 5:.00 Recorded •rV I Official Records ; `` County, of I1 • Butte Candace J. Grubbs 1 Recorder ; 8:18am 22 -Feb -90 . ; BG 1 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural .purposes, and residents of" this property may be subject to incon- veniences 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 agricul -- tural. zones which have as a priority use for productive agricultural. purposes, and residents Wi t h.in said zones and on adjacent property should be prepared to accept: such i nconvell i or disconform from normal, necessary farm operations. All. that real property situate in the County. of .Butte, State of California, described ;Is follows: Lot 18', as shown ori 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. Date: Feb. 21, 1990 PROPERTY OWNERS: uQjjan�:� 0 r Wendell Sorsenson1 State of. Calif. ) On this the 21st day of February , 19__0, before me, ) SS. the undersigned Notary Public, personally appeared { County of Butte ) E] Per known to me. FJ Proved to me on the basi of satisfactory evidence. -' to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that _ executed the same for the purposes therein -contained. IN WITNI- WHEREOF, I hereunto set my hand and official seal. Present_ A. P. No. .C.:.#039-24=040 Notary Public r END OF DOCUMENT v, wo � K LL :-1 0 } 0.. LL j0 Q Oa w 0 9 HAROLD L. WELBOR N ARCHITECT (916) 877-6071 A o C -)i6664 B F O R: VEOtDEt.L S4 RM NSA+� O B; L. e. M Am STa,5 _jjz C4 Le -CK' W10,9 AT i F-0014 T OF' s'H &4-,e Q{t>. 8/Q F 120IV j l�ji¢A.L ARCHIT C ZS r /7.S ; ¢z.S 15 (s) �••4.25(/0)7 C0166 4 4( 1S = �NI�A-�2—L60/6•S 4 33Z`#�i ✓ OF CAO • f�Llla� � 9 � c '¢rr'Q;C EAGF.�`%�'• ` 3 � �.2� � � 364• �/i ✓ o � cNELK vpk)FT -/� = 332(8) 2=s - S //E4 k �' rP00 F 6-/}g,L s o k 140 A-js i y P. x 3.32 .Ls ;7 i ! i ; PAY /-i PA++P 2.2 - ! % FfdQM , 1 , , 1 - 9 ` —,►� 22 No tDosa x C� Vx)-rO 4 >44 7o, Fri 7A wA{1 ; Lo4D c>N �{- Z-5 35 '(!� +9' IQ� b� 4 V '. j. �:hxla Ae 16 r r ,� 1. �. I •' , t r ' iG AK, 4io7.ZNOUN" Y c JLDIMG DEPARTMsN1 ) i4A t ss/-ifcR re �' BoT'TaiYj' JAI cR-1 �h3' 7 J /sZ�c°: r = 2�'!0 30�`�'"`i67 �j,. c } .33j s E St4 r , 5AlEfj�c* 2' .D� C �3IA-4 � 345 t � 172��ii-•�ff:aK� , '�-- `,--�; :. BY• elk DATE z-=9`90;1 SHEET :i , OF, 3i P6� /- 2,t 3 .e l5 = 23 • �O <—f XP. C 0-g 4 g e p, 6 2 3 Yo ®, 28/ z 1112 :::� S3ZA`` 3.o*3.5+ 3.o+3.25f3Z5 3•Z5 Y�/g Wil' �V g v(c Y(/oc e. 693 -e /33 we_l SIXW HAK#D 22 - is wo/,/ r 4 H Z12* 89 ✓eft' Sore_ ENs°�v 2/` p0 �fi"l �d Y f�'/�/C-cBO�RI • CoG� �/�/�T ��1�E9 7>Q�/�1�E h'Ep 1r0 Gtl&t,Borcd G li: 454?9i =— 0/7�2o— �� Gv'/G7*E �dy� F . Table 13. Minimum Collector Area, sq. ft.., by Climate Zone, Page 6 of 8 M rWATV 7nWV t T Collector Slope Collector Y-Interce t .45 .50 .55 .60 .65 .70 .75 .8Q .50 77 65 55 49 43 39 36 33 .55 . 83 69 58 51' 45 40 37 34 .60 89' 73 61 53 47 42 38 35 .65 95' 77 64 56 49 43 39 36 .70 102 82 68 58 51 45 41 37 .75 110 89 72 61 53 47 42 39 .80 118 95 76 64 55 49 44 :30 .85 128 101 80 67 58 51 45 41 .90 138 107 85 71 61 53 47 43 .95 149 114 90 75 64 55 49 •44 1.00 164 122 96 79 67 58 51 45 1.05 180 131 103 84 70 60 53 47 1.10 197 142 110 89 74 63 55 49 1.15 216 154 118 '94 78 66 57 50 1.20 239 167 126 100 82 69 60 52 1.25 268 184 136 106 87 73 62 54 1.30 305 202 145 113 91 76 65 57 1.35 -- 220 157 121 96 80 68 59 1.40 -- 240 170 -129 102 84 71 61 1.45 -- 264 184 138 109 89 75 64 1.50 -- 295 200 148 116 94 79 67 rT.TMATR 7ONR 17 Collector Slope Collector Y-Interce t .45 .50 .55 .60 .65 .70 .75 .80 .50 75 63 55 48 42 38 35 32 .55 80 68 58 50 44 40 36 33 .60 86 72 61 52 46 41 37 34 .65 92 77 ' 64 54 48 43 38 35 .70 99 82 67 57 50 44 40 36 .75 107 87 70 60 52 46 41 37 .80 115 92 75 63 54 48 43 39 .85 125 97 80 66 57 50 45 40' .90 136 104 85 70 60 52 46 41 .95 148 112 ; 90 74 63 54 48 43 1.00 162 121 95 78 66 57 50 44 1.05 177 130 103 84 70 60 52 46 1.10 196 142 111 90 75 63 54 48 1.15 218 154 120 96 79 66 56 50 1.20 242 166 129 101 83 69 59 52 1.25 265 181 138 106 87 72 62 54 1.30 297 198 148 112 91 75 65 57 1.35 342 218 159 120 96 79 69 58 1.40 396 239 170 129 104 84 72 61 1.45 -- 264 184 139 111 90 75 63 1.50 -- 300 200 150 119. 96 78 66 C-86 RECM-A 10-79740 Reference Tables A-43 all HAROLD L. WELBOR N AR_G•H ITE CT (916) 877-6071 A a C'016664 B D F O R: O O lD E L -L Sa R M 10 So ►J JOB: L. C, M A F s T-4 -n. _:/ z. C/-1 E: CK w/ "J 19-F r --ROM T O P 8/k .4t 3 75' M P N - 'a S - / S F_ Xk5'5 , c = /, 3 awl rT)44Up Z._ v5� v , 2S. z /�.F +Z, 5- 25.356. WX4) t 3,5(5) (i0) �Coa F 216o/6•-5 - 332-.'j0/1 -D - +" a,C. CA:AE,% ; 3 2-0 Cf. Z) CNEC->< vPkIFT USS MP,4F+0 a✓/, �ZO) - /bD i J r DGES i2" o.c. FIS �- +)(4 4) USE M P F} HD yo CH kc 1V FP-Z:;NTT WA LL PL4Na. A ,4 wA LL L 04D ow A - A #f -P = 2 8 9 04- f 2890/6, 3 = 4S71 A e: .3�5 4 LL60 410<, z) = 492- it/, C He'r-v- UPLIFT �c Palo= ¢S7<�� = 3�oS�o "� Ofe KP.4'H D 2?- C4jro F�DrJ, P -L LCAA3 ; --3 r (0 e x.,33 (w1A1o) w /, (2,4) 1,4 D, ryw--, b rw 01 BY: .1000 DATE: e — 1 - 90 ZdHITECT e C016664 ° tp gTFOf CWVF SHEET I , OF 1 7 7 7b'iy1 d�C1 o -210/Y 1O/Y a'Od 9N/7/b'/Y it 7d -'•�' a ?/ a pB�M 150 d'O U/�1S xZ �cis'da S/ZZ 1,S /Y�SdWjS mops' a 9613 1S /YOSd6,�/S 12yD''.7 IV Sa'-_vO b'9N S cl&z9 77 Phf --410 Z/ 1 z/ 77Y& "/(0 o/Yg1X- d,11 ��/ "� ' Ci/ Z/ 9 769/ IR SzR1 e7m� SO1 kZ baa' Y 2 1 - hC -OE k S170 a.Lr7d ' o/Y/10� AXZ � s�.�a' '�•� 9 °� 11oB'.s S�9Q '717 XOJ i<7d 77Y& "/(0 o/Yg1X- d,11 ��/ "� ' Ci/ Z/ 9 769/ IR SzR1 e7m� SO1 kZ baa' Y 2 1 - hC -OE k N- IIZO J W� ab3 SL- 5/ �-= 20.0+6oS (2, .3 q 50 0 <<t 4x 4- e'exro. /V1= .040 ��# G : J'o=... 5¢ a— = '1200 � . _ .or %o 164.er ...... Wt _FTG. DETAIL n C� 1.a4 itV4D. R �D�•6. 2 lad " op, ''o Ito 4 � Li CI' i>�• � •+��OJL� . (41k 1 0 toJt) PI�. v�wEs 4• `E ` }4 1 L4 1Lv1C. OR P.T.0.F s1L L I� II 11" Ml►1• e . f �6. �• /�t1A1. .61 Illlr�l I � Ir koowII ° •� 1 rwc , � IlI a. Jill I COW, .■ l s LAb uAZ pt ��►.t. GQ.1.pE tZ' _FTG. DETAIL n C� 1.a4 itV4D. R �D�•6. 2 lad " op, 4 � Li CI' i>�• � •+��OJL� [;►!L. SCAB FLJt F►►�1. 4 C�wE ' 4• `E ` }4 6^ L P.T.0.F s1L L I� II 11" Ml►1• (iI II'y L TAIL vlscaee-k-, 1 Iii FTL4. DETA I L 3 D, �L 1 ' MLAO . �� ►�� I3 �s� 2�►" P .APPRDVE,D MjG• SLA$ FL.L. Z L4 RwlD 04 P T. p. F. SILL G htlt. ° tL' Mint thaw NA Y►Sc►c>a=tN _ Fs". GRAOE a/lSE ' t2' FT4. DETAIL t ■ v ■ OWE VOL'? IV TWO FTC,. T E I A I L 9 Q 2 ���K ICjA.6. ,46��.� 57 w18.1+poi! 6 MIL vrswLu LK4 'Rolla c P.T.0.F s1L MAT. C[ �DASF- 94A. VM E5 l: LIVE - IV ONE IV koowII ° 1 rwc �rol�t III 1111 IlI a. Jill I COW, .■ l s LAb OWE VOL'? IV TWO FTC,. T E I A I L 9 Q 2 ' Certificate of Compliance: Residential SHEET (Page 1 of 2) CF -1R �z-�s-ST -h,hG- �,2 til L T n fIJ2.LIAZ'Project Addre w Bob Metzger — O.D.S. 8659688 or 342-9688 Building Penit0 Documentation Author Telephone Point system 11 Ched:ed By / Date Compliance Method (Package, Point Symm or C®putu) Cumate Zone Enforcement Agency the Only GENERAL INFORMATION Total Conditioned floor Area: 5112ft Building Type: Single Family Hotel/Motel (check one or mon) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: orth / South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type:. Raised Floor (circle one or both) Infiltration Control• Ought (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to garage, typical, etc.) Wall .............. a 19k r. WA Wall .............. Roof ............. A T T Roof ............. Floor ............. Floor ............. Slab Edge..... ------ GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roller blind ex.) (shadescr en. etc.) (yestno) (metal/wood) Front.... (N) l3 Front.... ( ) Left...... (�) Left...... ( ) Rear..... 6 ) Rear..... Right.... Right.... ( ) Skylight....... Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed tile. etc) (sf) (inches) Location/Description (kitchen. bath etc. PAZ EEL ATT NZ,4) no Lt LAV NDjjx rA ff , 4 Certificate of Compliance: Residential SHEET 1j 1 (Page 2 of 2) CF -1R Project T tle Date 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) 91) rz Al A -r TSG d— , Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) cki SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: Bob Metzger O.D.S. Titleffimn: Drafting Service Owner Address: 717 5th St . 6r_ 1215 Mangrove Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 Lic. #: NJA _ Documentation Author Name: Same as Designer T'rtle/Firm: Address: Telephone: (signature) Form Revised March 1988 (date) Building Owner Name: Tttleffivnu Address: Telephone: (signature) (daze) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) Mandatory Measures Checklist: Residential SHEET= MF -1R NOTE: L.owrise residential buildings subject to the Standards must contain these measures regardless of the compliance 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 incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I(Reference loc . on plans or Building Envelope Measures notes on s s. * §2-5352(a): Minimum ceiling insulation R-19 weighted average. Sects. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. E-12 *§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). Sects. §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/mch. N/A §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality E-12 standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A §2-5317: Infilttation/Ezfiltradon 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 sealed. E-14 §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality N/A standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c- Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing S m Meas Infosupp. b A/C contractor E-5 or �ier §2-5352(8) and 2-5303: Space conditioning egaiprneat sizing: attach calcalations. E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. E-11 * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have damper controls. E-4 §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. E-10 §2-5314: HVAC equipment, water heaters, showerheads and faucets cartified by the CEC. E-6&10 §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). E — 9 e §2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating E — 9 d pig. §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. N/A Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. E-7 §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. E —10 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified E-19 by the CEC. Indicate make and model number. Faem Revised December 1997 WNI5�� : y�ulx�ll Point System Summary: Climate Zone y� SHEET P -2R Project Title Date BUILDING DATA Conditioned Floor Area Number of Stories Slab/Raised Floor 4[3- Check all applicable Unit Type condition(s): (, Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Glass Area % Glass North t3,4 _ East Z South Z West Skylight Total 410.4 SCORE CARD Measures Point Scores 1. Ceiling Insulation 3 Q? or R -value U -value 2. Wall Insulation _� or R -value U -value 3. Raised Floor Insulation — or --� R -value U -value •;° 4. Slab Edge Insulation or R-1alue F2 factor S. Inriltration Standard 0 6. Glass Heat Loss 11 A � 64 4-1 f . Type U -value % Total Glass sum 1.6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North If. �— x *77 b. East -7 x c. South x __— d. West ��_ x = e. Skylight -.17- x = . Z, 8. Shading (Shade Closed) Glass SC Eff. % Glass a. North 4,'5 x • ,�� _ r) . b. East Z_ d x I= c. South 4. �L- x =� d. West 3 • x = e. Skylight , Z x 9. 'Interior Thermal Mass –Z Interior fvtass/CFA �— ' 10. Exterior Wall Mass � Exterior Wall Mass sun 7-10 11. Heating System 2.&A x Zonal Control? ( Y / N) SE or HSPF Duct Edfac racy Effective SE or HSPF 12. Cooling System 9:/ x Zonal Control? ( Y / N) SEER ata Effiautcy Effective SEER ' 13. Water Heating �1 —_! Trpa7 C>edit Point Total: �S Form Revised March 1988 6u AA t1o, U-) a 1 cx� rS) •�-t� Ga v l .le-eJ, e;,e L VA PLce� a v-Ou w1�57( xX-i yr c�oa r5 0 �- d'� 4-o b�. L72. �t l ��-l-�;o•r- r,�,,,�e.l er,(c��, �-o. be. cau 1 I�eo(, . �. �3L V�lr-��T �C�.v��j '�'O �V'e.+ i�GK.�,�''al�'-'4•.' 0.�. `t�, F—. R 6(=, LP �h, G�c�G.'} v C7 4v Cw\ l V\ �. e.a ��-- rc.v I a�- t � d � v ► ce. , . �o �LA0r-;4-'"Ell, 40 . b� Iry # �� � � I`�It�.vl.- �� �Ji�,� � �2,►` (t�svl,- �,��UNI� �tivio,]-- . -/ t C -kr S L� LIP, gotO c M' L' P,, 4- 44\ ry , rocs �. Adec�UA.-re. , 'h bum, l - 3 i �S V � C�,1•-r v1,` ;V\ cA b oV\ "LOQ I aAA�Q-:r, kc"u 'S Ge. mac(, 611) c., a.e-�, • "" U`'�•J vim• " .. man uj uJ Oe- , • .0 V-96 w -,. +d�� tl �� t� ppe h I5, Ga u l I� b�.-4-we�ea•�. ho -�-�-o �J(a,�-e. ❑ � 7, Use �� , a��- t,•��- g �s �-� . � o � � , � �, l t� , �g , v�a.•1- - .�-e.+r- -� Ir.a`y� `�-`i' �.1 �t w 44n, ={ t4,,,,,, I 5/89 RESIDENTIAL -PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNERyy 5'j� A.P. # ! L GENERAL GOT /8 5"'P /16 -/O 1. Zoning requirements: (sideyards .r2- Valuation. ..3. Plans signed by designer. ­!+:. Energy Design and Compliance. Existing violations on property. .(W Items on data sheet. PLOT PLAN and number of permitted living units): /Y Complete parcel size and dimensions. Setbacks, sideyatds, easements, etc. /3�' Other buildings or structures. __,4: Grading, fills, drainage. _-.S' Flood hazard. _-6." Special conditions on creation map or compliance document. ,Y.' FAU & FAS road setback. FLOOR PLAN �Y Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). ,,s3! Required windows for second exit ,(Sec..1204). . --4: Skylights (Chapter 34 & Sec. 5207). 5- 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 for maintenance of mechanical equipment. ,39 Locations of water heater, heating and cooling equipment., other electrical or gas equipment, and plumbing fixtures. ,16: Garage firewall, door size, and closer (Sec. 503(d)(3)). ,a -l- 1 - 3'0" exterior exit door (Sec. 3304(e)). _-].-: Fireplace and wood stove location, alcoves, and clearance. �3-. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS /Y. Foundation plan complete enough to construct building. -,-2' Floor•construction details complete enough to construct building. �3: Elevations and.wall construction details complete enough to construct building. Roof construction details complete enough to construct building. —5- Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ll� Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ,2! Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) _.1+! Exterior plaster = weep screeds (Sec. 4706). Proper 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 separation required on garage side including supporting walls and posts, etc. .,kl' Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). __-1-2- Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). .1-4: Combustion air for fuel burning appliances. -4s5'. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size, or split level house requirin ateral esign. Flashing at all exterior openings. 17 12e?WS"e- 7;9 Me- MOaZVe- e _" 9 co 54, kZ 4� �� �c�,N: ►�. ��� N4v u r-_ u ------ _---- d � ` oop4 q . �m � tC C� Q Qj v � I V ! �m �b p�� Q?...... ` �, oW o ►� Z ��0 too i 1 �l L7 U, ol koro 0 ■ a Certificate of Compliance: Residential SHEET (Page 1 of 2) CF -1R L is M d F.-7 as U.' ° 4 b/ - ��ate .Iz--r s - � Projectiue � Date ,49 Project Address Bob Metzger - O.D.S. 8659688 or 342-9688 Building Pemit0 DocumentatJonA Point systemuthar Telephone 11 Clucked By / Due Compliance Method (Package. Point Syu= or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: / ft Building Type: Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: orth / South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Raised Floor (circle one or both) Infiltration Control: tales. - -ght (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to garage: typical. etc.) Wall .............. _ WA Wall .............. Roof ............. ATT IL Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Orientation (sf) (single, double) (roller bland etc.) (shadesc ern, etc.) Front.... (0) Front.... ( ) Left...... (P�) Left...... ( ) Rear..... (5 ) Right.... Right.... ( ) Skylight....... Skylight....... THERMAL. MASS y Overhang Framing Type Type/Covering Area Thickness (ssla��ffb/exposed tile, etc) (sf) Cinches) Location/Description (idtehaL bath. etc.) F.JuM 1 5? r ter.. , rre [/ 5 GA �, uCi �_ /WWQQ�==-- 1.817 .er 9 6e, .4 Certificate of Compliance: Residential SHEET j__tjj (page 2 of 2) CF -IR ProA4 T A S N 0206 D1 -1 B -Q HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEEP HSPF) Jamic. etc.) R -Value (Btuh) (or approved equal) Fu R Al T _ATSG � ce— A i_ ', 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) 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary ars indicated in the Special Features/Remarks section. Designer 1 Building Owner Name: Bob Metzger O.D.S. Name: Tide/Fum: Drafting Service Owner Ta wFurn: Address: 717 5th S t . 1215 Mangrove Address: er- Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 Telephone: Uc. # N A 3- ) (signature) (date) (signanue) (date) Documentation Author Enforcement Agency Name: Same as Designer Name: Ttde/Fum: Agency: Address: Telephone: Telephone: (signature) (date) (signamm or stamp) (dam) Form Revised March 1988 Mandatory Measures Checklist: Residential SHEET _., NOTE: L.owrise residential buildings subject to the Standards must contain these measures regardless of the compliance 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 incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRI MON Building Envelope Measures (Reference loc.on plans or notes on s s. * §2-5352(x): 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 fiamed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/mch. §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: Infiltration/Exfltradon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows cerdErA c. Doors and windows weatherstripped. all joints and penetration caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fining, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing S mMeas Info . b A/C contractor] or supp�ier _( §2-5352(8) and 2-5303: Space conditioning equ ipmeat sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * §2-5316(x): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 12-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greats). §2-5312(Exception 1): Pipe insulation on steam and seam condensate r ttan & 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 §2-53520): Lighting - 251umens/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-freezem freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Fam Revised December 1997 DESIGNER I ENFORCEMENT Sects. N/A E-12 N/A E-14 N/A E-5 E-11 E-11 E-6 E-4 E-10 E-65.10 E -9e E -9d N/A E-7 E-10 E-19 SHEETJI? Point System Summary: Climate Zone AP -2R V sTl s iq.2� � 1i -VS Project Title Date BUILDING DATA Conditioned Floor Area�, / 19' Number of Stories Slab/Raised Floor Check all applicable Unit Type condition(s): [Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Glass Area % Glass North Q4 _ East Z South rld Z West Skylight Total SCORE CARD Measures Point Scores 1. Ceiling Insulation or R -value U -value 2. Wall Insulation / :5— or' R -value U_value 3. Raised Floor Insulation — or R -value U -value 4. Slab Edge Insulation or R-fmlue F2 factor S. Infiltration Standard 0 6. Glass Heat Loss .4-1 Type U -value Sir Total Glans Sum 1.6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 4-3 x .72_ b. East =74 x A toe-- c. South x 11 ��— d. West x = e. Skylight _ �— x V 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 4.--5 x � - -J =-1-- b. • East 2, d x = LLQ-���------- c. South 4 . x d. West 3 . x = e. Skylight ,Z x .77 _ .'Zr 9. Interior Thermal Mass 1, "Z Interior 1Glass/CFA �- 10. Exterior Wall Mass .0-- Exterior Wall Mass Sum 7-10 11. Heating System 2A x Zonal Control? ( Y / N) SE or HSPF Duct Efficiency Effective SE or HSPF 12. Cooling System 9:/J x 'g1, = ;!$ _S Zonal Control? ( Y / N) SEER Dart Effiaency Effective SEER 13. Water Heating— Credit Point Total: Form Revised March 1988 re. A t 1 �.er--r�.-J-�` o,,�. �. fie, b y A � A v�v c. I o Lu 0, ,Ujj,,� :��L -e,4-t-iP. p2c1, l S ini vh �peA- Q rout K �cr-i v -r �od r5 d -G. er U Ic(. ► vt J et. -I-o be.. 02, 1, l ��-�-e� �oY- ,,, e.l e.�,tg�,�, -�-o. be e -au 1 Ise a(, . ipO-e-e or e muJ T�ti�1 p l c TvAbvS-� 6t e, o\ � r -�-� F-, P. boe,,.+ ow- e.o. a C� 5 1 ►n G�L..� oD �ctw\�N 4-0 I a)L.� -;�+� cw♦ °� t S i G�2. �. a.V'� © 1�J G GII�.G PP< <•t/�� 4-� n G��rc,v l a,4- ► V\,� d e, v 1'c-� 111 h U t\A,C•, . (� (tnSoI,-,pUw�J ��iuio,� — ly'� Loo. l JI, HISov�rc..e, i Ind - `� e4. eo,-E- .41^ru , roan 4. e- a \1 v-, vv,4. flc- - -$ i NSV I 4,'%-r cn,, 'J',Ou . -4--v 4 4! r a,,\ I2 IhSula:HGx� o'/\ C l rGU �lt.•11� i VBG G. Lam, L, i V\ u v e-c� . --m pe ,: Gc�S cFao k- i kc,u -,c- ,I Gem-; 4 t eA 611 e-�.a.e-., IR V4 IFVt, Uli,, * g �, lQ , Lb ` w+e �c�i I l wet tr L a u l �-- be.+Ljj ep. v% he -44-o-v^ V�Q� AD V-sa` a- p --7 q e- uj i -fin. Gi L, ., ccrr) ,T -C) o 1 cls , L4�,, A } -�-� 6e— cov,4- t P�� Certificate of Compliance: Residential AJDECG Sea Project Title 9g9q 491UDA/ Project Address Documentation Author Telephone Climate Zone 11 V2 —g Building Permit N / Checked By / Date Enforcement Agency Use Only BUILDING DATA Glass Area 95 Glass North 117-0 3• PSi oned Floor Area ✓L=!Number of Stories East 5 ced FloorNumber of Units South 91ingle Family Detached (SFD) [ ] Addition Alone West q i:3 g.• >%Single Family Attached (SFA) [ ] Existing Building Skylight O. [ ] Multi -Family (MF) [ l Existing -Plus -Addition Total 3. I BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (stns, to gtuage, t'2icel, etc.) Wall .............. Q-13 ExT:�U4 � tot Wall .............. Roof ............. —11 G Roof ............. �•.r� r (0 Floor ............. Floor........ ..... - 040 Slab Edge..... C �O GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (yoUer blind. etc.) (shadescreen. etc.) (yes/no) (metal/wood) North () 1Y7.D2WRkME A-f� Noah ( ) East ( ) East( ) ` South ( ) fG� _ South West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchenv bath. etc.) HVAC SYSTEMS Minimum Duct MIM Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) YfAT 6-4 e- 5.7 1015 90o Cool Bim— t► 5•7 6SO40 Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) . Capacity (or approved equal) Special Feature(s) SG 40 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the eomoiance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements lilted on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features toted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose fill insulation manufacturer's labeled It -Value. • §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2.5352(kr Slab edge insulation - watu absorption rate no greater than 0.3`b. water vapor transmission rate no greater than 2.0 permfurch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(1): vapor barriers mandatory in Climate Zoites 14 and 16 only. §2.5317: Infiltration/Exfileration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sakd. §2.5352(e): Special infdtration barrier installed to comply with 12-5351 meets CEC quality standards. §2.5352(dy Installation of F'ueptaces 1. Masonry and factory -built fireplaces have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostaton all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated pet Chapter 10. 1976 UMC. §2.5316(br Exhaust systems have damper controls. 62-5314(c): Gas -feed space hating equipment has inte mitten ignition devices. 62-5314: HVAC equipment. water haters, showerheads and faucets certified by the CEC. §2.5352(1): Watts heater insulation blanket (R.12 or grata) or combined interiodextexior insulation (R-16 or greater): fust 5 fee of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return de recirculating piping. §2-5318(d): Swimming Pool Hating - - 1. System has: a. On/off switch on hater. b. Weatherproof instruction plate on hater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms. 12.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, rcfrigcmtor-freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This otrdficate of compliance lists ft building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Mptcr2. SubchapW4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibilityand the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: Tide/Fum: Address: Telephone: Lic. if: (signature) (dam) Documentation Author Name: TitldFtrtn: Address: Building • i • I LiI s! PC) ,.o. Ir • i Enforcement Agency Name: Atcncy: Tekowne: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 -103 -49 32 R-19 -8 rl -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -09 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - -46 R -value 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 -6 -3 -2 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 i 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor 0.60 -144 Number of stories -46 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -11 -6 -4- 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -2 0.10 -17 -8 _-14 -5 0.08 -11 -6 -4- 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Single- Slab Floor Number of stories Effective Ptircettt Glass 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 4. Slab Edge Insulation 4 40 -90 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 29 -58 -20 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. Inriltration (Air Leakage) Specification Points Standard 0 6. Glass Heat loss Total Single- Slab Floor Raised Floor Effective Ptircettt Glass 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 31 -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 (perceat glans x SC) Effective Single- Slab Floor Raised Floor Effective Ptircettt Glass %Glass North East South West Skylight 18 5 1 4 1 na 1 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 -8 -7 -23 3 lB. Shading (Shade Closed) Single- Slab Floor Raised Floor Effective Ptircettt Glass Family Stories Mu16 (pereeat glass x SC) Stories Effective /CFA One Two Three One %Glass Nath East South West S4*1 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 8 10 11 11 9. Interior Thermal Mass Interior_ Single- Slab Floor Raised Floor Mass Family Stories Mu16 Mass Stories Attached /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 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 - Unit Size (sQ Wall Family Family Mu16 Mass Detached Attached Family 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 2.00 10 11 13 11. Heating System or Unit Size (sQ SE or HSPF �_. SEER i 199 (assumes ducts In attic) 1700 2200 2700 Sum of 1-6 In 4ttic) or to -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 3 Effective SE or HSPF -2 9.0 (SE or HSPF x duct et7iciency) -3 -3 Effective -25 or -24 to -14 to d to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -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 System or Unit Size (sQ �_. SEER i 199 12M 1700 2200 2700 (assumes ducts In 4ttic) or to to Sem of 7-10 or Type Type less -25 or .24b -14 to -4b +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 .5 .4 -4 3 -2 -2 9.0 -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 . -12 -9 Effective SEER -6 IG None (SEER xdud efficiency) -3 -2 -2 Sum of 7-10 1 Solar Effective -25 or -24 to -1410 -410 +6b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 -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 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 Detached and Attached Interior Mass/CFA • TYPE 2 Mss or Unit Size (sQ Water R -value (0) i 199 12M 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 X WSB 5 3 3 2 2 20% POU 8 5_ 4 3 3 SE None 37 -24 -18 -15 -12 90% Solar -1 -1 -1 0 0 0.6 HWR -18 -12 -9 -7 -6 2.1 WSB -25 -16 -12 -10 -8 3.6 POU -18 . -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1 Solar 7 5 4 3 2 25 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 5.4 Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 29 Multi -Family (individual units) 3.5 3.1 3.9 4.1 Unit Size (sQ 4.5 Water S 699 700 1200 1700 2200 Heater Crede or b to 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 26 WSB 9 4 3 2 2 4 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 15 Solar 2 1 1 0 0 3 HWR -23 -12 -8 3 -5 4.4 WSB -25 -13 -8 -6 -5 5.9 _ PQU _23 -12 8 -6 -5 IG None -8 -4 -3 .2 1 -2 3.2 Solar 6 3 2 1 1 4.7 POU 1_ 0 0 - 0 0 IE None 30 -15 -10 -8 -6 21 Solar 18 9 6 4 4 3.5 POU -8 -4 -3 -2 -2 Interior Mass/CFA • TYPE 2 Mss or R -value (0) F3 factor 10.771 5. Infiltration Standard ' 6. Glass Heat Loss V1! 6- LC- ��•� Type Idoubtc] U -value 10.65] % Total Glass [ 161 7. Shading (Shade Open) 4I'7°="x14•21 Ie.rpee.0 a•el % lass 3. � SC @?►'%7 Eff. 9' Glass 2 a. North 1TYPE 1 MASS (eIn,C 3- 4.2,. l e: exposed _ slab) = c. South X 0% 5% IOY. 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 65iG 70% 75% 80% 85% 90% 95% 100Y. 105% 1 toy. 115%120!:125` QY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 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 53 110% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 S 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 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 15 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 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 6 6.2 60% 11.2 1.4 1.7 1.9 21 2.3 2.5 27 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 S.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 28 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.6 2 22 25 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 10% 1.4 1.6 1.8 2 22 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 54 5.6 5.8 6 6.2 64 66 651 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 52 54 5.6 59 6.1 63 65 67 90% 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6, 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 35 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.62.8 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 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 2.3 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 Measures 1: Ceiling Insulation -3 or R -value [381 U -value [0.030] 2. Wall Insulation '- or R -value [11) U -value (0.098] 3. Raised Floor Insulation or R -value 1191 U -value [0.0371 4. Slab Edge Insulation or R -value (0) F3 factor 10.771 5. Infiltration Standard ' 6. Glass Heat Loss V1! 6- LC- ��•� Type Idoubtc] U -value 10.65] % Total Glass [ 161 7. Shading (Shade Open) % lass 3. � SC @?►'%7 Eff. 9' Glass 2 a. North x = .� - b. East = c. South X d. West x = . e. Skylight 0. x = 0• IS 8. Shading (Shade Closed) % lass S Eff. % Glass a. North 3.. x O � � �I = e fi t b. East % . X144; c. South =� x - �• 0 d. West x = e. Skylight �.'Ij x . Q. 014M 9. Interior Thermal Mass TYPE 1 MASS AREA = $ InteriorMus/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS' AREA = $ Exterior Wall Mass ND. L OR AREA 11. Heating System 64& x O. _ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.5615.151 12. Cooling System g -g- x 14 Zonal Control? ( Y / N) E19.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. 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