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HomeMy WebLinkAbout040-160-044` \ | - 40 -16-44 Scott & Wendy Donahoo %k917 Cumings Lane, Durham f ami' 40-16 4 add ftg/SF) patio YA 41 �Wr��t�t<#2984-82B (1st renewal/3542-81)SF A - '11/-Ife4 4 Permit#36--87B, E (new private imming pol); 40-16-44, 3375-89B,E 1917 Cummings Lane, Du am (new shop/garage) 40-16-44 Permit#773-:91B ')0 (com�-17e-t-e­w`ork tarted under 3375-89) — 06-0743 044 jv MMINGS LN, DURHAM � WNER t040-160 REMODEL/ADDITION � ` -� � ~. ' ' 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: 1917 CUMMINGS LN Owner: Permit No: 06-0743 APN: 040-160-044 GARRETT SJOLUND Issued Date: 03/29/2007 By KCG Permit type: MISCELLANEOUS 1917 CUMMINGS LN Subtype: Room Addn-First Stry DURHAM, CA Expiration Date: 03/28/2008 Description: REMODEL/ADDITION (530) 570-5252 Occupancy: R-3 Zoning: Contractor Applicant: Square Footage: OWNER GARRETT SJOLUND Building Garage Remdl/Addn 1917 CUMMINGS LN 621 1,148 DURHAM, CA Other Porch/Patio Total (530) 570-5252 748 2,517 FEE INFORMATION DBMSC Room Addition -First Stor $1,458.05 DBSMIP Residential $12.66 Fund 10 BLDG $1,082.01 Total Charged: $2,552.72 Fees Paid: $2,552.72 Balance Due: $0.00 Receipt No: B2422 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 OWNER / / 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 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 03/29/2007 penalty [$500]; Please check one of the following: Contractors Signature Date ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED NTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Cade: Ne Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is for one hundred dollars ($100) or less.) ❑ I 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 03/29/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provis' ns. X 03/29/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, 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 HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMP NSATION, ( ) � injury, including death, and property damage caused t is arising out of, a in any way connected with 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 ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above entioned property for inspection purposes. I hereby certify that I am the Pr rtyow ro am zed to act on the property owner's behalf. �! zu.✓� 03/29/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name Of Peftiftee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner 1:1Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip Last BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY* x OWNER Name City \ Statee., Phone_ Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT NAME Name Address City State Zip Phone Fax E-mail ,APPLICANT SIGNATURE X `J tom, For office use only: Zoning ) Q I Flood Zone SRA I Yes o Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: 11\f1=M Cf -%13 C119211AITTAI 17Fr1111FdFMF-N 1 Si PERMIT NO. Be,U7y3 BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: I Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date' of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount 6 Bldg SRA lReceI #: Sheriff Sheri n `T I U�� SMIP / Y L Other Date:` 3 "Ja V ;� ` O Total 3*Scs oa 4 2.00 SEP �)bNr &x,tee Q yvK SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building- Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. dential, New, Remodels, Additions, and Accessory Structures: V1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! Cf 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).S ❑ 4. e er om ngineer or Architect for truss design review. 5. 2 Energy compliance design and supporting documentation. (Note: Not require for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department.. 0 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑. 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ S. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter'from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed. by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION RFV r_1F_nA COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET R$rha"ning items needed to issue the permit. (May require additional plan review upon recCPfpt of the following items.) '6 % 14. Sanitation and site plan approval from the Environmental Health Department in 'Chico ❑ Oroville, as applicable ❑f 15. Fire Sprinklers........................................................................................... ❑ 16. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑/ 18. Erosion Control Plan Required....................................................................... e 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. . 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:.......... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... `GI 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... i 30. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone - 5a 15-)- and hold for pickup. I have been informed of the above itemsandrequirements for obtaining a building permit. Applicant:dg�;g�/ Date: G/ 1. Index permit applicationon forthiabove items numbered: Plan Check Letter 2. Additional items required Contractor, design�owwReer was advised of the above data by Vphone, ❑ mail, ❑ counter, by 1E Date: Contractor, designees was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone;• ❑ mail, ❑ counter Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 Sl b� 4y ( a, OWNER: ASSESSOR PARCEL NUMBER V `Q e4L Proposed Building Use: .1 ) �� tl. Items in to for All boxes MUST Permit Technician: Dater be le' required order apply a permit. checked OR marked NA in orderapply. J' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Y . 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxesl 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these .65 must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.._.. -f 2,�-rV � PN0_1,J 0 LCr� El 11. Hazardous Material Form �-C ±d 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other R$rha"ning items needed to issue the permit. (May require additional plan review upon recCPfpt of the following items.) '6 % 14. Sanitation and site plan approval from the Environmental Health Department in 'Chico ❑ Oroville, as applicable ❑f 15. Fire Sprinklers........................................................................................... ❑ 16. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑/ 18. Erosion Control Plan Required....................................................................... e 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. . 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:.......... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... `GI 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... i 30. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone - 5a 15-)- and hold for pickup. I have been informed of the above itemsandrequirements for obtaining a building permit. Applicant:dg�;g�/ Date: G/ 1. Index permit applicationon forthiabove items numbered: Plan Check Letter 2. Additional items required Contractor, design�owwReer was advised of the above data by Vphone, ❑ mail, ❑ counter, by 1E Date: Contractor, designees was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone;• ❑ mail, ❑ counter Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner SJOLUND, GARRETT APN No: 40-160-044 Application Date 4/3/2006 Permit No: BP 06-0743 Permit Type: ADDITION/REMODEL 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,430.08 Plan Check portion of Permit Fee $972.03 $1,458.05 Balance of Building Permit Fee 2 FEMA NYes Flood Elevation Review $109.98 $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of fees due at application $1,082.01 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,082.01 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $1,470.71 $1,458.05 $12.66 RECEIPT A E Tec'hJ��'Asst q_ L'J 4 5 6 7 7a 8 Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: '-S - RESIDENTIAL* Per After 2/14/05 sc Per Dwellinq I IPer MFD DRAINAGE FEES' 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value Butte Creek Comanche Creek Little Chico Creek Big Chico Creek Lindo Channel SUDAD Ditch Mud -Sycamore Creek PV Ditch MH 3117. 6475.49 County 4096.871 3071.14 Chico Urban Area 5372.091 3995.45 EI Medio Fire District 3128.311 2297.77 North Chico Specific Plan SR -1, SR -3, SR-1/PD R-1 7938.531 8031.53 6757.08 6850.08 °� R-2 7t41.53L R-3 6780.531 6360.08 5599.08 Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE Ingot collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES' 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value Butte Creek Comanche Creek Little Chico Creek Big Chico Creek Lindo Channel SUDAD Ditch Mud -Sycamore Creek PV Ditch MH 3117. 6475.49 RECEIPT DATE Tech/Asst Kourtni 0 $100.00 $200.00 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO I; is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES' I Durham 070 12a RECREATION DISTRICT FEES` Durham RECEIPT DATE Tech/Asst OF PERMIT. Forms will be prepared after plan check At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above'referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 o&�� Department of Public Works C o u my of B u t t e ° J. Michael Crump, LAND DEVELOPMENT DIVISION p / Storm Water Management Program Director 7 County Center Drive A �iI 5 Oroville, CA 95965 veCtC WOQ� (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement •ILESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: /9/7 ZYe- /�G>'rar/r��J By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project . that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Ul�yivZ Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder". building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [>] NO[ ]. 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRE PHONE: CONTRACTOR'S LICENSE NO: 4. I.plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: N o ON ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: --0 NOTE: - This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers'' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" bluilding permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSL3 (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Awl-" Scott Rutherford Manager, Building Divi ion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County Department o1'Deve1opxnent�Yer17CCS °�e'Vf �- 0 7 County Center Drive Oroville, CA 95965G�`a °c, (530) 538-7601 Telephone t may° (530) 538-7785 Facsimile�� BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, . Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for- septic and/or well to Butte County Environmental Health immediately. ® I ant required .to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: Ati21z�7-r St'loz-1VIA APN: 0&/0 -16,0 -- 04� Building site address: -/9Z7 I -Al Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATU OF APPLICANT DATE BUTTE COUNTY DEVELOPMENT ENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) C!'6URHA1VI RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) _Q)I() -Zj as Q-- � �� Building Permit Number Property Owner (s) 97af/I6_11t ( S (, l!�h Project Location /Address J �7')'7�s 1. d Subdivision Name Assessable Sq. Ftge �p ) Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached V/Alteration/Addition s Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit /(date issued�, �) verified by Building Department Comments:it�it'/,L/,t11�� f--'•rl�La�A/��Y/1G�Q� ❑ FRRPD ❑ CARD ❑ PRPD VDRPD certifies that: (1�0_cce 4 'S in t "A _�sq -2 - q c ,5q z Applicant Name U 1 q I? l ,x.1.1 -Y). rn i Mailing Address Phone Number City Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 0 L4 - I 0 by Payment of. Dwelling Units @ $ per unit for a total of $ �O 2 Square Feet @ $ , 1-4 1 per sq foot for a total of $ g7 .5. (,o Remarks: Paid by Check No.. Paid by Cash: and Pkrk District V ArnLl.ac141 TIT MKIr. �ro.,Ai l f- pro I doc Receipt No: Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District anaty, Building Department No. 06lJ+0 7 A.P. Number �/"/)Jurisdiction: Tax Rate Area No. n 7 City =County Property Owner Property Location/Address nh /p I ` (, (1 �'j /n 1 nC/ f j Li/ i u• i bA nY2 Subdivision Lot No. Residential Development /� .... ................. _............................_.............................. Sq. Footage �p I No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( ) ......... _.............................. *.(.No...foundat . ...ion inspection) ? existing sq. ft. see attached ...... .......................................... Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department epresentative Date District Identification No. l0 3 `t S I U (2 W 1 VTJ I F I L D School District certifies that 19(-7 Ourh (Street Address) o C, s L7v �t t.r2 N -c9 -i� C4q (City) (State) has complied with the requirements of Resolution No.i representing 02/ square feet. School District Representative Paid by Check # Remarks: (Payor) i�93g ��oz-is 9a (Zip Code) (Phone Number) by payment of $ B 2926 $ FULL MITIGATION $ '31a �o Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds PLAN CHANGE M RECHECK ❑ Owner's Name: 61A[_ LF'?7 .S1CILU ul, BP#: Date: - I -� 0 Contact Person & Phone Number: AP#: b - &o - oyz1 Received By:��e Time: / �G/7_4e,�Lij PURPOSE OF PLAN CHANGE OR RECHECK I' A16,9 _Te?aUq Per -9969 OF iZ2_=moA�5L. hur nz� KQW,17z,cxj Less -rHSt _< %b , 5!jCc14.177P_A /✓F cj AA1546y &"e, G1s_-z S,26&r ?zA t6 . ❑ Response to Inspector's Correction Notice — Inspector's Name: ❑ Response to Plan Check Letter — Plans Examiner's Name: *Submit two (2) drawings reflecting the plan change or recheck for plan review. If engineering is involved,, the engineer or architect must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and locations involved. WHEN APPROVED: ❑ Call and hold for pick-up. ❑ Deliver with Next Inspection ( for 8 1/2X 11 only) Minimum plan change fee to be collected at time of submission, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $109.98 paid. ❑ Additional Fee Amount: Receipt #: Revised 12/06 3060 Thorntree Drive #10 • Chico, CA 95973 (530) 894-8833 voice • (530) 894-8882 fax email: cj@r-c-e.com Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7541 RE: Sjolund Addition 1917 Cummings Lane Durham, CA. To Whom It May Concern, Our office has reviewed the truss design and calculation from "Design Assistance" for the above project. The layout and design are in agreement with our structural package. Thank you for the opportunity to be of service. Please contact us at the address and number above if you have any questions. Sincerely yours, Charles J. Roberts, PE M �o - saSo7 14, &Q Plot Plan Anadied ✓ � Floor Plan Attached� Sent to BD/DS I TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: c/ Water Supply: Public Private Well Hold final for: Final clearance O.K. for: NOTE: 4 Environmental Health Specialist Date Building Clearance 9/2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 Project Address........ 1917 Cummings Avenue I ******* 25.84 27.38 Durham, Ca. *v7.10* 24.47 i 21.10 Documentation Author... Marty Runnells i ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Stie 9 Plan Check Date Chico, CA 95926 j 530-894-8466 Fi.e C ec Date , Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition MICROPAS7 ENERGY USE SUMMARY Energy Use (kTDV/sf-yr) Space Heating.......... Space Cooling.......... Total Standard !Proposed Compli=ance Design Design Margin 25.84 27.38 1.54 /3.37 24.47 i 21.10 50.31 I 48.48 S 1.83 *** Building complies with Comput4r Performance *** *** Water Heating not calculated/*** GENERAL INFORMATI HERS Verification........ Not Required Conditioned Floor Area.. ::� 134,6 sf Building Type..........: Siingle Family Detached Construction Type ..... Fuel Type ................. Building Front Orie ixe,- Weather Number of Dwellin ts Number of Buildift or Data Type.. Floor Constructi Number of Buildi Conditioned Volu Slab -On -Grade Ar Glazing Percen98 Average Glazi-fg Average Glazing Average Cei/fing Vie.... :zes... ea......... ge......... U -factor... SHGC....... Height..... Addition Alone NaturalGas Front Facing 0 deg (N) 0.35 1 FullYear Slab On Grade 1 13400'cf 1340 sf 18.6 % of floor area 0.34 Btu/hr-sf-F 0.34 i 10 ft p 6 P D 7'�'3 BUTTE COUNTY BUILDING DIVISIOEDN ,A/PPROV 7/2l� I f CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER'METHOD CF -1R Page 2 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servi.c Run -1340 SF Addition Floor Area Zone Type (sf) ADD - New (Added) Residence 1340 BUILDING ZONE INFORMATION # of # of Cond- TYermo- Volume Dwell Peop- it- stat (cf) Units le ioned Type i i 13400 0.35 0.0 Yes Setback OPAQUE SURFACES Frame Area Surface Type (sf) ADD - Existing 8 Door Other ADD - New (Added) 1 Wall Wood 2 Wall Wood 3 Wall Wood 4 Wall Wood 5 Wall Wood 6 Wall Wood 7 Wall Wood 10 Roof Wood 18 504 173 50 571 25 215 311 1340 Vent Vent Verified Height Area Leakage or (ft) (sf) Housewrap 2.0 Standard No U- Sheath- 1 Solar Appendix (N) fact- Cavity ing Act ! Gains IV Front Location/ or R-val R-val Azm Tilt i Wind Reference Comments 6 0.500 0 0 0 '.90 No IV.5 A4 TO GARAGE 0.074 19 0 0 !90 Yes IV.9 A5 FRONT 0.074 19 0 90 90 Yes IV.9 A5 LEFT 0.102 13 0 180 190 Yes IV.9 A3 BACK 0.074 19 0 180 X90 Yes IV.9 A5 BACK 0.102 13 0 270 i90 Yes IV.9 A3 RIGHT 0.074 19 0 0 190 Yes IV.9 A5 KNEE WALL 0.074 19 0 0 90 No IV.9 A5 TO GARAGE 0.025 38 0 n/a 11 0 Yes IV.1 A18 TO ATTIC PERIMETER LOSSE Length F2 Insul Surface (ft) Factor R-val ADD - New (Added) 9 S1abEdge 169 0.730 R-0 Appendix Solar IV Location/ Gains Reference Comments i No IV.26 Al SLAB EDGE FENESTRATION SURFACES Ekterior Area U- Act !Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ADD - New (Added) 1 Wind Front (N) 2 Wind Front (N) 3 Wind Front (N) 4 Wind Front (N) 5 Wind Front (N) 6 Wind Front (N) 7 Wind Left (E) 8 Wind Back (S) 9 Wind Back (S) 10 Wind Back (S) 11 Wind Back (S) 12 Wind Back (S) 50.0 0.340 0.340 0 90 Standard FG1 10.0 0.340 0.340 0 90 Standard FG2 10.0 0.340 0.340 0 90 Standard FG3 10.0 0.340 0.340 0 90 Standard FG4 10.0 0.340 0.340 0 90 Standard FG5 6.0 0.340 0.340 0 90 Standard FG6 27.5 0.340 0.340 90 90 Standard LG1 27.5 0.340 0.340 180 90 Standard BG1 8.0 0.340 0.340 180 90 Standard BG2 68.0 0.340 0.340 180 90 Standard BG3 7.0 0.340 0.340 180 90 Standard BG4 15.8 0.340 0.340 180 90 Standard BG5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 The Sjolund Addition Date..03/22/06 11:25:03 Project Title.......... , MICROPAS7 v7.10 File -0614 4ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition SLAB SURFACES Area Slab Type (sf ) I ADD - New (Added) Standard Slab 1,340 HVAC SYSTEMS i Verified 'f'ed Verified Verified Maximum System Duct Type Location ADD - New (Added) Furnace Attic NoCooling Attic DUCT SYSTEMS Verified Verified Verified Duct Diuct Surface Buried R -value Lelakage Area Ducts i R-4.2 No No No R-4.2 No No No SPECIAL FEATURES AND MODEL ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. This building does not have a cooling system installed. Number Verified Veri i of Minimum Refrig Charge Adequate Fan Watt Draw Cooling Capacity System Type Systems Efficiency EER or TXU Airflow ADD - New (Added) 0.780 AFUE n/a n/a n/a n/a No n/a No Furnace .35 NoCooling .35 13.00 SEER No Yes; No HVAC SIZING i I Verified Total Sensible Design 600ling Maximum Cooling Heating Load Cooling Load Capacity C Capacity System (Btu/hr) (Btu/hr) (Btu/hr) (Btu/hr) Type ADD - New (Added) 34739 n/a I n/a n/a Furnace NoCooling n/a 18102 :21708 n/a Sizing Location............ I CFi!CO EXP STA Winter Outside Design...... 22 F Winter Inside Design....... 70 F 100 F Summer Outside Design...... Summer Inside Design....... 75 F Summer Range ............... 37 F System Duct Type Location ADD - New (Added) Furnace Attic NoCooling Attic DUCT SYSTEMS Verified Verified Verified Duct Diuct Surface Buried R -value Lelakage Area Ducts i R-4.2 No No No R-4.2 No No No SPECIAL FEATURES AND MODEL ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. This building does not have a cooling system installed. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER:METHOD CF -1R Page 4 Iroject Title.......... The Sjolund Addition llate..u3/l2/u6 11:25:U_ MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition REMARKS All unknown energy values for the existing residence are taken from Table R3-11, default assumptions for existing buildings built prior to 1978. Additions and alterations typically have special rules for modeling to avoid an undue energy penalty. These modeling assumptions may result in a HERS verification note on the Certificate of Compliance. Such measure(s) are;for modeling assumptions only. { The general guideline is when additions and alterations use existing equipment for space conditioning, the existing building zone and the addition zone use current!Package D assumptions for the HVAC system to avoid an energy penalty. Package D in Zones 2 and 8 - 15 is 13 SEER with! Verified Refrigerant Charge or TXV. Package D in Zones 1, 3 - 7 and 16 is 13 SEER. i Note that existing duct systems being extended less than 4 linear feet into unconditioned space do not require duct leakage testing. i Conditioned square footage is determined by theiconditioned footprint of each floor or level. Ceiling height is not used to determine floor area. Additionally, stair areas are counted at each floor or level. The reference FRONT orientation used in these calculations may or may not contain the entry door to the dwelling. This in no way affects the accuracy of these calculations. Any new wall between conditioned space and crawlspace or attic shall be insulated to a value of R-19 or greater. Energy Calculation Services has C -HERS raters on staff. If these documents require HERS inspections or testing,we are certified to provide these services. Please call 1 (530) 894-8466 for additional information. CERTIFICATE OF COMPLIANCE I I RESIDENTIAL COMPUTER:METHOD CF -1R Page 5 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition COMPLIANCE STATEM} This certificate of compliance lists the building features and performance specifications needed to comply with Title24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER Name .... eAtRF77'42A Company. Address. �s r 7 f-l+►�►o�, e -Z gs-9i3 Phone... } - S70 —.SZSz License. Signed.. y3 ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Services Address. $74 Manzanita Avenue, Ste 9 Chico, CA 95926 Phone... 530-894-8466 Signed.. MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 ******* Project Address........ 1917 Cummings Avenue Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit -79 Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 ' Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approachlused. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorpotated into the permit documents, the features noted shall be considered by alliparties as minimum component performance specifications for the mandatory m6asures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES n/a *150(a): Minimum R-19 insulation in wood framedceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative!Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have, a. Closeable metal or glass door coveringthe entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2. No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to complyiwith Sec. 151 meets requirements specified in ACM Residential Manual 150(8): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2:0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration% Exfiltration Controls 1. Doors and windows between conditioned andunconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed De- En- sign- force- er ment V V M SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 ,-.4- m: a-1 ml-.. r,-..,1 .....7 T..].J, iv�cv� c.......... laic JJVIULIU tiUl1111V11 i LCiIC.VJ/GG/VO tt:G7:u. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Seryic Run -1340 SF Addition sign- rorce n/a er ment 110-113: HVAC equipment, water heaters, showerYeads and faucets certified by the Energy Commission 1 150(h): Heating and/or cooling loads calculated in accordance / with ASHRAE, SMACNA or ACCA ' ✓ 150(i): Setback thermostat on all applicable heating and/or cooling systems 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ✓ having an installed thermal resistance ofR12 or greater 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated�!on the exterior of the tank showing the R -value 1 ✓ 3. The following piping is insulated according to Table 150--A-7—B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be!insulated to Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A ✓ 5. Insulation must be protected from damage,including that --due to sunlight, moisture, equipment maintenance and wind ✓ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely ✓ in conditioned space 7. Solar water -heating systems/collectors are certified by tFe— Solar Rating and Certification Corporation *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections;601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used 2. Building cavities, support platforms for air handlers, antic — plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of�the ducts ✓ 3. Joints and seams of duct systems and their components i MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 118(1): Cool Roof material meets specified criteria �C RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 26, kHz 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150=C, ✓ luminaire has factory installed HID ballast; 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaireE in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controllingthe high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shallbe high efficacy luminaires OR are controlled by an!occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with 4. mastic and draw bands Exhaust fan systems have back draft or automatic dampers —� S. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot !light ✓ 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating spats. b. Cover for outdoor pools or outdoor 3. Pool system has directional inlets and a ,circulation 115: pump time switchy Gas-fired central furnaces, pool heaters,1spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material meets specified criteria �C RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 26, kHz 150(k)l: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150=C, ✓ luminaire has factory installed HID ballast; 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaireE in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controllingthe high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shallbe high efficacy luminaires OR are controlled by an!occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 4 und Addition j Date..03/22/06 11:25:03 Project Title.......... The Sjol MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition rooms shall be high efficacy luminaires (except closets by a dimmer switch less than 70 ft2), OR are controlled OR controlled by an occupant sensor(s) that complies are with Section 119(d) that does not turn on automatically or have an always on option 150(k)5: Luminaires that are recessed into insufflated ceilings (IC) and are approved for zero clearance insulation clover certified air tight to ASTM E283 and labeled as air are tight (AT) to less than 2.0 CFM at 75 Pascalls 150(k)6: Luminaires providing outdoor lightingland permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant certified to comply V/ sensors with integral photo control with Section 119(d) 150(k)7: Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec. 130, 132, and 147. shall Lighting for parking garages for 8 or morevehicles that complies with Sec. 130, i31, and 146 ✓ have lighting 150(k)8: Permanently installed lighting in thelenclosed, non - dwelling spaces of low-rise residential buildings with four be high efficady luminaires OR or more dwelling units shall controlled by an occupant sensor(s) certified to are comply with Section 119(d) l i i i ✓ a RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS -5R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. I KITCHEN LIGHTING S, High Efficacy Luminaire Type (Yes/No) j High Efficacy Other Watts Quantity Watts Watts x = or x = or x = or x = or x = or Total;A= B= Complies if A >= B Yes No f Rules for Determining Residential Kitchen Luminaire Wattage Screw Base Sockets - Section 130(c) 1 (Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent factory -installed label (luminaire wattage is not based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasts - Section 130(c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturers catalogs based on independent testing lab reports. Line Voltage Track Lighting (90 through 480 volts) - Section 130(c) 3 1. Volt-ampere (VA) rating of the branch circuits) feeding the tracks; or 2. For tracks equipped with an integral current limiter, the higher of - The wattage (or VA) rating of an approved integral current limiter contr - 15 watts per linear foot of the track; or 3. For tracks without an integral current limiter, the higher of - 45 watts per linear foot of the track or - The total wattage of all of the luminaires included in the system. Low Voltage Track Lighting (less than 90 volts)- Section 130(c) 4 Rated wattage of the transformer feeding the':,system, as shown on a permanent factory -installed label j Other Lighting - Section 130(c) 5 (Lighting systems that are not addressed in Sections 130 (c) 1-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label, or published in manufacturer's catalogs, based on independent testing lab reports. I HVAC SIZING HVAC Page 1 Project Title.......... The Sjolund Addition ; Date..03/22/06 11:25:03 Pro'ect Address 1917 CA * * * * * * * m ........ umings venue Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit. Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -HVAC SIZING User4-MP1333 User -Energy Calculation Servic Run -1340 SF Addition GENERAL INFORMATION Floor Area ................. 1340 sf Volume ..................... 13400 cf HEATING AND COOLING LOAD SUMMARY i Front Orientation.......... Front Facing 0 deg (N) Sizing Location............ CHICO EXP STA Latitude ................... 39.7 degrees Winter Outside Design...... 22;F Winter Inside Design....... 70'F Summer Outside Design...... 100 F Summer Inside Design....... 751 Description Opaque Conduction and Solar..... Glazing Conduction and Solar.... Infiltration .................... Internal Gain ................... Ducts ............................ Sensible Load .................... Latent Load ...................... Heating Cooling I(Btu/hr) (Btu/hr) 1 17180 5743 ! 4076 5605 6251 1993 n/a 560 7233 F Summer Range ............... 37jF Interior Shading Used...... Yes Exterior Shading Used...:.. Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.19 Description Opaque Conduction and Solar..... Glazing Conduction and Solar.... Infiltration .................... Internal Gain ................... Ducts ............................ Sensible Load .................... Latent Load ...................... Heating Cooling I(Btu/hr) (Btu/hr) 1 ;34739 18102 n/a 3606 i Minimum Total Load 34739 21708 i Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design 'temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. 17180 5743 ! 4076 5605 6251 1993 n/a 560 7233 4201 ;34739 18102 n/a 3606 i Minimum Total Load 34739 21708 i Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design 'temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER'1METHOD CF -1R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 ******* Project Address........ 1917 Cummings Avenue i Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit. Energy Calculation Services 574 Manzanita Avenue, Stie 9 Plan Check Date Chico, CA 95926 j 530-894-8466 Fie C ec Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11505 Program -FORM CF -1R / User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition MICROPAS7 ENERGY USE SUMMARY Energy Use Standard ;Proposed Comp -a (kTDV/sf-yr) Design Design Margin Space Heating.......... 25.84 27.38 -1.54 Z/ - Space Cooling.......... 24.47 j 21.10 3.37 Total 50.31 48.4/8'1.83 i *** Building complies with Comput6: erformance *** *** Water Heating not calculated *'** GENERAL INFOR�MA"TION HERS Verification.......... Conditioned Floor Area.,— Building Type...... Construction Type Vation. Fuel Type ........inBuilding Front Or Number of Dwell' knits.. Number of Buil Stories. Weather Data Z ........ Floor Construc"ion Type.... Number of Buis ding Zones... Conditioned/Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Not Required 1340 sf Single Family Detached Addition Alone NaturalGas Front'!Facing 0 deg (N) 0.35 1 FullYear Slab On Grade 1 13400cf 1340 sf 18.6 % of floor area 0.34 Btu/hr-sf-F 0.34 10 ft BUTTE COUNTY BuLDING DIVISION CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER?METHOD CF -1R Page 2 Project Title.......... The Sjolund Addition. Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11805 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition BUILDING ZONE INFORMATION Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap ADD - New (Added) Residence 1340 13400 0.35 0.0 Yes S&tback 2.0 Standard No i OPAQUE SURFACES U_ Frame Area fact - Surface Type (sf) or ADD - Existing 8 Door Other ADD - New (Added) 1 Wall Wood 2 Wall Wood 3 Wall Wood 4 Wall Wood 5 Wall Wood 6 Wall Wood 7 Wall Wood 10 Roof Wood 18 0.500 504 173 50 571 25 215 311 1340 0.074 0.074 0.102 0.074 0.102 0.074 0.074 0.025 Length F2 Surface (ft) Factor ADD - New (Added) 9 S1abEdge 169 0.730 Sheath- Solar Appendix Cavity ing Act Gains IV Location/ R-val R-val Azm Tilt Reference Comments I i 0 0 0 '90 No IV.5 A4 TO GARAGE 19 0 0 ' 90 Yes 19 0 90 190 Yes 13 0 180 190 Yes 19 0 180 190 Yes 13 0 270 '90 Yes 19 0 0 90 Yes 19 0 0 :90 No 38 0 n/a 0 Yes PERIMETER LOSSES I Back (S) 12 Appendix Back Insul Solar IV R-val Gains Reference R-0 No IV.26 Al FENESTRATION SURFACES Area U- Act Orientation (sf) factor SHGC Azm Tilt ADD - New (Added) 1 Wind Front (N) 2 Wind Front (N) 3 Wind Front (N) 4 Wind Front (N) 5 Wind Front (N) 6 Wind Front (N) 7 Wind Left (E) 8 Wind Back (S) 9 Wind Back (S) 10 Wind Back (S) 11 Wind Back (S) 12 Wind Back (S) IV.9 A5 IV.9 A5 IV.9 A3 IV.9 A5 IV.9 A3 IV.9 A5 IV.9 A5 IV.1 A18 Location/ Comments SLAB EDGE erior FRONT LEFT BACK BACK RIGHT KNEE WALL TO GARAGE TO ATTIC e Location/Comments 50.0 0.340 0.340 0 90 Sltandard FG1 10.0 0.340 0.340 0 90 Sitandard FG2 10.0 0.340 0.340 0 90 Standard FG3 10.0 0.340 0.340 0 90 Standard FG4 10.0 0.340 0.340 0 90 Standard FG5 6.0 0.340 0.340 0 90 Standard FG6 27.5 0.340 0.340 90 90 Standard LG1 27.5 0.340 0.340 180 90 Standard BG1 8.0 0.340 0.340 180 90 Standard BG2 68.0 0.340 0.340 180 90 Standard BG3 7.0 0.340 0.340 180 90 Standard BG4 15.8 0.340 0.340 180 90 Standard BG5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition Number System of Type Systems ADD - New (Added) Furnace .35 NoCooling .35 SLAB SURFACES Area Slab Type (sf) ADD - New (Added) Standard Slab 1340 I HVAC SYSTEMS Verified Verified Minimum Refrig Charge Efficiency EER or TXU 0.780 AFUE n/a n/aI 13.00 SEER No Yes; HVAC SIZING Verified Verified Verified Maximum Adequate Fan Watt Cooling Airflow Draw Capacity n/a n/a n/a No No No System Duct Type Location ADD - New (Added) Furnace Attic NoCooling Attic DUCT SYSTEMS Verified Duct Diuct R -value Leakage R-4.2 No R-4.2 No Verified Verified Surface Verified Area Total Sensible Design Maximum No Heating Cooling gooling Cooling System Type Load Load (Btu/hr) (Btu/hr) Capacity (Btu/hr) Capacity (Btu/hr) ADD - New (Added) 34739 n/a n/a n/a Furnace NoCooling n/a 18102 121708 n/a Sizing Location............ CHICO EXP STA Winter Outside Design...... 22 F Winter Inside Design....... 70 F Summer Outside Design...... 100 F Summer Inside Design....... 75 F Summer Range ............... 37 F System Duct Type Location ADD - New (Added) Furnace Attic NoCooling Attic DUCT SYSTEMS Verified Duct Diuct R -value Leakage R-4.2 No R-4.2 No Verified Verified Surface Buried Area Ducts No No No No SPECIAL FEATURES AND MODELIiNG ASSUMPTIONS Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. 6 tem installed. This building does not have a cooling sys CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER:METHOD CF -1R Page 4 Iroject Title.......... The Sjolund Addition Date. .03/22/06 11:L7:V; MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition All unknown energy values from Table R3-11, default built prior to 1978. Additions and alterations modeling to avoid an undue assumptions may result in Certificate of Compliance. modeling assumptions only. REMARKS for the existing residence are taken assumptions for existing buildings typically have special rules for energy penalty. These modeling a HERS verification note on the Such measure(s) are;for The general guideline is when additions and alterations use existing equipment for space conditioning, the existing building zone and the addition zone use currentjPackage D assumptions for the HVAC system to avoid an energy penalty. Package D in Zones 2 and 8 - 15 is 13 SEER with: Verified Refrigerant Charge or TXV. I Package D in Zones 1, 3 - 7 and 16 is 13 SEER. Note that existing duct systems being extended less than 4 linear feet into unconditioned space do not require duct leakage testing. Conditioned square footage is determined by thejconditioned footprint of each floor or level. Ceiling height is not used to determine floor area. Additionally, stair areas are counted at each floor or level. The reference FRONT orientation used in may or may not contain the entry door t in no way affects the accuracy of these Any new wall between conditioned space attic shall be insulated to a value of these calculations o the dwelling. This calculations. I and crawispace or R-19 or greater. I Energy Calculation Services has C -HERS raters on staff. If these documents require HERS inspections or testing we are certified to provide these services. Please call 1 (530) 894-8466 for additional information. i CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER;METHOD CF -1R Page 5 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Seryic Run -1340 SF Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Titlei24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been si'ned by the individual with overall design responsibility. DESIGNER or OWNER Name. - - - C: "�Gr� S��c-uh�°� 402W&99� Company. Address. iqf7 'L4WtW LN Phone. License. Signed.. date ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. ate .TION AUTHOR Name.... *arty Runnells Company. Energy Calculation Services Address. $74 Manzanita Avenue, Ste 9 Chico, CA 95926 Phone... 530-894-8466 Signed.. MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 Project Address........ 1917 Cummings Avenue ******* Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approachiused. More stringent compliance requirements from the Certificate of Complianceisupersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by alliparties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES De- En- sign- force- n/a er ment *150(a): Minimum R-19 insulation in wood framedceiling or equivalent U -factor in metal frame ceiling V 150(b): Loose fill insulation manufacturer's labeled R -Value ✓ *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative!Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have, a. Closeable metal or glass door coveringthe entire opening of the firebox ✓ b. Outside air intake with damper and control, flue damper and control ✓ 2. No continuous burning gas pilot lights allowed ✓ 150(f): Air retarding wrap installed to complyiwith Sec. 151 meets requirements specified in ACM Residential Manual �L 150(g): Vapor barriers mandatory in Climate Zones 14,16 only ✓ 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 20 perm/inch ✓ 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form ✓ 116-17: Fenestration Products, Exterior Doors and Infiltration Exfiltration Controls 1. Doors and windows between conditioned andiunconditioned spaces designed to limit air leakage ✓ 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification ✓ 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES i De- En- MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 Proiect Title__________ The Sjnluncl Addition Tata nq/99/nti ��•��•n� _.. __--_- - - - - - - - - - - -__- -J -_ ____ _______ i - -. - - - I - -,--.....-.... MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition i sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerleads and faucets certified by the Energy Commission ! 150(h): Heating and/or cooling loads calculated in accordance / with ASHRAE, SMACNA or ACCA ✓ 150(i): Setback thermostat on all applicable heating and/or cooling systems ,/ 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped!with insulation having an installed thermal resistance of;R12 or greater ✓ 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 internal and indicated!on the exterior of the tank showing the R -value i ✓ 3. The following piping is insulated according to Table 150--A-7—B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall beinsulated to Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi meet requirements of Table 123-A 5. Insulation must be protected from damage,;including that--ffue to sunlight, moisture, equipment maintenance and wind ✓ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in conditioned space 7. Solar water -heating systems/collectors are certified by t� Solar Rating and Certification Corporation *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections;601, 602, 603, 604, 605 and Standard 6-5; supply -air and:return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditionedspace. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used 2. Building cavities, support platforms for air handlers, ancT- plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area ofithe ducts ✓ 3. Joints and seams of duct systems and their components I MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11805 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers 6. Protection of Insulation. Insulation shall be protected �C from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material 7. Flexible ducts cannot have porous inner cores _ 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot !light 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. _ 3. Pool system has directional inlets and a ;circulation pump time switch 115: Gas-fired central furnaces, pool heaters,! spa heaters or_ household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) •I 118(1): Cool Roof material meets specified criiteria _ RESIDENTIAL LIGHTING MEASURES De-. En- sign- force n/a er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20, kHz 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HIED: contain only high efficacy lamps as outlined in Table 150=C, luminaire has factory installed HID ballasti ✓ 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaires in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controllingthe high efficacy luminaires ' 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall!be high efficacy luminaires OR are controlled by an!occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility ./ r MANDATORY MEASURES CHECKLIST: RESIDENTIAL Project Title.......... The Sjolund Addition MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 User#-MP1333 User -Energy Calculation Servic MF -1R Page 4 Date..03/22/06 11:25:03 Program -FORM MF -1R Run -1340 SF Addition rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d,) that does not turn on automatically or have an always on option i 150(k)5: Luminaires that are recessed into insufflated ceilings are approved for zero clearance inslation cover (IC) and u are certified air tight to ASTM E283 and labeled as air tight (AT) to less than 2.0 CFM at 75 Pascalls 150(k)6: Luminaires providing outdoor lightingland permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section 119(d) 150(k)7: Lighting for parking lots for 8 or more vehicles shalI— have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) ✓ RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS -5R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11805 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are highiefficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. I KITCHEN LIGHTING S High Efficacy Luminaire Type (Yes/No) j High Efficacy Other Watts Quantity Watts Watts i x = or x = or x = or x = or x = or TotaliA= B= I Complies if A >= B iYes No I Rules for Determining Residential Kitchen Luminaire Wattage Screw Base Sockets - Section 130(c) 1 (Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent factory -installed label (luminaire wattage is not based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasts - Section 130(c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturerTs catalogs based on independent testing lab reports. Line Voltage Track Lighting (90 through 480 volts) - Section 130(c) 3 1. Volt-ampere (VA) rating of the branch circuit(s) feeding the tracks; or 2. For tracks equipped with an integral current limiter, the higher of - The wattage (or VA) rating of an approved integral current limiter contr - 15 watts per linear foot of the track; or 3. For tracks without an integral current limiter, the higher of - 45 watts per linear foot of the track or - The total wattage of all of the luminaires included in the system. Low Voltage Track Lighting (less than 90 volts)':- Section 130(c) 4 Rated wattage of the transformer feeding the system, as shown on a permanent factory -installed label Other Lighting - Section 130(c) 5 (Lighting systems that are not addressed in Sections 130 (c) 1-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label, or published in manufacturer's catalogs, based on independent testing lab reports. i I HVAC SIZING HVAC Page 1 Project Title.......... The Sjolund Addition ; Date..03/22/06 11:25:03 P t Add 1917 C uA ******* ro�ec ress........ mmings venue Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Energy Calculation Services 574 Manzanita Avenue, Ste 9 Chico, CA 95926 i 530-894-8466 Climate Zone 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Seryic Run -1340 SF Addition GENERAL INFORMATIi Floor Area ................. Volume.. ......... ......... Front Orientation.......... Sizing Location............ Latitude ........... ... .. Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... HEATING AND COOLING Description Opaque Conduction and Solar...... Glazing Conduction and Solar..... Infiltration ..................... 1 1340 sf 13400 cf Front Facing 0 deg (N) CHICO EXP STA 39.7 degrees 221,F 70; F 100 F 751F 37 F Yes Yes Yes 0.19 �uu.1 4 eating Cooling Btu/hr) (Btu/hr) 17180 5743 4076 5605 6251 1993 Interna Gain .................... n/a 560 Ducts ............................ 7233 4201 Sensible Load .................... :34739 18102 Latent Load.......... ............. n/a 3606 Minimum Total Load 134739 21708 Note: The loads shown are only one of the criteria affecting of HVAC equipment. Other relevant design factors such requirements, outside air, outdoor design !temperatures, availability of equipment, oversizing safety margin, etc., considered. It is the HVAC designer's responsibility to factors when selecting the HVAC equipment. the selection as air flow coil sizing, must also be consider all General Notes; TITLE -24, Part 1 "ENERGY EFFICIENCY STANDARDS" The following energy requirements must be met, or exceeded, to obtain final building department approval. It is the responsibility of the owner / project supervisor to ensure that these features are installed. The Sjolund Addition Job # 06144 Date — March 22, 2006 INSULATION Wall insulation shall be at least R-19, at all exterior framed 2x6 walls. Attic insulation shall be at least R-30. All walls between conditioned space and attic or crawlspace shall be insulated to a value of -19 or greater. HEATING, VENTILATION and AIR CONDITIONING Current heating unit(s) will be extended to serve the addition. If any additional heati g units are installed they shall have an AFUE or HSPF that meets or exceeds the minimums as set forward in the ener y standards. Current cooling unit(s) will be extended to the serve the addition. If any additi al cooling units are installed they shall have a minimum SEER that meets or exceeds the minimums as set forwar n the energy standards. The majority of ducting for all ducted heating & cooling units shal be to ted in the attic (Default worst case) and will be insulated to a level of R-4.2 or greater. DOMESTIC HOT WATER Current water heating will be extended to the serve theti . If any additional water heaters are installed they shall have an energy factor (EF) that meets or exceeds the i ms as set forward in the energy standards. FENESTRATION PRODUCTS v Operable windows shall have a U -value of .4 or low and a SHGC of .4 or lower. Fixed windows shall have a U -value of .4 or low and a SHGC of .4 or lower. Hinged Doors shall have a U -value of .53 or wer and a SHGC of .65 or lower. Note: Note the following exception if any; Low- glass is not required for hinged doors. ENERGY CALCULATION SERVICES 574 Manzanita Avenue, Suite 9, Chico, CA. 95926 Tel. 530 894-8466 / FAX 530 894-2422 CABEC certified Energy Analysts, CBI Energy Plans Examiners, CHEERS Analysts. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 ******* Project Address........ 1917 Cummings Avenue Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition MICROPAS7 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kTDV/sf-yr) Design Design Margin Space Heating.......... 25.84 27.38 -1.54 Space Cooling.......... 24.47 21.10 3.37 Total 50.31 48.48 1.83 *** Building complies with Computer Performance *** *** Water Heating not calculated *** GENERAL INFORMATION HERS Verification.......... Conditioned Floor Area.:... Building Type .............. Construction Type ......... Fuel Type ................. Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Not Required 1340 sf Single Family Detached Addition Alone NaturalGas Front Facing 0 deg (N)' 0.35 1 FullYear Slab On Grade 1 13400 cf 1340 sf '.18.6 % of floor area 0.34 Btu/hr-sf-F 0.34 10 ft P CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 2 Dr ; ..i- m;r1A ThP q-nliind Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition BUILDING ZONE INFORMATION Floor # of # of Cond- Thermo- Vent Vent Verified Area Volume Dwell Peop- it- stat Height Area Leakage or Zone Type (sf) (cf) Units le ioned Type (ft) (sf) Housewrap ADD - New (Added) Residence 1340 13400 0.35 0.0 Yes Setback 2.0 Standard No OPAQUE SURFACES U- Sheath- Solar Appendix Frame Area fact- Cavity ing Act Gains IV Location/ Surface Type (sf) or R-val R-val Azm Tilt Reference Comments ADD - Existing 8 Door Other 18 0.500 0 0 0 90 No IV.5 A4 TO GARAGE ADD - New (Added) 1 Wall Wood 504 0.074 19 0 0 90 Yes IV.9 A5 FRONT 2 Wall Wood 173 0.074 19 0 90 90 Yes IV.9 A5 LEFT 3 Wall Wood 50 0.102 13 0 180 90 Yes IV.9 A3 BACK 4 Wall Wood 571 0.074 19 0 180 90 Yes IV.9 A5 BACK 5 Wall Wood 25 0.102 13 0 270 90 Yes IV.9 A3 RIGHT 6 Wall Wood 215 0.074 19 0 0 90 Yes IV.9 A5 KNEE WALL 7 Wall Wood 311 0.074 19 0 0 90 No IV.9 A5 TO GARAGE 10 Roof Wood 1340 0.025 38 0 n/a 0 Yes IV.1 A18 TO ATTIC PERIMETER LOSSES Appendix Length F2 Insul Solar IV Location/ Surface (ft) ' Factor R-val Gains Reference Comments ADD - New (Added) 9 SlabEdge 169 0.730 R-0 No IV.26 Al SLAB EDGE FENESTRATION SURFACES Exterior Area U- Act Shade Orientation (sf) factor SHGC Azm Tilt Type Location/Comments ADD - New (Added) 1 Wind Front (N) 50.0 0.340 0.340 0 90 Standard FG1 2 Wind Front (N) 10.0 0.340 0.340 0 90 Standard FG2 3 Wind Front (N) 10.0 0.340 0.340 0 90 Standard FG3 4 Wind Front (N) 10.0 0.340 0.340 0 90 Standard FG4 5 Wind Front (N) 10.0 0.340 0.340 0 90 Standard FG5 6 Wind Front (N) 6.0 0.340 0.340 0 90 Standard FG6 7 Wind Left (E) 27.5 0.340 0.340 90 90 Standard LG1 8 Wind Back (S) 27.5 0.340 0.340 180 90 Standard BG1 9 Wind Back (S) 8.0 0.340 0.340 180 90 Standard BG2 10 Wind Back (S) 68.0 0.340 0.340 180 90 Standard BG3 11 Wind Back (S) 7.0 0.340 0.340 180 90 Standard BG4 12 Wind Back (S) 15.8 0.340 0.340 180 90 Standard BG5 CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 3 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition System Type ADD - New Furnace NoCooling SLAB SURFACES Area Slab Type (sf) ADD - New (Added) Standard Slab 1340 HVAC SYSTEMS Verif ied Number Verified Verified Verified Verified Maximum of Minimum Refrig Charge Adequate Fan Watt Cooling Systems Efficiency EER or TXV Airflow Draw Capacity (Added) .35 0.780 AFUE n/a .35 13.00 SEER No n/a Yes HVAC SIZING n/a n/a n/a No No No System Duct Type Location DUCT SYSTEMS Verified Verified Verified Duct Duct Surface Buried R -value Leakage Area Ducts ADD - New (Added) Furnace Attic R-4.2 No No No NoCooling Attic R-4.2 No No No SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. Verified Total Sensible Design Maximum Heating Cooling Cooling Cooling System Load Load (Btu/hr) (Btu/hr) Capacity (Btu/hr) Capacity (Btu/hr) Type ADD - New (Added) 34739 n/a n/a n/a Furnace NoCooling n/a 18102 21708 n/a Sizing Location............ CHICO EXP STA Winter Outside Design...... 22 F Winter Inside Design....... 70 F Summer Outside Design...... 100 F Summer Inside Design....... 75 F Summer Range ............... 37 F System Duct Type Location DUCT SYSTEMS Verified Verified Verified Duct Duct Surface Buried R -value Leakage Area Ducts ADD - New (Added) Furnace Attic R-4.2 No No No NoCooling Attic R-4.2 No No No SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building does not have a cooling system installed. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 4 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition REMARKS All unknown energy values for the existing residence are taken from Table R3-11, default assumptions for existing buildings built prior to 1978. Additions and alterations typically have special rules for modeling to avoid an undue energy penalty. These modeling assumptions may result in a HERS verification note on the Certificate of Compliance. Such measure(s) are for modeling assumptions only. The general guideline is when additions and alterations use existing equipment for space conditioning, the existing building zone and the addition zone use current Package D assumptions for the HVAC system to avoid an energy penalty. Package D in Zones 2 and 8 - 15 is 13 SEER with Verified Refrigerant Charge or TXV. Package D in Zones 1, 3 - 7 and 16 is 13 SEER. Note that existing duct systems being extended less than 4 linear feet into unconditioned space do not require duct leakage testing. Conditioned square footage is determined by the conditioned footprint of each floor or level. Ceiling height is not used to determine floor area. Additionally, stair areas are counted at each floor or level. The reference FRONT orientation used in these calculations may or may not contain the entry door to the dwelling. This in no way affects the accuracy of these calculations. Any new wall between conditioned space and crawlspace or attic shall be insulated to a value of R-19 or greater. Energy Calculation Services has C -HERS raters on staff. If these documents require HERS inspections or testing we are certified to provide these services. Please call 1 (530) 894-8466 for additional information. CERTIFICATE OF COMPLIANCE: RESIDENTIAL COMPUTER METHOD CF -1R Page 5 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. DESIGNER or OWNER Name.... Company. Address. Phone... License. Signed.. ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Services Address. 574 Manzanita Avenue, Ste 9 Chico, CA 95926 Phone... 530-894-8466 Signed.. b (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 ******* Project Address........ 1917 Cummings Avenue Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*). When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES n/a *150(a): Minimum R-19 insulation in wood framed ceiling or equivalent U -factor in metal frame ceiling 150(b): Loose fill insulation manufacturer's labeled R -Value *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls) *150(d): Minimum R-13 raised floor insulation in framed floors or equivalent U -factor 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door covering the entire opening of the firebox b. Outside air intake with damper and control, flue damper and control 2. No continuous burning gas pilot lights allowed 150(f): Air retarding wrap installed to comply with Sec. 151 meets requirements specified in ACM Residential Manual v 150(g): Vapor barriers mandatory in Climate Zones 14,16 only 150(1): Slab edge insulation - water absorption rate for the insulation material without facings no greater than 0.3%, water vapor permeance rate no greater than 2.0 perm/inch 118: Insulation specified or installed meets insulation quality standards. Indicate type and include CF -6R form 116-17: Fenestration Products, Exterior Doors and Infiltration Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage 2. Fenestration products (except field -fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES De- En- sign- force- er ment V V De- En- MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 2 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition sign- force n/a er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission �L 150(h): Heating and/or cooling loads calculated in accordance / with ASHRAE, SMACNA or ACCA ✓ 150(1): Setback thermostat on all applicable heating and/or cooling systems ,/ 150(j): Water system pipe and tank insulation and cooling systems line insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation ✓ having an installed thermal resistance of R12 or greater 2. Back-up tanks for solar system; unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R -16 -internal and indicated on the exterior of the tank showing the R -value ✓ 3. The following piping is insulated according to Table 150--A–7–B or Equation 150-A Insulation Thickness: 1. First 5 feet of hot and cold water pipes closest to water heater tank, non -recirculating systems, and entire length of recirculating sections of hot water pipes shall be insulated to Table 150B 2. Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and indirect hot water tank shall be insulated to Table 150-B and Equation 150-A 4. Steam hydronic heating systems or hot water systems >15 psi, meet requirements of Table 123-A 5. Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance and wind ✓ 6. Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely V,in conditioned space 7. Solar water -heating systems/collectors are certified by -t-Fe— Solar Rating and Certification Corporation *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used ./ 2. Building cavities, support platforms for air handlers, an�— plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause / reductions in the cross-sectional area of the ducts ✓ 3. Joints and seams of duct systems and their components MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 3 Prosect Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands 4. Exhaust fan systems have back draft or automatic dampers 5. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers �L 6. Protection of Insulation. Insulation shall be protected from damage due to sunlight, moisture, equipment mainten- ance and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material 7. Flexible ducts cannot have porous inner cores 114: Pool and Spa Heating Systems and Equipment 1. A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the heater, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning .pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) 118(1): Cool Roof material meets specified criteria RESIDENTIAL LIGHTING MEASURES De- En- sign- force n/a er ment 150(k)l: HIGH EFFICACY LUMINAIRES OTHER THAN OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, and do not contain a medium screw base socket (E24/E26). Ballast for lamps 13 watts or greater are electronic and have an output frequency no less than 20 kHz 150(k)1: HIGH EFFICACY LUMINAIRES - OUTDOOR HID: contain only high efficacy lamps as outlined in Table 150-C, ✓ luminaire has factory installed HID ballast 150(k)2: Permanently installed luminaires in kitchens shall be high efficacy luminaires. Up to 50 percent of the wattage, as determined in Sec. 130(c), of permanently installed luminaireE in kitchens may be in luminaires that are not high efficacy luminaires, provided that these luminaires are controlled by switches separate from those controlling the high efficacy luminaires 150(k)3: Permanently installed luminaires in bathrooms, garages, laundry rooms, utility rooms shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) that does not turn on automatically or have an always on option 150(k)4: Permanently installed luminaires located other than in kitchens, bathrooms, garages, laundry rooms, and utility MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Page 4 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition rooms shall be high efficacy luminaires (except closets less than 70 ft2), OR are controlled by a dimmer switch OR are controlled by an occupant sensor(s) that complies with Section 119(d) that does not turn on automatically or have an always on option 150(k)5: Luminaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (IC) and / are certified air tight to ASTM E283 and labeled as air ✓ tight (AT) to less than 2.0 CFM at 75 Pascals 150(k)6: Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires (not in- cluding lighting around swimming pools/water features or other Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply V/ with Section 119(d) 150(k)7: Lighting for parking lots for 8 or more vehicles shall— have lighting that complies with Sec. 130, 132, and 147. Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec. 130, 131, and 146 150(k)8: Permanently installed lighting in the enclosed, non - dwelling spaces of low-rise residential buildings with four or more dwelling units shall be high efficacy luminaires OR are controlled by an occupant sensor(s) certified to comply with Section 119(d) ✓ RESIDENTIAL KITCHEN LIGHTING WORKSHEET WS -5R Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are high efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately. KITCHEN LIGHTING SCHEDULE High High Efficacy Efficacy Other Luminaire Type (Yes/No) Watts Quantity Watts Watts x = or x = or x = or x = or x = or Total A= B= Complies if A >= B Yes No Rules for Determining Residential Kitchen Luminaire Wattage Screw Base Sockets - Section 130(c) 1 (Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent factory -installed label (luminaire wattage is not based on type or wattage of lamp that is used). Permanently or Remotely Installed Ballasts - Section 130(c) 2 The operating input wattage of the rated lamp/ballast combination based on values published in manufacturerts catalogs based on independent testing lab reports. Line Voltage Track Lighting (90 through 480 volts) - Section 130(c) 3 1. Volt-ampere (VA) rating of the branch circuit(s) feeding the tracks; or 2. For tracks equipped with an integral current limiter, the higher of - The wattage (or VA) rating of an approved integral current limiter contr - 15 watts per linear foot of the track; or 3. For tracks without an integral current limiter, the higher of - 45 watts per linear foot of the track or - The total wattage of all of the luminaires included in the system. Low Voltage Track Lighting (less than 90 volts) - Section 130(c) 4 Rated wattage of the transformer feeding the system, as shown on a permanent factory -installed label Other Lighting - Section 130(c) 5 (Lighting systems that are not addressed in Sections 130 (c) 1-4) The maximum rated wattage, or operating input wattage of the system, listed on a permanent factory installed label, or published in manufacturer's catalogs, based on independent testing lab reports. HVAC SIZING HVAC Page 1 Project Title.......... The Sjolund Addition Date..03/22/06 11:25:03 ******* Project Address........ 1917 Cummings Avenue Durham, Ca. *v7.10* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS7 v7.10 for 2005 Standards by Enercomp, Inc. MICROPAS7 v7.10 File-06144ADD Wth-CTZ11S05 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -1340 SF Addition GENERAL INFORMATION Floor Area ................. Volume..:.....:.... ... *­* Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 1340 sf 13400 cf Front Facing 0 CHICO EXP STA 39.7 degrees 22 F 70 F 100 F 75 F 37 F Yes Yes Yes 0.19 HEATING AND COOLING LOAD SUMMARY deg (N) Heating Cooling (Btu/hr) (Btu/hr) Opaque Conduction and Solar...... 17180 5743 Glazing Conduction and Solar..... 4076 5605 Infiltration ..................... 6251 1993 Internal Gain .................... n/a 560 Ducts ............................ 7233 4201 Sensible Load .................... 34739 18102 Latent Load ...................... n/a 3606 Minimum Total Load 34739 21708 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. re r c� c 'r Y' C 9 Q � ' Q r n .t 1 11 � •I 0 l�` r w I r � F m, o re r c� c 'r C 9 � � D L Q Q .t 1 re r is CARROT & WENDY SXXUND y 1917 CU MMINGS LANH; DURHAM CA. 95938 M M0495'9592 ACQ=: 1917 CU CMMW LANE, DURHAM CA. .t 1 11 � •I r w I r � F sl o ( J' fL1i '.OII t� , is CARROT & WENDY SXXUND y 1917 CU MMINGS LANH; DURHAM CA. 95938 M M0495'9592 ACQ=: 1917 CU CMMW LANE, DURHAM CA. PEI 40-16-44 3375-89B,E PEI DONAH00, Scott 1917 Cummings Lane, Durham ? OW (new shop/garage) CO ASSESSOR PARCEL LOCATJqN perm;4 --Vo Cow)(�lek�e e�cpltra•s =_= � iiF�AMt�/� RPPEf?Qs tl��t2 �.av������„I Ec.gct'21�A� 2oae IrJS I ALLiCL a INCtht�uJ� Fou���rca,✓ 04.A 8�1 fi b�Z z -26'gZ `Cad �lo f11�. tl — he ci j)e— wov ld rwt ne- 0. �renvt eu-q k 0.8 h e Wo j lOi be C4 -o l uv& a.)+ soon Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK •• - = Not Ready yable MOBILE HOMES MISCELLANEOUS -aw Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1_/Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete . Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance Elec. rmg; Sills- ors- tuds tr russes Sid % Nailing -Veneer- - SUv Card -B1 Date Card -131 Date 1D,-R-oof; Shthg-Roofing it - Card -B1 Date Card -B1 Date . Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -61 Date Card -131 Date Card -131 Date 4 Card-B1(_<�, Date 4�4,01� Card -B1 C_r_. Date t0 Card-BlC,.(-,-. Date g -Z( and -131 Date 4-lor��lz 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel board s -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -81 Date Card -81 Date = UK 0 = NotOK ' RESIDENTIAL, (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrap ped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Mate rial-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -61 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71, Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer . 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: /NnTF• An entry must he made each time you visit ioh site) COUNTY OF BUTTE - DEPAJPA_.MENT OF PUBLIC WORKS PER 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 33 APPLICATION AND PERMIT ASSESSOR P CEL NUMBER. —1� ZONING BUILDING PERMIT OWNER T LEPHONE S0. FT. OCC. BUILDING VALU TION OWNER'S 1 G ADDRESS CON A TO •S NA ITELEPHONE CON ACT AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee 5(1 0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty 166, BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 USolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTU/R,,E. / SF ❑ Duplex❑ Mobilehome❑ Other SQ00 `t f��,Q� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installa ' Other Describe work: � �' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one P Y P l y( : ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC OR ADDNS. ACC. BLDGS. �20sgft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. EX. OCCU o p UTLETS OR FIXTURES 20®50a SALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 E-1— Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment11, costs, and expenses which may in any way accrue agains aid Cc t in o sequence f the granting of this permit. AA <� I Date 1aS a Signature of Applicant — Owner IYI Contractor ❑ Agent ❑ An OSHA permit is required for ex cav tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL F f HAz c_A PARK SCHL PAPA `D D ISSUE This permit is hereby issued , er sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date '� �o ���--9 d Receipt No. 3 WHITE -D. P. W., `r ELLO W-A38C59OR, P K -INSPECT . GOLDENROD -APPLICANT �,rP-•.�..-Y: �t-WK'`+;+�sri9�a.:.s<,.-.o....�.,,ax.;+ •.- . n +� 111111 lk4l COUNTY OF BUTTE - DEPARTMENT OF P!JBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9565 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. d OWNER Se_-CD92 414 A. P No. Proposed Building UseS�no Building Inspector Date i® -S -&I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material" Form .......................................... s 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated .and AC Buildings ....:......... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. 0. Fees of $ Ao 0�................. ........................" fa��� 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. 14. Sanitation approval from ,�1G� Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact'Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 4 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of si nature putho iz 26. When you issue the permit, process follows: Mail to owner. Mail to contractor. Telephone,/ and hold for pickup at` office. Deliver w/inspector. Other Appl ican ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit i uance: (Circle new item not checked above). 1. Index permit for above items No. t 2'. Additional items required: Contractor, designer," wner was advised of above required data by_phone--nail—counter byz�.date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by n�� Date 0 0 Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Building Department :v FROM: Environmental Health SUBJECT: Sanitation Clearance � /W �AP# Amer Location . Pl•An Approved tor: Hold final for: Seowage Disposal Water Supply Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Othe _C ef4AI NOME r �r Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in'your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide thema' r labor and materials for construction of the proposed property improvement (yes or no) Y 2. I(hav /have not) GIGY!/e signed an application for a .building permit fo4iero osed work. . P P 3.. I have contracted with the following -person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4, 4. I plan to provide portions of this work, but I have hired the following person .., to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to,provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date M11, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. NON-RESIDENTIAL BUILDINGS ENERGY -CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings I, JC Tr P bo012f OD , owner of the, building' to be constructed as a (please print) S Q under at % l7 C�UI/ijlil/I /t�gf Z"017. (bldg.permit no,) (location) 004 hereby certify that I do not intend'to heat or cool this building in such a manner as to be subject to other than -the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool -this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) the building envelope, (2) the,insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply.with the regulations.( I understand that any of the.above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building -7Owner r Q Q Mailing Address �% � 7 rwoe/l/49r -Jo-a •f/Uk'ylla ? Telephone No. S FLOOD PLAIN DECLARATION I declare the actual value of the proposed construuction.work under build- ing permit application ,53-;7,57_-8/ at A. P. # 1/0-4- 7 for &eeze.MaY �UMg e, does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS 171' gz Zly ,[lUkkw ?,5��,j8 PHONE NO. �W a Rr / 7 q 7i DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% ,of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being, restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovllle, Callfornla 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT �� r esE e 040-16-0-044 ZONING A5 BUILDING PERMIT OWNER SCOOWNER'S DONNGOAODDRESS TELEPHONE 895-1742 SO. FT. OCC. BUILDING VALUATION Est. 2000 1917 Cummins Ln., Durham, CA 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace T$_ CONSTRUCTION LENDER None UNKNOWN Total Valuation Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS _ Permit Fee $ 32.50 ARCHITECT OR EV ;WEER None LICENSE No. Plan Checking Fee $ ' Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1917 Cummins Ln. Durham Permit fee $ 42.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Shop & Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Completion of Work Started Under #3375-89 Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. , /22sgft NON.RESID NEW CONSTR BRANCH CIRCTITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q SALO So FIXED APPLNS. EX. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 0d County in cons uence of the granting of this permit. p � � DaIe51:?49 �—v-- Signature of Applicant — Owner® Contractor ❑ Agent ❑ An OSHA Permit is required for excavations over 5'0" deep and demolition or construct-O/�P� ion of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 42.50 E HALcan PARK SCHL FLU PAR PD I HD. ISSU This permit is hereby issued unoer the applicable -.--.ss of the Butte County. Code and/or resolutions to to do do work indicated above for which fees have been paid. C WORKS B OIRDate PERMIT EXPIRES Date No. .3% 7 WHITE-D.P.W.. YELLOW-ASS[930R. PINK -INSPECTOR. GOLDENROD -APPLICANT 363-87 Vj( . PERMIT NO. 976-$7B,.P,E_,• 4, PERMIT EXPIRES:3/-3/ A? ( OWNER SCOTT & WENDY DONAH00 CONTR. Bonita Pools & Spas :r ASSESSOR PARCEL 40-16-44 a LOCATION 1917 Cummings Lane, Dur a J. !1 Y 1 Temp. Power Pole i Called PG&E Temp. Elec. S Called P( r• k Temp: Gas Sei 'r. Called PG JOB FINALE[ Signature -V = OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS �'.. C - Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION°(Plans) OK except k's Card -BI Date Date Card -BI Date POO (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements S a s—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 s; Compaction—Structure Stability o I Structure; Steel—Connections—Thickness—Dead Men—Lining lec.; Receptacles and Lighting; Distances—GFI lec.; Pool Lighting; 15 volts—GFI .; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged ec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Box —Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy alth Department Approval Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI ate Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 11 J = OK 0 = Not OK ` = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor -Bolts -Joists -Vents -Cripples Card -BI Date Ca -BI Date Card -BI Date Car Date Card -BI Date P&AoB I Date Card -BI Date Card -BI Date Date /_1 ' FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Water Pipe: Test & Anchors -Nail Protection __15. Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ _16._D.W:V.; 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 25_ 26. 27 _ 28. 29. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated_ Neutral _;Yes DNo Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Panels-Motors-Mech. Equip. 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card 6--1 Card B -I 30. Clothes Closet Light -Shower Light --- --------- - --. -Card--B Date - Card BI _ Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date -- Card -BI Card -BI MECHANICAL (Permit) OK except N's 31. A.C. Ducts_ Insulation & Support _ - _-- 32. Vent Fan; Exhaust above Insulation - - _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet 35. Attic Access & Platform if Furnace in Attic --- --- -- - - - Date Card -BI - Date - Date Card -BI Date 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Dale _ FRAMING(Plans) OK except N's 36. Sills; Proper Material 8 Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calitornia 93965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMMIT /� ' 7 / ASS E//n PA EL M R -%ry— ZONIN BUILDING PERMIT Ow . Rnp_ Jjjri TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWN 'S MAI LIN ADDRESS /r 41 W7 14 CO I RAC TOR'S N E TELEPHONE CO RA O 'S AILING ADDR SS Qr /S Fireplace CONSTRUCeTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. PI8r1 &eckinn�c �� e Q 5Pr^ $ / Energy.Plan Checkiag Foe $ / O ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I ^ J Permit fee $ j / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 u Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT RE `Building SF ❑ Duplex❑ Mobilehome❑ Other S �clryr 00 Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W I J J10-00ea TYPE OF WORK New IN Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe work: Permit Fee $ S, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (�y1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforceand effect. License No. '/—'09!? -Classification `_rte+2 El1, 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.8i, OR ACDNS. (ACC. BLDGS. /z2sea NEW CONSTR ULT' -OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL SOC / ALO 30 FIXED APLNS Ex. Occup. OUT ETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring � 9 15.00 JS,00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 19 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' ities, judgments, costs, and expenses which may in any way accrue agains sai -Coun in consequence of the granting of this per 't. ' Date �� $This Signature of Applicant — Owner ❑ Contractor 54 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -1 ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu P. CONST.TYPE FLOOD PARPT K;�pISSUE permit is hereby issued under sions of the Butte County Code and/or work Alicated above for which LTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -'2� Receipt No. p ��Y WNIT!-D.P.W., YELLOW -ASSESSOR. -INSPECTOR. PINKGOLDENROD-APPLICANT I d COUNTY OF BUTTE - DEPARTMENT. QF:"FUB.L-IC WORKS - BUILDING DIMI.SION- _ 7 COUNTY CENTER DRIVE - OROVII,I-LE,,GP4..t.IFiOi;;41A,95965 - TELEPHONE: 91'6. l& 4,4541 < PERMIT APPLICATION DATA SHEET �; I Permit Nor OWNER Ee' A. P. No. a~� �Z Proposed Building Use Building Inspector Date A OG o At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED i 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 talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. COD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . , , , , , , A. Letter of signature authorizat'. • Sanitation approval from�•iC ©. Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. BuIIdIn Ins ector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22• When you issue the permit, process as follows Mai I to owner, Xto contractor. Telephone and hold for pickup at—of f ice, Deliver w/inspector.. Other Copy of plans sent Health Dept., .Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. TO:' Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Sc? ��� ��/� C� mg, r1'U _ L60 Owner Location �� AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply_ Clearance for bedroom mobile home. Other P"/ 7' e4 Note*** Sanitarian Date eo w _' aiButte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT:_ Scott & Wendy Donahoo ADDRESS:_ 1917 Cummings Lane CITY & STATE: Durham, CA 95938 IMPORTANT: 10/4/89 DATE OF CLAIM: SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GnnnS nQ SFQVIrFc DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Building permit #363-87B,E, - -44 Receipt 77682 dated 2/9/87. ; Total fees paid ---------------------------------------- $132.75 . ee------------- 10.00 Retain electrical permit filing fee----------- 10.00 Retain plan checking fee---------------------- 34.25 Total amount retained---------------------------------- §__24.25 TOTAL REFUND DUE --------------------------------------- $ 78.50 �i ,i i r TOTAL $7g50 I, the undersigned, declare under penalty of perjury that the services or articles claimed - y- have be n perfo dor vexed, end thhis e t claim is true and correct as sAta't1ed. p V�.��% .... i Dated this l day of C�cfo6e�-, 19,�„/,i� at.Q�aV111L Calif. Signature o[ Clalment I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have bee erformed or de- livered and that there is a Budget Appropriation or Specific Board Approval E] (Check one) for the Dated this ... ... .G............................ day of ............ 19 a t ................................ Calif. ............... .. ................................._.-........ ; D merittHeed or Authorized DDep utyI Dept. Exp. �1 �+ D Code ..........440.-00.2 ............. Code............4210500................PAYABLE FROM ................ QQwgt.r.... J..l'..K,yp......................... ........... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. j r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION.A'NO PERMIT &lam MIT NO, a— .ASSESSOR PARCEL NUMBER ZONING A5, BUILDING PERMIT OWNER S . o � A line O c;, TELEPHONE GGG / ` Q 7J� E<7 7 SO.1�FT. BUILDING VALUATION /O�/C�C. Ov /" 4 00' �� OWNER'S MAILING ADDRESS , / C?1:2e-, L, "', y", I.,c O Co%/ (0 00 -00 .CONTRACT0R'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTI N LENDER UNKNOWN Total Valuation Is a OV • 00 Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ &I&IS-O ARCHITECT 07 ENGINEER LICENSE NO. Plan Checking Fee $ 2 as Energy Plan Checking Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other or t S/,o o SP CI FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK Newo. Addition[] Remodel[] Utilities❑ Installation❑ Other ❑ Describe work: �/ , 5/a _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L too AMP 2.50 ' CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p J y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW DWELLING occuP.e� , oR ACC. BLDGS. /x¢sgft O, pE� NEW CONST R MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .209530 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ 20, Od WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue against id Coun c n equence o the granting of this permit o %� ' t Date O Signature of Applicant — Owner CR Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,7 occup. CONST.TYPrJ �FLOPTARCE PO ND s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which �EC OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date t2-- - Receipt No. _% -762 T eat WHITE-D.P.W., YELLOW-AgeCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 71 .. � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALI.FORNIA 95965 - TELEPHONE: 916/534=4541 PERMIT APPLICATlUlt DATA SHEET Permit No. OWNER S�eav'x- koo A. P. No. Proposed Building Use P- r 1 S1` -o,2 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 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , . . , , ' Letter of signature authorization. . . . . . . . . . . Sanitation approval from <fkl IL Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . ?K3 -* Contractor's License Information (no.name styleI classif.) . Owner -Builder Verification (Given to owner[v,Mail to owner. Improvements may be required. . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Prednspec.request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. t 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant e Z�7 Copy of plans sent Health Dept., Fire Dept., Other Date The following data;mu`st be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for abfove items No."' 2. Additional items required: }" Contractor, designer, owner, was advised of above required data by—phone---mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by LCDate Sets of plans,on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. Copy—DPW U TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance ' Owner. Location AP# Plan approved for: sewage disposal water supply Hold final -for-, water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other �j Y'Zd 04A dd.P , Note*** Sanitarian Date COUNTY OF BUTTE - Departmeeit of Public Works 7 County Center Drive, Oroville, CA 95965 o � OWNER -BUILDER VERIFICATION Attention Property Owner: 3 Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing` your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YES 2. I (have/have not) ULC signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:. Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address t Phone Type of Work h,Ii1PS-I1a1Ie✓'EIP.c4vdr, IINq ki, IsT (1mb R9S--33N) Elee4hic U>;rhm Signed: Property Owner a��� ✓C/li Social Security Number��, Date 9 / , /9B'] NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Z AV, PERMIT NO. P, r. PERMIT EXPIRES I- Scott & Wendy Donahoo$QS OWNER owner CONTR. 40-16-44 _ - r ASSESSOR PARCEL 1917 Cummings Lane, Durham LOCATION .. ! v ,\ I r t Al )"A V fF Temp. Power Pole l Called PG&E IL Temp. Elec. Service j�.' -r 5 •C Called PG&E Temp. Gas Service SL Called PG&E f� JOB FINALED (Date) Signature J c OK 0 Not OK o Not Applicable µOBILEHOMES = Not Ready _ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s • I., Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2• Footings Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ P'L"ft./ /"Nat.or/ '-/"L"ft./ /"LPG 6.., Carports; Windows—Doors _ 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks—Easements t 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability- ' 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.=Pool Lghrg. n �, Boxes—Enclosures—Panel boards—Ins. to. Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI _ Date — Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r J= n � • 0 = No��;} K -='t4Applicable RESIDE1 TIAL (Single and Duplex) t Ready r Card -BI Date/q jam? ,f' Card -BI Date Card -BI Date Card -BI Date Date ELEC ICAL Permit OK except N's Fixt e & Traasfo�nce-Ins. 0wirction ec. Receptacles Spacing -Lights & Switches at Doors 2 'ze Boxes & No. of Conductors -Stapled Rom nstalled Close to Edge of Studs & C.J. quip. Gr ade up w/M asteners-Bond & 41F 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or P . Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 28. Service -Riser Conductors -MGround-Main Disconnect Equip. Clearances; P sotors-Mech. Equip. ace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext 66. Elec. Outlets & Receptacles at Kit,. Gounter 6 . o ; Swing -Landing -Closer eer 'A.C. Duct in Garage -Damper �9�Ntr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location -CL,- lec. Receptacles in Garage; (G.F.I.)-Rome Protec. 72. •Insulation -Foam -Looked in Attic es ward Rails & Deck Construction -Post Caps 74. Fdn. Vents &Crawl Hole Door -Drainage & Wood -Earth Cleara ce Looked under Floor Ltles 75. Following instld.: Drive Yes ❑ No; Walks Yes ❑ No; Planters ❑Yes 0 N cco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 .--Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80fE rior Elec. Trim; G.F.I. Receptacle -Underground Card B -I 4_0,1 Datee��s��f^�. Card -BI Datefte"Ventilation throughout House Card B -I Date Card -BI Date 8 GI s'Protect ion _ Date ME��NICAL (Peo8 orrections from Previous Inspections O cept p's INRU4. Gas Test -Meters Tagged; Gas -Electric A. ucts Ins't io Su 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ ent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33'-6eRderrsai€ rain & Overflow; Size & Grade r nain. Q 34.._ Access -Comb. Air -Return Air Vent -115V outlet 35.^Prttic�iesass�Platform if Furnace in Attic C I Date Card -BI Card -BI _ _Date - .f✓zCard-BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Card -BI Date Card -BI Date FRAMI Plans) OK except N's Comments at Final: s; Proper Material & Anchors 2 - L 6,J Walls; -N ' ' g, Sfp�cing Br n l--ft—wed- VESIG St 3 ear',ng Walls over Girders & Floor Nailing -3 raft Stop in Walls (rat proof) jW Fire�Steps; Furred Ceilings -Stairs -Chases -Tub aAm _ 4 Bader & Beam-_Sizeing 42. ngers-Post Caps -A ors -Connectors g. Joist -Rik. ies P -Roof Brac.-Truss-Shthnp.-Ring. - -_ Fir leee-dies or p Flue FiFe�rbat Att' Access; Size & Rome rotection-Dr top ns., fle drm. Windows or Exiling Doors -Sill & Dimensions 47-6a five Fire (NOTE: Anentry must be made each time you visit job site) Date Date UND RFLOOR Plans OK except N's Date FRAMING (Continued) Zoning requirements -Setbacks -Easements tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage_3fd-atory�ce�rits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches &Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 3 cis St cco Me -Drip Screed-Fdn. Vents-Underflr. Access P' - GI g Atea-Gfass'1areEee4ien-SkrHgiTm-P4mMc PD.W.V.: F i' T w O ewer t ear Walls; .' ing-Butts ipe; Size -Anchors &1.-YJet r Fipe; Test -Anchors -Regulator ervice Tes ` ' "17• ' 1 Electric; derground 1 Ducts; Ke=Material-Support-Ins. ,rders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date L -Card -BI Date" / 111Y6tr 3Oft Card -BIS Date 0 J = Card -BI Date r Card -BI Date Card -BI Date Card -BI G, Date ' ��,- Card -81 Date Date FINAL (Plans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) ex t q's 56. E . Steps -Door & Sidelight Protect i on-Landrtngs Smoke Detector WsIW Ht.; -A s Co 0 1 er Pipe;T A s -Nail ction 58. Furnace; Vents -Clearance -Comb. Air -Connector - InGarage; Above Floor-Ducts-Mech. Protection A rs-Nailction adroom Exiting - o anFirst Floor 60' G.F.I. & Bath Fixtures & Tub Access .4-3- est�Yf6 & 2nd Floor-42Acces 61. 6c. Trim & Subpanel; Breaker Sizes -Labels 1B--Gra-s Pipe: Size & Apchors _ WZ'. Suers & Rails Card -BI Date/q jam? ,f' Card -BI Date Card -BI Date Card -BI Date Date ELEC ICAL Permit OK except N's Fixt e & Traasfo�nce-Ins. 0wirction ec. Receptacles Spacing -Lights & Switches at Doors 2 'ze Boxes & No. of Conductors -Stapled Rom nstalled Close to Edge of Studs & C.J. quip. Gr ade up w/M asteners-Bond & 41F 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or P . Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 28. Service -Riser Conductors -MGround-Main Disconnect Equip. Clearances; P sotors-Mech. Equip. ace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext 66. Elec. Outlets & Receptacles at Kit,. Gounter 6 . o ; Swing -Landing -Closer eer 'A.C. Duct in Garage -Damper �9�Ntr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location -CL,- lec. Receptacles in Garage; (G.F.I.)-Rome Protec. 72. •Insulation -Foam -Looked in Attic es ward Rails & Deck Construction -Post Caps 74. Fdn. Vents &Crawl Hole Door -Drainage & Wood -Earth Cleara ce Looked under Floor Ltles 75. Following instld.: Drive Yes ❑ No; Walks Yes ❑ No; Planters ❑Yes 0 N cco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 .--Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80fE rior Elec. Trim; G.F.I. Receptacle -Underground Card B -I 4_0,1 Datee��s��f^�. Card -BI Datefte"Ventilation throughout House Card B -I Date Card -BI Date 8 GI s'Protect ion _ Date ME��NICAL (Peo8 orrections from Previous Inspections O cept p's INRU4. Gas Test -Meters Tagged; Gas -Electric A. ucts Ins't io Su 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ ent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33'-6eRderrsai€ rain & Overflow; Size & Grade r nain. Q 34.._ Access -Comb. Air -Return Air Vent -115V outlet 35.^Prttic�iesass�Platform if Furnace in Attic C I Date Card -BI Card -BI _ _Date - .f✓zCard-BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Card -BI Date Card -BI Date FRAMI Plans) OK except N's Comments at Final: s; Proper Material & Anchors 2 - L 6,J Walls; -N ' ' g, Sfp�cing Br n l--ft—wed- VESIG St 3 ear',ng Walls over Girders & Floor Nailing -3 raft Stop in Walls (rat proof) jW Fire�Steps; Furred Ceilings -Stairs -Chases -Tub aAm _ 4 Bader & Beam-_Sizeing 42. ngers-Post Caps -A ors -Connectors g. Joist -Rik. ies P -Roof Brac.-Truss-Shthnp.-Ring. - -_ Fir leee-dies or p Flue FiFe�rbat Att' Access; Size & Rome rotection-Dr top ns., fle drm. Windows or Exiling Doors -Sill & Dimensions 47-6a five Fire (NOTE: Anentry must be made each time you visit job site) Date Ust flr. RES I )L:NT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE 'MIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WIT11 CUR1tENT ENERGY CONSERVATION itEGULATIONS AT 1921 Gummi.n s Lane Durham Ca (location) -BUILDIN(7 PERMIT NO. A.P. N0. THE FOLLOWING HAVE BEEN 'INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Sing1e•Glazed 300 IntX►.. Walls—CT/Ea 33;" R-11 Special (Insulated) ceil)720 0 Floors CT/FG 3i" R-11 CERT. & LABLLED WDS. 1500 � ExtWalls CT/FG 61, R-19 &SLIDING DP(S. .�- 200 fp Ceiling/Roo 62" R-22 WEATIIL'RST1tIPPL'D DRS. 1340 Q I}IGCeilinQ CT FG 10 R-3 — �_,� ';_ SACK DAMPULD FANS_ Circulating Pipes - iNTFRMITTENT -IGNITION DEVICES :7 �s APPROVED HEATER-� CERT. APPLIANCES_ ' APPROVED lffR.liTR._�� � ' I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDA14CE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE CalPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name - Signature of (plea4e pent) Insulation Applicator__ �A State Luntraciurb License No. 378407 General Contracto6��anne Signature of ( ease print) Cetwral Contracto Owner �e State Contractors License No. --------------- THIS CERTIFICATE MUST.;48 ON FILE WITH TILE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A DWCONSPI UOUS LOCATION Wrr111N THE FLLINC. ,��e .,; � � '� •� r -a tie Goan i q �. LAND OF NATURAI. \MEALTH AND B.EAUTY DEPARTMENT OF- PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address K1 196 Memorial Way ❑ 7 County Center Drive Q 747 Elliott Road Reply to 'Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone:.916/534-4281 Telephone: 916/872-2961, Ext. 58 October 7, 1982 Mr. Scott Donahoo Water Supply for New Residence 1921 Cummings Lane Cummings'Lane, Durham Durham, California 95938 AP# 40-16-44 Dear Mr. Donahoo: It is my understanding that the seater supply for the new.residence will be from the well on.your adjacent parcel'. The Butte County Building Department will require a recorded easement for the•water line from the well to the boundary line of the parcel where the residence is being constructed. To avoid any delay in inspection of said•aater line, please contact the Building Department regarding the requirements for this easement. Very truly yours, Vance Severin, R. S. Division of Environmental Health • r VS/les ` COUNTY OF BUTTE'- E(EPARTMEN?OF PUBLIC WORK14 PERMI No. ;4 7 County Center Drive - Orovilie, California 95965 - Telephone 916/53 Ib APPLICATION AND PERMIT ASSESSOR Pyo g�EL NyMBER `tt7—/#lam -44- ZONI % BUILDING PERMIT D-��fi/ ' , I �, / � E HONE SQ. FT. OCC. BUILDING VALUATION OWNEj� 5%,G AILI ADDRESS 7 CON(TRACTOR'SNAME AM E4 TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDS UNKNOWN Fireplace Total Valuation $ ��♦� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ , Do E ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ 23. 570 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ (� r BUILDING ADDRESS i 9i � C,c� /LI Mi�t1C' S C//7 � n �J� PLUMBING PERMIT FiIin Fee 10.00 g Each Trap 2.00 ,00 Repair drainage or vent piping 5.00 Water piping 15. ()� LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5,00 , 0V Gas piping system 1 -5 outlets 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer _00 Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ G� Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service jp0 AMP ORV 01 LESS5.00 , (� Main service EA. ADD'L too AMP 2.50 J:? NEW CONST. DWELLING O DCONSTR� DNS.ACC 20 sq ft , �p CONTRACTORS LICENSE LAW Ideclare under penalty of perjury (Check One): • ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID BRAH RC TO 2.50 ea - NCB OUG CIL NEW CONSTR (POWER APPARATUS &I NON.RESID. SINGLE OUTLET CIR, I EX. OCCUp OUTLETS OR FIXTURES 50 @ 25 1001 IXED APPLNS. OR0 Ex. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ jJ 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 FilingFee 10.00 Heating 50,000 6, 00 DIA 0 — p/} V-- Cooling 17,50 Hood 3,00 00 Ventilation Penult Fee SZ qd'D . 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 agains aid Countly in o quence of granting of thisrmit. X Dat t 71911 Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,5'Zi ,'% 0 oce�. GROUP 3 Tree o`cOHST. �v/ N\ PARCEL ✓/ PD_ 0/ HD 55 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do' fees have been paid. WORKS Date /� -U =J' It Receipt No. 63 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •----•..,.'-moi,---'...4- :..�-�.;.-^ -•--- r --..---e. r.n- ... ...y.�,..a.,,m,�,,,....r. �.._-.--..,.--.t..wjgylF.,,:.:.,. yr. � . y ,,.,.,,. ,`.COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA' --'65965 - TELEPHONEI�916/534-4541 Nw - PERMIT APPLICATION DATA SHEET Permit No. OWNER 1[)Cx1 DT t>0AJ/► 1400 A. P. No.40- 16-44 Proposed Building Use Permit Fee Based,Wpgn: Complete Contract Price ✓ DPW Valuation Other (Explain) Building Inspector Lxk_Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED /1./AII items have been submitted. Plot plans in d Iicate triplicate. . . . . . . . . . . /D -Q 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �9:` Letter of signature authorization17 MzGU 10. Sanitation approval from '• Health Dept. 1. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . f 13. Contractor's License Information (no., name style, classif.) ; 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to (Date 17�Pre-Inspection for Required. Building Inspector � Oth r -GO0�C-`l7 R� &4-1-- When you issue the permit, process as follows: tMail to owner. M it to contractor. 1 / Telephone and hold for pickup at office. Deliver w/inspectof_ Other r<., Applican/719 t .i � d..�d Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked aboveat tifTefif a pl' tion, circle item.) 1. Index permit for above Items No. 2. Additional items required: 4_ (Contractor, Designer, O n was advised of above required dat _Telephone Mail ther By Date 1- N— a% Plans checked by Plans approved b, Other Copy -DPW Date Date i r; To: Building Department From: ) Environmental Health Subject° Sanitation Clearance �`�7wner Eas i= k &- o/4�/V Plan approved for: sewage. disposal c/ water supply Hold .final for: Fi-nal clearance O.K. for.- Clearance oraClearance for bedroom mobilo home 4 Other NOTE * * * water supply water supply .rte COUNTY OF BUTTE - Department of -Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -;builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this -verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) AM 2. I (have/have not) hQ(Z e hM signed an application for a building permit for the proposed work. 3. I have contracted,with the following person (firm) to provide the proposed construction: /1 Name UZIAW OWA Address City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the .following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit• Date Sot -174. t NOTE: This Owner -Builder Verification is sent to you`as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Return to DPW R F. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 81-32520 FOR RESIDENTIAL DEVELOPMENTr�FF,C.Ai 'E;';C RD_ BUT -,[E - Section 26-8.1 of the Butte County Code requires this acknowledgement E;F ROS' 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 CLARK A. is l.v01i }' -this'property may be subject to inconveniences or discomfort arising CLERK-RECOztDER from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally 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 within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: el-, le� at e4_ �_ Date: & — 7- PROPERTY State of (yCt�%e �0-t�t.[ rt, ) On this the ,� day of d 7� ,�� 19�L, SS. before me, the undersigned Notary Public, personally Countyofl�e�7;7'Ue, ) appeared known to me to be the person(s) whose name(s) o 0 OFFICIAL SEAL subscribed to the within instrument -and acknowledged P ' PAMELA K SHELTON -CALIFORNIA thatexecuted the same for the purposes m NOTARY PUBLIC thereined. �. BUTTE. COUNTY My Comm. expires SEP 24, 1985 IN WITNESS WHEREOF, I hereunto set my hand and official -v seal. a m Notary Public Present A.P. NO. 77 -7 777TF East and parallel with the Southerly boundary line , t(' A7 1r L, 4 riy7ry J 7 -Of said Lot 3, a distance of 333 feet to a point in -the '�Jl 71- ir East line of the aforesaid Houser parcel; thence South 010 le. W V ot ...... j 1xJ , .4 - I or . less to a point in the South line of said Lot' 3; thence South".*'- - 880 471 West along 1he South line of said Lot 3, a distance of e7 0 .1, 77 -7 777TF East and parallel with the Southerly boundary line , t(' A7 1r L, 4 riy7ry J 7 -Of said Lot 3, a distance of 333 feet to a point in -the '�Jl 71- ir East line of the aforesaid Houser parcel; thence South 010 W V ot ...... j 1xJ , .4 - I or . less to a point in the South line of said Lot' 3; thence South".*'- - 880 471 West along 1he South line of said Lot 3, a distance of e7 0 .1, 7" Feet to the Southwest corner of the aforesaid Houser Ceti, 'I', et,, �A Li. t" l;, - , -, a thereof Parcel; thence North 01* 021 West along the West lin A", East and parallel with the Southerly boundary line .z 4 A7 1r L, 4 riy7ry J 7 -Of said Lot 3, a distance of 333 feet to a point in -the '�Jl 71- ir East line of the aforesaid Houser parcel; thence South 010 W V i"',•.i'- , .4 - I or . less to a point in the South line of said Lot' 3; thence South".*'- - 880 471 West along 1he South line of said Lot 3, a distance of 7" Feet to the Southwest corner of the aforesaid Houser �A Li. t" l;, - , -, a thereof Parcel; thence North 01* 021 West along the West lin A", distance of 7201 feet to the true point of beginning Ir 2. Z.,A portionllotinent No. 3, according to that certain Map of Farm Allotment ETHER with a right of way for road and u i!;X?-'12,1G-Iefititled ":"SubdivLe Lonal' Plan of the Durham State Land Settlement; V 1. �.Cv !;.* a.* to being portion of.the'Esquon Rancho, situated near Durham, But county, -Cal Lfornia, which Map was filed in the office of the ribed'as follows Recorder of the County .,Of. Butte, State of California, Septe=ber',17 1918 in volume 8 of Maps,', t pages 16,:17bInand 19 and a hZ' 1t1., `'i' 1 -ft". particularly, described asfollows; :Y4 q;- *4 Irv, C'. t:- % Commencing at the Southwest corner of said Farm Allotment No. 3, Is a point in the centerline of Cummings Road;! Go -which thence long the Southern Boundary of said Farm Allotment N0.3,- ­ North 88*471 East 605 feet to a point; thence parallel to.the--.t­,-_ .;F Westerly boundary of said Farm Allotment No. 3, North 011 02- West 720.1 feet more or less to the Northerly boundary said Farm Allotment No. 3, said point being at the ,Northeast corner of that certain Parcel of land described a C•l� a deed to Charles Ellis Bailey, recorded JanUary 5, 19 ln1:i,,,tN.`in Book 67 of Official Records at page 31; thence along said '141 Northerly boundary line of said -Lot 3, North 88*. 471� 4 r, _,.j.•,, East a distance of 363 feet to the true point of beginning for' the parcel of land described herein, said point be ng the Northwest corner of a parcel of land dencribed,.in a deed to Kenneth G. Houser at ux, recorded March 5, 1965 in Book' •49 of official Records at page 133; thence from said true fit.. point of beginning, and continue along the North boundary t said Lot 3, North 88* 471 East's distance of 30 feet to described a point at the Northwest corner of a parcel of''land .;r ',--rZ�r4n a deed to Henry Brimhall et ux, recorded November 30 1969 Book 1347 of official Records at page 6121 thence along thet"--­:�*-V '-'in.Book ­t,"West line of said Brimhall parcel and its Southerly extension;` ­ i. -Southerly and parallel with the West boundary line o f said - .3 a distance of 320 feet to a point; thence North 98* East and parallel with the Southerly boundary line A7 1r L, 4 riy7ry J 7 -Of said Lot 3, a distance of 333 feet to a point in -the '�Jl 71- ir East line of the aforesaid Houser parcel; thence South 010 W 024 East along said East line, a distance of 400.2 feet more i"',•.i'- , .4 - I or . less to a point in the South line of said Lot' 3; thence South".*'- - 880 471 West along 1he South line of said Lot 3, a distance of Feet to the Southwest corner of the aforesaid Houser �A Li. t" l;, - , -, a thereof Parcel; thence North 01* 021 West along the West lin distance of 7201 feet to the true point of beginning 2. ETHER with a right of way for road and u feet In width, the center line qf said, right o! way ribed'as follows :Y4 q;- *4 Irv, C'. t:- Go C•l� 7% P. •49 A7 1r L, 4 riy7ry J 7 7 '�Jl 71- ir W , i"',•.i'- •ar , ,- F~ �,i . t • . 'i • ' 7. t . . • t S", r- rr r a 'r t i I.. e� 1.1 U W,,! i .` J 1 , r~. x,4 .+` ,'}y 1• La: t{ k ! ) i J , LA , I ,- i i' , L + Y J �' • , L 4.. F'� i _ �t 4,y V � t,,, , > , r .n r r } , •, < F. ,' % ! t tr •tr 7 !. +� r c. 'y.-s \ ' + r + .a " t `' t % ..tr I _ t ' I. �D. \, t5 S jJ f ~`Y ,"' 14.�•l,- '.� r I, : r. )i t - 4-• ,t d t r i, t• r{l r .} L% r i ,� t t .t--,- �! [ \ }, •,\ R 1•� rr�..' � ,'/�4 I\ ,\ 3 + s ,{-ro.'`t r * '. I .tf R •,• '. ' t r,fj r i ,. }.« t , tI' `�,. -, vl 5M5• r T5 ` -,' '.. �' 4 r r,' >~v -f .I 4 t + it r• r *. R ♦ I -_r! r sy-� x •!`�., :a \ ! :.t; „ S�,S .1Crf,,..v,r y J�,, r • x t, T i a� I r, ! !• •`•`' :. _ , ;z �: ((..s�.r� t ab•TT/y'e{ ,y4 , ;a . f +I t.] ytr, . i I • ftp /I� "%", tf r r 4 -T .{ .. r t! ,I t t !- _ t .. ,. FT• tt)-'[�. ki A I I I i . y j'. i • ) ti (t ,F,q,,. t2 ) . ! y+f a °. 'S { sats { } }., , . �;r S tt-• i_ _ ! .t 4. e- r t! w c + t-1 r f � I t t {r w �. � a .a `k5 s , s J X - irtt c[ ft �h S t tr:, 5 r. r�r fan r .J •S t : ' r K"R ,.. I �'. �! .' ",y �,sL ter? J �� t r� it r i a t .� r it .ra }..;, -r, 4` i 'r' . I I ,a . m:p•' n/ r N ,�.-„�� tl' :ir 4 I.�r S ,J,1. k,•1 S' 1 r t J "1 5 �v i ..4 } 3` ti i - i;, , 1 s \ Hwy, Jr'� ]wrn i� ikk - - t ' c . ! `,+ , • 4 � `1 t a ft r, t r e J '. 7)i .:r t ?� 11I ..i•S. , , -_ ✓.k t. �! w �. Y r :- , f . b Sal .. YJr .� 1 �� ; d '` . ✓ "r , .r •J , a i t b` �,i r V. r S. t. A. a a '`. 5 a 1- n.' ^ 'a i t _�. y ..7 t ..�. t - !'k, � • •* i, - J. r). .`A. at t � [ + .� i` , r , t Y I S � ' 5 I . d .. c' aJ'-tl+a, . ti I+ r •?f + fill,. ,t , r t r Z rat .- L -+ 4 <.,r _ R -!. 3 Sll �r ti 4t } FZHIBIi 'A' (Continued) `.7., t' a` 1 t r r t. R.Y °' \t } rr ��; ypr liz!tIC ., COlgSENCING at the Southwest corner of said Parm Allotment r <o~ "+ k }, ! \ I. n of ti , ,, . ”. 1+_ "" Y, ` r r r r! 1 �r ll T4 4Rr4 > No. 3; .which';:is a point. in the center line of Cummins Road )► ` t A. �' :t. ,�`' Z� +`-�,'!,_ hence along the Southern'Botmdary of said Farm Allotment j h - 5 i ; ' } t r stir` . , 4 W � No.' 3; North '88• 47' East,' .605 feet to a pointi thence ;lt l 5 11,y z ra F % . r ` ,,11 ; . r° ,+ K`� �+ F �SZ NOrth 01 ;. 02! Nest 720.1 'feet': to a point 1n the Northern '' °' '' d, 4 y t .?, n? -1. icf ' •I d I Ti.r. s..u" I boundary of;'said• Farm Allotment No. 3? thence along said �F i t• �t- r tr � TyY� � ` ">� " e+Northern boundary• North'88*�:47• East, • a distance of 363 '1 t4 r 1.; r -, f t �? '.wry+ r „ . `+a, r r ise-,kms Yr.t._feet.to the. true point of :beginning for the center line .' . ,may ,'described herein; from said true int of be main r `. i , j + >' .", ' - - ' .k i',t"�ti _, f `hex inr• 4 �^ J :; .. !- point 9 4. - +t, �y. •'�' �t y��tt+. + t << st L fR, r; South Ol 02 East, a distance of 720 1 'feat to the Southern 4r .• ,� �a ,, S� boundary of said Vasa All 4 J. • r Allotment No 3, and the end of said > L -t ; r }f72 t', t YH��1 esi , f A r tfi\' kn-� �, w\ . ,..!tYy �t Cuter line �r f,'- ! f�,J t r .� -� 'l ti .1 t -i �'a + t. ' 1r '. , it i ,, ..(, .... a.11" :.. , ,. y , \ i 'YS i a '. t �+ 71 * `. n i{ S. d! 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Imo, .•� 1 ~ n . i iw FlA ., -;, yE; r�'T K+••.!, •4,9'd' VS1!1:•I+..ra!Q:•,%:;.'•'-lr. •>h :..�i.t.i a,.I'. �.f.,...Y! , . �17 • r' �F •}.. • l(, .` :1 I d, r ;',N r •I ` �. t iy..•'f .. •,�'1',.1if•r' ♦ -,� a.. .. .r . . . r •r, I,f} i i "1 F `d J, ,} .. r a rw 1. +. y. . •'J r' !:!' . .* w •N �, _ . . • . f 'S . .. ..-..'ter. - 'A , , I. t 1, f r • 'END OF . .. , } ! DOCUMENT, . " r' .. " K I :y ,f. , t ;*: / 41 ~+► ' . .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT. NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4544\ O _ 8 Z__— " r ; APPLICATION AND PERMIT ASSESS R PARCEL NUMBERZO �-- .-� v 1 G _— BUILDING PERMIT OWNE r £ / %W.% �� I� dC TELEPHONE _ S0. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS c CONT [C�TTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ItIvAllp UNKNOWN Total Valuation Is PU, 610 Filing g Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Alf /1/ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � •PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets —� USE OF STRUCTURE SF IJ'' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U ti ities ❑ instal�� ❑ Other Describe work: ) _ r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP OR00V OR SLESS 5.00 � s_ '�. '�"' d /A �•f Main service EA. ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NON•RESID R BRALT I -OUT NCH CIRCUITS2.50 ea NEw CONSTR POWER APPARATUS e\ NON.RESID. (SINGLE OUTLET CIR, / EX. OCCUp OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS, OR Ex. Occup.(oUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid equ Count ( co ence he granting of this permit. Date �� z Signature of Applicant — Owner §4 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $��1 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HDA ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRkr.TOR OF UBLIC +o By PERMIT EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Date over Receipt No. (,o �FLrl WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7 -�.r' i • .;t✓.:'" -=i �,�-`-w -.-�_ ,{.} =.{r.. aLy.j+.j4--- .tires—. �C•..-%`..�-+"r11t-'vr�'°+c'ti.�..,� w�.G.-.-. ( _ \ r <' COUNTY OF BUTTE - DEPARTMENT OiF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SH'E'ET / Permit No. OWNER i( i3 eF &1 411a ZIP(V ,/ UU A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Pricee.----DPW Valuation 11er (Explain) 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 APPROVED 1. All items have been submitted... . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. - Letter of signature authorization�., ! Sanitation approval fromf�Fa Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ,f& 4. Owner -Builder Verification (Given to ownerElrmail to owner ❑ )�Z�- 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .,Pre-Inspec. request to (Date) . 17. Pre -Inspection for Required. Building Inspector 18. Other ir When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other_ Applicant ✓i�//�.I:.%�l�%Date a %�r7 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location APR 2u� Plan approved for: sewage disposal water supply Hold final for: water supply Final.clearance O.K. for: water supply_ Clearance for bedroom mobile home. Other —02 X eoclQ , Note*** Sanitarian Date COUNTY OF BUTTE - Department of Public Works ' 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name -and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay -in processing and issuing your build- ing permit. No building permit will be issued until this verification is:received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YeF 2. I (have/haue-oat) l/G)y e, signed. an application for a building permit for the proposed work: 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner, 24,2:1 Social Security Date 7/C)/R-,7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE -DEPARTMENT OF PUBLICWORKSPERMIT N 7 County Center Drive - Oroville, California £5965 - �-elephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL UM//�–�BFR� —�� J ZONING BUILDING PERMIT oy � _ ��A �rs �� n174VTELEPHONE /-f�/ SQ. FT, OCC. BUILDING VALUATION O W SJ�U MAIL[ / V S (//V • // 1• V 1 �S/�� CO//NT�RRAC OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 7j $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit tee $ 3 3 �— BUILDING ADDF /7 � "A 'M _ / V/J /S `///%(/ /u(/ ��V/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �j Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti I' e tallll n Other Describe work: ___ �C�V� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR10V OR SLESS 5.00 Main service ADD'L 100 AMP 2.50 //EA. NEW CONST. OR ADDNS. IACCLBLDGS.LING CCUP.(fIi / 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sat ion, 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 CONSTR '-OUTLET NON-RESID, BRANCH CIRC ITS 2.50 ea NEW CONSTR /POWER APPARATUS Q1 NON-RESID. \SINGLE OUTLET CIR. i 50 0250 Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.(OUT OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. IGT I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information 1s 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid Cou ty In c, sequence the granting of this permit. X, Date � of Applicant — Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-ECCTOR ion of structures over 3 stori� height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND 99UE This permit is hereby issued under te County Code and/or above for which OF PUBLIC W_W,91� PERMIT EXPIRES Date the applicable provi- resolutions to doSignature fees have been paid. WORKS Date/0^7_9Z— - /y Q2 Receipt NO. jT WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Ddpartmrent of Public Works y 7 County Center'Drive, Oroville, CA. 95965 Phone: 916-534=4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your .earliest opportunity to avoid unnecessary delay -in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property. improvement (yes or no) 2. I (have/hau-eet) �i/�f/�,' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .. Address City Phone Contractors License No. 5. I will provide some of the work but I havecontracted (hired) the following persons to provide the work indicated: Name Address. Phone Type of Work Signed Property Owner_ Social Security number DateerJ NOTE: This Owner -Builder Verification is sent.to you as required by Sections 19831 and 19832 of the California'Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. C 001 M�Y _ {.'_ • _ O � • . r 3Zr-oo Z� — 3 N I r °Aq II 0 rlx t� a • � C m� do g �j II N LK • � - C pp y _ s Y Z II 1� q...-�_-Yy:.rc.. ..'£:p ,••^...,�...*` - ,n,., :,•�. _>... •:•r- �s., c.d' - "♦ 1` - 4- f. 1' II r. 94'3'78":_.•- gNU � on • mo, moo. - °� oo'..' Z O , _ i E nr."o-< o aro eon S� g S`.�v + n;masmn= -i ,AS InI s. pv II °oxuu-�,00er a a� �a; o� o g�IA� v II • r- I �S A v r- i k P II 0 • YM '� YY r Y♦ Y Yr Yr r Y� "?ill g - Z'M � • L. I INI II 1"1 � 61 ha�� apill P ° I Won ������ �•ee�"s �E � �� �� �g ��®�� eat@P �� ,' _ _ �'11 p ° - I a � � � °► � �� �®ash e I ' �' 4 . 3& i3K ® � � � ��. �,Eo �9tl 4a p I l 0'_9,, cj•_4•„'-Sn pip W 811 a aeE g ggttt B� ` oil S [[��11 fffm���f�'•jj�� 9 3 O m Z p Gl b . z O� CA G) N N m oSP sn A 13'_0. 0 b y O J7 ZP ?OWNERS: q - 13'_0. L Y GARRETT a WENDY S10LUND ZP ?OWNERS: q RESIDENCE REMODEL & ADDITION ADDRccc: 1917 CUMMINGS LANE, DURHAM CA. 95938 J A N I C E LEE DESIGN. P a ° ` L� 7��V 'gym GARRL:TT & WENDY SJOLVLI'L THBHONE: 530.895-9592 .PROTECT ADDRESS: 1917 CUMMINGS LANE, DURHAM CA. 95938 9ZM is 676 �T FMT AVENUE �� u' 95626 bL /or PHONE a ra%: 530-e5¢•um - J L -- - , ove- 40 MoVG 4.) ROOF COVERING: ROOF COVERING TO BE ASPHALT CUMFUSI IOIN KUUk*hNU. 1,A.Y bnKNtiIiLZ5 U! 13 F kLLS PAPER 0115132" CDX PLYWOOD OR OSB EQUIVALENT. APPLY ROOF SHEETING FACE GRAIN PERPENDICULAR TO FRAMING, STAGGER PANELS AND NAIL W/ 10d @ 6" O.C.E.& 12" O.C.F. 6.) RESIDENCE ROOF PITCH: 4&12 @ BEAR ELEVATION & 9 %,Rz12 @ FRONT ELEVATION. (MATCH EXISTING) GARAGE ROOF PITCH: 7&12 6.) ROOF OVERHANG @ EAVES: 36" TYP.(MATCH EXISTING). &.16" @ GABLE END. 7.) INSTALL SEAMLESS 51/2" FASCIA RAIN GUTTERS @ ALL EAVES TO MATCH EXISTING. 8.) PROVIDE FULL BEARING UNDER ALL BEAMS & HEADERS. 9.) NEWLY CONSTRUCTED BEARING WALL HEADERS SHALL BE 6X8 91 DF U.O.N. INTERIOR HEADERS TO BE 4X6 #2 DOUG. FIR U.O.N. GARAGE DOOR HEADERS TO BE SIZED AS MARLED ON ROOF PLAN. 10.) REPLACE EXISTING TILE ROOF @ RESIDENCE W/ ASPHALT COMPOSITION SHINGLES. 11.) TYPICAL BEARING & SHEAR WALL TOP PLATE SPLICE: (2) 2X4 #2 TOP PLATES. 4'-0" MIN. LAP W/ (7) 16d SINTER FACE NAILS MIN BETWEEN SPLICES IN THE TOP & BOTTOM 2X4 S t— f Ki I/i:5 if � I I-01, ., -- — - E -x t "� Tl WG, w /n,.tr.t Ica M i l - j STOCKDRAFTING FORM NO. 10136 I Irao° exs�-��, 43 X71 � D Butts ccutn 7 REVISIONS BY k 1. z Lu �_ W Z r\ rn 0 a °oll L' coo x°1 LLJ 0M Lnk LLJ 43 X71 � D Butts ccutn 7 REVISIONS BY z Lu �_ W Z r\ rn 0 a °oll L' coo x°1 LLJ 0M Lnk LLJ .� O o- =w Ln W�0 a z Q co cn 0) inQ 0 Q z DoQ) Z ((n z � g Z 0) r4 U WZLnr-, N 7 4 o2S LnT-+ U cp o M ul �4LLJ 0 Z< U)0 LU aw Z w ^ OQIw�a¢ �1 NS DATE :7 SCALE S 0D DRAL""I JOB BREET ej OF SmErTB - KIM `1�_U VIIA ��l , - I 1'r" �,,­,�6, ".. � I 1-11 � � I � � I -1 - . . . I I - � I—. I I -11 . I I , , 11 � I I I I I I I . ­ I .�Ir 1 11 . 1- - 1 I -1 � I � .. I . I .. . , � . -_77 __­ � _,7 1 " I I . -1i . I .1, I I I . I . � . , , 1� : � . 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