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HomeMy WebLinkAbout040-170-124I 11 1 I i 0qo4l',70 CLAIR & ELEANOR BACON40-17-124 ENVIRONMENTAL; t , CERTIFICATE OF COMPLIANCE W/conditions 3/3/82 HEALTH CLEARARANCE UTE-JEL- f. % 700-89B,P; M JEFFRIES,, Dave 1825 Kay,: -Lee 'Dr, Durhamt, Anew single familk)' 4 , P FINALED: ,40"17-124 .92-954 BE JEFFRIES, Dive 1825"Kay Lee' Dr"; 'D*urham'-ld'ola�A-Z add to existing garage 040-170-124 1 03-3666 ., THOMAS, TREVOR 1825 KAY LEE; DURH M T MAL Cont: OWNER TE:' E GARAGE CONV TO FA' LY B *P4 EXPIRES: V, .It Imi", - r- - - Zall W�A, - m - K-= -_f NOTES$ /\ RESIDENTIKE ¢' PERMIT NO. 040-170-124 ' 03-3666 ale- � C�C� �t THOMAS, TREVOR, 1825 KAY LEE, DURHAM Corit: OWNER'P'f , GARAGE CONV TO FAMILY RM -PERMIT RENEWAL DATE:q- BP# G 3 •-3l i.& ' 9t EXPIRES: -d6 * r ry y % & P- O-6Mi �r� GoT. SPECIAL CONDITIONS �- CHECKED k• ' BY _ w SRA,. • 1 FLOOD CERTIFICATE REQ.' FIRE SPRINKLERS REQ. + SPECIAL INSPECTION ITEMS-:,...:- T VERIFY " g, USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - X L'o %Z r- JOB FINALED (Date) •E Signature 4=OK 0 = Not OK . = NotReadgablg Card B-1 Date Card B-1 , MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements , Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/0 -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/0 to Grade,HD Approval 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged . 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./. P LPG 10. 7. Well Clearance & Disconnect . Cert. of Occupancy 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements .. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances '5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade,HD Approval 8.. Gas and Electricity Tagged . 9. Tie Downs -Type -Installation. Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date . Card B-1 Date MISCELLANEOUS Card B-1 Date Card B-1 Date 2. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. 1. Zoning Requirements -Setbacks -Easements Carports; Windows -Doors 7. Electric 2. Footings; Size -Spacing -Marriage Line 9. Siding; Nailing -Veneer -Stucco -Mesh 3. Blocking 11. Ext.; Steps -Doors -Landings 4. Gas; MH Test -Demand -Valve Date Card B-1 Date . Card B-1 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9: Exits : 10. License Decals 11. Verify#'s with Office. Date Card B-1 _Date Card B-1 Date Card B-1 Date Card B-1 - . MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 J=OK 0 = Not OK = Not Applicable r = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B Date Card B-1 Date PLUM G(Permit) OK except #'s Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bedroom Exiting a tr.; Vent -Access -Combustion Air Baffle 52. 1 er Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 54. D.W.V.; Test Fittings & Anchor -Nail Protection 55. 20. Show an; Test, First Floor -Tub Access PI on Roof Overhang -Attic Vents -Rafter Outriggers ?),,jetfTub & Shower, Second Floor -Tub Access Garage Fire Door; Swing -Landing -Closure 23. Gas Pipe; Sixe & Anchors Fire Sprinkler; Test 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Date 79. Card B-1 Date Card B-1 Date Insulation -Foam -Looked in Attic Card B-11-1,Date Card B-1 Date ELEC CAL (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth i re,& Transformer Clearance -Ins. Protection _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 2 I eceptacles Spacing -Lights & Switches at Doors i o x A6 & No. of Conductors Stapled ' Nx Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date_ MEC NICAL (Permit) OK except #'s A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size&Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM!09'(Peritit) OK except #'s it roper Materials & Anchors ,42 -'Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft St n Walls (rat proof) 45. Fi tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing M Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Firepla ies or Type A Flue -Fireplace Throat Clearance 50. Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bedroom Exiting Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Wi th-Headroom-Rise-Run-Landing-Fire Protection 56. PI on Roof Overhang -Attic Vents -Rafter Outriggers 57-NailiFiq Veneer 58. StLwc6 Mesh -Drip Screed -Fd. Vents-Underfir. Access 60. Shur Walls; Nailing -Bolts 61. 134ce Interior/Exterior Wall Panels 1 r _ 63. Date-7_33/J-f/VCard B-1.07 // / Date Card B-1 Date Card B,.- 1 / Date Card B-1 Date FINA ans OK except #'s Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88.E erior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 90. 3Protection Corrections from Previous Inspections 92. Ga est -Meters Tagged, Gas -Electric ftelater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date - Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: :� 4�J, ]ESICRIPTIQN OF INSTALLATION 1: ROOF Material: Thickness (inches): - ..:. . 2. CEILING Brand Name Thermal Resistance (R -Value) ' Batt or Blanket Type Bra nd ame Thickness (inches)Thermal Resistance (R -Value) .. Loose Fill Type Fibcilass Brand NameKnauf Minimum Installed. Weight/ft .569 .lb Minimum Thickness 13 inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value):::' : 38`: 3: EXTII,OR WAI;.I.- R Frame Type Z -, sd A. Cavity Insulatio Aia,�Yr E Material: (L Cat ,rte 'Chickness.(inches):. 3 z. ,1}hc:u,- iS ..�. B. Exterior Foam Sheathing Material: .. . Thickness (inches):':'.' 4.. RAISED FLOOR Material: Thickness (inches): 5. SLAB FLOOWPERIMETER Material: ,Thickness (inches): Perimeter Insulation Depth Inches:, G. FOUNDATION WALL Material• - .. Thickness (inches): Brand Name Thermal. Resistance (R -Value) ............ .............. Brand Name::".'.. Thermal Resistance (R -Value) :Brand Name:. Thermal Resistance (R -Value): Brand Name: Thermal Resistance (WValue) Brand Name. Thermal Resistance (R -Value): DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. .2 — Item Number's Item Number's r Signature and Date Signature and Date Chico: Insulation & Fireulaces Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner .Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner COUNI'Y OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NOr (Rev.:,, 2 APPLICATION AND PERMIT • _ 1 ASSES O P OEDNU B v���'/ wi�4 ZONIN t�l,rt�' BUILDING RERMIT-' X L} OWE ALVOR TOW 899-7955 TELEPHONE SO. FT. OCC. BUILDING VALUATION Ow�j1T29 KAY ILING ADDRESS 95938 • TTl CONNRRA�CTTO�RR''S NAME 1JW1`IIiC\. TELEPHONE CONTRACTORS MAILING ADDRESS �h CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ • 00 ARCHITECT OR ENGINEER LICENSE NO. 1' Filing Fee $ 20.00 Permit Fee $ • ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 58. 50 BUILDING ADDRESS 1825 KAY LEE DURHAM Energy Plan Checking Fee $23.00 $ PERMIT FEE $1 • LOT NO. SUBDNISIONS NAME � PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE • SF ❑ Duplex ❑ Mobilehome ❑ Other . SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L5.UU +; Each gas water heater or vent 15.00 -.- �- TYPE OF WORK New ❑ Addition `0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE CONVERSION FAMILY ROCK I Gas piping system 1 - 5 outlets I 15.00 Building sewer 15.00 Mobile Home ISI G W ",,920.00 PERMIT FEE $'f/--VIU ELECTRICAL PERMIT Filing Fee 20.00 Main Serviceaoov oRR S LE LESss 2o0A O 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of DivisiQn 3 of the Business and Professions Code, ( g ) { and my license is in full force and effect. ` License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 &m exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 O NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO • � 3.5Q�_ NEW CONST. MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS d SINGLE OunET CIR. Ex. Occup. OUTLET OR FDRURES BAS Q' o Ex. Occup. oFlxuTeEorsA R p OR.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring�' - 23.00 PERMIT FEE 33' 8 $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections_need not be completed 0 the permit is for work of a=valuation of one hundred dollars ($100) or less.) [j' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 17 DI �03 Signature of Applicant - ❑ Owner O Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height .4. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling' Hood 6.50 Ventilation DUCT -9.00 PERMIT FEE $ L-� Mobile Home Installation Fee $ Energy Inspection Fee $4b.UU ec ,3 co r TYPE trty TOTAL FEE $ 341.98 +PD- HAZ. D. FEES IMP I FLOOD I CDF I PARCEL, HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r By Y` PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. K Date" " (Date) Receipt No. r L Y% WHITE-D.D.S.-B.D. CANARY-ASSEP SOR PINK- NSPECTOW GOLDENROD -APPLICANT BALANCE OF FEES SHEET DATE: PERMIT: ASSESSOR PARCEL #: CI OWNER'S NAME: FEES: (Amount and Purpose): N' BALANCE OF FEES: ADDITIONAL FEES: $ REVISED PLAN CHECK $ SHERIFF FEE: $ SRA $ COPIES $ URBAN AREA FEES $ CSA 87 (North Chico Spec.) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ OTHER $ OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDITIONAL VAL: $ (Check one) COUNTY CITY OF BIGGS (Check one) RESIDENTIAL COMMERCIAL RECEIPT NUMBERS: 9 :el Trevor & Tami Thomas 1825 Kay Lee Drive Durham, CA 95938 April 20, 2005 County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 RE: PERMIT EXTENSION Permit #03-3666, APN #040-170-124 " BUTTE COUNTY APR 2 5��5 DEVELOPMENT SERVICES To Whom It May Concern: See the enclosed check # 1878 in the amount of $109.98 for costs of permit extension. As noted above this is in regards to Building Permit #03-3666 and APN # 040-170-124 for the garage conversion at: 1825 Kay Lee Drive Durham, CA 95938 If there are any questions and/or concerns regarding this letter and check, please contact me at one of the following phone numbers: Day/cell : 530-828-2595 Evening/home: 530-899-7955 Thank you for your attention to this matter. Sincerely, Trevor Thomas COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT pe. (Rev.)2/96) APPLICATION AND PERMIT n`�-� 1 �,I'M -r4uP -um TO BUILDING PERMIT OWNER TREVOR THOMAS 899-7955 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1825 KAY LEE DURHAM 95938 327 R 6554.00 CONTRACTORS NAME 0140 W TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 65.54.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ -ou— ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 58 BUILDING ADDRESS 1825 KAY LEE DURHAM Energy Plan Checking Fee s23.00 FEE $191-59— OLATPERMIT LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 •00 Solar or heat um water heater 23.00 Water piping 15.00 5.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE CONVERSION FAMILY ROOM Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zooAoA'ss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. SLDS. S011.48 3.5¢FT; REOSIU. uLTI.OUTLET 97,50 POWER APPARATUS a SINGLE oLmEr C.. Ex. OCCU OUTLET OR FIXTURES SAL �' 0 Ex. Occup. OUT EDS RM°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S33,48 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation DUCT PERMIT FEE $ Policy Number above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 17_1 011Q:5 Signature of Applicant - 0 Owner Contractor ❑ Agents An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height Mobile Home Installation Fee I $ Energy Inspection Fee 1$46.00 D R1 CONST. TYPE VN TOTAL FEE $ 341.98 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have / PERMIT EXPIRES O / the applicable provisions Resolutions to do work been paid. C--� D to v Defe Receipt No. % �' -2 f L WHITE-D.D.S.-B.D. CANARY -ASS SOR PI PE TO GOLDENROD -APPLICANT Feb 01 02 08:13a P,1 COUNTY OF BUTTE - DEPARTMENT OF D E NT SERVICES - BUILDING DIVISION • 7 County Center Drive III Oroville, Cali 95965 • Telephone (530) 538-7541 P (Rev. 1'2/96) APPLICATI AND PERMIT _ASSESSOR PARCEL NUMBER 6qc> „ i!� ZONIW_/o BUILDING PERMIT T P OWNER HONE O. FT. I OCC. BUILDING VALUATION C)'I® - !?<-- -1 Zi �"1 L/ F, \ LOTNO. SUBONISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: - /4 (L oJ �% he c3 "PEP AIT FEE PAM SRA • . SHERIFF OTHER AMOVNT RECEMb " TO to !VT INTO COAMVTER ReceiptNo. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fireplace OWNER'S MAIUNG ADDRESS __ /-s-*"4 Y CONTRACTOR'S NAME n,) / TELEPHONE Total Valuation $ CONTRACTOR'S MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS (� ARCHITECT OR ENGINEER UCENSE NO. 20.00 ARCHITECT OR ENGINEER'S MAIJNG ADDRESS - BUILDING ADDRESS C)'I® - !?<-- -1 Zi �"1 L/ F, \ LOTNO. SUBONISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: - /4 (L oJ �% he c3 "PEP AIT FEE PAM SRA • . SHERIFF OTHER AMOVNT RECEMb " TO to !VT INTO COAMVTER ReceiptNo. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fireplace Total Valuation $ Z71 - Kling Fee $ 20.00 Permit Fee $ 9•tD Plan Checkin Fee $a- ,S Energy Plan Checking Fee $ PERMIT FEE $ �J PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 11 7.00 -"^ Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ t ELECTRICAL PERMIT Fling Feel 20.00 EOOY OR LESS Main Service( 2ooAORLEss 23.00 Main Service 200A TO 1000A 46.00 oRE`nDONs ' ( owEUINo OCC uP. ) I 6 ACC. BLDS. 3.5ea. ' Ex. Occup. OLrrLET OR FURUREs ) I I SAL Q 1.50 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ J MECHANICAL PERMIT Fling Feel 20.00 6.50 PERMIT FEE S !� Mobile Home Installation Fee $ Energy Inspection Fee $ L� Jul TM'e TOT L FEE $) q r r HAZ. D. FEES It4 FLy CD P 'I ISSUE .. _.... This permit is hereby issued under the applicable prdvisiCiis ' of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date PERMIT EXPIRES ON ere -- 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 1 OWNER: fAeJC-N T)fIDM4-5 ASSESSOR PARCEL NUMBER 01"0- 1'-W- Proposed Building Use: q Q j�l �% �� Counter Technician:Date: 1 Z- 1- 0-) Items required in ord r to apply for a permit. All boxes MUST be checked 09 marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the l reparer of the plans. ❑ 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 faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ....................... ° ............. ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of theoolllloo�wiing items.) 1 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 04 �.. Statement of Intent for Non -heated and A/C Buildings ............................................. . Sanitation and plot plan approval from the Environmental Health Department in /" -/ 7. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 0 K (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: L 1. Index permit application for the above items numbered: / Plan Check Letter 2. Additional items required Contractor, designer,42Nwas advised cf the above data by CIpone, e, ail, ❑. counter, by ieM- Date: 11 1 d3 Contractor, designer, owner, was advised of the above data by ❑ ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 01Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: p 'Yellow: Building Division 'r'' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 . SCHEDULE OF RECEIPT OF FEES OWNER V w0 p" Ar a PROPROSED BUILDING USE 4- 1. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ -- Revised Plan Checking Fee.... $ 2. SCHOOL .DISTRICT, FEES (paid at School District Office) (form available after Plan Check) ' � 1"�AILE� TO Gt-l.-5'TO!•7EQ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A.P. # Q y4 - I-%- )'Z-% DATE 1` / - 0,7 RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. \VV5.RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) ' 1�A14.Eo Ta Gtt-ATO M� 1a�17�o3 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid•at Building Division) 7. SRA -FIRE. INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building. Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At 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 l _�3—" "'� DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed oii yo,4'r.1: ` ct. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The"requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 1 C. �`y„iKf°}P"•1+�,. ) M yy - " w "- `tvrK`� �i`4`'�.°—t+-- �.+j!�,.-+.--• .� ` �� �,.�1f as �ay e. ra%.Yy.rr.. n+;f.iY .n'+`is.ar.} r a • , COUNTY OF BUTTE • ¢ `� DEPARTMENT (F DEVELOPMENT' SERVICES —BUILDING DIVISION T'COUNTY, ENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 k r r -' SCHEDULE OF RECEIPT OF FEES OWNEER-� ' r RyIki4A - 1l %�'''° > A.P. # O YO • r PROPROSED'BUILDING USE �A^_ti C 4- DATE t RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ 4 V2. evised Plan Checking Fee.... $ SCHOOL DISTRICT FEES //:.rte (paid at School District Office) (form available after Plan Check) MAS LE O• .-ro �Le s-ro�..�E12 ►��i-i��3 — 3. SHERIFF FEES (paid at Building Division) to Residential............ X $360.00 =$ /��..J Units t Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. ` Commercial (Sq. Ftg.).... X = $ , \ t Sq. Ftg. Amt. n� RECREATION DISTRICT FEES 4,14 (paid at Recreation District Office) (form available after Plan Check) 1 ti. ,f %-JAiLGO T"O 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ + Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. l0: OTHER At 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,,;) �' tJ /J .r, r.,►o Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval: of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) _ L W. -....i . -. z ;­ v , .,. , .. • r.,. .. _ .,,�,--di.....•..r BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT w Assessor Parcel Number,(s) q._ Property'Owrier (s) • "aT p.c--v.. a .""T� 18�� �� Project Location/Address: y Le -e J�.4Q +A� 95G36 Subdivison Name, Assessable Square Footage: 32-7 ;w4Type of Residential Development (check one): " ❑New Development 5 Afteration/Addition ❑ Mobile Home (s) Non Residential to Residential b .y.�,...a,_. ;..+X......�.+r�.w+e t�ni+.�,.-.;.r.>.*fib'?trlifs°d',., .L'Fi-k v.:?�';,���.,'^7%�'`„tr,^ts�,".'�irY�-,T^'�i3r;!'�f rct-5�f.tt't,��:,,. +�y-s��.�k.4'A'?M14-.6^'Nr.:•fry:.is�'rr�.;.�:��+��3�'+�r{':s::e r.�..="s,�v":',..,s;r►+ -. Comments: Building Division Representati Durham Recreation and Park District (DRPD) certifies that Applicant Name Applicant Phone Number Street Address City State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for 3 2-? square feet at $ 1.04 per square foot for a total payment Of $ V - 7- X-0-1tw �s '�'7DRFID Representative PAID BY CHECK No.: BANK No.: _ PAID BY CASH: RECEIPT No.: Remarks: Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form par Building) School District ..l.•) L�c-R "^t.4 • Building Department No. 05 -344-6, t A.P. Number Jurisdiction: City ®County Property Owner �12 tc✓b R —7-5o S r Property LocatioWAddress ) g: S i�f3 �/ �E NAM Subdivision Lot No. ,................. _. _.... ...............................:.... ................................. Residential Development Q Q © Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # -(No foundation hspectlon) ............................................................................................... _ .. Deed Restricted Sq. Footage (Attach $`signed'copy of Deed'Re§Miction and iVdtice'of Limited'Use Facility document) - Com ercial/Industrial Q Q Sq. Footage New idon (Including Exterior Roofed Areas) Building Department Repress tative Date District Identification No. ,AU A? {/^1W VAJ/f /C:�> School District certifies that E U4R 7 �lr 171A S (Applicant) / �a5 KPV LtE (Street Address) \ (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing 3.-1 / square feet. JAB 2926 i FULL MMGATION $ School District Representative Date Paid by Check # NIA A Remarks: WA l l=am 0 Aj 7 LYS 500 Node : You may protest the Imposition of the tees IdentHled above by submitting a written protest to the District. In compliance with Government Cods $action 6602O(a), Midrin 90 days from the date fess are paid. Failure to submit a dmaly wwwar protest vAN prolrbit you from dra- 91 the irrpwltion of tine fess M any court adkic If. subsequent to the School District Representative signing this finite County Schools Impact Fee Cerdfleation Form, the School Dbblct M troti$sd by the applicable Local Planning Agency that this p almt is being mwNwed under the CaUtorela Environmental Qwgty Act (CEQ4 t1da p aj r- may be s~to addtdonal school fees to fully III- I No Impact on tine school dWbkft sehoo4s. White (applicant), Yellow (building department), Pink (school district) teeform.xts 00/03)dmm i - BUTTE COUNTY AN 14 2004 r-MOPYENT c RVICtS it �i 1 \ lk !I i r, • I � � ✓' `. J' a J i . f I + r r r.i. 1 -" Dec 01 03 02:32p OWNER -]BU- YLDER VERIFICATION N Attention Property Owner: An "owner-buiIdee' building permit has been applied for in your name and b our si Please complete and retum this information at your earliest o eating Y gndela m processing and is our buildingPPortunitS` to avoid unnecessary delay verification is and issuing Y Per'mit. No building Permit'will be issued until this 1. I personally plan to provide the major labo d materials for construction of the proposed property unprovement ; YES 13NO 2. I HAVE HAVE NOT 13 signed an application for a building 3. I have contracted with the folio � Pett for the proposed work. NAMX: wing Person (film) to provide the proposed construction: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the f supervise, and provide the major wnr1C ollowing person to coordinate. xA.n�• . ADDRESS: CITY: . PHONE: CONTRACTORS LICENSE NO. 5. I will provide some of the work but I have contracted .(hired) the following persons to vide the work indicated: pro NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPFRTYO'PPl`IER: C �---- DATE: 2 aZ NOTE; This 0 www -grinder Ve1.ykafion is TeQuLred by Section 19831 and C alcfornia Health and Safety Coda This ve ' 19kte of the turned to 0 14 o ton mast be completed arzd face before we are pert d to &sue the permit OVER p.1 FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at l$25 V -►a,4 LVE7 _t�Q, i7LkQ-04A ,\ r C> - j�o A.P. # for 4AaAZ E &JJ6&SI0N 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 d ADDRESS Le 'p2 PHONE NO. DATE 'Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, -the cost of which equals or exceeds 507 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. �- E.N. USE ONLY Rat Plea Anachad Flooa Plan Anachad Seim to B.D. - ! TO: `Building. Department FROM :\ Environmental Health SUBJECT: Sanitation Clearance Owner Location. AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date A"S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r' 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 IN APPLICATION-AND"PERMIT PERMIT NO. 9? 912 SSE OR PARCEL NUMB R 40-17-124 ZONING A 10 BUILDING PERMIT OWNER TIAVE JEFFRIES TEL PHONE 342-4603 SO. FT. OCC. BUILDING VALUATION Igo V OWNER'S AILING ADDRESS .0. BOX 712 CHICO 95927 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 41 953 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS L, LD NG1825 KAY LEE DRIVE DURHAM 95938 1825 Permit fee Permit fee $ 138.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G w @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ADDITION TO EXISTING GARAGE Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 15.00 Main service 00V OR S 200AORLESS 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of- Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 10o0A) 37.50 NEW M CONST. ( DWELLING OCCUP OR ADONS. ACC. BLDGS. I 3.64 sq.ft. 13.60 NEW CON STR ULTI.OUTLET NO N•R ESBRANCH CIRC ITS ` 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex..Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Faci ties 15.00 Misc. Wiring g 15.00 Permit Fee $ 98-60— 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 �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. o save, indemnif d keep harmless the County of Butte against 1 5ainst alilitie judgmen c and expenses which may in any way accrue sai County in n ence of the granting of this per 't.X Date %n2- Siof Applica00rOwner Contractor ❑ Agent ❑ n OSHA ermit is r p quired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 167.35 HAz OFEES IMP FLOOD coF PARCEL PD HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No.110367 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT`OF. PUBLIC WORKS - BUILDING DIVISION J 7 COUNTY CENTER DRIVE - OROVILL•E, j3AL� IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use EN Permit No, A. P. No. L10 - / 7'- /Z L/ 4.01ding Inspector ,'�� Date 14 -f -C)2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........:... ;- ...................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. --,-'8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ..................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. �14. Sanitation approval from CA Ic-o Health Department 15. C' y of Chico plumbing permit: ..................................... 16. lot 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 `h Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, M$il to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3V2-1-/663 and hold for pickup at off i e. Deliver w/inspector. Other Appl ican�__) Date f 2,— Copy of Haz-Mat form sent Health Dept. Dept. it Pollution Date Copy of plans sent Health Dept. Fire Dep . Other Date By The following data must be submitted prior to permit issuance. (Circle new item not checked above). 1. Index permit for above items No.Qkd4;L9p '197 2. Additional items required: //—I S ��i ��d�/ �t B - n Z"///y Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by P _.date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1 z Lk) j2 Owner Locat on ate 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 ")4),;- NOTE * * �ni +Date atarian • � � Ind � 3"� �•'v�l .� � �too COUNTY OF BUTTE - Depa'rtinent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541- OWNER-BUILDER 16-538-7541 OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ,le4v� 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 Social Sec ur't Nu er . Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code; - - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. 40-17-124 700-89B,P,E,M •JEFFRIES, -Dave 1825 Kay Lee Dr, Durham. 1 le / � � � (new single family) 0-a =1 y 6 z; PER FINALED: J PERMIT EXPIRES OWNER CONTR. .'ASSESSOR PARCEL LOCATION X t ' ' 4 i ' •i Temp. Power Pole Called PG&E ff, �emp.c. Service ��<f 7 G Called PG&E iL 01v� tP. Gas Service 'Called PG&E . JOB FINALED (Date) Signature 1 tt OWNER CONTR. .'ASSESSOR PARCEL LOCATION X t ' ' 4 i ' •i Temp. Power Pole Called PG&E ff, �emp.c. Service ��<f 7 G Called PG&E iL 01v� tP. Gas Service 'Called PG&E . JOB FINALED (Date) Signature 0 = Not OK MOBILE HOMES '. '' - MISCELLANEOUS =Not ,ReadiYable - Date- ' MOBILE HOME UTILITIES(Plans) OK'ezcept.#'s - Date- DECKS,COVERS,CARPORTS;GARAGES, (Plans)OK except #'s A. Zoning Requirements -Setbacks Easements`• 1. Zoning Requirements -Setbacks -Easements -- xt ` 2.,Soils;.Special MH,Support-Sketch 2: -Footings; Soils-Size=Depth-Spacing=Connectors-Steel 3,Sewer Location-Test-Fall-C%O-Concrete = 3.'eI616 rGirders and /or Joists-0D4cking-Bracing-Stairs-Rails _ •. - :A'. Water Location Test -Easement Needed (Sketch) - 4.' Wood Awn " Posts- Beam s=Rfti•s` Con"nec:- Electricity; Location -Clearances Grnd / _ /Amp -Concrete Shthg:-Rf4PBracing. - - °6. Gas; Location Test -Wrap. /; / L ft.' - a. __ `5."Al`um.:Awn„'Columns-Connections-Splice=Decal-Enclosures ' . ;9 - • - - / /"Nat:.or/__ /"L'.ft./ - /"LPG "' q . _ _ ._ _ . 6. Carports; Windows -Doors _': l' 7.. Ufility'Clearance' `._ "' _.:.. _ 7. Elea _._ Frmg,: •iii - n6K6rs=Studs-Rftrs-Trusses ---. -. 9. Siding; Nailing-Veneer'Stucco=Mesh ",•--�+* ` Card=131,, ' ;:, ;-- Card -B1 bite'-'-- .__.. 10: Roof: SKthg-Roofing'' „Date _ Card -81' = Date Card -B1"' -- Date ` ' 11. Ext.; Steps-Doors-Landings'v ' ' ., ' Date - --MOBILEHOME•INSTALLATI.ON (Plans)'OK.except #'s Zoning Requirements'Setbacks-Easerrients.•*' - " " '- -Card-81" "' - Date Card -61 Date„, Footings; Size-Spacing-Marriage'.Line -- 'Card -131 Data Card=131 Date "--- --'3. Gas; MH -Test -Demand -Valve -Connector �:•= - 4. Electricity; MH Test -Crossovers -Breakers -Clearances.'. - Date POOLS (Plans) OK;except #'s 5. Drain; MH Test -Fall; Flex Connector ', ;' - " 1, -'Setbacks -Easements 6. Wafer; MH-Test=Regulator=Connector "` 2. Soils; Compaction -Structure Stability., 7. Water and Sewer Connected=C/,O to. Grade -HD Approval: ..3. Pool Structure; Steel -Connections -Thickness- - iWiGas and Electricity, Tagged yet Dead M6h.-Lining .... Y' 9. Exits; Insp.-Sketch 4: Elec:;,Receptacles and Lighting, Distances-GFI - -� Occupancy: ": ^at/ ? 5._Elec:- Pool. -Lighting; 15 volts-GFI, 6.--Elec:; Enclosiires;.Conduit,Entries-Terminals-Listed a 7.-Elec.;'Bonding; Metal w/5' -,Circulating, Equip. -Heater" 6. Elec-;Grounding; Equip. w/5' -circulating Equip. -Pool L htg. Date Card `-` •_ Card -81 ,-B1 :Date " Boxes=Enclosures-Panelboards-Ins'. to'Main in Conduit Card -B1 - bate Card -B1 ' '• Date - - 9. Health Department Approval its+l.3;-' r ",1.` l �„pg•' Ul 10. Plumb.; Cir. Test -Water Supply Test ; -- - rx t nn 4+ �vr� `• t. ,:. ,r.,i :, <i'. and=B1. Date - _ ,Card-B1tX Date ' _ _ ��-` Card B1 Date 'Card B1 Date .... ,�f �"�4. ./�iG rinir'� - , y'1'. 4.. ,i r.-. / i �YYt t ._ • •. .,. 1 (l• ...'4 .. :1..'1 r _'F ,w (ttlC}.•*• ! .;i'1 dr ,t ti O :ir'^ ,a,: �J ti.-.._. ,......._•..__.._.� ,�1n err"�.0:� `'II.r�F�4il�ri''��.,t �.,.,-�--'3YEr ; 010i Wf ,x' q ----_. _- k1 �f ' ''ttri+i!"+'"i i ! .; #6k,l flH+ : . ,. �:, t +.1 'r,y c J4u1 '.:r t'� n, 't •t tf _ _- .. 9 l Tt -....-_�.. JbE 0 filf n c.D� : �• _. ----• -.. . diif ;a .,"I Atltll AL 1 P 7�' , Y . 'tai r3`7 ;;if __ .. _. _... �eu0 ...__ .._ .. I' � >6!' SSS• - �.,, -:r`- ,i .f7 P'•. •. ,., v•;'7l'..i:+ .,*t�y� . ._:, .. t S " f__�. 4 .. ? '." i 1 .:a4 ♦ -� - youf � .. __ .. _ ... _ .___ ., P" _ r'at , Pi .... .. __ _... -_. _. "JO1Gfl.� LLLrf '.1^ - .._ •tf:,rir , y .ryFt .CE? '� - - ..__ _ _.... i, `84 lv.,� . � _ r _ S _ ""f tQ ' __._._'"__-_• _ _... .. ....... .._ .. .. _.......... _...... ___ ._. 4 Af LOc�- Jfnit� c.l; +A:'�, v ,, i `; , r r . ., fiy U• s .. _:... . nw:>' - yes .n.'. • . ..l,w�.a.�r ,... .. ., sx-c - v.ers .a.w.x. _ ,....- .. ,, _ - - _ H �a....r m .e - -.a = vK 0 = Not OK- - = Not Applicable = Not Ready dtf f RESIDENTIAL (Single and Duplex) Date UNDERFLOOR OK except #'s Hing -S cks;-Easem -FI ' -Slepe 3�.EQ� Main; &i1S-Steel-Ele nd.-/ Z1" F Z_RGarage; Ftg. Depth g., Porches & Decks; SnU&--Slee4-/ /"F tea�waus- Main; Bet-Bkwkeats-Wrapped walls, Garage; Steel -Bloc -Wry lab; Steel-WrappoT r8 iers-Fireplace Ftg.-Steel V.; Fal . i s- way C/ ewef. ors ater Pipe; - or ervic / 7 Electric; ground ISS,( AZ Vft 1 50Udati= Card -B1 DatV—/g,v7Card-B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s leWat_gx Ht. Vent -Access -Combustion Air -Baffle at Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection cess 2 u ower, 2no FtU6`­r--TMr*=ess aj�as Pipe; Size & Anchors Card -81 Dat6''7:-/7,,,py Card -81 Date Card -B1 Date Card -131 Date Date ELE ICAL Permit OK except #'s Ixtu & Tr nce-Ina-Pretectfoh ec. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled 2 mex Installed Close to Ed e.of Studs & C.J. ' round made ech. Fasteners -B Appliance Circuts in Kitchen & Conductor Size/G.F.I. I-A.C. Wire Size /8/ga. 29-Frange Circ/la. Cu or AI -Oven Circ. /& ga. Cu oKq. ul Insed utra�LtgYes o jpele—rvice-Riser Conductors & G -Main Dkwor 'nect LID. Clearances Panels-Motors-Mech. Equip. Card-B1C1� Date1_/y-$� Card -B1 Date Card -B1 Date Card -B1 Date Date MEC_MANICAL (Permit) OK except #'s A.cts Insulation &Support 3"!.q e an; Exhaust above insulation o densate Drain & Overflow; Size & Grade 37 -'Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet is Access & Platform if Furnace in Attic Card -B1 Dates/XXCard-81 - Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s %Leffiills,431roper Material & Anchors ells Studs -Nailing, Spacing & Bracing—Plates-SooFrd 44. 9 ire,St6ps; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing Date FRAMWG (Contin nnectors 40,4ttlb Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing xt. Doors -One T -Check Garage -3rd story, 2 exits tection ywood on R of Overhang -Attic Vents -Rafter Outriggers 55- g VeRw 56 Rfil Glazing Area-Gles&-Proteelion-SkebgW-Plaetie s n�ulation-Wal is-Clg. filtration-Walls-Wndws Card -131 Dat Card -B1 Date Card -81 Card -B1 Date Date FIN lans) OK except #'s taps -Door & Sidelight Protection -Landings 62-62-16aiLAm Detector urnace; Vents -Clearance -Comb. Air -Connector - In ction e Exiting At"G.F.I_A-Bath Fixtures & Tub Access-Spa- ec. Trim & Subpanel; Breaker Sizes -Labels or S Clear -He SO-STec. Outlets at Wood Panel; Int. & Ext. it. ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing-Landing-Closer Htr.; Ven!ts-Cl9p rance-Comb. Air-Connector-P.R.V.- In G ge; Abeve'Floor-Mech. Protection Elec. & Me quip. Listed for ion ,Elec cies 'p Garage;-Romex_Bcotec. nsulation- Foam- Looked in Attic ❑ Yes paid Rail- Gluen 12861 F -Drainage ood-Earth 80►Fetro-wing instld.; Drive •❑ Yes --M No; Walks 47-Y69 ❑ NOA Planters ❑ Yes 0 No--' Init; Disconnect, Electrical, Plumbing Above Roof; Pibg.-Appliance-Firepl.-Clearance to Wel 44c. Trim n throughout House 88-Corrsctigpel'from Previous Inpections xam Sewer 34—Energy Compliance Certificate -Other Certificates V Card -B1 Da -L 1 Card -131 Date Card -81 V Dat�ZCard-B1 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) Owner:, LOCATION Permit No. 1700 E N E R G Y C E,R T 1F ICAT ION DESCRIPTION OF INSULATION 4=u A.P. ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass batts Brand Name Owens-Corning _ Thicknes's(inches) 3 5/8" Thermal Resistance(R Value) R1_ 3 CEILING Batt or Blanket Type Fiberglass batts_ Brand Name_ OWens-Corning Thickness(inches) 10" Thermal Resistance(R Value)R30 Loose Fill Type Fiberglass Brand Name Owens-Corning Minimum Thicknesi(Inches) 14" Number of Bags 12 Wt. per bag 31.5 lb. Area covered(ft. ) 594 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value)-- I alue)_ I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Tnstllation Co• 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. July, 1989 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM /OWNER (P e s int) STATE CONTRACTOR'S LICENSE NO. SIG RE OF QE.NE RACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL CTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �- 196 Memorial Way, Chico— Phone,. 891-2751 7 County Center Drive, Oroville -'Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE Z""Z_'�'_c T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when co ction of work is completed. If you have any question pertaining to this matte , or need additional explanation, please contact this office immediately. s / nn• G I / t Inspector Date ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS /r 196 Memorial Way, Chico — Phone: 891-2751 f 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or eed additional explanation, please contact this office immediately. 7 V '? 4&Azdp,C /.4 /./ %VA;tip Inspector Date ..- _. .- .• r •- / '--i�wyw•.pQ w n ('I�i ... finva _ ".'11�r1_'! ^. :. .. -R COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 53$-7541 �< 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE �Doff VNE _ S� ��� gg�,�,I, PERMIT NO. A routine inspection indica%s thattheslowi ions of County Ordinance exist at the above address and should be correctenotify this office when Corr tion of work is completed. if you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. Inspector opo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANd PERMIT PER �Q ASSF�S§OU=R r L NU IV1 (�`• ZON BUILDING PERMIT OW ✓\ Ifs TEL H NE - SO, FT. OCC. BUILDING VALUATION OW MAI G DDRE A C WACTO •5t1fAME TELEPH NE / C NTRACTOR'S MAILING ADDRESS _ Fireplace a/ OC% CONS,TqtUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC "rECT OR ENGINEER ` LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR E� EER' M ILI G DR SS Penalty $ BUILDING A5 Permit fee $ PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 ^O Each qas water heater or vent 5.00 USE OF STRUCTURE SF qK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 , () Mobile Home S I G I W 0.00ea TYPE OF WORK New % Addition ❑ Remod I� lities ❑ InstallationInstallation[]Other ❑ Describe work: �� j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 / ® 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 Classification l Elas the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. 'h�Sgft AR NEW C0N5TR U TI.OUT LET NON-RESID .BRA CH CIRC TSJ 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES e10A 0530 FIXED Ex. OCCUp- OUT ETS P(RESID IREA.) 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 `r Coolin Q g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn•fy, keep harmless the County of Butte against all Iia ' ' Ie judgments, ®rd expenses which may in any way accrue st sai County in ��of the granting of this permit. C5 X Date 4_58I Sig ure of Applicant wner❑ Contractor ❑ Agent An OSHA permit is requ r d for excavations over 5'0" deep and demolition or construct- ion of structures o�v/er 3 sft�ori�es in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �- TOTAL PERMIT FEE O UP. CONST.T C SCNooL P PARCE P -1 ND u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IREC Op F P BLI7 By. PERMIT EXPIRES a the applicable provi- resolutions to do fees have been paid. WORKS s�+ .!7yi. Date O ,3/-6/ V�'�y Receipt No. �Y���aF� WHITE-D.P.W.. YELLOW-ASDE,SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTME'NT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFOF r�)A 95965 - TELEPHONE: 916/538-7541 ^ PERMIT APPLICATION DATA SHEET Permit No. J 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. 6 u 0 C+ W/1 School District fees paid ............. . 3: Sanitation approval from t �_n Health Department - 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17p� Im,��..rovements may be required. f 18?~'�riveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for _ required ...... Pre-Inspec. request to Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ........ 4-94 Recorded copy of Agricultural Acknowledgment Statement .........:g�... 4 Let er of signature a thoriza ion ..... ....... ............. 25. f O — Z-�g� When you iss a the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office.Deliver w/inspector. Other //// Applicant Date Copy of plans sent Health Dept., Fire Ddpt., Oth'&-' Date r The following data must be submitted prior to pprmit issuance: (Circled itlem�not decked 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 by Date Plans approved by 4Z-5- Date C9 Sets of plans on hold in Ptl�ile cabinet AP folder Copy–DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance er Location Plan Approved for: Sewage Disposal _ Hold final for: Final clearance O.K. for: Clearance for 3 bedroom-vAWwi4e bedroom-vhome. NOTE* Other —) / I AP# Water Supply Water Supply. Water Supply San arian Date TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance ----..._ _- Z, -7_ I� Owner Lo—cat on AP# Plan Approved for: Sewage DisposalWater Supply Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance for bedroom mobile home. Other( �C�L W I e„"'rr"''^`"+'""'br--,..--a...--'atip-Kyr•'"•+�+kn-r-��-..�:{'ti',�,.va,...�...a�,.�-a•:n^vr-� + f�,:i`ti..-�•'.,T . �.r...,,.�a•r.+ys`�,y�av-n`-,r;-�.... .-<. �', .- f"'"'..,r.. E BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION -FORM (One Form pbr Building) A..P.'Number '� C? Building Department No. y School District G( ✓` �ia ,W City Q County [ Jurisdiction Property Owner �� V e- iT Project Location/Address Subdivision Lot Number Residential Development: // Sq. Footage ki # of Living MHI Addition (Group ) Units J Commercial/Industrial: New Bui Sq. Footage Addition (Including Exterior Roofed Areas) �� V9 Date District Id No. .* School District certifies that' (Applicant Name) (Phone Number) Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ 1114,0a representing /,��- square feet. 0� School District Representative Date PAID.,BY CHECK NO. . BANK NO�/-- ,3� PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) �^ 14 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT • FOR RI;SIDI?NTIAL DL:VELOPMENT Scccion 26-8.1 of the Butte County. Code , requires Lh.i.s acknowledgement be recorded prior to :issuance of a building permit. . The property -described herein is adjacent E39-0 11480 ; Rec Fee 5.00 to land or included within an area zoned Cash . 5.00 noragri.c:u.l.tural purposes, and residents Recorded ; of this property may be subject to incon- Official Records veni.ences or discomfort arising from the County of ; PA" use of agricultural chemicals, i.nclud:ing, Butte SHMN but not limited to herbicides, pesticides, Candace J. Grubbs ; and letL:iA.-izers; and from, the pursuit Recorder Of agr:i.cultural operations including, 11:07am 31 -Mar -89 ; BG 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLab.l .i shed Lural zones which have as a priority use for productive agricultural purposes, ;lud rer;idcnl:; within said zones and on adjacent property should be prepared Lb accept such i nronvc II i c nre or disconfc�rm from normal, necessary .farm operations. All. that. real property situate in the County of Butte, State of Cal.:i.fornin, dcscribed ;Is f011ows: Date: B ' THE WESTERLY 81.60 FEET OF THE EAST 275.60 FEET OF LO`r A, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SUBDIVISIONAL PLAN] OF THE DURHAM STATE LAND SETTLEMENT, BEING A- PORTION OF THE: ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE COUNTY, CALIFORNIA'i', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 191.8, IN BOOK 8 OF MAPS, AT PAGE(S)- 16, 17 AND 18. I, State of Cal i.forn i a) On this the 31st ; day of - March 19 89 before nu., ) SS. the undersigned Notary Public, personally appeared County of Butte ) David 0. Jeffries nnrwerrnunre,a,a,ea,wne�,,,r, Personally known to me. M Proved to me on the h;csi s OFFICIAL S E A L E of satisfactory evidence. VICTORIA A. DUVAL t8 be the person(s) whose name(s) i s NOTARY PUBLIC — CALIFORNIA sRhscribed to the within instrument and acknowledged th,lt he COUNT,YOFBUTTE egecuted the same for the purposes therein contained. IN WITN Iti.S Comm. Exp. March 29,19921DF.,REOF, I hereunto set my hand and o'ff.ic:i.al. seal. ------------- Present A.P. No. LjL/ i),', �• P Notary Public RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX.& MISC. ONLY) Permit # / g 0U _ # YO - i7 -1z 7/85 Bldg. OWNER P i- 1' i� e 5 A. P. GENERAL vrNE./ Zoning requirements: (sideyards and number. -of permitted living units). e2' Valuation. Plans signed by designer. Energy Design and Compliance.- Existing ompliance.Existing violations on property. PLOT PLAN Complete parcel size and dimensions.* "I"- Setbacks, sideyards, easements, etc. 43! Other buildings or structures. .lF� ding, fills,.drainage. Flood. hazard. s Special conditYons on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). --4 �HS,kyligh'ts (Chapter 34 & Sec. 5207) . .j�-//uman impact glass (Sec. 5406). .-Required room sizes, ceiling heights (Sec. 1207). '�/ G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. !].9� Garage firewall, door size, and closer (Sec. 503(d)(3)). �3 1 - 3'0" exterior exit door (Sec. 3304(e)). L21"' Fireplace and wood stove location. . Smoke detectors'(Sec. 1210). STRUCTURAL DETAILS 4-"� Foundation plan complete'enough:to construct building. Floor construction details complete enough.to construct building. '3./Elevations and wall construction details complete enough to construct building. --Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. -/ Sufficient data and details to satisfy energy requirements (State Law) (Form 1). •MISCELLANEOUS ITEMS TO LOOK OUT FOR 4Y. Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). (f/ Brick or stone veneer (Chapter 30). �S Exterior plaster - weep screeds (Sec. 4706). - (G --l" Proper roof pitch for roof covering (Chapter 32). t7-."'- Rafter ties or bearing ridge beam. P4Ays �YeOrits RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) W-�._ Garage door or porch header sizes. t; Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 4_i':" -Two exits on three-story dwellings (Sec. 3303 & see Mezannines Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. t` -.Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. .I -,T— etaining walls requiring design. on garage side 1716). T. Unusual shape, size or split level house requiring lateral design. _K_s 7/85 Q,-,vT-Cfe- Dr-jvg Age,* 54 /�/lO�aS�Ci. X02 /��S �R�Lr�� �2a ✓fes -. o.vL�. �® ao y �6�(CIO 0,+ 9S -v7- z-7 11� NorthStar Engineering Civil Engineers • Planners • Surveyors March 30, 1989 County of Butte Building Department 7 County Center Drive Oroville,.CA. 95965 Re: Residence for Dave Jeffries 1825 Kay Lee Drive, Durham, CA. AP No. 40-17-124 Gentlemen: At the request.of Mr. Jeffries, I have investigated the flooding potential of the: above referenced building site. The recently adopted flood insurance rate map indicates that this site lies within a special flood hazard area inundated by 100 -year flood from Butte Creek. No base flood elevation has been determined for this particular area so it was not possible to simply reference the 'safe finish floor elevation to an established datum. Inste,ad., it was necessary to analyze the general topography of the area in order to determine the.depth of flooding on the site in question. The site lies in an area of old orchards and pastures that .are very flat, with only a slight fall to the south. The site is surrounded-'. by single family residences mostly on larger lots and street drainage -is by shallow roadside ditch. In general, any flooding that may occur 'in this area will consist of shallow, sheet flows, less than one foot in deptli., It is possible that isolated areas will experience flood depths exceeding one foot in depth depending on localized drainage conditions (i.e., roads or improvements that block overland sheet flow). It is my opinion, however, that the building. site in question•`will riotexperience flood depths exceeding fifteen inches in depth above the surrounding original ground in a 100 -year event.'I therefor recommend that the finish. floor elevation of the' residence `be established fifteen inches , minimum above the surrounding ground. An iron pipe marking the northeast corner of the parcel has been established as a reference point. The finish*floor of the residence shall be at least fifteen inches higher than -the iron pipe. 20 Declaration Drive Chico, CA 95926 (916) 893-1600 March 30, 1989 Flood Letter Page 2 I trust this provides the information necessary to process the permit, however, please feel free to contact me should you have any questions. 0 2�GFESS o� S 4F � m No.C34257 s�� �e'l it t�.0 Very Truly Yours, NORTTHH�STAR ENGINEERING /'niter Mark Adams RCE 34257 Exp. 9-30-91 fie LAND OF NATURAL WEALTH AND BEAUTY _ r DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 William Bill Cheff Deputy Director .March 3, 1982 Clair and Eleanor Bacon RE-: AP 40-17-124 1892 Kay -Lee Drive Application for Determination Durham, CA 95938 :Dear Mr: and Mrs. Bacon; At the regular meeting of the Butte County Subdivision Violation Committee held on March 3,1982, the Committee issued a conditional Certificate of Compliance for AP 40-17-124. The condition' is: .1.:,,'.Provide the required 25 ft. of access to a county maintained road. . There is'a fifteen (15)=day appeal'period before this conditional Certificate of Compliance.can be recorded, unless you sign and return the attached waiver waiving your right to appeal the Committee's. decision. Should you have.ahy questions regarding this matter, please contact this office. Very truly -yours, Clay Castleberry Director of Public Works J Men onsa Assistant Director JM/ds attachment cc Planning Health Bt ld ing COUNTY OF BUTTE Y' DEPARTMENT OF PUBLIC WORKS' .7 County Center Drive Oroville, CA 95965 534-4266 March 25, 1982 . Clair and Eleanor Bacon Re:.A P 40-17-124 1892 Kay -Lee Drive Application for Determination Durham, CA 95938 Dear Mr. and Mrs. Bacon: Enclosed please find a copy of the Certificate.of Compliance issued by the Butte County Dept. of Public Works , which was recorded on March 19, 1982 , in Book 2703 , Page a' 88 , in.the Office of the Butte County Recorder.. Should you have any..questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works J n Mendonsa Assistant Director JM/ns Enc. cc: Planning Dept. Health Dept. Bolding Dept. LD 1330 RETURN TO: _- Public Works 1FiC,t+► �,>c: BLUE COUtd Land Development Section 'Y -tri .ir. T J BY ,E'COROS ROP.KS PUBLIC �� 19 316 CERTIFICATE OF COMPLIANCE -,SON 'CLARK A. -N Issued to: Clair_ and Eleanor Bacon CI.RK-RCORpaER FEE 1892.`K,ay-Lee Drive Durham, CA 95938 812— .70511) This. Certificate.of Compliance.is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on Kay -Lee Drive approx. 200 ft..west. of Lott Road.. Durham area . • 2. Assessor's Parcel Number: 1+0-17-121+ Description: All that certain property located: in the County of Butte, State of California, more. particularly described as follows: 71A T)l9PT f1T.y/ -. The Westerly 81.60 feet of the East 275.60 feet of Lot A. as shown on that certain Map entitled, "SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON_RANCHO, SITUATED NEAR DURHAM', BUTTE COUNTY, CALIFORNIA", which Map was filed in the office of the Recorder of the - County of Butte,. State of California, September 17, 1918, in Book 8 of Maps,.. at pages 16, 17 and 18. TOEGETHER WITH a right-of-way for,road and public utility purposes over the.. Northerly 16 feet of the Easterly. 275 feet _of said_Lot_A_. r r r_ t t t• . s %W ... C KT ZiF?.` S •:- jjAj-_iT0u ATOj'uCTOP Q0=; V.VCz1 Gc rl- OT. $nrf8 I DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 534-4266 May 12,.1982 Clair and Eleanor Bacon Re: AP 4o-17-124 1892 Kay-Lee.Drive Application for Determination Durham, CA 95938 Dear Mr. and Mrs. Bacon: Enclosed please find a copy of the Certificate of Compliance issued u. by the Butte County Department of Public Works , which was recorded on May 3, 1982 , in Book 2715 Page 398 , in the Office.of the Butte County. Recorder. _Should you have any questions regarding this matter, please'contact this office.. Very truly yours, Clay Castleberry Director of Public Works uw'f J Mendonsa Assistant Director JM/ns RETURN TO: Public Works Department Land Development Section NOTICE OF COMPLIANCE Issued to: PUBLIC WORKS 3 2 33 CLERA RECORDE FEE Clair and Eleanor. Bacon 1892 Kay -Lee Drive Durham, CA 95938 This Notice of .Compliance is hereby issued by the County of Butte to certify.that the conditions imposed'on the Certificate of Compliance; recorded in Book 2703 Page 88 , have been fulfilled to the satisfaction of the Subdivision Violation Committee on the property identified as: a. Assessor's Parcel Number: 40-17-124 b. Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: PARCEL TWO: The Westerly 81.60 feet of the East 275.60 feet of Lot A, as shown.on that certain Map entitled, "SUBDIVISIONA L PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO, SITUATED NEAR DURHAM,.BUTTE COUNTY, CALIFORNIA", which Map was filed in the office of the Recorder of the County of Butte,.State of California, September 17, 1918, in Book 8 of Maps, at pages 16, 17 and 18. TOGETHER WITH a right-of-way for road 'and public utility purposes over the Northerly 16 feet of the Easterly 275 feet of said Lot A. EXCEPTING any portion of the above described right-of-way lying within the bounds of Parcel Two. TOGETHER WITH rights-of-way of record recorded in Book 2700 of Butte County. Official Records at Pages 464 and 465.. Issuance of this Notice of Compliance is'pursuant t_o Butte County CV Code, Chapter 20-167: County of Butte Sub "iviioniolation Committee ._ m a4� END OF DOCUMENT.... em Of. Docu"Wj LD 1310 (Rev. 7-80) Certificate of Compliance: Residential Climate Zone 11 Project TitleT QQ DCLA J F rR les Building Pe �� Project Address _J%_ Checked By/ Date Documentation Author �- Telephone Fltforoanent Agency Use Only BUILDING DATA phoned Floor Area /3z Sl /Raised Floor [Single Family Detached (SFD) [ J Single Family Attached (SFA) [ ] Multi -Family (NM BUILDING SHELL INSULATION Glass Insulation North 7 T._ 7 Number of Stories / East Number of -Units �_ South 1 �— [ ] Addition Alone West [ ] Existing Building Skylight . [ ] Existing -Plus -Addition Roof............. BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to garage. typical. etc.) Wall .............. Wall ............. South Roof............. Sou th Roof ............. West Floor ............. West Floor ............. Skylight....... Slab Edge..... THERMAL GLAZING Type/Covering Shading Devices Glazing Area Glass Type Interior Exterior Orientation (sf) (sinpje. double) (Jolla blind. eta.) (shadetCTOM etc.) North (-) North (. ) EastEast South ( ) Sou th ( ) West ( )_ West ( ) Skylight....... THERMAL MASS Type/Covering (slab/exvosed, tile, etc.) Area Thickness (sf) (inches) EIVNl HVAC SYSTEMS' Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Value (Btuh) ��L� 35075 Overhang Framing Type Manufacturer / Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain Usese measures regardless of the corn iance sed approach uItems marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCUPiION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b} Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). 12.5352(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permfinch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/ExfiltrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with 12.5351 meets CEC quality standards. . §2.5352(d): Installation of Fireplaces �• 1. Masonry and factory -built fireplaces have: a. Tight fitting. closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. i §2.5352(h) and 2-5315: Setback thermostat on all applicable healing systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. f §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2.5314: RV AC equipment, water heaters, showerheads and faucets certified by the CEC. F §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. ' §2,511 1(d): Swimming Pool Heating 1. System has: t a Onloff switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. ' 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. i Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATENOgT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter2. Subchapter 4. Article 1 of the California Administrative code. This a certificate has been sighed by the individual with overall design responsibility and the building owner. who shall . retain a copy of it and transmit the certificate to any subsequent purchaser of the building. I i + 1 Designer Building Owner (t Name: Name: f Tuk/Firm Tom: Address:. Address: Tekpiwrtc elephonc Lic. N: 01 r (sigrtantre) (dam) (s; ate) k (daft) i Documentation Author Enforcement Agency Name: Name: TitWFuTW Agency: j! Address: Tcico e- 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories 0.80 R -value One Two Three R-0 -103 -49 -02 R-1 f1 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - 0.80 R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawlspace -4 Number of stories 0.80 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -10 4 40 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 .6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 4. Slab Edge Insulation - Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 .2 R-19 -1 -2 .2 4. Slab Edge Insulation - Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70. 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage) Specification Points Starched - 0- 6. Glass Heat Lass Total Single- Slab Floor Effective Percent Glass Mass U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -0 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Clam (percent Stria x SC) Effective Single- Slab Floor Effective Percent Glass Mass %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -23 3 0 -4 IB. Shading (Shade Closed) Single- Slab Floor Effective Percent Glass Mass Family (percent Stan x SC) Multi Effective Stories Attached /CFA One Two %class North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 .5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not albwed 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 A -2 -1 -1 0.1 -8 -5 -3 .1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 14 Wall Family Family Multi Mass Detached Attached Fam4 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assume: ducts In attic) Som of 7.10 -25 or -24 to -14 to -4 to Sum of 14 16 or SEER less -15 -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 20 17 14 Effective SE or HSPF 6 -1 (SE or HSPF x duct efficiency) Effective -25 or -24 to -1410 .4 to +6 ID 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assume: ducts In attic) Som of 7.10 Zonal Control Adjustment 10 3 7 6 4 3 No Cooling System Installed Stories One -5 4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 .3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 - 13.0 20 17 14 12 9 6 -1 -1 Effective SEER 0 HWR (SEER x dud efnclency) -9 -7 -6 Sum of 7-10 WSB -25 Effective -25 or -24 to -14 to -410 +SID 16 or SEER less -15 -S +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 4 -4 -0 -2 -2. 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8' 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 3 7 6 4 3 No Cooling System Installed Stories One -5 4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior MasslCFA TTve 2 MSS 1 t1.1•uell[•..Y) tc.rxe6e 1.11 S TYPE 1 MASS (UIMC b 4.2, le: exposed Slab) .- - 01/. 5% 1095 15% 20% 25% 309/6 35% 40%. 4S% 50%'55% 60% 61t 70% 75% 80% 85% 90% 95% 100% 105% 110y. 115% 120% 125- 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 toy. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 - 24 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58. 409/. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 509/6 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.B 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 11.2 1.4 1.7 1.9 21 2.3 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 709: 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 .4.8 5 5.2 5.4 5.6 58 6 _ 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 54 5.6 5.8 6 62., 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90y. 1.5 1.7 2 2.2 2.4 262.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% ,' 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.1 7 105%1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [38] U -value [0.030] 2. Wall Insulation ge // or R -value [111 U -value [0.098] 3. Raised Floor Insulation or R -value 1191 U -value [0.037] 4. Slab Edge Insulation or R -value [0] F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss� Type [double] U -value 10.651 % Total Glass [ 16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 9-7 x 72 b. East 0 x - c. South 1. & x = d. West 0 x = p e. Skylight $ x 8. Shading (Shade Closed) Glass SC Eff. % Glass a. North -," • 7 x & - 3r Ae b. East 0 x = 0 c. South x = d. West O x = A e. Skylight x .77 _ 6 9. Interior Thermal Mass/ 3 TYPE 1 MASS AREA ' Int�Iv`1Ss/CFA COND.- FLOOR AREA TYPE 2 MASS AREA _ 10. Exterior Wall Mass �_ - $ Exterior Wall Mass ND. FLOOR AREA 11. Heating System , 7;; x _ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.78] ESfecLive SE or [0.72!6.6 HSPF 10.56/5.15] 12, Cooling System 3 • � x Vl" = Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating_ Type [SG] Credit [none] Point Scores 0 1 , Sum l-6 Point Total: Unit Size (sQ Water 1199 12M 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 _ 5 4_ 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU -18 _ -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (individual units) Unit Size (sQ Water 699 700 1200 1700 2200 Heater Credit or to to to or Type Type .less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB . '9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 -5 _ EQU _23 _-_12-8 -6 -5 IG None -8 -4 -3 .2 I' -2 Solar 6 3 2 1 1 POU 1 0 1 0 0 0 IE None -30 15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 .3 -2 .2 Interior MasslCFA TTve 2 MSS 1 t1.1•uell[•..Y) tc.rxe6e 1.11 S TYPE 1 MASS (UIMC b 4.2, le: exposed Slab) .- - 01/. 5% 1095 15% 20% 25% 309/6 35% 40%. 4S% 50%'55% 60% 61t 70% 75% 80% 85% 90% 95% 100% 105% 110y. 115% 120% 125- 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 toy. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 - 24 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58. 409/. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 509/6 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.B 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 11.2 1.4 1.7 1.9 21 2.3 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 709: 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 .4.8 5 5.2 5.4 5.6 58 6 _ 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 54 5.6 5.8 6 62., 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90y. 1.5 1.7 2 2.2 2.4 262.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% ,' 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.1 7 105%1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [38] U -value [0.030] 2. Wall Insulation ge // or R -value [111 U -value [0.098] 3. Raised Floor Insulation or R -value 1191 U -value [0.037] 4. Slab Edge Insulation or R -value [0] F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss� Type [double] U -value 10.651 % Total Glass [ 16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 9-7 x 72 b. East 0 x - c. South 1. & x = d. West 0 x = p e. Skylight $ x 8. Shading (Shade Closed) Glass SC Eff. % Glass a. North -," • 7 x & - 3r Ae b. East 0 x = 0 c. South x = d. West O x = A e. Skylight x .77 _ 6 9. Interior Thermal Mass/ 3 TYPE 1 MASS AREA ' Int�Iv`1Ss/CFA COND.- FLOOR AREA TYPE 2 MASS AREA _ 10. Exterior Wall Mass �_ - $ Exterior Wall Mass ND. FLOOR AREA 11. Heating System , 7;; x _ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.78] ESfecLive SE or [0.72!6.6 HSPF 10.56/5.15] 12, Cooling System 3 • � x Vl" = Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating_ Type [SG] Credit [none] Point Scores 0 1 , Sum l-6 Point Total: ii c(.'� �J ��- — — -A,,,F ...� r—,.e,r ....«.--. m+—r•cea:r�f ar+�a...,,- 13 t 7 t " 1iIS '`UiiG. !'Ri�,ltiit"fit? Jit iF CoiCF'1 ', tF f '.. 'LOi V : . , ti �i SIS r 5�. ,5ught�lrt,✓rs ' �r ,ni tzt t a ear; F '� pGVTgtMS1N'iFCkt tFF.SE 6PEt11C(#�1DMi; bA t7tf1E1ttflTtf�i fROtt Ct#N M►YT+SCE'Ultt}i6QNi+ki`Y+JCti iiSt a (� e {Nis ats$c4,bR twT MILO." 14 WILD TFt�'muss' M C01C, c eornotl+rlt F lu If)'tbi7E►�tltir°Trait �ri+TM�• � �, TC LL +�'�ry. M1�NI(1 WO it 1 dlJtii i iTPT„ it. ptcbN+, ctt*S IgILS bt lM FtA F�9M04afiM�l};ti t'Ektf^ �f� +r ���r ��r i��.' 11/.0 p.�i C] t p�,t PA(, vFrtykti�TS 10 POW 2b �i� . GCdt itilt�tZ�l1; trti �i U+k C5S lfi�r CJf�.I�1'. II�i1411t1��Nt�. iR��SS bt{4�ti'M�1 p�' +. }� �+ C� ibC 9TF �ftiSE $ilOViftf� nEEvliic FttytTREt Nt : "Tkltp 'ta+U6 GkkfiUE FI, t64iN; ,Tbly C►#7+tp � � d t,Attlttx,tT Dkti �0 : G� G �i 'av+r �€ ytNcs tTT tr+cttt+tr brat cats ps vttH rsprra Ettt{rts tttir3�000 �+„n+Mtr+c erklwt. ��y.�y r.�l a r be i r to s a.; kg1tNR :Ott!* gwrdt�f» tA*NL batter CC}}r>sra utTli "iit�trM t�tl�l� � bR�tN� � �+F.��+d � �pTe a5 a stclr stn+ulrlrbr pFb ti 'WIN FPL►!OE.0 TMO INt" Or'rG WLT rim TIN `C�CstCtt� `Ipp l�5t Ui�> iriTS '���� :�•�:.� ;t��", gg��,,k�i� ,L�y� tlf%tYYiTh'i tt 'REt[l�0i1�7t' Joe 6 }QLD #. til w 71i r PihTF T r`IWAYITUTffii ft35'« rtlTtttlSFtt: ik+31rN=firVntrYrattru.crnwrnt+ry 1 - ��---•---^.......rwwyurp. rwnnnr" 770 d., y", J� ll� , , i e ­� , , I - , 1, - 11 i, : I . i . . .1 1 , 1. , . . I I , - , , , . . - , , , - , , , r " 1, 4 ., , I I I I , , , "R "9 It "rev Ilk , 9P, own ty 0 ..MIN, (VAgl") if vj Iki L IN -Cr rU .......... �PC t......... .......... 14 F-ZN,Wr-4 61 H �q ........... PL D Al, -1 N A _C> -.1 ref, lift. 1100 'Ile ETA OT o JtIC r al, with aonncii�tora thv a4optod odlt�ons of the USC, I u and any otbor NO alog speaifled in �cat, 3; Clty r,"Odda. arlia! alts. UM + I a ahal I have oint tat Spot Pin r 4 orit alino CtUral 4011n e C O t) q r 0 be unloss- specified �aqtov th their corrolations w T4:; > NO I holes thal have pi *t hojos�- wher,io :tit nq� 'of Wood In the. ev 4�nt ;Pi�', it I r per '30 aefell 'are no -t fully ;5hown the 0 Bottm t4 4-11 �ftooti�iqs' 'O'h a 1, .1 res it on oil of i -lam Dr4wings or ogt1le-4 r rbed no'l a mit t cn irmo qndistll h a I I ba 'opprbived by the �A� shoma or tor anOl shA11. )�e rilt epre-�eht th(,- t blocking 0 rat IU 14 kT 14 pahinq h CX .0� c W'ithiu of Ooro4 or -of tloor 4 o�hall be tompeed. v,es to be jU 1 jadow fr o o-, 0, t full- be, '�4 in t310taid t�,bo All. vindotwis 0hall ba dugil, Vlaz.4 �b r4 (wiatdr reoistont YYPsum, A. PT S tit, i el d at ard 8P tvh hi ar il i n,qo t 0 bo,, 12 board. P, i r,.q t f 4�4po, f rom W/H to b itsulated *a4 av' 4. ra''to-ta mt�A hower heada to- have,� low S. Ajr I , I, bo. Cortitiod. 'i and, ox erior h t Y qT All b. -shall be tj U1310-sis h 0 t Iuq to dr pl ana,� vont 'to 0iutqid0 4,1 I t bo V14 w4jlwet , V__ tPLAN 77 i" ti ,i;�-. }. ids, `' fi"': - T, �b' �-.. i i �: 3, a LEFT SIDE ELEVATION ... REAR EL't ION -1 19101"T -1 :E", 1-I'LIUVATVA I Q '.�. � 14 ,w t �#„>...�•»-.r.i-a,+...a..,.�,_�-;.,:r ;;��,rrrr fi { �,. .. ll. �, ' . _ I: • i f } -:' _ �,.. _ '!r . ' J r , a Ir4a ,1 i ........... SIC", l5pY�iq'W6iiiYkrilillY�IN} Y ,rte � ! , r , J r r : tl , I S i - : ,.. ,g' :It :?!7°' k.: fn..r,..:: . p�![tyq, . .� .. � . , is=y,'1• i� jj JJ , , j ' �g•��,,��1 r: 'ori •. :: 11, r t , r j • �- \ +'�.. ."'.. .-�u'°"IY+Y. '��°s.i`.'�T�'�'•�c „y'`Mrh'rY. �1L:.�F1i34 _. _,�iV r ' �y, y r la� aY �, v - .. .. : .. ,. , S: - r '• ... , - : C .' : , ' , fin" �:,rr ,�y t ': ...,•ti $c�. „ :.. ,. ': ( .,. is .- . 1 -.: , , { . .,, ... ,. ✓ ' _a,:__..-I-.tl:.:•,-_,.,. :s....aCWY, �s.x4i aAMr .moi.. 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