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040-470-020
y - � 40-47-20 MORG INETTE -Gold Creek yCtiico`""''` ' Conti' Western uo t I' 1-M Permit #1693-872 e,m(new single family i 40-47-20 em.ti#1531-88P (lawn sprinklers/SF)-- 040-470-020 05-2455• MURPHY ] GOLD CREEK WAY, CHICO Cont: MINER AIR COND. HVAC F- NA1-- 4/ JO J 0(p e F e 1 OVA RMA RESIDENTIAL. PERMIT NO. `� 0`5 2455. t4-4.7020 Y CREEK WAY, CHICO NER AIR COND" S 1 I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. : SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) - » b C J=OK 0= Not OK _ = Not Rhte . =Not Ready eaQy MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except 9's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Specidl MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4- Water; Location -Test -Easement Needed (Sketch) .5. Electricity, Location-Clearances-Gmd-/ , /Amp -Concrete 6. Gas; location -Test -Wrap;. / - = P L'ft.:: / P Nat or/ .. P L =ftJ .: P LPG . 7. Well.Clearance 8: Disconnect 8. Utility Clearance- learance -Date 10. Roof,Shthg-Roofing _.;i, :. 11. Ext; Steps -Doors -Landings . Date Card B-1 Date Card B-1 Date Card B-1 =Date .: Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except 9's Date 1., Zoning Requirements-Setbacks=Easemen s Date 2- Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Detnand-Valve-Connector 4. Electricity; MH Test=Crossovers-Breakers-Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits• Insp.-Sketch 11. Cert of Occupancy 10,._ Plumb.; Cir. Test -Water Su PPN Test...... . 11.._Lighi Niche ..... . Date Card B-1 Date Card B-1 Date Card B-1 . - :' Date .. :: Card B-1 Date PERMANENT END SYSTEM (ONLY) DateConi 1. Zoning Requitbrierits-Setbacks-Easements 2. Footings; S¢e=Spacing'-Marriage Line'..'. . , 3. Bbcictn. 9" ... , . . 4.'- Gas; MH Test=Dernarid-VaNe ".::. S. -Electricity; MH Test 6. Water, MH Test :. 7.: Water. and Sewer _Connected _. 8. Gas and Electricity Thgged " 9. Exits .. . - ..10.: Ucense Decals '` . : z , ..,. -: 11. Verify.A'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-Decat-Enciosures 6. Carports; Windows -Doors -J. Electric 8. Fong.; Sills-Anchors-Studs-Rftrs-Tnisses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof,Shthg-Roofing _.;i, :. 11. Ext; Steps -Doors -Landings . .12. Braced Wall Paheis = Date Card B-1 Date Cana B-1 Date Card B-1 Date • Card B-1 Date POOLS (Plans) OK except Vs 1. Setbacks -Easements 2.. Sols; Compaction -Structure StabTrty 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'-Cirwlating Equip: Heater 8. Elec. Grounding; Equip. WIT Circulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9; Healffi Department Approval 10,._ Plumb.; Cir. Test -Water Su PPN Test...... . 11.._Lighi Niche ..... . 12.. Enclosure; Fencing -Alarms Date.....:: Card B-1 Date Gann B-1 DateConi B-1 :` ; '...:: Date Card B-1 DSC NotOK Ap NolpGra6le RESIDENTIAL (Single & Duplex) dint Ready _ ite UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd. / r Ftg. Depth 3_ Ftg., Garage; Sols-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth S. 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 late Card B-1 Date Card B-1 late Card B-1 Date Card B-1 )ate PLUMBING (Permit) OK except #'s 17. Water Htr:; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.Y.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -lights & Switches at Doors 26. Sire Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in 110tchen & Conductor Size GFl 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ 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 MECHANICAL (Permit) OK except #'s 36. 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 'rf Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fre Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearino Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac_ Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & 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; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underilr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.FI. & Bath Fixtures & Tub Access-Spp 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. IGL Fixt. & Appriance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Medi. Equip'. Listed for Location 79. Elec. Receptacles in Garage (FF.1.)-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 t7 Yes 83. Following tnstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. St4cco Brown Finish Lpe"A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Apprrance-Fireplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas-Etectric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date y 15 -0(0 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: LOT 14, PTN. SOUTHGATE LOT 13, 2ND. SUB. J. F. ACRES ENTLER RANCH 04 . 40-47 — — EN7LER AVENUE 202.31 205.OQ 205DO f-"'-"- 20254 31.42 31.42 1 31.42 31.42 c` 1 O a 10 10 I N 11 11 $ 20 Z() - -. CD N 7 11/ / / 2 Q I - - I 222.46 225.00 225.00 >A 222.57 1" = rod I14 w M V 2W O M a O 9 I p 12 12 _� a 19 19 . N N N I O 222.45 225.00 225.00 222.60 LU LU C 4 i 3 ({3\� „ Pi O m 6 I a W a 13 13 V 8i 19 IB O r` 222.42 N Z N IN in N N 04 O 225.00 225.00 ; 222.63 W I � I � 4 4O s � 7 i 14 14 V 17 as O a I7 202.39 Q 205,00 205.00 202.66 OB` j2 O i � IS 1e 0 R 5 6 I ' 15 16 w —1— --- 252.33 255.00 1 253.00 25272 1015.05. ----- . 02 All Assessors' maps are prepared for local property assessment purposes ONLY and the parcels shown thereon may not comply with State and local subdivision ordinances No lioUity is assumed for the 14ISSeSSOf'S MO NO.�io-47 p use of the information shown on any Assessors' map. County of Butte, Calif. SOUTHGATE ACRES SUB. M.O.R.72,Pge.15/16 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052455 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/13/2005 APN: 040-470-020-000 the Business and Professions Code, and my license is in full force and effect./, License Number: U : 1 GOLD CREEK WAY CHI Site Address License Cass: 09 Contractor: L SeTV Map Index: Date: ) Description: NEW HVAC SYSTEM OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MURPHY MICHAEL K & KAREN K permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1 GOLD CREEK WAY the Contractors State License Law (Chapter 9 commencing with Section he CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that or she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031:5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MINER AIR-CONDITIONING SERVICE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2124 STRAISS CT sale. If however, the building or improvements are sold within one FAIRFIELD, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 94533 sale.). (707) 718-3722 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: MINER AIR-CONDITIONING SERVICE ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2124 STRAISS CT Date: Owner: FAIRFIELD, CA 94533 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: (707) 718-3722 ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the License #: 695109 Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person In any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions�.0 p j'"'� r�� Date: LJ ✓, Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100.000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency'for the the work for which this is issued (Sec 3097 Civ.) Resolutions to do work indicated above for which fees have been paid. I�-( performance of permit By: Date: 9- Name: I I Address: PERMIT EXPIRES ON: `1-Qlb Date ❑, 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code 1s not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 'I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner: I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo�sess.. �� T.,-4 \ Print Name: \ Signature: SW A— Date: ❑ Owner ,qr Contractor 0 Agent for Owner 0 Agent for Contractor %3T BUTTE BUTTE COUNTY PERMIT \ I ° DEPARTMENT OF DEVELOPMENT SERVICES NO. ° BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREMENTS ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPO5215 ° OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # )If Website:—www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name First Na \A U / Address Addre City ��I State/+ ^ Zipq Ph _ Fax E it State License Number APPLICANT NAME CONTRACTOR Name Name / Zip - Addre Fa State Cityur C State Fax Zi 3 1qn— State License Number Aw APPLICANT NAME ARCHITECTIENGINEER Name Citty�� f Q Address Zip - City Fa State Zip Phone Map Book Fax E mail Planner. State License Number APPLICANT NAME Name Address S Citty�� f Q Stat Zip - I Yes Fa E-mail APPLICANT SIGNATURE X __7_63 �_' For office use only: Zoning Proerty A dies Flood Zone Cross Street Vl �a SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner. Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# O20 Proerty A dies City C � C-0 Cross Street Vl �a WO KER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Dript' n or Scope of Work: 74 L Q-vt, Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by: K.6 . Amount: 4 5 F. 00 Bldg I K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt #:'�'j2. Date: q _ tt lJ_ 0J SRA Sheriff SMIP Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ . 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for workplan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 •t� -. ti, PERMIT NO.. - PERMIT EXPIRES OWNER GE ETTE CONTR. We�Lgx�ex x Cet�at ASSESSOR PARCEL 4Q -47-2g Y, LOCATION 1 Gold Creek Way .Chico •4 . OFFICE COPY P { Address Y r _ I h GAS Meter By Date ! ELECTRIC Meter B Date Temp. Power Pole Called PG&E i• Temp. Elec. Service Called PG&E _ Temp. Gay Service Called PG&E JOB FINALED (Date) i Signature = OK 0 = Not OK Not = Not Readyiable MOBILEHOMES t - MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft, / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal=Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date _ 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ Card -Bt Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date 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. Water; 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 - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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/5'7circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date Card -131 Date Card -131 Date 9. Health Department Approval _ - 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -81 Date Card -131 Date = OK. 0 = Not OK* - = Not Applicable s .lot .Ready RESIDENTIAL (Single and Duplex) Date UN FLOOR (Plans) OK except #'s Date RA Continued o ents p angers -Post Caps -A ors -Connectors .t ain; Soils-Stee - c. Grnd. // " Ftg. b6th 45. Cl . JoiM-Rftr. - urlin-Roof Brac.-Truss-Shthng.-Ring. tg., Garage; s -Ste - Ftg. Depth fireplace Ties or Type A Flue- replace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attip Access; Size & om x rote -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 4"iUm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped &_05 age Fire Protection Framing tOrSrab; S I -Wrapped arty Line Firewall & Openings B. P• s -Fireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits . D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test r ; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 0^wood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test g -Nailing Veneer 12. Electric; Underground tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. ("azing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples .67-43trlrar Walls; Nailing -Bolts 15. 10s lation 58. Insulation-Walls-Cig. - 59. Infiltration-Walls-Wndws Card -B Date - -O/ and -B1 Date Card -131 Date Card -131 Date Card -B1 Date$,5 � Card -B1 Date Card -131 V Date Card -B1 Date Date PLU NG (Permit) OK except #' star Ht. Vent -Acca - o u n A' Date FINAL (Plans) OK except #'s 7 afar Pi e; Test PQrExt. Steps -Door & Sidelight Protection -Landings D .V.; Test- ttngs & Anchors- tectio 61. SMakwDetector hower Pan; Test, First Floor -Tub Access . Furn ; Vents -Clearance -Comb. Air-Connector- I ar e; Above Floor -Ducts -Meth. Protection c_2Q-TeBYTub & Shower, 2nd Floor -Tub Access 2 . as Pipe; Size CAyknW d2l00'B oom xiting r G.F. Bath Fixtures & Tub Access -Spa $eelec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Da- and -B1 Date -G Stairs & Rails `- Card -131 Dat Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s t68. lec. Outlets at Wood Panel; Int. & Ext. xture & Transformer Clearance -Ina. Protection 69. Kit & Appliance; Grnd. -Air Gap -Cooking Clearance c. Receptacles Spacing -Lights & Switches at Doors 7 I . utlets & Receptacles at Kit. Counter Jgt�Kize Boxes & No. of Conductors -Stapled 74O. Garage Fire Door; Swing -Landing -Closer 25.3tomex Installed Close to Edge of Studs & C.J. -JQ�A• uct in Garage -Damper equip. Ground made up w/Mech. Fasteners -Bond Gas &Water tr. Htr ts-Clearance-Comb. Air-Connector-P.R.V.- In a ; Above Floor-Mech. Protection 2 Appliance Circuits in Kitchen & Conductor Size I I . Mech. Equip. Listed for Location ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al le.goeReceptacles in Garage; (G.F.I.)-Romex Protec. ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 7 • Insulation -Foam -Looked in Attic 0 Yes ward Rails & Deck Construction -Post Caps 30. ,Service -Riser Conductors & r ain Disconnect dn. Vents & Crawl Hole Door -Drainage & Wood -Earth CleaCafte Looked unodr Floor 0 Yes K. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clot s Clo t -Shower Light -Spa Light 7 ow i instld.; l>1ve 0 Yes 0 No; Walks 0 Yes o No; PI r 0 Ye 0 No SKISIvell5o; Br n -Finish g112,,71% -z) Card -131 Card -131 Date and -81 Date.. Date Card -131 Date A.C. ; Disconnect, Ete trical, 13lum6ing . ents ove Roof; Plbg.-Appliance-Firept.-Clearance to gpehings. Date MEC NICAL (Permit) OK except #'s WrWa r Well; Disconnect, Electrical, Plumbing C. Ducts Insulation & Support x r Elec rim; G.F.I. Receptacle -Underground Vent Fan; Exhaust above insulation 4VqentiVWd'nthUwghout House 35. Condensate Drain & Overflow; Size & Gradea action _Vs.Famace-Vent; Access -Comb. Air -Return Air Vent -115 outlet ction rom Previous Inpeotions ATtic Access & Platform if Furnace in Attic . Gas M to agged; -EI i Card -81 Card -131 Date Card -B1 Date Date Card -B1 Date at ewer Connected -C/O to Gracle-HBrAppfovil orgy Compliance Certificate -Other Certificates Card- Card -81 Card -B1 Dat and -B1 Date D and -B1 Date ate Vf Card -Bt Date DateFRA�At1aG (Plans) OK except #'s . Sills, Proper Material & Anchors 3beVTa71s Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: earing Walls over Girders & Floor Nailing aft Stop in Walls (r" t proof) itflreOops; Furre eil'n s -Stan' -Chases-Tub W?Jdader & e - 'ze & in (NOTE: An entry must be made each time you visit job site) MILLER GLASS INC. P 0. Box 1281 744 Cherry Street • CHICO, CALIFORNIA 95926 DATE: g- I) `'6K 343-1787 343-7934 III A-� SUBJECT: T PRIORITY ❑ URGENT! ❑ SOON AS POSSIBLE ❑ NO REPLY NEEDED SIGNED: SENDER: MAIL RECIPIENT WHITE AND PINK SHEETS. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - J'f 196 Memorial Way, Chico — Phone: 891-2751 ` 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 6/1'1h171�— /6,9 OWNER P A routine inspection Indicates that the following violations of County Ordinance existat�the above address and should be corrected. Please notify this office when correction�o ork is completed. If you have any question pertaining to this matter, or n additional -exp�lanatiion,—please'confact.this office Immediately. (G 6 c—Uply 6doo k.) - S W, 14 r AL Co yr 2. A-tc; Ail- (-C4loz Inspector Date 1-scm • COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE t1-0� -'% - 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 w en correction of work is completed. If you have any question pertaining to this tter, or need additional explanation, please contact this office immediately. r Inspector Date 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office im ediately. o VV- Inspector - Inspector Date Owner: Permit No. ENERGY CERTLF ICA'T ION Project: #1 Gold Creek Run LOCATION A.P. No. ROOF Material Thickness(inches) EXTERIOR WALL DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) Material Fiberglass batts Brand Name Manville Thickness(inches) 3 5/81 3/J fogh-j Thermal Resistance(R Value) R30 CEILING Batt or Blanket Type Fiberglass Brand Name Manville Thickness(inches) 11" Thermal Resistance(R Value) R30 Loose Fill Type Fiberglas -s- - Brand,.Name Manville Minimum Thicknesz(Inchee) llZ'-' Number of Bags .46 Wt. per bag 40 lb. Area covered(ft. ) 2002 sq .ft Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) — I hereby certify that the above insulation was installed in the above building in conformance with the State of Californ-ia Energy Requirements. Loerke Insualtion Co. #499150 FIRM NAME/OWNER STATE CONTRACTOR'S•LICENSE NO. 2Q� A -n QWVk &�Q� SIGNATURE OF INSTALLATION APPLICATOR R50101 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 NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF C1E.NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT FjE9MIT N ASSE S AR+CE BER � ZONIy,� BUILDING PERMIT owN t TEL'EVP)' H N SQ. FT. OCC. BUILDING VALUATION OWN S 1 NG A D E t ( �� C T A 'S NA E l HO rR O CON R CTOR'S M I ING AD E S I^ r Fireplace C 4MS `UCTION NDER 1 UNKNOWN Total Valuation $ Filing Fee $ 10.� LLENDER'S MAILING ADDRESS Permit Fee $ ARC IT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ 91 Energy Plan Checking Fee $ ARCHITECT OFT ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 0 Permit fee $ PLUMBING PERMIT Filing Fee' 10.00 Each Trap f 2.00 Q j G Solar or heat pump water heater 20.00 LOT NO. YgJ7_Z`��7 SU,2 {VISION1AME �``/lJ0 it ` PARCEL MAP Water piping 5.00 ©� Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG TW 10.00 ea TYPE OF WORK New X Addition F1 Re�e��iIities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 io. on Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and �d my license is in full force and effect. License No. ��a/�✓ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC OR ADDNS. (ACC. BLDGS./z¢sgft NEW CONSTFL ULTI-OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 209SOQ eAL030 Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 `�— Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n yhe permit is for $100.00 (valuation) or less. LAK/i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 ir Ventilation c3 Permit Fee $ 113, 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 sa e, indemnify and keep harmless the County of Butte against all liabilities, d ments, co s, and expenses which may in any way accrue against aid C u y�1�ence of the granting of this perm' . %� ( ate /% 1,57?% Signature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $60 U0 TOTAL PERMIT FEE $ oCCuP*J CONST. ! FLOOf7FL.I/P S This permit is hereby issued under sions he Butte County. Code and/or work in c14A1, d above, fQr which R TOR OF PUBLIC By PERMIT EXPIRES Date N 1-19UE the applicable provi- resolutions to do fees have been paid. WORKS ate s� Cstories 1� Receipt No. S S /� ✓� (� WHITE-D.P.W., YELLOW-ASeESSOR. PINK -INSPECTOR, DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI_4E,•C4,1� A'95965 - TELEPHONE: 916/53.4-4541 / PERMIT APPLICATION DATA SHEET V Permit No. OWNER E©� eRe)o #0 A. . N. Proposed Building Use !�' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . i4KOPlot plans in dup-LLcateJ-tri. UGatee signed-by-prepafer-af-p+arrs. .IS 3 Complete plans in du—p.UGam/-tr-ip44Ga4e-,-%"ed-b"repar-er of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. .. 41�,RICUSD ''Fees Paid'' Stamp on Floor Plan — Statement of Intent for Non- eated and AC Buildings. �1 •. .. •. Fees of $ 6 . . . . . Letter of signature authorizatio . . . . . . . . Sanitation approval from Health Dept. 1 Jk Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . a3 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), -15. Improvements may be required. . . . . , . . . . , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. 1 Building In Recorded copy of Agricultural Acknowledgment Statement. > 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the per it, process as follows: Mail to ner, Telephone -d'71-9 "and Mail to contractor. -� ___ hold for pickup at fi•ce, Deliver w/inspector. Other • A p p I i c a n t Date � r Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit i an (Circle new item not checked above). 1. Index permit for above items No. / 2. Additional items required: ontra t designer, owner, was advised of above required data by_ephone�nail—counter by&�date �1— Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date - Flours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Encroachment Permit Section RE : Wtueway. 'Clearance 4-17 -Za owner location AP # Driveway permit !2r — has been issued for the above_ property. nu er ;imfature date TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Z Owrier Location —� APS 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 Note*** Sanitarian• e? 7 Date DESCRIPTION: All that certain real property situate in the County of Butte, State of•California, described as follows: PARCEL I: Lot 20, as shown on that certain Map entitled,'"SOUTHGATE ACRES SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 27, 1979, in Book 72 of Maps, at Pages 15 and 16. PARCEL II: An easement for ingress and egress.over that portion of Lots 11 thru 19, as shown on that certain Map entitled, "SOUTHGATE ACRES SUBDIVISION", which Map was filed in the Office of the Recorder of the County, of Butte, State of Ca.lifornia, on September 27, 1979, in Book 72 of Maps, at'Pages 15 and 16, lying within Gold Creek Way, formerly Lewis Drive. . __ -.. .. _ .. a-_ _ P-.. . _ . _ , n _` ' _"it%7.: t ' �4 is-`i"�t .'_�`'��.• ... q'+Y'�'.� ak •' �pJ)) e ' DESCRIPTION: All that certain real property situate in the County of Butte, State of•California, described as follows: PARCEL I: Lot 20, as shown on that certain Map entitled,'"SOUTHGATE ACRES SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 27, 1979, in Book 72 of Maps, at Pages 15 and 16. PARCEL II: An easement for ingress and egress.over that portion of Lots 11 thru 19, as shown on that certain Map entitled, "SOUTHGATE ACRES SUBDIVISION", which Map was filed in the Office of the Recorder of the County, of Butte, State of Ca.lifornia, on September 27, 1979, in Book 72 of Maps, at'Pages 15 and 16, lying within Gold Creek Way, formerly Lewis Drive. . __ -.. .. _ .. a-_ _ P-.. . _ . _ , n _` ' _"it%7.: t ' �4 is-`i"�t .'_�`'��.• ... q'+Y'�'.� ak •' �pJ)) Return to DPW ti AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 2017 hCLVRI)ci):1 l i t l iii�N i U; FICIAL RECORDS B The property described herein is adjacent to land or included 1337 JUN _4 .AM M: I2 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CANDACEJ•GRUBBS the use of agricultural chemicals, including, but not limited to herbic&t#(,-Fpie iWc�s�-- and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on paq,;• adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5 ��T�� Date: PROP RTY OWNERS Geor W. Robinette State of California) On this the 27th day of May , 19 87, before ) SS. me, the undersigned Notary Public, personally appeared County of .Butte ) George W. Robinette --------------- ��sr�a��3�����f��c���rat�m>g�s�aa�� ra INDA WILSON sa NOTARY PUBLIC -CALIFORNIA a Butte County ��4 ywr MY Cummission Expires Jan. 20, 1988 Present A.P. No Personally known to me. Proved to me on the basis of.satisfactory evidence. to be the persons) whose names) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. /0 `/7 ?c�? j Linda F. Wi1yByry Public ;4 RESIDENTIAL PLAN CHECKING GUIDE 7/85, (S.F., DUPLEX & MISC'. ONLY) �ccaa2G.l� Bldg. Permit '# OWNER Com . {ZO�I �c/FLT A. P. # yD - 4/;P " �D GENERAL d�oning requirements: (sideyards and number of 'permitted living units). da�luation. ans signed by designer. ergy Design and Compliance. 6� Existing violations on property. PLOT PLAN omplete parcel size and dimensions. 9Y et backs, sideyards, easements, etc. ther buildings or structures. ading, fills, drainage. L5o." Flood hazard. 6. Special conditions on creation map or compliance document. FLOOR PLAN it Complete to scale plan with dimensions. JRed quirwindows for light and ventilation(Sec. 1205). equired windows for second exit (Sec. 1204). [� ights (Chapter 34 & Sec;. 5207). man impact glass (Sec. 5406). uired room sizes, ceiling heights (Sec. 1207). -k.'�.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 8r Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.. cations of water heater, heating and cooling equipment, other electrical or gas _,,.equipment, and plumbing fixtures. 1+®!,,6arage firewall, door size, and closer (Sec. 503(d)(3)). 1 310" exterior exit door (Sec. 3304(e)). 71Y. F =nd wo stove location. l�k-Smoke detectors (Sec. 1210). STRUCTURAL DETAILS �.00r undation plan complete enough;-Ao construct building. construction details complete enough:to construct building. E'levations and wall construction details complete enough to construct building. . Roof construction details complete enough to construct building. -§replace construction details and calcs if necessary. 6. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR r?-,�S-Mrirway sure I plywood on exposed locations and overhangs. details: landings, rise and run, head clearance, handrails (Sec. 3306). guardrail details (Sec. 1711 & 3306(j)).. • ick or stone veneer (Chapter 30). exterior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT -D') rage door or porch header sizes. Adequate bracing. 14-s— Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 41. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). leoeo"'A-ttic access and ventilation (Sec. 3205). +5-- -Underfloor access and ventilation (Sec. 2516). l�od stoves, clearances, alcoves & 1 -hour shafts. 1 //Combustion air for fuel burning appliances. poise requirements on duplexes. Adobe soils - special foundation design. aining walls requiring design. Unusual shape, size or split level house requiring lateral design. io RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner 6&W- 49 4061j//SM Climate Zone tl Permit No. Floor Area *;k.2 4/40 = Compliance path: Package ❑ A ❑ B ❑ C ®Point System []Budget ® Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling $D In Wall l� ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. 10 (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. ® (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. i Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing Vloor Area Single Double Triple ® Total Bldg 0257-S0 //..5 A ® North /cf. O ® East /0(0.0 ® South X_ ® West 9,�0 Skylights y,0 (B) Shading Shading Coefficient Description ® East t>UA L. 41.142/004 - Lia2/004_South South " Of ® West `,-�— ' • f. ® Skylights n �' ® (C) South Overhang Length of projection aX- ft. Description ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 , FORM ❑ (4) MASONRY AND FACTORY -BUILT •FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped.with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue.dampei with a readily accessible control. *1(5) HEATING; VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE* Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or .air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept, I rated slope Other WOOD &Tod /L - (describe) *1 (B) Cooling Electric Air Conditioner (, (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump s EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat.on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and. gas cooking appliances. ® (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All -transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 URK (6) DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) .(tank size) ❑ Heat Pump w/ElectricBackup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt). ❑ Location of Solar Panels ❑ Other (Describe) ® (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated -in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of riot less than' 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature X7 °, elevation 1Z ZOb ', heating load- o; -BTU elevation factor J.D x heating load = maximum outlet capacity y gas furnace%/. 6 X7BTU Cooling: Summer design temperature /n_-, cooling loado4�•7dBTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5)Ito document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requiremen of Title 24, Part 2, Chapter 2-53 of the California Admin's atio Code. 7/83 SIGNATU OF B ING DESIGNER OR APPLICANT 3 TOTAL POINTS = CA -able 3-1. Slab Floor Points I ln:gls- I R -Value of Insulation I thin I I Oepth, I T 7 - Inches ( 0-2 3-4 1 5-6 1 7+ 1 0- 11 1 -5 I -S 1 -5 1 -5 1 12 - 11 1 -5 I -3 I -2 1 -1 I 16 - 19 I -5 1 -2 1 -1 1 0 I 20 + 1 -5 I -1 1 0 1 +1 7/7/83 Table 3-2. Raised Floor Points I R -Value of ( I I Insulation 1 Poin I I I ZONE 11 -12 I OWNER /g 0,*&de I_� POINTS -8 1 ASSIGNED _.. F3 X7 PERMIT NO, ACTUAL 1. SLAB - INSULATION Jr 1 2. RAISED FLOOR - R-19 0 I I R-30 � R -Value of Insulation 3. CEILING - -2 I I -16 I. a&_ 0 -.19 4. WALL - R-19 -7 1 I 5. NORTH GLAZING - 2.413.6% - &3 ' I. • 6. EAST GLAZING - 2.5-3.6% q.73 = �- 7. SOUTH GLAZING - 1.6-3.6% �- 8. WEST GLAZING - 2.9-3.6% _ 9. SKYLIGHT - 0-1.3% I 11 10. SHADING (Exclude Overhang) I EAST - .66 13.1 16.3 SOUTH - .19-.42 --��r"- Table 3-8. WEST - .13-.36 T�- .SKYLIGHT - .37-.57 11. HORIZO14TAL SOUTH OVERHANG 2' r �- 12. MOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) +3 14. THERMAL MASS SF I I 15. CAS FURNACE (SE) 71-76% 16. HEAT PU11P (EER) 7.5-7.9% I Total 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% 61 % ,43-.66 1 0 1 WOOD STOVE�+� 645 WATER 41MATER I Sngl, I Dbl, I Trpl, ATTIC O'r - 'la 0 1 -2 OTHER . .. TOTAL POINTS = CA -able 3-1. Slab Floor Points I ln:gls- I R -Value of Insulation I thin I I Oepth, I T 7 - Inches ( 0-2 3-4 1 5-6 1 7+ 1 0- 11 1 -5 I -S 1 -5 1 -5 1 12 - 11 1 -5 I -3 I -2 1 -1 I 16 - 19 I -5 1 -2 1 -1 1 0 I 20 + 1 -5 I -1 1 0 1 +1 7/7/83 Table 3-2. Raised Floor Points I R -Value of ( I I Insulation 1 Poin I I I 1 below 3 1 -12 I I 3-4 -8 1 I s-7 I -6 I 1 e-12 I -4' I 1 13 f1.8 I 4 1 I test 0 I I I Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points 19 1 -4 22 I -2 Trpl, 1 tation 19- I ++2 49 I +4 Table 3-7. South -Fact I Glazing Type Total 1 I of I Sngl, I Dbl, I Floor I (U - I (U - I Area ; 1 1.10) 10.65) I 1 O 1 +3 1 +3 1 up to 1.5 I +2 I +2 I I f T'T.2 I -6 I -22 I 5.3- 6.5 1 -6 l -4 1 6.6- 7.7 I -9 I -6 i 7.8- 8.9 1 -11 1 -8 I I 9.0-10.0 1 -13 1 -10 .1 nR pts Yeb1�0. I I SC by i I Orien- Trpl, 1 tation 1 0 1 0.41)1 T. ointsl I test +3 I I R -Value of Insulation 0 I I -2 I I -16 I. -3 I 1 0 -.19 =5 I 1 .20-.36 -7 1 I 37-.66 -9 1 1 -1.9 1 1 hadinQ Coefficient Points Z Floor Area I 3.2 1 0-3.1 I to 16.4 up I 6.3 I 0 0 0 0 Table 3-4a. Wall Insulation Points i 110.1-11.5 1 -17 1 -13 I -11 1 1 .83 up 1 0 1 0 1 0 I 111.6-13.0 I -21 1 =16 I -14 I I -1 I I I R -Value of Insulation 1 Points 1 113.1-14.5 I -25 I -19 I -16 I. .83 up i -2 I I 1 -4 I 1 I I 1 1 14.6-16.0 I -28 I -22 I -1.9 1 1 South 1 0 1 3.2 I I I I I I I to I to I 11 I -7 I I 13.1 16.3 I 19 I I Table 3-8. West-FacingClatin Pts. I T�- +0 30 +3 1 I Glazing Type I I .19-.42 1 0 1 L 1 I I Total I I I ,43-.66 1 0 1 -1 1 Z of I Sngl, I Dbl, I Trpl, up 0 1 -2 I Floor 11. - 10. - ( - I Table 3-5. North-Facin Glazing Pte I Axes l 1.10) 10.65) 1 0. 0.41)1 r- 1 1 11 t I 1- I oints !points !points West I .1 1 It Ic 1.6 az ng ype 0 +6 +6 +6 I Total I I I up to 1.3 1 +5 I +6 I +6 I I Z of I ST , Dbl, Trpl, I 1.4- 2.2 1 +3 1 +4 I +5 1 I Floor I U- I U- I U- 1 I 2.1- 2.8 1 0 1 +2 I +3 I I Azea 10.66 1 0.42- 10.41 1 1 2.9- 3.6 1 -3 1 0 1 +1 I I 11.10 10.65 1 down 1 I 1.7- 4.2 I -5 I ��I 0 1 I Q, 1- _ z I ++4 , 4 I � I I 4.3- 5. I -8 1 -4 I -2 � I � I 5.1- 5.66 I -10 ( -6 I -4 I 1.3- 2.3 I +1 1 'n I +2 1 I 5.7- 6.2 I -13 I -8 1 -6 I I 2.4- 3.6 I -2 I 0 1 +1 I I 6.3- 6.9 I -15 1 -10 i -7 I I 3.7- 4.8 I -4 1 -2 I -1 1 1 7.0- 7.6 I -18 I -12 I -9 I 1 4.9- 6.1 I -7 I -4 -3 I I 7.7- 8.2 1 -20 I -14 I -I1 I I 6.2- 7.3 I -9 ( -6 I -5 I I 8.3- 8.8 1 -22 I -16 1 -13 1 I 7.4- 8.2 1 -12 1 -8 1 -7 I I 8.9- 9.5 I -25 I -18 I -15 I I 8.3- 9.7 ( -14 1 -10 I -8 I ( 9.6-10.1 I -27 I -20 I -16 I I 9.8-10.8 I -17 1 -12 1 -lo I 110.2-11.0 1 -29 I -23 1 -17 I 110.9-12.0 I -19, 1 -14 I -12 1 ( 11.1-11.8 1 -35 1 -26 1 -21 1 ( 12.1-13.2 I -22 1 -16 1 -13 I 111.9-12.7 I -38 1 -29 1 -24' 1 113.3-14.5 I -24 I -18 1 -15 ( 112.8-13.5 I -42 I -32 I -27 I 14.6-15.3 i -27 i -20 i -17 i ( 13.6-14.3 I -46 I -35 I -29 I 14.4-15.2 i -50 i -33 i -32 Table 3-9. Skylloht Points GOV. 3-6. last -Facing Glazing Pts. Glazing Type I I I Glazing Type I I Total I 1 -I Total I I I Z of T Sngl, I Dbl, I Trpl, I Z of I Sngl, I Dbl, I Trpl, 1 Floor I U- I U- I U- I I Floor 1 (U - I (U - 1 (U - I I Area 10.66- 1 0.42- 10.41 I I Area 1 1.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 1 down I �I �I PRint-s Iointsl I I o f o f1 o +t +4� a� I --I up to 1.3 1 +3 +4 I +4 1 co 13 -3 r' 1 -1 1 2.4 I +1. I +2 1 +2 1 1 2.3- 2.8 I -6 I -4 I -3 1 I 2.5- 3.6 1 -2 I 0 1 0 1 I 2.9- 3.6 I -9 I -6 I -5 1 I 3.7- 4.6 1 -5 I -2 1 -1 I I 3.7- 4.2 I -11 I -8 I -6 I I 6_7- 3-6 1 -8 I 4 1 -3 I I 4.3- 5.0 1 -14 I -10 1 -8 1 1 5.7- 6.7 I -10 I T( -5 1 I 5.1- 5.6 1 -16 1 -12 I -10 I i 6.8- 7.7 I -13 I -8 I -7 I I 5.7- 6.2 I -19 1 -14 I -12 1 I 7.8- 8.7 I -15 I -10 I -Q 1 i 6.3- 6.9 I .21 I -16 i -13 I. I 8.8- 9.7 I -17 I -12 1 -10 1 1 7.0- 7.6 1 24 I -13 1 -15 I I 9.8-11.2 I -21 I. -IS 1 -13 1 1 7.7- 8.2 I -26 I -20 I -17 1 111.3-1I.7 1 -25 I -18 •1 -IS 1 1 8.3- 8.8 I -28 1 -22 I -19 I 1 12.8-14.0 I -28 I -21 1 -18 1 I 8.9- 9.3 I -31 1 -24 I -21 I 14.1-13.3 I -32 1 -24 1 -20 I i 9.6-10.1 I -33 1 -26 I. =22 4_ +1 0 0 -1 +2 N 0 -1 -2 6.4 1 8:0 1 9.6 to I to I up 7.9 19.5 I +2 1 +2 I +3 01 01 0 -2 I T2 .I -3 -4 ( -4 I -6 3.2 16.4 19.0 to I to I up 6.3 17.9 1 0-.12 1 0 1 +1 I +3 1 +6 1 +7 .13-.36 I 0 I 0 1 0 I 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 I 4 ,U.0 I -1 I -3I I -12 I -15 .83 up i -2 I I 1 -4 I 1 _1-7 1• -16 I -20 I Skylight I .1 1 .8 11.6 13.2 1 1 to I to I to 1. to I I1 .7 1.5 I1 3.1 l r•9 T 0-.12 1 0 1 +1 I +3 I +6 I .13-.36 1 0 1 0 1 0 1 0 1 .37-.57 1 0 1 -1 I -3 I -6 I .58-.82 .I -1 I -3 I -6 I -12 I .83 up I -2 I -4 1 -8 1 -16 I Table 3-11. Horizontal South Overhane Points South Glazing I Length Out I Area, Z of Floor I I from Wall I I I ft T I 1 0-6.3 I 6.4 up I I 1 I I ( 0.6 - 1.0 I 2 I -3 I 11.1 - 1.9 1 -1 I -2 I 1 2.0 uo 1 0 1 1) I' Table 3-12. Movable Insulation Points I Moveable Insulatloo'l 1 Area, Z of Floor l Points I I I I I 0- 5.5 I 0 I I 5.6 - 11.5 I +2 1 I 11.6 - 17.5 I +4 1 17.6 - 23.5 1 . +6 I I `23.6+ I +6 1 4.0 to 5.2 +7 -20 b. Table 3-13, Infiltration Control Featares Points 1 Control Features 1 Points I T- I I I Standard 1 0 I I I I 1 0.9 air changes per hr I I I I I T- I Tight 1 +12 I I I I I 0.6 air changes per hr I' I I I I Table 1-15. Cas Furnace Without Refrigeration Cool!0.e Points I Seasonal Efficiency 1 Points I (SE). R I I I 71-76 I 0 1 I 77 - 82 I +2 I I 83 - 88 I +•4 I I 89 - 94 I +6 I I 95 up 1 I I +B I I Table 3-16 Energy Effic!eney I Points I I Patio (EER) I ) 7.5 - 7.9 1 +3 3.0 - 8.3 I +6 8.4 - 3.7 I +9 8.8 - 9.1 I +12 9.2 - 9.6 I +13 1 9.7 - 10.2 1 +18 1 l 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I 11.6 - 12.3 I +27 I 12.4 - 13.I i +30 Table 3-17. Gas Furnace With Refriveration Cooling Points 'Reirigeraciod Gas Furnace I I Cooling I SE ; I I 1- 7-183- 89- 95 I 1 761 821 881 941 u I 1 8.0 - 8.3 1 01 +21 4.c1 +61 +8 I 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 1 8.3 - 9.2 1 +41 +61 +81+101+12 1 1 9.2 - 9.7 1 +61 +81+101+121+14 1 I 9.8 - 10.3 1 +31+101+121+1+1,+16 1 1 !0.4 - 10.9 I+l GI+L2i+141+161+19 I 1 11.0 - 11.5 1+121+1.1+161+'181+2n 1 1 I ! I I I 7/7/83 ZONE 11 tAEIE 3-11 (IiDAFTEO) iNTEkIOR THERMAL MASS POINTS PASS nwrl t tae sora enuaRE rent AREA�1,000 points) 1 1,500 Points I I I j2,0002,500 Net Solar Fraction (NSF), ; 0 ) I 3,000 I I Solar with Electric I I 3,S00 i I meeting the Require- I 4.000 ft2. I 4,SGD I I I Only j 5,000 1 Sq. FT. 5o i' A 2 8 2 C 2 D 2 A 2 B 2 C 2 0 0 A 1 2 8 2 C 2 D� 0 A 0 B 0 C 0 D 0 A 0 B 0 C ,O 0 0 A 0 B 0 C 0 0 A 0 0 8 0 C 0 0 0 A 0 6 0 C 0 DI A_6 0 0. 0 C • too. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 OI 0 0 0 0 1 iSO 6 6 6 4 4 4 4 2 2 *2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 t 2 0 2 2 2 0 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 .2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2 . 2 0 1 259 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2' 2 2 2 2 2 2 2 2 2 2 2 2 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7 2. 2 2 2 350 14 14 12 8 10 IG a 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 7 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2 507 600 18 22 18 20 16 18 10 12 12 14 12 14 10 12 6 8 10 12 10 12 8 10 6 6 R 10 B 10 6 8 4 6 6 8 6 8 6 6. 4 4 6 8 6 C' 6. 6 2 4 6 6 6 6 4 6 Z 4 4 6 4 S. 4 4 2 4 21 6 4 6 4 4 j i 770 270 900 1,010 1,1104 1.200 i 24 26 28 30 .l± 34 21 14 28 70 37. 32 20 22 74 26 28 30 14 16 16 18 2O 22 IB 70 22 ?Z 24 26 16 16 20 20 24 26 11 16 18 20 22 22 10 10 12 14 14 16 14 14 16 18 20 22 11 14 16 18 20 20 12 12 14 16 18 18 8 8 10 10 10 12 17 12 14 14 16 18 10 10 14 14 16 18 10 10 12 12 14 14 6 6 8 8 8 10 10 10 12 12 14 14 10 10 12 12 14 14 B 8 10 10 12• 12 6 6 6 6 •8 8 8 10 10 12 12 14 0 R 10 10 lZ 12 8 8 3 10 10 12 48 4 6 6 6 8 ? I 0 10 10 12 6. 6 8 10 lO 12 6 6 '8 8 10 10 1 4 1 6 6 6 6 8 B a 10 iO A 6 8 8 10 10 6 6 6 0 8 B 41 6 4 6 1 e 1� - E IJ 6 In 6 6 e a e in 6 0 6 6 e 8 2 ; t 4 i '• 6 i 1.300 1,400 34 34 34 34 32 32 22 24 28 28 26 28 24 26 16 18 22 24 22 24 20 20It 12 18 18 20 16 18 10 12 1Z 18 14 16 14 14 8 10 14 14 12 14 "12 12 8 8 12 14 12 1/ 10 12 6 8 12 112 10 1± to :G 6 10 6; 10 1100 to F. t7 6 ! 1.i00 136 2,000 I 2,507 J•COO 3,500 4'000 34 34 24 30 34 30 34 26 32 18 22 _ 24 30 34 24 30 34 22 26 30 120 11 18 22 22 26 30 34 20 26 30 32 18 22 26 30 12 16 18 22 18 22 26 30 32 18 22 26 30 32 16 20 24 26 30 10 14 16 18 20 16 20 24 28 30 32 16 20 24 26 30 32 14 18 22. 24 26 30 8 I4 12 18 14 22 16 I24 la �26 20 14 18 22 24 28 30 12 16 19 22 74 26 tl 10 :2 14 16 i8 17 16 20 22 26 i 78 12 16 20 22 14 I's 10 i4 1B 20 Z2 24 61 ;Z 61 14 I: 19 14 14 1 !4 1f 'f.5 17 14 1; :4 Zi 1: 12 16 20 2: 1 o i 9 14 if 1.500 130 32 32 26 20 130 39 26 1E I ie ±= ;E SOOJ -- -- - -- --- 132 17 1i 20 1 13 ,J :6 1- A ) A) 1. 3's' Concrete Slab: NC•8.93; R•.29; Factor•7.3 2. 3 3/4' Thick Common Brick: IIC-7.125; R•.13; Factor -7.3 8 1. 5%. Concrete Slab: MC•14.106; d•.411; 1'Bctor-7.1 C T. 8' Solid Filled Block: HC•20.63; R-1090; Far ;!6.1 2. 8' Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thersal'Mass Area: HC•10.164; R -.96i; Factor -6.1 D) 1' Thick Concrete/Tile: RC -2.55; R•.083; Factor�-3.7 Table 3-19. tonally Controlled Electric Reslstenes Space Heating Points I Points for this measureviii I be completed after the CEC I I has approved an Alternative I Component Package for Resistance '1 I Beat. I Table 3-18. Active Solar Spnee Heath wltn (;as 'Points Net Solar Fraction I Points I I (NSF), > I I I I •I I 0-6 I 0 I I 7 - 14 I +2 I I 15 - 23 I +4 I I 24 - 30 I +6 I I 31 - 39 I +8 1 1 40 - 47 1 : +10 I I 48-55 I +12 I 1 56 - 63 I +14 I I 64 - 71 I +18 I 1 72 up I +20 I Table 3-2n. Solar Water Heating With Cap Rarkae Painrp wood stove #33 poinfs-(no back up) casablanca fan + l.point Multlfamll (pit unit points) 1 I Systen Type I Points I I I FloorArea Net Solar Fraction (NSF), ; 0 ) per unit, I 0 I I Solar with Electric I I I Resistance Backup I i I meeting the Require- I I ft2. 0 I I I Electric Resistance I I I I Only j -40 1 0.9 1 iv -i9 I ZC-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,9990 +1 +3 +4 +6 +7 +8 +10 2.('()0 and u 0' +1 +2 +4 +5 +6 +7 +9 All others (pe building points) _ 8t70-899 0 +5 +10 +14 +19 +24 +29 +34 900-999 0 +4 +9 +13 +17 +11 +26 +30 1,000.1,199 0 +4 +7 +11 +15 4.19 +22 +26 1,20(x1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 1 +9 +l2 +14 +16 2,400-:,999 +2 +3 +5 +7 +8! +10 +11 3,060 a:.d up -0 0 +1 +3 +S +5 +7 +9 +10 Table 3-21. Other Water Heating Pts. 1 I Systen Type I Points I I I 1 I Cas Only I I 0 ) I Beat Pomp I 0 I I Solar with Electric I I I Resistance Backup I i I meeting the Require- I I I sent• to Part 2 I I 0 I I I Electric Resistance I I I I Only j -40 1 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner &4t4 of, oc/esfne Climate Zone Permit No. Floor Area X24/® Compliance path: Package O A ❑ B ❑ C 0.Point System ❑ Budget ® Other "403 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling Rao ED Wall ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• " ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. i Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: Ft.2 HCm Rn (A) Location ❑ . Area Glazing Vloor Area Single Double Triple is Rm Total Bldg 0252-S0 11.5 A ® North /y, 0 .(0,3- ® - Area East South _/06 40.3 _K_ ® Location West 19-2.0 _X_ ❑ Type Skylights Al, 0 Ft.Z HC= R= (B) Shading Location ❑ Shading - Area Ft. HC= Coefficient Description ® MC= East r_ dU 4,L G64 Ztg) � ® ❑ South `• of Ft. HC- Rm West , ��' •• r. ® Skylights_ 7/83 a ', (C) South Overhang Length of projection w41-- ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HCm Rn MC= Location ❑ Type - Area Ft. HC- Rm MC= Location ❑ Type - Area Ft.2 HCS Rm MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft. HC= Ru MC= Location ❑ Type - Area Ft. HC- Rm MC= Location 7/83 -UR M 1 ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air -from the outside of the building; and a tight fitting flue damper with a readily accessible control. U *1(5) HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump SE (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape.or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ® Other &J860 89 1) (describe) *1 (B) Cooling Electric Air Conditioner �� Q (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ® (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape.or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 (6) DOMESTIC WATER SYSTEM. m (K) Gas Only FSR M 1 Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (col`lector tilt) ❑ Location of Solar Panels ❑ Other (Describe) ■ (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation �t 2,0t ', heating load BTU elevation fac'.7 BTU x heating load = maximum outlet capacity gas furnace Cooling: Summer design temperature /D)1_. cooling loado� : 7k9 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requiremenof Title 24, Part 2, Chapter 2-53 of the California Admin .s atio Code. 7/83 SIGNATU OF BA6ING DESIGNER OR APPLICANT 3 COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT I PERMIT NO /b— 0,-, — ASSESSOR PARCEL NUMBER !47 a2Q ZONING BUILDING PERMIT OWNERT 2 14) LEPHO SQ. FT. OCC. BUILDING VALUATION OWNER'S WILING �ESS Kf CONTRACTOR'S NAME TELEPHONE— ELEP ONECONTR CTOR'S MAILING ADDRESS CONTR'ACTOR'S Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER_ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECCT RER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / 'C���� ��� Each Trap 2.00 j Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent '5.00 USE OF STRUCTURE SF;4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodello Utilities ❑ Installation[] Other ❑ Describe work: Jp,01421 %EOZ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ADDNS. ( ACC. BLOGS. /20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea RA C CIRC TS NON.RESID .RANCH POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES DA 030 FIXED LNS Ex. Occup. OUTLETS APP (RESIO.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate � of Consent to Self -Insure. 111 shall not employ any person in any manner so as to become subject �'� Io the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also a re to save, ind ify and keep harmless the County of Butte against all li il' ies, judgmen pts, and expenses which may in any way accrue agai aid Count i c uen a granting of this permit. X Date f7% nature of A icant — OwnerO� Contractor ❑ Agent ❑ - An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE ISCHOOLIFLOODIPARCELI PO ND 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which DI C R�UBLIC B P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Q ek Date � v — 9— Receipt No.��a WHITE-O.P.W.. TELLOW-A36Ee SOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,, Oroville, CA 95965 Phone: 916-538-7541 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) �_&ale- 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.,_�,ptan to provide portions of this work, t I have hired the following person to coordinate, supervise, and pro the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner �= Social Security Number $ Date-�-6 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.