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HomeMy WebLinkAbout040-580-052,.•r. 40-58-52 .; 3644-89B , , E , M PIERCE, Lowell- 1764.+Durham Dayton Hwy, rham, (new single family) 9 v 40-58 Pierce, Lowell i 1764 Durham Dayton Hwy., Durham Refund for B.P.#3084-89BPEM 40 58-52 - ..F. ,---r k364490B;,E 'yam► �. }SPANGLER,,',Bill & Barbara .1764 Durham'`Dayfon Hwy, 'Durham 'Contr<:�Derinis Cockrell (add stg room%sf )• C' 40=58-52 1665-91B,P,E, r _ SPANGLER, Bill 1764 Durham Dayton Hwy, Durham cont: Sunshine Pools (swimming pool/sf) rI e' ij ,.•r. 40-58-52 .; 3644-89B , , E , M PIERCE, Lowell- 1764.+Durham Dayton Hwy, rham, (new single family) 9 v 40-58 Pierce, Lowell i 1764 Durham Dayton Hwy., Durham Refund for B.P.#3084-89BPEM 40 58-52 - ..F. ,---r k364490B;,E 'yam► �. }SPANGLER,,',Bill & Barbara .1764 Durham'`Dayfon Hwy, 'Durham 'Contr<:�Derinis Cockrell (add stg room%sf )• C' 40=58-52 1665-91B,P,E, r _ SPANGLER, Bill 1764 Durham Dayton Hwy, Durham cont: Sunshine Pools (swimming pool/sf) a �: �7 ,. � x R ID NTIAL .40-58-52 1665-91B,P,E SPANGLER, Bill 1764 Durham Dayton Hwy, Durham cont: Sunshine Pools (swimming pool/sf) JOB FINALE Signature J=OK O= Not OK Not-Applic = Act Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance R Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 3-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Setbacks -Easements Soils; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Lining v,( Dec.; Receptacles and Lighting, Distances-GFI SEI c.; Pool Lighting; 15 volts-GFI Lt",K IC% fL CG Elec.;Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 83AIec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9mHealth Department Approval W!'Plumb.; Cir. Test -Water Supply Test Date /� AA Card B-1 CG Date Card B-1 Date '1 -_K_ C11 Card B-1 GIG� Date Card B-1 Rav-5,V ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = 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 -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- --- ------------------------ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------- ------------ - ---------------- 19. Shower Pan; Test. First'Floor-Tub Access ----------- -- ---------------------------- 20. Test Tub & Shower, Second Floor -Tub Access ----- ---------------- ------------ 21. Gas. Pipe: Size & Anchors ---------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ---------------------------------------- -- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture _& Transformer Clearance -Ins. Protection - - ----------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------ ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ------- --------------- --------------- --- ------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water ------------------------------------------------------------------ _ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------- ---'------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! / ga. --------- Cu or AI -- ---------------------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No ----------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - --- ------ ------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----- ------ ------------------------------------------------------------- -- 33. Smoke -Detector-__ -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------I-------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'s 34. -A. -C. -Ducts Insulation & Support -------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------- -------------------------------------------------------- 36. Condensate Drain & Overflow: Size- &- Grade ---------------------------------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic .------------------------------------- --------------------------------------------- Date Card B-1 Date Card B-1 -1 ----------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------------------------------------------ --------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------- --------------------------- 42. Draft Stop in Walls (rat proof) - -- - - ----------------------------- ---------------- ------ --------------------- 43. - Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------- ---------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ __ ____ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------- -------- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------ ------------------------- _Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ---- _------- 61. ,Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------------ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------------- 64. Bedroom Exiting ----------------- 65.-G.F.I. ------- 65.G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- ------------------------ 67. Stairs & Rails ---------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------- -------------- --- -- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in -Gara a -Damper -------------------------------------- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------- 75. Plb. Elec. & Mech. Equip. Listed for Location ---------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ----------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------ 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑.No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81 Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing ------------- ................... ----.... -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to • Openings ----------------------------------------- 84. Water Well: Disconnect, Electrical, Plumbing' ------------------------------------- - --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ---------------------------------- 86. ---- -----------------86. Ventilation Throughout House ------------------------------- 87. ---------- ---------87. Glass Protection - ------------ 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------------- ------- --- Date Card B-1 Date Card B-1 ------------------------------------------ -- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oro 1 illa. (Qlifornia 95965 t Telephone: 916/538-7541 ' APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 40-58-52 ZONING -:5i2—( BUILDING PERMIT OWNER ,1 Spangler DB TELEPHONE 345-7593 S0. FT. OCC. BUILDING VALUATIO L Est. 16 000.00 OWNER'S MAILING DD ESS 1764 Durham Dayton Hwy.,Durham CONTRACTOR'S NAME Sunshine Pools TELEPHONE/ 345-88116 CONTRACTOR'S MAILING ADDRESS 705 Lawn Dr., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$16,000.00 Filing Fee $ '10.00 LENDER'S MAILING ADDRESS Permit Foe $122.50 _ ARCHI7KCT OR L>� ;I rJEEP. Bachman LICENSE NO. f Plan Checking Fee $ 15.00 Ener Plan Checkin Fee 9y g _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $147.50 PLUMBING PERMIT Filing Fee 10.00 1764 Durham Dayton Hwy.. Durham Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 OO Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Pool SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 0.00ea TYPE OF WORK New[2] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New Pool Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar 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. 15`7-21? Classification. er S ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.6d) OR ADONS. 1 ACC. BLDGS. yZ¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 11150, BAL030 FIXED APPLN Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee - $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabii' ies, judgments, costs, and expenses which may in any way accrue aga'ns s d Coun in ns ence of t e granting of this permit. X � Date - % Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 187.50 0 HAz. c PAR I HD Is SIA This permit is hereby issued unoer sions of the Butte County. Code and/or work indicated bove for which fees I CT0 GEPUBLICWORKS By J (� PER IT EXPIRE Date �� the applicable provi- resolutions to do have been paid. nate.�L Receipt No. 88945 WHITE-D.P.W.. 7ELLOW-ASS -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �y yyyyr'�i j,,,.. a..� {t��'ty'cir'ytY,�"i�'"4A�� ���,t�',t-'r�A.i �'1q'4�,�"�-'(•��r�'4'+,'r�"` %r'�`C f~� i'•�roy�ti1" : tl+.;�+�.,..�.,n�c..7%�.r COUNTY OF BUTTE - DEPAR.ip OF'�`�J CIC WORKS - BUILDING -DIVISION 7 COUNTY CENTER DRIVE - OROVI, I_E;-CA'L'IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �L CL VJ � i 2-- Proposed i Pro osed Building Use T/ p g ��Q � Bui'l'ding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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 DisUict fees paid .............. 14. Sanitation approval from Health Department Al5 9/ 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner a) ..... 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. I. Telephone and hold for pickup at office. Deliver w/in'spector. Other r/ Applicant .Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent, Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail_cou te'r,by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II_co nter by date Plans checked Copy—DPW Date P1,a s approved by Sets of plans on hold in File cabinet VAP folder TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /? G H Pvsb n, - & lt-� A(I�110 - sr— S'Z- Owner Location AP# Plan Approved for: Sewaqe Disposal Fold final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other e NOTE * * * Water Supply Water Supply Water Supply Sanitarian Date COUNTY OF BUTTE,,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Onitrill'e,balifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O — � 5, r - Z_ ZONING .BUILDING PERMIT OWNER .. ,K, .c3/« so.4,/Cvccl TELEPHONE 3�s-� $O, FT, OCC. BUILDING VALUATION _ OWNER' VA ING ADDRESS (/ 74? � u.e�qm 64-rv; Al CONTRACTOR'S NAME 4.- /-20 0lr S eIA)S 11V G TELEPHpONpE/ CONTRACTOR'S MAILING ADDRESS 'ZQ /4 4zoly 2j,-_ C %t If Fireplace CONST RTION LENDER UNKNOWN Total Valuation is Filing Fee - $ 7D.00 LENDER'S MAILING ADDRESS Perm; t c`a $ ARCH!7*�CT OR L.v .WEEP. LFC_0iSE NO. �34 e.� �•� /v � Plan Chec;king Fee $/ Energy Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI G ADDRES`4 S / f��H�94 4)AH7V� � W` K/JI permit fee $ -7, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Jae SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I O.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [Permit Describe work: &!% g Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi0 Code aC�]1 d�Imy license is in full) force ^wand effect. / O t. - J License No. 7 Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N A ULT New /a2Sgft CONSTR.� ODUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. OCCU OUTLETS OR FIXTURES pc e0@50 ti 2ALO 30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service . 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE_ I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. _ ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 8/1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, -should you become subject to the W. C. prodisibns of the Labor Code, you must. forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation , permit Fee - -- -- -- - —$ — Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all llabili s judgments, cos and expenses which may in any way accrue agai st i ounty i co q once of the ranting of this permit. - 01 �- �j'� X Date Signature of Applicant - Owner ❑ Contractor Agent 11work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ /� �— r HAL CUA PARK SCH� FAD CDF I PAR PD I HD - ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PPRUIT FYPIQFS ,lata Receipt No. _ REFID TIAL 40 -52 F 3644-90B , E • t =5�8 . ,,r.. SPANGLER, Bill & Barbara -1764 Durham. Dayyto�z Hwyy Durham Contr: Dennis Gockrell� (add .stg room/sf) ' %t OK O = Not OK = NotNo Applic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORT GAW , (Plans)OK except #'s Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Dec king -$racing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Igctric 1L (ate 5 N L, rmg; Sils-Anchors-Studs-Rftrs-Trusses ding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing . Ext.; Steps -Doors -Landings Date 00 Card B-1 GC5 Date Z,� � I Card B-1 DateC)o Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready 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 -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes 0 No; Walks O Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COl9NTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT /PERMIT NO. ASSESSOR PARCEL NUMBER ' ' 40-58-52 ZONING sa-1 BUILDING PERMIT OWNER Bill & Barbara S an ler TELEPHONE 345-7593 SQ. FT. OCC. BUILDING VALUATION 396 5544.00 OWNER'S MAILING ADDRESS 1764 Durham Dayton Hwy. CONTRACTOR'S NAME Dennis A. Cockrell TELEPHONE 894-3260 CONTRACTOR'S MAILING ADDRESS P.O. Box 1417 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5,544.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 28.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 94.75 PLUMBING PERMIT Filing Fee 10.00 1764 Durham D ton Hwy. r Each Trap 2.00 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 Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Storage Room _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare finder penalty of perjury (check one): IL—�I/ 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. %/A�9S Classification 13 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.R OR ADDNS. ( ACC. BLDGS. , 20sgft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 9ALa20@830 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ 19.90 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 ertificate of Workmen's Compensation Insurance or a Certificate I 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again" 'd Count n conseque a of the granting of this/per41,?,p %� •�. p� ate /® Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE AL E TOTAL $114_6 HAz cuA PARK PA HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DI RCTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date I1_I— P'13 —I — Receipt No. 73958 WNITC-D.P.W., YELLOW-ASSC930R, PINK -INSPECTOR, GOLDENROD -APPLICANT ._ . +.-- • �,, � yca .., � ,.,. �-rT^y�"�'.n'e�f"x.:: ;''aS�;,iv.;�-�`.7-w-.a..w r:.:wS i COUNTY OF BUTT DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. e/ r- w ^ _ OWNER _ � P ��i� C�Gz� A. P. No. Proposed Building Use. j2j) Building Inspector Date Y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: r 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.E School District fees paid .............. . l4. Sanitation approval from G (LZ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 4!�utho 2osge ' 7. When you issue the permit, proces. as follows: Mail owner. Mail to contractor. Telephone nd hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Applicant Health Dept., Fire Dept., The following data.must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: ME Other Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_JttaiI—counter by .date Contractor, designer, owner, was advised of above required data by —phone _ maII—counter Vy date Plans checked Copy—DPW Plans approved by Sets of plans on hold in—V—File cabinet AP folder Date V, TO FROM: SUBJECT: Bi! -1 na Department Environmental Health Sanitation Clearance Ova" Location A?# Plan Approved for: Sewaae Disposal Water Supply Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance for bedroom mobile home. OtherGrz_ (�c r NOTE **s Date COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESS R PARCEL NUMBER ZONING BUILDING PERMIT OWNFJ LrR.6 A4 n �•� T LEPsr�Or� `� l SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LI SS '� L !v/ C R OR'SS'/° ,.� NAME,/f/ r C_—F/L TELEPHONE CON ANOR'S MAILI- G A D ESS U <� 0 Fireplace CONSTRUCTION LENDER IUNKNOWN Total Valuation $ Filing Fee $ 10 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADORES (j/J /•/��[ Permit fee ; r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE- SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 . Mobile Home I S G W R10.00e TYPE OF -WORK New ❑ Addition Remodel UtiILtjes ❑ Installation❑ Other ❑ Describe work: �� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service VOR S 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 ❑ 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) ❑ Ossa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6i New DONS.' AMULTI-OUTLET OGS.fx¢sgft , NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. O Ep( OUTLETS OR FIXTURES Ex. Occup( ( ez0 @ aoe AL&30 FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities — 15.00 Misc. Wiring 15.00 Permit Fee $ Ir WORKMEN'S COMPENSATION INSURANCE - I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in het I. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST T'!PE TOTAL FEE $ HA2 I CUA I PARK I sCHL I FLo I This permit is hereby issued under sions of the Butte Ccunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date PA PD I Ho ISSUE the applicable provl- resolutions to do have been paid. WORKS Date _v _ ceipt No. rRT£-D.P.W., ELLOW-ASS[SSO NK -INSPECTOR, GOLDENROD -APPLICANT FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- y ing permit application `3 �p `� '<© at D1, h� A.P. # ��fy_.5�b-O or%alaa, �. Q 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 Wi �`i l� laic �J ��/�'✓��/`P/%� ADDRESS PHONE NO. DATE 16_7- 5F—,2d *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. y 11 I 40-58=52 3644-8.9B, P, E.,,M Zrl' PERI ! .,PIERCE, Lowell 1764 Durham Dayton Hwy, Durham 'PERI (new single family) OW11 CONTR. -112 0 ASSESSOR PARCEL • r LOCATION i• . - � s Temp. Power Pole Called PG&E Temp. Elec. Service Co.4 s GO 0,+/j, 2 z to Called PG&E Temp. Gas Service *7 -6 ' Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK • = Not Readyable MOBILE HOMES 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- Beam s-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 -81 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 -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 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 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 • a 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 l Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panefboards-Ins. to Main in Conduit Card -81 Date- Card -61 Date'8. •Card -131 Date Card -131 Date - 9. Health Department Approval _ 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date C3rd-B1 Date Card -131 Date 1 � ' i • a C'' Notpplicable Not ApRESIDENTIAL (Single and Duplex) ' - = = Not Ready Date UNP .R'rLOOR (PIaRIT OK except #'s bt,00Zonipq'Setbs;-EasemeDts-Flooa Main; Soils-Steel-Erec. Grrfd.-// Y /" Ftg. De t oris & DaAs; Soils- el-/• �"Ftg. Depth �oKwalls, Mai n• eel- ckouts-)AffaPped Stemwalls, G age; Steel -Bloc uts-Wrapped r " ab; Sfoal-Wya0ed yrs -Fireplace Ftg. >Steel / r W.V.; Fall -Fitt' s -Test- ay C/2' -Sewer Test 10f,Gas Pipe; Size -Anchors 11?er Pipe; Test -A chors-Regulator-Service Test Electric; Under ound 1 aterial-Supprt-Ins. 14 - - - s -Cripples 1b.ac►eafdifo'n Card -B1 Date——'Z—q Card -B1 Date Card -B1 Datq/,y Q Card -B1 Date Date PLUMBING (Permit) OK except #'s Water -Ht. Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection hower Pan• , first Floor -Tub Access M Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Card -B1 Date a Card -B1 Date Card -B1 SJR Date q Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ?3-Elec. Receptacles Spacing -Lights & Switches at Doors 2XSize Boxes & No. of Conductors -Stapled W. Romex Installed Close to Edge of Studs & C.J. Equip. Grotylld made up w/Mech. Fasteners-BerKd—Gas & Wal r 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 29'S eed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al irc. /1c9/ ga.C-Dor AI- en Circ. /w/ ga. <5)or AI. Insulated Neutral No 36. -Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 53. Smoke Detector Card -B1 ��� Date q_L,r i a Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Continued) . Mangers -Post Caps -Anchors -Connectors 461ting. Joist-Rftr. Ties -Pu rlin-Roof Brac.-Truss-Shthng.-Rfng. 47/Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4eAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 . B m. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing SAY. Property Line Firewall & Openings y2 -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 5a. Stai.rs; Width -Headroom -Rise -Run -Landing -Fire Protection A4 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 3.5: -&ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Cg Glazing Area -Glass Protection -Skylights -Plastic 58. hear Walls; Nailing -Bolts W. I sulation-Walls-Clg. Infiltration-Walls-Wndws Card -B1 Date -j�,:�]a Card -B1 Date Card -81 5k Dater11? p Card -B1 Date Date FINAL (Plans) OK except #'s x_t. Steps -Door & Sidelight Protection -Landings Smoke Detector Prfurnace; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection IPCBedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa e . Trim & Subpanel; Breaker Sizes -Labels 6;9-8teirs & Rails . ireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 7 . Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 7 Elec. Outlets & Receptacles at Kit. Counter 7 arage Fire Door; Swing -Landing -Closer Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Sf 15A,CG 7 Ib., Elec. & Mech. Equip. Listed for Location 7kflec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7?!rsulation-Foam-Looked in Attic ❑ Yes uard Rails & Deck Construction -Post Caps . -"n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 6n. ollowing instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ t co; Brown-Fi Ish . A.C. UKIt, DiscorrRect, ElecsrMlal, Plumbing WPents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Date MECHANICAL (Permit) OK except #'s ! Water Well; Disconnect, Electrical, Plumbing . A.C. Ducts Insulation & Support 89rEXterior Elec. Trim; G.F.I. Receptacle -Underground Vent Fan; Exhaust above insulation Ventilation throughout House 3W -Condensate Drain & Overflow; Size & Grade Glass Protection 3 . F rnace-Ve , Access -Comb. Air -Return Air Vent -115 outlet orrections from Previous Inpections ttic..s Platform if Furnace in Attic . Gas T eters Ta ed; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -81 Datep Card -131 Date 92. Roofing Certificate Card -B1 Date ' A b Card -B1 Date Card -B1 GG Date Date Date FRAMING (Plans) OK except #'s Card -B1 <sr, D� �iQCard-B1 Date 3,9 --Sills, Proper Material & Anchors Card -B1 f: �� Date yZp�j(�ard-81 Date 4g: Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: 4 • Bearing Walls over Girders & Floor Nailing 4t, Draft Stop in Walls (rat proof) 42r Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing IN107C• 6, -t- --f tin -4. .o. .; n ••;e;+ i,4, c;+.\ f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ll - 196 Memorial Way, Chico — Ph'one: 891,-27.51_.;.! 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE r)1A1K I C D O C o A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date _ (U Inspector _ 'u 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 1: �, „11 2-c C OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance a 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 ;q matter, or need additional explanation, please contact this office immediately. t L Q AN R 1. jL A -I Ic `i L 9 C! 2. r C �ayj L^JR 12b. 4. i Pr` re - vJ (a 'r c..4 la AAA I u) Inspector Date 7— /8 - 90 . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —.Phone: 538-7541 747 EI'liott Road, Paradise— Phone: 872.•-6307 n CORRECTION NOTICE T.. 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 Imme Lately. H COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7.County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.=6307 CORRECTION NOTICE ER PERMIT N 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 perta'�ning to this matter, or need additional explanation, please contact this officee . mmediately. �� A ICA'M"�'-f'_ �.sers-r-c.+�..voc�•c .r--•Y'�•rf�-La-ad�'�i•'g7�.�i':C-atm_., .....•may c 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: 87246307 CORRECTION NOTICE �vti2C OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is.completed. If you have any question pertaining to this ma ter, or need additional explanation, please contact this office immediately. 4 'GARA�G-_ o�� �t� TIZF0 0,1 t�17� -�(LAIt$—g Inspector Date • ��.,.- •...rte .� _-i.+'e�"'r.'^"C �+fg!w'x +��.°",Y � ra,'� :p^�?.,.:s.v��-. �,.._�, .-.s ;::�x�c�` _�'"�^P.��'.xk`ra�` _ 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 3\? -(z 3694 - 8R OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. \ - No T S()z SIT r, , T - Inspector Date .c -.r LOCATION C DESCRIPTION OF INSULATION A. P. No. ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Thickness(inches) 2 CEILING Batt or Blanket Type Thickness(inches) /Z " Loose Fill Type Minimum ThickneTInch Area covered(ft. FLOOR, ELEVATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name` Certainteed Thermal Resistance(R Value) IC - Brand Name Certainteed 42 Thermal Resistance(R Value) Brand Name Certainteed Number of Bags Wt. per ba lb Thermal Resistance(R Value) Brand Name Certainteed Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) FOUNDATION WALL. Material Brand Name Thickness(inches) Thermal Resistanc4TR Value) I hereby certify that the above insulation was installed in. the .above buildigg in conformance w'it]h the State of California Energy Requirements. I j • SIGNATURE OF INSTALLATION APDL # 530235 STATE CONTRACTOR'S LICENSE NO. DATE I hereby, certify tale shove insulation and 111 required items as shown on the Building Departraent 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 CE:NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEFUTt4ENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN in BUILDING. __ January 1984 b(, ka VA w02 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville,.Califorria 95965 - Telephone: APPLICATION AND .PERMIT WORKS PERMIT NO. 916/538-7541. ASSESSOR P=RCE NUMB 1 _ Zo":� BUILDING PERMIT. --'r owN R Jk ` — I [I E EPHONE SO. FT. OC BUILDING VALUATION OER S AILING ADORES rem + CO RA TOR' NAME C TELEP O Ny CONTRACTOR'S MAILING ADDRESS Fireplace Q 100 CO S RUCTION L N ER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARC T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AQ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ph Penalty $ BUILDING AD11L Permit fee lo PLUMBING PERMIT FiIingFee 10.00 Each Trap VW, 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 3 NAME PARCEL MAP �� J� Z Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF,ADuplex❑ Mobilehome❑ Other ////����`"` SPECIFY Gas piping system 1 - 5 outlets 5.00 S'Q rD Building sewer 5.00 Mobile Home S I G I W 10.00e . TYPE OF WORK NewA Addition❑ RemodelUtil' ie Installation[] Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR SLESS 10.00 Q Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): PP -11I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess i s Code and my license is in full force and effect. License No. �� �� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCu OR ACDNS. ACC, BLDGS. , /0Sgft NEW CONSTR. ULTI.OUT LET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCCU P�OUTLETS OR FIXTURES 20®50e BALD 30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 permit is for $100.00 (valuation) or less. 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. Heating Cooling g Hood 3.00 Ventilation. permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in consequen of the granting of this permit. Xto �d—_� v Agent ❑ Signature of Applicant — Owner Contractor ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ R'3 �Co T PE --1� TOTAL $ AL E FEE HAZ CUA — PARK ' PAF}!` PD HD ssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees I E 7:t4tL, BY PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS p ate Z –o Z.2® Receipt No. , . d S 3, OS - Sq -7 �m- WNIT!-D.P.W., YELLO AS R, PIN - in R O DENROD-APPLICANT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (Onie Form per Building) A.P. Number '9� Building Department No. School DistrictCity Q County Jurisdiction Ji PJ Property Owner Project Location/AddY`eWa r w rha 01 Subdivision Lot Number Residential Development: 0' a Sq. Footagej�(1L # of Living MHI Addition (Group R) Units Commercial/Industrial: New aSq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District'Personnel) District Id No. //121 ire School District certifies that (Applicant Name) (Phone Number) (Street Address). 01 (City) (State) t(ZZip Code) -17 has complied with the requirements of Resolution No. O /J by t payment of $ - representing quare feet. School District Representative Date PAID BY CHECK.NO. / REMARKS: BANK NO PAID BY CASH white_applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) - SIERRA WEST SURVEYING LICENSED LAND SURVEYING 5437 Black Olive Drive - Paradise, CA 95969 Phone: (916) 877-6253 December 18, 1989 RE: Building Permit for Lowell Pierce AP 40-48-39 (a part of) Butte County Building Department 7 County Center Drive Oroville, CA 95965 Gentlemen, On December 15, 1989 we set a 2" x 2" stake in the ground, approximately 20' South of the proposed home loca- tions. An elevation of 156.71 feet (U.S.G.S. datum) was determined for the top of this stake. This elevation was established from the Bench Mark on the Power Pole #1784 on Durham -Dayton Highway as described in the letter of July 21, 1989 from A.C. Bruhns R.C.E. 10531. Elevation 157.94 (Copy enclosed) The finish floor elevation established by the above letter is 159.00. Therefore, from the stake we set, a fill of 2.29 feet will be required to obtain the finish floor ele- vation. Expires 6-30-92 Sincerely, Gordon L. Shields L.S. 3346 bb Q BUTTE COUNTY BUILDING DEPAFi EN 8 A'PPRO;'VIED 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC . ONL•Y ) Bldg. Permit # 3 44-69 ` OWNER LrxJEj-(- Pie -RCE- . A.P. # 40 5Z. GENERAL Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. ' Items on.data sheet. PLOT PLAN ITT- Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. �pecial conditions on creation map or compliance document. %0�: FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or _gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). DETAILS Foundation plan complete enough to construct building. ,2. Floor construction details complete enough to construct building. Elevations.and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR • Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). • Guardrail details (Sec. 1711 & 3306(j)). • Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING.GUIDE MISCELLANEOUS ITEMS TO LOOKOUT FOR (CONT'D) tEterior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). of covering type - (fire hazard). fter ties or bearing ridge beam. arage door or porch header sizes. dequate bracing. iving area over garage - complete 1 -hour separation required on.garage side ncluding supporting walls and posts, etc. wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tA tic access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances. ise requirements on duplexes. obe soils : special foundation design. taining walls requiring design. usual shape, size, or split level house requiring lateral design. ashing at all exterior openings. j r Q,tbCU6'5• onl RM. — l5`�.o FoR F)N• FcR, 2. S C. l -tE►M S o m Dpi-- KEE:T- k-�cs� b ` .. '� f.-�j:""*•i�'r''��� ,�4.. `T :..f5. tib. 'll.N w^ �. **^-r,. Y �., ^^�a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILtE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION* DATA SHEET Permit No. OWNER 40U)tallA.rC1 fc P. o. :S Proposed Building Use AU2 ���/�— Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . 1 Fees of $ .,. .4 ........................ 11. Chico Urban/A�r`eea fees paid ....................................... 12. Park fees paid .................................. !3 1� School District fees paid .............. C 4. Sanitation approval from%'t e FO Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of . (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 1119. Driveway permit (construction approval required prior to occupancy) A?MMF r- -20 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter signature author' tion 6. �. 7. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A /1 Applicant .���-�Z�i��✓ Date',%�-o�i�i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prio to per it isu nc : (C'rcle ew item not checked above). 1. Index permit for above items No. �- 2. Additional items required: Contractor, design ,own was advised of above required data by_phone--nail—counter bl��-date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by �D C 4 Date/ 7-(F Sets of plans on hold in v. File cabinet AP folder Copy—DPW i TO .Building Department FROM: Environmental�Health SUBJECT:. Sanitation Clearance 1/0 Owner Location ALS# Plan Approved for: Sewage Disposal � Water Supply Hold final for: Water Supply Final clearanceO.K. for: Water Supply Clearance for '�� - bedroom mobile home. Other NOTE *ar Sariitar' Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT r FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte. County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent .* 't' ;''?' Y' to land or included within an area zoned 2},,y :1`89' o49481 - Rec •.Fee f 5.00 for agricultural purposes, and residents ,' Cash of this property may be subject to incon- Recorded ,°•„ I j 'ryt veniences or discomfort .arising from the Of f i cia l • Re -cords 'r - i�• use of agricultural chemicals, including, ,r. County of but not limited to herbicides, pesticides, s'' •y••.But, . 1 . . PART( ��(� + } and fertilizers; and from the pursuit Candace tJ'!Grubbs of agricultural operations including, s```a ,-',Recor'der .'10:15am;�l4=Dec-89.'1 but not limited to cultivation, plowing, w, r„ spraying, pruning, and harvesting which ` occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared 'to accept such inconvenience or disconform from normal, necessary farm operations.);' All that real property situate in the County of Butte, State of California, described, as follows: LOT 3, AS SHOWN ON THAT CERTAIN MAP, RECORDED IN THE OFFICE OF THE'RECO.RDER OF.THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 15, 1989, IN BOOK 115.OF MAPS, AT PAGES 97, '98 AND((. Date: 12/11/89 PROPERTY OWNERS: State of Cal ; f _ ) On this the 11th' --day of December , 19_ 89 before me, ) SS. the undersigned Notary Public, personal appeared County of Butte ) n k , Ex Personally known to me. ® Proved to -me on the basis of satisfactory evidence. to be the person(s) whose names) are ..................... subscribed to the within instrument and acknowledged that he ..................... OFFICIAL SEAL : executed the same for the purposes therein contained. IN WITNESS LUCY A: PERSHALL WHEREOF, I hereunto set my hand and official seal'. NOTARY PUBLIC • CALIFORNIA ' BUTTE COUNTY My Comm. Exp. Jan. 10, 1992 ieesee....Ge............ Goes ..... .�......... • Present A.P. No. Mary Public END OF. DOCUMENT 18 #e0 e8 c9 o Po E� o . D t C 0 1 ount* of J'Butk OROVILLE, CALIFRNIA-, GENERAL CLAIM CLAIMANT: Lowell Pierce ADDRESS: 2314 Turntree Ct. CITY & STATE: Durham, CA 95938 IMPORTANT: September 26 1989 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #3084-89BPEM, Receipt #47964, dated 9/14/89, A.P. #40-58-39(Port)). Total fees paid----------------------------- $292.75 Retain building permit filing fee -----$10.00 Retain plumbing permit filing fee -----$10.00 Retain electrical permit filing fee ---$10.00 Retain mechanical permit filing fee ---$10.00 Amount retained--------------------------$ 40.00 TOTAL REFUND DUE ------ —------------------------------- $252.75 .$252.75 TOTAL $252 75 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered and that this claim is true and correct as stated. Dated this cam.., Z da o[ N�'.� ,/'O✓� / j�ic�� t ......................... ..................... Y ........... ............. 19....... et ..... Calif... L[ ............................................................. ' Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval (Check one) for Dated this 26th day or ...,,.Sept 19 89 et Oroville Calif. ..................... ............ ............... .... .............................. ....... ...D .................................................. .. e ertDment Heed or Authorized Deputy Dept. ............. .4..401-C 02........... c de ............. 4121.OS.0.0............... PAYABLE FROM ........... ......".Q�IrS.C.r... A.�X.�.�t.+�................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO. D� -L ASSE SOR PAF3_C NUM Fj� D S— L[j Z G BUILDING PERMIT. OW ERPH ONE S0. FT. 0 BUILDING VALUATION OWNER' MAILI G AJD6DRES5 RAC OR'S AME TELEPHONE ,� C TRACT'OR'S MAILING ADDRESS Fireplace NSTRUCTI ENDE� 01— QLENDER'S UNKNOWN Total Valuation $ Filing Fee $ 10. 0 MAILING AODRE Permit Fee $ C ITECT OR ENGINEER ;V LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD ES W Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME PARCEL MAP Water piping 5.00 VC© Each qas water heater or vent 5.00 USE OF STRUCTURE Ian SF ❑ L� DuplexMobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New Addition[] Remodel❑ Utili 'es I tallation❑ Other ❑ Describe work: o _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 (� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (Check One): CFI am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full rce and effect. License No. Z IF J 2Z -7 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. , �2QSQft &I top NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES S BALO 30 Ex. Occup. OUTLETS FIXED P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. jpe'l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g R.2 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in conse nce of th®granting of this permit. �.f�5 X ate Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovel 3 storiel in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE / TOTAL FEE $ { ©� ALSCH HAz CUA PARK FED P PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-D.P.W.. •ELLO -A R. PI O DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA'IIFONNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.� OWNER ka A. P V, i1 A. P. No. _ 7U - i,j, - Proposed Building Use )X,t -. Building Inspector Date _M , Y-1 , &R 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 $d) ....................................... 11. Chico Urban Area fees paid ....................................... ,2. Park fe,es paid .............. School District fees paid .............. 14. Sanitation approval from J e"1 Health Department 15. City of Chico plumbing permit .............................. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter signat W re thorization 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 0.660office. Deliver w/inspector. Other Appl icant .i Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item nfot checked above). 1. Index permit for above items No, 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—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 Date _ Sets of plans on hold in . File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location / AP # 0 Driveway permit s i ature has been issued for the above property. date j NO'43 !9 W ` a fl a . \ r-- 173.G�3 O' 19' W CL u► O a Ofme, wQ N co 43' l9" W 333.83 :. I • .. . ' • ; .._ . 1. .• Y Certificate of Compliance: Residential Lc�w�iL r:7 124 E Project Title ° Project Address 0, VWA CA Documentadon Author Telephone f BUILDING DATA Conditioned Floor Area 22 54- -- _ -•-- j a )Raised Floor ><Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) .Number of Stories Number of -Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to gangs, seal, etc.) Wall .............. -1 3 Eiji'. LvArLLS Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING -- --- GIazingArea ' GlassType ` Orientation (Sf) (single, doubt North (.✓� 38a� t7�1.a. North (' ) East (voY37- _ East SOU (i� SOULh West (60ri S� West Skylight....... THERMAL MASS Type/Covering (slab/exposed, tile, etc.) . SLgQ T►LE o� Vi N V1 Area Shading Devices Climate Zone 11 S644 -e9 dQ Building L it �Checked B y l Date l Date Enforcement Agency Use Only Glass Area % GIass North31 8 • (o • I Duct East 114 South 2 HVAC SYSTEMS West 4_ 1.5 Type (furnace, air Skylight 0_ n Duct Interior Exterior (roller blind, etc.) (sha&screen etc. /0 C27 Overhang Framing Type Thickness (inches) 4r'* - etc. 5t "a Gks SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R OTE: Lowrise residential buildings subject to the Standards must con ain threw mcis regirdka df tk-. eomplianm approach used. Items marked wtth an asterisk (') may be superseded by mon; stringent compliance rogturements fisted on the Cerufieate of Compliance. When this checklist is incorporated into the permit documents, the features notedshuU be considecd by all paries as binding minimum component perform nee spoaficatioru for the mandatory messurcs whether they arc shown cJscwhcm in the documents or on this checklist only. DESCRIPTION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. § 2.5352ibx Loose fin insulation manufacture is labeled R -value. §2.5352(c): Minimum wall insutation in framed walls R-1 I weighed average (does not apply to exterior mat walls). §2.5352(k): Stab edge insulation - water absorption rate no graver than 0.3%, water vapor transmission rate no S=mr than 2.0 permfutch. §2.3311: 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: Infatration/Exrltration Conorols a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. e. Doors and windows wead ierstripped: all joints and penotrallors caulked and seakd §2.5352(c): Special infdtntioa barrier installed to comply with 12-5351 mecca CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fucptaees 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 cskulatiotu. §2-5352(h) and 2.5315: Setback therroostaton-all applicable healing -systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC §2.5316ft Exhaust systrnts have dampercontrols. §2-5314(c): Gas -furl space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water he-ttcrs, showers Bads and faucets certified by the CEC §2-53520): Water heater insulation Manku (R-12 or greater) or combined interiorkaterior insulation (R-16 or greatu); first 5 feet of pipers closest to tank insulated (R-3 or greater). §2.5312(Exeeption 1): Pipe insulation on steam and steam condensate «tum & recirculating piping. - §2.5318(d): Swimming Pool Heating _i .. I. System has: a. Onloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. : 2. 75 percent thermal efficiency.-- ----- i 3. Pool cover. 4. Time clock. _ 5. Directional water inlet Lighting and Appliance Measures' t §2.53526): Lighting -25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, Geezers and fluorescent lamp ballasts certified by the CFC. Indicate make and model number. DESIGNU I WFORCEMENT r COMPLIANCE STATEMENT This ctzrificate of compliance lists the building feamres and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subichipter 4. Article 1 of the California Administrative code. This certificam has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner Name: Namc TitkJFirtn 71derrum: Address: Address: TekVonc Telephone t-ic. /: t (sig-nacure) (date) (signanac) (•.fate) Documentation Author Enforcement Agency Name: Name: TitkJFuyn Agency: Addnc=: Telep}nornc 1.:.:d. Duct HVAC SYSTEMS Minimum Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) ktA pe -91 .72 rHC_ 5.i 76j067 -- AIC. �_ ; �.7_ 55;1-5 2. Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Srecial Feature(s) 5t "a Gks SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R OTE: Lowrise residential buildings subject to the Standards must con ain threw mcis regirdka df tk-. eomplianm approach used. Items marked wtth an asterisk (') may be superseded by mon; stringent compliance rogturements fisted on the Cerufieate of Compliance. When this checklist is incorporated into the permit documents, the features notedshuU be considecd by all paries as binding minimum component perform nee spoaficatioru for the mandatory messurcs whether they arc shown cJscwhcm in the documents or on this checklist only. DESCRIPTION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. § 2.5352ibx Loose fin insulation manufacture is labeled R -value. §2.5352(c): Minimum wall insutation in framed walls R-1 I weighed average (does not apply to exterior mat walls). §2.5352(k): Stab edge insulation - water absorption rate no graver than 0.3%, water vapor transmission rate no S=mr than 2.0 permfutch. §2.3311: 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: Infatration/Exrltration Conorols a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. e. Doors and windows wead ierstripped: all joints and penotrallors caulked and seakd §2.5352(c): Special infdtntioa barrier installed to comply with 12-5351 mecca CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fucptaees 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 cskulatiotu. §2-5352(h) and 2.5315: Setback therroostaton-all applicable healing -systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC §2.5316ft Exhaust systrnts have dampercontrols. §2-5314(c): Gas -furl space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water he-ttcrs, showers Bads and faucets certified by the CEC §2-53520): Water heater insulation Manku (R-12 or greater) or combined interiorkaterior insulation (R-16 or greatu); first 5 feet of pipers closest to tank insulated (R-3 or greater). §2.5312(Exeeption 1): Pipe insulation on steam and steam condensate «tum & recirculating piping. - §2.5318(d): Swimming Pool Heating _i .. I. System has: a. Onloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. : 2. 75 percent thermal efficiency.-- ----- i 3. Pool cover. 4. Time clock. _ 5. Directional water inlet Lighting and Appliance Measures' t §2.53526): Lighting -25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, Geezers and fluorescent lamp ballasts certified by the CFC. Indicate make and model number. DESIGNU I WFORCEMENT r COMPLIANCE STATEMENT This ctzrificate of compliance lists the building feamres and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subichipter 4. Article 1 of the California Administrative code. This certificam has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner Name: Namc TitkJFirtn 71derrum: Address: Address: TekVonc Telephone t-ic. /: t (sig-nacure) (date) (signanac) (•.fate) Documentation Author Enforcement Agency Name: Name: TitkJFuyn Agency: Addnc=: Telep}nornc 1.:.:d. 1. Ceiling Insulation 2. Wall Insulation -4 Number of stories Number of stories R -value One Two Thm e R-0 -1 C3 -49 -32 R-19 -8 -1 .2 R-30 .2 .1 .1 - R-38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 .54 0.30 -102 -19 32 0.10 -26 -13 -8 US -18 -9 -6 O.C6 -11 -5 -4 O.C4 -4 .2 .1 0.02 4 2 1 O.CO 11 5 3 2. Wall Insulation -4 - Number of stories Single- Single - One Two 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 .y . - - - U -value -- - - Two Three 0.80 .153 .114 -76 _ .... 0.50. ._. .91 -. -.68 -46 -.. 0.30 - ;47 - - ---.36 ----24 3 o...:.. 0.10 :_ 0 0 0 0.08 4 .3. :. 2 O.C6 9 7 5 5 14 11 _.. . _... 7 ...:.:. 0.0219 .9 -14 ... 10 O.Co 24 18 12 -8 -1 7 3. Raised Floor Insulation •46 -14 Insulation in Floor 7 14 Number of stories -43 • 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 ------.----=-=-value --------- - -- •--- --- --- 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 7 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 1 0.100 10 5 3 Controlled Ventilation Crawispace -4 3 .1 Number of stories .1 R -value One Two Three R-0 -11 -7 -5 R-5 -i -4 3 R-11 -2 .2 -2 R-19 .1 .2 -2 -4. Slab Edge Insulation 40 -90 37 Number of Stories -14 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. Infiltration (Air Leakage) Specification Points -Standard - 0 6. Glass Heat Loss Total Exterior Slab Floor wective Percent Gla= Mass U-valua (percent Qta= x SC) Percent Detadled. Attached Effective .51 !o .41 to .31 :o 0.30 or Glass Single Double .60 .50 .40 less SO -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 -3 8 35 -75 -29 -19 .9 1 10 �O 31 -21 .13 -4 4 12 29 -58 -20 -12 .3 5 12 28 -55 -18 .10 .2 5 13 27 --52 -17 .9 .72 _ 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 It 14 17 19 . 9 - -1 - 10 13 15 17 - 20 8 ...2 4 12 14 16 18 20 7..Shading (Shade Open) Exterior Slab Floor wective Percent Gla= Mass Efrective Percent Glsss (percent Qta= x SC) - Detadled. Attached Effective (percent &Lss x SCS /CFA Effective Two Three % Glass Nora %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 i5 2 .... . 2 8 2 3 5 2 2 7 1 -3 4 2 2 :. 6 ......_1...::_.-: -21 3 4 .__._2 7 3 - 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 .1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -2 -1 -9 �3. Shading (Shade Closed) Exterior Slab Floor wective Percent Gla= Mass Family Family (percent Qta= x SC) Mass Detadled. Attached Effective 0.00 /CFA One Two Three % Glass Nora East South Wect 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 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 7 - ---8 -- '10 11 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Family Family Stories Mass Detadled. Attached Stories 0.00 /CFA One Two Three One Two Three 0.0 -8 -5 .4 .2 .1 -1 0.1 -8 -5 3 .1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 .2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 .. 3 7 - ---8 -- '10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Sir s Unit Size (sQ Wall Family Family Multi Mass Detadled. Attached Family 0.00 0 _.. ..0 _ 0 . . . 0.20 _. 3 2 .. 1 .. 0.40 5 Stm of 7-10 0.60... 8..-- 6 - -4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 - 1.40 12 -_13 9 1.60 - 10 13 11 1.80 10 12 12 2.CO 10 11 13 .1 -4 -3 11. Heating System - - - SE or HSPF' -2 -2 (usttmea ducts In attic) -4 .3 -3 Sum of 1.6 .2 -1 -25 or -24 to -14 to d to +8 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 4 Effective SE or HSPF (SE or HSPF x duct efficiency) Effeave -25 or -24 to -14 lo -4 to +610 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.S7 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 o 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 7.23- 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 31 32 28 24 19 15 Zonal Control Adjustment System Type Resis once 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,:m SC Unit Size (sQ K Water SEER 1199 1200 1700 2200 2700 (assume; ducts In attic) or , - to • to to Stm of 7-10 Type .. Type less ._1699 -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 3 +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 -9 -7 Efrecdve SEER IG None -5 (SEER x dud efficiency) -2 •2 -2 Sem of 7-10 Soiar 7 5 Eflec ye -25 or -24 to -14 to -4 lo +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12. -11. -9 -7 -6 -4 6.6 -5 -4 -4 3 .2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24.. 20 .15 10 _ _Zonal Control Adjustment - 14 10 8 7 6 4 3 - No Cooling System Installed Stories - One -5 -4 •l -3 .2 -2 Two+ 3 3 2 2. 2 1 Single -Family Det&ched and Attached Point System Summary: Climate Zone 11 SC Unit Size (sQ - Water 16G 1199 1200 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 - 11. 1'YtK". 71 WSB 5 3 3 2 2 or POU 8 5 4 __ 3 3 SE None 37 -24 -18 -15 -12 Credo [none] Solar -1 -1 .1 0 0 HWR -18 -12 -9 -7 -6 t TYPE WS3 -25 -16 -12 -10 .8 POU -18 -12 -9 -7 .6 IG None -5 -3 -2 •2 -2 351. Soiar 7 5 4 3 2 70% POU 3 2 1 1 1 IE None -28 -19 -14 -11 .9 1.3 Solar 8 5 4 3 3 2.7 POU -10 -6 -5 -4 .3 4.2 Muttl-Family (Individual 4.6 units) 5 10% 0.2 0.4 Unit Size (sq 1 1.2 Water 1.6 699 . 700 1200 1700 2200 Healer Credit or to topc 4 or Type Type toss 1199 1699 2199 more SG None 0 0 0 0 0 or Sciar 14 7 5 4 3 HP HWR 9 5 3 2 2 S WSB 9 4 3 2 2 1.1 POU 9 5 3 2 2 SE Ncne -15 -23 -15 -11 .9 4.1 Solar 2 1 1 0 0 55 HWR -23 -12 -8 3 .5 1.7 WS8 -25 -13 -8 3 -5 32 PQU -23 -12 -8 -6 -5 IG None -8 -4 -3 -2 1 -2 0.9 Solar 6 3 2 1 1 23 POU 1 0 0 0 0 IE None 30 15 -10 -8 -6 5.3 Solar 18. 9 6 4 4 1.4 POU -8 - -4 -3 .2 -2 Point System Summary: Climate Zone 11 SC SCORE CARD - x 16G = 4.0z x Measures S -x Interior Mass/CFA - _.. Point Scores = - 1. Ceiling Insulation _. R" 3� or x nn_ -2.---Wall Insulation R- at (381 or U -value [0.030] Interior N.�ss/CFA COND. FLOOR AREA R -value (1I1 Al - U -value 10.0981 TYPE 2 MASS AREA = , ' 3. Raised Floor Insulation WNW--- or -:- :- -- -" 9163 R -value 1191 11. 1'YtK". 71 U -value (0.037) Effective SE or 10.7716.61 4. Slab Edge Insulation- _ HSPF 10-W5.151 or x .let - ?, SEER 19.51 R -value (01 Effective SEER 17.031 F2 factor (o.T7] Infiltration _ Standard - Credo [none] - p =. - 6. -- le.rv.ew .1_�I - t4' _ Type [double] t TYPE I KASS MAC ak 4.2. ie: eaoosed Slab) - a. North % Glass �s O7: 5% 10% 15% 20% 25% 307. 351. AM 4S % 501. 55% WY. 651? 70% 75% 80% M. 90% 95% 100% 105: 1101. Its % 1IC 01. 0 0.2 04 06 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2S 2.7 2.9 3.2 3.4 36 3.8 4 4.2 44 4.6 4.8 5 10% 0.2 0.4 06 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 27 2.9 3.1 33 3.5 17 4 42 4.4 46 4.8 5 5: 27% 0.3 06 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 15 3.7 3.9 4.1 43 4.5 4.8 S 52 5.4 301. 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 55 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 21 26 2.8 3 32 3.4 3.6 3.8 4 l3 45 4.1 4.9 51 53 5.5 57 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.5 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5 9 551. 0.9 1.1 1.4 1.6 1.8 2 22 24 2.6 28 3 32 3S 37 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 60% 1 1.2 1.4 1.7 1.9 21 2.3 25 2.7 2.9 3.1 33 35 3.8 4 4.2 4.4 46 48 5 52 54 56 5.9 61 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 28 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 61 707. 1.2 1.4 1.6 '11.7 1.8 2 2.2 2.5 21 29 3.1 33 31 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 75% 1.3 1.5 1.9 2.1 2.3 25 27 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.5 4.8 5.1 5.3 5.5 5.7 5.9 6.1 63 80: 1.4 1.6 1.8 2 22 2.4 26 28 3 ---3.3 3.5 31 3-9 4.1 4.3 -'4.5 4.7 l9 5.1 54 56 s8 6 -62 851r. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 29 3.1 33 35 38 4 42 4.4 46 4.8 S 52 54 56 59 61 64 90% 95% 1.5 1.6 1.7 1.8 2 2.2 2.4 26 28 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 it 53 55 5.1 59 62 63 64 65 66 2 2.1 2.5 27 2.9 3.1 33 3.S 3.7 39 4.1 43 4.6 48 5 52 5.4 56 58 6 6.2 6.4 67 100% 1.7 1.9 21 2.3 25 28 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 1057. 1.8 2 22 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 14 56 58 6 62 6.4 66 68 110: 1.9 21 23 2.5 2.7 2.9 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 5 5.2 54 57 5.9 6.1 6.3 65 6.7 69 115Y. 2 22 24 2' 62.8 3 32 3.4 36 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 6.4 6.6 6.8 7 120% 2 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.5 4.8 5 5.2 5.4 S6 58 6 .6.2 , 62 6.5 6.7 6.9 7.1 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 S7 5.9 6.1 6.3 65 6.7 1 7.2 Point System Summary: Climate Zone 11 SC SCORE CARD - x 16G = 4.0z x Measures S -x x - _.. Point Scores = - 1. Ceiling Insulation _. R" 3� or x nn_ -2.---Wall Insulation R- at (381 or U -value [0.030] Interior N.�ss/CFA COND. FLOOR AREA R -value (1I1 Al - U -value 10.0981 TYPE 2 MASS AREA = , ' 3. Raised Floor Insulation WNW--- or -:- :- -- -" 9163 R -value 1191 U -value (0.037) Effective SE or 10.7716.61 4. Slab Edge Insulation- _ HSPF 10-W5.151 or x .let - ?, SEER 19.51 R -value (01 Effective SEER 17.031 F2 factor (o.T7] Infiltration _ Standard - Credo [none] - p =. - 6. -- Glass Heat Loss -- -- - - - -_ ----- - - t4' _ Type [double] U-value(0:65] % Total Gla3s [I6) _._ -- Sum i 7. Shading (Shade Open) - a. North % Glass �s x SC _ .: __.. -7 i _:_:_ Ef_f. % Glass_._ = �} 1 fog . . 4- - -- - - b. East _ _... : _ .. d. West S . x e. Skylight �_ x _ O 8. Shading (Shade Closed) a. North— - - b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating 4 Glass SC Eff. % Glass - x 16G = 4.0z x S -x x x 77 = d TYPE I MASS AREA Interior N.�ss/CFA COND. FLOOR AREA Al - TYPE 2 MASS AREA = , ' Eueri-orriWall Mass :ND. FL OR ARIA .72 x 9163 SE or HSPF Duct Efficiency 10.781 Effective SE or 10.7716.61 HSPF 10-W5.151 e.g x .let - ?, SEER 19.51 Duct Efficiency 10.741 Effective SEER 17.031 Type ISG] Credo [none] 4- 0 Sum - +z Certificate of Compliance: Residential Climate Zone 11 �,-•_, _. Mandatory Measures Checklist: Residential MF-1R Project TIUe NOTE: Louise residential buildings subject to the Standards must contain these me.== regrdkss of the compliance approach used Items marked with an astunk I') may be superseded by more stringent compliance requuemutu listed Building Permit it on Ute Ccruftc". of Compliance When thea checkbst is incorporated info We perm . documutLt the futures ooeed shaU be considered by all parties as binding minimum component perforrrnance SpcciRcatioru for the mandatory nncasmes Project Address ' whether they arc shown elsewherc in the documents or on this cA cklia only. (locked By / Date Documentation Author TelephoneFnfarcement Agency Use Only DFsc;ujrnoN DESIGNER FNMRCEMENr Building Envelope Measures BUILDING DATA Glass Area % Glass • §2.5352(a): Minimum ceiling insulation R-19 weighed avenge. North §2-5352(by. Loose fill insulation manufacture's labeled R•Value Conditioned Floor Area Number of Stories East • 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to Slab/Raised Floor Number of Units South `x�1ef n`ass �`�) §2.5352(1}: stab edge insulation • water absorption raft no greater than 0.3%, watts vapor . [ ] Single Family Detached (SFD) [ ] Addition Alone West transmission rate no greater than 2.0 pvWutch. [ J Single Family Attached (SFA) [ ] Existing Building Skylight §2.5311: Insulation specified or instal led moets California Energy Commission(=quality standards Indicate type and form. ( g_ (] Multi-Family[ ] Existin Plus-Addition Total §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §'-•5317: Infilustion/Esftication Controls B tILD ING SHELL WULATIOIY A. Dom anddw windows between conditioned and unconditioned spaces designed to limit air leakag., b. Doors and windows certified. / Component Insulation LAcatihsy Comt'7i eats c. Doors and windows wcatherseipped. all pints and penetrations caulked and scaled Type R-Value (attic, to garage. r/pictL etc.) I §2.5352(c)-.special infiltration barrio installed to comply with 42-5351 meets CEC quality standards Wall .............. ! §2.5352(d)' Installation of Fireplaces Wall .............. I. Masonry and factory-built fireplaces have is, Tight fitting. closeable metal or glass door Roof t b. Outside air intake with damper and txnuot -.._ ... ............. Roof ............. e. Flue damper and control 2. Nocontinuous burning gas pibtsallowed. ... _. _. _._.. .... _ Floor ............. HVAC and Plumbing SyslcmMeasures 7 Floor.-. ........... §2-3332(8) and 2.5303: Space conditioning equipment siring: attach eoleulatierns ' - Slab Edge..... ; 12.5352(h) and 2.5313: Setback thermostat on alt applicable heating systems, - • §2-5316(x): Duca corturtrned, installed and insulated per Chapter 10, 1976 UMC. GLAZING Shading Devices t §2-5316(b): Faha,stsystems have damper eontroL. .. _' ` Glazing :: ' Area Glass Type Interior Exterior Overhang Framing g g Type e §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices - §2.5314: HVAC equipment, water heaters. showerheads and faucets certified by Use CEC. _ -Orientation /sAA (single, double) oUcr blind etc. shadescreen, etc. l 6� dbl) (7 ) ( ) (}reSIf10) (metal%WOOd) - t §2-5352( Water hater insulation blanket (R• 12 err greater) or combined interior/eattsior _ ( ) � ' insu)ation (R-16 a o fust eet of pipes closest to tank insulated (R-3 or to 5 f g�tl: pgti )• North - §z•s3lz (Exception 1): Pipe insulation on steam and storm condensate return & recirculating ' _ piping. - ' ast E) East i 12-531R(dy Swimming Pool Heating East ) 1. System has a on/off switch on heater. SOUttI ( ) j t b. Weatherproof instruction plate on heater. - e. Plumbed to allow for solar. SoU Ch ( � F . _ 2.75 percent thermal efficiency. West ( ) } 1 3. Pool cover. _ d.TimccI.k. West iI 5. Directional water inlet _.. Skylight....... Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms. THERMAL MASS§2.5314(c)r. � Gas fired appliances equipped with intermittent ignition devices Type/Covering Area Thickness 12-5314(a): Refrigerators. refrigerator-freezers. freezes and fluorescent lamp ballasts certified (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen, bath, etc.) by we CEC. Indicate make and model number. ' COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with TStle 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design iesponsibilicy and the building owner, who shall HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the certificate to any subsequent purcliaser of the building. Type (furnace, air Efficiency Location Duct Output Manufacturer /Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R-Value (Btuh) (or approved equal) n Desiger Building Owner , Name: Nuns ' TulrJFinn: Titk/Frrr>: } Address: Address: • Tckplonc Tckphone Maximum Furnace Heating Output: BtuhJc HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity. (or approved equal) Special Feature(s) tsi6rnature> (date) (signanrrc) (date) Documentation Author Enforcement Agency SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Name: Namc T-Aecricy Address: Tckphonc 1. Ceiling Insulation -4 -3 -1 0.80 Number of stories -1 0 R -value One Two Three - R -0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 40 -90 37 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 4 O.C4 -4 -2 -1 O.C2 4 2 1 0.00 11 5 3 2. Wall Insulation -52 -17 -9 Single- Single - 13 26 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 -4 2 8 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 10 4 19 -29 0.04 4 0 1 1 1 - 7 1 0.02 19 - 14 . 10 0.00 24 18 12 3. Raised Floor Insulation -23 -1 Insulation In Fiow 8 - - 17 Number of stories -20 R -value One Two Three R-0 -1,7 - -8 -5 R-11 3 .2 -1 = R-19 0 0 - _ - 0 R-30 3 1 1. U -value 4 8 11 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 Crawispace Effective -25 or -24 to 44 to -4 to +6 b 16 or Number of stories +15 more 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 3. Slab Edge Insulation 5 5 4 3 3 2 Number of Stories 17 15 13 11 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. Infiltration (Air Leakage) - Specification Points Standard 0 6. Glass Heat Loss Total 5 1 4 1 na 16 Ll -value 2 5 1 Percent 14 4 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 5 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 5 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 Clasp (percent glass x SC) Effective %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 it 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 a na = not allowed -47 6 i3. Shading (Shade Closed) -11 -15 -14 Effective Percent Class 5 -2 -9 (pac=t glass x SC) -10 Effective Interior Slab.Floor Raised Floor Glatt North Eat South West Sk)*t 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 55 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 5 -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 no . not allowed 9. Interior Thermal Mass Interior Slab.Floor Raised Floor Mass Stories Stories iCFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -i 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 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 it 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single. Single. +6 to 16 or Wag Family Family Mufti +5 Masa Detached Attached Family 0.00 0 0 0 -13 0.20 3 2 1 -11 -9 0.40 ..-. 5 4 3 6.6 0.60 8 6 4 . 0.80 10 8 5 0 0 1.00 13 10 7 8.0 1.20 13 12 8 4 1.40 12 13 _ 9 14 12 1.60 10 13 11 . 1.60 10 12 12 10 200 10 11 13 23 19 11. Heating System 12 8 120 SE or HSPF 26 22 • 18 (assumes ducts In attic) 9 _ 33 Sum of 1.6 20 15 10 _ -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5. 4 3 0.85 . 7.79 13 11 10 8 7 5 0.90 8.25 17 15, 13 11 9 7 0.95 8.71 20 18 . 15 13 11 8 1 Efrective SE or HSPF -45 (SE or HSPF x duct eMciency) -15 Effective -25 or -24 to 44 to -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment POU System Type 0 0 0 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12: Cooling System Unit Size (sl] SEER Water 1199 1200 1100 (assume ducts In attic) Heater Credit or to St,m of 7.10 to or Type_ -25 of -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 POU .-18 Ef7ective.SEER -9 •7 -6 IG (SEER xduct ettidency) -5 3 -2 Star of 7-10 -2 Effective -25 or -24 to -1410 -410 +6 to 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 • 18 14 9 13.0 33 ._ 29 ._ 24 20 15 10 0 Zonal Control Adjustment or Solar 10 8 7 6 4 3 HP No Cooling System Installed 5 Stories 2 2 WS9 9 One - -5 •1 -4 3 -2 -2 Two + 3 3 2 2 2 1 Single-Famlly Detached and Attached Unit Size (sl] SC Water 1199 1200 1100 2200 2700 Heater Credit or to to to or Type_ Type less 1699 2199 2699 more SG None O i 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5- 4 3 3 it WSS 5 3 3 2 2 POU 8_ 5 4 3 _ 3 SE None -37 -24 -18 -15 -12 'i Solar -1 -1 -1 0 0 i HWR -18 -12 -9 -7 -6 = WS8 -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 E None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (individual units) 0 Size (s Water .699 70 1200 1100 2200 Healer Oredd - or . to to 10 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 WS9 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -it -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WS8 -25 -13 -8 -6 -5 _.QQU -23 _12_ _8 5 -5 IG None. '-8 -4 -3 -2 1 -2 Solar 6 3 2 1 1 POU 1• 0 0 0 0 iE None 30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 .-2 Interior MasslCFA . -:rt r "ass u.7u,iK•.. 7, t TYPE 1 MSS (UIMC ► 4.2, Le: e■ sed slab) 0% 5% 10% i5% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65$ 70% 75% 80% 85Y• 90% 95% 100% 105% it0% 115% 120% 125• OY. 0 0.2 04 08 0.8 1.1 1.3 1.S 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 38 38 4 4.2 44 4.6 4.8 S 53 10% 0.2 0.4 06 0.8 1 1.2 1.4 1.6 1.9 2`.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 46 4.8 5 52 54 20% 0.3 0.6 08 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 17 3.9 4.1 43 4.5 48 5 52 54 56 30% 0.5 0.1 0.9 1.1 1.4 1.6 1.8 2 22 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 56 58 40Y 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 28 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 51 5.3 5.5 57* 5 9 50lt. 0.9 1.1 1.3 15 1.7 1.9 2t 23 25 21 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 35 37 3.9 4.1 4.3 4.5 47 4.9 5.1 53 56 58 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 33 35 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 5.9 61 63 65%1.1 1.3 1.1 1.1 1.9 2.2 2.4 26 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 SS 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 2.5 27 2.9 3.1 33 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 52 54 56 58 6 62 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 65 WY. 1.4 1.6 1.8 2 2.2 24 26 28 3 3.3 3.5 3.1 3.9 4.1 4.3 4.S 4.7 4.9 5.1 54 56 58 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 33 3.5 3.8 4 4.2 4.4 46 4.8 S 52 54 56 59 6.1 63 6S 61 9074 1.5 1.7 2 2.2 24 26 2.8 3 32 34 3.6 38 4.1 4.3 4.5 4.7 4.9 S.1 53 SS 5.7 59 62 64 66 68 95% 1.6 1.8 2 2.2 2S 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.5 4.8 S 5.2 5.4 56 58 6 6.2 6.4 6.7 69 1100% 1.7 to 21 2.3 25 28 3 3.2 3.4 3.6 a8 4 4.2 4.4 4.8 4.9 5.1 5.3 SS S.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 58 6 6.2 6.4 66 68 7 110% 1.9 2.1 2.3 2.5 21 29 3.1 3.3 36 3 8 4 4.2 4.4 4.5 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 65 6.7 69 7.1 115% 2 22 24 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 59 62 6.4 6.6 6.8 7 72 120% 2 23 25 2.7 2.9 3.1 3.3 3.5 3.7 3.9 '4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 62 65 6.7 6.9 7.1 73 125% 21 2.3 2S 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 .6.7 7 7.2 74 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation ' 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss - - 7.: Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) - 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value (381 _ U -value (0.030] or R -value (111 U -value (0.098] or R-value(191 U-value.10.0371 or R -value (0) F2 factor 10.77) Standard -- Type [SGI Credit [none] Point Scores 0 Point Total: Sum lb. Sum 7.10 % Glass SC Eff. % Glass X = X = X = X = % Glass SC Eff. % Glass X = X = X = X = X = TYPE 1 MASS AREA t s' COND. FLOOR AREA InterioriV�sslCFA TYPE 2 MASS AREA s Exterior W&U Mass ND. L OR AREA X = SE or HSPF Duct Efficiency 10.781 Effective SE or 10.7216.61 - HSPF (0.5615.151 X = SEER 19.51 Duct Efficiency (0.741 Effective SEER (7.03) Type [SGI Credit [none] Point Scores 0 Point Total: Sum lb. Sum 7.10 777 -r: 7777-���- —GENERAL SPECIFICATIONS S sz iZE 0Di t , A>:AREA'160(6 DEPTH T 0 2-� sm PER I METER TEMPLATE NO. CUSTOM TiLE C 0 LO RCq"-'l C le,714 Al is 16 > Copl NG /V 77� e- V 4�t COPINd COLOR POOL CAPACITY C GALS. M RAD I-APAI-ITV G.P.M. +R '4• 4 r�7'Yiit� 44'�_^� a F:22-; -LTAir_i-. ALLE A=GHUA -ARC #fEF>OA T 29-4 _ �R ii C ST,�Cs�E�d € � {EBS S� k S �,Fv.y_ 1...%51, f �U-..3�L1 Ki4D "' I .:. kSi CiV s i I.� *E3T i �f2 €lI __T 7 i ASA U�STITt� L1rx't_ C -,c SY t U Ui i�;� ��� Ft{� '.21 -160 t AIL int .fid _f - = -NTS SIR CUT P-4. - 3aos- t- ,cr:i. �tl"fit amt _:. 41 - iG2avTTTCn / 'FIT-, tCC Y k F- -ems T92i iG2avTTTCn / 'FIT-, tCC 2 ...a>.�� / ...rv. 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