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040-640-018
s h f 40=0- ; �je - 2409-89BP,E,M AYES, Gary & Lula #5 Carol Lee •Ct, Chico Contr: Western Sierra C nst; .(new single ;.family) -9237- a -d 7 90 HAYES;-Gary & Lula' •CONTR: Western Sierra .Con t.'..•.'. #5, Caro1• Lee Ct, 'Chico- _LIMP` Fi FC. SERV. , 040-640-018 05-1483 HAYES, GARY ' S CAROL LEE CT, CHICO LE Cont: U.NIVERALS ROOF RE -ROOF .: 4 40 i NOTES RESIDENTIAL PERMIT NO. 040-640-018 05-1483 f HAYES, GARY R 5 CAROL LEE CT, CHICO i Cont: UNIVERALS ROOFING L RE -ROOF 'r ,r k• t t f 4 t { SPECIAL CONDITIONS CHECKED BY SRA k FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS ' SUB -STANDARD HOUSING LETTER i1 i —3 a JOB FINALED(D e) -Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BPOS1483 B. C. Buildino Permit 01-16-04 o0 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/08/2005 APN: 040-640-018-000 the Business and Professions Code, and my license Is In full force and effect. License Class: Y;� License Number: a^7S �, S Site Address: 5 CAROL LEE CT CHI Date: Contractor: A -)i" -r,0 }�aT � Map Index: Description: REROOF W/COMP REMOVE WOOD SHAKE OWNER -BUILDER DECLARATION. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HAYES GARY G & LULA M (CB DVA) permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 6703 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95927 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: UNIVERALS ROOFING SYSTEMS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 3065 MONTICELLO LANE proving that he or she did not build or improve (cr the purpose of CHICO, CA 95973 sale.). 530-342-1269 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: UNIVERALS ROOFING SYSTEMS ❑ I am Exempt under Article 3 of the Business and Professions Code Date: owner: 3065 MONTICELLO LANE CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-342-1269 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 758821 Labor Code, for the performance of the work for which this permit is issued. �r have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: ❑ 1 certify that in the performance of the work for which this permit is otal Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 61 Date: Applicant: WARNING: to secure worker ' compensation coverage is unlawful, and shall subject an employer o criminal penalties and one -hundredthousand- dollars -($100,000),-in -addition _loAhe_cost._of. compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions te%dQA4ork indicated above for which fees have been paid. % Name: By: / y� Address: ,Date: PERMIT EXPIRES DOW Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owne agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum of a Coun I hereby authorize representatives of Butte. County to enter upon the above mentioned property for inspection purposes. Print Name: I fw (. ��e/f"// Signature: Date: "0s ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Buildino Permit 01-16-04 o0 1 - OK Not OK @►� = Not Rea y Gle MHOMES 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-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip: Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I=OK = Not OK = Not Appricable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Sec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /' Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card-B-1- Date ardB-1Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Sec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Sec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. listed for Location 79. Sec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following lnstldJDrive 0 Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Sec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Ught-Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Sec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Sec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. listed for Location 79. Sec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following lnstldJDrive 0 Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Sec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP051483 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATIONwil s' f/a 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/08/2005 APN: 040-640-018-000 the Business and Professions Code, and my license is in full force and effect.-159gA,k License Class : Z041 License Number: Site Address: 5 CAROL LEE CT CHI Date: Contractor: 11�Cfc5A I�r Map Index: Description: REROOF W/COMP REMOVE WOOD SHAKE OWNER -BUILDER DECLARATION. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason. (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HAYES GARY G & LULA M (CB DVA) permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 6703 the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is -exempt therefrom and the basis for the alleged exemption. Any 95927 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: UNIVERALS ROOFING SYSTEMS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 3065 MONTICELLO LANE proving that he or she did not build or improve for the purpose of CHICO, CA 95973 sale.). 530-342-1269 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: UNIVERALS ROOFING SYSTEMS ❑ I am Exempt under Article 3 of the Business and Professions Code Date: owner: 3065 MONTICELLO LANE CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-342-1269 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 758821 Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: � 1d_ �y'"dt Carrier: c /'�/ ! U -00 Policy #: ! 7 ❑ I certify that in the performance of the work for which this permit is otal Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��OS Date: Applicant: WARNING: o secure woTk.,'ompensation coverage is unlawful, and shall subject an emploriminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _.CONSTRUCTION LENDING AGENCY T�hiisls permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions tetdoA4ork indicated above. for which fees have been paid. ('0Name: By: Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owns agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docum of a Coun I hereby authorize representativesofButteCounty to enter upon the above mentioned property for inspection purposes. Print Name: [ Pia. L� c/�l� [/ Signature: Date: t, O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541' A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds 'rLEASE PRINT CLEARLY** tI APPLICANT NAME CONTRACTOR OWNER Last Name 1 i14 yC:S Address irst Name Address Fax City State Zip Phone Fax 2 , `�0 G �S Fax E-mail Class 1. APPLICANT NAME CONTRACTOR Name City Address Address / Fax City c.o State ("A—TZip 4 S 's Phone — Fax 2 , `�0 G E-mail Lic. # 758$a ( Class 1. APPLICANT NAME ARCHITECT/ENGINEffa Name City Address Zip 71t; �3 City Fax State Zip Phone Map Book Fax E-mail Planner State License ,Number APPLICANT NAME Name Address t�- City State cam_ Zip 71t; �3 Phone Fax y _ 5 Type Const. E-mail , CA s�&&C ice/ �!— For offi e We only: Zoning Property Addressi Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Irl PERMIT NO. BIN # LOCATION API Ak `tom Property Addressi Cit y Cross Street WORKER'S COMPENSATION Policy Number /5�� 0 -UO Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other _ Total LENDING AGENCY Name%% , V Address 9 30 cp. Description or Scope /of Work: 'w� W %/!o USl3 • `tJeW SUS r ; � - Sq. Footag ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 2-24-05 Received by: Amount: Bldg SRA Receipt,#: . "1 4`4 G� Sheriff SMIP Date. � Other _ Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additionql items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M,H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 PI 40-042 K 2409-89B,P,E,M `1 HAYES, Gary & Lula PI #5 Carol Lee Ct, Chico — Contr: Western Sierra Const. 01 (new single family) — C( ` ASSESSOR PARCEL LOCATION _ L t r% f�s�I e� G, LYsry ,.temp. Powe a Temp. Elec. Service It !/ !f 3 -G --VZ) %O 140tAse Called PG&E Temp. Gas Service C O o IL II a F, 5 -1$ - r16 � Celled PG&E JOB FINALED (Date) Signature Owner:/" -/,a ��' Pern►it Nv.' e E N E R G Y 'C E R T I F I C A T I 0 N Carni. _ee Cau!.t, i�hico, Ca. � �� — ` LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass batts Thicknesa(inches) 3 5./8 CEILING Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type FihPrglass Brand Name nwPnc-Cnrning Minimum ThicknesW nches) 12 3/4" Number of Begs 38 Wt. per bag 35 _lb. Area covered(ft.) 2450 Thermal Resistance(R Value) ;g -3f1 FLOOR, ELEVATED Material Thicknees(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building In conformance With the State of Californ'1a Energy Requirements. Loerke Insulation Co. 499150 F RM�NAME/OWNE STATE COWRACTOR'S LICENSE NO. Hay 23, 1993 SIG TURF OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as' required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SIGNATURE OF 0ENERA1. 0ONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH TUE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING . January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovil le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE `-\ka�j 24og- 85 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �matter, or need additional explanation, please contact this office immediately. c�tiill/V GA(L(�C�� *x - V 0 S N to 'nom SZ F ss A--" k-�) , )- 's A-� st^4 - PACE(- , ,"K- K.c:, rT�c c F �n lann�/Mirt2a wf��� . a(rF'rnl�I. 18" cLF,P,V-A-jCq. �Q6M TVPq "A„ 51,v,c InspectoreC ZLtQ- Date 5--22-F() 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 Ito 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 _ Date 3— 4 7 i/r. 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: 072-6307 CORRECTION NOTICE R IT 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 ed additional explanation, please contact this office Immediately. 7 7 Z ., Inspector Date _ OK 0• = Not al( ' = Not Replicable MOBILE HOMES w, MISCELLANEOUS 4 • 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 1 1-4. 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) Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing • 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete'" 6. Gas; Location -Test -Wrap: / P1 1t. i / /"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 t 9. Siding; Nailing -Veneer -Stucco -Mesh a Card -131 Date Card -131 `= Date 10. Roof; Shthg-Roofing- Card-131 Date Card -81 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 -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements - 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -FID Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch \ 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B? Date Card -131 Date Card -131 Date IN UK O=Not OK - = Not Applicable s = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOR (PJ ns) OK pt #'s d!G Date FR NG rrtin ) o - etbacks;-E ments-FI-S1orye-4CUIELtrrs-PostrCaps-Anchors-C6nhecjerT- C25r_g�W,ain; Soils-Steel-Elec rnd.-/ j/" Ftg. Depth I . Joist-Rftr. Ties-Purlin-Roo rac.-Truss-S g.-Rfng. 3 TI tg., Garage; -Steel-//L/" Ftg. Depth ireplace Ties or Type A Flue -Fire T t Clqgwce 4.jetg., Porches & Decks; Soils -Steel-/ /"Ftg. De th 48. A ccess; Size &Romex Pr tion-Draf -Ins. Baffles e::�e1nwalls, Main; Stag-Blockicruts-Wr , drm. Windows or r-xU#ny Doors -Sill FLOf. & Di ensions 7-1to walls, Garage; Steei-BloGki<ts-Wr4ppvd SO arage Fire Protection Framing ab; SWM-Wr 51. Property Line Firewall & Openings 8/t rs-Fi place Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits ".#;22Fall-Fittings-Test-2 way C/O -Sewer Test 53. - e- un- - tion 10,7Gas Pipe; Size -Anchors 54. Plywood on Roo. Over ang-Attic Vents -Rafter Outriggers Service Te 55. Siding-Nailin ene 12.?Electric; Underground ;S 7-qD 56. Stucco M -Dri creed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 1 s 58. Shear Walls; Nailing -Bolts 164asa4a0bn 3- -qC> 5 . 1p ulatt6n-Wafl's-C . 60,Infiltrat'on-Walt -Wndws Card -B1 Dat -/�- Card -B1 Date Card -B1 Date and -B1 Date Card -B1 N Date 3-6176 Card -B1 L)Date Card -B1 U Date3- )-Q'b Card -81(/ Date Date UMBI G (Permit OK exce t #'s 16. Ater Ht. Vent -Access -Co tion Air -Baffle Date FINAL (Plans) OK except #'s 17. Wa ipe; Test & An ors -Nall Pr9tection 4.,Ext. Steps -Door & Sidelight Protection -Landings 1 .W.V.; Test- Fttng&lk Anchors- it Protection . Smoke Detector Shower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air- In Garage; Above Floor-Ducts-Mech. Protection Connector—West Tub & Shower, 2nd Floor -Tub Access 2.. Gas Pipe; Size & Anchors . Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes a Card-B1Date -& J Card -B1 Date - 67-54airs & Rails Card-Blr,C- Dates -4::6% Card -B1 Date Fireplace or Stove; le rices Hearth i ec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fix e & Transformer Clear rice -Ins. Prot tion . Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Ieg,Receptacles Spac' ights & Switches at Doors 7KElec. Outlets & Receptacles at Kit. Counter 2 ize oxes & No. of C ducto s -Stapled U Zarage Fire Door; Swing -Landing -Closer 25: om nstalled Closet ge of Studs & Z3 -A -C• Duct in Garage -Damper 2 . qui 'round made up w/Mech. Fas rs-B d Gas Water (� Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 7� In Garage; Above Floor-Mech. Protection 27 Appl' a Circuts in Kitchen & Conductor Size/G.F.I. Plb., Elec. & Mech. Equip. Listed for Location 2%_5t6feqA Wire Size /� / ga. Cu or .C. Wire Size / /ga. C AI , Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 1 sled Neutral Yes No Insulation -Foam -Looked in Attic ❑Yes ward Rails & Deck Construction -Post Caps 3q,'Sery4c#2Riser Conductors & Ground -Main Disconnect n-F87n-.'Vents & Crawl Hole Door -Drainage & Wood -Earth CI arance Looked under Floor O Yes 3 p. Clearances Panels-Motors-Mech. Equip, 3 othes Closet Light -Shower Light -Spa Light Following instld.; Drive ❑ Yes ❑ No; Walks O Yes O No; Planters ❑Yes ❑ No . Smoke Detector Af S cco; Brown -F' as Card -B1 ()e> Date3, -qd Card -B1 Date Gff A.C. Unit; isc _ ec Electrical, Plumbing Card -B1 Date Card -B1 Date . Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MEC ICAL (Permit) OK except #'s ACWater Well; Disconnect, Electrical, Plumbing A.C. Ducts Insulation & Support 85 -Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. ant Fan; Exhaust above insulation . Ventilation throughout House -roc9mensate Drain & Overflow; Size & Gr_O,?— . Glass Protection 3 ur ce-Vent; Access -Comb. Air -Ret n Air Ve -115 outlet Corrections from Previous Inpections 3 " tic Access & Platform if Furnace in Attic 89. Gas Tee -Meters Tagged; Gas -Electric 96"Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -81 (f& Date3-Card-B1 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 C_ Dates -J40 Card-B1(gC Date �- g417 Card -B1 (,T6 Date Jq_pZ cgoCard-131 Date Date R I Plans OK except #'s SjKs,Proper Mat ial &Anchor Card -B1 trG Date$ 23_q hard -B1 Date Is uds- iling, Spacing kprPlates-Sound Comments at Final: rin over Girders & Floor Nailing Draf p in Walls (rat proof) tops; Furred Ceilings -Stair ases-Tub eader & Beam -Size & Be ' (NOTE: d entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE AAI NO • —!. 7 County Center Drive - Oroville, Galiforni&95965 - Telephone: 916/538-7541 _ 0 r APPLICATION AND PERMIT ASSESS R PARC L NUMBER Q — 2— ZONING BUILDING PERMIT O ER M TELEPHONE SO. FT. GCC. BUILDING VALUATION OWNER'S MA IN A D E S OF C&J R A C T R'S NAM$ �` LEPHONE,Cjern 1 06— C NTRACT R'S MAIL( G ADDRESS ^ ^ 26 It 05-71a, Fireplace 1 /000 CONSTRUCTION LEN UNKNOWN Total Valuation $ 1167-7 4JU LEND 'S MAILING AffbRESS Filing Fee $ 10.00 Permit Fee $ ARCHII R ENGINEERLICENSE No. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ♦2 V Permit fee ,1' z PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,p() 2 ,_LrLr COd/�-% Solar or heat pump water heater LOT NO. SUBDIVISION NAME W 14-f 1,e INS PARCEL MAP /%6 Water piping 5.00 ,S Each qas water heater or vent 5.00 .S USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00— Building sewer 5.00 --� Mobile Home S I G I W 1n.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: ____ 3 Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 f Main service EA. ADD'L 100 AMP 2.50 5 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): p y p 1 Y( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full for a and effect. �`f / (cense No. � ^�� Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o C OR AODNS. ACC. BLDGS. ) 1/z¢sgft p (j NEW CONSTR TI.OUTLET NO N.R ESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 20050C BAL030 Ex. OCCUp. OU LETS P(RESID )FIXED APLNS.REA.) 2.00 Temporary service Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e 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 10.00 Heating f •-� Cooling g Hood --r 3.00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ents, costs, a d expenses which may in any way accrue against id unty in consequent of the granting of is permit. %� ate` �7I Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is requited for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE o�\eau'�P. co .N Pc J�- SONo� V/ FL000 ARc IV P N s9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated ab ve for which IRE PUBLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS — ✓�/ -ate T Z Receipt No. d WHITE-D.P.W., T6LL0W-A3e C330R, INK-INSPCCTOR, a ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAilON>DATA SHEET / Permit No. OWNER k,,A. P. No. � t n--el<� --�� Proposed Building Use l� ., .S;�i: 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instruction ........................................... 9. Fees of $ s �>.� .......................... t1110. Chico Urban Area fees paid ......................................... Park fees paid................................P...............:!. %%1•'f/ ? 0 -Ar+ t School District fees aid ................. AQA1 z Sanitation approval from &Am--) Health` Department .. 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: - r: 17. Improvements may be required. i �r Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... BU Building Inspector t to (Date) 20. Contractor'slicense information (No., Name Style, Classification) ..:.... 21. Certificate of!Workmans Compensation Insurance .................... 2 Owner-Builde"'r�,Verification (Given to owner ❑, Mail to owner ❑) ........ 1 Recorded cop of Agricultural Acknowledgment Statement ............17-11 /-2rZ7, 24. Letter of signaturkautliorizl �q^v.'c✓ • ....... . { re- o PCA%1 r r PCAN e, When you issue the permit, process as follows: Mail to owner. Mail to contractor. f Telephone -94S and hold for pickup at ftaa office. Deliver w/inspector.? Other Applicant ��( / Date '7��"ZN"' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pr" r to per it issua ce: it le n w itIem 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__rnail—counter by D ate 'e (5R Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date ¢ Plans checked by -� Date (6•-9-99 Plans approved by C��— Date v 2- Sets of plans on hold .in File cabinet AP folder gyp; , gc�D PCAM ems-eTp Copy—DPW " _ Ci {-•!.��-. .. ' ca �_J.�,�un.lx-.., � _ - ........�.._..�4� ...........-:��`�"'._..:3 �+.t ......_ ...__�. __. .�:.::J....-�;m. ........_..Y.��.��:s:.w �. " • is , ., TO Buildind Department FROM: Environmental Health SUBJECT: Sanitation Clearance --c , -)k ( !Q� -) Owner Location AP# Plan Approved for: Sewage Disposal Y Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for 3 bedrooms home. Other _ Date Sa tarian TO: Building Department i FROM: Encroachment Permit Section RE: Driveway Clearance Zee- C/ �0 - 0 owner location AP # Driveway permit N"e-17eeyed has been issued for the above property. si/ature date 5/89 RESIDENTIAL RLAN.CHECKING GUIDE MISCELLANEOUS ITEMS*,TO LOOK.OUT.FOR (CONT'D) Exterior .plaster - weep screeds (Sec. 4706). ;;----;roper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). �fter ties or bearing ridge beam. G rage door or porch header sizes. A equate bracing. Living area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. �� 31. o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). 1. derfloor access and .ventilation (Sec. 2516). bustion air for fuel burning appliances. li�oise requirements on duplexes. 1,6.,Adobe soils - special foundation design. 1- 9. Retaining walls requiring.design. tB� nusual shape, size, or split level house requiring lateral design. 19: Flashing at all exterior openings. pAuA SN ET ITEMS Art REQ 5/89 RESIDENTIAL PLAN CHECKING GUIDE .► (S.F., DUPLEX &,MISC. ONLY) �j Bldg. Permit # E/4 o / ^ � OWNER -HAYES A.P. # 22 GENERAL A -,-,Zoning Zoning requirements: (sideyards and number of permitted living units). 2Valuation. QPlans signed by designer. Energy Design and Compliance. Existing violations on property. © Items on data sheet. PLOT PLAN ,1! Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. 2'.�'-Required windows for light and ventilation (Sec. 1205). -3-"--Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). "� Human impact glass (Sec. 5406). .;s. Required room sizes, ceiling heights (Sec. 1207). /7"- GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance h of mechanical equipment. <9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. O,Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). 'replace and wood stove location, alcoves, and clearance. �.Smoke.�detectors (Sec. 1210). DETAILS 4oundation plan complete enough to construct building. 2<J,Ploor construction details complete enough to'construct building. levations and wall construction details complete enough to construct building. goof construction details complete enough to construct building. X. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR le. -,--,Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). jCuardrail details (Sec. 1711 & 3306(j)). '. Brick or stone veneer (Chapter 30). � 1 BLAYLOCK ENGINEERING POST OFFICE BOX 4021 CHICO, CALIFORNIA 95927 t (916) 894-1517 • January 11, 1990 , ENGINEERING Butte County Building Department 7 county center Drive Oroville, CA Sirs: Elevation control for building construction ori Lot #2 of Watkins Subdivision is the top of nail in a 30" Walnut tree near the property line dividing lots 2 & 3. The property line of this T.B.M., set by Sierra West Surveying for control staking for road and drainage work within the subdivision is 209.49 ft, (/�z risco'o) The new finished floor of Watkins Subdivision is 209.30 ft. Therefore finished floor for Lot 2 should be no more than .19 ft. ('"2-1/4") below this nail. , Sincerely, William Blaylock WB/ggs WILLIAM BLAYLOCK RC. E. N0. 31468 I :- SIERRA WEST SURVEYING LICENSED LAND SURVEYING 5437 Black Olive Drive - Paradise, CA 95969 Phone: (916) 877-6253 10 January 10,1990 RE: Watkins Subdivision Bench Mark Bill Blaylock P.O. Box 4021 Chico, CA 95927 Dear Mr. Blaylock, On August 15, 1988 we established a Bench Mark near the Southeast corner of Lot 3. This Bench Mark is a spike near the base of a 30" walnut tree. Elevation 209.49 (U.S.G.S. Datum). This elevation was established from the Bench Mark as shown on the improvement plans for Watkins Subdivision, Sheet 1 of 2. Sincerely, Gordon L. Shields L.S. 3346 1W\.V1 L11�1. ICL' I.�UL' ..,1L' ll 151 Enginser or Survoyor WHEN RECORM FILE WITH MAP LISTED BELOW SPACE ABOVE 111IS LINE FOR RECORDER'S USE QERTIFICATE OF CORRECTION COUNTY OF BUTTE ) ) S$ STATE OF CALIFORNIA ) William (Bi 11) Bla lock , being duly sworn, Name of Engineer or Surveyor deposes and says: That the following corrections or additions to the map of the Watkins Subdivision , as filed in Book 116 of maps Page(s)- 5 of Butte Co. Official Recori)n the office of the Recorder are made by me in accordance with Section 66470 of the Subdivision Map Act: . The minimum finished floor elevation should be changed from 212.15 to 209.30 feet (U.S.G.S. Datum). This correction is based on a finite interpolation of data presented in a report dated December 20, 1989 by Water Engineering of Chico. 100' year flood water surface elevations of Butte Creek and tributaries affecting Watkins subdivision will be contained within present levees. IIORI,I1, 11, r1 Hi 11111111311111111111 till ' = OFFICIAL SEAL TAMI BARLOW ;� � ,. /._��•`)c NOTARY PUBLIC — CAUFOf7N1A � %• PnINCIPAL OFFICE IN ._- BUTTE COUNTY Ny Commission Expires October 24, 1992 �nm,unnuu,intirl,r"mr""'uunnununnuununnnnnn& Subscribed and sworn to before me this 10th day of ' January 1990 Notary Public in and for the. County of Butte State of California Certificate of County Surveyor This is to certify the above certificate of correction has been examined for cotopli.ance with Section 66471 of the Subdivision Map Act.. J _ County Survey RCE; NO. IZ2 dd r - 19 90 C9 w r C- r_; M .! William Blaylock Signature of Engineer or -Surveyor (RCE No. 1 4 6 8 IS No. Listed below are the present fee owners of property affected by the correction or addition.- Returi`to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT y + 6.� FOR RESIDENTIAL DEVELOPMENT AD Secti.c►�2,#,fB.1 of the Butte requires this acknowledgement prior to issuance of a building County . Code be recorded, permit. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION AP NO: Ptn 040-04-0-022.-0 Date: State of Ca ) County of Butte ) PROPERTY OWNERS: Z .' 6r On this the 27th day of December , 19 89 , before me, SS. the undersigned Notary Public, personally appeared ................... .n■u■■..■.....■.n■u • OFFICIAL SEAL • The property described herein is adjacent LUCY A. PERVALL ' '�f;:EY P!!iillC • CALIFORNIA to land or included within an area zoned EU11. COUNTY 89-051161 S .Rec Fee 7.00 for agricultural purposes, and residents 1 Cash 7.00 of this property may be subject to incon- Recorded , veniences or discomfort arising from the a Official Records County of PART( SHOWN ' use of agricultural chemicals, including, but not limited to herbicides, pesticides, Butte ' and fertilizers; and from the pursuit Candace J.- Grubbs of agricultural operations including, Recorder �::but not limited to cultivation, plowing, 11:09am 27 -Dec -89 BG 2 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: SEE ATTACHED LEGAL DESCRIPTION AP NO: Ptn 040-04-0-022.-0 Date: State of Ca ) County of Butte ) PROPERTY OWNERS: Z .' 6r On this the 27th day of December , 19 89 , before me, SS. the undersigned Notary Public, personally appeared .LULA MAE HAYES ® Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that SHE executed the same for the purposes therein contained. IN WI'TNE'SS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. LUCY A. P SI RgFy Public ................... .n■u■■..■.....■.n■u • OFFICIAL SEAL • LUCY A. PERVALL �; iEs:• - '�f;:EY P!!iillC • CALIFORNIA ■'f,.` EU11. COUNTY •�n�r•`' L'iy Comm. Exp, ;2n. 10, 1992 .LULA MAE HAYES ® Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that SHE executed the same for the purposes therein contained. IN WI'TNE'SS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. LUCY A. P SI RgFy Public r� EXHIBIT "A„ 89-5 f 1.6 ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I' LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WATKINS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE •COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 27, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 3, 4 AND 5. PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER CAROL LEE COURT AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WATKINS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 27, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 3, 4 AND 5. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. END OF DOCUMLNT _ Return tc� DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. All that real property situate in the County of Butte, State of. California, described as follows: SEE ATTACHED LEGAL DESCRIPTION AP NO: Ptn 040-04-0-022-0 Date: ff� State of Ca ). County of Butte ) PROPERTY OWNERS: On this the 27th day of December , 19 89 , before me, SS. the undersigned Notary Public, personally appeared LULA MAE HAYES TY WHEREOF, I hereunto set my hand and official seal. Present A. P. No. TV'"?� LUCY A. P g� ,fry Public Personally known to me. FXCProved to me on the basis of satisfactory evidence. ..... .............................•.••••• the whose name(s) is be t person(s) t0 be to bed to the within instrument and acknowledged that SHE executed the same for the purposes therein contained. IN WITNESS NOT COMPARED WITH The property described herein is adjacent ORIGINAL DOCUMENT to land or included within an area zoned ;.iI;tr.!I�OFN!A for agricultural purposes, and residents C°�tltI of this property may be subject to incon— DEC 2 7 1989 veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, --- and fertilizers; and from the pursuit 89_ 051161 of. agricultural operations including, _ _ but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents 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: SEE ATTACHED LEGAL DESCRIPTION AP NO: Ptn 040-04-0-022-0 Date: ff� State of Ca ). County of Butte ) PROPERTY OWNERS: On this the 27th day of December , 19 89 , before me, SS. the undersigned Notary Public, personally appeared LULA MAE HAYES TY WHEREOF, I hereunto set my hand and official seal. Present A. P. No. TV'"?� LUCY A. P g� ,fry Public Personally known to me. FXCProved to me on the basis of satisfactory evidence. ..... .............................•.••••• the whose name(s) is be t person(s) t0 be to bed to the within instrument and acknowledged that SHE executed the same for the purposes therein contained. IN WITNESS GFFI:IAL SEAL . L!,CY A. PERSNi1li. �� :• ;> > ;.iI;tr.!I�OFN!A C°�tltI C • EXHIBIT "A" ALL THAT CERTAIN LAND SITUATE IN THE 'STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WATKINS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 27, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 3, 4 AND 5. PARCEL II: AN EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER CAROL LEE COURT AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WATKINS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF,THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 27, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 3, 4 AND 5. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form p'er,Building) A. P. Number Building Department No. School District (7j14rCAj City County I0*' Jurisdiction Property Owner (54421se VCE Project Location/AddressYq,ry Subdivision ,; Lot Number Residential Development: a �� Sq. Footage #•of Living MHI Addition (Group R) Units Commercial/Industrial: D Sq. Footage •ew Addition (Including Exterior Roofed Areas) Builditng Department(,Representative Date (Floor Plans reviewed by School District Personnel) District Id No. aw 3 LA nnA �.4 j(�0 School District certifies that,,, o�> -'C'3-& 38 (Applicant Name) (Phone Number) (Street Address) hCA 3e" .1 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ [L4L4 7. (6 to representing $?,,'_`�square feet. School District Representative Date PAID BY CHECK NO., ,BANK NO (qO- PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) k BUTTE COUNY PARKS DEVELOPMENV FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) V Amu — Property Owner t 'r Project Location/Address�/� Subdivision biM6��� Lot Number (s) Residential Development: (check one) 1 X New Development _Alteration/Addition a Mobilehome(s) Non -Residential to Residential Total Number of Dwelling Units,. Comment:' ?4q Building Department Rep a ntative kate i �r�r�r�c�rw�r�c�r�r�r�ryr�r�r�rw�r�r�r�r�r�r,r�r�r�r�c�rxrw�r�r�rw�rw�r*�r�r�r�r�r��r,r�r�r,r�r�r,rw�r�r�r�r�r�r�r�r�r��r�r,r�rw�rw�r��r Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code). has complied with the requirements of Butte Co. Resolution No. 89-081 by payment for / dwelling units @ $722 for total payment of $7C CARD Representatives' _T Date PAID BY CHECK NO. REMARKS:. BANK NO. PAID BY CASH RECEIPT N0.`'iGU park.fee (7/89) s 4004=59 ' 237190E 'HAYES,'Gary & Lula ' CONTR: Western Sierra Const.. #5.Carol Lee Ct, CAco (T • EMP. ELEC. SERV.) - •�, ..Q.1 o �, (� p Em: . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 (zi.) APPLICATION:,AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER . ' ZONING'A) BUILDING PERMIT OWNER /1A Gu%y A 4S TELEPHONE SO. FT. DCC. BUILDING VALUATION OWNER' MAILING ADDRESS 1' 1�F 1)y c.0 s512-6 ppN``TRACTOR'S NA �l tie-C-.1vcIll, vw TELEPHONE Wf< CONTRACTOR'S MAILING ADDRESS C rf I�Z/t h/,gM �/r3� Fireplace CONST UCTION LENDERr1J,NKNOWN p� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDR`EESSS` Z•� G �W� S,£ r lin C /�/ L .O t/i 552 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1/ IVA O 1. t G C/' - Each Trap 2.00 Solar or heat pump water heater 20.00 LOtTT NO. G.� SUBDIVISION NAME U* k,rf PARCEL MAP_ & ^+ 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ O e Nt04UG /ita/ jr✓ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other M Describe work: 7t"4 C � �S (-re -# f C �Pn ►JIG ( Rx- 4/0, 1-,-/ 0 el-- 3 .5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dece 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.SINGLE t 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 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,e! OR ADDNS. ( ACC. BLOGS. , /20sq ft NEW CONSTR ULTI.OUTLET N O N.R E SID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES P( z0950t eALA 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00for Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee /y./ t $ 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 V 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 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 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 said County in conseque ce of the granting of this permit. ' XDate / 2{/ 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 $ 2 o" HAz CUA PARK SCHL FLD PAR 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 2// PERMIT EXPIRES Dat/ the applicable provi- resolutions to do have been paid. WORKS _ Date/ / � t - i �+ Receipt No. •"# 0%L +� WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (zz.) APPLICATION AND PERMIT hPERMIT NO. ;7 — ASSESSOR PARCELNU1.16ER � (6J` q ZONI G BUILDING PERMIT OWNER �ti �v% � �S TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS hlcUIL-o(4 26 NTRAC OR•S NA �,! ff4&J C��sra �r�n� TELEPHONE esf �y9s' CONTRACTOR'S MA_ MNG ADDR E55 , ,/� �A_- ��,^Q 7Cl VL f'& ((i^{ti (///J2 'getL - /yt/[v ' Fireplace CONST UCTION LE ER �' -7 C �.Ny�r5 N NO N 9� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS o,[� I 'E% CEJ -t e I— RO C f -f/ /J S26 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 / �~ ® ` r- e- �� - Each Trap 2.00 CHI Lo Solar or heat pump water heater 20.00 LOT NO. 11 L MAP^ SUBDIVI ION NAME ::= ( �ili1 ew J Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ O e �0 Vfp,1UG t,,a jj/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Add ition❑ff Remodel❑ Utilities F Installation❑ Other Y"_ Describe work: Yt�� ^f—�L/-t—� S'GYCL _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 10000 AMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW nder penalty of perjury (check one): I decellam licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f e and effect. License No. 2��9 '? �l3 Classification 'PLNS ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 /:2sgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH .CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup�OUTLETS OR FIXTURES 20®50t eALa 30 FIXED Ex. Occup. OUTLETS (RESID ) REA.) 2.00 Temporary service 10.00 .1 o Mobile Home Facilities 15.00 Misc. Wiring g 15.00 d I Permit Fee $ ZS-" WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] ,The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property' for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit'es, ju ents, costs, and expenses which may in any way accrue against s d C nt in conseque ce of the granting of this permit. X D e ��25 _�� Signature of Applicant — Owner ElContractorgent ❑ 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 $ `S o HAZ CUA PARK SCHL FLD PAR PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees By ;g�DIRECTOR OF PUBLIC PERMIT EXPIRES D --a4_ the applicable provi- resolutions to do have been paid. WORKS Date/ �jC> /_ Zz Receipt No. Mu WHITE-O.P.W.. YELLOW -ASSESSOR, PINK-INSPECTOP., GOLD ENROO-APPL I CANT Certificate of Compliance: Residential i Project Title C -A AOL- I—EE GT Project Address c t ibIn_ G4; Documentation Author TeTephone BUILDING DATA Conditioned Floor Area 2-5185 labiced Floor O<Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) Number of Stories Number of .Units ! [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition �,. .... Climate Zone 11 I 2409 -89 Building Permit # 6LK 49-7-6) k Checked By / Date I Enforcement Agency Use Only Glass Area % Glass North O ' Fast South West Skylight Total BUILDING SHELL INSULATION Component Insulation Location/Comments "Type R -Value (attic, to garage, tropical, etc.) wall .............. R-13 CX -1'. WAIL S Wall ............. (Btuh) (or approved equal) South Roof ............. X30 Roof ............. ( ) Floor ............. Floor ............. ( ) Slab Edge..... p O GLAZING "Type/Covering Shading Devices Glazing Area Glass Type Interior . Exterior Orientation (sf) fsinele_ doublet freltc blind ote 1 fel,eAl ..,......,. North Duct North ( ) Location East ( ✓yEast 1 �3 (attic, etc.) R -Value (Btuh) (or approved equal) South (r) 1' Sou th ( ) West West ( ) Skylight....... O THERMAL MASS "Type/Covering Area Thickness c '10571T 4 , L. -I 1�_ — 5� r 159 6.2 2 6 le— S Overhang Framing Type r (yes/no) (metal/wood) y t h, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents.the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measure whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption tate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm inch. §2.5 1: Insulation specified or installed meets California Fsnagy Commission (CEC) quality s aeras. Indicant type and roan. §-5352(nZones 14 Vapor barriers mandatory in Climate Zo14 and 16 only. 2-5317: Infiltration/Exfiltration Controls . D aoors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstrippcd; all joints and penetrations caulked and sealed. § -5352(e): Special infdiration barrier installed to comply with §2-5351 mats CEC quality dards. 12.5352(d): Installation of Fueplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting. closable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous buming gas piknts allowed. HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition devices. - §2.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined intc&ftxtuior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. It. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance hteasures §2-5352(1): Lighting - 25 lumens/watt or greats for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers. Geezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of Compliance lists the building features and performance spedfications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purcliaser of the building. Designer Name: rWrJFu= Address: Telephone Lic. 0: ! (signature) (date) i Documentation Author Name: rtwFurn: Address: Building Owner Name: TitkJFum- Address: Tclephonne (signature) (date) Enforcement Agency Name: Agency: Telcpt one 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories 46 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 8 6 4 0.50 -176 -84 -54 0.30 -102 49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 .4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation In Floor Single- Single - 46 R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 .3 -2 0.80 -153 -114 -76 0.50 -91 -68 •46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4. 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor - 0.60 . -144 Number of stories 46 R -value One Two Three R-0 -17 -8 -5 R-11 3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value -11 -6 -4 - 0.60 . -144 -70 46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -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 I Controlled Ventilation Crawlspace - -64 Number of stories -4 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11 .2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 37 .-26 -14 Number of Stories 35 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor - -64 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 . 12 8 4 5. Inriltration (Air Leakage) Speaficelim Points standard 0 6. Glass Heat Loss Total - -64 na -42 U -value Percent South West .51 to .41 to .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 1 40 -90 37 .-26 -14 -3 1 35 -75 -29 -19 -9 1 1 30- -61 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 - -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 .1 7 1 25 -46 -14 -7 0 7 1 24 -43 -12. -5 1 8 1 23 -40 -11 -4 2 8 1 22 -37 -9 -3 3 9 1 21 -34 -7 -2 4 10 1 20 -31 3 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 7. Shading (Shade Open) Ef[eetive Percent Glass (percent Slaw x SC) or s I D 2 2 3 3 a 4 4 5 5 5 5 5 5 7 7 7 B B B B 9 D D Effective - -64 na -42 % Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0- 1 0 3 1 -1 -1 -1 -1 2 0 .1 -2 -4 -2 0 na = not allowed 5 7 7 8 IB. Shading (Shade Closed) Effective Percent Glass (percent glass x SCS Effectin Glace Not) 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 3 5 .2 4 -1 3 0 2 1 1 1 0 2 na . not allowed Eat south West Skylight -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na -23 -31 -29 -74 -20 -27 -25 -65 -17 -23 -21.. -56 -14 -19 -18 -47 -11 -15 -14 -38 -9 -11 -10 -30 -6 -8 -7 -23 -4 -5 -4 • -16 .1 -2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -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 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 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 14. Wag Family Family Multi Mass Detedled Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 . 1.80 10 12 12 200 10 11 13 11. Heating System SE or KSPF (assumes ducts In attic) 12. Cooling System SEER (assume; duets In site) Som of 710 -25 or -24 to •14 a to Sum of 14. 16 or SEER less -15 -6 -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 12 9 Effective SE or HSPF -18 -15 Effective SEER (SE or HSPF x duct efficiency) SEER [9.51 Effective -25 or -24 to -1410 -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 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 d 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 Heater Zonal Control Adjustment lo to System Type or Type Type less 1199 16N Resistance 10 9 7 6 4 3 Other 0 6 5 4 3 2 2 12. Cooling System SEER (assume; duets In site) Som of 710 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to •14 a to +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 . 8.5 -9 -7 -6 -5 -4 3 t 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 t 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 -18 -15 Effective SEER Zonal Control? ( Y / N) SEER [9.51 Solar (SEER xduct efficiency) .1 0 0 SLIn Of 7-10 HWR Effective -25 or -24 to -14 to -410 +610 16 or SEER less -15 -6 +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 -11 22 19 16 13 10 7 11.0 26 23 19 15 12 8 I10.0 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD Unit Size (sQ Water Measures 1199 1200 1700 2200 2700 Heater Credit or t to to to or Type Type less ' 1699 2199 2699 more 4. Slab Edge Insulation SGNone d. West 0 0 0.. 0 0 = or Solar 12 ' 8 6 5 4 COND. FLOOR HP HWR 8 5 4 3 3 Exterior Wall Mass WSB 5 3 3 2 2 % TYPE 1 MASS (UIMC & 4.2, ie: POU 85_ slab) r 4 3 3 SE None -37 -24 -18 -15 -12 Zonal Control? ( Y / N) SEER [9.51 Solar -1 -1 .1 0 0 b HWR -18 -12 -9 -7 -6 WSB . -25 -16 -12 -10 -8 0% POU _-1_6 -12 -9 -7 -6 IG None -5 -3 -2 .2 -2 70% Solar 7 5 -4 3 2 t POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 2.7 Solar 8 5 4 3 3 4.2 POU -10 -6 -5 -4 -3 0.2 Multi -Family (Individual units) 0.6 0.6 1 1.2 Unit Size (6 1.6 1.9 Water 23 t699 700 1200 1700 2200 Heater Credit or lo to Io or Type Type less 1199 16N 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 5.4 WSB 9 4 3 2 2 1.4 POU 9 5 3 2 2 SE None .45 -23 -15 .11 .9 4.3 Solar 2 1 1 0 0 58 HWR --23 -12 -8 -6 -5 1.7 WSB -25 -13 -8 -6 -5 __PQU 3.4 _23 _ 12 ___ 8 -6 .5 IG None '-8 -4 -3 .2 1 -2 50% Solar 6 3 2 1 1 21 POU 1•• _ 0 - 0 0 0 lE None 30 -15 -10 -8 3 5.1 Solar 18 9 6 4 4 0.9 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD l t • 15 Type [double] Measures 90 Total Glass 116] 1. Ceiling Insulation R-�O or i O R -value 1381 Interior Mass/CFA 2. Wall Insulation R -13 or a. North O x R -value [ 111 U -value [0.098] 3. Raised Floor Insulation - or . rr.c 2 KOS S 169 R -value [ 191 U -value [0.037] 4. Slab Edge Insulation or d. West - R -value [01 F2 factor [0.771 S. Infiltration Standard = O TYPE 1 MASS AREA InteriorMass/CFA COND. FLOOR AREA •� 10. Exterior Wall Mass �_ TYPE 2 MASS AREA O $ 41.1•ulllC`..2) Exterior Wall Mass ND . L R AREA 11. Heating System .72. x % TYPE 1 MASS (UIMC & 4.2, ie: exposed �--- slab) Effective SE or 10.7216.61 - HSPF [0.5615.15] 12. Cooling System 8.9 Ica rvet.d .l_b1 .48Z = i • 29 Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating SCr b Type [SG1 Credit [none] -- 0% S% 10% 1S% 20% 2S% 30% 35% 40% 45Y. 50% 55% 60% 69t 70% 75% 60% 85%. 00% 95% 100% 105% 110% 115Y. 120% 125• 0% 0 0.2 04 04 0.1 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 21 23 ZS 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.6 1 1.2 1.4 1.6 1.6 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.6 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 26 2.6 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.6 3 3.2 3.4 3.5 3.6 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7' 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 2.5 27 3 3.2 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 26 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5.6 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.6 3 3.2 9.4 36 3.6 4 4.3 4.S 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 56 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 S4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 i WY. 1.4 1.6 1.6 2 2.2 2.4 26 2.6 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 54 56 5.6 6 6.2 64 66 85%1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5,9 6.1 63 65 67 901." 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 10D% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 26 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 60 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.S 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 25 2.6 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 7.4 Point System Summary: Climate Zone 11 SCORE CARD l t • 15 Type [double] Measures 90 Total Glass 116] 1. Ceiling Insulation R-�O or i O R -value 1381 U -value [0.030] 2. Wall Insulation R -13 or a. North O x R -value [ 111 U -value [0.098] 3. Raised Floor Insulation - or = S 169 R -value [ 191 U -value [0.037] 4. Slab Edge Insulation or d. West - R -value [01 F2 factor [0.771 S. Infiltration Standard = 6. Glass Heat Loss BL - l t • 15 Type [double] U -value [0.65] 90 Total Glass 116] 7. Shading (Shade Open) Eff. % Glass a. North O x % Glass SC Eff. % Glass a. North O x .`77 = D b. East 4. x = S 169 c. South 115 x = .36 d. West b.2 x = ��- e. Skylight O x = O 8. Shading (Shade Closed) % Glass Sc Eff. % Glass a. North O x .166 = C7 b. East x I= 3 II (o c. South •5 x I = 133 d. West 6.2 x t = 4, t?q e. Skylight 0 x ;./ = O 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorMass/CFA COND. FLOOR AREA •� 10. Exterior Wall Mass �_ TYPE 2 MASS AREA O $ Exterior Wall Mass ND . L R AREA 11. Heating System .72. x _ • �O Zonal Control? ( Y / N) SE or HSPF _ _ Duct Efficiency [0.78] Effective SE or 10.7216.61 - HSPF [0.5615.15] 12. Cooling System 8.9 x .48Z = i • 29 Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating SCr b Type [SG1 Credit [none] Point Scores _Z G Point Total: b it i Y it tl� 1 11 t'7'� 114 T t 0 ;W Wow , 11)'' '1", , , , - , 1 1 , , , 1 1 i w! l , t . 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