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HomeMy WebLinkAbout040-660-0191)'4305-89B n s BROWN, 10030 Jones Ave, Durham tiwood i stove , « �Y= }• O tL9 u y040 660;,. d Vod " 2NL' . yc SECOND DWELL INSFU Cu Id SHELTON ENOCHS'& MAR yB�EY `IB08 0930"040 660' 019' rtaMISCELLANEOUS `,HVAC�ChangeOu a ,�'INSTALL HVAC UNIT,9 tt -rkti ;� r a S Tfi��t X10030 JONES AVE ENOCHS SHELTON� \ (� { Oeo av dat ( 61y _Cktiq 0 a i � F w .i , i 'J ,i 7 `i I � T � 7 � -�.4' ( - ��- i I " R ,SIDENTIAL 40-30-61 4305-89B,E BROWN, A. T. 10030 Jones Ave,.Durham (add & wood stove & elec outlet) i 471 JOB FINALE Signature. J=OK r - O=NotOK - = Not Replicable Not Ready RESIDENTIAL' (; ' = Date UNDERF Plans OK except #'s el -Setbacks -Easements -flood -Slope tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth I pth �i-ilgn PGr! h=c R Hary • C 'I c�ee� �.� pth atemwalls, Main; Steel -Bloc kouts-Wrapped ed 8.)(Piers-Fireplace Ftg.-Steel -Flttin0-1—c - C/O -Saver Test 1 rs r -Service Test 1 nd 1 - - rt -Ins. 'f-gy6irders-Sills-Anchor Bolts -Joists -Vents -Cripples 1'y4tig-ulation Date Card Bj_�5_—FO Date Card B-1 Date Card B- i f%y Date Card B-1 Date PLUMBING Permit O ce t #'s 16. Water Htr.; Vent -A ess-Combustion Air -Baffle 17. Water Pipe; Test & An hor-Nail Protection 18. D.W.V.; Test -Fitting Anchor -Nail Protection 19. Shower Pan; T , First Floor -Tub Access 20. Test Tub & Sho er, 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 N's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No of Conductors -Stapled 25. Romex Ir ,*tallpflpose to Edge of Studs '& C.J. 26. Equip. I madl up w/Meth. Fastners-Bond Gas & Water 27. 2 App ant C'rcu in Ki o n & Conductor Size/GFI 28. Subfe W ze / / Cu or AI-A.C. Wire Size/ / ga. Cu or t"' L. 29. Range Circ. / Vga. CEJ±�D Circ. / / ga. Cu or Al. Insulated Neutral //❑/Yes ❑ No 30. Service -Riser JoqdQrs & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. 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 (P t) OK except q's 34. A.C. Ducts In lation & Support 35. Vent Fan; Exhaust ove insulation 36. Condensate Drai Overflow; Size & Grade 37. Furnance-Vent Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & PI orm if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (Plans) OK except ti's ils, Proper Material & Anchors 4W-19a;ls Studs -Nailing, Spacing & Bracing -Plates -Sound 41N'Bearing Walls over Girders & Floor Nailing raf top in Walls (rat proof) ./ _ iyer.SEepe;�r ei ing StetrsPjNeses-�efb� 7 - Jr HOW"- ize & ea ,sQ....,L e- t - ,ingle & Duplex) Date F MING (Continued) rs-Post Caps -Anchors -Connectors rook-Truss-S".-M-ir FiW ace-Tiec..or Typ ue- ' nce 46. Alles Acrwss' Size- ties F Exiting Deorc S141 -ons g 'ngs 5 . - ecy-2 Exits 'on 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer np Ara la s Protection �kykglus.Flastic, 30. 81 eap Wallsi is i%Q Insulation -W - e gs nfiltration-Walls-Windows Date Con Card B- _ y Date i Card B-1G.���✓�%C Date - #4V Card By r Qp Date Card B-1 Date FINAL (Plans) OK except ft's &I. I!3lP91F-V9 BoUrX-Tiftlight Protection -Landings Smoke' Detector 63P. omb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection & sem.E*i4mg 6 & Tub Access -Spa 8 . bels �7 era' oe:as �caPlsceaFSt tear es -H th 6 . t. 7 learance er 7 .-Giese r 7 P.R.V. I , ection & Listed for Location ction 7T.-fin'sulation-Foere+Looked in Attic oB-Yes F-Drainage&L weed -Earth Cleaai w. -- ❑ Yes Yes ❑ No; Walks ❑ Yes ❑ No; 0 nish ctrical, Plumbing Vwl'ents Pu9fflq_oof; Plbg.-Appliance-F' ace.-Cleacaaee to Gpais- ct, Electrical, Plumbing G.F.I. Receptacle -Underground OR. V on !*hMierp-ThrouO out House n orrections from Previous Inspections 8 e :tric 9 . - pproval 1 liance Certificate- they Certificates Date OFQ Card B -J8', yo 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) J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 - Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch ? MOBILE HOME INSTALLATION (Plans) OK except #'s 3. Sewer; Location -Test -Fall -C/O Concrete 1. Zoning Requirements -Setbacks Easements 4. Water; Location -Test -Easement Needed (Sketch) 2. Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 3. Gas; MH Test -Demand -Valve -Connector 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 4. Electricity; MH Test -Crossovers -Breakers -Clearances 7. Utility Clearance 5. Drain; MH Test -Fall -Flex Connector 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.-Coonectors 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 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-Panelboards-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 N is S 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, 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.-Coonectors 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 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-Panelboards-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 N is .'rT ...,. - :_ ,.-...�..�..�' ��.�.�+'+may.►a-asRPs.x.c:p...�•r.-rti-..•.w..=y:r::s.+�--�tir+..:.r _ _ , Q 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 ,4. CORRECTION NOTICE 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. Com lkfA j ciz CE(L_rIF-I c/,TF. �cJ �r2 2�c ✓ - �rn�A c ! //o FIS 12 -2 7 . 91 . Inspector 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 JNER 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, need additional explanation, g1jase contact this office Immediately. dw eG " 12�/ bit/ u Glt �Ju 4 /I ii/i% o� 1 / .� � 4 � Inspectof%�- Date T / v �0COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Ca•1,ifornia 65965 - Telephone: 916/538-7 41. APPLICATION AND PERMIT ASSESSOR W L: I V'60 C) ZONING _3— BUILDING PERMIT OWNER - � � �Rfl �✓ 'TELEPH NE Z�/G@J_j/D�7o/7�� SO. FT. OCC. BUILDING VALUATION LNADDRESS OWNER'' c 6 ✓ O RE55 //� /J� Ate/ /��, J CONTRA© R'S AA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace G✓71000 CONSTRUCTION LENDER UNKNOWN Total Valuation is 2 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee Penalty $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 30 a,JeJ ✓A, POA"_20A Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.S UBDIVISION\ NAME r J�d,/�.s Jam/ PARCEL M ` �� 01% Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF%$KDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ I IstallationEl Other ❑ Describe work: !90P�QL_L �OD - W"S%>b 5fex}L 64-eC IC.y` U,1fi% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ASI I��II 1, as the owner, or my employees with wages as their Sole compen- 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 contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCC P OR ADDNS. ACC, BLDGS. ^ I , /ZQSq ft / NEW CONSTR ULTI.OUTLET NON -RES,., CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20@50C BAL@30 FIXED APPLES. OR EX. Occup. OUTLETS (RESID,) EA .� 2.00sation, Temporary service 10.00 Mobile Home Facilities 15.00t- Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said Count consequence of the granting of this le�itL2V�5 X ' Date Signatu of Applicant - Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep o it' n or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 10, occ CONST TYPE TOTAL TOTAL FEE $ / �- 3 -'� HAZ CUA m PARK F [_;Aa� Po J;JIssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By. ( PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date A��� /_ y—Q ~�J / i Receipt No. - WHITE-D.P.W., YELLOW -ASSESSOR, PINK.INSPECTOR, GOLD R D- A e _ _ .•r _ . �,,,.., ti ...`+4"i ti.r',.a"'-�;'4%� '""�+,�_;'«. }ti tr.' ":1'crL v"' ' frrf " "�k''T''n''�i•j �N.}a X'• _ • a: L, r•. . " .,..7' ,ti `tis' s /� COUNTY OF BUTTE DEPARTMENT 09 PUBLIC WORKS - BUILDIODIVIION 7 COUNTY CENTER DRIVE - OROVILLF�,CALIFOF�NIA 95965 - TELEPHONE: 916/538 - PERMIT APMACATION DATA SHEET Permit No. OWNER4.7• &-3c.Jj � A. P. No. 7 L* -3 Proposed Building Use S/L 4,14 - Building Inspector Dated Z At time of permit application, I was advised the following, data must be submitted prior to permit processing and/or issuance: F 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 .................................................... q� - School District fees paid .............. 0 i . Sanitation approval from 4,14 ro Health Department Z 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 "Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...........:.......% 27. 10, When you issue the permit, process as follows: Mail to owner. Mail to contractor. /K Telephone_ 3y2— 09n and hold for pickup at C'k//c 0 office. Deliver w/inspector. Other Applicant / Date 5 Copy of plans sent —Health Dept., Fire Dept,, Other Date The following data must be submitted prior to permi is uance: (Circle new item not checked above). 1. Index permit for above items No. j T, 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 0 Date /o2�a Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance' Owner Location-. AP# Plan App I roved for: sewag'e Disposal Water Su pply Hold final for: 'Water Supply Final clearance O.K..'for: Water Supply Clearance for bedroom mobile home. Other NOTE OR) C:) ...... r�ar aW--,I;A— Sani ari. n Date COUNTY OF BUTTE - Department of Public Works 7 County Center,Drive, Oroville, CA 95965 Phone: 9.16-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to providethe major labor and materials for construction of the proposed property improvement .(yes or no) �S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following .person to coordinate, supervise, and provide the major work: Name ►.} d ►.r1�' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Num r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i ENERGY C E R T. I F ICATION lm3c, �• `fie �� -3 a 6 / LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name —77A Thickness(inches) Thermal Resistance (R Value),_ EXTERIOR WALL Material Thickness(inches) 7 �(ti CEILING Batt or Blanket Type Thickness(inches) Loose Pill Type Minimum Thickness(Inches) _ Area covered(ft.2) FLOOR, ELEVATED Material F:jfiTA(L Cok,4,S7 Thickness(inches) !3 FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) X% Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name AC"?, Thermal Resistance(R Value) I11:11 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 California Energy RequLrements. I !SME/OWNER SIMTURE bF"'USTALLATION APPLICATOR STATE CONTRACTORS LICENSE NO. 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. , 0 1 , C-S,�� — — . Z ,3`0.0 S TUBE OF OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at %/je,-3/p I,- A. P. # �� �,3 ® to for �i»-, ��=civ`' does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER��„�__�— ADDRESS PHONE NO. 9e, DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. BUTTE COUNTY SCHOOLS DEVELOPMENT•FEE CERTIFICATION FORM. (One Form per,Building) A.P. Number Ya- 300 Building Department No. School District 904%-/4, City F__J County r-7"'Jurisdiction Property Owner /�%. %� ROW �✓ F Project Location/Address /Q 0 3-z> ' ,)��� �,/� — &f? �-[,� Subdivision Lot Number Residential Development: Sq. Footage of Living MHI Addition (Group R) Units ff/Ix/``r.,- Commercial/Industrial: a O Sq. Footage i' New Addition (Including Exterior Roofed Areas) —Building Department Representative Date (Floor Plan's reviewed by School District Personnel) District .Id( No. oa School Districtcertifies that (Applicant Name) r (Phone Number) % Uo3oa 11� (Street Address) O,u�a wL- CJ12�, 9 513 (City) (State) (Zip Code) has complied with the requirement's of Resolution No. by the payment of $ representing 3 square _ feet . School District Representative.' Date PAID BY CHECK NO. REMARKS BANK NO Alt-- PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE " "(Additions) Owner Q rr,-Ov.s►-? Permit A q_A10Floor Area 3 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. J Climate Zone ZONE 11 V APPLIES TO NEW AREA o CEILING R-30 p WALL R-11 FLOOR R-11 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-. 5 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) *INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) - VAPOR BARRIER (Zone 16) gp DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT O MAXIMUM GLAZING 16% OF'AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTIIATING,'AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace 9 (brand and model number) SE ` s Btu/hr (heating capacity) ❑ Heat Pump `(brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump W/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing x charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 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