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041-090-043
t •A.K- s^�t 'i f { 41 09 3 92-1'741 BPEM KRUG, Mel & Sheila x ° •, a t" .' t - #! 3711` White. Springs' Rd ; %Paradise it'=`T" ` w qq ✓ Q ,', e- contr: M.T Clemmer new sf ' ' a. I. x-9'42 J 041=09-0-043 } . ��� X93-2012 B, E ` 4* ` : _! ' KRUG, MICKEY- &' 'SHEILA. -3711 WHITE' SPRINGS MD PARADISE- CONTR: PAUL BELLEFEVIL_LE DECK/SF 041-090-043 101-0813 °KRUG, MELVIN: `" 1 3711rVJHITE"SPRINGS RD'PARADISE CONT-. CLEAN RITE {, RE ROOF ��V1V •. '�� �( r fff a`,. ter• f i Yi 2 TJ I a� v VAI r a Cn/ 'r � -" v 4-... � . }: , .. dam' i �w•-..- ,� X041=09.0 043 01-0813 K UG; M . ?V1N • ' "'3711zWHISPIRINGS RD PARADISE. ONT ;CLEAN RITE s . RE ROOF: a rn COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES --BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01, '' ' I ' ' , ASSESSOR PARCEL NUX11-�q0Cy3 - ZONING BUILDING PERMIT OWNER t1 � TELEPHONE ,� _--?.5"SO. FT. OCC. BUILDING VALUATION OWNERS ,UNG ADD S . _ 6 J 1 ::u 5 C/&— 1 • C� CONTRA � ME TELEPHONE 6333 - CONTRACTORS MAILING �,y - 15 ey �) -J. V'ti.... LL C. -,,!t CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checkin g Fee $ BUILDING ADDRESS ' ( ) 1� ; / f ,,�-i: I r . � Energy Plan Checking Fee b -_ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other sPEc�v Each Trap 7.00 Solar or heat pump water h ter 23.00 Water piping15.00 Each as water heater or ent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Des cri a Work: ��Q. ( CAU (; Gas piping stem 1 - 5 utlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'A oa LE:: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 2 License Class 61-05 Lic. NO. �_J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the U/1"hperformance of the work for which this permit is Issued. ave and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is IssuW_#. My worker ' co(npe sation in urence carrier and policy number are: Carrier 7N Policy Number (The above sections need not be competed .if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those -provisions. d_,� ��y X - Date � —V / Signature of Applicant - ❑ Owner F52tontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Service TO 46.00 NEW CCUOWA NEW CONST. DWEWNG OCCUP. SO DWE200ALLING OR ADONS. a ACC. BLDS. 3.5QFT: MULTI.OUTLET NON-ROSINew D. BRANCH CIRCUITS @7,50 POWER APPARATUS a SINGLE O C EX. OCCU OUTLET OR PDITU BAS 1.00 50 ED Ex. Occup. OP"tu> (RR -)OER A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 V ,ntilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee- $ c c TYPE TOTAL FEES y rot) HAZ. D IMP PLooO CDF PARCEL Po HD ,S UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Ind icat d above for which fees have been paid. By i Date PERMIT EXPIRES ON 4-/ 2- I Pat,?) Receipt No. IV WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 " PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT O, !-6 19k � ASSESSOR PARCEL NUTZON.0 0 Ro_ �'� 3BUILDING PERMIT OWNER E _� SSY SO. FT. OCC. BUILDING VALUATION OWNERSPUGN8 ADD� COMM'S E TEL -.PHONE Cli► ��� SS 1-6333 CONTRACTORS MAULING ADDRESS l� u%L1tAu-e_ CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINOADDRESS i� / / ` rd r� Energy Plan Checking Fee $ a PERMIT FEE $ , LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other gPEclry Each Trap 7.00 Solar or heat pump water h ter 1 23.00 Water piping 15.00 Each gas water heater orbent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other Descril a Work: V� (' (�-�, • �� 2'e- Gas piping system 1 - 5 utlets 15.00 Building sewer 15.00 Mobile Home ISIAI WI @20.00 PERMIT FEE i ELECTRICAL PERMIT Filing Fee 20.00 Main Service z8Owi OR LEse 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /^ rl1 /Yy License Class /-('/ � Lic. No. (/ 8 q;L,; bOWNER-BUILDER DECLARATIONEx. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the P of the work for which this permit is Issued. ®' I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance.of work for which this permit is Issued. My workers' co pe sa�urance carrier and policy number are: Carrier JJ NN Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ��q X Date 4�-la—yl Signature of plicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service 20" TO I 000 46.00 NEIN CONST. DwELLJNG OCCUP. 3.SQso OR ADDNS. 6 ACC. BlD3. NON•REW 61D. MULTI.OlrT1 ET Q7.50 POWER APPAMTus 8 SINGLE OUTLET O Occup. OUTLET OR ES SALQ .500, Ex. Occup. OUTLETS (RE ,GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee 5 Energy Inspection Fee S ���gCoiPETOTAL RE C / FEE $ j / LT(}not IMP I FLOOD I CDF PARCEL Po I HoUE This permit Is hereby Issued under the applicable provisions of the B e County Code and/or Resolutions to do work indicat above for which fees have been paid. � By Date PERMIT EXPIRES ON —1,)-6)2_ ro ReceiptNo. / 4f 777, ov WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -.Pro ville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APLICATION AND PERMIT ('i 13 ASSESSOR PARCEL NU /,{ rj /�^ 093 L!V ZONING BUILDING PERMIT OWNERV �q� TELEPHONE F a` 55 So. FT. OCC. BUILDING VALUATION . OWNERS.LING ADD S 6(, �- f CONTRA {1 S E� '9 ►_ 6333 CONTRACTORS MAILING�A/DD�RESS C CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS :3 ( IN Energy Plan Checking Fee $ Pm, $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCELMAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other spE°IPv Each Trap 7.00 Solar or heat pump water h9fiter 23.00 Water piping 15.00 Each as water heater or ant 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Descri a Work: Gas piping system 1 - 5 utlets 15.00 Building sewer 15.00 Mobile Home I S I JA I W IC?20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service . A OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./� x 2 License Class /-('% Lic. No. v �j J 9 J OWNER -BUILDER DECLARATIONEx. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: . ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR s0 OR ADONS. ( 3 ACC. elnS. 3.5QFT: NOµq E ONSIT. MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET C °��°R 20@ 1.00 Occup.BAL O .so Ex. Occup. ouTrs � .°� A . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is Issued. SP/I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance. of work for which this permit is Issued. My workers'' coppensation insurance carrier and policy number are: Carrier 37-)97r—, poyh Policy Number (The above sections need not be completed 0 the permit is for work of a valuation Of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X� Date 4—ld -0/ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ -3 TOTAL FEE $ D IMP PLDDD cop PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work indicat d above for which fees have been paid. ,I - By Date /`��7 PERMIT EXPIRES ON -1d -G 2— ate ReceiptNo. i 11-16, vU WHITE-D.D.S.=B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OT DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, G%ilifornia 95965 - Telephone (916) 538-7541 €RJ�,� APPLICATION AND PERMIT / �` ,/ a ASSESSOR PARCELNUMBER 041-09-0-043 ZONING BUILDING PERMIT OWNER MICKEY & SHEILA KRUG TELEPHONE SQ. FT. OCC. BUILDING VALUATION —5068 OWNER'S MAILING ADDRESSEST POBOX 2,500 CONTRACTOR'S NAME Water Works893-4563 TELEPHONE CONTRACTOR'S MAILING ADDRESS 135 W 8th Avenue, Chirn 99996 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ --54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '1711 Whit- SPrings PERMIT FEE $ Road,_QQ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 15 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE Pool SFO Duplex ElMobilehome 1:1 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New W Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: Master 507-01 PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 above —g>:'-693ri-d—oval Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OR ADDNS. ( 8 ACC. BOCLDSCUP. ) SO,. 3.50 FT. CONTRACTORS LICENSE LAW I deglare under penalty of perjury (check one) `D74 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m lic nse is in full force and effect. License No. 47 U Classification C —'5 ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA2L P 1.0000 FIXED APPWS. OR Ex. Occup' ( ) OUTLETS (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ;155 )_have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 against said County in se ence o the granting of this permit.15 X Date �2 C�3 Signa of Applicant - Cl Owner ;f -Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 132.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD ^—'� HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMITEXPIRESON (De tel 135586 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTORDEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET Building Inspector Date -3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY `AIl items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13.Flood elevation letter (100 year flog. b California�;Engineer... ............ . ! ___1 . Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ...........:............................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. s ";,I*eioco— (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ...................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office: Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior t nit is ce: (Circle new item not checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP 7z"t_, _ Copy - Department of Public Works �l* p<p 8%v � 6, J •e �� ���� �'� �S V= OK ° O = Not OK NotNoApplica Ready ble MOBILE HOMES Date/Initials 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 -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 MISCELLANEOUS Date/lniVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-SpaConnectors-§tee1Z 9q/ 3. Decks; Graders and/or Joi -Decking-Bra g- - 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; § g -Roofing 1 t.; Steps-Doors-L"M"T.- Date/Initials teps-Doors-L sDate/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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-Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except 8'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/initials FRAMING (Plans) OK except N's 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bmc-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggere 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg :Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: V= OK O = Not OK Not = Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 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 Teat -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 MISCELLANEOUS Date/Initial DECK"OVERS, CARPORTS, GARAGES Plans OK except #'a o equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails I Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columna -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 -Lendings OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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-Panelboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK -= Not Applicable RESIDENTIAL = Not Ready _Date/initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd./ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors _Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yea ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector _Date/initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plana) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -W al Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yea 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comrnants at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION'AND PERMIT Q�PERMIT NO. ASSESSOR PARCEL NUMBER 041-090-043 ZONING FR -20 BUILDING PERMIT OWNER Mickey & Sheila *ug TELEPHONE SQ. FT. OCC. BUILDING VAUATIO OWNER'S MAILING ADDRESS P.O. Box 1167, Paradise 95969 CONTRACTOR'S NAME Paul Bellefeville TELEPHONE 872-9476 CONTRACTOR' AI LINq ADDRES �o p yL Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$4,648.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 30.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 105.00 PLUMBING PERMIT Filing Fee 15.00 3711 White Spring Rd. Paradise Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 515.001 TYPE OF WORK New J Addition L Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Open Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1o00A1 CONTRACTORS LICENSE LAW I decl4fe under penalty of perjury (check one): rL/,1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Coddle and my license is in fug force and effect. License .Jo. -'"� Classification 1-5 17I, 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) ❑ 1, 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 OCCUPM OR ADONS. ACC. BLDGS. // _37.50 3.54 sq.ft. NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e1 (SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES 20 75 FIXED Ex. Occup. OUTLETS P(RESID )RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. wiring Ext Llghts 1 '15.00115.00 Permit Fee $ 30.00 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn y and keep harmless the County of Butte against all abilities, ju me ts, ts, and expenses which may in any way accrue ag I st s I n i ons ence of the granting of this per it. X Date & Signature pp ❑ Contractor Agent ❑ nature of Applicant I owner 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 FE $135.00 rtAz DFEES IMP FLOOD C PARCEL PO V This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees By By PERMIT EXPIRES Dat applicable provi- resolutions to do have been paid. % V 13 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..0+8,..: ,t ;COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r y 7COUNTY CENTER DRIVE;, OROVILLE, CyAMEORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET At time of permit application, I was advised, the following data must be submitted prior to ,permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted...4...../ ............................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... - - 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees......................... i 13. Flood elevation letter (100 year floo b C lifornia Engineer. ................. . jD 14. Sanitation and plot plan approval Health Department . : .......... . 15. City of Chico plumbing permit. ........ ...................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for t'e4n Pecbo4r.eg"� required. .. to B� �d n9 inape or (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 1 27. 'Letter of intent on building use . ....................................... . . 28. Mobilehome utility clearance . ................... ' 29. Documentation of legal access . .....................:..:.. 30. Documentation of 50% subdivision developed or (A) Road:improvements completed' ` and (B) Parcel meets zoning area and frontage requirements ...........:.... . 31. Existing.violations/expired permits. ........ r...' . ........................ . 32. Plan check list . .............. .... .............................. . 33. .34 r When you issue the permit, process as follows: Mail o owne . Mail too contractor. Telephon nd hold for pickup at L ffi�ce. Deliver with inspector. Other Parcel Creation L, ���3 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date r/ J Copy of plans"sent Health Dept. Fire Dept. Other ! 1 Date t �+ By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by !%%/ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: FROM: SUBJECT: Building Department Env iroil men tal Hcalth Sanitation Clearance li.n. PlsF ONI.1' i Plot Plan Auuchul Flow Plan Anichcd� sant to IS. U. _ _ 12 hl ELL) (a% 45ZO -' , 7-7 (1 LJ WE Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well ClearaP e f �r=—c 1 K C=%� N Hold final' for: Final clearance O.K. for: NOTE: Environmental Health pecialIst 8/92 Date 1 . RESIDENTIAL ., • KRUGMel 92-1741 BPEM._. 3711; White&SSheila contra Prings Rd, Parad M,T• Clemmer ise new sf ta, O✓�J� C 5✓ OFFICE COPY Address GA ter By _ - ELECTRIC Meter By Dg/ ' JOB FINALED (Date Signature - d=OK O = Not OK = Not Applicable MOBILE HOMES - Date O1M ES- = Not Ready , � Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 4 2. Soils; Special MH Support Sketch, 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" it. / P'Nat. or/ 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card�13-1, 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 1 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 J Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS / Date DECKS, COVERS, CARPORTS, GARAG,:S, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-EasemeAts 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card'13-1 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 e ' . 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool.Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-.1 Date, Card B-1 Date Card B-1 W, 4 O O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date __UN D RFLOOR (Plans) OK except ti's Zoning -Setbacks -Easement Flood -Slope tg.,,Main; Soils-Elec. GrV.-/)'V-� Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.,,Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, M aiX Steel -Bloc kouts-Wrapped Stemwalls, arage; Steel-Blockouts-Wrapped 6a. Hold D ns and Special Anchors 7. ab, teel-Wrapped rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground ar3. Pienums & Ducts; Clearance -Material -Support -Ins. i j,e5alers-Sills-Anchor Bolts -Joists -Vents -Cripples 1 Access & Ventilation 16. Insulation Date r 52 Card B-1 J Date Card B-1 DateCard B-1 /`: Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. yleter Hir.: Vent -Access -Combustion Air -Baffle �G Water Pipe; Test & Anchor -Nail Protection ----------------- ------- ------------------- ----- -_- 18. D.W.V.; ISFittings & Anchor -Nail Protection --------------- --------------------- --- - -19. S*mv er-fan: Test. First Floor -Tub Access ------------------------ ------- - - 20_Test Tub & Shower. Second Floor -Tub Access - -------------------- Pipe: Size & Anchors ---------- :Card ----------------------------------------------------- Date ( -- fid Card -B- Date Card -13- 1 ------------------------ -------------------------------------- ------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixtur_e_& Transformer Clearance -Ins. rotection - ----E c. Receptacles Spacing -Lights & Switches at Doors ---- --------------------------------------------- ---- Size Boxes & No. of Conductors -Stapled ----------------- - Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------- - --- 26. uip. Ground made up wrMech. Fastners-Bepd-hes & er -------- ----------------------------------------------------------------- 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------ ----------- ---- ------------------------- 28. S feed Wire Size r r ga. Cu or .C. Wire Size �pr ga. or Al - 29. Range Circ •. ga. lar AI-Oven Circ. f-7- ga. Cu or Al. ----------------- -------- ------------------sulated Neutral ❑ Yes - -- 0 -No - - 3e Service -Riser Conductors & Ground Main Disconnect 31 ip. --- Clearances Panels-Motors-Mech.-Equip. ----------------------------------------- -- othes Closet Light -Shower Light -Spa Light -- ------- ---- - - --- - -- -- Smoke Detector ---------------- --------------- -- ---- -- ------------------------------------- Date�D-B�L r. 8-1 V Date Card B-1 --------------------------------- Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except ti's V. A C. Ducts Insulation & Support ------------------ ----------------------------------------- ----- ---------------- Vent Fan_Exhaust above insulation - --------- ------------------ ---------- 36. Condensate Drain & Overflow: Size & Grade ------- ------------------------------------- _-- -- - --- -S7-Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------- - - ------------------------------------- - - - -9b.-Attic Access & Platform if Furnance in Attic ---- ----------- ------- -------------------------------------- Date--�-- -'?- - - and B-1 M.., - Date --- - --Card B-1 --- ----- --- - ------ - - --------------- Date Card B-1 Date Card B-1 Date FR NG (Plans) OK except ft's Is. Proper. Material & Anchors walls Studs -Nailing Spacing & Bracing -Plates -Sound -- 4/ Bearing Walls over Girders & Floor Nailing -- - ------------------------------------------- ---------------------- - --- - 42. Draft Stop in Walls--(rat-pro-o-f) -------------------------------------------------------- (a_Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ ----------------------------------------------- 4„i-leaders & Beam -Size & Bearing S4.AQ (Single & Duplex) 1 Date FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors 46. Cirig. Joist fir. tie Purlin' oof Bra Truss-Shthng.- g. 47 replace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. affles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 16fo_c ----erty Line Firewall & Openings EXI. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------ Ar 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 9A' plywood on Roof. Overhang -Attic V06 -Rafter Outriggers --------------- - 3� Siding-NaiIi 1(4yeCr- ----- ---- �i�G!5f cco Mesh -Drip Screed -Fd. Vents-Underflr. Access ;T Glazing Area -Glass Protection -Skylights -Plastic 68. hear Walls: Nailing -Bolts 59. I nsulat ion -Walls -Ceilings 60. Infiltration -Walls -Windows Datejj5::9L:fLCard B-1 Al Date Card B-1 Date Card B-1 Date Card B-1 Date AL s) OK except ti's x eps-Door & Sidelight Protection -Landings ef2Smoke Detector -------------------- - tl / rnace: Vents -Clearance -Comb. Air-Connector- r[ In GG fie; Above Floor -Ducts -Meth. Protection 6 -15ed'roomm Exiting ------------------ - ----- 85%GF I 5t2_Fixtures & Tub Access -Spa lec. Trim & Subpanel: Breaker Sizes & Labels is - - -- ai------- , / Fireplace or Stove: ClearZTcyes-H rth ---------- r69. -------6J.. Elec. Outlets at Wood Panel: Int. & Ext. Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance �ec tlets & Receptacles at Kit. Counter - -- - ---Garage Fire Door: Swing -Landing -Closer 'TS.-A.C. Duct in Garage -Damper 74-WM-. rrrr Vents -Clearance -Comb Air-Connector-P.R.V. In Ga e: Above Floor-Mech. Protection El ----------------- ----- - - Plb.. ec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec.-Receptacles-in Garage: (G.F.I.)-Romex Protection ------------- t5ns tion Foam Looked in Attic � -- ua d Rads & Deck -Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage/ od-Earth Clearance Looked under Floor--- -_Yes -ddllowing instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------------- tucco Brown -Finish - - d2. A.0 nu; Disconnect. Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ---- -- --------------- ---- Wings _ Water Well; Disconnect, Electrical, Plumbing -- terior Elec. Trim: G.F.I. Receptacle -Underground e _ at n Throughout House .. ... . - - . - ------------------------ GI Protection -. - - - - - - - - - -- - -- ---------- ---------- -------- d orrections from Previous Inspections ----- -- -- -- ----------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates ----------- ----- --- DateCar �d B-1 Date - -- Card B_1--- -- l-2- -- --- - Date j/Z and B -t Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: a COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ,OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. WN -1 f "-. 0 Date_ / �� ! V Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERFA1T NO_ A routine inspection indicates that the following violations of ButttiiRounty Ordunances erist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, `please contact this office immediately. j✓�e C tw 1-4C Z to n b� ►--f. %a ��N 5 / T o \ Cc T T �Lr go'' I" Tip s At i" !Q R /I ce-b /C , ?loUril,c --5 If 000 st.%acts — f///oS 7 UI�Py,s as - Dwry Date W *Z..- Inspector N REV 11/91 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 r 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. 'i ;t is 1 t L Date Inspector I O w n e r: Permit# �, 1 ENERGY CERTIFICATION LOCA `.V S A. P.:# DESCRiPT ON OF INSULATION ROOF MATERIAL THICKNESS EXTERIOR WALL MATER IAL=Utru�3Ss THICKNESS 6 �� BRAND NAME_ THERMAL..RES. BRAND NAME Certineed THERMAL RES. CEILING BATT OR BLANKET TYPE -FIBERGLASS BRAND NAME Certinee } r 4 THICKNESS::.THERMAL RES. LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED.;. THICKNESS / .� THERMAL RES. 3 FLOOR -ELEVATED MATERIAL Fiberglass BRAND NAME Certineed . THICKS �j�� `� THERMAL RES. / FLOOR - INTERIOR WA ?. MATERIAL Fiberglass BRAND NAME. Certineed THICKNESS 2 THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE' INSULATION WAS INSTALLED IN THE ABOVE BUILDING I\_.COYFOR?MANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS IND.INQ/dba SHASTA INSULATION LIC #6507'_'2 Ihereby 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 Calif. -Aa-=-- --- ----=i---------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONT. LIC# L 1 SIGNATURE RF GENERAL CONT/OWNERD E . This.certificate must be on file with the Building Dept. prior to Fin and nestPrl within 4 -tis w..l 1 A -- i. 1 (DRo COUNTY OF BUTTE - DE.FARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callfornia.95965 - Telephone: 916,'536-7541 APPLICATION ,AND PERMIT PERMIT NO.. / R l -7/ 7` � ASSESSOR PARCEL NUMBER _ 41-09-43 ZONING FR20 BUILDING P T OWNER T/ i~1EL u SHEILA .RUG TELEPHONE 873-4544 SQ. FT. OCC. B LDING VALU 2080 R 1 , 127- OWNER'S MAILING ADDRESS 6246 PONDEROSA WAY MAGALIA 95954 618 M 11,124 CONTRACTOR'S NAME M.T. CLEF IEi R TELEPHONE 873-1459 LVVp l� 168 C 10/. VHF CONTRACTOR'S MAILING ADDRESS 13965 JARVIS CIR MAGALIA 95954 628 0 4,39 Fireplace I 2A 3,000 CONSTRUCTION LENDER BUTTE COMM BANK UNKNOWN Total Valuation $ IJJ,024 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 358.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3711 WHITE SPRINGS RD PARADISE Permit fee $ 1109.75 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 121 5.001 60.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 87-9i Water piping 7.00 7,00 Each Qas water heater or vent ELE 7.00 USE OF STRUCTURE SF ET Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newer Addition F7 Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: ABR Permit Fee $ 97.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Z1'eG3� Classification 9-/ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING Oc OR ADDNS. ( ACC. BLDGS. 3.6asq.ft. 5.00 NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d IAL_❑ ki EX. Occup. OUTLETS II RESID. IKEA) 1 3.00 1. Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 128.50 - 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 Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating 17.50 HEAT PUMP DUAL Cooling 9.50 Hood 6.50 6.50 Ventilation 34.50 13.50 _ Permit Fee $ ' UU Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in c nsequence of the granting of this permit. q, X Date Z Z / Z signature of A plicant - Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovary 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 OCC2 c E J TOTAL FEE $ 1437.25 HAz DFEES IMP FLDD CDF PARC L PO ISSUE / This permit is hereby issued under sions of the Butte County Code and/or work indicated abo for which fees DI R LIC By PE IT EXP IRES Date -7 the applicable provi- resolutions to do I have been paid. WORKS Date 0 -^ q Receipt No. 1l 59) 7 WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. V �') 7 County Center Drive - Orovllle, California 95965 -Telephone: 916.538-7541 C? )CZ / 7 APPLICATION AND PERMIT ...««no oewi'PI NIIMw w ZONING t OWNER f r•. o. p•e .qel� ')- SS .-W CON-rRAC O^'S NA t ! 1 '-. Cr....- eCT.0 R' .. ,. °96sS LENDER J _R v rs Cie CO Si U�IO N Di7Ar• LENDER'S MAILING ADDRESS OR ENGIN N Rlj(aJce %vf� .. TELEPHONE T n UNKNOWN L ICENSE AR CHITEC I�OR ENGINEER'!''AI LIN '�..DrIR E55 - / BUILDING ADDRESS _ t 3 2 / 1 .4 T .,,Ei /9 0 LOT NO. SUBDIVISION NAME F PARCEL MAP Z1 ?-7-,9 J USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other TYPE OF WORK New `, Additio�� Reynodel ❑ Utilities ❑ Describe work: 2' SPECIFY InstallationEl Other ❑ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F�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 ;Jo. 7-4-9?P-3 f Classification —/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason 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 onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence of the granting of this permit. X Date � Z Signature of Appl cant — Owner D Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Receipt No. U 5— 9// / g WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUILDING PERMIT SO. FT. I OCC.1 BUILDING VALUATION :® 6 D I A I 1 I 2 3z_O 1 $ c�v I .2 / e I- 2e Ord-' _396 Fireplace 'LIQ 300 O Total Valuation $ 33 O L Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee Each Trap 2 5.00 Solar or heat pump water heater 20.00 Water piping 7.00 Each qas water heater or vent e_ 7.00 Gas piping system 1 - 5 outlets _ 5.00 Building sewer 15.00 Mobile Home IS G W 1 015.00 1)5.0L0 7& -J 2,5-e - Z v0 O 7. 75" 15.00 FA Permit Fee $ cf Contractor ELECTRICAL PERMIT Filin Fee 15.00 Main service 600V OR LESS18.50 200A OR LESS 17P /72 G M Main service 200A TO 1000A, 7.50 Cooling NEW CONST.DW' IELLING OCC P.�\ OR ADDNS. (W SLOGS. Hood NE W_C ONST R. -QUIT LOUT LET Tel I @ 5.001 Ventilation (POWER APPARATUS .&) (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 U 764 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ /"Lg.So Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 17P /72 i 100Uig l_ Cooling Hood 6.50 Ventilation 3 A Permit Fee $ 2 °` _ _ Contractor Mobile Home Installation Fee S Energy Inspection Fee DCC CONST TVPE TOTAL 6EE $ ZY,5 7, 2 S HAZ D FEES I IMPS FLOCF CDF I PArL I PD 1 HD 1 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTF,- ,,DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 1" al t 5,q'f/L/3 kA0 &// - 090. 6-/3 OWNER Proposed Building Use d/1- AA Ne ('v S.N 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 ay 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0 Fees of $ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year floodb Cifornia Engineer . .................. a a It 14. Sanitation and plot plan approval ���1eHealth Department . .....:......�� 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Pre -In .. . spection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner )............ AQV-24. Recorded copy of Agricultural Acknowledgement Statement . .................. Z 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... r 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe_n6u issue the Tjg*t, Vr c? as follows: Mail to o e� Mail to contractor. VV Telephone SS ``ii and hold for pickup at 6 0 office. Deliver with inspector. Other om Parcel Creation �� fi` Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. - Fire Dept. Other Date By The following data must be submitted pr"t t er iss an e: ircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ontrac designer, owner, was advised of above required a a -by _ phone _ mail ter by Contractor, designer, owner, was advised of above required data by _ phone _mail Counter by Plans checked by Date `l 0 -Plans approved by L _a Sets of plans on hold in mile cabinet AP folder Copy - Department of Public Works C i Date Date�Z TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance NOTE *** Date Sanitarian Cl - - Location AP# Owner Plan Approved for: Sewage Disposal Water Supply C� �--�- �-E2 [ Water Supply Hold final for: Final clearance O.R. for: Water Supply Clearance for bedroom a home. Other NOTE *** Date Sanitarian COUNTY IOF BUTTE.- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY'CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER Me Ki u A. P. NO. y/ 0 ! Y 3 PROPOSED BUILDING USE t1/1i` 5�� DATE - Z L REC. # DATE REC l3fi School District Fees )0/1 (paid at District Office) ,,,,,,,,,,,,,,,,,,,,,,,,,, C� j � 2. Sheriff Fees (1./V C - (paid at Building Department) Residential .:........X 3 t _$ 36 unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$_ # units amt. Commerical(per sq.ft.) X =$_ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT �� DATE _z 12 2- 7 4 BLITTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Aq Ad IS Building Department No. A.P. Number Ll 1 1-13 Jurisdiction 7/-020 city 0 County Property Owner Ae 4,4d Aet)6, Property Location/Address .9-s Rd AaAd,,-ce- Subdivison* Lot No. z— Residential Developments 'Sq. Footage 2a No. of Living M.Hl 'Addition (Group R) Units Commercial/Industrial Buifd—iyfg qWjaAcqent Rep New Sq, Footage Addition (Floor Plans reviewed by School District Personnel) Distriet Identification No. School District certifies that Date (Applicant) (Including Exterior, Roofed Areas) (Street Address) (Phbne Number) 1,6V (City) (State) (Zip Code) has complied with the requirements of Resolution No. representingoo"" 0 �-/ square feet. School Districtikepresentative Paid by Check Number Remarks: Bank Number. T EA - Paid by Cash b . yp payment of $ Date L 0 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the. School, District is notified by the applicable Local Planning Agency that this project is being . reviewed' under the California Environmental Quality Act (CEQA), this project may be subject to additionalschoolfees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) COBUILDING 67 j RECORDING REQUESTED BY: DAVID MUOLA a MID VALLEY TITLE COMPANY NOTARY PUBLI"ALIFORMA J. Butte County ■ Expires WHEN RECORDED, MAIL TO: My Commission ■ March 22,1995 ■ MELVIN & SHE -ILA KRUG e" o� 6246 PONDEROSA WAY 09% MAGALIA, CA 95954o�G Return to DPW AGRICULTURAL STATEMENT OF AMIOWLEDGEMENT FOR RESID&NTIAL DEVELOPMENT � 92_03a912 Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned JUL 2 1992 for agricultural purposes, and residents of this .property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 discomfort 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 Date. 7- a 3- 9 State ofC�4 ) ) SS. County ofAL • DAVID MUOLA a NOTARY PUBLI"ALIFORMA -s Butte County ■ Expires My Commission ■ March 22,1995 ■ Present A.P. No. / / ^ 9 PROPERTY OWNERS: r� On this the day of , 19 J Z , before me, the undersigned Notary Public, peg ona y appeared Personally known to me. Proved to me on the basis of satisfactory evidence. .to_ be the. person(s) whose_ name(s)_ Cc.✓Z_�'_ . __ subscribed to the within instrument and acknowledged tha 'cs executed the same for the purposes therein ontained.. IN WITi .S WHEREOF, I hereunto set my hand_aigd�offic,Ya)l seal. otary Public DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 23, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 91. RESERVING THEREFROM AN EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES, AS SHOWN ON SAID PARCEL MAP. PARCEL II: A 60 FOOT EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER AND ACROSS THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER; THE EAST ONE HALF OF THE SOUTHWEST QUARTER AND THE WEST ONE-HALF OF THE SOUTHEAST QUARTER OF SECTION 33, TOWNSHIP 22 NORTH,RANGE 3.EAST, M.D.B. & M., WHICH.SAID EASEMENT GENERALLY TRAVERSES THE EXISTING PRIVATE ROAD RUNNING FROM THE NORTHEAST TO THE SOUTHWEST ACROSS SAID PARCEL, SAID EASEMENT BEING FURTHER DEFINED AND SHOWN ON THOSE CERTAIN PARCELS MAPS RECORDED FEBRUARY 29, 1984, IN BOOK 94 OF MAPS, AT PAGE(S) 68, BUTTE COUNTY RECORDS, AND SEPTEMBER 9, 1986, IN BOOK 103 OF MAPS, AT PAGE(S) 90, BUTTE COUNTY RECORDS. PARCEL III: AN EASEMENT FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 17, 1975, IN BOOK 52 OF MAPS, AT PAGE(S) 64. EXCEPTING TIiEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL IV: AN EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 23, 1982, IN BOOK 87 OF MAPS, AT PAGE(S) 91. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL V- A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES 60.0 FEET IN WIDTH, THE CENTERLINE BEING DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTHERLY LINE OF SECTION 33, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M., FROM WHICH THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 33 BEARS SOUTH 87 DEG. 10' 47" WEST, A DISTANCE OF 164.44 FEET, AND RUNNING THENCE SOUTH 28 DEG. 05' 12" WEST, A DISTANCE OF 348.42 FEET, MORE OR LESS, TO A POINT ON THE EASTERLY LINE OF THE NORTHWEST QUARTER OF THE .NORTHEAST QUARTER OF SAID SECTION 33; THENCE CONTINUING SOUTH 28 DEG. 05' 12" WEST, A DISTANCE OF 46.97 FEET TO A POINT; TIiENCE SOUTH 43 DEG. 42' 32" WEST, A DISTANCE OF 637.34 FEET TO A POINT; THENCE SOUTH 27 DEG. 28' 42" WEST, A DISTANCE OF 586.78 FEET, MORE OR LESS, TO A POINT ON THE SOUTHERLY LINE OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 33 AND THE END OF SAID CENTERLINE. THE EXTERIOR BOUNDARY LINES OF SAID EASEMENT SHALL BE LENGTHENED OR SHORTENED TO CONFORM WITH PROPERTY LINES. C7 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 5tairwaq details: landings, rise and run, head clearance, handrails 3306). Guardrail details (Sec. 1711 & 3306(j). r' r stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). 5' Proper roof pitch for roof convering (Chapter 32). 6 -.—Roof covering type - (fire hazard). oam insulation - protection. 36' halls and stairways. 97--ti-ving area over garage - complete 1 -hour separation required%on garage side including supporting walls and posts, etc. 1 -- wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). �� c access and ventilation (Sec. 3205). 1 Underfloor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances - L.P.G. requirements. `equirements on duplexes. <f —r�ner q design. . aching at all exterior openings. responsible area requirements. �4&E -T �wA�-rtis . ia- vp�L-UE ?� �M1�1�Tto�1 G-� 9 R� 2x(p X21 o f� q�C 2 TO— 01CAeo o- 01CAeo PAS . RESIDENTIAL PLAN -CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER K zu C, GENERAL oning requirements: (sideyards and number �! Valuation. 3i ns signed by designer. 4 roper description of work on application. ----Ex ting violations on property. 8/91 Bldg. Permit # A. P. # D Plan CheckerY- of permitted living units). Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Reed no violation. PLOT PL•A ,L,l . p , p Lo T- T—�glete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. her buildings or structures. 4. G1zd`ing, fills, drainage. 5./Flood hazard. 6 l/5pecial conditions on creation map, (noise, ustible, and foundations). FAU & FAS road setback. CDF, fire sprinklers, non -comb - 8. Building or utilities across lot lines (Record form). FLOOR PLAN ]Z,l�omplete to scale plan with dimensions. _� Required windows for light and ventilation (Sec. 1205). :f' /Required windows for second exit (Sec. 1204). d/ lights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). AA/• Requi ed room sizes, ceiling heights (Sec. 1207). 7. FC in baths, garage, kitchen, and exterior outlets (Article 210-8). 8r! Lig t fixtures, switches, receptacles, and exterior receptacles for main - e ante of mechanical equipment. ` 9. L c tions of water heater, heating and cooling equipment, other electrical gas equipment. 1 arage firewall, door size, and closer (Sec. 503(d)(3)). 1 1 - 3'0" exterior exit door (sec. 3304 (f). 1i eplace and wood stove location, alcoves, and clearance. Joke detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1e! Standard bracing or engineered design (Table 25V) mal shape, size, or split level house requiring lateral design. eresto requiring balloon framing and/or engineering. ree story building . requiring engineered calculations and plans. ndation plan complete enough to construct building. 6loor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building o construction details complete enough to construct building. construction details and talcs if necessary. 1fter ties or bearing ridge beam. lrage door or porch header sizes. 14S.d heights. 1Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection required. COMPUTER METHOD SUMMARY' ' Page 1 C -2R Project Title. .".......�J:3RUG Residence Dat&........ 05/28/92 Project Address........ WHITE SPRINGS . --------------------- Zone Type itioned (sf) (cf) Units OROVILLE . ' � | Documentation Author... Robert A. Mangrum | Building Permit # � Company ............ %... Paradise Mech. Design 17000 1.00 Setback Telephone.............. (916) 877-3979/877-0602' ' � Plan Check / Date | Compliance Method...... MICROPAS3 by Enercomp, | I 'c. ' rField C|e��'rDate � | Climate Zone........'... . . . --------------�------ . =============================================================================== | MICROPAS3 v3.11 File-2KRUG Wth-CTZ11 Rrogram-FORM C -2R � � User#-MP1342 _______________________________________________________________________________ . User -Paradise Mech. Design Run-�� ENHANCED / l ================================================================= = ^ MICROPAS3 ENERGY,U SE '. _ UMMARY SUMMARY..... = __________________. -�__��_____. = = Energy Use . Standard Proposed Compliance = = = (kBtu/sf-yr) = _____7_________________ Design ---- _----- Design Margin __________ = = Space Heating.......... 28.93 __________ 19.31 9.62 . = = = Space Cooling.......... 20.27 19.43 0.84 = = Water Heating.......... = 9.81 ________ 15.33 ' -5.52 = = Total' 59.01 ________ ________ .54.07 4.94 ` = = = *** Building complies with Computer - Performance *** i . = = ' ^ GENERAL INFORMATION ~' ___________________ Conditioned Floor Area..... 2080 pf ' Building Type ............ ;._ Slngle Family Detached Building Front Orientation. Front Facing 335 deg (NW), Number of Dwelling Unfts... 1 Number of Building Stories. 1 � ' Weather Data Type.......... ReducedYear Floor Construction Type.... Raised Floor (Package E) ^ Number of Building Zones... 1 ^- 'Conditioned Volume......... 17000 cf ` ^ Footprint Area............. 2080 sf Slab -On -Grade Area......... 0 sf �^ Glazing Percentage......... 21.7 % o+^FA Average Ceiling Height..... 8.2 ft BUILDING ZONE INFORMATION Floor # of Vent ~ Special' Cond- Area Volume Dwell Thermostat Height Vent Area Zone Type itioned (sf) (cf) Units Type . ' (ft) (sf) ______________ _______ _________ HOUSE° ______________ ____________ ______ ----------- ________HOUSE Residence Yes 2080 17000 1.00 Setback 2.0 n/a ` ^ . - . COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......,.. KRUG Residence Date........ 05/28/92 | MICROPAS3 v3.11 File-2KRUG Wth_CTZ11 Program -FORM C -2R � | User#-MP1342 User -Paradise Mech. Design Run-KRUG ENHANCED | ------------ ______________________________-____________________________________ OPAQUE SURFACES . Area U- Insul Act ---Left Fin--- Solar Location/ Form 3 S urface ____________ (sf) ______ value _____ R-val _____ Azmth Tilt _____ Gains Comments Reference HOUSE ____ Surface ___________ _____ ________________ . ---------------- ____________HOUSE Wdth _____ 1 Wall 329 0.059 R-21 335 90 Yes Front wall NONE HOUSE 2 Wall 254 0.059 . R-21 65 90 Yes Left wall NONE ____ 3 Wall 270 0.059 R-21 155 90 Yes Back wall NONE n/a 4 Wall 204 0.059 R-21 245 90 Yes `Right wall NONE 3.0 5 Wall 96 0.059 R-21 245 90 No to garage NONE 3 6 Roof 2080 0.029 R-38 0 O Yes attic R.38.2X12.24 n/a 7 Door 20 0.330 R-2 335 90 Yes front door None n/a 8 Door 20 0.330 R-2 245 90 Yes to garage None 6.0 9 Floor 2080 0.037 R-19 0 0 No to crawlspace FC19.2X8.16 n/a 6 Window 40.0 5.0 8.0 GLAZING ________________ SURFACES n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 52.0 6.6 SC Interior SC n/a n/a Area # of Frame Open U- Act Glass Shade Gls+ Surface ___________ (sf) Panes Type _____ _____ ________ Type ______ value _____ Azmth _____ Tilt Only ____ _____ Type __________ Shade HOUSE n/a n/a n/a 10 Window 52.0 6.6 ~ ------ ____HOUSE 1 Window 20.0 2 Metal Slider 0.65 n/a 335 90 0.77 None 0.66 2 Window 36.0 2 Metal Slider 0.65 335 90 0.77 None 0.66 3 Window 5.0 2 Metal Slider 0.65 335 90 0.77 None 0.66 4 Window 58.0 2 Metal Slider 0.65 335 90 0.77 None 0.66 5 Window 58.0 2^ Metal Slider 0.65 65 90 0.77 None ` 0.66 6 Window 40.0 2 Metal Slider 0.65 65 90 0.77 None 0.66 7 Window 52.0 2 Metal Slider 0.65 155 90 0.77 None 0.66 8 Window 40.0 2 Metal Slider 0.65 155 90 0.77 None 0.66 9 Window 86.0 2 Metal . Slider 0.65 155 90 0.77 None 0.66 10 Window 52.0 2 Metal Slider 0.65 245 90 0.77 None 0.66 11 Skylight 4.0 2 Metal Fixed 0.58 335 0 0.77 none 0.77 OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface ___________ (sf) _____ Hght _____ Wdth _____ Dpth ____ Hght ____ Ext ____ Ext ____ Ext ____ Dpth.Hght ____ Ext Dpth Hght HOUSE ' ____ ____ ____ ----- ___HOUSE 1 Window 20.0 4.0 5.0 8.5 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 36.0 6.0 3.0 8.5 0.5 n/a n/a n/a ^ n/a n/a n/a n/a n/a 3 Window 5.0 3.0 0.8 8.5 0.5 n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 58.0 6.0 4.0 2.5 1.0 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 58.0 6.0 4.0 2.5 1.0 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 40.0 5.0 8.0 1.5 1.0 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 52.0 6.6 8.0 2.5 1.0 n/a n/a n/a n/a n/a n/a n/a n/a 8 Window 40.0 6.6 6.0 2.5 1.0 n/a n/a n/a n/a n/a n/a n/a n/a 10 Window 52.0 6.6 8.0 2.5 1:0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... KRUG Residence nate........ 05/28/92 | ` MICROPAS3 v3.11 Fife-2KRUG Wth-CTZ11 Program-FORQ C -2R | | User#OMP1342 User -Paradise Mech. Design Run-KRUG ENHANCED | ------------------- _.............................................................. [HERMAL MASS HVAC SYSTEMS Area Thick Heat Conduct- Surface System Type ________________ Mass Type (sf) (in) `Cap ivity R -value R7value Location/Comments HOUSE ______ _____ ----- -------- ___----- -------------- ____________ 1 InteriorHorz 164 1.5 24.0 0.67 R-0.0 tile: kitchen & baths 2 InteriorVert 52 4.0 21^0 0.59 R-0.0 fireplace: living room HVAC SYSTEMS WATER HEATING SYSTEMS Minimum Duct Duct Duct System Type ________________ Efficiency ____________ Location � ____________ R -value _ _______ Efficiency, ----------- _________HOUSE HOUSE Storage --- -------- HeatPump 8.0 HSPF Crawlspace R-5.79 0.835 Heatpump 12.50 SEER Crawlspace R75.79 0.868 WATER HEATING SYSTEMS SPECIAL FEATURENREMARKS --------------------------- V _______________________ ` Capa- R-12 or Pilot System # of city Greater Effic- Standby Input Size ' Type __________ Heat (gal) ____ _____ Blanket iency Loss Rating _______ ___________ ______ (Btuh) Credits Storage --- -------- ________ ----------- _______Storage Electric 1 50 Yes 0,91 RE .8% 4.5 kW n/a Recovery SPECIAL FEATURENREMARKS --------------------------- V _______________________ ` ` . . ^ . `. . ^ . CERTIFICATE OF COMPLIANCE: RESIDENTIAL ====================.==�====�=�=============================�=================== Page 1 CF-1R Proje't Title..,....... KRUG Residence Date........ 05/28/92 Project Address ... Q.... WHITE SPRINGS' --------------------- 4.0 Yes ^ ' ^ 'OROVILLE | � Documentation Author... Robert A. Mangrum ^. ^ | Building Permit # | Company!............... Paradise Mech. Design | Telephone.............. (916) 877-3979/877-0602 . | Plan Check / Date | Compliance Method...... MICROPAS3 by Enercomp, Inc. | } Field Check/ | Date | Climate Zone........... =============================================================================== 11 --------------------- � MICROPAS3 v3.11 File-2KRUG Wth-CTZ11 Roof | User#-MP1342 ______________-------------------- .Progr'am-FORM User -Paradise Mech. Design __________-______________________________ Run-KRUG ENHANCED, � GENERAL INFORMATION ' Door Conditioned Floor Area..... 2080 sf Building Type.............. Single Family Detached Building Front Orientation. Front Facing 335 deg (NW) Number of Dwelling Units... 1 Number of'Stories .......... 1 - Floor Construction Type..... Raised Floor (Package E) � Infiltration Control....... Standard . . BUILDING SHELL INSULATION ^ Area Thickness Hard Surfaced/ ' _________________________ (sf) (in) Exposed _ Location/Comments InteriorHorz Component ------- ________ . 1.5 . Yes Insul InteriorVert - . . 52 , 4.0 Yes ^ ' ^ Type R -value Location/Comments ' Wall ~ R-21 _ __________________Z_ Front wall, Left wall,.Back ___________ . . wall ' � Right wall, to garage Roof R-38 attic Door R-2 front door, to garage Floor R-19 to crawlspace . GLAZING ' . Glazing Area # of Interior Exterior � Framing Orientation ___________________ (sf) ______ Panes Shading _____ __________ Shading ______________ Overhang ________ Type Window Front (NW) 119.0 2 None None Yes ----------- _______Window Metal Window Left (NE) 98.0 ' 2 None ' None Yes Metal Window Back (SE) 92.0 2 None None As 'None Metal Window Back (SE) 86.0 2 None None Metal Window Right (SW) 52.0 2' None None Yes Metal Skylight Horz 4.0 2 none None None ' Metal THERMAL MASS Area Thickness Hard Surfaced/ ' Type ' ____________ (sf) (in) Exposed _ Location/Comments InteriorHorz ______ 164 ------- ________ . 1.5 . Yes ________________________ tile: kitchen & baths InteriorVert - . . 52 , 4.0 Yes ^ ' fireplace: living room � ` CERTIFICATE OF COMPLIANCE: RESIDENTI�L Actual Page 2 CF -1R ProjectTitle.......~.. KRUG Residence Efficiency ___________ Date........ 05/28/92 | MICROPAS3 v3.11 ` File-2KRUG Wth-CTZ11 Program -FORM CF -1R ` | | User#-MP1342 ------------------------------------------------- User -Paradise Mech. Design Run-KRUG ENHANCED | ____________________ 48000 ASSUMED HVAC ----------------------- ___________________Assumed SYSTEMS Assumed Duct Duct ' Assumed System _______________ Efficiency ____________ Location _____________ R -value ' HeatPump 8.0 HSPF Crawlspace _______ R-5.7 Heatpump 12.50 SEER Crawlspace R-5.79 ACTUAL HVAC SYSTEMS WATER HEATING SYSTEMS - Tank R-12 or � # of Vol Greater Manufacturer -and Model # Energy System Type Heat (gal) Blanket (or approved equal) Creddts ____________________ ____ _____ _______ ____________________________ ------------ Storage; _________ Storage, Electric 1 50 Yes Recovery SPECIAL FEATURES/REMARKS _= ------------------------ Actual Output Manufacturer and Model # Actual System _______________ Efficiency ___________ (Btuh) ________ (or approved equal) ' ---------------------------------- _________-___________________-__Heating Heating 8.0 49500 CARRIER 40YZM006 Cooling 12.5 48000 CARRIER 38YR048-30 Cooling Coil CARRIER FAN COIL CEC Maximum ` output for Gas Central Furnaces:Btuh r' WATER HEATING SYSTEMS - Tank R-12 or � # of Vol Greater Manufacturer -and Model # Energy System Type Heat (gal) Blanket (or approved equal) Creddts ____________________ ____ _____ _______ ____________________________ ------------ Storage; _________ Storage, Electric 1 50 Yes Recovery SPECIAL FEATURES/REMARKS _= ------------------------ Ll D m CL m w rT 1% -17 D 7; z 5- cr - - -1 (-.! -i M F- T, 1" C-3 Z :T CL 0 �u !�. :111- LES :L; -8,n to fl CL 9 B :T Or 13 11 0 & �-- s 0 rD r.. I'D .3j R! T rt M n -, Lr.. U) :3 T 7 7 DO r- ri- Ln & rl- -f-; rj -ti U -j 0 CI rp rn. n -< n cy Ln., bu J: rL, y n rl- 7 :7 fa OD W GI Z W w m PI 00 1 31! 4 F) - r- P�- rn u t! r i1r. DL; ip Eu n 6 Tr r vu x•11111 a r0 rt r9 C -0 :T. 0 ,Ll 7;: r! n m rt D D.; a.. if B n j Cl. '- i-. it 'U. 'T: 1 Cl & 0 Mi .7 to 5: 0 i:E i 13, Z, rL 1 0 D i 7 m is TD -V r F -D. -.- i --q rt ::r 17- U-1 T D z -, EL 13 tE1 Fil 0 f -D B E: L111 to 1 M... C3 S :3 D fu :3 -0 A Ln. ;:u LOI 9D W, Mill I'l 7 0 al r, 9ul. 7 0 D 0 w s DID 5- iw M M M RO ".2 7 a ru :11 U, In < Fill w n q q 2 i FT7! - *i 7.0 M I ' A r - T! 13 > 0, 0 ru 1,Y) < E�- ELI K ro rD E is 0 n T m 71 5- cr - - -1 (-.! -i --- '-, 7 D- D- y t^n_: F. -8,n to :T Or 13 11 0 & �-- s 0 rD r.. < 1-1 Ul f -i rD- R! T rt M n -, T 7 7 DO r- & rl- -f-; rj -ti U -j 0 CI rp rn. n -< n cy Ln., bu J: rL, y n rl- 7 :7 fa D., IT r11 :j rn u t! Eu n 6 Tr r vu x•11111 a r0 rt r9 C -0 0 :D 7 rt D D.; a.. if B n j Cl. '- i-. it 'U. 'T: 1 Cl to 5: 0 i:E i 13, Z, 0., ^U EY -0 B -' - r- — -4 is TD -V r F -D. -.- i --q rt ::r 17- Eu CT rb 6. E 1 -, EL 13 tE1 Fil E: L111 to 1 M... ;:u LOI 9D W, I'l 7 al r, 9ul. 7 0 D 0 w s DID 5- 0 M M G ".2 7 a ru :11 U, In < w n q q rt 0 0 1-0 0, 0 ru < E�- ELI ro rD E is 0 n m 71 HVAC SIZING . ' 2080 sf Page 1 HVAC Project Title.......... KRUG Residence - Date........ 05/28/92 Project Address........ WHITE SPRINGS � --�--_--------------- . Latitude,...............~.. OROVILLE '. Winter Outside Design...... Documentation Author... Robert A. Mangrum 1 Building Permit # 1 Company................ Paradise Mech. Design � . ! ; Telephone.............. . (916) 877-3979/877-0602 | Plan Check / Date | Compliance Method...... . MICROPAS3 by Enercomp, Inc. | � Fie�d Check/ | Date | Climate Zone........... 11 / -------------------- 0:30 ' } MICROPAS3 v3.11 File-2KRUG Wth-CTZ11 Program -HVAC SIZING | | 'User#-MP1342 ------------------------ ^ User -Paradise SAL Design _------------- _________________________________________ . Run-KRUG ENHANCED | GENERAL INFORMATION Floor Area ................ � . 2080 sf ' Volume..................... 17000 cf ' ' Front Orientation.......... Front Facing 335 deg (NW) Sizing Locatipn............ OROVILLE RS . Latitude,...............~.. 39.5 degrees '. Winter Outside Design...... 30 1: -- Winter Winter Inside� Design....... 70 F . . Summer Outside Design...... 104 F ^Summer Inside Design....... 75 F ^ _ . Summer Range............... 37 F . . Shading Uged... ......... ..!..,Y�s .' ^ . Latent Load Fraction....... 0:30 ' - ' HEATING AND COOLING _______________-_________ LOAD SUMMARY Heating . .Cooling ' Description (Btuh) (Btuh) _________________________________ OpaqueConduction and Solar...... ---- _------ 8723 ------------- __________Opaque 5076 Glazing Conduction............... 11715 ' 8493 . Glazing Solar..........:......... n/a 17672 infiltration ............... 1..... 9670 4668 ' Internal Gain..... . ....^......... n/a 2100 Ducts............................ 3011 ' 1900 Sensible ioad.......'............ . 33118 39910 - ` ' Latent Load...................... n/a 14973 . Total Load ___________ ' .33118 � ________�__ ~ '- 51883' Note: The loads shown are only one of the criteria aff^cting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdo6r, design temperatures, coil sizing, ivai.lability of equipment, oversizing'safety margin, etc.. must also be/considered. It is the HVAC designer's responsibility to consider all factors'when selecting the HVAC equipment. ^ . CEC Maximum output applicable for gas central furnaces only , ^ ^.. � ^ . rCarti�r Product Data . ,,opytight 1991 Gw`rierCorporation 38YR (60Hzd Feat Pump Sizes 018 thru 060 The 38YR Outdoor Sections of Split -System Heat Pumps are designed for quiet, reliable heating during the winter and cooling during the summer. These heat pump systems provide economy of operation through energy conservation. They recover heat for indoor comfort from outdoor air during the heating season and, b automatically reversing the refrigerant system, remove indoor heat and excess humidity during the cooling season. All models are 20N 230 volts, single phase, 60 hertz, : nd are listed with ARI, UL and CSA. FEATURES/BENEFITS Compressor — This unit features a scroll compressor. This compressor is significantly more efficient than conventional compressors, especially in the heating mode at low -ambient temperatures. Its simple design offers improved reliability. Each compressor is mounted on rubber isolators for additional sound reduction. The scroll compressor does not require a crankcase heater and will start under most system loads, thus eliminating the need for start assistance components. For improved serviceability, the 018 through 01`x, models are equipped with a compressor terminal plug. Continuous operation is approved down to —30 F (-34.4 C) in the heating mode and down to 55 F (12.8 C) in the cooling mode. (Se -:- heating and cooling performance tables.) The scroll compressor is covered with a standard 10 -year r limited warranty. Built -In -Reliability Components — Includes a suction tube accumulator that keeps liquid refrigerant from Form 38YR-2PD Perfounance data continued SEER---Seaso•.',al Energy Efficiency Ratio LOP-Coeffi,Jent of Performance 4SPF-Heating Seasonal Performance Factor 'YC --Total ^.•;ipacity (Btuh) *:ratings are net values reflecting the effects of circulating fan heat. Supplemental electric heat is not included. Ratings are based on: Conling Standard: 80 F (27 C) db 67 F (19 C) wb indoor entering air temperature and 95 F (35 C) db air entering outdoor unit. High -Temp Heating Standard: 70 F (21 C) db indoor entering air temperature and 47 F (8 C) db 43 F (6 C) wb air entering outdoor unit. Low -'Temp Heating Standard: 70 F (21 C) db indoor entering air temperature and 17 F (-9 C) db 15 F (-10 C) wb air entering outdoor unit. tOutdoor sect'onrindoor section combination tested in accordance with DOE test procedures for heat pumps. Ratings for other combinations are de- termir�Rd unriar ,BOE computer simulation procedures. r u ARI STANDARD RATINGS` Cooling Heating Seasonal Efficiency High -Temp Low -Temp OUTDOOR i APPROVED Seasonal Sound UNIT INDOOR With TXV Efficiency Rating TC COP TC COP 38YR UNIT CFM TC (SEER). HSPF (Bets) 40YA/YAM042t 1500 41.500 12.00 42,500 3.40 27,000 2.40 7.80 7.8 40YA/YAM048 1500 42,000 12.10 42,500 3.40 26,800 2.40 7.80 7.8 40YR/YRM042 1500 40.000 11.50 41.500 3.12 26.600 2.28 7.30 7.8 40YR/YRM048 1500 41.000 11.80 42.000 3.32 26.600 2.38 7.60 7.8 40QBS/QHSO42 1500 39,500 11.60 42,000 3.32 26.800 2.34 7.60 7.8 ' 40QB/QH043 1500 40,500 11.80 42,000 3.34 26,800 2.38 7.70 7.8 40OBS/QHSO48 1500 40,000 11.30 42,000 3.34 27,200 2.34 7.60 7.8 40QB/OH049 1500 41,000 11.60 42,500 3.32 27,000 2.36 7.70 7.8 28RDS/RNS142 1500 38.500 11.40 41,500 3.16 26,600 2.30 7.40 7.8 28RDS/RNS242 1500 40,500 11.90 41,500 3.22 26,400 2.32 7.50 7.8 042-30 28RDS/RNSO43 1500 41,000 12.00 42,000 3.30 26.600 1 2.38 7.60 7.8 28RDS/RNS143 1500 41,000 12.00 42,000 3.30 26,600 2.36 7.60 7.8 28RDS/RNS248 1500 40,500 12.00 41,500 3.26 26,600 2.36 7.60 7.8 28RDSO48 1500 39,500 11.70 42.000 3.28 26.600 2.36 7.60 7.8 '28RDSO49 1500 41,000 12.00 42,000 3.34 26.600 2.40 7.70 7.8 28RHO42 1500 38,500 11.50 41,500 3.18 26,600 2.30 7.40 7.8 28RHO48 1500 39,500 11.70 42,000 3.30 26.600 2.36 7.60 7.8 28RM048 1500 39.500 11.70 42,000 3.22 26,600 2.32 7.50 7.8 28SLO42 1500 39,000 11.50 41.500 3.16 26,600 2.30 7.40 7.8 28SLO49 1500 41,000 12.00 42.000 3.30 26,600 2.38 7.60 7.8 40YZ005 1490 41,000 12.20 39,000 3.40 26,400 2.40 8.00 7.8 40YZM005t 1375 47,000 12.00 49,000 3.30 31,400 2.48 7.70 7.8 40YZM006 ' 1600 48,000 12.50 49,500 3.64 31,800 2.64 8.00 7.8 28ROSIRNSO49 1700 47,000 11.50 49,000 3.24 32,000 2.44 7.50 7.8 28RDS/RNS057 1700 46.500 11150 49,000 3.24 32,000 2.44 7.50 7.8 28RDSIRNS061 1700 47,000 12.00 49,000 3.36 32,200 2.44 7.70 7.8 28RDS/RNS148 1600 45,000 11.00 49,000 3.24 32,200 , 2.44 7.50 7.8 28RDS/RNS248 1600 45,000 11.00 49.000 3.12 31,600 2.38 7.30 7.8 28RHO48 1600 45.000 11.00 49,000 3.24 32,200 2.44 7.50 7.e. 048-30 28RHO60 1700 46.000 11.50 49,000 3.24 32,000 2.44 7.50 '.5 28RM048 1600 45.000 11.00 49,000 3.10 32.000 2.38 7.20 7. 28SLSO49 1700 46.000 11.50 49,000 3.22 32.000 2.44 7.50 7.8 28SLS061 1600 48.000 12.00 49.000 3.38 32,200 2.50 7.70 7.8 40YAM/YAF048 1700 47,500 11.50 49,000 3.28 32,400 2.46 7.60 7.8 40YAM/YAF060 1700 48,000 11.50 49,000 3.46 33,000 2.50 7.80 7.8 40YR/YRU/YRM/ YRF/YRG048 1600 45,500 11.00 49,000 3.18 32.000 2.40 7.40 7.8 40YR/YRU/YRM/ YRF/YRG060 1700 47,000 11.50 49,000 3.38 32,800 1 2.46 7.70 7.8 40YAM/YAF 060 2000 58,000 11.70 60,560 3.32 40,500 2.52 8.00 7.8 40YR/YRU/YRM/ YRF/YRG 060 2000 55,000 10.80 59,000 3.04 40,500 2.36 7.50 7.8 060-30 28RDS/RNS 061 2000 57,000 11.50 59,000 3.12 39,500 2.44 7.60 7.8 28RDS/RNS 057 2000 55,000 11.10 58,000 3.04 39,500 2.40 7.50 7.8 40YZM006t 1600 56,500 12.10 60,500 3.40 38,500 2.66 8.25 7.8 28SLS061 2000 57,000 11.50 59,000 3.14 40,000 2.46 7.60 7.8 SEER---Seaso•.',al Energy Efficiency Ratio LOP-Coeffi,Jent of Performance 4SPF-Heating Seasonal Performance Factor 'YC --Total ^.•;ipacity (Btuh) *:ratings are net values reflecting the effects of circulating fan heat. Supplemental electric heat is not included. Ratings are based on: Conling Standard: 80 F (27 C) db 67 F (19 C) wb indoor entering air temperature and 95 F (35 C) db air entering outdoor unit. High -Temp Heating Standard: 70 F (21 C) db indoor entering air temperature and 47 F (8 C) db 43 F (6 C) wb air entering outdoor unit. Low -'Temp Heating Standard: 70 F (21 C) db indoor entering air temperature and 17 F (-9 C) db 15 F (-10 C) wb air entering outdoor unit. tOutdoor sect'onrindoor section combination tested in accordance with DOE test procedures for heat pumps. Ratings for other combinations are de- termir�Rd unriar ,BOE computer simulation procedures. r u ,q1f 6 Certificate of Compliance: Residential Climate Zone 11 R -MAF Project Address IGQD 8 ©N F� BUILDING DATA Conditioned Floor Area SD $O Number of Stories Slab/Raised Floor R41s P - Number of Units Single Fami?y Detached (SFD) [ ] Addition Alone ] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULA110N Component Insulation LocaYlon/Comments Type R -Value (SWC, to garage, paicri. etc.) Wall .............. 2� Wall .............. Roof ............. Roos' ............. Floor ............. Floor ............. _ Slab Edge..... - GLAZING Shading Devices 92-1-74-1 Building Permit # 'iL14- Cte&ed By / Date Erdiorcement Altency Use Only Glazing Area Glass Type Interior Glass Area % Glass North 1 O 'a. -,2- East East North ( ) 10 c tf,% _ South -74- e14- West West Skylight East Total r+ T -� Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (singic double) (Jolla blind. etc.) (shndewreen, etc.) (yeslno) (metallwood) North ( ) 10 c tf,% _ aN1T't_ North ( ) East East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/DCSCr7ption (kitchen, bath, etc,) n '1►... Al R.tc-tt- S7- 4,0— POG PuAc'_ HVAC SYSTEMS Minimum Duct ` Type (l=ace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, hent pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) r P, S. v v vocQ F s; �9 CA 16th �YzMoo� Z �t_I V cy l U, r-- o Ct `L- G�rlt�{E i � 60( c -- Maximum Fumace Heating Output: $OD Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) � � �� • �� ��GOVF��f S`l�fLM Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measuaw regardless or the compliants approach used. Items marked with an asterisk (•) may be superseded by mare stringent complianoe requirements listed on the Cenificate 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 documenu or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. 62-5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R.I I weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor uansmission rate no greater than 2.0 pennfuch. §2.5311: Insulation specified or installed meets Caltfomia Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Inftltratiort/Exfolttation Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and penetruions caulked and sealed. 12.5352(e): Special infiltration barrier installed tocomply with §2.5351 nwm CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control _ 2. No continuous bursting gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thertnoux on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -furl space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanks (R.12 or greater) or combined interiortexterior insulation (R.16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return At recirculating piping. §2-53 18(d): Swimming Pool Heating I. System has: a. Onloff switch on heater. b. weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.5352(1): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition device. 12.5314(a): Refrigerators, refrigerator. freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. i COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter2, Subchapter4. 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 say subsequent purchaser of the building. r Designer - .. Narnle: 1 TukJFirrn /jam �` C1=7o, its L ldv ,%7R e Address: Teleplwnc Pi .3— tic. 4: 7_4='a 3 / (signature) (date) Documentation Author Building Owner Name /,.-A-- c= L 'ke0& TitlOFtrm- ®W Ne.re_ Address: l0 7_44 7 6Z)e_� W ce'4 y 42&q, c.1A 0 . Telephone &73- s T (signature) (date) Enforcement Agency SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) 'Lk/ Name: TitleJFtrtn Agency: Address: Teleolsonc 1. Ceiling Insulation Insulation In Floor Number of stories Single- Number of stories Family R -value One Two Three _ R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value -114 -76 0.50 -91 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 Insulation In Floor Number of stories Single- Single - Number of stories 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 _ 1 1 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 S. Inriltration (Air Leakage) . Insulation In Floor Number of stories Wad n -value • Number of stories Two 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 Number of Stories 0.30 or R -value - 0.60. -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 .0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace S. Inriltration (Air Leakage) . Raised Floor Number of stories Wad n -value • Ono- Two Throo R-0 -11 -7 5 R-5 -4 -4 3 R41 -2 -2 -2 1 R49 -1 -2 -2 4. Slab Edge Insulation :Percent -- .51 to Alto Number of Stories 0.30 or R -value One- Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 8 35 -75 -29 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 S. Inriltration (Air Leakage) . Raised Floor Specification Wad Family ': Far* Effective Percent Glass Pointt ; Stand" 4"reent slam x SC) +•z- .__._._� Three ) i +- 1 Effective - 'q�5 - -4 6. buss Heat -Loss �• • 4 (Per cut suss x SC) ,' ; Tow _ _ -_ _- _._ U -value _ _ :Percent 1 4 .51 to Alto .31 to 0.30 or Glass Single Double .60 .50 .40 less ' 50 -121 --53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 ' -18 -10 --2 5 . 13 27 -52 -17 _ -9 -2 6 13 26 -49 ' -15 - - -8 -1 7 - 14 , 25 -46 -14 -7 0 ' ' 7 14 24 --43 •-12 - -5 1 8 14 23 �7-;40 -11 •-9 -4 2 8 15 22 37 0 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0_ 5 10 16 19 -29 -4 1 6 11 16 -18 -26 3 _ 2 - 7 12 16 17 -23 -1 3 --8 -5 12 17 16 -20 0 4 9 13 17 ~15 -17 1 - 6 " 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 �13 16 .19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 ' 8 - 2 -- 12 ---14 16 18 20 _ 7. Shading (Shade Open) Raised Floor Mass _ - Stories Wad Family ': Far* Effective Percent Glass Closed) ; Three 4"reent slam x SC) +•z- .__._._� Three ) 3 n:. -u= 2 1 Effective - 'q�5 - -4 - • 4 (Per cut suss x SC) %Glass North East South West Skyrght 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 $- 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 4 -1 2 0 -1 -2 -4 -2 0 na - not allowed 13 _ 13 -� 6.5 6 9 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass _ - Stories Wad Family ': Far* �6. Shading (Shade Closed) ; Three One Two Three ) 3 n:. -u= 2 1 Effective Peremt Glass - 'q�5 - -4 - • 4 (Per cut suss x SC) -1 --%Gbu Norb -Eat SM& ` .West SkAhl 18 --14 -13 12 48 dig x-64 i'0. na 16 -12 -42 -59 55 na 14 -10 35 -50 -46 na 12 -8 - -29 -40 -.,-37 na 11 -7 -26 36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 •17 -23 -21. -56 6 7 25 0 3 5 7 7 8 3.0 1-=• 4 6 5 -2 -9 -11 -10 -30 4 -i -6 -8„ -7 23 3 0 alt -5 4 -16 2 1 -1 -2 j, -9 1 1 1 1 1 -4 0 2 3 4 .3 0 na • not allowed 13 _ 13 -� 6.5 6 9 10 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass _ - Stories Wad Family ': Far* Stories Masa /CFA One Two Three One Two Three ) 3 n:. -u= 2 1 --'0.40 - 'q�5 - -4 X0.0 n • -8- 5 • 4 -2 -1 -1 0.75 10 3. 3 1.20 -13 12 -`0.3-"- _7 -4 '--.-2 -,,1.40 1.60 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 e3 --•r6 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 Eulerior x 15irale. ? - Simple- Sum of 15 Wad Family ': Far* Mule ' Masa Detached Attached Famffjr ' 0.00 0` 0 0 0.20 3 n:. -u= 2 1 --'0.40 - 'q�5 - -4 -3 • 0.60 _ sass. 8 _.. 6 4 :o00 -A%3.-13 �.,x � 0.75 10 3. 3 1.20 -13 12 8 -,,1.40 1.60 -412 .-_,.-13 9 :. 11 , ;. 1.80 .,,,,10 -.�., .,; X13 12 12 : 200 .10 10 :M "11 13 10 ` 8 7 5 •--- -r.. -sass. ,. " - .. 17 '•15 11. Heating System , r:, SE or HSPF (assumes duets In &tale) Zonal Control Adjustment _ - System Type Resistance 10 9 7 - 6 4 3 Other 6 5 -- 4- 3 2- 2 .1l Sum of 15 East • c. 12. Cooling Syst,m d. -25 or -24 to -14 b 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 87 6 5, 4 3 0.85 7.79 13 ` 11 10 ` 8 7 5 0.90 8.25 17 '•15 13 Al 9 7 0.95 8.71 -20 '18 _ 15_•13 11 8 0 0 0 0 Effective SE or HSPF 0 10.0 (SE or HSPF x duct eMdency) 2 Effective -25 or ,24 b 44 b 410 +610 16 or SE HSPF lest 15 -6 +5 +15 more 0,30 275 -73 54 -56 -47 - -38 30 na 3.41 -45 39 . 34 -2y -'L4 -18. 0.40 3.67 -34 '-30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 - 19 16 13 10 0.90 8.25 32 -28 -24 - 20 17 - 13 1.00 9.17_ 37 - 32 28 24 19 15 Zonal Control Adjustment _ - System Type Resistance 10 9 7 - 6 4 3 Other 6 5 -- 4- 3 2- 2 Point System Summary: Climate Zone 11 _ SCORE CARD Measures 1. Ceiling Insulation --` `3-0- or� - - - R -value (38] U -value [0.030] - 2. Wall Insulation A-tWA9-- or R -value [ 11 J 1.1 -value [0.098] 3. Raised Floor Insulation or - _... R-val e [ 9] - . or [0.037] 4. -Slab Edge Insulation or _ R -value [0] ._ _ F2 factor [0.77] S. Infiltration Standard _ • _ . - - •, _ _ . 6. Glass Heat Loss D QL_ - - 20 ' S - Type [double] U -value [0.65] - % Total Glass [ 161 7. Shading (Shade Open) a. . North b. East �C. South d. West �1 • e. Skylight �8. Shading (Shade Closed) a. .1l b. East • c. 12. Cooling Syst,m d. ' West e. Skylight SEER Interior MasslCFA (assume, duets In stde) Sun of 7-10 -25 or .24 b ►14 b -4 to +6 b 16 or SEER less .15 5 t 5 +15 more 8.0 -14 .12 -10 -8 -6 -4 . 8.5 -9 .7 -6 -5 -4 3 9.0 -4 3 2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 -1 J 10.5 7 6 5 4 3 2 1 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 50% 1 -60% 6946 70% 75% t10% E1radve SEER 90% 9S% 100% 105% 110% 115%-120% 125- (SEER xAuct efficiency) 0 0.2 ;;Im of 7-10 0.6 0.6 Effective -25 or 2A u -1410 -4b +6 b 16 or SEER lest -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -43 -9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 -.4 -4 -3 - --2 -2 7.0 0 0 0 _0 0 8.0 9 8 6 5 4 - 3 9.0 16 14 12 9 7 -5 1 10.0 22 19 16 13 10 7 5.2 11.0 26 23 19 15 12 8 1 120 30 26 22 18 14 9 22 13.0 33 29 24 20 15 10 3.5 3.7 Zonal Control Adjustment 4.1' 4.3 4.5 4.6 10 8 7 6 4 3 30% 0.5 No Cooling System Installed 0.9 1.1 -Stories 1.6 1.6 2 22 c One -5 -4 -4 3 -2 -2 Two + 3 3 .. 2 2 2-- 1- Single-Fatun7 Detached and Attached 4.5 Unit Size (sQ 4.9 Water t 19J 12001 -1700 2200 2700 Heater Credit a .� b to to or Type Type less 11699 2199 26M more SGNone 0 :' 0 0.. 0 0 or Solar 12 " 8 6 5 4 HP HWR 8 5 4 3 3 59 WS8 5 3 3 2- 2 13 POU 8 _ 5 .-4 3 3 SE None 37 -24 -16 -15 -12 82 Solar -1 -1 - 0 0 42 HWR -18 -12 -9 -7 *-6,4 ' 5.5 WSB.. -25 -16 -12 -10' �'-8 0.9 P0�1 _-1j42 -9 -7 . -6 IG None -5 -3 -2 -2 -2 3 Solar 7_' 5 -4 3 . 2 ' ( POU . 3 2 1 1 1 IE Nwle -20 -19 -.14 =11 -9 6.2 60% 1 12 1.4 : POIU 40 ' -6 5 -4 3 2.7 Muld-Fam111 (individual units) 3.1 3.3 Unit size(s 3.6 4 Water 00 700 12oo 1700 2200 Heater Credit or b b b or Type Type - tots 1199 1699 2199 more _- SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.9 WSB 9 4 3 2 2 5.9 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 25 Solar . 2 1 1 0 0 35 HWR.'23 -12 -8 -6 '-5 j , WSB -25 -13 -8 A '-5 QQU_� -aL--6_ 58 - .s IG J None --8 -4 -3 .-6 -2 ` .2 1.7 Solar �.' 6 3 2 1 !• 1 _ . POU 1' 0 - 0 0 0 (E None . 30 -15 _ -10 -8 5 Solar 18 9 6 4 4 SA POU -8 • -4 -3 -2 -2 Point System Summary: Climate Zone 11 _ SCORE CARD Measures 1. Ceiling Insulation --` `3-0- or� - - - R -value (38] U -value [0.030] - 2. Wall Insulation A-tWA9-- or R -value [ 11 J 1.1 -value [0.098] 3. Raised Floor Insulation or - _... R-val e [ 9] - . or [0.037] 4. -Slab Edge Insulation or _ R -value [0] ._ _ F2 factor [0.77] S. Infiltration Standard _ • _ . - - •, _ _ . 6. Glass Heat Loss D QL_ - - 20 ' S - Type [double] U -value [0.65] - % Total Glass [ 161 7. Shading (Shade Open) a. . North b. East �C. South d. West �1 • e. Skylight �8. Shading (Shade Closed) a. North b. East • c. South d. ' West e. Skylight Interior MasslCFA /l•7O1K'�'t) Iearv.ted slab) _ 11 TYPE I WS 101MC • 4.2• t esod slab) et ,s�� 0% 5% 10% 15% 20% 25% Sox 35% 40% 4S% 50% 55% -60% 6946 70% 75% t10% es% 90% 9S% 100% 105% 110% 115%-120% 125- 09. 0 0.2 0.4 0.6 0.6 1.1 1.3 1.5 1.7 1.9 21 23 25 .2 .7 _ 29 32 3.4 _ 3.6 _ 3.6 �4 4.2 4.4 4.6 4.6 5 53 10% 0.2 0.4 0.6 0.6 1 1.2 1A 1.6 12 Z1 23 2.S 27 2.9 a1 • 3.3 IS 3.7 1 4.2 4.4 4.6 4.6 , _ 5 5.2 54 - 20% -0.3 0.6 0.6 1 1.2 1.4 13 1.6 2 22 24 27 29 3.1 3.3 3.5 3.7 19 4.1' 4.3 4.5 4.6 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 24 26 20 3 32 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 12 1.5 1.7 1.9 22 24 2.6 2.6 3 3.2 3.4 3.6 3.6 4 4.3 •4.5 4.7 -4.9 5.1 5.3 5.5 5.7 59 90% 0.9 1.1 1.3 13 1.7 --1.9 21 2.3 25 27 3 82 3.4 3.5 3.6 4 42 -4.4-4.6 4.6 _-S.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 2.4 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.9 6 6.2 60% 1 12 1.4 1.7 1.9 21 2.3 2S 2.7 29 3.1 3.3 3.5 3.6 4 4.2 4A 4.6 4.6 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 2.6 3 9.2 3.4 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 22 25 27 2.9 3.1 3.3 35 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 23 27 3 3.2- 3.4 16 3.6 4 4.2 4.4 4S--4.8 5.1 5.3 &S _ 5.7 SA 6.1 6.3 6.5 60% 1.4 1.6 1.6 2' 22 2.4 26 2.6 3 3.3 9.S 9.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 64 6 6 65% 1.4 1.7 1.9 2.1 23 25 2.7 29 3.1 3.3 3.4 33- -3.6 3.6 3.6 4 4.1 4.2 4.4 4.6 4.6 5 5.2 54 5.6 S 9 6.1 6.3 65 67 90X' 95% 1.5 1.6 1.7 1.6 2 2 2.2 22 24 2S 26 27 3.6 29 3 3.1 3.2 33 9.S 3.7 32 ,4.1 4.3 4.3 4.5 4.6 4.7 4.9 4.9 5 5.1 5.2 63 5.4 5.5 5.6 5.7 5.6 6 6.2 6.2 6.4 6.4 66 6.7 68 69 100Y. 1.7 to 21 2.3 2S 26 3 3.2 3A 3.6 3.6 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.S 6.7 7 105% 1.6 2 22 2.4 26 26 9. 3.3 -3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 5.6 S.6 6 6.? 6A 6.6 68 7 110% 1.9 21 23 23 2.7 29 3.1 3.3 3.6 3.6 -4 42 4.4 4.6 4.6 5 52 5.4 5.7 5.9 a 6.y 6.5 6.7 69 7.1 115% 2 22 2.4 2.6 26 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.1 -6.6 $A 7 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.S 3.7 9.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 50 6 6.2 6.S 6.7 6.9 7.1 73 125% 21 2.3 25 2.6 9 32 3A 3.6 3.6 4 4.2 4A -4.6 4.9 5.1 S.3 53 S.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 _ SCORE CARD Measures 1. Ceiling Insulation --` `3-0- or� - - - R -value (38] U -value [0.030] - 2. Wall Insulation A-tWA9-- or R -value [ 11 J 1.1 -value [0.098] 3. Raised Floor Insulation or - _... R-val e [ 9] - . or [0.037] 4. -Slab Edge Insulation or _ R -value [0] ._ _ F2 factor [0.77] S. Infiltration Standard _ • _ . - - •, _ _ . 6. Glass Heat Loss D QL_ - - 20 ' S - Type [double] U -value [0.65] - % Total Glass [ 161 7. Shading (Shade Open) a. . North b. East �C. South d. West �1 • e. Skylight �8. Shading (Shade Closed) a. North b. East • c. South d. ' West e. Skylight 9.. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating % Glass Sc Eff. % Glass x = (P S Zr,L x ® 13 x _ Point Scores 4 - ____sass _ ......._•:__ Y 0 -7 -7 '- / Sum 1-6 % Glass SC Eff. % lass S2 x L6 = 3r X I_ x IS.� rCP x D.3 x 177 = �► TYPE 1 MASS AREA $ interior'M EFA COND. FLOOR AREA TYPE 2MASS AREA $ Exterior Wall Mata D . L R AREA - {� x SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7246] HSPF 10.5615. 151 SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] Type ISG] Credit [none] Sum 7-10 Point Total: ���„