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041-110-006
JOHN GOTTLUND 3498 Clark Road, Para ise Permit#2807-86B,P,E,M(new "single family) 41-1 >Cont'r- -.Gene. Camp. Permit#3331-86E(temp power pole) _k J oc_ i '�:lk •:t 1 c. ` 1 IA FSO W 12F �lC%ljrl% •.r �. ..•PERMIT N 2807-8'6B P,i O. PERMIT,EXPIRES JOHIV' GOTTLUND ' OWNER ` CONTR. Gene Camp r ASSESSOR PARCEL LOCATION 3y2Ciark Rd, Paradise OFFICE-COPY1 AddresstL ,�,� ' `V .` GAS- � y.� }�•.- - � , tfs ,7� Meter�By ` LDate' eter , OFFICE COPY GAS Meter By Date ELEC Meter - D-� Temp. Power Pole ,. Called. PG&E • ;6 Temp. Elec. Service ' `• Called PG&E a Temp. Gas -Service ,i Called PG&E JOB F1 NAILED (Date) ,f re Signa • � a�"s+ . ,err ' I/ = OK 0 = Not OK — = Not Applicable MISCELLANEOUS* p -MOBJLE�19MES = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except Ws 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/O—Concrete' 2. Footings; Size—Depth—Spacing—Connectors 3.' Decks; Girders and./or Joists—Decking—Bracing-Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4: Wood Awn.; Posts—Beams—Rftrs,Connec.—Shthg.—Rfg.=Bracing 5. Electricity; Location—Clearances—Grnd.—/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ L"ft./ P'Nat.or/ LPG 6., Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -31 Date Card -Bl Date Card -BI Date Card -Bl: Date Card -BI Date Card -BI Date Card -BI .: Date Card -B] —Date, Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except Ws Zoning Requirements—Setbacks—Easements 1, 1 Setbacks—Easements .2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 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 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 6. 'Ele6.: Enciosures;'Conduit Entries—Terminals—Listed' 7. Water and Sewer Connected I -C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating, Equipment—Heater 8. Gas and Electricity Tagged 8. El c.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes— Enc loSUres—Panelboards —Ihs. to Main -in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health I Department -ApproVal 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI bate Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -B1 Date /' r , V =,OK 0 � : Not OK - = .Not. Appl icable ± = Nov Ready RESIDENTIAL #(Single and Duplex) NO Date' UNDERFLOOR Plans OK exce N's Liz, Date FRAMING (Continued) ming requirements-Srsf cks t r y ine irewall & Openings ji-�tg., Main; s- -Elec. d.- / , /" Ftg. Depth xt. Doors -One 3'- - 50 6- - - - orches & Decks; -Steel- I ,1" Ftg. Depth _ lywood on Roof Overhang -Attic Vents -Rafter Outriggers ZV temwalls, Main:•S -Blo -Wr ed -S _ g- ' ng-Veneer- _____11rip Screed-Fdn. Vents-Underflr. Access AR Fig I _ _ 5A ---fazing Area -Glass Protection -Skylights -Plastic D.W.V.: k a f f -Fitt' - st-2 wafy O ewer Tes — g -Bolts ater Pipe: aC 11.XElectric; Underground '^'�"---arne-B-Baeh-6leerarxco "" rPr' � �unonrr i s. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Datd Card -BI Date 1 Date FINAL (Plans) OK except N's Card -BI Datef� zo (.Card -BI Date Date PLUMBING (Permit) OK except N's Sfi!Fxt. Steps -Door & Sidelight Protection -Landings j Smoke Detector Card -BI Card -BI 1.W Flt.: Went -Access -Combustion Air 11101ater Pipe: Test & Anchors -Nail Protection W V Test-Fttngs & Anchors -Nail Protection Showa-;-^^ Teter Ft• r Flonr-TtPW%=Tsr Chle s -- - -64elEISg. la DaW2 �_/ � Card -BI Date Date Card -BI Date - tor- In ion . Bedroom Exiting 6 . & Bath Fixtures & Tub Access . Elec. Trim & Subpanel; Breaker Sizes -Labels G7 C,..'�c o RaR F' or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. jy.GFxt. & Appliance; d.,44s4ap-Cooki arance Elec. Outlets & Receptacles at Kit. Counter Date EL RICAL Permit OK except q's er i Betage 134 per /L Gard B -I Card B -I rxture & Transformer Clearance -Ins. Protection Elec. Receptacles -Spacing -Lights &v _ches at Doors SS Boxes & No. of Conductors -Stapled 28�R ex Installed Close to Edge of Studs & C.J. ip. Ground ma w/Mech. Fasteners 2 Appliance Circui n Kitchen &Conductor Size 26. Subfeed Wire Size / ga. Cir AI-A.C. WireSi� / ga.4ho w At FiRange Circ. / J / ga. Cu r.A�Oven Circ. / / ga. 6r -or At, Insulated Neutral �_ No _ — 28. Service -Riser Conductors Grbr -Main Disconnect_ — 2k. -`Equip. Clearances: P s-Mplp[s-�osh uip. 3 s oset ig t -Shower Light ��/ ® Dago( ��p Card -Bi _ Date - — _ _ Date Card -BI Date ; Veats-Clearance-Caab-Oir-Connector - I n Ib., Elec. & Mech. Equip. Listed for Location ec. 7 �rsafation-Fear-Looked in Attic ❑Yes _ -Pos ZOle-F-An-Drainageod-Earth Clearance L s Jae ollowing instld.: Drive ]Yes Walks es ❑ No: Planters ❑Yes 7 h j A.C. Unit; Disc ct-Clrnces-Brkr. nd. Size-11-%4.Afflet 7 ents bove Roof; Lj.-AppLiaaee-F' .-Clear o Opngs. 7 a Well; Disconnect, Plumbing L'Electrical, Elec. Trim;I. Receptacle--��nd • Ven ' ion throughout House _ ass Protection Date MEC NICAL (Permit) OK except q's- st-Mete gged�-EIegrir� Card -BI Card -BI Ducts. Insulation &Support _ - - _ Vent Fan: Exhaust above Insulation _ 3&--GenderrsaTeDrain & Overflow; Size _& Grade a4 F - e -tent: Access -Comb. Air -Return Air_ Vent -115V outlet 35 A Platform if Furnace in Attic _ Date Card -BI Date Date Card -BI Date �4/Wa Tewer Connected -C/O to NTBde-HD Approval nergy Compliance Certificate-9NmT-eurTtfcates -- — Card -B DateCard -BI Date _ Card -BI Date Card -BI Date _- Card -BI Date Card -BI Date Dale ?�/ L FRAMING(Plans) OK except rs S' s. Proper Material & Anchors yPalls: Studs -Nailing, Spacing & Bracing -Plates -Sound �/ aring Walls over Girders & Floor Nailing 39. Q✓dit Stop in Walls (rat proof) 46/� Stops:_ Furred Ceilings-Stairs=Chases-Tub :Y'_ yeader & Beam -Size & Bearing 4r2/H rs-Post Caps-Anchors-Con— GI. nQ.- n. . or Typeue-Fweptac�%hroat ��AlllcAccess. Size & Romex Protection -Draft Stop -Ins. Ba_ff_les Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47 Garage F P W_ ing - Com tents at Final: —_ - - --- — - — - -- ^ - (NOTE Anentrymust be made each time youvisit jobsite) Owner; � �� �� /rte!! Permit No. 7,ro Z---J::J�2 ENERGY:CE,RT IF ICAT ION LOCATION DESCRIPTION OF INSULATION ROOF Material .Thickness(inches) EXTERIOR WALL Material Fiberalass Batts Thickness(inches)_ 6 3/4" CEILING Batt or Blanket Type FihPrela„s Rath Thickness(inches) 11” _ Loose Fill Type Minimilm Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name, Thermal A. P. No. Resistance (R Value) Brand.Name Manville Thermal Resistance(R Value) R19 Brand Name Manville Thermal Resistance(R Value) R30 Brand Name Number of'Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements, LOERKE INSULATION CO., INC. #499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. O r,,, ,� h,,E/p December 19, 1986 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. CAM FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. S TURE OF13E ONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON, FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE - POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS jl -.19Q,."morial Way, Chico — Phone: 891-2751 7 County Cebter•Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspectoe— Date _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at "above address and should be corrected. Please notify this office when rrection of work is completed. If you have any question pertaining to this m er, or need additional explanation, please contact this office Immediately. 6" /e 7 1415114`22 Inspector G�� l/!�lLa�' DatedV� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE o 7, 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 r need additional explanation, please contact this office Immediately. r GY "Jo ; f, . U✓%1 �� ski G / M s ip �c' Z-151--ZEfe2 61& Inspector ~� � " A Date / 17-64 6 N S s't �► . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS a 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 2 mac, 7- BUILDING OR PROPERTY ADDRESS 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 n additional explanation, please contact this office immediately. i Inspector C J�� Imo' / /l-%� Date /'!9" / _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 o APPLICATION AND PERMIT ASSESS R ARCNU ER - — ZONIN - j BUILDING PERMIT owNsg- TELEPHONE S0. FT., OC BUILDING VALUATION J � � OW 'S AI G ADDRESS r 0 AW C TRAtCTOR'S N E T EPHO E r - Y CONTR OR'S M ILI A DRE ne R- Q-�-` Fireplace CONST TION LENDERUNKNOWN Total Valuation $ - Filing Feb $ _1 b.00 LENDER'S MAILING ADDRESS + Permit Fee $ ARC CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan'Checking Fee $ 25-11.120 ARCHIT CT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADD Permit fee - $75-1 ?+q I PLUMBING PERMIT Filing Fee 10.00 LJ D/ Each Trap .2.00 P ' Solar or heat pump water heater 20.00 0. LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S G W 0.00 ea TYPE OF WORK New® Addition ❑ Remo el tilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING o ( -17 , /zltsgft I declare under penalty of perjury (check one): rOR, DONS. A ULTB LDGOUTS 2.50 ea 11�p I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS NON.RESID BRANCH CIRCUITS POWER APPARATUS &) and Professions Code and my license is in ful force and effect. SINGLE OUTLET CIR. License No. 1 ��� L�6 Classification Ex. Occup TS OR FIXTURES - 20e80e 3 L930 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED OR EX. OCCUR. OUTLETS ((RESID )EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 —� for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring.' ors. (Sec. 7044) 15.00 ❑ I am exempt under Sec. Business and Professions • Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' �' MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ®, 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling ) of Consent to Self -Insure. o 00 ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FE $ S 1 also agree to save, indemnify and keep harmless the County of Butte against occUP. CONST. YPE V PLOD PARC PD ND • Iq..UE all liabil• les, judgments, costs, and expenses which may in any way accrue �?j r� against County in ns uence of the granting of this per it. / This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant - Owner ElContractorXAgent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. /�� 0 3 BY - Date �� -� -24 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERM PIRES Date o—'LO — v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-„E,',0-A-l±-I.FMNIA 95965 - TELEPHONE: �916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER k1 C i A. P. No. Proposed Building Use ✓��” - �� Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED � �1 1 items hha�e been submitted. . . . . Z•� PfiSt p��P�ih plicat triplicate. 33.. Complete plans In duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) ` 15. Improvements may be required. . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Insp7. Pre -Inspection for Required- Building In request to (pate) p q Building Inspector -/ t Recorded spy pf Agricultural Ackgwledgment Statement. 19 Other r 4tJQ e When you issue the pE-In;t, pro ess as foll s: Mail to caner. Mail to contractor. OorTelephone and pickup at L&office. Deliver w/inspector. Other Applicant �` �� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted pri r to permit issuance: (For required items not checked above. at ti a app i 'tion, cle item.) 1. Index permit for above Items No. 2. Additional items required: (CorAIr"ator, Designer, wne as advised of above required d to by T%I hone Mail Other By Date, Plans checked by ZajZD to Plans*approved by Date Oe O - Other: A 1041011 Copy -DPW gl-o ae vez TO: Buildlim-, Frorr,:. 1L.": Subject: "anitatio-l'i Cl-e-lra.nce 'LO c at J.Orl. 11I' f Plan 1).,;X - Plan Approx-Od Y Hold final. for: F,inal clew mnce,Qj,i,,. water supply Clearance for I., e- 61 a1,1 "tub C, / FO. TO: Building Department FROM: Encroachment Permit Section RE:• Driveway Clearance owner location AP # Driveway permit �l�,@e��� has been issued for the above property. 5 07 ' signatu date Johd "Gottlund- P:0'. Box • 454 Durham,'' CA ' • 95938 COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS 7 County Center•Drive,.Oroville, CA 95965 PHONE: 916-534-4541 With reference to the above subject: DATE ; Sept. 22, 1986 RE: Building Permit Application X2807-86 A.P. # 41-11-06- Attached-is: 1-11-06• Attached is Application for permit ..Mobilehome Utilities Installation*Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner-Buildei.Verification Form+ List of Codes Enforced OTHER Ina We•need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to -Butte County Treasurer. X Certificate of Workmen'.s Compensation Insurance Contractor's.License Law information or check exemption statement. Complete plans in. , including plot plans. X Plot plans in _ duplicate Structural details in . Complete plans -and calcs in by•registered engineer or architect. Energy design including ' Street and drainage improyement.plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation,approval from Butte County Health Department at: " 196 Memorial Way, Chico ' 7 County Center -Dr., Oroville Skyway & Elliott Rd., -Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, , .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing - X Recorded copy of agricultural acknowledgement statement. � XX OTHER Driveway -Permit. Should you have'any questions concerning the above, please contact this office. 4 Yours very truly, William Cheff Director.of Public Works F. Glander JFG/aj Chief Building Inspector LS r. ��yyr1ZN RECORDEO.1M OFFICIAL RECORDS Return to DPW C,0�^pFn ,.,_. , 1CIJLTURAL STATEMENT OF ACKNOWLEDGEMENT dFBUTTE,CdUHTYUMFORFM J( -0 .t vFOR RESIDENTIAL DFjVE.LOPMENT AT TF1[ P,EOIi'e5T OF (Section 26-8:1 of the Butte County Code requires this acknowledge en , he recorded prior to issuance of a building permit. 8s+3�845.� . 61 SEP 22 P14 12: 48 The property described herein is adjacent to land -or-included tfLEA 00A. BEC.KER within an area zoned for agricultural purposes, and residents oft WECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicide®, 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 agricultural zones which haus a priority use for productive agricultural purposes, and residents within said zdnes and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described ,ts follows: PARCI?1. ONE Northeast Quarter of the Northwest Quarter of Smct iurr 14, Tocm- ship 21 North, Range 3 East, M.D.B.&M. PARCEL TWO: Cormencing at the Northeast corner of the Northwest Quarter of tt5c� Nnrthwrst Quarter of Section 14, 'Township 21 "Iurth, Ilange 3 Ea>:t., N. D. Ii. &M. , and running th:rnce South along the East l i tic of said Northwest -Quarter of Northwest Quarter of SectJ on 14, 416 feat., chertce Wast 416 feet:; thenec (4ortl; 416 feet. to t:he tine running East amd and West on the North side of rcald Northwest QLiarrcr of rhe North- west Quarter of said SCCLiol, 14; thence La:<t alun;•, saic1 1aSt. rf.'J1: •d line 1.0 the place, of be};i nn in;,,. Date: Ss • �%>' /,� PROP TY OWNERS: ;tate of �; a On this the day of 1 , SS. me, the undersigned Notary Public, personally County of ) /_-)0„ t 1 A" C�F�ICAL SEA' ` +� p,_rROTHY A. VVISE ' .1 Notary •TTEtCOUNrTYC-Jfomle r.ry Gomm. Exp. Aug. B, IM Present A.P. No. c. 19 �', be fore appeared Personally known to me. 1�1I Proved to me on the bast's of satisfactory evidence. to be the person(s) whose names) ,r.� /. s bscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set -my hand and official seal. r� Notary Public 0 81 10. SHADING (Exclude Overhang) EAST - .66 .00 ZONE 11 SOUTH - .19-.42 .&G I 1 WEST OWNER JOMA! gV7T4UND POINTS .SKYLIGHT 8'07- PERMIT NO. --2,T07 I -8 i ASSIGNED ACTUAL I 8 - 12 1 -4 I WOOD STOVE ES 70 •19+ i T• UPWWATER HEATER 0 1. SLAB - INSULATION 2.8 1 -4 7 - A VcI I -6 1 -15 I -10 I -7 1 -18 I •-12 2. P.AISED FLOOR - R-19 I -14 1 -11 I -22 L 3. CEILING - R-30 1 -18 �f0•� -27 -20 4. WALL - R-19 I -23 %�• OD _� • 5. NORTH GLAZING - 2.4-3.6% 9-3/ Z I -32 I -27 I -46 1 -35 245 'f Z -38 I 6. EAST GLAZING - 2.5-3.6% 1 -7 I I 5.7- 6.2 I 7. SOUTH GLAZING - 1.6-3.6% 4.71 -15 1 -10 S. WEST GLAZING - 2.9-3.6% -21 ( -16 I -13 I 9. SKYLIGHT - 0-1.3% I -10 1 1 7.0- 10. SHADING (Exclude Overhang) EAST - .66 .00 [� SOUTH - .19-.42 .&G I 1 WEST - .13-.36 below 3 .SKYLIGHT - .37-.57 I -8 i 11. HORIZONTAL SOUTH OVERHANG 2' I 8 - 12 1 12. MOVABLE INSULATION - NONE 13. ' INFILTRATIO14 (Standard=0)(Tight=+12) s� . T 14. )THERMAL MASS SF I 1 15. .GAS FURNACE (SE) 71-76% below 3 16. 'HEAT PUlfP (EER) 7.5-7.9% . _ I -8 i 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% I 8 - 12 1 -4 I WOOD STOVE ES 70 •19+ i T• UPWWATER HEATER 0 I -2 I ATTIC 2.8 1 -4 OTHER -8 TOTAL POINTS = O -able 3-1. Slab Floor Points I In^ula- I R -Value of Insulstion I I tion I I 10erth, _r I Inches 10-2 1 3-4 ! 5-6 1 7+ 1 I I I I I I 1 0-111-5 I-5 i-5.1-5 I I 12 - 15 I -5 I -3 I -2 1 -1 I I 16 - 19 I -5 I -2 I -1 1 0 1 20 + I -5 I -1 I D I +1 I I I I I I i 7/7/83 Table 3-2. Raised Floor Points T 1 +6 I R -Value of I 1 I Insulation I I I Points I I below 3 I -12 I I 3-4 I -8 i I 5-7 I -6 I I 8 - 12 1 -4 I 13 - 18 I r2 I •19+ i 0 I Iable.3-3a. Ceiling Insulation Points IR -Value of Insulation I Points I I I I I 19 I -4 ' I I 30 I 0 I 1 38I +2 I 49 I +4 Table 3-4a. Wall Insulation Points R -Value of Insulation I Points I 11 I -7 1 19 I 0 I I4 I +2 I 30 I +3 I Table 3-5. North -Facing Glazing Pts -- '-` T I Glazing Type I I Total I I Z of ST, Dbl, Trpl, l I Floor I U- I u- I u- I Area 10.6610.42- 10.41 I I 11.1010.65 I down I 0 a4 a4 +4 I 0.1- 1.2 I +4 ! 1 + I I 1.3- 2.3 I +1 I + I +22 I I 2.4- 3.6 I -2 I 0 1 +1 i 1 3.7- 4.8 I -4 I -2 I -1 I I 4.9- 6.1 I -7 i -4 I -3 I 1 6.2- 7.3 1 -9 I -6 I -5 I I 7.4- 8.2 I -12 I -8 ( -7 I I 8.3- 9.7 I -14 I -10 I -8 1 9.8-10.8 I -17 I -12 I -10 1 110.9-12.0 i -19 I -14 I -12 I 112.1-13.2 I -22 I -16 I -13 I i 13.3-14.5 I -24 1 -18 I -15 I 114.6-15.3 I -27 I -20 I -17 i Table 3-6. East -Facing Glazing Pts. I Glazing Type 1 --I Total I I Z'of I Sngl, I Dbl, I Trpl, I Floor I (U - I (U - I (U - I Area 1 1.10) 1 0.65).1 0.41)1 I (points loofnts Ivointsl Table 3-7. South-Facin Clazin Pte 1Ta I I Glazing Iype I I • Total I I I Z of I Sngl, Dbl, Trpl, I Floor I (U - I (U - I (U - I Area 11.10) 10.65) 1 0.41)1 I I olnts I oints I ointsl o +a 1 +3 1 +3 I up to 1.5 I +2 1 +2 I +2 I 1 1.6- 3.6 I -1 1 I 0 1 I 3.7•• 5.2 -4 I 2 I -2 I 5.3- - I -3 I I 6.6- 7.7 1 -9 1 -6 1 -5 I I 7.8- 8.9 1 -11 1 -8 1 -7 i I 9.0-10.0 I -13 1 -10 .1 -9 I 110.1-11.5 I -17 I -13 I -I1 I 1 11.6-13.0 I -21 I =16 I -14 I 113.1-14.5 I -25 i -19 I -16 I 114.6-16.0 I -28 I -12 1--i9 I I I I I Table 3-8. West -Facing Glazing Pts. i Glazing Type Total I Z of I Sngl Dbl. Floor Area 1 0 I up to 1.3 I 1.4- 2.2 1 2.]- 2.8 I 2.9- 3.6 I 3.7- 4.2 I 4.3- 5.0 I 5.1- 5.6 I 6.3- 6.9 I 7.0- 7.6 1 7.7- 8.2 8.3- 8.8 i 8.9- 9.5 I 9.6-i0.1 I 10.2-11.0 I 11.1-11.8 I 11.9-12.7 I 12.8-13.5 I 13.6-14.3 I 14.4-15.2 I arpa, I(u- I(u- I(U- 11.10) 10.65) 10.41) I oints I oints I oints i I I +6 1 +6 1 +6 I +5 I +6 I +6 I +3 I +4 I +5 I 1 0 1 +2 I +3 I -3 I o f +1 I -5 I -2 I o f -8 I I -2 I 10 2.8 1 -4 -13 -8 I -6 1 -15 I -10 I -7 1 -18 I •-12 I -9 I .-20 I -14 1 -11 I -22 i -16 I -13 I -25 1 -18 I -15 I -27 -20 I -16 I -29 I -23 I -17 I -35 i -26 I -21 I -38 I -29 I -24' I -42 I -32 I -27 I -46 1 -35 1 -29 I -50 I -38 I I -32 I I I Table 3-9. Skylioht Points I Glazing Type I I Total I I I Z of Sngl, Dbl, Trpl, I Floor l U- I U- I U - I I Area 10.66- 10.42- 1 0.41.1 I 11.10 10.65 1 down I I 0 1+ 4 1 44- 1 ♦4 F I up to 1.3 1 -1 1 O I 0 I I up to 1.3 1 +3 I +4 1 +4 1 1 1.4- 2.2 1 -3 1 -2 I -1 I 1.4- 2.4 I +1 I L4n 1 +2 1 1 2.3- 2.8 1 -6 1 -4 1 -3 1 1 2.5- 5 I 0 -.18 1 0 1 +1 I +2 I +2 I +3 0 1 I 2.9- 3.6 I -9 I -6 1 -5 I I 3.7- 4.6 I -5 I -2 I -1 I I 3.7- 4.2 I -11 I -8 I -6 I I 4.7- 5.5 I -8 I -4 I -3 I I 4.3- 5.0 1 -14 I -10 I -8 1 I 5.7- 6.7 i -10 1 -6 1 -5 i•: I 5.1- 5.6 I -16 1 -12 1 -10 I I 6.8- 7.7 I -13 1 -8 1 -7 I I 5.7- 6.2 I -19 I -14 1 -12 I I 7.8- 8.7 i -15 1 -10 .I -8 I I 6.3- 6.9 I -21 ( -16 I -13 I 1 8.8- 9.7 I -1.7 1 -12 I -10 1 1 7.0- 7.6 1 -24 I -18 I -15 I I 9.8-11.2 I -21 I .-15 I -13 1 1 7.7- 8.2 I -26 I -20 1 -17 I 111.3-12.7 I -25 I -18 I -15 1 1 8.3- 8.8 I -28 I -22 I -19 I 112.8-14.0 I -28 1 -21 I -18 I I 8.9- 9.5 I -31 I -24 I -21 I 14.1-15.3 I -32 I -24 I -20 I I 9.6-10.1 I -33 I -26 i -22 i T.M . 7 -In et_11-- n ( SC by ____ I I Orten- ( 1 Floor Area tation 1 +4 I East I' I 3.2 1 I 1 0-3.1 I to 16.4 up 6.3 I 0 -.19 1 0 I +1 I +2 1 .20-.36 I 0 I 0 I I .37-.66 I 0 I 0 I 0 I .67-.82 I 0 I 0 I -1 ( .83 up I 0 I -1 I -2 South 1 0 1 .2 6.4 19.0 ( 9.6 I I to I to, to I to I up j13.1 16. 17.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I +2 I +3 I .19-.42 1 0 1 I 0 1 0 1 0 I .43-.66 1 0 14:J1 I .67 up 1 0 1 -2 I -4 I -4 I -6 West ( .1 11.6 1 .2 6.4 1 9.0 I to I to I to 1 to I up ( 1.5 13.1 I 17.9 I I I I I I 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 1 0 1 0 1 0 1 0 .37-.57 I 1 -1 .58-.82 I -11 I -3 I 6 6 .83 up I -2 I -4 ( -8 I -16 1 -70 I I I I I Skylight i .1 I .8 i 1.6 13.2 14.0 I to I to I to I to I to I.7 1_5 IT3.1 13-9 9 T 5-2 0-.12 1 0 1 +1 I +3 I +6 I +7 .137.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I .58-.82 I -1 I -3 I -6 I -12 I -. .83 up 1 -2 1 -4 I -8 1 -16 I -20 I I I I I Table 3-11. Horizontal South Overhane PolntF South Glaring i Length Out I Area, Z of Floor I I from Wall I 1 i ft r 0-6.3 i 6.4 up 0 - 0.5 F -2 - 10.6 - 1.0 I -2 I -3 I I 1.1 - 1.9 I -1 I -2 I I .2.0 up I 0 I 0 I Table 3-12. Movable Insulation Points Moveable Insulation I Area, Z of Floor 0 - 5.5 1 0 I 5.6 - 11.5 I +2 I 11.6 - 17.1 1 +4 17.6 - 23.5 1 +6 I `23.6+ ( +8 I r Table 3-13. Infiltzatloa Control Femtvres Points r---- -- I Control Features I Points 1 T- S t and a rd - Standard 1.9 air changes per hr Tight 1 +12 0.6 air changes per hr I Table 3-15. Cas Furnace WSthout Refrigeration Cool!r.R Points T-- , Polnts I I Seasonal Efficiency i Points 1 I (SE). .Z i I I 71-76 I 0 I 77 - 82 I +2 I I 83 - 38 I +4 I I 89 - 94 I +6 . I 1 95 up I I I +8 I 1 Table 3-16. Heat Pumo Points r I Energy Effic!eney I Polnts I I Patio (EER) I I I 7.5 - 7.9 I +3 I I 3.0 - 8.3 I +6 I I 8.4 - 3.7 1 +9 I 1 8.8 - 9.1 I +12 I I 9.2 - 9..6 I +13 I I 9.7 - 10.2 1 +18 1 I 10.3 - 10.8 I +21 I i 10.9 - 11.5 I +24 i i 11.5 - 12.3 I +27 I I 12.4 - f 13.2 I I +30 I I Table 3-17. Cas Furnace With Refriveration Coollne Points IRefrigeracloni Gas Furnace I I Cooling I SE Z I I171 -177-i83-189-195 I 1 761 821 881 941 uo I I I 8.0 - 8.3 1 ()I +21 +41 +61 +8 I I 8.4 - 8.7 1 +21 +1 +61 +31+10 1 I 8.8 - 9.2 1 +11 +61 +81+101+12 1 I 9.: - 9.7 1 +61 +81+101+121+14 1 i 9.8 - 10.3 1 +314-101+121+141+16 1 110.4 - 10.9 1+10i+12i+141+16i+18 f 11.0 - 11.6 1+121+141+161+•181+20 1 I I ! I I I 7/7/83 TAELE 3.14 (ADAPTED) MASS DWELLING AREA SQUARE FOOT ZUNE 11 INTERIOR THERMAL MASS POINTS AREA 1,000 1,500 I +2 15 - 23 2,000 24 - 30 I +6 2.500 I +8 I 3,000 per unit, I 0 I 3,500 I 1 ( Resistance Backup I 4,000 I Meeting the Require- I 4.SG0_ ft2. 0 i• I S.000 1 SQ. FT. I A 8 C D A 8 C 0 A 6 C D� A B C D A B C D A 8 C' 0 A B C D A 6 +5 G A B C +19 1,000-1,499 0 4.2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 (00 and u 0 +l 42 +4 +5 +6 +7 +9 All others (pe building paints) _ 800-899 900-999 50 2 2 2 2 2 2 2 0 1 2 2 2 07 0 00 +11 0 0 D 0 0 0 0 +9 +12 0 0 0 0 0 C 0 0 0 0 0 0 '. OG. 4 4 4 2 2� 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0 0 0 0 0 1 ISO 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 ? 2 2 2 2 2 2 2 2 2 0 2 ? 2 0{ 2 2 2 01 200 8 8 6 4 6 6 4 t 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 i( 2 2 2 2 Z7 0 i 253 1010 B 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 ° 2 1 30012 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7' 2. ? 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 7I 2 2 7 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 4 4 2 2 507 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 2 6 5 4 4 4 4 2 4 4 4 i 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4{ 6 5 e 2( 6 6 4 2 1 700 ' 24 24 20 14 18 16 14 10 14 14 12 a 10 10 10 6 10 10 8 6 8 8 6 8 6. 6 4 A A 6 41 6 6 c 1 270 26 14 21 16 70 128 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 R 8 4 I ^ 6 6 4 8 6 6 4( 6 6 £ 900 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6s I10 8 18 4 e B 6 4� a 8 6 4 i 1,000 30 70 26 18 122 20 '20 14 10 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 8 6 I 8 8 0 4 I "• 8 £ 4 i 1.;OU 32 32 28 LO I24 24 22 14 20 20 18 10 16 16 14 8 14 I14 14 12 8 12 12 10 6 10 1J 10 6 110 10 8 (j !J e f 1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 12 8 '12 12 10 6 10 { 10 B 6! In In 8 6 1.JC0 ]4 14 1 32 22 28 26 24 16 22 22 20 12 18 18 1£ 10 la 14 14 8 14 12 12 6 12 12 10 6 112 10 10 L{ 10 ;0 F. 6 { 1,:00 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 B 14 14 12 8 j12 1? ;G 6; 10 10 17 5 1 I,i00 I 36 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 116 16 14 8 14 14 12 B 117 12 10 L j 12 12 1C e i 2.300 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 i 1L• 16 is L{ 14 Is 12 j 2,500 I 34 34 30 22 I]0 30 26 18 26 26 24 16 I24 24 22. 14 22 22 13 !1 20 20 18 1: I ly J.000 3,500 34 32 30 22 30 32 30 32 26 30 18 20 28 3030 26 24 26, 16 {24 18 12d 24 28 22 29 14 22 16 26 22 24 2U 22 14{ 1:i :. +a .3 24 ,'_ 20 11 14 1.000 32 32 30 20 130 30 26 13 i 19 Ib 24 It 26 Li 2. 1F 1 4,500 132 32 28 -.0 1 30 30 26 1(j ib ,., 2= ;£ ; _5_000 ---'-_-.----172 _4-7 trt0 j IJ .,, 76 1?. ! A) 1. 3'y- Concrete Slab: HC -8.93; R-.29; Factor -7.3 2. 3 3/4- Thick Comnon Brick: I1C=7.125; R-.13; Factor -7.3 a) 1. Sy' Concrete Slab: HC -14.106; �•.4y8: 14ctor-7.1 C 1. 8- Solid Filled Block: HC•20.63 R-1.9.1; Factor -6.1 2. 8- Solid Filled Block With Both Sides Exposed To Conditioned Atr. NOTE: Use all square footage directly rxDoted to conditioned air for Thermal Mass Area: HC -10.164; R-.965; Factor -6.1 D) 1• Thick Concrete/Ti.le: MC -2.55; R-.083; Factor -3.7 Table 3-19. tonally Controlled Electric Resistance Space Heating Points Points for this measure will I be completed after theCEG I I !las approved an Alternative I I Component Package for Resistance I i Beat. 1 Table 3-18. Active Solar Space Heating with Cas Points I Net Solar Fraction I Points 1 I (NSF), Z 1 I I I 0 - 6 1 0 7 - 14 I +2 15 - 23 1 +4 24 - 30 I +6 31 - 39 I +8 40 - 47 1 +10 I 48 - 55 I +12 i I 56 - 63 I +14 1 1 64 - 71 I +18 i I 72 up I +20 I Table 3-20. Solar Water Heating With Cas Backup Paints wood stove #33 points -(no back up) Casablanca fan + 1 point M.ultifamll (per unitpoints) Heating Pts. T- -T I System Type I Points I I Floor area Net Solar Fraction (NSF), Z 0 f I per unit, I 0 I 1 Solar with Electric ( I 1 ( Resistance Backup I I I Meeting the Require- I ft2. 0 i• I I Electric Resistance ( l 1 Only i -40 a 0.9 10-19 20-29 30-39 40-49 50-•59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800•-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 4.2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 (00 and u 0 +l 42 +4 +5 +6 +7 +9 All others (pe building paints) _ 800-899 900-999 0 0 +5 +4 +10 +9 +14 +13 +19 +17 +24 +il+26 +29 +34 +30 1,000-•1,199 0 +4 .1.7 +11 +15 4.19 +22 +26 1,2001,499 0 +3 +6 +9 +12 +15 418 +21 1,500-1.999 0 +2 +5 +7 +9 +12 +14 +16 2,000-:.919 0 +2 +3 +5 47 +8 +10 +I1 3,060 n:.d uo -0 +1 +3 +4 +5 44 +8 +10 Table 3-21. Other Water Heating Pts. T- -T I System Type I Points I I I I 1 Gas Only ( I 0 f I 1 Beat Pomp ( i I 0 I 1 Solar with Electric ( I 1 ( Resistance Backup I I I Meeting the Require- I 1 menti is Part 2 I I I 0 i• I I Electric Resistance ( l 1 Only i -40 a FOR [A RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY .Owner V OMA/ 60M_uND Climate Zone Permit No. 2Y07-96 Floor Area /040 _ , Compliance path: Package ❑ A ❑ B ❑ C ' O Dint System ❑ Budget. 0-Vither i%B A3 MIN R-VALUE DESCRIPTION REQ':D ITEMS (1) INSULATION: .INSTALLED Roof/Ceiling 30.00 Wall //.00 ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1,14 & 16. 91 (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled; (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. 1 Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier - ❑ (E) Electrical outlet plate gasket ' ❑: .(F) Air-to-air heat exchanger. >` (3) GLAZING: ' (A) Location ' ' Area Glazing %Floor Area Single Double Triple Total Bldg /53-410 • /,/•75 ✓ Q� North 2 .ov �,3/ .✓ [� East 22-40 2•/5 South. 49-00 • 1/ ✓ V Q West, 38.00 3•Sb� ❑ Skylights (B) Shading Shading > Coefficient Description Q� East (, G [� South (� G Q� West. -� ❑ Skylights (� (C) South Overhang 2 Length of projection ft. Description ❑ (D) Moveable insulation: Area ft. Description (E) Thermal mass ❑ Type - Area Ft HC= R= MC= Location ❑ Type - Area Ft. ; HC= R= MC= Location ❑ Type = Area Ft.2 HC= R= MC= Location ❑ Type - Area.. Ft.7- HC=. R= MC= Location ❑. Type - Area Ft. HC= , R= MC= Location ❑ Type - Area -Ft.z HC= R= MC= Location 7/83 (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (� (G) DUCT CONSTRUCTION &-INSULATION. All transverse duct,.plenum, and fitting joints shall be sealed with"pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 ; 2, .` ARt ❑ (4) MASONRY AND FACTORY-BUILT_FIREPLACES shall be equipped with•,tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air'intake equipped with a readily accessible, openable, and tight fitting damper to draw air.from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM c (A):':.Heat ing ❑ Central Gas Furnace- (brand and model number).SE Btu/hr (heating capacity) ( Heat Pump. 7 S SE (brand and model number)., AGOP Btu/hr (heating capacity at 47°F) 13Active Solar `type (liquid or air). Collector brand and ft2 model number -solar fraction. collector area collector orientation collector tilt rated y -intercept rated slope ` other uIOOD 13u2411Al� STOVE (describe) *1 f (B) Cooling ❑ - Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump 7 5 EER Btu/hr (cooling capacity at 95°F) , ❑ Other (describe) ; ' (C) A TWO-STAGE THERMOSTAT, which -controls the supplementary heat on its second stage, shall be required•for heat pumps; ❑ (D) AN AUTOMATIC SETBACK shall belproeided•for all•thermostats, except those controlling - heat, pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for -'all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking.appliances.. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (� (G) DUCT CONSTRUCTION &-INSULATION. All transverse duct,.plenum, and fitting joints shall be sealed with"pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 ; 2, .` FORK 1 r, (6) DOMESTIC WATER SYSTEM .t ❑ ' Gas Onl f�)`. Y �',.�� � Gallons (brand and model number). (tank size)y ( Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) *2. Active Solar (collector brand and model number) (rated y -intercept) ' (rated slope) (solar fraction) ft2 -:(backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other — / (Describe) 1�' :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be�externally wrapped with R-12 insulation or greater. —/ [J (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated .with a minimum of R-3. Steam and steam conditioned space shall be insulated with.a minimum of R-3. Steam and steam'condensation _ return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ®� (D) FLOW RESTRICTORS�shall be provided'for showerheads and faucets as outlined in the�new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING �� - (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have.an efficacy.of.not less than�25 lumens per watt (usually florescent). *l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other..approved methods, section 2-5352(&), and fill out the following: Heating: Winter design temperature °, elevation Q Sao ', heating load 06900 BTU elevation factor /.00 x Heating load maximum outlet capacity gas furnace. 1Z60O BTU Coolie Summer"deli g: n tem erat OZ`°, g g p ure coolie 'load /72 d BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. � 7/83 'SIGNAT RE OF BUILDING DESI R OR APPLICANT Q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS,_ P RMIT NO.�/ 7 County Center Drive - Oroville, C811fornia 95965 kTelephone 916/534-4541 -2 ' G APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME/.. TELEPHONE �7 ' CONTRACTOR'S MAILING ACr.DRESS l/�. %!/7 -Z//'t,r f f e,s�✓/ Fireplace CONSTRUCTION LENDER UNKNOWN '41'. JA�/'r I LENDER'S MAILING ADDRESS Total Valuation Is FilingFee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS AM Permit fee $1 PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF !� Duplex❑ Mobilehome❑ Other ` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑_ RemodeI E Utilities ❑ Installation - Other ©t Describe work: l l/ 1/ / r O / _ 7-,►(;,, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p y of perjury y (Check One): © I am licensed under provisions of Chapt. 9, Div. 3 of, the BuSIneSS and Professions Code and y license is in full force and effect. J ( Z _ License No. f� Classification f. ❑ I, as the owner, or my employees with wages as their -sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ADDNS. ( ACC. BLDGS. 2/20sgit NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. / z0050e Ex. Occup(o OR FIXTURES DALO 30 FIXED A Ex. Occup. OUTLETS PIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Al.tl 15.00 ; �V Permit Fee ; ,/7,� 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ' , . X Date ~ f Signature of Applicant — Owner Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ I2 ��dU Oc CUP. CONST.TYPE FLOOD PARCEL I PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC l'% ��j�� BytCY7 PERMIT EXPIRES O�te� /l• the applicable provi- resolutions to do fees have been paid. WORKS Date _ �4-�'t� / 7 ? �� Receipt No. � A. WNITE-D.P.W., YELLOW-ASSr3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / ti 7'County Center Drive - Oroville, CgJJJor.W5965 - Telephone 916/534-4541 APPLICATION AND PERMIT . ASSESSOR PA CEL NUMBER - - ZONING ' BUILDING PERMIT OWNER /� (/ TELEPHONE i. .• SQ. FT. OCC. BUILDING VALUATION OWNER'S ILING DRESS CONTRA OR'S NAM - TEL EPHONE s- ,s - , - CONT ACTOR'S MAILING ADGM ESS - Z am gr Fireplace CON TRU TION LENDEF4 UNKNOWN, 'Total Valuation $ Filing Fee $ 10.00 LEND R'S M (LING ADDRESS -_ Permit Fee $ ARCHITECT OR ENGINEER - - w LICENSE NO. ,Plan Checking'Fee $ _ .Energy Plan Checking Fee $ ARCHI C -OR ENGINEER'S MAILING ADDRESS Penalty $ , BUILDING ADDRESS :Permit fee .. $ I., PLUMBING PERMIT Filing Fee 10.00 Each Trap, 2.00 Sol ar or heat pump water heater 20.00 LOT NO. SUBDIVISION, NAME. PARCEL MAP ` Water piping- '' 5.00. " Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ "Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S.1 G JW I 10.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation Other Describe w rk: Aq 6,4/ O !F _ J� p 1-71 3 Permlt Fee $ Contractor," ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' �YI am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code,and, y license is in full for c and effect. License No.—/ Cry Classification "' • ❑ 1, as the owner, Or my employees with. wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) - -Mobile ❑ I, as the owner, am exclusively contracting with licensed contract- : ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.&`` OR ADONS. ACC. BLDGS. f k,/2 QSq ft NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS 9 (SINGLE OUTLET CIR. I Ex.Occu / zo®soa P.. OUTLETS OR FIXTURES gA2 EX. OCCU FIXED APP LNS. OR P- OUTLETS IRESID.1 EA.� 2.00 Temporary service 10.00 ` Home Facilities 15.00 Misc. �Yirin 15.00 '� g/_ r3 -` Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ .The permit is for $100.00 (valuation) or less. I have placed on file with the'County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate} of Consent to Self -Insure. ❑ I shall not employ any person'in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling ' Hood ,_ 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree,to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes., I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses •which may in any way accrue against County cons quence of the granting of this permit. �`- X - Date !X&.4 '46 Signature of 'Applicant — Owner Contractor � 'Agent ❑ � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection,Fee $' TOTAL PERMIT FEE $ OCCUP, , CONST.TYPE I �FLOODJPARCELJ PO ND 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 aid. P Dl CTOR OF PUBLIC WORKS a_ B +batt€ / �_ -- PERMIT EXPIRES a� .✓ Receipt No. of r WHIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . �i.t. 1':a�i ,4 "�ii. rJ r. yr �, b �} +*�*, '� ^ xi w,!•w+^ h «�;•w �� n f, 1 rrni, , L..s•r•:. .m -+.w aw;vVw('fr+„,•tN!<'M.'w�c°r"asS'-.Ir rnT'ui ��T!.. .,� � 7 1 uueE■ t►iau �c ns u � � n. � :. r �� �� '� `� _ S1� ,., '".. y . , ��:'� a;i�n �'- 1� ., v`; «Y•±+�!••�+W.+w4.++r.w w�.M..ye.•w��.�+Y�w+.,x+'---�•• �'.Mb,.r+�«+�.•+i..%.+��+.is��q�.bw».;...w,:�.wwr+.,w,rw;=',:iY «sii+�. I,. tiGLE01: NO> X,`ERECTION 00 7R{ISSEsr `ERE7T0.Mr HT IMPROPER IENT 0r hE IER41"ED`QT SF 7RLSWRI. 77777777l": tL 71, { "Sul �v R* .,+,.�,.