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Home My WebLink About042-130-051~'~ NEW SINGLE FAMIL Y' , 1 RESIDENTIAL 042-130-051 PERMIT#94-1880 CASEY, WILLIAM & JUDITH !IS/ GLENWOOD AVE., CHICO CONT: T. HANSON , NEW SINGLE FAMILY c C4 4 CRn�`rC � Address GAS Meter By Date ELECTRIC ! t D Date Meter-ByV OFFICE COPY a Address CLA GAS Meter By. Da e ELECTRIC r Meter By Date OFFICE COPY Address GAS 7 Meter By Date ELECTRIC Meter By JOB FINALED (Date Signature #. V=OK O = Not OJC -= Nt able MOBILE HOMES ' =NooReady Not Ready Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 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 -Test -Wrap: / /" L'Yt. / /"Nat. or/ P'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 Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Tat -Fall -Flex Connector 6. Water; MH Tat -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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra: 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; Nall I ng -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entrles-Terminals-Liated 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Tat -Water Supply Tat V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) !!Ft ain; SoK-Elec. GrW" / tg. Depth Ftg.,,A&Mge; Soils-Steel-Elec. Grnd. / /" Ftg. Depth A- Porches .& Decks: Soils -Steel-/ /Fta. Death ! &"Ste%n0s, Main; Steel-Blockouts-Wfapped 6 emwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Slab• Steel -Wrapped 8. rs-Fireplace F .-Steel O�Q D.W.V.; Fel n Test -2 Way C/O -Sewer TestTX 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; Clears nce-Material-Support-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Criooles 15. Access & Ventilation 16, Insulation -'-FrA165 QV__ OAJ 711AIT-A Date/Initials PLUMBING Permit OK except #'s Water,,Htr.; Vent -Access -Combustion Air -Baffle 1 . ape; Test & Anchor -Nail Protection 1 . .W.V.; Test -Fittings & Anchor-Naii Protection —=U"hower Pan; Test, First Floor -Tub Access -WTsg ub & Shower, Second Floor -Tub Access as Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s „2e.' FixtqX & Transformer Clearance -Ins. Protection V -'115 -ler ,Aaceptacles Spacing -Lights & Switches at Doors 2W.**'S-*ize Boxes & No. of Conductors-Staoled 76�FiomexAnstalled Close to Edge of Studs & C.J. 215!Equi Ground made up w/Mach. Fastners-Bond Gas & Water Appliance Circuts i Kitchen & Conductor Size/GFI ubfeq@ 1jre Size/ a. Cu o AI .C. Wire Size / ga. Cu OdArj 20-9-ange Circ. /& ga. Cu or AI -Oven Circ. ga. Cu or Al. Ins lated Neutral ❑ Yes 2!2! -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light e Detec r Date/Initials MECH CAL Permit OK except #'s 3 . A.0 cts Insulation & Support 3 . e an; Exhaust above insulation 36*"Condensate Drain & Overflow; Size & Grade 0 FurnaPFe�'ent; Access -Comb. Air -Return Air Vent -115 outlet is Access & Platform if Furnance in Attic 4 CA Date/Initials FRA NG Plans OK except #'s W,coeProper Material & Anchors . W s Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 42: �top in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44-1:1aaders & Beam -Size & Bearing Date/Initials FRAMING (Continued) ange Post Caps -Anchors -Connectors ng. Joist-Rftr. ties- Puri in=roof Brac-T thng.-Rfng. 47 Fireplace Ties or Type A Flue -Fireplace Throat clearance Attie Access; Size & Romex Protection -Draft Stop -Ins. Baffles W Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing c-5.b.-Pro2ftrty Line Firewall & Openings 56--6t. Doors -One 3' -Check Garage -ani Story, 2 Exits --" Stai ; Width -Headroom -Rise -Run -Landing -Fire Protection pl d on Roof Overhang -Attic Vents -Rafter Outriggers . Si g -Nailing Veneer ,q-45Pff 4910Stucgo Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 azing Area -Glass Protection -Skylights -Plastic Date/Initials FINAL Plans OK except #'s 61xt. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector §3_FtrnrMUe; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection edroom Exiting _ c._.63'G.Fy& Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. . & Appliance; Grnd.-Air Gap -Cooking Clearance lac. Outlets & Receptacles at Kit. Counter arsge Fire Door, Swing -Landing -Closer ___-13-7.0 Duct in Garage -Damper 7 tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Gar ; Above Floor -Mach. Protection 75 EI . & Mach. Equip. Listed for Location 76 c. Race tacles in Garage; (G.F.I.)- omex Protection ulation-Foam-Looked in Attic es 8. Guard Rails & Deck Construction -Post Caps 79. F nts & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. wing instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Disconnect, Electri Roof; Plbg: Appliance -Fireplace. -Clearance to ater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground entilgtion Throughout House Comments at Final: T I0leters Tagged; Gas -Electric G/"dY Ty //6g ter & Sewer Connected -C/O to Grade -HD Aooroval COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMIENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroyille,,California 95965 - Telephone (916) 538-7541 _ ERMIT o. r APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-130-051 A5 ZONING BUILDING PE MIT OWNER WILLIAM & JUDITH CASEY895-3632 TELEPHONE SQ, FT, OCC. BUILDING VALUATION 1584 R 85,536.00 - OWNER'S MAILING ADDRESS 2165 OAK WAY CHICO 95926 543 M 9,774.00 CONTRACTOR'S NAME T. HANSON TELEPHONE 592 NCOV 7,696.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER TRI COUNTIES BANK UNKNOWN Total Valuation S 104- 06.00 LENDER'S MAILING ADDRESS Filing Fee $ 2Q,pp Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 497 05 Energy Plan Checking Fee $ 23-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS 1()07 MANGROVE STE E,-CHTC0 99926 Penalty $ BUILDING ADDRESS 1151 aukNwoon AVENUE, PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap Q1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE _ SFX1 Duplex ❑ Mobilehome ❑ 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 J(] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: -3 RIM PERMIT FEE $ 143.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 23.0 Main Service ( 200A TO 1000A ) 46.00 NEW OCCUP. OR ADDNS.T ( D &EACCGBLDS. ) 2 2 3.50 s: 74.45 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do ehe work, and the structure is not intended or offered for sale. (Sec 7044) 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) BAL. @ 1 50 Ex. Occup.FIXED APPwS.(RESIDOR ( OUTLETS EA. ) 5.00 Temporary Service 23.00 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. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. hall 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 $ 140.45 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 6.50 Ventilation 4.50 9.00 PERMIT FEE $ 65 .50 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. 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 Coun consequence of he anting of this permit. X Date && r C/ 7 Sign e of Applicant Owne ❑Contractor ❑Agent An HA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ 46.00 GCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP I FLOOD I CDF I PARCELPD HD Iss This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ONtr the applicable provisions Resolutions to do work been paid. /1 Date 1 �y /Date/ �pt (0.' Receipt No' /' 16725-9y6.50 3 WHITE-D.D.S.-B.D. ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 8,91-2751 7 County Center Drive, Oroville, CA - (916) 53877541- 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OW R PERMIT NO. : A routine inspection indicates that the following violations of Butte County Ordinances exist at the above a dress and should be corrected. Please notify this office when correction of work -4 ,1 is complet d. If you have any questions pertaining to this matter, orneed additional explanation, please c ritact this office immediately. t _ - YVJWVJ� f z4 :j Y .t- -4 ,1 �i Date REV 1 COUNTY OF BUTTE BUILDING DIVISION .DEPARTMENT OF DEVELOPMENT SERVICES 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 0457 y 9 y /B�v r, OWNER PERMIT NO. A routine inspection.indicates.that the following violations of Butte County Ordinances exist at f the above address and 'should tie corrected Please notify this office when correction of work is completed. If you have an z"` 'h p y yquestions pertaining to this matter, or need additional explanation, please contact this off ice j immediately. •ru 3 Date 1, 6 -- H Inspector REV 10/92 Owner: Permit No. 9�- fes' ENERGY CERTIF ICATION Vf Glenwood Ave. , Chico, Ca. (Casey) 01�2^ 13 0^ U LOCATION A.P. No, DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches) 32" CEILING Batt or Blanket Type FIBERGLASS BATTS Thickness(inches) 92" Loose Fill Type FIBERGLASS Minimum Thicknesj(Inches)1 12' Area covered(ft. ) 705 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) I hereby certify that the above insula t Brand Name _ !' Thermal Resistance (R ValuE:)__M�__ Brand r(ame SCHULLER _ Thermal Res istance(R,Value .)R13'y� Brand Name SCHULLER __ Thermal Resistance(R Value)- __ Brand Name INSUL SAFE 3 Number of Bags 15 Wt, per bag '27 1t:. Thermal Resistance(K Value)_ R30' Brand Name Thermal Resistance(R Value)- 'i, _ Brand Name Thermal Resistance(R Value'), Brand Name _ Thermal Resistance(R Value) -7i�, � ion was installed in the above,by�.,Aotng in conformance with the State of California Energy Requdrementsti LOERKE INSULATION CO., INC. NAME/OWITR� Y� .1 1 OF INSTALIXTIA APPLICATOR 499150 I STATE CONTRACTOR'S LICENSE NQ.''j October 31, 1994 I hereby certify the above insulation and all required Building Department approved plans and attachments have required by the State of California Energy Requirements. All equipment, devices and materials are specifically approved by the State of Cal NA A/ <6 CM ��[ h "/� FIRM NAME/OWNER (Please print) SIG OF OrNERAL CONTRACTOR OWNER DATE items as shown on the been installed. ap I 1 " of the quality prescribed or gre,l ifornia, ; STATE CONTRACTOR'S LICENSE F10,1 ; DATE TO FINAL THIS CERTIFICATE MUST BE ON FILE WITH THE. BUILDING DEPARTMENT PRIOR. INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING„ N January 1984 �4/SCJ i/V Inter -Departmental Memorandum TO: FROM: SUBJECT: DATE: TEL PJo. Oct 13,94 14:21 No.007 P.02 y OCT p 61994 Nor cop DECLARATION OF GRANT OF EASEMENT AND WELL SHARING AGREEMENT ;;L hn,. THIS DECLARATION OF G NT OF . EME T AND WELL SHARING AGREEMENT is made and entered into this day of 1994 between William J. Casey and Judith L. Casey, who are married to each other, owners of Parcels 3 and Parcel 4 as shown on ti that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of ,0 California on August 23, 1979 In Book 71 of maps at pa9~95 and who are hereinafter Aa referred to as "Declarants," and DECLARANTS do hereby declare for the purposes of establishing a plan for the use and development of the above-described property, which shall be held, occupied, and conveyed subject to the following easement and well sharing agreement, and shall be binding on all parties having any right, title or interest therein, or any part thereof, their heirs, successors and assigns, and shall insure to the benefit of each owner thereof, and all of which are imposed upon the real property described above. 1. GRANT OF EASEMENT: DECLARANTS do hereby grant an easement for Jndpwea; d 7ifiS7 e use and maintenance4 more particularly described on EXHIBIT "A" attached hereto. of We" � w,q fE�,,,V� �p ,gPpv2rEivi�ivr F/P�°r��r�ES 6eiAlG 2. USE: Each lot owner, upon connecting to well for water usage, agrees to use the well Primarily for domestic purposes and to reasonably restrict the usage of water so as not to deter the use of the well and the pump for domestic purposes of the other lot owner. 3. PAYMENT OF COSTS: Each lot owner, upon connecting to well for water usage, shall share equally in all utility costs plus all cost of maintenance and repairs necessary to keep said well in good operating condition. The owner of each lot, upon connecting to well for water usage, shall pay monthly its pro -rata share regardless of use. Each of the owners shall agree upon reasonable expenditures to be made and each shall submit receipts of all monies received and all expenditures made within thirty (30) days. 4. TERM: This Declaration of Easement and Well Sharing Agreement shall commence upon its recordation and shall run until rescinded by the owners of said''properties in writing. . S. MODIFICATION: This Agreement may be modified or terminated at any time during its term by the agreement of both of the lot owners of the land which is the subject of this Declaration of Easement and Well Sharing Agreement. 6. COVENANT TO RUN WITH THE LAND: This Agreement is to be construed as a covenant running with the land and it is further understood and agreed that this Agreement shall insure to and bind the successors in interest, whether by way of sale, assignment, inheritance or otherwise. 7. ATTORNEY'S FEES: Should any litigation be commenced between the parties hereto or their personal representatives concerning any of the provisions of this Agreement or the rights and duties of any person in relation thereto, the party or panties s RM"SAL HEALTH O C T 0 6 1994 Chko, Cailfomla I EL No . UCt 10 *J4 14;L1 wo.uur t- U,) t `� �° -o6 w9 u, WATER LINE EASEMENT DFSCRIP I Exhibit 'W' ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF re 04-)V046 r CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS )FOLLOWS- UJB 5 04- )V046 cF (46F4 1441duiXhlvaor Q ��P� r�E A TEN -FOOT (10') EASEMENT FORAWELL j WATER LINE F1} LOCATED ON PARCEL 3, FOR -THE BENEFIT OF PARCEL 4Aft OF THAT CERTAIN MAP RECORDED ON BOOK 71 OF MAPS AT PAGE 47THE CENTERLINODFSCRIBED AS FOLLOWS: 'OF aeck is I�krcK r.S 4 poiAvr oA/ :eo'iNN/MG aththe common, line between Parcels 3 and 4,4a distance of 468.2 feet East of the Northwest corner of. Parcel 4; thence North 11.5 feet to the well and the end of said easement. �oQ�60FESSJJ Exp.A�y Fye 1 Utiv 630.97 w No 1683 *zm CIVIL OF CA.1.1F� EWROWMAL HEALTH 0r.T 061994 Chtoo, Calitomla ... , ..: � . �-%.r .,...74....... ;. r'w:iJ�.� :,�.�nh. �✓1;r,n%"i:-'.��r..'.�.,'Trw�°u.rr...++.r.��°a+...--r�ws�r'ps��;,=w�r_:y..;,.n."5t .. ', , .`.._ r5. ir: t, ; k..�. w z" i ,COUNTYOF BUTTE -DEPARTMENT- EDNVELOPMENTSERVICES -BUILDING DI ION t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-751 PERMIT APPLICATION DATASHEET 111 OWNER SC ' I A. P. No. L - / J. Proposed Building Us,6 M./ JAOA X%/"- Building Inspector 4 Date Z S �' At time of permit application, I was advised the following data must be submittedTrior to permit processing and/or issuance: DATE RECEIVED BY 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 . .................. k.WO' Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). . Mobilehome data an manufacturer's installation instructions, 2 sets. ........... Fees of $ 1 ??(PR. - .................................... Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . in. Flood elevation letter (100 year flood) by California Engineer . ................. . . Sanitation and plot plan approval C-.-11 — 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: . ........ 1 Contact Land Development about (A) Improvements (B) Drainage. 9. Driveway permit (construction approval required prior to occupancy). �(.0�6!C 7 P nape 'on reques 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance ..................... r.".... . 7-1 Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 2 . 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. Whe ou issue the permit, process as follows: Mail_tT owner. Mail to contractor. Telephone W ;36,32. and hold for pickup at ,- -Ao office. Deliver with inspector. Other Parcel Creation Acreage Applicant -, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. __L Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date ' By The following data must be submitted prio to er it issuan a (Circ) n i e of checked above). 1. Index permit for above items No. 2. Additional items required: r 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 Co nrt�/by _Date Plans checked by Date Plans approved by 1 vie Gate Sets of plans on hold in File cabinet o� -/ �� 1 Y� Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD DI 7 County Center Drive - Oroville, Califoinia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER- .e'j JJ\ ZONING BUILDING PERMIT OWNERI 'nV /^y ^ I _%��///1 ��TH L. CASE TE ?I536Z 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE � UJ 14 ! -� CONTRACTOR'S NAME NSa TELEPHONE '- , fFireplaceAh CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER • IZ\— 0 N T I ES 2) ,4. N UNKNOWN Total Valuation $ JW I LENDER'S MAILING ADDRESS Filing Fee S 20.00 Permit Fee $ ARC HIS o EER I T SE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS CC I,qo_l4N a vCA 1 T -E L Penalty BUILDING AD R 6 -PERMIT L E tti% W 0 0 VL FEE PLUMBING PERMIT $ filing Fee 20.00 //►� -I 1 C b 0' Each Trap 7.00 G Solar or heat pump water heater 23.00 Water piping - 15.00 LOT NO y� SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 16 - USE OF STRUCTURE SF Duplex O Mabilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 /5- Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK. New Addition ❑ Remodel O Utilities O Installation O Other O Describe Work: Xyr f( r 9( PERMIT FEE $ I 1 Contractor ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service ( BooV O ) 200A OR LESS / 23.00 I - Main Servic 200A TO 1000A ) 46.00 11J 14:5 - NEW CONST. DWELLING OCCUP. OR AODNS. ( 6 ACC. BLOS. ) 3.5C FSTO: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ❑ 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) O I,as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONS : MULTI -OUTLET NDN.RESID. ( BRANCH CIRCUITS ) @7.50 ( PoWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 FIXED APPLNS. OR Ex. Occup. ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I 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. O 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 $ t10 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating iS Cooling Hood 6.50 JCt Ventilation PERMIT FEE S�S Contractor 1 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. I also agree to save, indemnify and keep harmless the County of Bu a again t all liabilities, judgments, costs, and expenses which may in any way accr a again s said County in consequence of the granting of this permit. X Date /�i///, Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in hii/qht. 57,>5 Mobile Home Installation Fee $ Energy Inspection Fee $ cD"J` TOTAL FEE S HA2. D. FEES IMP I FL000 CDF PARCEL I Po I HO 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. BY —Date— ate PERMIT EXPIRES ON IDarel Receipt No. D 93 N FR WHITS.-B.O. CANARY -ASSESSOR INK•INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR'IMEN't OF DrIELOPMEN'T SERVICES - BUILDING DMSION 7 COUNTY CENTER DRIVE, OROVILLE Cd 95965 - TELEPfiONE (916) 538-7541 OWNER�i / ! r PROPOSED BUILDING USE AAk,1 5.x.2 SQL A. P. DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (f 7 l Z- J / (paid at District Office) ......................... �'I/ SHERIFF FEES _ (paid at Building Department) Residential...... ( x Z C) unit amt. Commercial (sgft) x �$ ,sq.ft. amt. 3. URBAN AREA FEES -- (paid at Building Department) Residential (per unit) x # units amt. Commercial (per sq.ft) x �$ sq.ft. amt. RECREATION DISTRICT FEES P (paid at District Office) ......................... % �l9 ty S. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA F r RE INSPECTION AND PLAN CU= = $89.00 ...... (paid at Building Department] 7. OTHER 8 . 0'IM At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. dd ' APPLICANT DATE c c Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT , ufl-ling Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte CountyCode requires this acknowledgement be recorded prior to issuance of a building permit 94-031742 I Rec Fee 9. 00 The property described herein is adjacent to land or included I COP 1. 50 within -an area zoned for agricultural purposes, and residents Recorded I Cash 10.5C of this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations Candace J . Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 2: 3 6 p m 26 -Jul -94 I P U B L XX 2 dust,smoke, noise, and odor. Butte County has established agricultural 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: the real property in the M%XW unincorporated area County of Butte , State of California, described as Lots 60 and 61 of the SECOND SUBDIVISION OF THE JOHN BIDWELL RANCHO, accord.�ng to the Official Map of said Subdivision filed in the office of the Recorder of the County of Butte, State of California, September 17, 1900, in Map Book 5, page 27. Date: PROPERTY OWNERS: 4Z4 7 � �1 / Vy t ((l a N'� ..1 . C_a s c •l State of California ) County of On � 23 before me, &IL personally appeared (or proved to me on the basis of satisfa ory evidence) to be the person( whose nameW is/ale subscribed to the within instrument and acknowledged to me that he/*dtlW executed the same in his/hu`%their authorized capacity(ip), and that by his/h)*/tlyeir signature(4 on the instrument, the personal, or the entity upon behalf of which the personW acted, executed the instrument. WITNESS my hand and official seal. OFFICIAL A NO � -- Noma Public — Ca lornie BUTTE COUNTY Signature Seal: MM cow. Expires FEB 07.1995 A.P. k ��— 13 -5Z. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT County of On 1,6611W_ before me, �p DATA /jAh<TITLE OF OFFICER - E.G., -JANE , NOTARY PUBLIC' personally appeared NAMES) OF NER(S) proved to me on a basis of satisfactory evidence to be the person whose name(v is/" subscribed to the within instrument and ac- knowledged to me, that i4f/she/tfi executed the same in h)(�/her/t/Viir authorized capacity(i and that by hi 'her/tl Ir signature on the instrument the person�j, or the a tity upon behalf of which the person(acted, executed the instrument. JUDY N. BPOWNFIELD WITNESS my hand and official seal. _ COMM. # 977416 zZ Z;'� Notary Public — California BUTTE COUNTY My Comm. Expires NOV 8. 1996 SI NATURE OF NOTARY OPTIONAL No. 5907 Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. ,C"APACITY CLAIMED BY SIGNER /INDIVIDUAL ❑ CORPORATE OFFICER TME(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) owl id Ill 9 111 =1 • 11 - a ydg 4 LO] ••• NUMBER OF PAGES ATE OF DO UMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave.. P.O. Box 7184 - Canoga Park, CA 91309-7184 BUTTE COUNTY PARRS DEVEWPNSNT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number (s) Park District(CARD) certifies that Property Owner '�✓r 1�� jCie, Cl�f e_v' Project_Location/Address-_._.___N -��"� 0 o/Vj r(! e o Subdivision 7 - �'!) Lot Number(s) Residential Development-:-- heck oni) / Lf De / New De a pmenri Alteration/Addition _Mobilehome(s) Total Numbe ofelling Units Comment: I I Buif,d'ng Department Representative Oate _Non -Residential to Residential ��r��r��r��rr��r��rx��r,r��dr��ryr*�Ic��r�r,r�w�wtk�r�Ir�*�r��r�yryrtk�lr9rY�r�Artk�ryryr�ryt�Ar9ttk Chico Area Recreation aAd Park District(CARD) certifies that (Applicant Name- (P one�Number) o� 5 K,1 )�f (Street A d W y (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ CARD �R presentative D, e PAID BY CHECK NO. BANK NO. PAID BY CASH RECEIPT NO. gLjl.� REMARKS: r ) Distribution: White --Applicant Yellow --Butte Co. Building Dept. t Pink --CARD Goldenrod --City of Chico Building Dept. .i ' A,71 Ji j 94- 6: JEFF, 00i"fM park. fee ( form revised 11/90 7- r ._n, 1` \� �,�„� {'V �,.,,� y.F,.. ;,,, , .. fir. '.-�:v�.. '-r ,,:'-rM Wj ��s sar;-Y'• 'r; :.v� yJ' ,.� ty �.�ir �) ✓SIF �" i:."t 1.S;;�S✓i' .!F.e ,r '�� :•aa ,}' �1i �1-c--sr+-r e . o V ..�" ��i BUTTE COUNTY SCH(�OCSaIIk�APACT FEE CERTIFICATION FORM' . (One Form Per Building) School District ` " f ` -'7 Building Department No. C ,� A.P. Number 1- �,�// ` Jurisdiction Property Owner City I County Property Location/Address ly-' Subdivison �/ / Lot No. 13 Residential Development 0 0 Sq. Footage �y No. of Living, MHI Addition (Group R) Units Commercial/Industrial Rep (Floor Plans reviewed by School District Personnel) Sq. Footage New Addition (Including Exterior Roofed°Areas) Date District Identification No. 9.s School District certifies that9f--.J (Applicant) (Street Address) , _t (State) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. %9. 9 ' by payment of $ representing square feet. 7 V L5 Y* - Date Paid by Check Number Remarks: Bank Number Paid by Cash , If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by thwapplicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department); Pink (school district) feeformmkl (4/92) A E.H. USE ONLY 1 Plot Plan Attached ( i ... Floor Plan Attached Seat to B. TO: Building Department � FROM: Environmental Health SUBJECT: Sanitation Clearance 42 - Owner. Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for:i,%�a� NOTE: LylriL� Environ ental Heal Specialist Date 04M %po�l n imm -OT rloi, no, J"! Lh U a I u R APPROVED e COynty Envir®nmen-al Health �'s✓c�e�c� 99-%�v 4-' 1� v0 I �� PRb� 3C.PTIC TAWV - LCAc+i QJ\\ FI E.t.D Pei- P-wTTL w - � r • Gr L e U }-IW060 AYF-o o- ENVIPOWAFNTAL HEAL; "I;Uii - 3 1994 GREGORY A. PEITZ ARCHITECT 1907 Ste. E Mangrove / J �!I 6 I eA w0 a Chico, CA 95926 / I (916) 894-5719 ?/Z 6;1/lq C� c1t 0- pi Gti �zwr Lu; w lk COa r of: ' JUL Z 7 199+ 61A 5S GREGORY A. PEITZ 'ARCHITECT 1907 Ste. E Mangrove Chico, CA 95926 (916) 8945719 AR, Hie. C 21283 GREGORY A..PEITZ ARCHITECT 1907 Ste. E -mangrove Chico, CA 95926. (916) 894-5719 -7 -Z "F Seo ARC y -J C_r ONO. C 21283 REM is C GREGORY A. PEITZ ARCHITECT 1907 Ste. E Mangrove Chico, CA 95926 (916) 894-5719 (z 3� �.5- z S -7 --AZT %; t 3 0 AR Cly/,,, C. v � �A U-;j®•CX1283to 5S GREGORY A. PEITZ ARCHITECT' 1907 Ste. E Mangrove Chico, CA 95926 (916) 8945719 to We ........... e, z� 0 PL (Z -q'-Z-9 AR Y. 10V40. C21283 REW .. 0 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) -`/ Bldg. Permit # OWNER T A.P. # z4 2 S 1 Plan Checker ;L-?)(= 7--2G9cf GENERAL !l,Va ning requirements: (sideyards and number of permitted living units). luation. CpQ 3!�lans signed by designer. fid! Proper description of work on,application. sting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). orded notice of violation. ' PLOT PLAN, lk 736plete parcel size and dimensions. 7/" Setbacks, sideyards, easements, etc. 8 -6t -her buildings or structures. 4 -.--Grading, fills, drainage. S: —FEod hazard. Lv—Spe-cial conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations)'., & FAS road setback. •S.uilding or utilities across lot lines (Record form). FLOOR PLAN plete to scale plan with dimensions. �qquired-windows for o light and ventilation (Sec. 1205). Required windows for 'second exit (Sec.',' 1204)..`' kylights' (Chapte-r 34 & Sec. 5207). S�Human impact glass (Sec. 5406). -6---meq-uired room sizes, ceiling heights (Sec. 1207). 7--GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). S -r- i•ght fixtures, switches, receptacles, and exterior receptacles'•ror main-_ /tenance of mechanical equipment_. Locations of water heater, heating and cooling equipment, other electrical oas equipment. g . 16.a firewall, door size, and closer (Sec. 5O3(d)(3)). '0" exterior exit door (sec. 3304 (f). 1lace and wood stove location, alcoves, and clearance. 1 detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. Sg,URAL DETAILS 1. Standard bracing or engineered design (Table 25V) dual shape, size, or split level house requiring lateral design. eres ory requiring balloon framing and/or engineering. 4—Th ewe - story building requiring engineered calculations and plans. 5(,,' Foundation plan complete enough to construct building. 000r construction details complete enough to construct building. 04Elevations and wall construction details complete enough to cons tr ldin � Roof construction details complete enough to construct buildin ttZ repla .e construction details and calcs if necessary. Y er ties or bearing ridge beam. 1 CC rage door brut header sizes. 1Stud heights. 13:—Ada-ie soils - special foundation design. P4-.--ft-taini.ng walls requiring design. 4-5 —ap-coal Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail.details (Sec. 1711 & 3306(j). �dr3cc or stone veneer (Chapter 30). ,4 -.,,',Exterior plaster.- weep screeds ('Sec. 4706). _Prdper roof pitch for roof convering (Chapter 32). oof covering. type - (fire hazard). , Foam insulation - protection. 6—.-�3_6_' halls and stairways. wing are over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. lo --exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 Attic access and ventilation (Sec. 3205). er oor access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. se requirements on duplexes. 1En y design. M. Flashing at all exterior openings. 14—.-GDFr-esponsible area requirements. ?1�6%q � $,, 0< S uM-V- r� 0 S 2 tVA �-t.SX49 Ofd -n, Ir r•, 3 -1) *\a J a'. . 14 P 9 1L - P9 4 GREGORY A. PEITZ ARCHITECT 1907 Ste. B Mangrove Chico, CA 95926 (916) 894-$719 i 5 4f0 PL F I S / -1, ---- Lg 61L W, "'Certificate of Compliance: Residential , (Page 1 -of 2) ' ' CF -1 R CAS Er Pogs 6.22^ q Project Title Date Project Address CxQ c -o R-'� 'PES 8°14 - 57 1 °I Bui d' a It # 79TumentatlonAuthor Telephone Plan Check/ DateField Compliance Method (Package, Point.System or Computer) Climate Zone Check/ Date Entoroement Agency use Only GENERAL INFORMATION Total Conditioned Floor Area: ft2 Building Type: ✓ .. Single Family Addition T (check one or more) Mufti -Family Existing -Plus -Addition Front Orientation: EST North / East / South / West / All Orientations - _ (Input orientation in degrees and circle one.) Number of Dwelling Units: . I Floor Construction Type:Sla %.Raised Floor (circle one or both) BUILDING SHELL INSULATION , Construction Component Insulati 1L Assembly Location/Comments Type a ue, _`,�U-Value (attic, to garage, typical, etc..) Wall ....:.... —� �X j�R t d �.. WA t� S� a Wall :............ - jZ13-t�AM� Roof ....... �..... ^. ROOF ............. Floor ............. /i Floor .....:.:..... Stab Edge .... n FENESTRATION t Shading Devices Fenestration Area Fene Int ibt' Orientation e s �.t ,a u r Exterior - roller:blind, etc.I t.!hadescreen, Front..... (E) -S '9fi0 N 4 Feont......( ) Left....... Lett....... Rear..... (v.)) T 1 Rear.... (' ) `f-, Right..... Right...... ) Skylight ht....... T Skylight ... - _ THERMAL'IVI S Overhang Framing Type (yes/no) (metalAvoodNinyq Type/Covering Area Thickness (slab/exposed, tile, etc.) (so (inches), Location/Description (kitchen, bath; etc.) exdQ_ 3II2 �. IZITcNcrJ:-�.F�TWS.i�i�nlL .�IJiYL t : WILDING DEPARTMENT, wleJenue1D8R' FDk Certificate of Compliance: Residential' (Page 2 of 2) CF -1 R Project Title U78o HVAC SYSTEMS Cooling -Equlpme nt' Minimum Type (air conditioner, Efficiency Note: Input hydronic or combined hydronlc data under Water Heating. Systems, except Design Heating Load.. fSEERi .. Distribution . Heating Equipment m Type and Duct or Type (furnace, haat cy A-(AFUEMSPF-) ocation Piping Thermostat pump,etc.ductys/attic, etc. R -Value Type Yn Cc c. -e— e.. Cooling-Equipment' , , Minimum Type (air conditioner, Efficiency heat oumn. evao. coolinal fSEERi .. in.. rl WATER HEATING SYSTEMS Duct Location Duct R -Value Rated' Tank r Heater Distribution Number Input (kW .Capa Type In System or Stu/hr) (oalic Thermostat Configuration Type (split or pack, Energyl Factor or Recovery Standby' 1.:For small gas storage (rated inputs 75,000 Btu/hr), oloctric resistance and host pump water hoators, list Energy Factor. Tor targe gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. or Instantaneous gas water heaters, fist Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the•bulding features and performance specifications needed to comply with Title 24; Pans'1 and 6,;of the Caffomia Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the Individual with overall design responsibility. When this certificate "of compliance is submitted for a single building plan to be built in multiple orientations, any sharing feature. that is varied is iddicated in the Special, Feature s/Rem arks section.. Designer or Owner (per Business a Professions code) Documentation Author Name: l� ✓e-'- P : r L Name: Tide/Firm: Tide/Firm: . Address: /go' 7 NI a„ fir .. <_. Address: 9s-9 7- Telephone: 5 • S7 9 Lie: 9: C Z( ZSr - rLF- 5 (signs re) (date) Enforcement Agency Name. Tide: Agency: Telephone: (signature/stamp) • . (date) :Ravlaad January 1992 Telephone: (signature) (date) Point System Summary: Climate Zone.11 P -2R �--�`�t=i HOU S � �- � c. --,�• . Prolect Title Date BUILDING DATA t� ![ Fenestration Conditioned Floor Area f Number of Stories l Area %a Slab/Raised Floor ' ` . 3 � North 12 . _. East B-715 Ch k all applicable Unit Type condition(s): South 22 1.4 [v"ingle Family Detached (SFD) [ J Addition Alone.. West . Vz a.2. [ J Single Family Attached (SFA). (]Existing Building' " Skylight-- [ ] Multi -Family (MF) [ ] Existing -Pius -Addition Tota[ SCORECARD Measures Point Scores 1. Ceiling Insulation R -30 or ppue [3e1 - u -value 10.02e1 . ' 2. Wall Insulation i� R 1°1 r AFUE or F Duct Etfio. [1 story: Effective AFUE ° r 6.81 R-valu U -Value 10.0651 ' .0, X 3. Raised Floor Insulation ►+/A or Duct Effie-, 1.1ato Effective SEER 0.81; 2+ story: 0.1,N R -value 1191 U -value 10.0371 12 4. Slab Edge Insulation N A or Auxiliary Input (.53) 1121 • [None) R-valuo [01 F2 factor 10.751 S. Infiltration Any Ducts in Unconditio . ? (DN) [YJ 6. Fenestration Heat Loss Vb>. "" , 150? ��• Type -value [0. Total %-Fenes. 1161 7. Fenestration Heat Gain % Fenestration SCshade open Eff. % Fenes. Shade Eff. Ratio North_ X •» _ - C�2 �S co East 5,1 X. X53 = aro South' : li<<-f _-X - ,-77 'West g 2 vx 155 Skylight N/a VIA = D Overhangs? (Y / N*) 8:. Inter lor Thermal Mass or 9. Exterior Wali Mass 10. Heating'System 11. Cooling System 12. Water Heating System 1 SG 4-0 Heater Tpe [SG5011 % Exp. Slab (201 Int. Mass/CFA xt. Wall ass go X AFUE or F Duct Etfio. [1 story: Effective AFUE ° r 6.81 0.83; 2+ story: 0.881 or HSPF .0, X •61 8• I SEER 110.01 Duct Effie-, 1.1ato Effective SEER 0.81; 2+ story: 0.1,N 53 12 no A Energy Factor Ext. Ins. R -value Auxiliary Input (.53) 1121 • [None) System 2 Heater Type [None] Energy Factor Form Revised January- 1992 G Zonal C.Ontrol Adjustment 10J O Zonal Control Adjustment 101 is�bution ISTD] Ext. Ins. RMIlue Auxiliary Input Distribution ' Point Total: Point Goal: Fenestration Worksheet: Heat Gain (Part 2 -of 2), Form WS -3R . �4 Cr�zZ�Sfo Project Title Date Orientation (circle one): North / East / South / West / Skylight (Note: All values on Part 2 of Form WS -3R are for one orientation only.) Overhangs Orientation Total SC Shade Open x Area Orientation Total Average Fenestration SC Shade 'Area Open Orientation Total Shade Eff. Ratio x Area Note: Shading coefficients should include overhangs if applicable. .--\ Percent Fenestration Orientation Total Fenestration Area Form Revised January'1992 Orientation Total Average Fenestration Shade Area Eft. Ratio x 100 / % Multiplier Conditioned Percent Floor Area Fenestration -(per orientation) OH Factor OH Factor Fenestration Overhang: Overhang Projection �-(Shade (Shade Description Height Depth (H) Height (V) Ratio Open) Closed) at OH Factor Sc SC Shade OH Factor Sc SC Shade (Shade Shade Open(w/ Shade Shade Closed (w/ Description Open) Open Overhang) Closed) Closed Overhang) / _9_ {Gst 4, C/ x ,-77 = 5-3 ,r® x= (08' '52 Q/ o _ — u. ag.7' , -7 z- x .,-,-7-7 x (og =— S2 x = x = X-=- x = Area -Weighted Average SCShade Open & Shade Effectiveness Ratlo r. SC SC SC Shade Shade Shade Shade Shade Fenestration ' Open Eff.,Ratio Description Closed' Open' Eff. Ratio Area x ,,:Area x Area too 37 Orientation Total: Orientation Total SC Shade Open x Area Orientation Total Average Fenestration SC Shade 'Area Open Orientation Total Shade Eff. Ratio x Area Note: Shading coefficients should include overhangs if applicable. .--\ Percent Fenestration Orientation Total Fenestration Area Form Revised January'1992 Orientation Total Average Fenestration Shade Area Eft. Ratio x 100 / % Multiplier Conditioned Percent Floor Area Fenestration -(per orientation) Mandatory Measures Checklist: ResidentialMF-1 R NOTE: Lowrise residential, buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk.(*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this :checklist only. . DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures * §150(a): Minimum R-19 ceiring insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value, v .'*§150(c): Minimum R-13 wap insulation in framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; •minimum R-8 in concrete raised floors. §1500: Slab edgelinsulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perminch. §118: Insulation specified or Installed meets California Energy Commission quality standards. v Indicate'type and'form. §116.17: Fenestration Products, Exterior Doors and Infiltrationtxfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and inriltration certification. G Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control �. c. Flue damper and conUol . 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. v §150(): Setback thermostat on all applicable heating systems. §15001: -Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R•12 or greater) or combined into insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, Insulated (R•4 or greater). 3: Ap buried or exposed piping insulated in recirculating sections of hot water system. 4. Goofing system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. * §150(m): Ducts and Fans • 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool.and Spa Heating Systems and Equipment -1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" pipe between filter and heater for futurb'solar heating: b. Cover for outdoor pools or. outdoor spa. 3. Pool system has directional Inlets and a circulation pump time switch. §115: Gas -tired central furnace, pool heater, spa heater or household cooking appliance have no. continuously buring pilot right. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Lighting Measures ,? §150(k): 40 lumens/WAR or greater for general fighting in kitchens and rooms with water closets; and I recessed calling fixtures IC (insulation cover) approved.., v Revised Jantlary'tlig2 , , x .: " ow, fill- us ak? MAN OUR , ,too an I . �.WTINil! 00 VIA , , .... , ♦ .. �. .... ..r •, ,.. ,: .. .. ..✓ .. .. .. ..- Y.. ..(F , a... .'. _:. _ .,fin'}. 'b.. Fl AOL "AS pg Ijj ryi n t, y x _,. } 1 j , stool _ , _ . _ . � � � _ _ _ r .�,, � �. ,_ _ � i� � "rte, �