HomeMy WebLinkAbout042-590-03242-=59-3�2
GEORGE LADYS CARMAN
A3259 Bay Av nue, Chico
PErmit#3613-88BP�,&,.N. g
i(new single fa�mily
42-5SF-32--
m
Per 323-89B(Ist renewal/3613-88)
U4Z-59--0-032
.�3640
CARMAN, GEORGE-&'GLADYS
C NTR:. OWN'
.0 ER %
.3259 BAY`� AVE,
LW DEYACHED-,,SHOP
N,
I
15
a
E ID NTIAL
^' 2-59-0-032^ = 91-3640
CARMAN, GEORGE & GLADYS
'CONTR: OWNER
3259 BAY AVE, CHICO
jNEW DETACHED SHOP
j
V OK
0 Not OK
Not Applicable
Not R6ady MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) CK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Ease men I Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test-Wra p: / P11t.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card 8-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -C rossovers- Brea kers-C lea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card -B-1 Date Card E-1
Date
Card B-1 Date Card B-1
MISCELLANEO,US
Date DECKS, COVERS, CARPORT;M�ES, (Plans)OK except #'s
/-Zoning Requirements -Setbacks -Easements
I Footings; Soils-Size-Depth-Spacing-Connectors-Stei�UN�� I/
3. Decks; Griders and/or Joists- Decki ng -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. A
.jeffi. Awn.; CoIVI'ns-Connections-Splice-Decal-Enclosures
Vi�� ows-Doors
_, s; Wi nV
tric
Fr * ils-Anchors-Studs-Rftrs-TTvq_"w
P�Y,ng; Nailing -Veneer -Stucco -Mesh
VRoof; Shthg-Roofing
14xt.; Steps -Doors -Landings
Date % 1-ezA� Card B-1 GtG DateHq-dp Card B-1 (�;G
DatejL�JQ_ I I Card B-1 Inqj-, Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure: Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Pane I boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V = OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL
Date UNDERFLOOR (Plans) OK'except If's
1. Zon i ng -Setbacks-Easements-Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
15. Sternwalls, Main; Steel -Bloc kouts-Wra pped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.: Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
Water Htr.: Vent -Access -Combustion Air-Balfle
17. Water Pipe; Test & Anchor -Nail Protection
----------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
Shower Pan: Test. First Floor -Tub
20. Test -Tub &-Shower,- Second Floor -Tub Access * ---- - -----------
21. Gas Pipe� Size & Anchors
------ - ----- - -- -----------------
Date Card B-1 Date Card B- I
- ----- - --------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except 4's
22.- Fixture-& Transformer Clearance -Ins.- Protection --- ----------- - -
------- _____23._EIec. Recept-acles Spacing -Lights & Switches at Doors -------------
24. Size Boxes & No. of Cond uctors-Sta pled
-- - ------------------------------------------ - -----------------------------------
25. Romex Installed Close to Edge of Studs & CJ
--------------------------------- - - ------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
-----------------------------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------ ------- - - -------------------------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
-------------------------- - --------- - ------- - ----------------------------------
29. Range Circ. ! / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 11 Yes 0 No
--------------------------------------- ------------------------------
------ - ------ 30.--Service-Riser-Co-nductors &-Gro.und-Main- Disconnect -------------
-------------- 31.-Equip.-Cleara-nces Panel s- Motors- Mech. -Equip -----------------------
32. Clothes Closet Light -Shower Light -Spa Light
--33.- Smoke -Detector -------------------------------------------------
-----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B- I
Date MECHANICAL (Permit) Ok except 4's
------------- 34.--A.C.-Ducts Insulation A -Sup -port ----------------------------------
35. Vent Fan: Exhaust above insulation
-------- - ------------------------------- - --- - - -------------------- -----------
36. Condensate Drain & Overflow: Size & Grade
-----------------------------------------------------------------------------------
37, Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
---------- -----------------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
--------------------------------------- -------------------------------------------
-- - --------------------------------------- I --------- - --------------------------
Date -------------- Card -B-1 -------------- Date -------------- Card -B-1 -------------
Date Card B-1 Date Card B- I
Date FRAMING (Plans) OK except 4's
39. Sils. Proper Material & Anchors
------- ----- - ---------------------------------------------------- -----------
------------- 40.- Walls- Stud -s -Nailing. Spacing-&-Bracing-Plates-Sou-nd -------------
41. Bearing Walls over Girders & Floor Nailing
- -------------
- - - - -- -- - -- - - 42.-Draft-Stop.i-n Walls (rat proof) ......... . .......................
------------- 41 Fire -Stops: --Furred Ceilings -Stairs -Chases -Tub -- - ------- - -----
44. Headers & Beam -Size & Bearing
ingle & Duplex)
Date FRAMING (Continued)
45. Hangers-Posl Caps -Anchors -Connectors
46. Clng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Dra it Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
------- - ---- 52., lEx.t. Doors -One T -Check Garage -3rd Story, 2 Exits
53.1".Stairs: Width -Head room -Rise-Run'Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55.' Siding -Nailing Veneer
-----------
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection-Skyl ig hts- Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
- -- ----------
Date Card B-1 Date Card B-1
-----------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
-Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------
63. Furnace: Vents -Clearance -Comb. Air-Connectoir-
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
-------------------------
65.__G.F.I._& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------
67. Stairs & Rails
--------------------- .... . .....
68. Fireplace or Stove: Clbarances-Hearth
-----------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
--------------------------- __ - -
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
-71'- Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
----------------------------------
73. A.C. Duct in Garage -Damper
----------------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
in Garage: Above Floor-Mech. Protection
-------------
- -------- ---- 75.-Plb.. Elec.-&-Mech.-Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-----------------
7;. 1 nsulation- Foa m- Looked in Attic 0 Yes
-------------------------------
------------- 78. -Guard Rails & Deck -Construction- Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
-----------Clearance Looked -under Floor- 0 Yes
80. Following instid.: Drive 0 Yes 0 No: Walks ID Yes 0 No;
Planters 0 Yes 0 No
------------------------------------
81. Stucco: Brown -Finish
-------------------------------- - - - - -- - - -
82. A.C. Unit: Disconnect. Electrical, Plumbing
- --------------- - --- - ---- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
------------------------
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
------ ---------------------------
87. Gla ss Pro tection
88. Corrections from Previous Inspections
------ ------
89. Gas Test -Meters Tagged: Gas -Electric
----------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
-----------------------
------ --------- -----------------------
Date Card B-1 Date Card B-1
----------------------------------
-Date-.,- ------ Card -B-1 -- -------- -Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,"538-7541
APPLICATIO14 AND PERMIT
PERMIT NO.
T 1—,-36 !�/ -
AA
ASSESSOR PARCEL NUMBER
42-59-32
ZONING
RT1A
BUILDING PERMIT
OWNER
Geo 1 R Carman
TELEPHONE
345_0405
SQ.FT. OCC. BUILDING VALUATInm
572 M 10,296.00
.W1WE1#SAI&99h_ESS
3259 Bav Ave., CHico 95926
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$10.296.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$105.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
00
_!__52_.
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$172 -9n
PLUMBING PERMIT
FilingFee 1 15.00
,19S9 R@�T Aire Chi rn
Each Trap
1 5.001
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME =ARCEL MAP
1
Water piping
1 7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SFEI DuplexF_� MobilehomeF_� Other Shop
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I =:1
@ 15.001
TYPE OF WORK
New [N AdditionEl Remodel[] Utilities[] InstallationE"i Other
Describe work: Detached Shoi)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
I
FilingFee 15.00
main service 600V OR LESS
200A OR LESS
.. 18.5�0
Main service 200A TO I OOOA)
—
]�7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
rV
J,nJ 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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
N E W CONST. (DWELLING OCCUP.&)
OR ADDNS. ACC. B L DGS.
X 3.64 sq.ft.11 20.00
a
NEW CONSTFL MU Q'OUTL�
NON-RESID,, BRANCH CIRCUITS)
@ 5.00
(POWER APT ARATUS &
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 9 761
AL. 464
FIXED APPLNS. OR %
Ex. Occup. OUTLETS (RESID.) EA.1
3.00
Temporary service
15.00,
Mobile Home Facilities
15.00
Misc. Wiring
.15.00
I
Permit Fee
$35.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
1 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
Venti lation
'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 said County in c )nsequence of the ting of this permit.
ran I
Date
Signature of As;�P'I'c,ant Owner X Contractor D AgentEl
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 Inspectiog Fee $
occ
I cr
;q'ITOTAL
F9E $207.50
HAZ
I � FEES I
IMP
IF
;r,�
IS
Is
This permit is hereby issued under the
sions of the Bu e County Code and/or
work indic a ?bv
T �hich fees
�TCe
R T F PUBLIC
RV
P 11111%144XPIRES� Date .
applicable provi-
resolutions to do
have been paid.
WORKS
Date I
&=4,L71
//_
it
Receipt No. 100930
WHITE-O.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE DEP,AR,,TM NIT 0*-�P,45LIC WORKS - BUILDING DIVISION A
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 0 /Z E � P
Proposed B u i Id i ng U se - Building Inspecto
Date
At time of permit application, I was advised the following data must be submitted prior . to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 . All items have been submitted . ..........................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7 Statement of Intent for Non -Heated and AC Buildings ..............
Z_' �-�8_Engineered truss details and layout in duplicate (required prior to '
plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .......................................................
10. Fees of $
11. Chico Urban Area fees paid ........................................
12. Park fees paid ....................................................
School District fees paid ..............
antaton approval �from K_
Health Department
Jingpermit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: -(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owne'r 0'.Mail to owner 0). :W.� .. -
24. Recorded copy -of Agricultural Acknowledgment Statement ......... . —
25. Letter of signature Authorization ...................................
–26.
27.
When you issue the permit, process as follows: — �f�__Mail to owner. —Mail to contractor.
Telephone and hold for pickup at —office. —Deliver w/inspector.
Other
ZT n,
Applibant eff �*_4-1 Date
Copy of H.az-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent -----Health Dept. —FireDept. —Other— Date— By—
The following data must be submitted prior to permit issuan rcle new item not checked above).
1. Index permit for above items No. X,
2. Additional items required: f
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by—.date
Contractor, designer, owner, was advised of above required data by—phone —ma I I —counter by— date
Plans checked by Dater'_"�� Plans approved by Date
-Sets of plans on hold in
Copy–DPW
File cabinet _AP folder
TO Building Department
,=r
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
clearance for bedroom mobile home. Other
NOTE s * * Z Z P.
Sanitaria
Water Supply
k�60
Water Supply
Water Supply .
to /
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Calrfornia 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
4z --o
ZP!7_/ /�_
I BUILDING PERMIT
OWNER( L�
6 r_:Ooda
E NE
SQ. FT. O.0 BUILDING VALUATION
7q
OWNER'S MAILING OR
_jg ;2 4!�- �f , C_ 141
C 0 �J A ��74,0�r�
�f
I TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ za!;7 00
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $ S;12 1
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BU��'ING ADDRESS
2
,-22 42>4 -4
Permit fee $
PLUMBING PERMIT Filing Fee 15 .00
Each Trap 5.00
6
Solar or heat pump water heater 29-0b 1
LOT NO.
SUBOIVISIO.N NAME
I
L MAP
Water piping 7.001
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [I DuplexF� Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlet.V" 5.001
Building sewer 15.00
Mobile Home I Sx W. 1 15.00
TYPE OF WORK
Ne Additioni .1 R emode 1 [:1 UtilitiesO InstailationE] Other
Descr,b work:
Z�'
Permit Fee $
Contractor
ELECTRICAL PERMIT Fi ling Fee 15.00
Main service 600V OR LESS
200A OR LESS 18.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. 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)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
FI I am exempt under Sec.—, Business and Profe.ssions Code
for this reason
Main service 200A TO I OOOA, 37.501
NEW CONST. DWELLING OCCUPM
OR AODNS. ( ACC. BLOGS. 3.6* sq.ft.W67
NEW CONSTR ��UUFI-.UTLII
N.N.RES �
_ I D, R ANCH CIRCUITS) @ 5.00
POWER APPARATU &)
SINGLE OUTLET CIR. I
�7
Ex. Occup(OUTLETS OR FIXTURE 1 2 0 6]d
RAL_ (@ 46
—
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.) 3.001
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
F-1 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.
shall not employ any person in any manner so as to become subject
0 the W. C. laws of California. ect
No D*o Applicant: If after making this statement, should you become subi
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FJli<Fee 15.00
Heating
Cooling
Hood 6.501
Ventilation 1/" 1
Pertnii -_ $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County or
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butt e agains,
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
Signature of Applicant — Owner 0 Contractor 71 Agent
An OSHA permit is r7uired for excavations over 5'0" deep and demolition or construct.
ion of structures over stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
occ CONST TYPE
I I TOTAL FEE $,),0
I
HAZ
1 0 FEES IMP
I FLOOD
I �137
PARCEL
PO
I
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WHITE-O.P.W.. YELLOW- ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
-COUNTY OF BUTTE Department of Public Works
7 County Center Drive, Oroville, CA 95965
'OWNER -BUILDER VERIFICATION
Phonet 916-538-7541
Attention Property Owner -
An "owner -builder" building permit has been applie d for in your.name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the propo.sed property improvement (yes or no) 4je-,-
2. 1 (have/have I not) signed an -application for a building permit
for the p�oposed work. -
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. )1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Sec ur*ty Wumbee
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
ri
-county en,
r-
------ ------
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. 110
PERMIT NO. T "I
PERMIT EXPIRES
OWNER GEORGE & GLADYS CARMAN
CONTR. owner
ASSESSOR PARCEL 42-59-32
LOCATION 3259 Bay Avenue, Chico
'�V
OFFICE COPY
Address
GAS
meter 6 Datej6-( -cU
ELECTRIC
Meter By --------------
Te4;:P�oer—Zeg:--�If—�
Called PG&E C U (7��
t
01,
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
-rJOB FINALED inatp)
Slonature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi I Ije .7 Phone: 538-7541'
747 Elliott Road, Paradise — Phone* 872-6307
CORRECTION NOTICE
C-et-��
OWNER
3 -'P?
MIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date—t6 -/-io Inspector—'-
rr
COUNTY OF BUTTE
k i DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
Yrk is completed. If you have any question pertaining to this
when correction of w
matter, or need additional explanation, please contact this office immediately.
C-
1 A
1 SO,
wan NMI]
lnspector—u't� Da . te—
COUNTY OF BUTTE
OF PUBLIC WORKS
-2751
196 Memorial Way, Chico Phone: 891
7 County Center Drive, Orovi Ile — Pl�one: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
a A,1 36 1-3-,�?
OWNER PERMIT Nd.
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 ne additional explanation, please contact this office immediately.
7d
13 111
,V V(--/) L) � � -e -To.4 - en 1. '4- tl--I) r- J/) / , 'r
�' h 1P 4 j -7-'d s- L Q V I 'I 'y e- :� e -, �-
Inspecto r e Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 -'County Center Drive. Oroville — Phone: 538-7541.
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
�e.' rzoa,&.1' 3/,/
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
0
I
r
y , - 0,(-.
Inspector. �A e- Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Oroville — Ph -one: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
36/3
4e-oj- &<--'411 Q AZ _44p�
OVVN E R PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. It you have anyquestion pertaining to this
matter, o d ditional explanation, pi�a`s`e' contact this office immediately.
/./V
k4 rb 0
'9
,I "Y'Q -e I A-1 e
77-pl-
Z--'001� oed 4 a��
nspec or (-7-
Date
Oon6r: Permit No..
ENER,GY CERTIF ICAT ION
V I N . f �, i,
3259 QaV Avenue,Chicg, Ca.
LOCATION A.P. No.
ROOF
Material
Thickness(inches)
DESCRIPTION Or! INSULATION
Brand Name
Thermal Resistance (R Value)
EXTERIOR WALL
Material -..'Fiberglass Batts
Brand Name' Owens-Cornina
Thickness(ihches) 61411
Thermal Resistance(R Value) R19
CEILING
Batt or Blanket -Type
Brand Name I
. Thickneso(inches)
Thermal Resistance(R Value)
Loose Fill Type !:*!hPrg]
Brand Name nwang-Corning
Minimum Thicknes I (Inclies) 1 C,11
Number of Bags 32 Wt. per bag' 35 -lb.
Ires covered(ft. ie;?5
Thermal Resistance(R Value) R38
FLOOR, ELEVATED
Material Fiberglass batts
Brand Name Owens -,*Corning
Thickness(inches) 61
Thermal Resistance(R Value) R19.
FLOOR, SLAB
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
Width(inchea)
FOUNDATION WALL
Material
'Brand Name-
Thermal Resistance(R Value) 7%
"Thicknesi(inches)
I hereby certify that the above insulation
was installed in the above buiW05
16 6onformance with the State of Californ-is.
Energy Requirements,
LOERK17: INSULATION CO., INC. 499150
IRH - NAHE/OWNER STATE CONTRACTOR'S LICENSE NO.
October 1, 1990
1 LE
6-511IG)tATURE OF IiISTA ON APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attacbinents 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-Calif6rnia.
FIM NAHE/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIO-NATUW bF GENERAL CONTRACTO 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 e
January i984
= OK
0 = Not OK
- = Not Applicable
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location-Test-Fall-*C/0-Concret4�
4. Water; Location -Test- Easement Needed (Sketch
5. Electricity; Location-Clearances-Grnd.-/ / Am
6. Gas; Location -Test -Wrap: P'Uft.
/ P'Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MOSILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size-Spaci ng- Marriage Line
3. Gas; MH Test- Demand -Valve -Con necto r
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector*
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, Plans)OK except #'s
1 Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connect6-rs-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms-Rf trs.-Con nec.-
Shthg.-Rfg.-Brar-ing
5. Alum. Awn.; Col u m ns -Con nections-SpI ice- Decal- Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frm4;,Sills-Ahchors-IStuds-Rftrs-Trusses A.
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B1 Date Card -131 Date
Card -Bl Date Card -131 Date,�
Date POOLS (Pla ns) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15-volts-GFI
6. Elec.; Enclosures; Conduit Entries-Termi nals- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip.-Hbater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Encl osu res- Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
F.F=OK-w ,
0 Not OK
Pot Applficable
Not Roady '
Me UNDD
RESIDENTIAL (Single and Duplex)
OK exceDt #'S
P -Lo n i ng -,.)exDaC Ks;-taseme n is- mpoa-tii ope
e---7 (XWtq, Main; Soils-Steel-EIee--6rnd.-Z,0'/" Ftg. De
tg., Garage; Soils -Steel -/42 /" Ft6. Depth
4,7ft 0
_q, Porches & Decks; S'ils--Steel-/ /"Ftg. Del
erlfiomwalls, Main; Stee I -Bloc kouts-Wrapped
A.,ttemwalls, Garage; Steel-Blockouts-Wrapped
,Z,Slal?.��teel-Wrapped
6,7 i -Fireplace Ftg.-Steel
15�- 1,6 W.V.; Fall-Fittings-Test-,vw#y,"C/0-Se)dop�Test
,A�Tipe; Siz -Anchors
5'- It. 6Water Pipe; Test -Anchors -Regulator -Service Test
12,4!.Patrjp, Underground
Xx�u ms & Ducts; Clearance-Material-Supprt-ins.
(Wirders-Sills-Anchor Bolts -Joists -Vents -Cripples
15.k4nsulation
Card -Bi Pb Datel-/7-?7 Card -131 V,& Date
Z
Card -131 ikr-�_ DateoT-/,5-01 Card -Bl Date
Date PLUMBING (PermipOK except #'s
16. Walarf4t-Vewr-Acce_ss--Com�o�tion AirfWffe
Welftw ?,�Teet-& Anc4ers-Nail ProreSlioft—
.; Test-Fttngs & N!chors-NafrProtection
e
,,r Pan; Test,kFifst EWo,,��
2R-�-fub & Shower, 2nd Floor -Tub Access
24'Gas Pipe; Size & Anchors
Card-BlVL5 Date// -/FM Card -131 Date
Card -131 Date Card -Bl Date
Date ELECTRrCAL
(Permit) OK except #'s
22-Illixtum-&
Transformer Clearance -Ins. Protection
4XreSelRecep
tacles Spacing -Lights & Switches at Doors
ize
es & No. of Conductors -Stapled
2&_R6-_me%1nstaIIed
Close to Edge of Studs & C.J.
2�--�qy4e-G-rbund
made up w/Mech. Fasteners-Boild Gas & tMfer
ZL,f-Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al I
29. Range Circ. /, / ga. Cu Oven Circ. / / ga. Cu or Al.
Insulated Neulval We No-- I
19� Atr-Ris ' r Conductors & Ground-MaK Disconnect
3>--,Eq��aarances Panels-motors-Mech. Equip.
312,Zrogig-s Closet Liaht-Shower Liqht-SDa Liqht I
Card-Bl(J/5 Date/L-/`�-Fl Card -Bl Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except_A��'
?&;.,<g,.-bucts insulatiort.&Suprort
Fan; Exhdal-above insulation
C ensate Drain & Overflow; Size & Grade
C2�.7Yurpg22-vent; Access-CoT Air -Return Air Vent -1 15 outlet
it-Wfic Access & PlatfaPK-if Furnace in Attic
Card -131 (J& Date //�/,J-14 Card -B1 Date
Card -131 Date Card -B1 Date
Date FRAMIM6(Plans)/OK except #'s
If 3 .. il , aterial & Anchors
It -,to -W A���Iscfs s- ailing, qpar�i,4 & Bracing—Plates-Sound
1.1-9o-lq (410earmn-a-Wa-liq over(G-&xKrs)& Floor Nailinq
4g_.0T'aft,Stop in Walls (ratAroof) -
4�:�Stops; Furred Ceilibkrg--Stairs-Chases-Tub
44 -,,"Header & Beam -Size & Bearina
a
Date FRA"G (Continued)
a�gws-Post Caps -Anchors -Connectors
48-CIng. Joist-Rftr. Ties-Purlin-Roof Bract-Truss-Shthng.-Rfng.
47. gireplaqp Ties or 1ype-A Ellis FhvptffU9-TtTr*at Clearance
4 Access; Size & Ro rotection-DWt Stop-ln5-Baffles
49IB5�Ln. windows or ExWpg Doors -Sill Kgt. & Dinrernsions
52!IE��e Fire Protes4of Framing
54-.P�q�y Line Firewall & Openings
Ext Donrs-One T -Check Garage -3rd story, 2 exits
53. Staef9i otection
V. Plywood on Roof Overhang -Attic Vents -Rafter Outrig
5e-'§id,i'frg-Nailing veneer
��I�co Mesh -Drip Screed -Fd. Vents-Underflr. Access
,W -,."Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; ��afli-Bolts
�9_. Insulation-Yrafl's-CIg.
60. Infiltration-Walls-Wndws _J�A IP__A
Card -131 VL�p Date Card -BT Dltd
Card -Bi 17)2� Date Card -131 Date
Date FIN±L(Plans) OK except #'s
V. EM- Steps -Door & Sidelight Protection -Land i ngs
02"'
,$Koke Detector
Furnace; Vents -Clearance -Comb. Air-Connector-
!PGarage; Above Floor- Ducts- Mech. Protection
Kp� room Exiting
. _. QF -r & Bath Fixtures & Tub Access -Spa
6e.El c. Trim & Subpanel; Breaker Sizes -Labels
W, 'Stairs & Rails
�.52e or Stove; Clearances -Hearth
6V . Outlets at Wood Panel; Int. & Ext.
70 -_KW Fb3t' & Appliance; Grnd. -Air Gap -Cooking Clearance
K. E utlets & Receptacles at Kit. Counter
tg'Vage Fire Door; Swing -Landing -Closer
Duct in Garage -Damper
CVji.�Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
��arage; Above Floor-Mech. Protection
., Elec. & Mech. Equip. Listed for Location
Pec. Receptacles in Garage; (G.F.I.)-R?p6x Protec.
Igsulation-Foam-Looked in Attic 0"Yes
7 ard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door-Draina
,g�-,& Wood -Earth
�,�rance Looked under Floq�_ u�es I -,-
Following instid.; Drive,,,,Cffes 0 No; Walks ff Yes 0 No;
Planters 0 Yes 0 Roo
-8t.-ST_=o; Brown -Finish
8il—Disco
,G -'O n it, nnect, Electrical, Plumbing
00 --vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
9penings.
8CWater Well; Disconnect, Electrical, Plumbing
&6. �*terior Elec. Trim; G.F.I. Receptacle -Underground
86. V4erftilation throuahout House
87. glar�s Protection
ap"CZr lops from Previous lnp!�2!�ng,�-
2R;rX-9es't- Meters Tagged; Gla<-Elebtfic
c
,KA*ater & Sewer Connected -C/0 to Grade -HD Approval
(\,0-JEnergy Compliance Certificate -Other Certificates
M. Roofing CeefftqTte,,
Card -1311 P_/,*DatK4
,<�rd-Bll Date
Card-B1Jd_.t,f0 DatgaAAoqj,,� Card -B1 Date
Card -BI Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
04
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N
3�11 /S—
AA 1Y
ASSESSOR PARCEL NUMBER
41 A- S- 9 — 3 1
�O G
kii-./ A
Is 11 11
BUILDING PERMIT /&/ V
OW ER ac� 5 (f d- C, ry% A. rN
TELEPHONE
316— OY09
SQ.FT OCC.1 BUILDING VALUATION
/4 R - -4
-7 A 0
OWNER'S MJ%ILING ADDRESI 1
3(Q0 ac-i'die 1—n.
q
CONTRACT25S NAME,,.
CAJ ^
TELEPHONE
_14 00
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
WN
Total Valuation $
9 3 q
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 4Z -S, 3,
PLUMBING PERMIT
FilingFee 10.00
01 sq- I � (3,!:1 A,
Each Trap
2.00 .150
C_
Solar or heat pump water heater
+"-W
LOT NO.
;3
SUBDIVISION NAME PARCEL MAP
1 17 o— -3 J
Water piping
5.00 00
Each qas water heater or vent
5.00 00
USE OF STRUCTURE
SIX Duplexn Mobilehomen Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 FL 1 0 0
Building sewer
o 0
Mobile Home S I G I W
--5.00
10 00 ea'
TYPE OF WORK
N Addition [1 Remodel[] Utilities[] instaiiationD Other[:]
-V P Y-,(
D: �cdbe work:, 2K +46
C,,- r -c,-
C,
Permit Fee V
$ 0 61
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
6101 OR LESS
main service 100 AMP OR LESS
10.00 ou
CONTRACTORS LICENSE LAW
I declare under penalty,of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
HV
AJ 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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OC C
OR ADDNS. ACC. SLOGS. &P
1/20SCI ft
NEW UUN-IT11- MUL-TI-IJUTLET
NON.RESD, BRANCH CIRCINTS)
'2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@50t
15AL& 30C
Ex. Occup. FIXED APPLNS. OR I
OUTLETS _(RESI C.) EA.1
2.00
Temporary service rP.D 1,0_
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15-oo je 6,
I
Permit Fee
$ 20
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: It 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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
50
Hood
3.00 3, (> co
Ventilation
'
I f� 31
Permit Fee
$ :23-570
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X - z�g- Date
Signature of A00licant — OwnerX 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 Fe,e $
Energy Inspection Fee 0 Or
TOTAL PERMIT FEE $ 7,5 6Z7 0
occuP.1 CONST.TYP77
ru_r I 1-57,;l
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By_
P.PRIVT EXPIRES Date
P7171 -
1=
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
i --
Receipt No. Q 24L.-7-3
WNITE-O.P.W., YELLOW-ASS'E330111. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE —Department of'Public Works:
7 County Center Dr.ive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your*earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) e
I 7Z!!ZS -
2. -1 (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of th ' is work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors.License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number`� &-
Date // "
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to,our office before we are per-
mitted to issue �he permit.
j f
COUNTY OF BUTTE - DEPA RTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENT�R DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLIdATION DATA SHEET
OWNER 6e0rcie- I 6((%dL,,S (fo. C, rv% & ^
Permit No.
A. P. No. 41
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
1. All items.have been submitted . . . ... . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans.
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered pl ans and calc�s, with wet signature on -plans.
5 Pla s with Energy Design -Compliance Statement . . . . . .
C-4)
School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
i�eLetter of signature authorizati n . . . . . . . . . . .
ol Sanitation approval fro... a ; _ (j Health Dept. . . / /— �-- Yr Ys -
11. Planning approval for (A) Use: — (B) Parking:— .
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mail to ownerE])
—15. Improvements may be required . . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
,Z44Pre -Inspection for 4 Pre-Inspec.srequ.st to Matel
. Required- Building In pector
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit. VV
nq2y Plot plan approval from city of
Engineered trusses'in duplicate (required prior to plain check).— ////l!9/W
ef�r 22. CUA FEES RECEIPT 19,;L q -7 1V z - / � � AK
When you issue the permit, process as follows: Mai I to owner, —Mai I to contractor.
—Telephone Z -A' alhd�hold for pickup at—office, —Deliver w/inspector.
Other
1�?
Copy of plans sent
Applicant
Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior to permi-t ss.uance: (Circle new item not checked above).
,,I k.� / _� c�
1., Index permit for abov6 Jtemils No.
Adbitional items requirdd,
Contractor, designer, owner,
was advised of above required
data by—phone--jnai
I —counter by—
date
Contractor, designer, owner,
was advised of above required
data by—phone—m
all c ter by—
date
Plans checked by e
Date
Plans
approved by �7
— Dat
Copy—DPW
Sets of plans on hold in —File cabinet _AP folder
�i
TO
FROM:
'SUBJECT:
Bui'hdinv Department
Environmental Health
Sanitation Clearance
Omer)Location �Z AP# ^ �Z
Plan Approved for: Sewaqe Disposal ✓ Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for _ 3 bedroom mete home. Other
NOTE ***
s tarf an
Date
TO BUildincy Department
FROM:' Environmental Health
SUBJECT: Sanitation Clearance
lexvM'o c Aao
ir 0 ( 3 ?-4r I
Owner L *nC14(— AP#
Plan Approved for: Sewage Dispo sal
Ho'ld,final for:
Final clearance O.K. for:
Clearance for -3— bedroom mobile Other.
NOTE
sanitarian
Water Supply
Water Supply
Water Supply-
Date
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Driveway Clearance
4 �� 3Z
owner locati n AP #
Driveway permit 9%Z 1?—? has been issued for the above property.
n b
/Z-�%-
sign re date
88-37802
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Secti.on 26-8. 1. of the Butte Cou�ty, Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
88-037BO2
Rec Fee 5.00 1
to land or :included within an area zoned
1
Cash 5.00
f6� agricultural purposes, and residents
Recorded
of this property may be subject to incon-
official Records*�
1
veniences or discomfort arising from the
use of agricultural chemicals, including,
County of
but not limited to herbicides, pesticides,
I Butte
Candace J. Grubbs
1 PARV SHOWN
and fertilizers; and from the pursuit
of agricultural operations including,
Recorder
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has established ;igriu0
L.ural zones which have as a priority use for
productive agricultural.
purposes, ond resideii'i,,;
within said zones and on adjacent property
should be prepared to accept
such inumiv(,,nience
or disconform from normal, necessary farm operations.
'All. that real property situate in the County of Butte, State of Californ:i*a, descrif)cd is
f ollows:
Parcel 3, as shown on that certain'Parcel Map being �,
w ljortion of Section
17, Township 22 NOrth,'R ' ange 1 East, M.D.B. & M., h Parcel Map was
recorded in the Office of the REcorder of the County 6f -Butte, State of
California, on February 2, 1979, in Book:70 of Maps, at Page 35.
Date: 11/4/88
PROPERTY OWNERS:,
GRORGY2 CARMAN'
State of CA On this the 4th day of November 19 88, before. nfe',
SS. the'undersigned Notary Public, personally appeared
County of Butte
Georqe Carman
Personally known to me. R Proved to me on the basis
of satisfactory ev-idence.
....................... 'to be the person(s) whose name(s) is
.............
OFFICIAL SEAL pubscribed to the within instrument and ackn6wledged CliaL.
LUCY A. PERSHALL :executed the same for the purposes theF'el'n contained. 1, N W ITN VISS
:WHEREOF, I hereunto set my hand and official- .% ..
NOTARY PUBLIC - CALIFORNIA ,,(sdal. .
BUTTE COUNTY
............ PAY Com in. Exp. Jan. 10, 1992
-Present A.P.- No. 04 2'59-0-032-0
�-�Notary Public
LUCY A..PERSHALL
ENb OF DOMMENT
17
A. P.
41�� Vr
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
Number Building Department No. -
School District City L__j County L,?�J
Property Owner (�7eorcAe C7(6-�is eC, r Y%, ek, 1%
Jurisdiction
Project Location/Address las 9- 11 6.�, 11 0 C.
Subdivision I Lot Number
Residential Development:
Sq. Footage/6/k
# of Living MHI Addition AGroup R)
Unit's
Commercial/Industrial:
Sq. Footage
New Addition (Including Exterior
Roofed -Areas)
ng DepartmentJ Representative
C -V
Date
,.District Id No.
.1 School District 6ertifies that
Cnl- /-71 a, f--� 3
(AaPlicant Name) ,(Phone Number)
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of- Resolution No. 3o(n-
4J�
t f $
by the paymen o representing square�feet.
chob-1 District 'RdereseLYtative DAte
PAID BY CHECK NO._ REMARKS:*
BANK NO—
PAID BY CASH IeL / 1A
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (5/88)
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D)
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONVD)
goe" Garage door or porch header sizes.
5,0000'Adequate bracing.
-1-@--"T1vihg area over garage - complete 1 -hour separation required on garage side
including supporting.walls and posts, etc.
.Ll- �Iwo exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
190.000%ttic access and ventilation (Sec. 3205).
it/ Underfloor access and ventilation (Sec. 2516).
4*----Vood stoves, clearances, alcoves & 1 -hour shafts.
1V. Combustion air for fuel burning appliances.
a-6�oise requirements on duplexes.
1_1,--4.dobe soils - special foundation design.
1.a�etaining walls requiring design..
1-9�.Unusu al shape, size or split level house requiring lateral design.
e le 40 r 01 'Q 0&40 46 60 C
Y
"010V5 0
'C 1%
7
1.0 D
////f(/0-7, /V A
64-77-11
RECORDED AG, STATEMENT
7/85
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
7/85
Bldg. Permit # 3-60 - a -
OWNER CA or M !a,^.' A.P. # :!22 --M-32-
GENERAL
Zoning requirements: (sideyards
1114 C
ieO**-V-a luat ion.
3 -w' -Plans signed by designer.
(=> Energy Design and Compliance.
§,o -"Existing violations on property.
PLOT PLAN
and number of permitted living units).
Complete parcel size and dimensions.
lo**' -Setbacks, sideyards, easements, etc.
Y"'70ther buildings or structures.
�� Grading, fills, drainage.
-**0' Flood hazard.
64***'Special conditions on creation map or compliance document.
FLOOR PLAN
1. Complete to scale plan with dimensions.
2. Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
4----akylights (Chapter 34 & Sec. 5207).
t%uman impact glass (Sec. 5406).
equired room sizes, ceiling heights (Sec. 1207).
L,"G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
a40"Light fixtures, switches, receptacles, and exterior receptacles for
mechanical equipment.
maintenance of
sb�Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
1Q/ Garage firewall, door size, and closer (Sec. 503(d)(3)).
1V 1 - 3'0" exterior exit door (Sec. 3304(e)).
-12-.-,,eFdreplace and wood stove location.
la/ Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
to<Foundation plan complete enoughito construct building.
V ;;e� loor construction details complete enoughto construct building.
-Elevations and wall construction details complete enough to construct building.
Z.�e'Roof construction details complete enough to construct building.
-5—PI-replace construction details and calcs if necessary.
6. Sufficient data and details to satisfy,energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. Exposure I plywood on exposed locations and overhangs.
-k---,Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
-3--Guardrail details (Sec. 1711 & 3306(j)).
-4----B*-lck or stone veneer (Chapter 30).
5n---v&xterior plaster - weep screeds (Sec. 4706).
k.-�Oper roof pitch for roof covering (Chap ter 32).
?o.00 Rafter ties or bearing ridge beam. - -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
NO-
ASqESSOR PARCEL N MBER
g__. __� 91
ZONING
-P-T JA
BUILDING PERMIT
0 wi�� I- R A ^h, /-h A fVvi A—
%
TELEPHONE
0(406 -
SQ.FT. OCC. BUILDING VALU6TION
OWNER' MAIL1403 AD
(030 ESS
5 —M.
CONTRA—ri AWAV"'.— 11ELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
% ------ -
Permit ee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$11(6, 6
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heate
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or/ent
5.00
USE OF STRUCTURE
SFtX DuplexF� MobilehomeD Other
SPECIFY
Gas piping system 1 - Youtlets
5.00
Building sewer
5.00
Mobile Home ZS I G JW I
Eff�
TYPE OF WORK
New R Addition RemodelD UtilitiesEl InstallationEl Other El
Describework:
3 Lj
Permit Fee
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
If V V
main service 6001 OR LESS
, 00 AMP OR LESS,
10.00
Main service EA. ADD -L 100 /MP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 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)
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 .
OR A.DNS. ACC.BLDG S/t U P. N)
21/2 Osq ft
NEW CONSTR. MULTI.OU ET
NON-RESID, BR ANCH RKITS)
2.50 ea 1
POWER AFJOAARATUS &
(SINGLE COTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@50t
BAL@30
OCCUP. FIUXED PPLNS OR
Ex. 0 S (RESI*D.) EA.)
T LEL
2.00
___
Temporary servi
V
10.00
Mobile Home V_C ilities
-
15.00
Misc. Wiring/
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
E] 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
Fi I i rig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation.
Pennit 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, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count onsequence of the granting of this permit.
X ej �� /0 -3
Date
Signature OfAprp'licant Owner;E Contractor El Agent
An OSHA permit is re ons over 5'0" deep and demolition or construct-
,, yiuired for excavoti
ion of structures a r stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
Occ
CONST TYPE
TOTAL FEE $
r*7 CFJ
Y_6z
HAZ
1
I CUA
P
FLD
I PAR
I PD
I HD
ISSUg,�
49;-
T.his permit is hereby issued under
ins oi the Butte County -Code and/or
work indicated above for which fees
E R PUBLIC
B y
PERMIT EXPIRES Date_ //_
the applicable provi-
resolutions to do'
have been paid.
WORKS
Date
-,7 Z_ -
Is4. rejteuej�,,
Receipt No. 215-9 lkiL I"
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPEC/OR. GOLDENROD -APPLICANT
COUNTY OFBUTTE r.Departmentof Public.Works
7 County Center Dr-1ve, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention.Property Owner:
An "owner -builder." building permit has been applied for in your name and bearing
your signature.
PI ease complete and return this information at your earliest opportunity to avoid
unnecessary delay in 'processing and issuing your building permit. No building permit
will be . issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for'construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) �Aelf— signed.an application for a building permit
for the proposed work..
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name Z4/z
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work.:
Name Al
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Num`6er
Date 1,9 — 3 59
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety.Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PAR c EL NUMBER
ZONING
42-59-32
RT -1A
BUILDING PERMIT
OWNER
George & Gladys Carman
TELEPHONE
345-0405
SO. FT. OCC.1 BUILDING VALUATION
OWNER*S MAILING ADDRESS
3630 Bridle Lane, Chico 95926
9ad Rpnownl
CONTRACTOR'SNAME
TELEPHONE
OWNER
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee 2 w' Fee
$176.00
ARCHITECT OR ENGINEER
NSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
—Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
- D'
$186. 00
PLUMBING PERMIT
FilingFee 10.00
3259 Bay Ave., CHico
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
C EL MAP
Water piping
5.00
_JPAR
Each qas water heater or vent
5.00
USE OF STRUCTURE V
—Gas piping system 1 - 5 outlets
5.00
SF9 Duplex[] Mobilehome[—] Other
Building sewer
5.00
Mobile Home Is
10.00 ea
SPECIFY
TYPE OF WORK
NewF� Addition 0 Remodel[:] Utilities[:] InstaiiationEl Other
Permit Fee
$
Describe work: 9nd Rpnpwal of R -P. #3613-88
Contractor
4 Lst renewal of B.P. 3323-89)
ELECTRICAL PERMIT
Filing Fee 10.00
1011 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. AOD-L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCC_
OR ADONS. ACC.
Ovtsq ft
I' declare uee-rpe 11 0 erjury (check one):
of
0 t P(
BLDGS.
NEW CONSTFL MULTI-OUTLE T
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON-RESID. BRANCH CIRCUITS)
APPARATUS &
12.50 ea
and Professions Code and my license is in full force and effect.
(POWER
SINGLE OUTLET CIR.
License No. Classification
Ex. Occup( OUTLETS OR FIXTURES
0 @ 50c
1.?AL@ 30g,
F� 1, as the owner, 'or my employees with wages as their sole compen-
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS iRESIO.) EA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
15.00
I exempt under Sec.—, Business and Professions Code
f 0�
t hfgreason
Permit Fee
$
ORKMEN'S COMPENSATION INSURANCE
Contractor
I declare�rndenalty of perjury (check one):
MECHANICAL PERMIT
Fi I i rig Fee 10.00
Th permit is for $10C`00r-(vaT7anon7`®r less.
Heating
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.
Cooling
F� I shall not employ any person in any manner so as to become subject
3.00
to the W. C. laws of California.
—Hood
Venti lation
Notice to Applicant: If after making this statement, should you becom
to the W. C. provisions of the Labor Code, you must forthwith comply �i��`su`c,h,
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
to building construction, and hereby authorize representatives of the County ot
-Fee
Butte to enter upon the above-mentioned property for inspection purposes.
OCC CONSTTYPE
1 also agree to save, indemnify and keep harmless the County of Butte against
TOTAL FEE $ 186.00
_UJ
I liabilities, judgments, costs, and expenses which may in any way accrue
HAZ c PARK SCHL FLO
P70 HD ISSUE
�/'a�'gaii st said County in consequence of the granting of this permit.
I I I
I
X
Th's permit is hereby issued under
tne appiicable provi-
Date
si�ns of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner El Contractor Agent
work indicated above for which fees
have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
DIRECTOR OF PUBLIC WORKS
Receipt No.
By —
Date
I WHITE-O.P-w-
C)F:Qulr =VDIOCC M- 11 /?9
/Q1
Certificate of Compliance: Residential Climate Zone 11
Mandatory Measures Checklist: Residential MF -IR
*J
Project Tide NOTE. Lo -rise msidential buildings subject to theStanduds must contain these measures regard3ess ofthe compliance
*lwms marked with an asterisk (*)may besuperseded by mort stringentcompliancerequirementslisted
approach used.
%6-4-3f Buddin it# on the Certificate of Compliance. When this checklist is incorporated into the permit docUMCnM the features noted shAtl
Project Address f beconsidere by all parties as binding minimum component performw= speaficaLions for the mandaicry measures
W7 whether they am shown elsewhere in the documents or on this choddist ordy.
Z%iciced By i DaA
DFSCRJVnON DESIGNER ENFORCEMENT
Documentation Author Teiephone Enforoernent Agency Use Only
Building Envelope Measures
Glass Area % Glass §2-5352(a): Minimum ceiling insulation R-19 weighted average.
BUELDING DATA t, North
42-5352ft Loose rill insulation manufacturet's labeled R-Valur-
C 0 0
02-5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to
onditioned Floor Area 16119 Number of Stories East sy 04.3
exterior Mass Walls).
siab/Raised Floor Number of .'Urrats South —17-
62-5352(k). Slab edge insulation - water absorption rate no gmater than 0.3%. water vapor
Single Family Detached (SFD) 'Addition Alone West -7 A tiansmission rate nogreaterthw2.0perw4finch.
H I Single Family Attached (SFA) Existing Building Skylight 0 §2-5311: Insulation specified or installed mocts; California Energy Commission (CEC) quality
I - standards. Indicate type and Form.
Multi -Family (NM Existing-Plus-Addittion Total IV 'a-
-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
62
§2-5317: Infiluation/Ex(iltration Controls I
B UELDING SHELL INSULA71ON V-, 1: a. Doors and windows between conditioned and unconditioned spacts desiped to limit air
leakage -
b. Doors and windows certified.
ponent Insulation Location/Cornments U. c. Doom and wumlows weathcrunpped: all joints and penetrations caulked &—M— saled
Coin
M� eoL-,NTY,,
R -Value (attic, to gangetypicait ate-) o. 12-5352(c): Special infi.1tration barrier installed to comply with 62-5351 metts CEC quality
7.
0 standards.
Wall ............... R I,?
I §2-5352(d)- Installation of Fireplaces
WaH .............. .. �Pt-,%,RTIMWENT 1. Masonry and factory -built fireplaces have:
a. Tight fitting. closeable metal or glass door
Z
P 2=% - - 1.
Roof ....... b. Outside air intake with damper ;uW control
c. Fluc damper and control t
Roof ............. 2. No continuous burning gas pilots allowe&
Floor ............. HVAC and Plumbing System Measures
Floor ............. 62-5352(g) and 2-5303: Space conditioning equipment sWng: attech calculations.
Slab Edge..-- §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 LIMC.
GLAZING -v,
------ Shading Devices §2-5316(b): Ex1aust systems have damper controls.
62-5314(c): Gas-rwtd spaoc heating equipment has intermittent ipition devices.
Glazing Area GlassType Interior Exterior Overhang Framing Type
§2-5314: HVAC equipment. water heaters. showerheads and faueets certified by the CF -C.
Orientation --t--(sa (single, double) (yewsno (MetaWood)
-(ToUer blind. etc.) (shadescmm etc.) §2-5352(i): Water heater insulation blanket (R- 12 or greater) or combined interior/exterior
insulation (R-16orgm2ter); first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(F-xccption I): Pipe insulation on steam and steam condensate return & recirculating
NorEh t;,
Al
NorLh -7- piping.
§2-5318(d): Swimming Pool Heating A!
East
1. System has:
"East v a a. Ordoff switch on heater.
b. Weatherproof instruction plat� on hcateri
C!
QUL11 f - c. Plum bed to al low for solar.
2. 75 percent Lhcrmal efficiency.
3. Pool cover.
Sou Lh
West
4.Timcclock. .A,
X -z 1 5. Directional water in[CL
West
res 0. -
Skylight ....... "Lighting and Appliance Mewsu
§2
Q -5352(j): Lighting - 25 lumcnS/WaLt Of greater for general lighting in kitchens and baLhMms.
THERMAL MASS
§2-5314(c): Gas fired appliances equipped with intermittent ignition &vices.
Type/Covering --Area Thickness 12-5314(a): Refrigerators. refrigerator-fremrs, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
(slab/ex22secl. tile. etc.) (sf) (inches)_ Locadon/Descri2tiOn (kitchen. batketc.
Nei due—
COMPLIANCE STATEMENT
Ibis certificate of r c pliance lists the building feawres and, perfornianc:e specifications needed to comply with
Title 24. Cbapter 2-53 and Title 20, Chapter2, Subchapter4. Article I of the California Administrative code. This
HVAC SYSTEMS Minimum Duct mfificate has been signed by die individual with erverall design responsibility and the building owner. who shall
retain a copy of it and transmit the Certificate to any subsequent purchaser of the building.
Type (furnace, air Efficiency Location Duct Output Manufacturer Model #
(or approved NtW)
conditioner, heat pump) OF, SEER,HSPF) (attic, etc.)-- R -Value (Btuh) Designer Building Owner�
Nan=
FLfWU4,,1L,- Nam= Je (�?X,11
2.1 .
- Too TaLk/Fum
Address: .1 Addrta:
Tek-pho=
Telephone:
Maximum Fumace Heating Output: Btuh Uc. N:
HOT WATER SYSTEMS
Tank Manufacturer/Model #
System Type (storage gas, etc.) 6pacity (or approved equal) Special Feature(s) (signaturc) (date) (signature) (datc)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Documentation Author
Add==:
Enforcement Agency
Name:
Agcncr-
Tdcohonc
1. Ceiling Insulation
Number of stories
R -value One TWO Three
R-0
-103
-49
-32
R-1 9
-8
-4
-2
R-30
.2
-1
.1 1
R-38
0
0
0
U -value
-51
-34
R-1 1
0.50
-176
-84
-54
0.30
-102
-49
R-1 9
0.10
-26
-13
.-32
-8
0.08
-18
-9
-6 .
0.06
-11
-5
-4
0.04
-4
-2
.1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
Insulation In Floor
-70
-46
S le-
Single-
R -value
One Two
FVnii,y
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-1 1
0
0
0
R-13
2
2
1
R-1 9
8
6
4
U -value
0.04
-1
0
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
.14
10
0.00
24
18
12
3. Ralsed Floor Insulation
U -value
0.60
Insulation In Floor
-70
-46
Number of stories
-120
R -value
One Two
Three
R-0
-17 ._8
-5
R-1 1
-3 -2
-1
R-1 9
0 0
0
R-30
3 1
1
U -value
0.60
'-144
-70
-46
0.50
-120
.58
-38
0.40
-95
-46
-30
0.30
-69
-34
.22
0.20
-43
-21
.-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
01
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
Exterior
Slab Floor
Number of stories
k4ass
R -value
One
Two
Three
R-0
-ii
-7
-5
R-5
-4
-4
3
R-1 1
-2
-2
-2
R-1 9
.1
-2
-2
4. Slab Edge Insulation
4
40
-90
�iumbWof Stories
-26
R -value
One
Two
Three
R-0
0
0
0
R-5
a
5
2
R-7
8
6
3
F2 factor
29
-58
-20
0.90
-4
-3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
a
4
5. Infiltration (Air Leakage)
Specification Points
Sww" 0
6. Glass Heat Loss
Total
Exterior
Slab Floor
Effective Pes c It Clan
k4ass
U -value
East
Percent
West
Skylight
.51 to
Al to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
.10
4
40
-90
-37
-26
-14
.3
a
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-io
.2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
.7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
.2
4
10
is
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18 1
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16 1
18
20
7..Shading (Shade Open)
EfrectlyePescalGlass-
(percent glass x SC)
Effective
Exterior
Slab Floor
Effective Pes c It Clan
k4ass
%Glass North
East
South
West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na
12 3
3
5
2
na
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
na = not allowed
-23
3
0
-4
Shading (Shade Closed)
Exterior
Slab Floor
Effective Pes c It Clan
k4ass
Family Family
(Percent glass X SC)
mass
Effectin
Stories
0.00
/CFA
One
Two
% Glass
North
East
SoA
West
gcy*t
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
-12
-8
-29
-40
-37
na
11.
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21.
-56
7
-4
-14
-19
-18
-4T
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
r"I - rot RIL-Ved
3
7
8
10
9. Interior Thermal Mass
Interior
Exterior
Slab Floor
Raised Floor
k4ass
Family Family
Sbries
mass
DeWW Attached
Stories
0.00
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9i
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2-0
-1
2
4
6
6
7
zs
0
3
5
7
7
a
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
.8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Smgle- Single -
+6 lo
Wall
Family Family
Multi
mass
DeWW Attached
Famil�
0.00
0 0
0
0.20
3 2
1
0.40
5 4
3
0.60
8 6
4
0.80
10 8
5
1.00
13 10
7
1.20
13 12
8
1.40
12 13
9
1.60
10 13
11
1.80
10 12
12
0
zoo
10 11
13
2
2
1
11. Heating System
7
6 5
SE or KSPF
3
2
(Assumes ducts In attic)
10
9 7
Swn of 1-6
4
3
or -24 to' -14 to :4 to
;6 to 16 or
SE HSPF
less -15 -5 +5
+15 more
0.72 6.60
0 0 0 0
0 0
0.75 6.88
3 3 3 2
2 1
0.80 7.33
8 7 6 5
4 3
0.85 7.79
13 11 10 8
7 5
0.90 8.25
17 15 13 11
9 7
0.95 8.71
20 18 - 15 13
11 8
WSS
Sum of 1 -6
Effec*e-25or
Effective -25 of -24 to -14 ID .4 to +610 16 or
SE HSPF
iess -15 -5 +5
+15 more
0.30 2.75
-73 -64 -56 -47
-38 -30
na 3.41
-45 -39 -34 -29
-24 -18
0.40 3.67
-34 -30 -26 -22
-18 -14
0.50 4.58
-10 -9 -8 -7
-5 -4
0.56 5.13
0 0 0 0
0 0
0.60 5.50
5 5 4 3
3 2
0.70 6.42
17 15 13 11
9 7
0.80 7.33
25 22 19 16
13 10
0.90 8.25
32 28 24 20
17 13
1.00 9.17
37 32 28 24
19 15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling System
SEER
(assumes ducts In attic)
Sum of 7-10
Single -Family Detached �nd Attached
-25 or -24 lo -14 lo
-4 lo
+6 lo
16 or
SEER
less
-15 -6
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
-13.0
20
17 14
12
9
6
-1
0
Effective SEER
0.2
HWR
-18
(SEER x duct efficiency)
-9
-7
-6
Sum of 7-10
WSS
-25
Effec*e-25or
-12
-24to -141*
-410
+610
16 or
SEER
less
-15 -6
+5
+15
more
5.0
-30
-25 -21
-17
-f 3
-9
6.0
-12
-11 -9
.7
-6
-4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
- 4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Oedit
Zonal Control Adjustment
10
to
10
10
8 7
6
4
3
1699
No Cooling System Installed
m(we
Stories
None
0
0
0
0
One
-5
-4 -4
-3
-2
.2
Two +
3
3 2
2
2
1
Single -Family Detached �nd Attached
Interior MasslCFA
% TYPIC 2 PASS
North
b.
Unit Size (sQ
c.
Water
d.
1199
1200
1700
2200
2700
Heater Credit
'Type
or
10
to
to
or
_Iype
less
1699
2199
2699
more
SG
None
0
0
0-
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
X q;y
WSB
5
3
3
2
2
10%
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
110%
Solar
-1
-1
-1
0
0
0.2
HWR
-18
-12
-9
-7
-6
1.7
WSS
-25
-16
-12
-10*
-8
3.2
POU
-18
-12
-9
.-7
-6
IG
None
-5
-3
.2
-2
.2
0.6
Solar
7
5
4
3
2
ZI
POU
3
2
1
1
1
IE
None
-28
� -9-1
�_
-11
-9
5
Solar
8
5
4
3
3
1
POU
-10
-6
-5
-4
-3
Z4
Muld-Farilly
(individual
units)
13
&S
17
3.9
Unh Size (s
4.3
0
Water
5
699
700
1200
1700
2200
Heater
Oedit
or
10
to
10
or
Type
Type
less
- 1199
1699
2199
m(we
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
14P
HWR
9
5
3
2
2
Z6
WSB
9
4
3
2
2
4
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
. -9
1.5
Solar
2
1
1
0
0
3
HWR
-23
-12
-8
-6
'-5
4.4
WSB
'25
-13
-8
-6
-5
-2-Q-U---23
6.1
-12
-8
1.1
-5
IG
None
-8
-4
-3
.-6
-2
-2
3
Solar
6
3
2
1
1
4.5
POU
1
0
0
0
0
IE
None
-30
-15
-10
-8
-6-
1.9
Solar
18
9
6
4
4
3.3
POU
-8
-4
-3
-2
-2
Interior MasslCFA
% TYPIC 2 PASS
North
b.
East
c.
South
d.
West
e.
Skylight
X
442-
414, !? .
X
X
TAE 1 MASS AREA
COND.
Interior Miss/CFA
FLOOR
AREA
41 .7-U I PC 4.21
TYPE 2 MASS
AREA
fTicrior Wall Mass
COND. FLOOR AREA
I TYPE
I KASS
WINC h 4.
2. let
exposeds
tab)
10.7216.61
HSPF 10.5615. 151
X q;y
#-%
/.!!v
SEER [9.51
Duct Efficfency 10.74]
Effective SEER
0%
5%
10%
IS%
20%
2S%
30%
3S%
40%
45Y.
50%
55%
W%
04
70%
75%
110%
8s%
90%
95%
100% 105% 110% 115% 120% t25'
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
I -S
1.7
1.9
11
U
2.5
2.7
2.9
3.2
3.4
3.$
3.8
4
4.2
4.4
' 4.6
4.8
5
53
10%
0.2
OA
0.6
0.8
1
1.2
IA
11.11
1.9
ZI
Z3
Z5
2.7
2.9
11
3.3
3.5
17
4
4.2
4.4
4.6
41.11
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
Z4
Z7
Z9
3.1
13
&S
17
3.9
4.1
4.3
0
4.8
5
52
5.4
56
3D%
03
0.7
0.9
1.1
1.4
1.6
1.8
2
22
Z4
Z$
Z8
3
3.2
3.5
&7
&9
4.1
43
4.5
4.7
4.9
5.1
5.3
56
58
40%
01
0.9
1.1
1.3
1.5
1.7
1.9
Z2
Z4
Z6
2.8
3
3.2
3.4
3.5
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
11
50%
0.9
1.1
1.3
1.5
1.7
1.9
ZI
U
2.5
Z7
3
3.2
U
3.6
&8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.0
1.8
2
2.2
Z4
2.6
Z8
3
&2
3.5
3.7
&1
4.1
4.3
4.5
4.7
4.9
5.1
53
5.6
5.8
6
62
60%
1
12
1.4
1.7
1.9
11
2.3
2.5
2.7
Z9
11
3.3
3.5
3.8
4
4.2
4A
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
66%
1.1
1.3
1.5
1.7
1.9
2.2
Z4
2.6
ZO
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
Z2
Z5
U
2.9
3.1
3.3
IS
3.7
3.9
4.1
4.3
4.8
4.8
5
52
5.4
- 5.6
58
6
62
64
75%
1.3
1.5
1.7
1.9
ZI
Z3
2.5
Z7
3
&2
14
&5
3.8
4
4.2
4.4
4,0
4.8
6.1
5.3
&S
5.7
5.9
6.1
- 6.3
6 . 5
W%
1.4
1.6
1.8
2
Z2
2.4
Z6
2.3
3
3.3
3.5
3.7
3.9
4.1
4.3
4.S
4.7
4.9
5.1
5.4
56
58
6
62
64
66
85%
1.4
1.7
1.9
2.1
2.3
Z5
2.7
Z9
3.1
3.3
3.5
31
4
4.2
4.4
4.6
4.0
5
52
54
5.6
S2
6.1
63
65
67
90%
1.5
1.7
2
2.2
Z4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
Z5
Z7
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6A
6.7
69
100%
1.7
1.9
ZI
2.3
Z5
Z8
3
3.2
3A
1$
&1
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
&1
&3
6.5
6.7
7
105%
1.0
2
2.2
2.4
2.6
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.5
5.8
6
6.2
6.4
6.6
68
7
110Y.
1.9
ZI
2.3
2.5
ZY
Z9
&1
&3
3.6
3.8
4
4.2
4.4
41.11
4.8
5
5.2
5.4
5.7
5.9
5.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.0
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
21
2.7
Z9
3.1
3.3
&5
3.7
'3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
61
6.7
6.2
7.1/
T3
M%
ZI
2.3
2.5
2.8
3
3.2
14
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
Ct
U
6.5
U
7
7.2
7.4
Point System Summary: Climate Zone 11.J
SCORE CARD
Measures
1. Ceiling Insulation ?,loft or
R -value 138] U -value [0.030]
2. Wall Insulation & f or
R -value I I I I ___U-value[O.0981
3. 'Raised Floor Insulation Rlfq� or
R -value 119] - U -value (0.037]
4. Slab Edge Insulation 0
R -value [01 Mfactor[0.77]
5. ..Infiltration Standard
6. GlassHeatLoss
Type (double) U -value [0.651 % Total Glass 161
7. Shading (Shade Open)
a. - North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? y / N
12. Cooling System
Zonal Control? ( Y / N
13. Water Heating
Point Scores
0
Sum 1-6
1;
% Glass SC Eff. % Glass
X -7
X
X
X 3. t.1 9 -061
X C) - - 40 -
% Glass
SC
Eff. % Glass
4-11
X
C�
1 3
X
2.179
0.7
X
442-
414, !? .
X
X
TAE 1 MASS AREA
COND.
Interior Miss/CFA
FLOOR
AREA
TYPE 2 MASS
AREA
fTicrior Wall Mass
COND. FLOOR AREA
X
SEorHSPF
Duct Efficiency [0.78)
Effective SE or
10.7216.61
HSPF 10.5615. 151
X q;y
#-%
/.!!v
SEER [9.51
Duct Efficfency 10.74]
Effective SEER
Type ISGI
Credit [none]
Af
Sum 7-10
4:5) -
ir,
0-
Pn1"frnfJ7F- + rX
-THIS DWG:.� PREPARED FRON COMPUTER XNPUT� (LOADS t ID114ENSIONS) SUB141TTED BY TRUSS MR.
13665
C'3
"TOP- twxtv ZX4 Flit -LARCH 42". EXCEPT AS SHOWN TC X -LOC, L -R: S.29 5.29 11.01F 16-71 21'
ROT CHORD ZXG FIR-LARCII *Z
WESS, 2Xt FIR-LARCIt STANDARD BC X-LOCL-Rr 0.29 5.60 11.00 tfi-46 21.71
fTl�ZXA Fllk--LARCW SS' SINGLE CUT WES *-Z EXDStl.3.S
'CORNECTOk PLATES MUST BE INSTALLEU MACCORDANCE WITH CAMBER 1/4- AT HIDSPAN BETWEEN BEARINGS. a)
R"QU-IREMENTS OF F -C-8-0, RESEARCH REPORT AIQ949.
THIS *1 HFV DESIGNED TO SUPPORT G* 5`0 JACKS WITH NO VEBS�
ALL PLATES ARE, 70,18E CENTERED Oft THE JOI"T, LEFT TO lttGNT AND
TOP- TO BOTTOM. EXCEP'T WHEN LOCATED EY CIRCLE CR DIMENSION- ALL OOTTOM CHORD SPLICES OCCURRINQ BETWEEN
C3
DRAWING t3JF FOIL 'PLATE LOCATIONS OW TYPICAL JOYNTS.' PANEL, POINTS ARE TO BE LOCATED AT APPROXIMATELY
1/4 OF PANEL LENGTH FROM PANEL POINT 4WITHIN 12") AND
-TERAtLY BRACED: VITH PROPERIV: CONNECTED- SHOULVv NOT OCCUR IN PANELS NEXT TO A PANEL POINT SPLICE.
!-,Z CHORD -SHALL BE LA
ri;,URLTNS SPACEa AT A IWAXIMUK OF Z4�- O-C_-
NOTET PLATES ARE DESIGNED WITKA DURATIOM FACTOR OF 0.1:2 -
Kober 214 *1 bent -fir or betttr cwtimmom Literal bottoa cbord. bract nq
-972- O_X�. Attach w/�2-16d. nalls. BraciDq' is Dot reQuIred
a-, attacbed directly to, bottaw cbord- Bracing
lw3te I '. led, and attached at txwtb- -4e� to a �suitaWjte sLVport
�hy. eveic-tlev aw t ra
Up- Me -p yr- commkolf hip t e_- @24!1 O.C_ Extmd top,
saw--desigO, for I
cboirff tal ldp kafter and., support ev ry f our f eet- Laterail ly brace
flat top, cbordiwith- 2X4� V3- br better Ben-FIr f2e O.C--,wf;th 2�16d BUTTE. 006q I
�Rails and 294 diagonal brace , per owj_�76_ fi Gthl_ SAV"Vt hip
,rafter VEtb cripple every- two� trusses WT.,` ONT
Qmwentlacal f r�wlnq Is not thet respwsthility of tb-- tru----- designer, DEEP
plate "am, turerr Dor truss fabricator- Etz5ons execting txvsses
are cautioned to seek. aftic:e by locat professionaL engio-eer
a
regardinq convent JE
lJonal framing. Ro
GXIB MO 6X8
'4X7
Jq.W
4X5 -*'_520 -5v9 LSX3 qx5
-LEG
OVER 2 SUPMRTS
�'ARTE TYPE—FLPIKE 1,3EM-23%,71 FLMIS14 A CtRYVIF M9 DE-91GH TO FREUMN CMMM we (4.0-3
NIMMM, Vw- IMNE EKEM OW IESIGN CRIT REF FM27--7952
W� C::r C=? r= VFIRNiNG 10 WAXtor. MMM FM
- C= *IMPOR TWIT&A 94 U_ Wr dE NE24MME RQ Off l9ET'-W-M-. 1MV19 MID, TWMES! DATE 1
MTCOM SUM InW SMECMMW0 MOW DEVMXW flW, Sir.=- TC I -L 19.70 PSF
c=w lc= mm mmin w wr mrtA* w arm& ne yaw w cowat"M =maw no =MVMnGG-*"_ SEE -TC OL
Z= Ir=- www ?w -=Lac Cnriw WWNL7 W: rn- appCoranim f"Mmal Fw lqwwMNr#_wa"LMw_ 10-OPSF Mwom
r: awrMAM ran w 9RJEF mmf" ST01. MUM ew XMIM0695- tMEW ctwwnr fie
493ROWVXW� REMM GRE45BOWSr OF OW& FRW ZXWE up Dim SOU aE U981SUX 61R= 9L S. G PSF CR -RC 92,
ic 6 -mm
cmecww w Mw ffUS, FT "M Muff wa Uxac is law PR;;30� arwum ftlyan gemac.
TOT.LB- 31,0 PSF O/A LEM. 22-0-1)
WrTM VaM SM IMM EEIM= M flWMMVM4
;wr
sw - eWis&VjVjM FEE V- NNWL WaM WNMiSE SWft-
w VIESN.149 CH =I=_ In wr i�m Ims
IM.FFE. 1.25 40ITCH q.011Z
=UK vim FrK wnVow Titmrm unw-
laws 5w aw I w") - x PSIM Nor_ Setbactz 6 0 TYPE CSPS
&-"I -;gem "Air- Z=lTirtf- qw-w%$wlMwr
A
I G. 0 PSF
-10_0PSF
5. 0 FSF:
31. EY PSF
W, im__
THIS DWG. PREPARED FROM COMPUTER INPUT! -(LOADS DIMENSIONS) SUBMITTEd'-BY -'!RUSS KFIt.
CR -ES
Tbp CHORD 2X'4 FIR -LARCH #1
-TC X-LOC'L-R: Z.,29 r..46 11-26 '15.7S 20.24 25-94 31.21
1. 25 - --I .1
wMa
BOT CHORD 2X4 FIR -LARCH *1
7-4-0 -Trvinr
rczpcz
- -,
WEBS 2X4 FIR-LARCHI STANDARD
3C Y -LOC L--:Rz .9.29 6.77*11L.L7rD 15.75 Z5.24 24.73 31.21
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH I
2 �"C 01M P L E T-'Ei TRUS RE uik ED
LOREQUIREMENTS'
OF I-C.B.0'.'KESEARCH ZrEPOR`Tt*2549.
_0
0-
FASTEh TOGETHER,WIT'H 16D NAILS #1 FLIP
PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT -AND
'Top, CH ------------------ 16. O.C.-
TOR T6 BOTTOMi EXCEPT -WHEN -LOCATED 8,Y.ClRrLE OR 1DIMENS10N.
-WEBS I_C._�--STAGGERED
JALL
-�7 .7-7-777:, .47.
:S R F, L �A`Q'fi 'Y �yl 44 4TS
-�n - -" -r ..' . "'
J!t.
(,i fg'�' iit�M
xi -4 ,
CAMBER 318" AT 14IDSPAN -13ETWEEN BEARINGS-
SINGLE CUT WEB *-2 ENDS: 1.2,'S, T, 9'
EQ,
ALL BOTTOM CHORD SPLICES OCCURRING BETWEEN
TH IS #1 )IIP'�DESIGNED I TO . SUPPORT' 7'_ k" JACKS WXTH7 vo_.6"S.
rr.-TF
PANEL POINTS ARE TO BE LOCATED AT APPROXIMATELY
114 OF PANEL LENGTH FROM PANEL POINT (WITHIN 1Z*) AND
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNE-,CTEb
SHOULD NOT OCCUR IN PANEui NEXT'TO A PANEL POINT -SP-17CE-,
PURLINS SPACED AT A MAXIMUM -of 24' O -C.
NOTE: PLATES ARE DESIGNED WITH Ai7DURATION FACTOR '�'r !z. 9 2.
Conventional framing not the responsibility of the truss designer,
ALL NAILS SPECIFIED ARE COMMON WIRE, NAILS.
plate, manufacturer, mor truss fabricator. Persons erecting trusses
are cautioned to seek advice by local professional engineer
.1hiq�,,&avibg -a so s ec -ommon hip trusses- to..bL-
3. - Je. or 4,
�l if r. de -sign f
re.fard;ng conventional framing.
ISUIrTE couNTY
zg)
ii�ze6 @24" D.C. il y) �_-,Use z6v6 lumber, con i , tiqm��and platfzis.
f jTifra-
top; cbord th btp ra ter -and rt- every 470�,P_ . Brace flat
Extezid:� f � suppo
t chorgils, bracing @24" 0.C. Xasten- tbk*ach, -chord
�4
w, Block,- sa�e grade as bottom cbord.-
05
OY7
p
6X101
TYP
t (A)
6X10
4XG 3X7
-qxG oxf3
CL
w 4X61 M. *1.5X3 3Xq 4X61
Wj 3611 oJi. 3X6 S18 -5X9 3X6
-3 611
ZL.
7�4-14 _LjG-9-B
_I_S�O OVER R-SUPPO -1-S
R-22734 W- 3- R -M73# Va- 3 -SD',,
ATE TYPE--RLPINE SEDW-2065S4 FURNISH R rOPY OF THIS DESIGN TO ERECTION CONTIRKTOR �C'.
r=
**IMPORTRNT*-*�W"U"WaTclONEmp.zf-d-,;mpmpakftz=fsm FW
kMATIGN"MINUE -VaIFICRTIM MMYUMMICK FROM
cm t 1S MSIGN DR W FEULURFE 10 JWtD PE T%_= 3* COWURFMCE
V1T"11E'MFLnf MNTWL ft -000- W MI. KPINE CMNEMM
C= Fff, f"CRMS10 FUM W- rM�F_ UCVMZW SMA UM.M
OTWJWISC DOM, MUM MLfiRCrWF, GF FWA ffikk Qww Ii.
wKV znw*tm �m wili MM 4'r Do( -01*T no LMIE Ps
W". SEW11C VIDUS-KE 4- tpU*L 9" -SS 0TWOM S"V-
TRUSS =1CM STMOMM CEWM Vint &-pauar "wislaw w
WtiKNINU ig wauNc, Efamtm rw
ww�w_sm -NT-7s� tmmuz vwl 7wsms:
CWWnFffl M faVTj3"TjDa_8TPJj'r '&E� .
NIS CESUM FOR FMMEWIL SPECUL POMF
mw aRwjw kmiwnws. tU-F-% UTHMESE
SKWWj 'W OM SMLLL W LRTERr"f IMM
UTH fXFMT ATTRbED PLUM WMTH96,
30TM am vulf =111 CM116 atswzw
M; 91EMIED EM WSIGN. DD W 1W IMS�
I 4---IFL - Mls� F-.AIE MuTllni 105 - MUOWL [ESIGH SPEZIFIMMOW FM
TC LL
'TC -OLI
BC DL
TOT. LO..
I G. 0 PSF
-10_0PSF
5. 0 FSF:
31. EY PSF
W, im__
-
CR -ES
D/ A LEM
DUR.M.
1. 25 - --I .1
wMa
7SETTA-M-3
7-4-0 -Trvinr
rczpcz
- -,
CL
w 4X61 M. *1.5X3 3Xq 4X61
Wj 3611 oJi. 3X6 S18 -5X9 3X6
-3 611
ZL.
7�4-14 _LjG-9-B
_I_S�O OVER R-SUPPO -1-S
R-22734 W- 3- R -M73# Va- 3 -SD',,
ATE TYPE--RLPINE SEDW-2065S4 FURNISH R rOPY OF THIS DESIGN TO ERECTION CONTIRKTOR �C'.
r=
**IMPORTRNT*-*�W"U"WaTclONEmp.zf-d-,;mpmpakftz=fsm FW
kMATIGN"MINUE -VaIFICRTIM MMYUMMICK FROM
cm t 1S MSIGN DR W FEULURFE 10 JWtD PE T%_= 3* COWURFMCE
V1T"11E'MFLnf MNTWL ft -000- W MI. KPINE CMNEMM
C= Fff, f"CRMS10 FUM W- rM�F_ UCVMZW SMA UM.M
OTWJWISC DOM, MUM MLfiRCrWF, GF FWA ffikk Qww Ii.
wKV znw*tm �m wili MM 4'r Do( -01*T no LMIE Ps
W". SEW11C VIDUS-KE 4- tpU*L 9" -SS 0TWOM S"V-
TRUSS =1CM STMOMM CEWM Vint &-pauar "wislaw w
WtiKNINU ig wauNc, Efamtm rw
ww�w_sm -NT-7s� tmmuz vwl 7wsms:
CWWnFffl M faVTj3"TjDa_8TPJj'r '&E� .
NIS CESUM FOR FMMEWIL SPECUL POMF
mw aRwjw kmiwnws. tU-F-% UTHMESE
SKWWj 'W OM SMLLL W LRTERr"f IMM
UTH fXFMT ATTRbED PLUM WMTH96,
30TM am vulf =111 CM116 atswzw
M; 91EMIED EM WSIGN. DD W 1W IMS�
I 4---IFL - Mls� F-.AIE MuTllni 105 - MUOWL [ESIGH SPEZIFIMMOW FM
TC LL
'TC -OLI
BC DL
TOT. LO..
I G. 0 PSF
-10_0PSF
5. 0 FSF:
31. EY PSF
DATE I
_Q7/1
INWMMw�
CR -ES
D/ A LEM
DUR.M.
1. 25 - --I .1
ITCH
7SETTA-M-3
7-4-0 -Trvinr
rczpcz
-jot= 1966mr, THIS DWG'- PRETAXEV FROM COWUTER' IWFVT*(.L0ADS 01%ENSIONS) SUBMITTED BY TRUSS NFR.
CHORW 2X4 flit-LARCP el TC X -LOC L-Rz A.29
5-91 J1.j&Jr IG -09 2!1-71
�TOF
SOT CH0kD` ZX4--- Flk-LARCIt *-I
WEBS z ZX4' r1rZ-LAR-CW STANLARD 13C X-tOC L-Rz AF -29
7-60 14-&Z 21-71
COWNECTUR PLATES MUST BE INSTALLEC I* ACCORDANCE. WITH SrNGLE CUT WER o-TCz1'.A
REQUIP-SMENTS. OF RESEARCH: REPOR:T. #2949-
fUJ BOTTOM C"ORD CHECKED FM 12r PSF LIVE LOAD.
ALL PLA.TFS, ARE TO BE CENTERED Olt THE 'W1 Off , LEFT TO'RIGHT AND
_T(y. BOTTOW, EXCEFTWHEX LOCATED BY CIRCLE OR DINERSION. TOF CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED
SEE DRAW11M 132F FOIL 'PLATE LOCATIOIM ON TYPICAL, zoms.- rURLINS SPACED AT A
MAXtMUM OF Z 4' O.C.
NOTE-- PLATES ARE DESIGNEa WITH A DURATION. FACTOR OF� R -92 -
Note: 2X4 #3 been -fir or better cwtimuom lateral bottm Ckor-:,-4racl
O Attack --16d Bractug is
@�P� -C.., -wax. xeqsired- w/2 mailm. met
If a. tigid, ceiling Jsr attacbed dixecU to-bottcw cbord- Braciza
trial to be s*pUed boM to
zwd attached mft a, suitable7--vpporL
T
j, pj Ty
qxq
IX3 IX3
2X19
2XG
12
2-51%,41 3X4 Z- 5xq
--22-0-0, DuER,'-Z SUPPORT
R -EM If-
R-9321 V- 3.SD-
FLUTE TYF1E7-RLPJNE W-DN---23qBSS FURNIM R, CWT OF -FHZS IDES11N TO ERECT10M CON' IRACTUR
am st-a.* 0-m
r:a mp2w- EIMMM psnzm m MRS= nmfw
IrRMTRWIff- mu mn w- mmomiLE Fw' Tmm�i UMNING . m. VEZ'"M fto
DESIGN ERIT PIEF R42
mm, cm "m Tsm wmnmwms w Imby mmmumv mmm" mem'sm momm nm VRSM3--
"Ic LL 1G.0 PSF CME
P= UMM @t NW- FMUW W MWFUMM PW WXVIEMIJUG—M).
E= C= Im DE'sKm mpla-foom- K m- larm=omm THIS033 CM rmll sremwpuew
it). 0 pw %w mmwr 71
C= C=y IM 2owsmmm" ~ 2m WK 9ko%Kzm -,OEM- too= %M OWNG IKMJEM?S- &WJM VOMME
I C-mlow,
'm
EC M- EW 5. U PW C R + k 1;
k10
V11m1w mmsps� NETW, ImmoDom 1w Jm ms R. smm, O� sell BE Mouttl 041"
w
�r
-,t=, Mimi- cmwrlvs T* am "I= in Emm mw im Imm IRS; W11" "mmy an� ft"m s"mu"mr.
I - -
I MT -LU. 31. 9 PSF &M LEN. 22-0-D
XPWL OLM VnEft-M SWAL
wm NEW= UMM ME I mrmsmmw. w"m cow ffm v= mxw co wxm
. Wr
S"NoMM CWaW %M WrLBAkE PVWM&r� er fa SMM"IW Onr MESm- JDM M' -,M
-14EN.-M
MR.FFC- 1.25 PITCH q.O/-I?-
"m MW "Pr vus. 9MMI IJJJM F UL AIMMM UMOCL
c:y C=� C= C�
SPXING 2q- Oft Comm -
9 t
THIS DWG.- PREPARED FROM C014PU-T
EF; INPUT (LOADS 4 DIMENSIOPIS) SURNITTED, BY T*USS Wit.
TOP CHORD 2X4- F1&' -`ARCH *1
BOT CHORD 2X8 FIR -LARCH SS TC X-ILOC L -k; 0-29 3-27 6-50 9_73-1.2,71 vz,
WEBS - ZX4 FIR -LARCH STANDARD
1. 8C X -LOC L-Rz 0.29 3
.58 -6_5E :9.42 12-71
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
'SSE S. RE GUIRED ''I L=Z-1-iP
AREQUIREMENTS OF I.C.B.0- RESEARCH REPORT #2949. 2, 'COMP L ETE TRV'
FASTEN TOGETHERVITH 160, NAILS
ALL PLATES ARE TO BE CENTERED ON THE -30INT, LEFT TO 914HT AND TOP CH ------------------- IC7 O.C.
TOP TO BOTTOK, EXCEPT''WHEN LOCATED BY CIRCLE OR DIMENSION. WEBS ------- 4w O.C_ -STAGGERED
-----------
SEE DRAWING 130 ;,FOR"PtATE LOCATIONS ON' TYPICAL JOINTS.* BOT CH ------------------ so 90- C.
11-2- 14- THRU IbUT''MY SE'§68STt*rjjrED
SINGLECUT UIER 4-2 ENDS:1.3.S D --
FOP, - M) I 6D,� -NAI LS IN BO.T_TbM, -CHORD OHLY-i.- -
Provide special banger or connection foF 2275#. BOLTED CSI -VALUES NOT TO EXCEED:0-90. _r_ -
ALL. AOTTOM CHORD SPLICES. OCCURRING -BETWEEN
CONCENTRATED LOAD LOCATIONS MUST 4E MARKED ON TRUSS PANEL POINTS ARE TO BE -LOCATED �AT APPROXIMATELV
BY TRUSS FABRICATOR TO IN -SURE PROPER ERECT,ION.
1/A OF PANEL LENGTH FROK PANEL POINT �tWITHIN 12--) 4N D
SHOULD,NOT OCCUR IN PANELS NEXT To A PANEL SPLICE.
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY,CONNECTED
PURLINS SPACED AT A MAX�MUM OF,24' O.C.
ALL NAILS SPECIFIED ARE COMMON WIRE NAILS. NOTE-.,- PLATES ARE DESIGNED VITH-A DURATION FACTOR OF 9.32..
Conventional framing is not thq
a;:�%ibillty of the truss designer,,
plate manufacturer, mortruss i i r. Pen;ons erecting trusses It addition to mai]A ng/boltin che&-le sbdvii abaVt, use
10-16d nallsas shown 13 , ci=?e's fo -
,are cautioned to seek advice by local professional engineer q _r -f6rce
regarding conventional framizig. at con4gentrated load_point.�
This -,gned to
girder des - 31' 6" hi set vith #1 hip WiNTY
a f rar.-y BUTTE
at 7 46"� setba razinq to bott c�=_ frox one side.
om
5X9 IN
5X9 21# DEPA-91 I ENT,
4X12 rl
12
3X5
q.00
3X5
CE 6Z7
2X8 SX8.
3X5 -3xs
8X8
(L 7-6-0
361, -2-275# 36" e.H.
CC L ':'-2-()
R=-2305rr
L P R -R-3989#.
-13-t-D OVER 2 SD PO TS
W PLRTCE TYPE--RLPINE SEON_�_2065559 PIRNISH A CDPy -OF - TKIS DESIGN TO ERECTION CONTRRCTOR KEY 13.2.9 SOLE - "O.Jisw%mmw
FLP[W MWEEFED PR00=S,311C. . UUSSM XWIM--�MROME M
CM **IMPORTANT** mu &= w fnPomiaLE nR AW WARNING u mmtoc, istizinm fm , . DESIGN UP. REF: "M7 —38
0 UUM110N FOM PESEE 3PEC1nCATJTa& M FM DEV11MON FROM MCDC.SM MVT-76-�MMUX V= MSMS-
-IT
T
_T' 'G. 3 PS�
[GTIM 10-13 P
:SF
Ps
C=
7HIS-OCSIN Ok RVf FAILOW -M MUD -I* -MSS IN CWMIW MMMM f1W &-CM'1EkW1M_7Pn_ za TC LL 16.D7 F BRIE 0711-S/88
C:!t W1* TW -MaITC MWROL MMr Of JPJ_ fIL11,1WE MwECT= THIS DSISN FOR FWtTIOWL SpMM pam- OW CRUS"?J
_j RC- M&OCTUIM FRM 20 GRUGE — 0L 1OX PSF.
D MVWIZJD ZTEE1 L"= W:)Ft KFIC11Z RMWREMMS- 09-0, DTMMSE
IN (;nmlw sl�, rv-T1W REWIUMMS10F ffii� IN% G&FIM Fl. SM91i, TW 00W SML K 8C DL [U). -5. 04W zn-ENGMS 41P
awecmRs 'M WIN fRM aT ca" jdia,m urnTE Fs vnti Pawawv fITTP-MIM FLYWOM SHMUnmr.,
C=, r 31 - (I
Im -11
SNM� BEPA'N(; V!07HS W 41- NWWL MM SKWN. BOTTEn CHM V17H RiVtO CEIUW, W MEM 31.D PSF D/R LEN. 13—'0_0
r=
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