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042-59-0-061 93-2416 B
3053 BAY, AVE, CHICO
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RESIDENTIAL
042-59-0-061 93-2416 B
ZERMENO, ROBERTO
3053 BAY AVE, CHICO
CONTR: MIKE STEVENS
PATIOtSF
JOB FINALED (113atol ,-7
Signature
V OK
0 Not OK
Not Applicable -
Not Ready MOBILE HOMES
Date/initials
MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve --Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
MISCELLANEOUS
Date/Initial OECW'QOVERS ; ICARPORTS, GARAGES, (Plans)OK except #'a
_0,j 1. lng-Pmqtifrements-Setbacke-Easoments
Z,,*ootings; Sol Is -Size -Depth -Spacing-Connectom-Steel
3. Decks; Griders and/or Joists-Docking-Bracing-Staim-Ralls
4. Wood Awn.; Posts-Boams-Rftm.-Connectors
Shthg.-Rfd.-Bracing
5. Alum. Awn.; Columns-Connectione-Splice-Docal-Enclosures
6.. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
q./tiding; Nall I ng-Veneer-Stucco-Mosh
1,6. Roof; Shthg-Roofing
11. Ext.; Steps-Doors-Landing6
ct ft C4�j
Datkinifials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead Men -Lining
4. Elec.; Receptacles and Ughting, Distances-GFI
S. 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-Enclosu res -Panel boards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water *Supply Test
V = OK
0 = Not OK
Not Applicable
Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNDERFLOOR (Plans) OK except #'a
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ f' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks: Soils -Steel-/ /Ftg. Depth
5 . Sternwalls, Main; Steel-Blockouts-Wrapped
6. St6mwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and SDecial 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. Plenums & Ducts; Clea ra nce-Material-Su pport- Ins.
14. Girders-Sills-Arichor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Hir.; Vent -Access --Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
'25."Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/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 Al
29. Range Circ. ga. Cu or A] -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 13 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panel s -Motors- Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/initials FRAMING (Plans) OK except #'a
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties- Puri in --roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One X -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise-Run-Landi ng -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underllr. Access
57. Glazing Area -Glass Protection -Skyl Ights-Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Inf iltration-Walls-Windows
Date/initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
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; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth
Clearance Looked under Floor 9 Yes
80. Following instId.; Drive 0 Yes 13 No; Walks 13 Yes 13 No;
Planters 13 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7546 PERMIT NO.
APPLICATION -AA -6 PERMIT W\ - > 3- d // / 4.1,
ASSESSOR PARCEL NUMBER 042-590-061
zobff 1 A
BUILDING PERMIT
OWNER Roberto Zermeno
14ffl 8 0 0
SQ. FT. occ. BUILDING VALUATION'
V
560 ov 7,280.00
OWNEWS MAILING ADDRESS 3053 Bay Ave., Chico 95926
CONTRACTOR'S NAME Mike Stevens Construction
TEL�J�E 1111
ri
CONTRACTOWS MAILING A:5
0 CfOLA) ntam CA(C
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 7 , 9Rn nn
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS —
Permit Fee $ 99.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 64.35
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS —
Penalty $
BUILDING ADDRESS
PERMIT FEE $183.35
3053 Bay Ave., Chico
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF CX Duplex Q Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New 0 Addition CK Remodel 0 Utilities 0 Installation El Other El
DescribeWork: Patio
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 1011 OR LESS
200A OR LESS 23.00
Main Service 200A TO I OOOA 46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. & ACC. BLOS. 3.5 0 ST._
NEW CONST. MULTI -OUTLET
N N.RESID. BRANCH CIRCUITS @7.50
CONTRACTORS LICENSE LAW
I d lare 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
1, 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)
Q 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
forthis reason
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
BAL. 1@ .60
Ex. Occup. 0 FIXED APPLNS. OR
UTLETS (RESID.) EA. 1 5.00
Temporary Service 23.00
Mobile Home Facilities
Misc. Wiring 203E.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
El 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
Certificate of Consent to Self -insure.
Q Ishall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state th ' at the above information is correct.
1 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
entet 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 ting of this permit.
-7
X 7 Date / y-3
Signature of Applicant - Q Own6r 4 Contractor El Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST. TYPE
I TOTA L FEE $ 183.35
—
HAZ. D. FEC�=
�=� �D
IIDKSSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date OP/2 5IR3
( f
PERMIT EXPIRES ON 0
tDatv)
Receipt NO. Iz-13 %I /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVE - L , ORMENTSERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIF6ROIA95965 - TELEPHON!fl(�16)538-7541
PERMIT APPLICATION, DATA SHEET
OWNER r A. P. No.
Proposed Building Use J CA 0,f Inspector C_ Date (/q-3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
items have been submitted . .........................
W lot plans, 3/4 sets, signed by preparer of plans . ........ 57- Ali. .
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on,plans . .............
5.. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ...................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engine�red truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees .........................
_=e13. Flood elevation letter (100 year flood) by California Engineer ...................
ul Sanitation and plot plan approval (��HQj Health Department . ............
15. City of Chico plumbing permit . .......................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy) . ............
Pre4n oclon roquest
t. B.,17
— 20. Pre -inspection for required. . . ng Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road . .....
27. Letter of intent on building use . ........................................
2B. Mobilehome utility clearance ................
29. Documentation of legal access. .................. ; . . . . . . t . . . . . . . . . . . ..
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 . ......................................
— %'i2,,,Plan check list . ...... Z ........ 0/ ........... 4,�e
r 4 A all syd-dr-t dt L
.34.
When you issue the permit, process as follows: Mail to owner. t "Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept., Other Date By
The following data must be submitted prior to Dermit issuanae: (Circ!9,aw ite cked above).
1. Index permiffor above items No. b<6 '607
2. Additional items required:
Con*grcito , esigner, owner, was advised of above required data by phone "mail Counter �,ate
-L —
Contr=o"r,designer, owner, was advised of above required data by 1�f'phone mail Counter by<�&bate 91-4;L- g!*
— I
Plans checked by Date Plans approved by Date
Sets of plans ea+elfinn
- Copy - Department of Public Works
hAL
Hol Han Alladied
Flotie Him Atuiefied
Noill to -Ine
TO: Building Department
FROM: Environmental Health
SUBIECT: Sanitation Clearance
ets A,
zas Y2 - 57 -,a
Owner LocatTon AP#
Plan Approved for: Sewai.,,c Disposal Water Supply: PLIbliC Private Well
I
Clearance for bedroom mobile lionic. Other 7;�ey Ai, r—,Ow^-c a0va 1v'hoLW&A4--
6rpey/ 7 . 1)( -To � f
Hold final for:
Final clearance O.K. for:
NOTE:
Health Sl4e`c ialist
Envi\ronm ta
8/92
.21 — I
Date
us')
Aco7o�dancevMh-,Recogpi.zod:.Gaod-Pra icesand -�C*
Iat'-
:I`1'1-:17SV.
of �0�441ity preisCribLEid�.Tdrlhei.Sp.c-.ciiiiiL-)d.-I e in the
Uni o"ib echabi-
uilding',, Plumbing.& M CO Codes and
Mike suvetis
This set 6f plaft and specifications MUST be
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---make-any.-changes,er-6
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Works, County of Buft6.
13 1\ -A J� -2q�6
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ALL STRUCTURES ANIJ EQUIPMENT INCLUDING
OVERHANGS SHALL BE CLF -AR OF At- EASEMENTS.
A SET BACK OF Fr. FROM "HE SIDE AND
Fr. FROM THE REAR PROPEF ri, LUO&AND
JE22 FT. FROM THE ROAD CENTERLPk-#-HaA6-B-E
CLEAR OFSTRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 Fr. EAVE OVERHANG.
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APPROVED
Butte County En
sh I Be in vironmental Healih
erials & Workman ip Shal
NOTE.—All Mat
A rdance with RecognizOd Good practices and
cco
of a quality prescribed for the Specified use in the
plumbing & Mechanic:W "es and -2
niform Building,
z, the National Euctrical CO&L
ALL STRUCTURES AND EQUIPMENT INCLUDING
EMENTS.
OVEFOJANGS SHALL BE CLEAR OF ALL EASS
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A SET 13ACK OF S' FT. FROM THE SIDE AND
REAR PROPEATY UNESAND
Fr. FROM THI
J-0 FT. FROM THE ROAD CENTERLINE SfJALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 FT. EAVE OVERHANG -
Mike Stevem Constructim
30 Cro7i; CwWon Coult
Chico, Caf�omia 95928
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OWNER'S NAME: RECEIVED
PERMIT NUMBER: A.P.#: DATE
140L�,�20
RESIDENTIAL F1 NON RESIDENTIAL RECEIVED BY
---------------------------------------
REQUIRED PRIOR TO PERMIT ISSUANCE.
'FROM DATA'SHEET REQUESTED BY PLAN CHECKER
7 OTHER 0 0-t- N
J� AJi� Q c+u re�
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- — — — — —
REQUESTED BY CORRECTION NOTICE [:] YES NO ITEM:
LOCATION IN -BUILDING WHERE CHANGE OCCURS:
---------------------------------------
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
(Address)
Mail.to contractor.
(Name and Address)
Call and hold -for pickup at office.
, Deliver with next inspection.
REVISED PLAN.CHECX FEES PAID:
$20.00 $40.00 3<�dditional Fees Not Required
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
Mike Stevens Consttuction DATE August 11, 1993
30 Crow Canyon Rd.
Chico, CA 95928 RE: Building Permit Application #93-2416
Dear Mr. Stevens: A.P. # 042-590-061
With reference to the above subject: Owner: Roberto Zermeno @ 3053 Bay Ave.
Attiached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees *of $ payable to ' Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete pl4gs andcalcs in by registered eng-ineer..or architect.
Energy'design including
Street.and drainage -improvement plan approval from Land Development Section (DPW).
sets of plans in -accordance with the changes marked in'red.
Sanitation approval from Butte County Health Department at:
1469 Humboldt Road, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd. Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville,. for
Completed Ownex-Builder Verification form.
Recorded copy of deed showing
-Recorded.c.o.py.of-agricultural. acknowledgement. s.tatement.
,XXX/ OTHER 1. Complete ot lans showing entire parcel with lot-line.lengths and
showing !,;Nbuil-dings and structurea.
Should you have any questions concerning the above, please contact Tom May
of this office. between 3:00 and 5:00 pm weekdays.
Yours very truly,
I
William Cheff
Director of Public Works
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V)A1COUNTY OF BUTTE - DEPARTMENT OF DEVELO ICEi--'iUI�DING DIVISION
7 C6un'ty Center Olive - Oroville,.Califomia 9 T-ble"phone i9l6f538-754 PERMIT NO*
L - � . , �_ 6> 3-
APPLICA ERMIT
,T1
, TION
4
4
4
ASS ESSOR PARCEL NUMBER
590-06 t
4
BUILDING PERMIT,
-W,
INNER
Roberto.& rmeino— -
cl, Ocd.. BUILDING VALUATION
560' 7,280.00
WNEWS MAILING ADIMESS
3053 B6y e., Chico',
Av 95926
CONTRACTOR'S NAME
Mike Sievens Constructioii
CONTRACTOR'S MAILING AM;W
Cf d, chccaw";�
Fireplace
CONSTRUCTION LENDER V
UNKNOWN
Total Valuation $ 7.280.,00
Filing Fee $ 20.00
LIENDER'S MAILING ADDRESS.
Permit Fee $ 99.00
ARCHITECT OR ENGINEER
LIC ENSE NO.
Plan Checking Fee $ 64.3-5
—Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty : - $
BUILDING ADDRESS
PERMIT FEE $183.35 - —J
3053 Bay Ave., Chico
PLUMBING PERMIT .&OW11111111W 20.00
Tr! 7.00
Eacth ' - - ter
1111111119IR90or goat'pump'water heater
r a at pump we eater 23.00
MEL
't iping
Water piping 15.00
7h
7
LOT NO. - W=a0MrF0A-RC--
SUBDIVISION'S NAME MAP
USE OF STRUCTURE
SFIX Duplex 13 Mo-b-ilehome 0 Other
SPECIFY
c w at or v
Each gas water heater or vent 15.00
Gas pniping. system 1 5 outlets 15.00
Building sewer 15.00
Mo bile Home S G W @20.00
TYPE OF WORK
New 13 Addition EX Remodel Q Utilities 0 Installation 0 Other Q
DescribeWork: - Patio
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ORR LESS_
200A 0 LEW 23.00
i
Main Service 2odA To i000- 46.00
NEW CONST. ( DWELLING OCCUP.-
OR ADDNS* �__- _- & ACC. SLOS. 3.50 SR. -
CONTRACTORS LICENSE LAW
I dAcIbre under penalty of perjury (check one)
I am's licensed under provisions of Chapter 9, Division 3 of the Business and
Pro4ssions Code and my�icense is in full force and effect.
LicenseNo.- Clbssification
0 -1,-is the owner, —or my amp-koy-ees with wages as their sole compensation, wilFd—o
the-Yi6ric, and the strubturi is not intended or offered for sale. JSec 7044)
0, I -.as tfie owrier; am exblusi;vely contracting with licensed contractors. (Sec 7044).
0 1 am exenipt under Sdc Business and Professions Code.
iiIrthii`ieason;,�
NEW CONST. MULTI -OUTLET
-NON-RESID.- - SRANCHCIRCUITS- @7.50
POWER-APIPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR -FIXTURES 20 0 I.OD
SAL. 0 W
OFIXr OR 5.00
Ex. Occup. UTLETS (RESID.) EA.
-Ternporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S.COMPENSATION INSURANCE'
I declare . u . nd'e-r-penalty of perjU'iy-(chaCI( - one):
0 This permit is for-$ 100.00 (Valuation) -oi less.
90 have plii6ed on file wkh' the. County 6i'Butte Dept. of De�elopment Services,
Buildiiig 'Division ai -Ceriificate. of.,Workmen's Compensation Insurance or a-
Certificate of -Consent to Self-insur
-1 a.,
-0 1 shall not employ any person in any manner so as to7become subject to the Worker's
Co * mpensation laws of California.,.
Notice to Applicant: If after making -this stateme-ni,-sholuld -you become subject to the
Worker's ComoenSationproviSidns-4f the Labor Code,.you rlhust f orthwith -comply with
such provisions or -this permit will be revoked.'
PERMIT FEE s
Contractor -
MECHANICAL PERMIT Filing Fee 20.00
-- ----
Heating
CqdIing
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this -application and state that the above. information is correct. -
1 agree to 'comply to all Btitti Courity. Ordinances and California State Laws relating to
building construction, and.,here6y authorize representatives of the County of Butte to'
enter upon theabove. mentioned property for inspection purposes.
I.also agree to save-, inderi-inify"and keep harmless.the County of Butte against all-.
liabilities,. judgrr!ents -costs, and expenses whibti may in any way..accrue against said'
County in consequence I the g' ting of this permit.
rV 21
X AeW Date 7;
Signature- of Applicant- 0 Ownir 4 Contractor- 0 Agent
An OSHA permit is required -for excavations over 5"0" deep and demolition or
onstruction of structures over 3 stories in height.
Mobile Home Installation Fee $
I
Energy Inspection Fee s
OCC
CONST. TYPE
TOTAL FEE $ 183.-35
AZ.
0. FEES
IMP
FLOOD
COF
I PARCEL I
PD
HD
ISSUE
This permit4s-hereby:is . Sued under the . applice . ble provisions.
of the Butte -eounty-C�Idaind/or Resolutions to do work
indicated above*. for- hi
w ch fees -have . been paid.
QIREC3OR OF PUBLIC WORKS
BY Dsta
PERMIT EXPIRES ON
M
8 eceipt No.'
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i'A
R�S MDE TIAL
042-59-0-061 92-0451
ZERMENO, ROBERTO
CONTR: STEVENS, MIKE
3053 BAY AVE, CHICO
NEW SF
OFFICE COPY
Address- 3.D,5 3 Isr-.
GAS
Mete
- - - r B Date
LE LECTRIC
M t r By Di e
e e
OFFICE COPY
Address
GAS
Meter By Date -
ELECTRIC
i Meter By Date
JOB FINALED (Date)
Signature
COUNTY OF.BUTTE
DEP'48TMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
4 7 County Center Drive, Oroville, CA - (916) 538-754.1
747 Elliott Rb,ad, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances emistat
the above address and should be corrected. Please notify this office when correction of wairk
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
r e
C/
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to ' - jo _, C 4 i
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Date./0-11L I Z- 1,nsPector—/rU,5,!5'y'// 15_
REV 11/91
.4
COUNTY OF BUTTE
DEPARTMENT OF PU&LIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
Z V"' �t ry-\6 r4 C) 2- - 0 C/ 5-.(
OWNER PERMIT NO -
A routine inspection indicates that the following violations of Butte County Orcrinances; existat
the above address and should be corrected. Please notify this office when carrectkm off wark
is completed. If you have any questions pertaining to this matter, or need additionallexp1ainatiam
A"V contact this office immediately.
T- A CC 0 V ri-
k
(t'c Ti\) V. C�� r- C' G/ -c G C L re-
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- �5 I(L N I A A G, (I �-\ -�' C
Date Inspector Z'U-k�
RE\i 11/91
COUNTY OF BUTTE
DEPARTMENT OF POBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751,
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE.
YA VkA (D
OWNER PERIVIMNO;
A routine tion indicates that the following violations of Butte County Ordinarites exist at
the ab 0 address and should be corrected. Please notify this office -when cor're'c"tion of work -
i a
s co leted. If you have any questions pertaining to this matter, or need additional ex0anatioh,-.
p pi co,
ie e contact this office immediately.
5ZIA 0- Gcxs' ens
-J
4-r) n IF 0 V 411 'er t C'
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IL
Date R-��z 6 -!2:2 inspec'for
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (9 16) 872-6307
CO RRECTIO N. NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any -questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
;-e 25�1&,2 e7r/'� .7 1
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?5 — 20, V - -d / A 1) , /' . It z / I
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6
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REV 11/91
COUNTY OF BUTTE'
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Dri e, Oroville, CA - (916)'538-7541
747 Elliott Road, vParadise, CA - (916) 872-6307
CORRECTION NOTICE
, �Vmmlyw 9S/ - �01-
ONCLUtR PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
plea.e,"16tact this office immediately.
r Date Inspector 0
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
Z r,- �- M (' (� 0 92-6q-5/
OWNER PERMIT NO.
,A routine inspection indicates that the following violations of Butte County Ordinances exist at
t�heb a address and should be corrected. Please notify this office when correction of work
Dov 00 sa
-P let d - If you have any questions pertaining to this matter, or need additional explanation,
P e contact this office immediately.
IV, ' q IiAC14
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0
r? \ c, (Z. e,
Date LI -rl Inspector -,A
REV11/91
SENT BY:EEMC
10-21-92 05:02PM 2068598386-�
9168956512
ENERGY AND ENVIRONMENTAL
SYSTEMS PERFOHMANCE CORPONA1101M
(2061859-8318 1315 S. Central Avenlue' N Unit C a Kent, - WA 98032
New Buck Porporation
P.O.Box 69
spruce Pj�ne, NC 28777
RE: Alcove Clearances
Dear SirO:
It !appears there is 5ome confusion as to the proper
installt�on of the New Buck Model 26 nonoatalytic woodheater in
an alcove'.
The!clearances are as follow5-
minimum width of alcove 48 inche5
maximum depth of alcove 36 inche5
minimum height of alcove
if depth is less than 2411 72,inchas
if depth i�5 greater than 2411 64 inchas
If there are any questions concerning this matter, plea5e
feel free to call at anytime.
Sincere
klowik
Safety To�sting Coordinator
Post -It"' brand tax transmittal Merno 76711 # at pagem
1�m � From
/14-- sl-eueAj,�
-�Ovner
ENERGY
.. 30;13' - 4
.Permit No.
CEATIFIC'ATrON
-70
&A4 ec) .
L
DESCRIPTION OF INSULATION
ROOF
MATERIAL_
THICKNESS
BRAND NAME
THERMAL RES.
A. P. NO.
..-EXTERIOR WALL
..-'-MATERIAL LASS BRAND NAME CERTAINTEED ---------
FIBJR9
311A I b V
,a — THERMAL RES.
THICKNESS
CEILING
-BATT OR BLANKET TYPE-Fi b erg lasB RAND NAME CERTAINTEED
THICKNESS THERMAL RES.
-=._:_,-._,_.,LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED
THERMAL RES.
100R, ELEVATED. --.--=----.------
-MATERIAL FIBkkW,&SS—' --"BRAND: N
AME -CERTAX V
THERMAL.RES. o 7
CINESS
ti -4L kB-
BRAND AME
N
THERMAL RES. . ... .. -
WRICKNESS-
-i:. , 7
FOUNDATION WALL
—MATERIAL BRAND NAME
THERMAL RES.
THE ABOVE
-EREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED
H
E WITH THE STATE OF CALIF. ENERGY --REQUIREMENTS.
-BUILDING IN CONFORMANC
-..--:--HAVKINS INDUSTRIES NC # 622184 --------
FI N OW S TE CONTR. LICENSE NO.
. . ........
1 her y cert y he above insulation and all required.itdias as shown
on the Building Depart. approved plans and attachments. -have been installed
as required by the State of California Energy Requirements..
rescribed or
All -equipment, dd*iceA and materials are of the quality
are sp�eci�jica4ly approved by the State of Calif.
Lj----------------------------
FIRM NAME/OWNER-(PLEASE PRINT) STATE CONTRACTOR'S'LICENSE NO.'
ZW
op 32-6
---f---:�'-73TGNATURE 'OF GENERAL CONTRACTOR/OWNER DATE
i bi'on. f ile vith--the-BUILDING,
WO �ti
wivu E-1 iceas v r 4 ra 17 a A a - la, - 0_0 p�y
CERiIFICATE OF
A\)It OF 11014A��
' 2
A CW;`
CONFORMANCE
UNDERSIGNED MA NUFA C TURER HEREB Y CER TIFIES
that tLucts identified below arid oil attached sheets Nos. - — are marked
with the Collective Mark. of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION fAITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSUAITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at our plant in n.3_�QR _' , which plant has a quality control system
approved by the Inspection Bureau of'the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies wi.th the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code'.
Hl JOB NAME: Roberto 'Zermeno
JOB LOCATION- 3,053 . Bay -Ave, Chico
C . USTOMER'SOnDEnNO.. DATE 12-20-90 MFGR'S ORDER NO. 8524-1)
__24F_-YA V��e.,Anch AP _ Ind -v --Wrap
SIGNA7une 7 COMPANY ___D.XQ.-LZM
TITLE ()01i4--00ntr_01_ADDRESS B__291f__Drain.,0R__DATE 1-4-91
A I TC HEREB Y -C1--RT1F1[--S that the said company at its said plant is'licensed by tile
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCT I ON, and that, in the judgment. of AITC,
said company is capable of coilinplying with applicable manufacturing and testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular prod6ct is the sole responsibility of the manufacturer; AITC's guarantteW,'
hereunder being that the said company is qualified to produce a produc t meeting the saidjStandar�d
and that its plant is periodically in�pected and verified by the AITC Inspection Bureau.
AITC Ce.rtlficate No. 73935
.AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
RUCEIVIEJ)
J9. 01?f)l
AN
11.
AA
V OK.
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
MISCELLANEOUS
Date -MOBILE HOME- UTILITIES (Plans).OK except #'s
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements-Setbacks-Easei)ients
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Location -Test -Fall -C/0 Concrete
3. Decks; Gridbrs and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
Shthg.-Rfg.-Bracing
6. Gas; Location -Test-Wra p: 11 /"L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
P'Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date Card B-1 Date Card B-1
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
Date
Card B -j Date Card B-1
2. Footings; Size -Spacing -Marriage Line s
Date
Card B-1 Date Card B-1
3. Gas; MH Test- Demand -Valve -Connector
Date
POOLS (Plans) OK except #'s
4. Electricity; MH Test-Crosso ve rs- Brea ke rs- Clea ran ces
1. Setbacki-Easerbents
5. Drain; MH Test -Fall -Flex Connector
2. Soils; ComiJaction-Structure Stability
6. Water; MH Test -Regulator -Connector
3. Pool Structure; Steel -Connections -Thickness
7. Water and Sewer Connected -C/0 to Grade -HD Approval
Dead Men -Lining
8. Gas and Electricity Tagged
4. Elec.; Receptacles and Lighting, Distances-GF1
9. Exits; Insp.-Sketch
5. Elec.; Pool Lighting; 15 volts-GFI
10. Cert. of Occupancy
- 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.
Date Card B-1 Date Card B-1
Boxes-Enclosu res- Pane lboa rds- Ins. to Main in Conduit
Date Card B-1 Date Card B-1
9. Health Department Approval
110. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
11.
AA
q
','I i ow
0 ;: Not OK
Not Apelicable
Not ReAdy RESIDENTIAL
Date UNDERFLOOR (Plans) 6K except #'s
7 77, -g-Setbacks-Easements-Flood-Slope
Ftg., Main; Soils-Elec. Cvwrd-4 8/" Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. GPOT.-/Joa" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
4f Sternwalls, Main; Steel -Bloc kouts-Wra pped
e'Stemwalls, Garage; Steel- Bloc kouts-Wra pped
6a. Hold Downs and Special Anchors
7. SI§4; Steel -Wrapped
s Fireplace Ftg.&O,---
Fall-Fitting-Tie-2 Way C/Q,81�w_er Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
1 1--VTa-ter Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Undprground
1 4_.Pte n u m Ducts; Clearafr6e"Materia I -Support- Ins.
S]ZIAIL14. ��-Ancho, Bolts-Joists-Ventsjf�n�ps
15. AccP95-& Ventilation
16. Insulation
Date _q -jq,,9PCard B-1 GG Date Card B -1()J3
Date �;LJ'6/412_Carcl B-1 SN Date,T -27-qZ- Card B-1
Date 'I PLUV61NG (Permit),OK except 4's
k015"liater Htr.: Vent -Access -Combustion Air-MTrrM7*
Pater Pipe: Test & Anchor -Nail Protection
W.V.; Test -Fittings & Anchor -Nail Protection
_.-Sho er Pan: Test, First Floor -Tub Access---------------
4�,* �LTpdTub & Shower,_Second Floor -Tub Access - ----------
2le"Gas Pipe: Size & Anchors
---- -- - ------ --- ----
Date W -q lard B-1 Date Card B-1
— ---------------
Date I - 7, -7 -ej�_PCarcl B- I ~
Date Card B-1
Date ELECIJWCAL (Permit) OK except #'s
7" Ae.�F xture & Transformer Clearance-Ins.QIQL
-------------------
5!5. �!�qjjttacles Spacing -Lights & Switches at Doors
M;� --- - - ----------
No. of Cond ucto rs- Stapled
- ------ - -------- --------------------------
.............. ljjst2�led Close to Edge of Studs & C.J.
- - - - - - -----------------------------
made up w/Mech. Fastners-Bond
-------------
2 C' Conductor Size/GFi
-------------- '.App�i�f!�o�__ircu.ts_in Ki-tchen - & ----------------- ---------
*/'Subfeed Wire Size Ah��a. Cu or4!5DkS_C. Wire Sizjrl�nr;
5�r4p'_ f I Ge
------------- ---------------------------------------
ii;/_�Znge 61rc. Jr0l ga.i�Al-Oven Circ,44-ga. Cu or Al.
insulated Neutral 0 Yes 0 No
------ ------- - -------- ----------------------------------------------- --
_�_e �,S�:��,!�_Conductors & Ground -Main Disconnect
' - �iS - - __ -------------------- -- --- ------
E. u ip -Motors-Mech. Equip.
J_q�._��IFa!�pces -Panels ------------------------
3'e'Clothes Closet Light -Shower Light -Spa Light
-------------- -----------------------------------
* 33., Smoke Detector ----------------------------------
_7� ---- ------------------------------
---------- 7-42:6 ---------- ---------------------------------------------------
_Dat�_7___�1_______ard - B-1 ~ ...... Date -------------- Card -B-1 -- ----------
Date �,ard B-1 Date Card B-1
Date MgeHANICAL (Permit) OK except 4's__
V�F4.. . Ducts Insulation & Support
------------- -----------------------------------------------------------
rit Fan; Exhaust above insulation
�7.�ion ensate Drai n & Ove rflo w: Size & G rade
rnance-V ent Acce s s Comb' Air -Return A ir Vent- 1 15 out let
--------------- ----- ---- _ --- --- ------- ----------------------------
A tt, c
ttic Access & Platform if Furnance in Attic
--------------------------------------- --- ---
---------- ------------------------------------------- ---
---------- ----------------- --
Card B-1
Dat '41k a
----------- -- --- ----- ------- ------
Date Card B-1 Dale Card B-1
Date FRAdING (-Plans) OK except h's
Pr?Re� Material & Anchors
V15valls St uds- rAa- i lin-g- 'Sp -a c_i_n_g__ &--B-rac i ng- Plates -Sou nd
-------------------------------------------------------
Bearing Walls over Girders & Floor Nailing
------------------------------------- --------
--------- -Walls (rat proof) -- --------------------
r-r-e-d"t-e--ili haspi
rin
t4:Pj'Headers & Beam-Siz I
ingle & Duplex)
Date �M_MING (Continued)
an ers t Caps-Anchors-5&jnegg;�?
_�Pcr
WW71_1 - Ing. Joist-Rftr. ties- Purl in -roof Brac-Truss-Shthng.-�2�
Uy24:!)'jL4j ire ace Ties or Type A Flue -Fireplace Throat clearance
___ j
48. --c Access:_Si�e & Romex Protection -Draft Stopsk��
h 1)" 1 er- Windnws or Exitina Doors -Sill Hat. & Dimensions
7-
4d' G�rage Fire Protection Framing
- , , � -X 0- 'a 14.
44-Propqrty Line Firewall & Openinqs
�4. Doors -One T -Check Garage-3KI-�,
irs: Wiob�Heaclroorn -Rise-Run- Landing -Fire Protection
5C ply-Xd on Roof Overhang -Attic Vents -Rafter Outrigge�s
Nailing Veneer
Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
Glazing Area -Glass Protection -Skyl ig hts44�
58. Shear Walls: Nailing -Bolts
59, Insulation-Walls-Ceilin
60. Infiltration-Walls-Winclows
Da te Date Card B-1
Date'j fji,_ V%____Ca0-B1 IM Date Card 13,�r
Date FIN44:�('Plans) OK except h's
Ext. Steps -Door & Sidelight Protecti(
------------ ff- _.
--------------_-- Smoke -Detector
n.Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
-----------------
'Pefoorn ing
........... (t�_G
SKa ?
��.th Fixtures & Tub AccesjC
lec. 'im
--------------------------- &_Subpanel: Breaker Sizes & Labels
6�-'�S -3 �& Rai -is _
jijkF`i're�T� . 0 lc/I�C�ear �earth
------------
c. Outlets at Wood Panel: Int. & Ext.
------ _ix`t_. -&- A p—p I i -a _nc e-: _G r-n-d—A- -
j�_Gap-Cooking Clearance
'0 ec. Outlets at Kit. �Counter
............ �eSepta�
--------- - _�l ---
Z2.-1G r
------------- �!�g3_Prree D20?!: Swi g -Landing -Closer
U_T__ I-
74.-A,12'.e"D u q il �n G a r -Damper
r
------- ----- 9 - -------
Wtr. Htr.:�AilearDance-Comb. Air-Connector-P.R.V.
I n Garage Above Floor-Mech. Protection
11��F
-------------
_�j�h, Equip. Listed for Location
------------ rjparag<�. �Romex Protection
_L
lat'on-Foam-Lo / ked in Attic 0 Yes
------------------------ P ------
W.'7�od Rai -is & Dedk const.��ction- Post Caps
&F`dn. �,?hits & C �wl_ �Uoc3rDrainage & Wood -Earth
Clearance Lojke' i<under FMoor 0 Yes
------ ---------------------------- �
4Vrollowing instid.: Drive 0 Yes 0 No: Walks 0 Yes 0 No;
Planters 0 Yes 0 No
------ ---------------------------------
iK. Stucco: Brown -Finish
,�Z'A.C. Unit: Disconnect, Electrical, Plumbing
------ --- -W".-Ie-n-t-s--A--b-o-v-e--R-o-o-f:-P-I-b-g--A--pp—liance-Fireplace.-Clearance to
----- ---------- Ope�.nin__
- ------- -- r Well: -Disconnect, Elpet'r-ical, Plumbing
Exterior Elec. Trim: (!;��eceptacle-Underground
.......... .
8fe."Ventilation Throughout House
----- --- ----------
89-*'G-Iass Protection
t '____f - -------------------
?jTc TT on
*8-9.- Gas 1.4 -meters Tagged: Cloo'*'Electric
----- ------- -- --------------
9(�'<ater & Sewer Connected -C/O to Gracle-HD Approval
------ ------ 9*.4nergy-Com-p-liance Certificate -Other Certificates
------ ------- ------------------------- __ __
-- --- ------------------------
Date r' -1 , . Date Card B-1
_L -Card -B --------------
Date Card B-1
Date Q.FC-g;�?-Card B-1 Date Card B-1
Comments at Final:
--------------------------------------------
COUNTY OF B UT TE DEPARTMENT 0 F PUBLIC WORKS
7 County Center Drive - Oroville, California §5965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
92-451
ASSESSOR PARCEL NUMBER
042-590-061
ZONING
RT -1A
BUILDING PERMITk
OWNER
Roberto Zermeno
TELEPHONE
1345-1800
SQ.FT. OCC. BUILDING \��LUA?fON
z
- Z.�%I 5 R
-
14-5�79-
OWNER'S MAILING ADDRESS
10 New Dawn Circle
52-1y M -wv-,922
S -Z,("
CONTRACTOR'S NAME
Mike Stevens
TELEPHONE
1345-1111
208 C 2,704
CONTRACTOR'S MAILING ADDRESS
30 Crow Canyon Ct., Chico
Fireplace "All 1,500
CONSTRUCTION LENDER
Winchester McGee
UNKNOWN
I
Total Valuation
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
P.O. Box 3885
Permit Fee
$ 828.5U -
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 414.25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 1277.75-1
PLUMBING PERMIT
FilingFee 15.00
3053 Bay Avp., Chico
Each Trap
141 5.00 70.00
Solar or heat pump water heater
1 20.00
LOT NO.
5
SUBDIVISION NAME
Willowbehd
PARCEL MAP
Water piping
1 7-00 7.00
Each Clas water heater or vent
7.00 7.00
USE OF STRUCTURE
SF D Duplex F� MobilehomeR Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
15-00 15.00
Mobile Home S I G I W
15.00
TYPE OF WORK
Newla AdditionO Remodel[:] UtilitiesO InstallationD OtherE]
Describe work: New 5 Bedroom Single Family
r_1
Permit Fee
$ 119.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
main service 600V OR LESS
200A OR LESS
- 1 W.501 j8.50
Main service 200A TO 1 OOOA)
CONTRACTORS LICENSE LAW
1 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 for and effect.
License No. .326- -Classification
Fj 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)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.8d)
OR ADDNS.* ( ACC. BLDGS.
3.64 q.ft.1
29.35
N E W C ONSTFL A ULT'_OUT LET
.0 -R ES,., . RANCH CI RCU, TS)
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(ou TLETS OR FIXTURES
20 @ 761
F AL 0 46
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.1
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$ 162.b.�
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
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.
0 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
FilingFee 1 15.00
Heating DUAL/SPLIT
2 18.00
Cooling 2-21-3 TON
2 18.00
Hood
6.50 6.50
Venti I ation
4 �4.50, �18. 00.
Permit Fee
$ 75.50
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.
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 Co nt -o seq ce of the granting of this permit.
X K� Da, e 2 -,,?e
Signature of Applicant - Owner F1 Contracto Agent Ej / /
An OSHA permit is required for excavations over 5'0" deep and demolitionc,,%Q t-
ion of structures over 3 stories in height.
Mobile Home Installation Fee 6
Energy Inspection Fee $ 40.00
YPE
TOTAL F4 EE $ 1675.10
HAZ
1 0 FEES I
IMP
:�Zz
PA��
I C!4
HPI
124
ISSUE
This permit Ls hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indic e bove for which fees have been paid.
EVO OF PUBLIC WORKS "
By S ) Date -�2
PE ;ITEWX. Date
Receipt No. 103874 PC $494.25//J/6QZ1S_.�_L 190,
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPECTO�. GOLDEN ROD-APPIL I CANT
*am
W,
COUNTY OF BUTTE - DEPARTMENT 0 - FA61LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
,,�*ERMIT APPLICATION DATA SHEET
Fiermit No.
OWNER. A 0 -
Proposed Building Use Building Inspector—,
� 7- -,;-
Date_�?_iz
e� /
2/4 Z_ -
At time of permit application, I was advised the following diitaqust be submitted prior to permit processing and/or issuance:
4 DATE RECEIVED APPROVED
1 . All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to "plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ... ..,g-qr ..................................
10. Fees of $ ?
11., Chico Urban Area feeseaid ............................. g- -/2 - f2-
2,,Park fees paid . ........ ............................ . 5- -/ 3- f 2-
( 25 School Disti;ict fees paid .............. _f3 -pt_
05�1 4. Sanitation approval from (:f—Z C 0 Health Department 5-- 7-12, 14
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18 ' lmri-rov ments may be required. Contact Land Development'Section DPW
�9DIriveway 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 ..................
,,23,0<ner-Builder Verification (Given to owner Cl, Mail to owner 1:1) .....
--dKe< Recorded copy of Agricultural Acknowledgment Statement .......... 5_/C. 1q1',e___
25 56er of signature authorization .
/f)?, I*e ( F)C::. I
When you issue the permit, proce�/s as follows: Mai I to owner. Mail 1 to contractor.
Telephone and hold for pickup at — office�,,___,,�eliver w/inspe'cto��,
Other '. 7 1.1� –
A
Applicant Date
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. -'---Air Pollution Date
Copyofplanssent ----HealthDept. —FireDept. —Other— Date— By—
The following data must be submitted to ger (C'rcl ew item not checked above).
1. Index permit for above items No. Ve
P 7
1�i 7 r
2. Additional items required: / / ! / I "', -, (
Contractor, designer, owner, was advised of above required data by —phone ---mai I —counter by-t�.clate
Contractor, deso er, owner, was advised of above required data by—phone —mal I —counter by— date
7 4"7 Ito ' f)
Plans crre-cked by OK DMe. -L:2�4 nA� 2_44ate 47jle�
proved by.
Sets of plans on hold in - !'_�`Fi le cabi et Vfo ddP
- 1'e&_
71 If
Copy–DPW
TO Buildina Department
FROM: "'Environmental Health
SUBJECT: Sanitation Clearance
Plan Approved for:
0
Hold final for:
AP#
—Locafl—on
Sewaqe Disposal b-�
Final clearance O.K. for:
Clearance f or bedroom -meb4-37s home Other
64L W-3 11-�
Water Supply
Water Supply
Water Supply _
NOTE
S-�!n Date
TO: Building Dep.�Lrtment,
FROM: Encroachment Permit. Section,
RE: 'Diiveway Clearance
7 '�o
�0�el- AP #
owner location
Driveway permit has been issued for the above property.
n?jb
date
ign>6re
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916."538-7541
APPLICATION A�D PERMIT
P�RMIT 0
ASSESSOR PAR BER
Z 0 rv.
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
7 7
OWNER'S MAILI;t�eDRESS
CONTR
JPAME
*M2� e 'Sle4lelil S
2-
_g
Cy
,;AC�4k;�;ILF ADDRESS
'44)YVA..) (:Z7(--
Fireplace
CO�� LW f
&.5 � IWOF04e Ile-
NKNPWN
Total Val t': -)n ---j $
3 44- _-_5
Filing Fee
15.00
L E RCTE R MAILING DORESS
4P$
, (D- 46y, 3 4gTr
Permit Fee
$
ARCHITECT OR ENGINEER i
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 0 0
ARCHITECT OR ENGINEER'S MAI LING ADDRESS
Penalty
$
EIUILDINY�OF�ESS
e -
Permit fee
$ (2 2 <
PLUMBING PERMIT
FiYngFee 15.00
Each Trap
01�1 5-00i 722,00
Solar or heat pump water heater
20.001 ,
LOT NO.
SUBDI��o 10g NAME ARCEL MAP
I CA/0
Water piping
7.001 Zoo
Each qas water heater or vent
7.00 'Xe9tv
USE OF STRUCTURE
SFF� DuplexF-1 Mobilehomef-I Other
SPECIFY
Gas piping system 1 - 5 outlets
_�_-�00
Building sewer
1 15.001
Mobile Home I S I G JW 1
15.001
TYPE OF WORK
New / Addition [I Remode I [:] Uti lities F1 InstallationEl Other
Describe work: /6y 9 04
I
Permit Fee
$ I / C�',
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO I OOOA)
37.501
CONTRACTORS LICENSE LAW
I de I e under penalty of perjury (check one):
7 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and Iny license is in f 11 f e and effect.
License No.!��iJZ11115 / -Classification _u
0 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 conticlut-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST DWELLING OCCUPM
OR ADONS. ACC. BLDG S.
.2 C1,
NEW CONSTR. MULTI -OUTLET
NON-RESIC. BRANCH CIRC U:TS)
@ 5.00
(POWER APPARATU &
SINGLE OUTL E T CIR.
S_
Ex. Occup(OUTLETS OR FIXTURE
'0 764d
2
!A 4RIM
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID � EA
3.001.
Temporary service
15.00
Mobile Home Facilities
Misc. Wiring
15.00
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F1 The permit is for $100.00 (valuation) or less.
4ZI 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.
F-1 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating Z
6) 0.
Cooling 6_
Hnnf
Venti I ation
4r I
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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
agains C ce of the granting of this permit.
X Date .21,?,o -7,->_ —
Signature of Applicant — Owner El Contracto Agent 0
�Z
An OSHA permit is required for excavations over 5'0" deep and d lition or construct-
ion of structures over 3 stories in height. 77
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TY111
I TOTAL FEE $
HAZ
1 0 FEES
I
- JMP�FCDF
,
I _I PA��
ISSUE
I
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
3 � ZV &01
Receipt No. q -17q,.2(��_& 1
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDCNROf0-A4/L1CA.T
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS.- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER P-nbr,4-rD af-�444 C---& C) A. P. NO.
PROPOSED BUILDING USE DATE
REC. DATE REPC
—4,-��chool Distric Fees 6AS—Z-D
�paid at District Office) ..........................
2. Sheriff Fees
(paid at Building Department)
x
Residential .......... =$
unit amt.
Co ercial(per sq.ft.) x =$
0
ft. amt.
(,1 �3Urban Area Fees*
22
(paid at Building Department
Residential (per unit) x =$
# units amt.
Commerical(per sq.ft.) X, =$
sq.ft. amt.
_L,,,��.Recreation District Fees
(paid at District Office) ..................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE
Ze 5'� 2-'-
8 E CERTIFICATION FORM
BUTTE COUNTY TQ_HOOLS %EVfA0$MENT 'E
(One F s6m "OM, Building.)
A.P. Numbero'4/ -yg,!g -061 lt�uilding DeVQrtment No.
city
School District, County Na Jurisdict.ion
Proper ty Owner
-3
Project Location/Address
Subdivision Lot Number
Residential Development: . Sq. Footage
# of Living MHI Addition (Z�roup R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
BuildinVDepartment Representative Dat/
(Floor Plans reviewed by��S-chool District Personnel)
District Id No.
SN
fies that
I Ox) lq_� LJ 4�� School Distil: certi'
A A
(Applicant Name) (Phone Number)
6A
(Street,Address)
(City) (State) (Zip Code)
has comp . lied'with the requirementls��,f Resolu'tion No. 9/
by the�payment . of �Depresenting square feet.
School District Repee)�-e-ntat4ve /Da;6e
PAID BY CHECK NO.
BAN . K NO �6' -Z3
PAID BY CASH
white-applican llow-bui
Kye
SCHOOL.FEE (8/88)
N'.
REMAR%KS
X,
ing de�,artmen`t, pink -school district
pp
r e
T
BUTTE COUNTY PARKS DEVELOPHENT FEE CERTIFICATION FORK
CHICO AREA RECREATION. -AND PARK DISTRICT
Assessor Parcel Number(s)
Property Owner
Project Location/AddrpsA.,-
Z Lot Number(s)
Subdivision
Residential Development: (-check one)
New Development Alteration/Addition Mobilehome(s) Non -Residential
to Residential
Total Number of Dwelling Un . i 1. ts
Comment:
)3uilding pip'artment Representative /Date-/
Chico Area Recreation and Park
M
(Applic9nt -Name)
, � 0
3 0 Ro a)
strict(CARD) certifies that
(Phone Number)
0040JY01t)
(Street -Address)
AX'
(City) (State
(Zip Code)
has complied with the requirements of Butte Co. Resolution No. 90-140 by
:, I Ivyinent for dwelling units @ $1,189 for total payment of $J/ 9C7, 0 0 -
ka__f� -
CARD Representative
-
REMARKS:
BANK NO. ", Y6
_�RAID BY CAS�
RECEIPT,,N,O., 1-35
Distribution: White'-"' Applicant
park.fee (formck-revised 11/90)
Date
a
Yellow --Butte Co. B ' uilding Dept.
Goldenrod --City of Chico Building Dept.
I
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 99- 451
OWNER �4E Rm'-_ N ,f > A.P. # _&-
GENERAL Plan Checker;R�< 3-Z_S_9e,
I Zoff-ing requirements: (sideyards and number of permitted living units).
2-"�Valuation.
�3 111ans signed by designer.
�Proper description *of work on application.
5 ----Existing violations on property.
Q�.Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
-7- Rprc�rded notice of viol - n.
PLOT PLAN
lk----Complete parcel size and dimensions.
24 ---Setbacks, sideyards, easements, etc.
3 -.—O -t -her buildings or structures.
4--gr-ading, fills, drainage.
5t -,'Flood hazard.
6,,. Spe.cial.conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. \FAIU & FAS road setback.
8. Building or utilities across lot lines (Record form). -
FLOOR PLAN
. _jG9vfplete to scale plan with.dimensions.
2-- duired windows for lioht and,ventilation,('qe'-rt':I')n�)
3. Required windows for second exit (Sec. 1204).
�ts (Chapter 34 & Sec. 5207).
5k- man impact glass (Sec. 5406).
equired room sizes, ceiling -heights (Sec. 1207).
r7 Is in baths, garage, kitchen, and exterior outlets (Article 210--;8).
8f Light fixtures, switches, receptacles', and exterior recepta�les for main -
ten
.tenande of'mechanical eq�iipment.
Loc
Locations of water heater, heating and cooling equipment, other electrical
1,,1-6r gap equipment.
U. raraee firewall, door size, and closer (Sec. 503(d)(3)).
��-)-0" exterior exit door (sec. 3304 (f).
eplace and wood stove location, alcoves, and clearance.
Sm -oke detectors (Sec. 1210).
1A --'Plumbing fixtures, water closiet clearances and shower size.
STRUCTURAL DETAILS
1� Standard bracing or engineered design (Table 25V)
,2. Urnmsua-17-shape, size, or split level house requiring lateral design.
17—CT-e—restory requiring balloon framing and/or engineering.
��.ree sory building requiring engineered calculations and plans.
6j�5. lundation plan complete enough to construct building.
.?Floor construction details complete enough to construct building.
�Fl
�levations and wall construction detail.s,complete enough to construct building
.�Roof construction details complete enough t3 construct building.
construction details and calcs if necessary.
1�- Wter ties or bearing ridge beam.
�,�age door or porch header sizes.
1 2,qt-ud heights.
it."'Adobe soils - special foundation design.
1\1 -
14"� Ketaining walls requiring design.
15.�pecial Inspection required.
MF 8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1� Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
2�.�Cuardrail details (Sec. 1711 & 3306(j). -
-3-.—Iff-Mck or stone veneer (Chapter 30).
Zl--Vterior plaster - weep screeds (Sec. 4706).
5�-�ro er roof pitch for roof convering (Chapter 32).
6 oof covering type - (fire hazard).
7-.--Fo--am insulation - protection.
8�-� 36" halls and stairways.
%_.�iLving area over garage - complete 1 -hour separation required on garage side
inc. u Ing pporting walls and posts, etc.
�-g
��tory dwellings (sec. 3303 & see Mezannines - 1716).
13�'.-Attic access and ventilation (Sec. 3205).
12�-Uq4e-rfloor access and ventilation (Sec. 2516).
13��ombusticn air for fuel burning appliances - L.P.G. requirements.
(V"�6�quirements on duplexes.
nergy design.
-&-.'Viashing at all exterior openings.
17 PB e area requirements.
M
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MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -IR
Project Title .......... The Storey Residence nA /,an /a,!)
MICROPAS3 v3.11 File -92064B Wth - CTZ11 Program -FORM MF -IR
User#-MP1333 User -Energy Calculation Svcs. Run -2660 S.F. Res. Base Case
HVAC AND PLUMBING SYSTEM MEASURES
Design--Enforce-
2-5352(g) and 2-5303: Space conditioning equipment sizing: e r ment
attach calculations.
2-5352(h) and 2-5315: Setback thermostat on all applicable
heating systems.
2-5316(a): Ducts constructed, installed and insulated per V/
Chapter 10, 1976 UMC.
2 -5316(b): Exhaust systems have damper controls. V_
2-5314(c): Gas-fired space heating equipment has
intermittent ignition devices.'
2-5314: HVAC equipment, water heaters, showerheads and
faucets certified by the CEC.
2-5352(i): Water heater insulation blanket (R-12 or greater) for
storage and backup tanks for solar water heating systems (first
5 feet of pipes closest to tank insulated to R-3 or greater). V_
2-5312(Exception I): Pipe insulation on steam and steam
condensate return and recirculating piping.
2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
LIGHTING AND APPLIANCE MEASURES
Design- Enforce -
e r ment
2-5352(j): Lighting - 25 lumens/watt or greater for
general lighting in kitchens and bathrooms. V/.
2-5314(c): Gas fired appliances equipped with
intermittent ignition devices.
2-5314(a): Refrigerators, refrigerator -freezers,
freezers and fluorescent lamp ballasts certified by the CEC.
III ,I l�, � lll� I CIO
6 LAI du
'lip . . ..... V, R19,
PETL.
ell- e-
-7-7(4-
s",
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-Z'7.'S
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ZVA L-4, z t o t ---r 5-
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wi
1)
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title .......... The Storey Residence Date ........ 03/30/92
MICROPAS3 v3.11 File -92064B Wth-CTZ11 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Svcs. Run -2660 S.F. Res. Base Case
OPAQUE SURFACES
Area U- Insul Act Solar Location/ Form 3
Surface (sf) value R-val Azmth Tilt Gains Comments Reference
LIVING
I Wal 1
2 Wal 1
3 Wal 1
4 Wal 1
8 Door
9 Wal 1
10 Wal 1
13 Wal 1
14 Wal 1
15 Wal 1
19 Wal 1
20 Wal 1
21 Wal 1
25 Door
27 Roof
28 Roof
30 Floor
SLEEPING
5 Wall
6 Wall
7 Wall
11 Wall
12 Wall
16 Wall
17 Wall
18 Wall
22 Wall
23 Wall
24 Wall
26 Door
29 Roof
31 FloorExt
18
0.056
R-21
25
90
Yes
144
0.056
R-21
70
90
Yes
18
0.056
R-21
115
90
Yes
48
0.056
R-21
70
90
No
23
0.330
R -O
70
90
Yes
417
0.044
R-21
160
90
Yes
52
0.056
R-21
160
90
Yes
294
0.044
R-21
250
90
Yes
24
0.044
R-21
205
90
Yes
24
0.044
R-21
295
90
Yes
32
0.044
R-21
340
90
Yes
56
0.056
R-21
340
90
Yes
236
0.056
R-21
340
90
No
IS
0.330
R -O
340
90
No
66
0.030
R-38
0
0
Yes
315
0.029
R-38
250
27
Yes
1134
0.037
R-19
0
0
No
13
0.056
R-21
25
90
Yes
281
0.056
R-21
70
90
Yes
13
0.056
R-21
115
90
Yes
52
0.056
R-21
160
90
Yes
1.60
0.044
R-21
160
90
Yes
125
0.044
R-21
250
90
Yes
27
0.044
R-21
205
90
Yes
27
0.044
R-21
295
90
Yes
32
0.044
R-21
340
90
Yes
128
0.056
R-21
340
90
Yes
228
0.056
R-21
340
90
No
18
0.330
R-0
340
90
No
1237
0.030
R-38
0
0
Yes
72
0.049
R-19
0
0
No
PERIMETER LOSSES
Front
Front
Front
To Garage
Front
Lef t
Lef t
Back
Back
Back
R i g h t
R i g h t
To'Garage
To Garage
A t t i c
Vaul t
To Crawlspace
Front
Front
Front
Lef t
Lef t
Back
Back
Back
R i g h t
R i g h t
To Bonus Room
To Bonus Room
A t t i c
Over Garage
Length F2 Insul
Surface (ft) Factor R-val Location/Comments
LIVING
32 SlabEdge 42
0.720 R-0 Family room
WALL. R21
WALL. R21
WALL. R21
WALL. R21
None
WALL.R21.R5
WALL. R21
WALL.R21.R5
WALL.R21.R5
WALL.R21.R5
WALL.R21.R5
WALL. R21
WALL. R21
None
None
None
None
WALL. R21
WALL. R21
WALL. R21
WALL. R21
WALL.R21.R5
WALL.R21.R5
WALL.R21.R5
WALL.R21.R5
WALL.R21.R5
WALL.R21
WALL.R21
None
None
None
to F T
lap- -7
4 4 x Z
44,-3 ) x Z
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61-e- -
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A K-
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vA IS
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DV- e L4 Y, (a— 5-30
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77
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............. 4
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14-19
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V(,210:
534
FOR
DATE —TIME—
M
OF
PHONE
AREA CODE NUMBER EXTENSION
";Q
CAW 0,,—
MEMO=
-
SINI Vkp=
11 r1l,
'691
W
N �me gwmm wb
LEA
MESSAGE.
elf
17
4 9c:,
-f--/ v
SIGNED
UTHC) IN UL8JL
AUKI�,ULIUKAL b1A1LMr.A1 U17 AU&1NUWLrL&jr,['1L1N1-
FOR RESIDENTTAL DEVELOPMENT
Section 26-8. L ol the Butte County Code
requireS Lhis acknowledgement be re orded Y7
prior to issuance of a building permit.
The property described her6in is adjacent
to Tand or included within an area zoned
I -or purposes, and residents
of this properLy may he siib.-ject to incon-
veniencos o.r- di.scomfort ar-ising from the,
use ol agr:icultural chemicals, including,
but. not 11mLLod to herbicides, pesticides,.
and ferL.:i I.izers; and. from the pursuit
o I" agricu-1 L Ural operaLions including,
but . not. lim:ited to cultivation, plowing,
SDraving r)runifig and harvesting which
9839
1-793�
occasionally genera Lei�,�'�d d§C11 'y9m ok& noise, and odor. Butte County has est.abl.ishcd a,,ric.u.1-
Lural zones which have a�s''a'"pH16rity use for productive agricultural. purposes, niid resi.dows
within sai.d zones and', n " � be prepared to accept SUCII inconvenience
. �q' � 4 � �',a property should
or (11SCOMFOr-L from normal, necessary farm operations
All Lhat rea] properLy situare in the County of Butte, StaLe of California, (Ic:.,(-r0)ed Lis
follows:
DaLe: jl;2,�
State Ofc-�-I*\*�D(\,A, Ck)
0 -1 -1p
('o u n L y r,>o T7 1�—
Present. A.P. No.
PRPP17�y 0 ERS.
n -
On this the day of 19-n_�, hofore 111C,
SS. the undersigned Notary Public, personally appeared
Ro�" 2erfne-no � An+,Oylic, zerm"P,C)
E]Personal.ly knOWTI to MU. M'Proved to me on the b�isis
of satisfact-ory eviden(.:c.
Lo be the person(s) whose name(s) 0, r7c
subsc.ribed to the within instrument and acknowledged Lhi:ii -�LQA4
executed the same For the purposes the'rein contained. f N
W HEREOF, I hereunto set my hand and official seaL. .
OFFICIAL SEAL
JULIA SEYMOUR PATTERSON
Notary PublIc-California
BUTTE COUTY
My COM ExP- May. 22, 1992�
6 -4Z
Notfary Public
COUNTY OF BUTTE
BUILDING DEPT
MAY Q 6 1992
CHICO UNIFIED SCHOOL DISTRICT
116� EAST SEVENTH STREET
CHICO, CALIFORNIA 95928
(916)891-3006 -
C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT
Terms and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND
pursuant to C.U.S-.-D. Resolution No.' zlt,& 9
I -.am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assesso
Parcel No. represented by C.U.S.D'.' ID No. 7
for one of the foll6-wifi'reasons:
9
I will not be building a residential unit on thi's parcel and
I have cancelled my building permit.'
--:,--Credit for demolit'lon'of an existing residence.. (copy -:9f
& County'- Appri i gal :'Report'attached)
0
ther'
61 6
Development'j ee -paid
'($2. 0 per _:r'e"sidenfial.uhit)':�.,
-Less 1.�dministrative 'fee 5
'-'---Total Zrie*ifun��
4
Y
X.V
x.c
Applicant -Signature., .!.-Date
KN-,,,#
V .4j
ro
rinted 'Name V4'��
rt
Address
Phone No.
/CID
City/Zip
Scho(51 District Relftbs-entative Date
White -applicant,' p1nk-,building department . ,yaI4-c�school district
.-4R
BUTTE COUJ4TY SCHOOLS- IMPACT FEE CERTIFICATION FORM
...(One Form Per Buildi nil)
�.School District Building Department No.
A.P. Number Jurisdiction fCft' County'
Y
Property Owner, 72f e 0- t" tol 0
Property Locat ion/Address 4 L,.P-
Subdivison J- 0, U' Lot No.
tit
Sq. Footage.
Resid ential Pevelopment
Addition (Group R)
No. of Living MHl
Units
Commercial/industrial Sq. Footage
67 la New Addition (including Exterior
219 Roofed Areas)
4,z
z
Date
resen a ive-
Building Department Rip A ti
(Floor Plans reviewed by School District Personnel)
r
District Identificeiti6ri'N 47
0
V
L n�,
t certifies t6it
�P'tP� 4 X-e—
VrSchool Disii
Applicant)
3,�52�
-rt n.
S,
ree .7 -7
t t ress)
tate)
S -:4 (Zip Code)
(CRY)
has complied with the requirements of Resiolution' No. by payrl en"t of $
rep senting -:����Uare.160.
C/
School District.Representative
Paid by Check Number 0
-Bank Number -
Paid by Cash
Remarks:
Date
__ - ____ . . Q- ,
�c-� 7 7 �';2 _ , ': �1
Z�
If, subsequent to.the School District Representative signingthff e ounty Schools Impact Fee
Certification Form, the ScKool District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fulIV mitigate its impact on the school district's schools.
W i w
I tdct)
(applicant), Yello (building department), Pink (schoo dis feeformmkl (4/92)
.7
� 9`2 - 19 8 19
Return to DPW AGRICULTURAL 5TATEMENT OF ACKNOWLEDGEMENT
I FOR RESIDENTIAL DEVELOPMENT
Section 26-8. L of the Butte - eounty Code
requires this acknowledgemgnt be recorded
prior to issuance of a building permit.
I
92-0198391 Rec Fee
5.00
I'he propertiv described herein is adjacent
to land or ' included within an area zoned
I Check
5.00
for agni.CLII.tural Purposes, and residents
Recorded I
of thIs pruperty may be stibject to -hicon-
0fficial Records I
venie.nces or di.scomfort aris-ing from the
County of I
use of agri(:ultural chemicals, including,,
Butte I
but not I.ini-i-Led to herbicides, pesticides,.
Candace J. Grubbs I
and ferL.-FlAzers; and f rom the pursui.t,'
Recorder I
of agi:icu] Lural operations including,
11: 19am 6 -May -92 I PUBL
XX I
but not I.i.m:i ted to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and
odor. Butte County has establi shed
agr i (,-.u.1 -
Lural zones which have as a priority use for
productive agricultural purposes, aii(I
residows
within said zones and on adjacent property
should be prepared to accept SLICII iIICoIIVMvi.eI-)('C.
or (liscomfort from normal, necessary farm operations.
All that r.ea] property situate in the CounLy of Butte, State of California, (Icscri.bed [is
rollows:
uh*/Zo�-)
Date: _2
State of On this the day of R,�rugz?
19 CI I befure me,
SS. the undersigned Notary Public, 'p-etson;�Ily appeare(I
L2 )p
County of 15ut-Pt-)
Rn�" 2(2! r m-eA /4yN+o in I ck Z -(Z rAIRA 6
EAPersonal-ly known to me. [MProved to me on the b�is,is
of satisfactory evi-deii(.:c.
to be the person(s) whose name(s) o,
subscribed to the within instrument and acknowledged that -�LQIIL4-
executed the same for the purposes the'rein containe(I. I'N WI"rN'E',S
W HEREOF, I hereunto set my hand and official seal.
v. OFFICIC'SEAL -
JUQA-,SEYM0UR PATTERSON
'Wary PublIC-Callfarnla
'z BUTTE C60TY
Present A.P. No. Y
M COmm'Exp. Ma 22, 1992.
-S
n" - � J -&',
Notfary Public
END OF DOCUMENT
16—
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Vl%
IS,
7- Wall Insulation
Floor TnsUlntion
Numoer at s=nes
Single.
R-vaiue
One
Two
Three
R-0
-10:3
-49
Famiy
R-19
-8
-4
.2
R-30
.2
.1
.1
R-38
0
a
0
U-Vaiue
4. Slab Edge Insulation
_=n-1 S3
14 - -==-76
0.50
-176
-84
-SA
0.20
-102
.49
-32
0.10
46
.13
-8
Us
-18
.9
-6
US
-11
.5
.4
0. CA
-1.
.2
. I
0.C2
4
2
1
O.Co
I 1
5
3
7- Wall Insulation
Floor TnsUlntion
East
Single.
Single.
R-vaiva
Family
Famdy
mult�
R -Value Deta=ed
Att=ned
Famiy
R-0 -68
-51
_U
R-1 1 0
0
0
R-1.3 2
2
1
R-19. --------- 8
R -i 9
U",IWUQ
-2
4. Slab Edge Insulation
_=n-1 S3
14 - -==-76
1
0 -So _;i
.68
-4
U0
7�
-36
-24
110
0
0
0.08 4
3
2
O.C6 9
7
5
0.04 14
0.20
7
0.02
.22
10
0.00
.21
12
a . 10
-17
--3. Raised
Floor TnsUlntion
East
Number of swries
Inmisdon In Flow
R-vaiva
One
TWO
Number of s=6es
R-0
R-vaiue
One
Two
Three
R-0
.4
-8
S
R-1 1
-3
.2
.1
R -i 9
.2
-2
4. Slab Edge Insulation
R -3 0
3
1
U-Vaiuq
-26
R-yatuo
One
-0.60
-1 AA
00
46
0.50
-1410
_S2
_U
0.40
-95
-As
430
0.20
-69
_U
.22
cia
_4
.21
-14
a . 10
-17
-8
S
0 . 08
-11
-6
-4
0 . 06
-6
-3
-2
0 . CA
-1
a
0
0.02
4
2
1
Q.CQ
IQ
5
3
Controlled Ventilation C=wtspace
North
East
Number of swries
'.West
R-vaiva
One
TWO
Thrm
R-0
-11
.7
-S
R -S
-4
.4
3
R-1 1
.2
.2
.2
R -I 9
.-1
.2
-2
4. Slab Edge Insulation
A
40
-90
Number of Stones
-26
R-yatuo
One
TWO
Three
R-0
-29
0
.9
R-5
10
5
-61
R-7
-13
6
3
F2!aczr
29
-58
-20.
0.90
-3
-3
4
O.So
-55
.1
0
0.70
2
2
1
- 0.60
6
A
2
0.50
9
6
-49
0.40
12
8
7
D a
1XII-iltraLiot; (Air "caxx3e)
Spo=&Mtion Points
Stsindard 0
.. 6. Glaw; Heat Loss
Total
North
East
South
'.West
LLyaluo
18
Peir-ant
1
4
.5t 13
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
M
.40
low
50
-121
-53
-M
.24
.10
A
40
-90
-37
-26
14
4
a
3S
-75
-29
-19
.9
1
10
30
-61
-21
-13
-A
A
12
29
-58
-20.
-12
-3
5
12
28
-55
-is
-IQ
.2
5
13
27
-52
-17
.9
.2
6
13
26
-49
-15
-a
.1
7
14
25
_'6
.14
-7
a
7
14
24
-4
-12
-5
1
a
1A
23
-110
-11
.4
2
a
15
22
47
-9
-3
3
9
15
21
44
-7
..2
4
10
15
40
-31
-6
a
5
10
is
19
-29
-A
1
a
11
is
19 - -
-26
4
- 2
- 7
12
16
17
-23
-1
3
a
12
17
is
-20
a
4
9
13
17
7 -IS
-,,7
1
6
10
14
17
14
-IA
3
7
10
14
is
13
-12
4
a
11
15
18
12
-9
6
9
12
15 -
19
11
-6
7
10
13
is
19
10
-3
9
11
14
17
19
9
.1
10
13
15
17
4^0
a
2
12
14
is
18
20
7..Shading (Shade Open)
(Perc=t ifiass X SC)
% Glass
North
East
South
'.West
Skylight
18
5
1
4
1
na,
16
.2-
5
1
na,
Ems!
souch
2
5
1
na,
12
3
.3
5
2
na
11
3
3
5
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IQ
2
3
5
2
1
9
2
3
5
2
2
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2
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5
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2
7
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2
2
8
1
3
A
2
3
5
- 1
2
4
2
3
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a
2
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6
3
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A-
011
2
5
3
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a
a
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0
3
1
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2
a
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a
na . not allowed
a
1
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0
Shading (Shade Cksed)
Singla.
single.
Effectivii-Pesc gGlau
Wall
Slab Roor
- (Perceing
Zia= X SC)
Mau
Effeclin
ftwhod
F=Dy
Swat
a
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Nw1h
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U004
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-69
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is
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14
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a
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7
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3
7
3
9
na . not a& -ad
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3
6
a
7. interior L hermal Nlass
Singla.
single.
Interior
Wall
Slab Roor
Raised %or
Mass
Mau
Slones
ftwhod
F=Dy
Swat
a
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One
Two
Three
One
Two
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0.0
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6
a
9
10
10
4.5
3
7
a
10
11
11
5.0
4
7
9
11
12
12
5.5
5
a
9
11
12
12
S. a
5
a
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
11.5
7
10
12
13
14
is
10. Exterior WaU Thermal Mass
Emr6ir
Singla.
single.
Sum of 1.6
Wall
Famiy
Fantikf
Mulli
Mau
Deachoti
ftwhod
F=Dy
0.00
a
0
a
am
. 3
2
1
0.40
5
4
3
0.60
a
6
4
Uo
IQ
a
5
1.00
13
10
7
IM
13
12
a'
1.40
12
13
9
1.60
10
13
if..
i.w
10 ...
12
12
U0
IQ
11
13
11. Heating System
SE or HSPF *
(assunies ducts in acdc)
Zonal Control Adjustment
System Type
ResLsmnoo IQ 9 7 J A
3 ) 3
Other 6 5 .'4 2 2
12. Cooling SYSVM
SE,ER
(jissamet ducts in attic)
-5
$too of 7-10
Sum of 1.6
.3
-2
.2s or
.24 b P-14 b
-25 of -24 to
-14 to -4 to
+6 to
16 or
SE
HSPF
less
-*, 5
-5 +5
+15
mom
0.72
S. 60
0
0
0 0
0
0
0.73
rLa8
3
3
3 2
2
1
0.80
7.33.
8
7
6 5
A
3
0.8S
7.79
13
11
10 8
7
5
OM
SM
17
15
13 11
9
7
Us
8.71
20
18
- IS 13
11
a
9 7
6
Mective SE or RSPF
3
17-0
(SE or
HSPF x duct ei7ldencT)
9
Effecive -2S or -24 to -14 lo .4to
+6 10 16 or
SF
HSPF iess
-15
-s +s
is more
CL30
2.75
- 73
-64
-SS -47
-38
-30
na
3.41
-4
-39
-34 -29
.24
-is
0.40
3.67
-34
-W
-26 -22
.18
.14
0.50
4.58
-10
-9
.8
-5
.4
(LES
5.13
a
0
0
0
a
0.60
S. -C-0
S
5
4 �7
31
3
2
0.70
6.42
17
15
13
9
7
0.80
7.33
2S
22
19 16
13
10
0.90
8.25
32
28
24 ZO
17
13
1.00
9.17
37
32
28 24
19
15
Zonal Control Adjustment
System Type
ResLsmnoo IQ 9 7 J A
3 ) 3
Other 6 5 .'4 2 2
12. Cooling SYSVM
SE,ER
(jissamet ducts in attic)
Zonal Coon -W Adjustment
IQ 8 . 71 6 4 3
No Coolin; Sysurn Installed
- -Staries
One
-5
$too of 7-10
-4
.3
-2
.2s or
.24 b P-14 b
.4 to
+6 to
IS
SEER
.less
-15 1 -6
+5
+15
mom
8.0
-U
-12 -10
-8
-6
.4
a. 5
-9
-7 -6
.5
-A
-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 a
2
2
1
10.5
7
6 6
4
3
2
11.0
10
9 7
6
4
3
17-0
15
13 11
9
7.
5
13.0
20
17 14
12
9
6
None
-37
-24
-18
-15
12
4.4
Sciar
Effadve SE:ER
.1
.1
a
(SEER:tdact dnciCDC7)
0. r,
HWR
-18
.%,mo(7-10
-9
-7
Effem.* a-25 or
-24 to -14 10
-410.
+Sb
16 or
SaR
less
-is 4
+5
+15
more
5.0
..30
-25 .21
.17
.13
.9
6.0
-12
-11. -9
.7
-6
-4
6.6
S
.4 -A
-3
a2
--t -2
7.0
a
0 0
a
a
0
8.0
q
a 6
5
4
3
9.0
16
14 t2
9
7
5
10.0
22
19 16
13
10
7
11.0
:6
23 19
15
12
a
12.0
^;G
2S 22
18
14
9
13.0
M
-29 74
20
IS
10
Zonal Coon -W Adjustment
IQ 8 . 71 6 4 3
No Coolin; Sysurn Installed
- -Staries
One
-5
.4
-4
.3
-2
-2
Two +
3
a
.1 2
2
',2
1
Single-Fitmily
Detached and
Attached
X
I
0
00 Skylight
I Unit Size (so
Water
e_-)
139
12M
17CO
2200
2700
Heater
Utedit
or
10
to
to
- or
Type
Typ
less
1699
2199
2699
mom
SG
Nano
a a
0.
0
a
ct
Solar
12 8
6
5
A
HP
HVIR
8
S
4
3
3
0
wSs
S
3
3
2
2
1.5
POU
a
S
A
3
3
SE
None
-37
-24
-18
-15
12
4.4
Sciar
.1
.1
.1
a
a
0. r,
HWR
-18
-12
-9
-7
-6
It
WS3
-25
-16
-12
40'
4
15
POUL
-1�
_412
-9
-7
-6
IG
None
.5
.3
-2
.2
-2
1.2
Solar
7
- 5
.4
3
2
V
POU
3
2
1
1
1
IE
None
.28'
79-.
1 Z
.11
.9
30%
Solar
8
. 5
A
3
3
1.3
POU
-10
, -6
.5
.4
-3
12
Mutti-Fasair (individual
units)
33
4.1
4.3
4.5
Urit size (S4
49
Water
5.3
W9
700
12CO
1700
1.1
Hmor
Type
Credit
Typs
or
less
to
figs
to
1699
13
2190
or
�SG
NOM
0
a
0
qw
mom
or
Solar
14
7
5
4
%"10
3
Hp
HWR
9
5
3
1
2
IJ
WS13
9
A
3
2
3.2
.14
POU
9
s
3
2
A.6
SE
None
-is
-23
.15
.11
-53%
0.9
Sciar
2
1
1
0
0
Z4
HVIR
.23
.12
-8
-6
_5
3.9
wS8
-25
.13
.8
-6
.5
s2
PQU
_-23
.12
-
-6
-5
1.4
None
4
It
.3
.2
-2
It
Sclar
6
3
2
1
1
POU
1
0
a
3
a
S.9
None
_M
-;s
_:0
-8
-6
1.9
Solar
18
9
6
A
4
24
FOU
-3
-4
-3
.7
.2
-Point System Summary: Cli=te Zone 11
SCORE CARD.
Point Scares
1. Ceiling Insulation (Alm" or 7:1�O
R-yaloc (381 U -Value 10.0301
2. Wall Insulation or
R-vaiuc (I I I U."im (0.0981
3. Raised Floor Insurintion - R or
R-yaloc J 191 U-VLLue (O.M
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Oven)
R-yaluc (0].
S=ndard
�2?,I_ -
Type idaublej
�, -L,
...- 1-11
U-Vidue fazl
0
+
Total. Glan 161 Sum 1:
% Gl=
Sc Eff. % Claw;
Eff. Iro Glass
a. North
01,00,
15 x
77 f, -7
(0
b. East
a's X
3
4.5 X
c. South
d. West
1n1eriorMaw1CFA
/,ST-
INV
e:)
��� I
e. Skyright
X
I
0
00 Skylight
S. Shading (Shade Closed)
e_-)
16 6
9. Interior Thermal Mass -
TYPE I KASS' AREA w
-
C ,
=30
InLenow AqVA
I T"C I RAW
1111101C 4.2.
Los ez Slab)
10. Exterior WaR rvfass
TYPE 2
I A
Extcnor wall, Mass
Hiitihg System X
0%
S%
10%
is%
.20%
2M
M
Z%
N�, 45y'
50%
S%
W%-
HSPF 10.50. 151
70%
75%
W%
85%
00%
"
'Coy' t0ST- 110% 115% 120%
0%
0
U
0.4
0.6
CLI
1.1
IJ
1.5
1.7
1.9
V
U
IS
i7
19
22
.23
14
is
18
4
4.2
4.4
..4,5
S
I 01f.
(1.2
114
0. r,
0.6
1
1.2
1.4
1.5
1.9
It
2.3
25
ZY
I$
11
15
17
4
4,2
4.4
48
-UL
.4.8
5
52
20%
0.3
46
18
1
1.2
1.4
1.8
1.8
2
U
U
V
to
11
13
.25
17
it
4.1
43
4.5
4.8
5
52
5.4
30%
0.5
111,
0.9
1.1
1.4
1.6
1.3
2
U
Z4
IS
IS
3
12
3.5
17
33
4.1
4.3
4.5
4.7
49
S.1
5.3
56
AM
17
03
1.1
12
1.3
1.7
IJ
Z2
Z4
IS
IS
3
22
14
16
18
4
4,3
4.S
4.7
49
5.1
5.j
5.5
5.1
50%
U
Lt
1.3
LS
1.7
IJ
If
U
25
LY
3
3.2
.14
U
.18
4
42
4.4
A.6
4.8
&1
S.3
15
Sj
5.9
-53%
0.9
tl
1.4
1.8
1.3
2
22
Z4
IS
IS
3
:2
15
17
3.9
U
4.3
4.5
4.7
4.9
if
s2
sS
5.3
6
60%
1
12
1.4
1.7
1.9
It
V
25
2.7
It
11
13
3.5
IS
4
4.2
4.6
4.8
S
12
5.4
SA
S.9
S 1
.65%
1.1
U
1.5
1.7
1.9
2.2
Z4
ZS
18
3
12
24
36
3.0
4
4.3
45
4.7
4.2
11
53
55
5.7
5.9
61
7M
1.2
1.4
1.9
1.1
2
Z2
IS
Z7
ZI
11
3.3
23
17
19
4LI
4L3
k$
4,11
5
5.2
14
5.5
58
g
62
75%.
1.3
1.5
LY
IJ
V
U
IS
V
:
12
3A
IS
IS
4
4.2
L4
4A
A.S
5.1
S. - 3
LS
&7
19
&1
&3
MY.
1.4
1.111
1.1
2
22
24
IS
2.3
3
13
IS
17
It
4.1
4.3
4S
tj
to
5.1
5.4
36
5.8
6
62
64
&ST..
1. 4
1.7
1.9
It
13
25
U
2.9
21
13
3.5
21
A
4.2
4.4
4.6
kil
3
52
54
54
39
4.1
S3
65
901r.
I * 5
1.7
2
Z2
Z4
IS
1$
3
22
24
14
28
&1
42
4.3
4.7
49
It
53
5.5
17
5.2
L2
64
66
25T.
1.5
Lit
2
Z2
IS
2.7
2.9
11
33
15
17
3.9
4.1
4.3
4.6
411
5
5.2
5.4
is
is
s
&2
6.4
s.?
.
1001
1.7
U
It
2.3
15
2.8
3
22
SA
2A
It
4
42
L4
4.6
AA
It
L3
5.5
17
L9
&I
U
G -S
6.7
105%
1.8
2
%2
2.4
26
IS
3
13
15
17
19
4.1
4.3
4.S
k7
4.9
It
14
56
13
6
8.2
&4
66
68
I 10%
1.2
It
V
15
17
to
11
13
26
3.8
A
4.2
4.4
4.9
4.8
5
U
5-4
5.7
19
&1
U
6.5
6.7
69
115%
2
Z2
Z4
to
1$
3
3.2
14
3.6
13
4.1
k3
41�5
4.7
4.9
it
U
L5
5.7
19
6.2
6.4
6. 6
6.1
7
120%
2
Z3
IS
V
to
3.1
3.3
15
3.7
29
4.1
4.4
4.8
4.8
5
LZ
SA
is
58
6
&Z
&S
5.7
6.9
7.1
125%
It
Z3
IS
2.8
3
3.2
3A
.16
11
4
4.2
4.4
4.5
4.9
11
13
15
17
5.9
V
U
&S
6.7
7
7.2
-Point System Summary: Cli=te Zone 11
SCORE CARD.
Point Scares
1. Ceiling Insulation (Alm" or 7:1�O
R-yaloc (381 U -Value 10.0301
2. Wall Insulation or
R-vaiuc (I I I U."im (0.0981
3. Raised Floor Insurintion - R or
R-yaloc J 191 U-VLLue (O.M
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
7. Shading (Shade Oven)
R-yaluc (0].
S=ndard
�2?,I_ -
Type idaublej
�, -L,
...- 1-11
U-Vidue fazl
0
+
Total. Glan 161 Sum 1:
% Gl=
Sc Eff. % Claw;
Eff. Iro Glass
a. North
01,00,
15 x
77 f, -7
(0
b. East
a's X
3
4.5 X
c. South
d. West
X
X
/,ST-
INV
e:)
��� I
e. Skyright
X
I
0
00 Skylight
S. Shading (Shade Closed)
% GLIM
SIC
Eff. Iro Glass
a. North
-3-5- x
494,
__75
b. East
4.5 X
-4-
c. South
CL wwt
-2,0 X
3.1 X
I
0
00 Skylight
Cl) X
e_-)
16 6
9. Interior Thermal Mass -
TYPE I KASS' AREA w
-
C ,
=30
InLenow AqVA
COND. FL40OR
ARF -A
10. Exterior WaR rvfass
TYPE 2
I A
Extcnor wall, Mass
Hiitihg System X
Z.21P2
C5ND L OR
S LLM I
Zonal ConaoLq
No SF_ or HSPF
Dua Efficicticy (0.781
Eff6isive SE or
10.7V6A
HSPF 10.50. 151
2
12. Cooling System
X
Zonal Control
E
SEER (9-51
DuciEfficicmcyJCL74l
EffccuvaS�17.03j
13. Water Heating
Type OSGI
Credit. (amej
n ta :
Pnint T&
Floor .............
Slab Edge .....
G L A'A". I NG Shading Deyices
G12--ing Area Glass Type Intexior Exterior Overtiang Frm=g Type
Orie-ntacion (sil Wnglr- double) (rctUer blind. etc.) (shadescrem ex.) (yealno) (meav-00d)
NO r-111, ( )
Nor-Uh
East
East
South E;&
SOU'Uh
West \r
West
Skylight .......
THERMAL MASS
Type/Covering Area TWckness
(slab/ex-aosed, tile- eta) (sf) (inches) Locacion/Descriotion (kitchen. bath. etc.)
HVAC SYSTEMS . Mirimum Duct
Type (&=ac,- air Efficiency Location Duct Output Manufacturer / Model #
conditioner. hent vu=) (S& SEER.HSPF) (atdc, etc.) R -Value (Btuh) (or Losroved equal)
AMC- s;.7 zi tj I f -E &—,ft
-Pplo= P.
#a v %�;p ULM al-" F;
14 - 4 L."
Maximum Fuma�;—Heating Output: Bruh V P K) 0
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas. etc.) CaaaCitV (or acoraved ecual) Soecial Feature(g)
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NarE. Lo -n= ics4moal busidings sub%= to ulaStandwids mug cffm- ON= —9CPn1k= 01 LM =Mokm=
b ---A lumnsmatzea Autan asur"(-) may bestroorsoded trfmgffCSznnVMtCamoiam=rurAwcmconfiaw
onLrhCCeJU(9=z0(C0mV1LVCL WhM Met Ch=JUM IS 111COMOMICd iRID UC 60CURNMI. va icuunat Road Owl
be cons"Mred &r all parucs as botiang rnumw&m compomm Ped— VC111112CWAVICIM (Or ute, Mandatory micasures
-emu= tfty are mumm dscwncrc in tic docurnertu or an this checUm oniy.
DFSCRJFnCW DIESIGM D(FORCEUE)tr
suadint En,"love Memurts
* 12- 5352(a): Minsmam Cniml; tnsuLumon R. 19 waghwA average.
12-5357fb): I — rill insuiawn mamdacuuw's 1 --led R-Valw-
* 12.33 52(c): Mintmom -aU insulatiort is learned wails, R- I I weignted avcrAp (does not apply 0
ex Lcnor mass wWUL
J2.5352(k): Slab cdgc ir� - -am abovam raut no greater Lou" 0.3%. wuff vapea
umAsmusson rate no greater Man 2.0 pwrtfuch.
12-5311- Lnsuiauca sp=rsodor insLallod moett caijorrvia EnergyCommituicn (C= quality
marwar(IL Imcaut type zed torm.
12-53=fX Vapor owners mandluary in Climate Z== 14 uW 16 oniy.
J2.5317: InfiltraucettEifiltraconContmis
a. Doors W4 -vwo-s cc -=a coneut ariel wicorteittwned spmez d=pcd to Umu tut
Itakar-
b. Doors NO 'nown,crafied.
r. DOM V4 -titclows -cauWJ=pp= in PLM arel perwazoons Cauwxd and Seakel.
112-5352(c), Spnesal infilawon burmt &ovalka tocomviy with 12-53510110123 CZC quality
suinetards.
12-53=4): Installation of Fv=-
1. masom! artel facsory-biuLL fireviaecs 11avc
a. 71 gm fivang. cjos=bic am- at gian door
b. Ouistile aw truakc with darriva and control
C. Flue: aameicr and caturai
2. No conow"a ourrang ps points allowed.
HVAC and Plumbing System Memmm
57-5352k&) and "-5=: Spa= corWitiocurit I eating:
12-5352(h) and 2-5315: Scumk awrtneazz on all appliable bcaLint systems.
112-5316(a)- Dum cwwucu=L in=1W and innazied per Chapter 10. 1976 LTMQ
12-5316(b): Ezlutu� rytaems have dampercommis.
12-5314(c): Gw-fired spa= hcuing catuivimem ftm inte:rntiam ipWon dcv
12-531A: IfVAC cquipnwmL waor hcaterxsho-cftads and fau==nir'Cd byft CEQ
J2-5352(ig Water hca= insuLaiion blankes (R- 12 or greater) or combinW ingeriormawtor
ins-auon (R- 16 or pca=r rim 5 fcct o( pipes csos= to Lank itumdated (R-3 or grcaur).
f2-53l2(EzccpuonrX Pipe insuLvion onswarn and swun condensuc riestus A redrculaLing
pmtnr_
i2 -5319(d)- Swimmun Pad Heating
1. Syucrn has:
a. Op�off swrich on heatcr.
b. Wemneroroof instruction plate am heater.
c. Plumocd to 360- for saw.
175 pacezit ulcrmiai cirmacshcy.
3. Poeit co-cr.
4. —aimc ClociL
5. Dtn=uor&2i water inks.
Lithtint and Appfiaace hlemures
52-5352a Lithunt - 25 kwxm&4-= or gretuff for general tigiaing in kiriwas and
12-5314(c): Gas firca appiiames cqu3ppcd with incrosium ignition devrim
J2 -5314(a): Refrigerators. mfrigcrator-fn==rL trt=crs and fluorc=1114, Lamp baUasu; ccrtificel
by am CEC. Im-a- malu: antl Modd Dumber.
COWLIANCESTATENEENT
Mlis cernfic= of c=plianct li=?h-- building feantres md peribrmancc specifications needed to comply with
Title 24, Chapter 2-53 and Title 20. C2=pv.- 2. Subahapter 4. Article I of the Carifornia Administrative code. This
certificate has been signed by the indlividual with overalL design respornibMty and the buWing owner. who shall
retain a copy of it and =n=iit tbe certificate to zay subsequent purclm= of the building.
Dtsigner
Nmnc
Addrt=
Tcicphonc
Lic. j:
(3iglkaeurt) (datc)
DOcunxnLation Author
Nazr.=
'riLi.e'Fum —
AAdrt=:
Building Owner
Namc
'rakdritsvc
Addm=
Tck-plumc
AA V a 9"
---�Rwv - W
(siCnatum (date)
Enforcement Agency
Nam=
ACcnc)r.-
T.L,--
Project TlUe
4s;
E3AY
AVE-
Building PamiL 0
ProjectAddren
4-4 r,-,
ChcckrABy1.DwA -
Docurnent.atlon Author
Teiephone
Enforcernmt A itcricy Use 0*
BUILDING DATA
C;L= Ari�k % M=
North
/100 -9.5;
Conditioned Floor Are- a
Number of Stories 9,
East
/0C, 4- - -�g
Slab/Raised Floor . mses>
Number of Units
South
5;e_ ig, 0
Single Family Detached (SFD)
Addition Alone
West
97 -X. /
Single Family Attached (SEA)
Existing Building
Skylight
Multi -Family (NM
Existing -Plus -Addition
Total
BUELDLNG SHELL INSULATION
Component hz-tilation Locafiorx/C--,mmr---=
Tyr,,e R -Value (Attic, to
gzrztge, =i=L etc.)
Wall ..............
f evAiT 10T^3�-
Wall ..........
*4!r—
Roof ..........
F.00f ........ .
Floor .............
Floor .............
Slab Edge .....
G L A'A". I NG Shading Deyices
G12--ing Area Glass Type Intexior Exterior Overtiang Frm=g Type
Orie-ntacion (sil Wnglr- double) (rctUer blind. etc.) (shadescrem ex.) (yealno) (meav-00d)
NO r-111, ( )
Nor-Uh
East
East
South E;&
SOU'Uh
West \r
West
Skylight .......
THERMAL MASS
Type/Covering Area TWckness
(slab/ex-aosed, tile- eta) (sf) (inches) Locacion/Descriotion (kitchen. bath. etc.)
HVAC SYSTEMS . Mirimum Duct
Type (&=ac,- air Efficiency Location Duct Output Manufacturer / Model #
conditioner. hent vu=) (S& SEER.HSPF) (atdc, etc.) R -Value (Btuh) (or Losroved equal)
AMC- s;.7 zi tj I f -E &—,ft
-Pplo= P.
#a v %�;p ULM al-" F;
14 - 4 L."
Maximum Fuma�;—Heating Output: Bruh V P K) 0
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas. etc.) CaaaCitV (or acoraved ecual) Soecial Feature(g)
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NarE. Lo -n= ics4moal busidings sub%= to ulaStandwids mug cffm- ON= —9CPn1k= 01 LM =Mokm=
b ---A lumnsmatzea Autan asur"(-) may bestroorsoded trfmgffCSznnVMtCamoiam=rurAwcmconfiaw
onLrhCCeJU(9=z0(C0mV1LVCL WhM Met Ch=JUM IS 111COMOMICd iRID UC 60CURNMI. va icuunat Road Owl
be cons"Mred &r all parucs as botiang rnumw&m compomm Ped— VC111112CWAVICIM (Or ute, Mandatory micasures
-emu= tfty are mumm dscwncrc in tic docurnertu or an this checUm oniy.
DFSCRJFnCW DIESIGM D(FORCEUE)tr
suadint En,"love Memurts
* 12- 5352(a): Minsmam Cniml; tnsuLumon R. 19 waghwA average.
12-5357fb): I — rill insuiawn mamdacuuw's 1 --led R-Valw-
* 12.33 52(c): Mintmom -aU insulatiort is learned wails, R- I I weignted avcrAp (does not apply 0
ex Lcnor mass wWUL
J2.5352(k): Slab cdgc ir� - -am abovam raut no greater Lou" 0.3%. wuff vapea
umAsmusson rate no greater Man 2.0 pwrtfuch.
12-5311- Lnsuiauca sp=rsodor insLallod moett caijorrvia EnergyCommituicn (C= quality
marwar(IL Imcaut type zed torm.
12-53=fX Vapor owners mandluary in Climate Z== 14 uW 16 oniy.
J2.5317: InfiltraucettEifiltraconContmis
a. Doors W4 -vwo-s cc -=a coneut ariel wicorteittwned spmez d=pcd to Umu tut
Itakar-
b. Doors NO 'nown,crafied.
r. DOM V4 -titclows -cauWJ=pp= in PLM arel perwazoons Cauwxd and Seakel.
112-5352(c), Spnesal infilawon burmt &ovalka tocomviy with 12-53510110123 CZC quality
suinetards.
12-53=4): Installation of Fv=-
1. masom! artel facsory-biuLL fireviaecs 11avc
a. 71 gm fivang. cjos=bic am- at gian door
b. Ouistile aw truakc with darriva and control
C. Flue: aameicr and caturai
2. No conow"a ourrang ps points allowed.
HVAC and Plumbing System Memmm
57-5352k&) and "-5=: Spa= corWitiocurit I eating:
12-5352(h) and 2-5315: Scumk awrtneazz on all appliable bcaLint systems.
112-5316(a)- Dum cwwucu=L in=1W and innazied per Chapter 10. 1976 LTMQ
12-5316(b): Ezlutu� rytaems have dampercommis.
12-5314(c): Gw-fired spa= hcuing catuivimem ftm inte:rntiam ipWon dcv
12-531A: IfVAC cquipnwmL waor hcaterxsho-cftads and fau==nir'Cd byft CEQ
J2-5352(ig Water hca= insuLaiion blankes (R- 12 or greater) or combinW ingeriormawtor
ins-auon (R- 16 or pca=r rim 5 fcct o( pipes csos= to Lank itumdated (R-3 or grcaur).
f2-53l2(EzccpuonrX Pipe insuLvion onswarn and swun condensuc riestus A redrculaLing
pmtnr_
i2 -5319(d)- Swimmun Pad Heating
1. Syucrn has:
a. Op�off swrich on heatcr.
b. Wemneroroof instruction plate am heater.
c. Plumocd to 360- for saw.
175 pacezit ulcrmiai cirmacshcy.
3. Poeit co-cr.
4. —aimc ClociL
5. Dtn=uor&2i water inks.
Lithtint and Appfiaace hlemures
52-5352a Lithunt - 25 kwxm&4-= or gretuff for general tigiaing in kiriwas and
12-5314(c): Gas firca appiiames cqu3ppcd with incrosium ignition devrim
J2 -5314(a): Refrigerators. mfrigcrator-fn==rL trt=crs and fluorc=1114, Lamp baUasu; ccrtificel
by am CEC. Im-a- malu: antl Modd Dumber.
COWLIANCESTATENEENT
Mlis cernfic= of c=plianct li=?h-- building feantres md peribrmancc specifications needed to comply with
Title 24, Chapter 2-53 and Title 20. C2=pv.- 2. Subahapter 4. Article I of the Carifornia Administrative code. This
certificate has been signed by the indlividual with overalL design respornibMty and the buWing owner. who shall
retain a copy of it and =n=iit tbe certificate to zay subsequent purclm= of the building.
Dtsigner
Nmnc
Addrt=
Tcicphonc
Lic. j:
(3iglkaeurt) (datc)
DOcunxnLation Author
Nazr.=
'riLi.e'Fum —
AAdrt=:
Building Owner
Namc
'rakdritsvc
Addm=
Tck-plumc
AA V a 9"
---�Rwv - W
(siCnatum (date)
Enforcement Agency
Nam=
ACcnc)r.-
T.L,--