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HomeMy WebLinkAbout042-600-055O Q . ``042=`60-0-055`''BPEM' Y;. .,i SHELTON•, Fra_ n & ,John 1141 Walnut Glen- C:hieo Lot 14B' I new sf 3 �9 I9 mqh wwm.-�Ml 0 1455;c� 6*v Si 042-60-0-055 T 92-4413 BPEM SHELTON, Fran & John Ammmmummmomm 1141 Walnut Glen Ct, CHico Lot 14B knew s f it 1 OFFICE COPY Address l I ti ` GfA�KI�� ! �✓ GAS yI Meter By Date ELECTRIC Meter By 157;a 11..x. Date JOB FINALED (Date) Signature u J=OK O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date• ! Card B-1 Date Card B -1N. Date Card B-1 Date Card B-1' Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector s 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 4 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric J 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval • ,1 " ^ , %, 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J = OK ►.P O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single • = Date UNO RFLOOR (Plans) OK except It's Date Zoning -Setbacks -Easements -Flood -Slope Ft ., Main; Soils-Elec. Gr .-/AU" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. C,n+&.-qZ" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors "IZ* Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test ; 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date •��-aj?1 Card B-1 Gly Date Card B-1 Date 3 Card B-1 G Date Card B-1 Date PLUMBING (Permit),OK except ti's Water Htr.: Vent -Access -Combustion Air -Baffle 17 Water Pipe; est & Anchor -Nail Protection D.W.V.; t -Fittings & Anchor -Nail Protection -q 4 1 Shower Pan; Test. First Floor -Tub Access KTest Tub & Shower. Second Floor -Tub Access Gas Pipe: Size & Anchors —---- - ---- Date Card -1 -----Date-----------Card-B-1 -----------.-. ---�--�n�p --------------------- - -- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 2 . Fixture &Transformer Clearance -Ins. Protection --------- 261`,�tu�e & Receptacles Spacing -Lights & Switches at Doors _________ 24j--- - ize Boxes & No. of Conductors -Stapled ------------------------------------------------ — - 2 ose to Romex Installed lEdge of Studs & C.J. quip. ade up w!Mech. Fastners-Bons &)Tater Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------ 2�Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size l�! ga. or AI rte. Range Circ. , ga. i&or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ser inductors & Ground -Main Disconnect ------------- - -- - ---------------------------------------------- Equip. Clearances Panels-Motors-Mech. Equip. 3,!Clothes Closet Light -Shower Light -Spa Light - --------------------------------------------------- 33_ -------------------------------------- 33 moke Detector ------- - - - --- ------------------------------------------------------------- Date ------------------------------------------------------------ Date y'? Card B_1 Date Card -B- 1 - Date�SCarDate Card B-1 Date MECHANICAL (Permit) OK except ti's Ducts Insulation & Support ------------- - -- ---- ----- ------------ ------------------------ ---------- Vent Fan: Exhaust above insulation _ _ 3�Conden=ate Drain & Overflow: Size & Grade --- -- _ �Turnance.Vent_ Access_Comb_Air_Return Air Vent -115 -outlet -- --Attic Access & Platform if Furnance in Attic - Date Ca -----1- ---------Date---------------Card----------------- I -- - ------ --- ---�---G;------------------------- - - -------- Date jaj.A�Card B-1 C+P Date Card B-1 Date FRAMING (Plans) OK except ti's Sits. Proper Material & Anchors -- - -- --- - je-Valls Studs -Nailing Spacing -&-Bracing -Plates-Sou-nd ----------- - - 41/8ewirg Walls over Girders -- -- ----- -------------------- Floor Nailing ------------------- �-- - ------------------ 42. raft Stop in Walls (rat proof) ue Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---------------------------------------------------- 44. Headers & Beam -Size & Bearing & Duplex) FRAMING (Continued) 45e`Hangers-Post Caps -Anchors -Connectors Cln dist-Rftr. ties-Purlin0,trefpla! Trus Shthng.-Rfng. . Fireplace Ties or�ce Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles A. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 . Garage Fire Protection Framing ---------- o Line ngs See - '#e. -Ext -Doors -One ee, .JO1�li r�.•1 , - - -- 52F.-Ext.Doors-One 3' -Check Garage -3rd Story, 2 Exits -- 533tairs; Width -Headroom -Rise -Run -Landing -Fire Protection -- 5s. plywood on Roof Overhang -Attic Vents -Rafter Outriggers Sing -Nailing Veneer ---------Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access S O T ?!glazing Area Protection -Skylights -Plastic ' 5 r Walls: Nailing-Bol sInsulation -Wall C i gs—- 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date! fey 3 Card B-1 Date Card B-1 Date FI AL (Plans) OK except ti's Ext. Steps -Door & Sidelight Protection -Landings 6Z Smoke Detector -urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection -------------- 69!j3edroom Exiting 69✓ G.F.I. & Bath Fixtures & Tub Access -Spa ------------- ------------ &-S--- 6EIec Trim ubpanel_Breaker Sizes &Labels ----------------------- fairs & Rails ------------- ---------------------- — Fireplace or Stove: Clearances -Hearth ------------- 653.--Elec. Outlets at Wood Panel; Int. & Ext. 7.0' Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance -- ---- --... --=- --------------- - 7� Elec. Outlets & Receptacles at Kit. Counter 7?/Garage Fire Door: Swing -Landing -Closer -Mr A.C. Duct in Garage -Damper 7 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ----------- 7&1."Plb.. Elec. Elec. & Mech. Equip. Listed for Location t����tiec. Receptacles in Garage; (Romex Protection 7f/ insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- -- - 44 6vard Rails & Deck Construction -Post Caps Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld. Drive �s ❑ No; Walks VYes ❑ No; Planters ❑ Yes No - - -- ----------------------- Stucco; Brown -Finish ---------- a�/A. C. Unit Disconnect. Electrical, Plumbing 32' Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------------------- -- �"".��at r Well; Disconnect, Electrical, Plumbing ii' . E�ferior Elec. Trim; G.F.I. Receptacle -Underground ---- - Ventilation Throughout House - - - - ---ECorrections ------ lass Protection ---------------------- from Previous Inspections Ad9. Gas Tp,Meters Tagged; Gas -Electric -� 3.8 - — -------------- 9 ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate. Other Certificates — - •------------- _- ------------- --`t - - - - - - - - --- ---- Date- ' , D 1 Card-B_t y,J _Date --- ate Card B_1 D --- -- /p� Card B-t____C__f,/_ Date Card B-1 Date (r Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-4413 ASSESSOR PARCEL NUMBER 042-60-0-055 ZONING qp I ' - BUILDING PERMIT OWNER FRAN SHELTON JOHN SHELTON JR. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3100 Cohasset Road Chico 418 M 7',524 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN ButtP Co Pnk Fireplace A 1,500 Total Valuation Is 5319 LENDER'S MAILING ADD ESS Filing Fee $ 15,00 Permit Fee $ 516-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 1141 Walnut le Permit fee $ 80 -75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 8 5.00 .00 Solar or heat pump water heater 20.00 LOT NO. 14—B SUBDIVISION NAME Walnut Manor Subdivision PAR EL MAP Water piping 7.00 Each pas water heater or vent 7.00 7 00 USE OF STRUCTURE SF qX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 17688 Mobile Home S I G I W @ 15.00 TYPE OF WORK New®X Addition❑ Remodel[] Utilities❑ Installation❑ Other ❑ Describe work: 3 bedroom Permit Fee $ 129.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.501 200A OR LESS X18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury P v P l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUPM V 3.64 sq.ft. 6000 OR ACDNS. 1 ACC. BLDGS. / t1 NEW CONSTRU TI.OUTLET NON-RESID BRANCH CIRCU ITS @ 5.00 POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCcU 120@76i— (OUTLETS OUTLETS OR FIXTURES OccupAA1 1@ 46 _ APPLNS Ex. Occup. OUTLETS . OR IRESID,1 EA.) 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 108.50 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. -Y 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 FiIingFee 1 15.00 Heating 119.UUI 97 split Cooling Hood 6.50 i__ i Ventilation7 _47W-13.50 - - -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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in cons en f the granting of this permit. Date r3 L'� Signature of Applicant — Owner Contractor ❑ Agent An OSHA q permit is re wired For excig tions over 5'0" deep and demolition const u ion of structures over 3 stories in fight.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 1,108.25 HA2 DFEES IMP FLOOD CDF PARCEL PD HD Iss This permit is hereby issued under the applicable provi sions AtheButa County Code and/or resolutions to do work for which fees have been paid. OR OF PUBLIC WORKS By Date/124PE S Date -- oZ� — qy No. ✓� ✓/�Z 130236/770.0 1� WHITE-D.P.W., YELLOW-ASe[SS R, PINK-IN3PECT0 , GOLDENROD -APPLICANT COUNTYY QF —UTTE BUILDING DIV,,SION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r CORRECTION 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 lcontact Nthis office immediately. f f 01 C9 V /O/> aJ, de ,;: � r X Date L %Inspector REV 10/92 .r r Date L %Inspector REV 10/92 pe rot l t tic) • ---- ---- ---- - _ --- - (DUP( KATE) E N E R G Y C E R T I F I C A T I 0 N v 1141 & 1143 -Walnut GleGle_ t, _ - A. P. No. --- LOCA'f1011 11EScRIPTION OF INSULATION HOOF Brand Name— ThermalIlat.ariel. __ Resletance (R Value)_--_—_•-- _ '1'Itickreas(l.lcles)- E.XTI-111011 WAI.,I. Ilat er:•tal­ FIBERGLASS BATTS 'I'hf.ckneee(inchee)•_ 3 5 tt c F11.1NG Bot.t or nlatdcet: TYlte -- '1'h.lcknesn(Inches) — Lause---- 111.t1l.nnim 'I'IticknesI(Inches) 12 3L41— Area co>vered(ft . )1148_ 1. I.00R , CI.tVAl'Eh Mater in l__-_ FLOOR, SLAB tlnterIal 'I'It f cknee a (Lnchea) IJ idtit (Inches) - p)IINDAT 1.1)11 WALL I.1nl.er1al- — '1'h ickuesa ( inches) Brand Name 0l.�r`iS-['f)RN7Nf; _-- Thermal Resistance(R Value) Brand --•------- Thermal Resistance0l, Value)- -----_- Brand Name f11nIFNS-f f1RNTNf- - Ib. tltnnber of Rage- Wt , per beg _ )5 Thermal Resistance(R value) R30 Brand Name Thermal Reslstance(R Value) — ------- ._____ Brand Name_ _-_ Tlrermel Reelstance(R Value)___ _— Brand Name_------ . 'I'liermal ame — — 7'Irermal Reeletance(R Value)_ __ ] hereby certify I:Itet Clte above LneuLltf.oll was inetReled in the ulremente�ebove bttf.lding In conformance with the State of Cellfornla Hner6y q _I. 01 Itl(l. r•ISlI..AT ION CO. , INC . _ 499150 --- I NArIF�rnJI1l R STATE CONTRACTORS LICENSE NO, w March 9 1994 --- DATE S] MA, RE OF INS'[ALIA'I'IO APPLICATOR 1 liereby ccrllfy Lite above instillation and all required items as allows on the Ittil lkllttg Department approved plans sad nttacldnente ltnve been installed as l etlttl red Ity the State of California Energy R'equiremente. All etlulptnent, devices and materials are of the qurallty prescribed oare specifically approved by the State of California. I.1R11 NAPIF jlx4lI1?R (Please print) STATE CONTRACTOR'S LICENSE 140' DATE Et1c,NA'IURE OF (1111F..RAL C01� 1TRACTORIER fills CERTIFICATE MIST BE ON FILE 1,11T11 TIIE BUILDING DEPARTi[E1ff PRIOR TO F).NAI. I tlti t'I:(:'1' ININ A11FROVAI. AND A COPY 911A1.1. BE POSTED Nl'1'111N TIIE 81111-MIN; . January 19011 I MAR -12-93 FRI 16:02 MOSS LUMBER FAX NO." 916 P.02 CERiFICATEOF �1VT[ or nlu� 15 AC = GONFORMANGE .1110WI. 1HE UNDERSIGNED MANUFA C 7-URER HEREBY CERTIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (RITC) and were manufactured in conformance with appiicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Gluad Laminated Timber, and that such manufacture has been at our plant 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 with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME' Ke1)Ler Lttnber Sales, Inc. for„S tock Joe LOCATION Recldi�n y CA _ _ _ —_-- — • ^- CUSTOMER'SOROFRNO,�L' 356 ,,..—DATE -1-2=-2-92 MFGW80RO@a NO. 206=- - _24F -V4. W„i? Gluea_A4rch�AApp, . Indy Wrap. siGNAtuRE /r—et't_ CCVArANv DIICO_i&T__.— . TITLE QUa1!ty. CQl3tM1._ ._.—AOOnESS rQJ2Yx 297a_ DrBiri�. 0L oATE 1217-92 -AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the 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 CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying 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 product .is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce 'a product meeting the said Standard and that its plant is periodically. inspected and verified by the AITC Inspection Bureau. AITC CerhItcale No. 7 7 712 A AMERICAN INSTITUTE OF TIMBER"CONSTRUCTION RFCEIVF,I) DEC Z 11 1992 r-1 LFR 1 RR SALES 0 1983 AMtt,ICAN INSTITUTE or TIMeEn CONST RUCTION SHINNING ORDER • FREIGHT BILL DATE_ 3/10/93 BRIER CUSTOIFR oRDEP. NO. 7882 POINT of REDDING PO1''T OF REDDING o- ORI6N DPSTINATION sPa KELLER LUMBER SALES, INC. CONSIGNEE MOSS LBR ADOREM P. O. BOX 994005 ' ADDRESS CIn. REDDING, CALIF. %099-4005 co C" 0 z x U - cu O co ts.. m rn t CV CL'' 1 QTY, WIDTH DBTH LENGTH DESCRIPTION OF CONMNOOMES STOCK LAMS 3-1/8 12 2/18 f �e l PO 429169 LI kA s►suM KELLER LUMBER SALES, INC. ' CaRRO Im nj CUSTM& °" �.•I OpNSGNO RWEIVU Of GOOD CONDiTION� As NOTED MOSS LBR . PAYMEM RfCENED- �'' SEE REVERSE SIQE FOR TERMS Of SALE .. .. �. , `'-•' lbs K}.. "�'•y�.,-�' t:^'f'\..��. }'u_y�s1""{�'r.r'7y'`r`. �.��.•. COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER /Vv S !i1 r%V'j50""i h o.J JA - "" A. P. No. / ` 6 C> Proposed Building Use /t&4 3Qti 54A- Building Inspector (" _ Date /-)-7z,/./ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY II items have been submitted. .......... Plot plans,C3/4 sets, sig�ned,by preparer of plans. (- 20 -moi 3 C IB�s� 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. f 5. Hazardous Material Form. ....... .............................. . 6. Energy Design Compliance and supporting documentation. I 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... data and�tanufacturer's installation instructions, 2 sets. ........... 0 Fees of $ % 70.. 1. Impact fees as shown on attached schedule.'jkk 'r:,... ...... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by Califor rrgin r. 4. Sanitation and plot plan approval IK ....... • ... . City of Chico plumbing permit . ........................................ . 3 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. ......... . Driveway permit (construction approval required prior to occupancy). .. .. ... I Pre4nspectlon request Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insura ce. ........................ . 23 rOwner-Builder Verification (Given to owner , Mail to owner ........... J f la -5 4. Recorded copy of Agricultural Acknowledgement Statement. s 25. Letter of signature authorization . ....................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... y 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. •34. When yob issue the permit, process as follows: Mail to owner. Mail to contractor. (,Telephone :& and hold for pickup at G H office. Deliver with inspector. Other Parcel Creation � Acreage Applicant�__J 24' - l/`—' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri r to 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone._ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G-11 &W5 1 -z1 -*13 Date 4- } Plans approved by Date ets of plans on hold in ` File cabinet AP folder Rte- T RA1N�6 FEK %I Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit /0,0 1 % 'E has been issued for the above property. n b ... + sign re date A WNER COUNTY OF BUTTE - DEPARM,MT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CM4TER DRIVE - OROVILLE, CALIFORNIA 95965 _ TELEPHONE (916)5387541 4OPOSED BUILDING USE V2. School Distric Fees G f/l L 4D (paid at District Office) Site_--iff Fees 0,,-j C (paid at Building Department) A. P. N0. 0 DATE �Z Z REC. DATE REC Residential .......... I 3 meg` unit amt. Commercial( per sq . f t .) 1 4 ' sck.ft. amt. AN � -7_ 3 Urban Area Fees a - < v (paid at Building Department Residential (per unit) 111,195 7.0 units amt. Commerical(per sq.ft.) X 4 sq.ft. amt. 4. Recr eatioa District Fees e " (paid at District Office) .......................... / hZz5 S. Drainage District Fees (Contact Land Development) .......... 6. Other 7. Other time of permit aaplicat_on, I was advised the above fees ' are required. to be paid pric- issuance of the. permit. ?PLIC DATE /ZL__1 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & -MISC. ONLY) ` Bldg. Permit # Fe- yy/3 OWNER FkA d SH EL -T-6 / A.:P. # , 0y2 - (000 -055 Plan Checker G i.gBonlS GENERAL Zoning requirements: (sideyards:and number of permitted living units). / Valuation. Plans signed by designer. 4� Proper description of work on application. g! Existing violations on -property. �Items on data sheet. (W.C., fees, Health; Developer Fees-, License law,'etc). ✓ Recorded notice of violation.- PLOT-PLAN iolation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements; etc. Other buildings,or structures. Grading, fills, drainage. 5. Flood hazard. 6� Special conditions on creation map, (noise, CDF, fire sprinklers, non- comb=ustible; and foundations). 7' FAU & FAS road setback. 81*"' Building or -utilities across lot lines (Record form). FLOOR PLAN: d,"- Complete to scale plan with dimensions. Required_windows for light and ventilation (Sec. 1205). Required windowsfor second exit (Sec. 1204). 4! Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Ci Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. ✓ �l. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 1� Garage firewall, door size, and closer (Sec. 503(d)(3)). 1Z 1 - 3'0" exterior exit door (sec. 3304 (f). L2'. Fireplace and wood stove location, alcoves, and clearance. le Smoke detectors (Sec. 1210). !r� Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS ,1' Standard bracing or engineered design (Table 25V) 7/ Unusual shape, size, or split level house requiring lateral design. 2. Clerestory requiring balloon framing and/or engineering. i/ Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. 6"" Floor construction details complete enough to construct building. 8/ Elevations and wall construction details complete enough to construct building 9/ Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. 1� Rafter ties or bearing ridge beam. 1� Garage door or porch header sizes. L2'.' Stud heights. 1�4dobe soils - special foundation design. L� Recaining walls requiring design. 1 Special Inspection required. 8%91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30): 4� Exterior plaster- weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32)'. Roof covering type.- (fire hazard). Foam insulation'- protection. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 10� Two exits on three-story dwellings.(sec. 3303 & see Mezannines - 1716). _ 11" Attic access and ventilation (Sec. 3205). L2: Underfloor access and ventilation (Sec. 2516). IT? Combustion air for fuel burning appliances - L.P.G. requirements. .Noise requirements on duplexes. . Energy design. Flashing at all exterior openings. �'7. OF responsible area requirements. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA `95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. .I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have ave not) signed an application for a building permit f e proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address -City Phone Contractors License No. 4. I plan to -provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne %412__, - l/I/LJ Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and - 19832 of the -California Health and Safety -Code. This verification must be completed.and returned to our office before we are per- mitted to issue the permit. _ 1.11 1 Vr- l.lmula irtzi VI1 I""" "' "_" *" PROJECT ADDRESS 441 MAIN STREET/P.O. BOX 3420 PHONE (916) 895-4891 LOT— SUBDIVISION ZONING 11/11 —A 01�.hlnu� MGlen ('nuwi d7/1An IJ21=11+ Lanny rnttn+v OCCUPANCY I RES. UNITS I MASTER PLAN 752 PLAN NO. OWNER: Fran Shelton PHONE: VALUATION USE/VAR. NO. STORIES TYPE CONST. BLDG. USE PARKING SPACE AREA SO. FT. OWNER'S ADDRESS: LESSEE: PHONE: BLDG. USE/DESCRIPTION OF WORK' LESSEE'S ADDRESS: lateral connection to existing sewer main CONTRACTOR: CfTY BUSINESS awnerlbalildpr LIC. NO. CONTRACTOR'S PHONE: MALNr3 ADDRESS: NEW.SEWER USE ARCHfTECI ENGINEER OR DESIGNtR STATE LICENSE: ARCHI, ENGINEER'S OR DESIGNER'STECT5ADDRESS PHONE: 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'0' DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT. LICENSED CONTRACTORS DECLARATION PLUMBING PERMIT PROCESSING CITY. FEE SUMMARY OF FEES Acct. Nos. I hereby affirm that 1 am licensed under the provisions of Chapter 9 (commencing with FIXTURE TRAP BUILDING P/C 10-476 Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. BUILDING SEWER License Class Lic. Number WATER HEATER AND/OR VET GRADING PLAN CHECK 10476 Date Contractor GAS SYSTEM SS APPLICATION # 31-487 OWNER -BUILDER DECLARATION INSTAL. ALTER REPAIR WATER PIPE OFFSITE IMPR. P/C 10.474 1 hereby affirm that I em exempt from the Contractor's License Law for the following ANTI-SYPHON/BACKFLOW PREVENTOR reason (Sec. 7031.5. Business and Professions Code: Any city or county which requlres ENERGY P/C (EST.) 10 476 a permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance, SEWER MAIN EXTENSION also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Lew (Chapter 9 )commencing with Sedan 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by TOTAL PLUMBING FEES 60.00 TOTAL FEES PAYABLE AT any applicant for a permit subjects the applicant to a civil penalty of not more than five TIME OF APPLICATION hundred dollars ($500).1: PROCESSING I, as owner of the property, or my employees with wages as their sole compensation, ELECTRICAL PERMIT CITY. FEE do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appy to an owner of prop- SERVICE/SUBPANEL BUILDING PERMIT IG425 arty who builds or Improves thereon, and who does such work himself or through his own employees, that such Improvements are not Intended or offered for sale. t, how- CIRCUITS PLUMBING PERMIT 10-425 im on provided ever, the building or Improvement Is sold within one year of co letion, the owner -builder RECEPT SWITCH OTHER OUTLET will have Che burden of proving that he did not build or Improve for the purpose of sale.) POWER APPARATUS ELECTRICAL PERMIT 10-425 APPLIANCE MECHANICAL PERMIT 10-425 ❑ 1, as owner of the property, em exclusively contracting with licensed contractors to Professions Code: The Contractor's construct the project (Sec. 7044, Business and License Law does not app to an owner of property who builds or Improves thereon, and who contracts for such with a contractors) licensed pursuant to the Contractor's SIGNS GRADING PERMIT 10.425 projects License Law.). NEW RESIDENTIAL .025X TEMP POWER STREET FACILITY IMPROVEMENT FEE 385 2`52 UO O 1 am exempt under Sec. e. P. C. for this reason SEWER TRUNK LINE 30-486 �) Date VW-ga— Owner 1 /J -4 f 1 / �� " v TOTAL ELECTRICAL FEES SEWER WPCP 31-487 ` WORKERS' COMPEN TION D CLA T O SEWER MAIN 32388 I hereby affirm that I have a certificate of consent to self -Insure, or a certificate ofPROCESSING Workers' Compensation Insurance, or a certified copy thereof (Sec. 3900, Lab. C.). MECHANICAL PERMIT CITY. FEE PARK FEES41.476 Zone C x ?X$710 7 40 00 Policy No. Company MECH EXHAUST - HOOD/DUCT PARK FEES 44-478 ❑ Certified copy is hereby furnished. VENT FAN SINGLE DUCT C1Certified copy is filed with the city building Inspection division. COOLING STORM DRAIN 26 493 Date Applicant HEATING IN -LIEU (STREET) 25-497 CERTIFICATE OF EXEMPTION FROM WORKERS' o nMLbu„�J�FC`MPENSATION INSURANCE ' WOODSTOVE ALLEY IMPR. 25-498 less.]11 I certify that In Che performance of the work for which this permh Is Issued.Iahhaag not PLAN MAINTENANCE FEE 10.481 employ any person in any manner so as to bow subJgq to the Workers' C Laws CeWomle.77 of Date 1/ 5/ 9 3 Applicant AL MECHANICAL FEES SUPP. PLAN CHECK FEE 10376 catemptlon,yousholrld NOTICE TO APPLICANT: lf,after making this Ce ofF-se subject to the Workers' Compensation provisions of the Labor Code, you must forthwith DEPT. APPROVALS REQ.: OTHER: oomply with such provisions or this permit shell be deemed revoked. ❑ HEALTH ❑ PLANNING ❑ ARB ❑ ENG. ❑ SCHOOL ❑ FIRE CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the ❑ OTHER work for which this permit is Issued (Sec. 3097, CN. C.). APPROVED THIS App()(',�� - Lancisi° Name NameAddre BE�SAPER►H TOTAL FE S PAYABLE AT Larder's X WHEN VALIDATED. TIME OF ERMIT 1S14UANCE ❑ C SH CHECK I certify that I have read this application and state that the above Information Is cored. I agree to comply with all city and county ordinarhoes and state laws relating to building _ - SIGNATU E OF APPLICANT OR AG NT construction.- and her authorize representatives of this city to enter upon the above mentioned property for fnspeulon purposes. OWNER CONTRACTOR ❑ AGENT ❑ VAUDA' BY:1/5193 -- DATE 9169 -IM THIS PERMIT EXPIRES WITHIN 180 DAYS IROM THE VALIDATION DATE SHOULD WORK NOT BE COMMENCED PERMITTEE COPY BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Cl/i/ C v A.P. Number �Z - — ,�� Jurisdiction 0 Property Owner �llsz r Building Department No City County Property Location/Address (/a �,� Subdivison �/�/�✓r %j�./i7�, Lot No. Residential Development Sq. Footage No. of Living MHI Addition (Group R) Units ( Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) { lz z -1 Buildin ent Representative Date # (Floor Plans reviewed by School District Personnel) District Identification No. C�' en^ / M ' I School District certifies that (Applicant) � (Street Addre (City) (State) has complied with the requirements of Resolution No. '� 9�- 901 representing square feet. r l• School District Representative Paid by Check Number Remarks: Bank Number Paid by Cash (Phone Number) q"o (Zip Code) by payment of $ J2 y - d i 1 a' Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools White (applicant), Yellow (building department), Pink (school district - ) feeform.wkl (4/92) REQUESTED BY: 3 0 1 C— =93-00456 93-000456'1 1 Recorded I Official Records 1 County of I Butte 1 Candace J. Grubbs I Recorder I 8:00am 6 -Jan -93 I Rotura tq DPW _AGRICULTURAL 8T� A_TE M 08 AC-MOWLED002M ao�i EIML D§,Y £ Section 26-8.1 of the Butte County Coda requires this acknowledgement' be raco dad prior to issuance of a building permit. Rec Fee Check BWTC JJ l:OUMrY OF 8UTT6 BUILDING DEPT 1 JAN 13 1993 The property described herein is adjacent to land or included `e"'3; within an area toned for agricultural purposes, and residents of thie';w`1. :,'' proporty, way be subject to .inconveniences or discomfort arisi,a ofror,;;:'., . the use of agricultural chemicals, including, but not limited C'herbtc�dGot peeticides, and fertilisersf and from the pursuit of agricultural operations inoludiag, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasioaall smoke, noise, and odor. Butte County has established agricultural 'Gonia whichgenerate haveas oust, priority use for,productive agricultural purposes, and residents wttW-,'said tones and oa adjacent property shoul4'be prepared to accept such inconvenience or discoaform from normal, necessary.farm operations, All'that real property situate.in the County of Butte, State of Califorpia, described as follow$$ Properters: DaV Jones CAT. N0, NNOIS00 TO )9)0(1)•90) TICOR TITLE INSURANCE (General Acknowledgment)saw STATE OF CALIFORNIA COUNTY OF Butte On 1 /-9 personally appeared SEE ATTACHED LEGAL DESCRIPTION before me, the undersigned, a Notary Public In and for Bald State, nes personally known to me (or proved to me on the basis of satisfactory evidence) to be.the persons) whose name($) 1sra(e subscribed to the within Instrument and OFF ICIAL• acknQwledged to me that heisherthey executed the same SEAL In hlsiherttheir authorized capaclty(les), and that by dam, N NORMOYLE "5.:;•. hlstherrthelr signature(s) on the instrument the person(s), OTARY PUBLIC CALIFORNIA't• ' I'„ ' t e •. nr the Mltlty upon I;phll( of W)Illh 1111,IIpINIII(1) dllpcl, COUNTY OF BUTTE :4 ` ewt uted Iht- InsUuml•nl Comm4�hef11111i1111i11nEn,unuwnpu WITNESS my hand and official seal Signature I (This area for Official notarial NEI) r •!, ,•3� 8.00 8.00 2 r The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Lot 14B as shown on that certain Map entitled, "Walnut Manor Subdivision," which Map was filed in the Office of the Recorder, County of Butte, State of California, on July 25, 1990 in Book 118 of'Maps, at pages 60 and 61. A Certificate of Correction was recorded on August 31, 1990 under Butte County Official Records Serial No. 90-37673 and recorded on September 11, 1990 under Butte County Official Records Serial No. 90-38903. EMD OF DOCUMENT BUTTE COUNTY PARRS DEV=PM%NT FEE CERTIFICATION FORK CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) 401, - Co 0— 05-"/ Property Owner &aell 5N/L6-2>- J Project Location/Address LJ /,��jV d r- CG Lei✓ Subdivision lJA//V -1r /Y71a-1 o ^.- Lot Number(s) Reside;ew� a Development: (check one) _ Development _Alteration/Addition _Mobilehome(s) _Non -Residential % to Residential Total Number of Dwelling Units r Comment: Bui Department Representative Da e Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code has complied with the requirements of Butte Co. Resolution,No. 90-140 by payment for _ dwelling units @ $1,189 for total payment of $ /18"7.06 CARD Rep esentative PAID BY CHECK NO. BANK PAID BY CASH --� RECEIPT NO. REMARKS: Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Date Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. DEPARTMENT OF utvtwrmtry I atnvn.w 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 ' JANUARY 27, 1994 FRAN SHELTON/JOHN SHELTON, JR. RE: Building Permit #92-4413 & 92-4414 3100 COHASSET RD. Expiration Date: 1-26-94 CHICO CA 95926 A.P. # 042-600-054 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [XX] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 -'ertificate of Compliance: Residential Minimum Climate Zone 11 { i FQhN SNELTd :>roJect Title Type (furnace, air L 1 1 Vll /4 L X iG T G e l R/ C.T. :onditioner, heat pump) (SE. SEER,HSPF) B�u-ilddin�g Permit # (Btuh) (or approved equal) 'r oJect Address rric S7 M9 1lo I?aste Documentation Author Telephone Enforcement Agency Use Only 1 3UILDING DATA Glass �'I 18 North -onditioned Floor Area 1.3 do Number of Stories / East 79 .5 &. Slab/Raised Floor Number of .Units _�_ South - a :.j Single Family Detached (SFD) [ ] Addition Alone est Skylight —� Single Family Attached (SFA) [ ] Existing Biding _ ] Multi Family (MFS [ ] Existing -Plus -Addition Total . a 3UILDING SHELL INSULATION ::omponent Insulation Locatiorvr=ments Type R -Value (attic. to garage, t''7dEa31. etc.) Wall .............. ..: R�....:�::: 7 Prs Roof ............. Floor ............. door ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind. etc.) (dwlescreen, etc.) (=Tho) (metaltwood) North ( ) — bot4aLe North ( ) East ( ) East ( ) South ( ) I _ Sou t.h ( ) West ( ) O West Skylight....... a_ THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) 40 (inches) Location/Description (kitchen. bath. etc.) 01 r M -l -111w. LA - HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # :onditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Valle (Btuh) (or approved equal) rric S7 _9 rafq Maximum Fumace Heating Output: YMfi Btuh HOT WATER SYSTEMS • Tank ' Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved eaual) Special Feature(s) JTQmt C�RJ SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I Mandatory Measures Checklist: Residential MF -1R NATE: Lowrise residential buildings subject soft Standards must contain tete mcaaoa mga dlm of the compliance approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance requirements fixed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. We featroa noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this cJrrkli t only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures -§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fell insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 62-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. stater vapor transmission rate no greater than 2.0 permhnch. §2-5311: Insulation specified or installed meets Califomia Energy Commission (CEC) quality standards Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infelustion/Exftltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage b. Doors and windows certified. c. Doors and windows weathersmpped: all joints and penetrations caulked and sealed §2-53 Special infiltration barrier installed to comply with 62-5351 meets CEC quality §2.5352(d): Installation of Fueplaces I. Masonry and factory -built fi CpIW= have: L Tight fatting. closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. j HVAC and Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. §2.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-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) o combined interiorkaterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-53 19(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to aliow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance pleasures §2.5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigeratordreeziers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, C bapter 2-53 and Title 20. Chapter 2. Subchapta 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent ptudhaser of the building. Designer Name: Titk/Firra Address: Telephone tic. N: (signature) (date) Documentation Author Name: Titic/Fttm Address: Buildii Name TitkJFm Address: Tctephor GA, (sibnawric) • (date) Enforcement Agency Name: Agency: Telephone. Ceiling Insulation Wall Insulation -70 Number of stories Number of stories F.-: alue One Two Three n-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 -54 1 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 .2 -1 0.02 4 2 1 0.00 11 5 3 Wall Insulation -70 -46 Number of stories Single- Single - Two Three Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 3 35 -75 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 . Raised Floor Insulation R -value R-0 R-11 R-19 R-30 U -value 0.60 0.50 0.40 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation in Floor -70 -46 Number of stories -58 One Two Three -17 -8 -5 -3 -2 -1 0 0 0 3 1 1 -144 -70 -46 0 -58 38 Z -46 30 69 -34 -22 -13 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 -2 -1 0 0 4 2 1 10 5 3 Controlled Ventilation Crawispace Slab Edge Insulation - Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 .2 -2 Slab Edge Insulation - Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) Specification Points Stardw 0 6. Glass Heat Loss Total Single- Slab Floor Raised Floor Effective Pa c Glass Ll -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 •40 -11 -4 2 8 15 22 37 -9 -3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 ' 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Pelroen9 Glass (Paeent =las x SC) Effective Single- Slab Floor Raised Floor Effective Pa c Glass %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -I -2 0 na = not allowed -7 .23 3 0 IB. Shading (Shade Closed) Single- Slab Floor Raised Floor Effective Pa c Glass Family Stories (Pemset glass x SC) Mase Stories Attached /CFA One Two Three %Gctim lass NoM East South West Skyight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 .20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 ' -7 .23 3 0 -4 -5 .-4 -16 2 1 -1 -2 -1 -9 1 1 1 1 .1 -4 0 2 3 4 3 0 na . not allowed 7 8 10 11 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mase Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 8 1.40 12 13 1 2 2 07 5 2 1 12 12 200 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 ii 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- SIV19- Sum of 1.6 Wall Family Family Multi Mase Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (assumes ducts In aide) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst''IfIm -5 -4 Sum of 1.6 -3 -2 LER Two + -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 1 10.5 Effective SE or HSPF 6 5 4 (SE or HSPF x duct efficiency) 11.0 Effective -25 or -24 to -14 b .4 to +6 b 16 or SE HSPF less 45 3 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst''IfIm -5 -4 -4 -3 -2 LER Two + 3 3 +.. 2 2 (assume) ducts in attic) Single -Family 4 lktached and Attached Stin of 7-10 = 2. Wall Insulation I Unit Size (sf) or -25 or -24 to to -410 +6 lo 16 or SEER less [14 -15 .6 +5 +15 more 8.0 -14 -12 , -10 -8 -6 -4 8.5 -9 -7 .6 -5 -4 -3 8.9 -5 -4 .4 3 -2 -2 9.0 -4 -3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 - 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 100% 105% 110% 115% 120% 125` HWR -18 -12 -9 -7 -6 1.1 I ffIve SEER -25 -16 -12 (SEER xduct efficiency) -8 2.5 POU. SIM of 7-10 --12 -9 -7 Effect" -25 or -24 to -1410 -410 4610 16 or SEER less -15 .6 +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 +.. 2 2 2 1 Single -Family 4 lktached and Attached U -value [0.030] = 2. Wall Insulation I Unit Size (sf) or Water O :539 12009 1700 2200 2700 Heater txedit or10 R -value [ 19] to to or Type Type less 1699 2199 2699 more SG None 0 111 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 ND . L R WSB 5 3 3 2 2 SE or HSPF POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 6546 Solar -1 -1 -1 0 0 100% 105% 110% 115% 120% 125` HWR -18 -12 -9 -7 -6 1.1 WSB -25 -16 -12 -10 -8 2.5 POU. -18 --12 -9 -7 .6 IG None -5 -3 -2 -2 .2 10% Solar 7 5 4 3 2 IA POU 3 _ _2_ 1 1 1 IE None -28 -19 -14 -11 -9 4.4 Solar 8 5 4 3 3 0.3 POU -10 -6 -5 -4 -3 1.6 Multi-Famib (Individual units) 14 2.7 29 3.1 I Unit Size (sf) 3.5 Water 39 699 100 1200 1700 2200 Heater Credit or lo to 10 or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 1.5 WSB 9 4 3 2 2 3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 5.9 Solar 2 1 1 0 0 1.9 HWR -23 -12 -8 -6 -5 3.4 WSB -25 -13 -8 -6 -5 to POU -23 ---12 -8 -6 -5 IG None -8 -4 -3 .2 .2 2.2 Solar 6 3 2 1 1 3.7 POU 1 0 0 0 0 IE None -30 .15 -10 -8 •6 1 Solar 18 9 6 4 4 2.5 POU .8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SC SCORE CARD - Measures X Point Scores 1. Ceiling Insulation �1 _? Interior Mass/CFA ' - R -value 1381 U -value [0.030] = 2. Wall Insulation R-13 or t rn� r swss O R -value [ 11) U -value [0.098] 3. Raised Floor Insulation Eff. % Glass or X i ��+ = R -value [ 19] U -value [0.037] X 4. Slab Edge Insulation 0 210 or R -value [01 F2 factor [0.77] X S. Infiltration Standard /j 0 ' V0 nt.+rdt V {l.7WiK�t.71 le.n.e.d .IWI 1 Z. (o <� Type [double] U -value [0.65] % Total Glass [ 16] Sum 1.6 7. Shading (Shade Open) t TYPE I MASS (UI11K a 4.2. les exposed slab) ND . L R AREA SE or HSPF 0% 6% 10% 15% 20% 25% 30% 35% 40% 45% S0% 55% 60% 6546 70% 75% 60% 85% 90% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 11 13 2.5 2.7 29 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.6 1 1.2 IA 1.6 1.9 21 2.3 2.5 2.7 2.9 11 13 SS 3.7 4 4.2 4.4 4.5 4.6 S 5.2 5.4 20% 0.3 0.6 0.6 1 1.2 IA 1.6 1.6 2 2.2 14 2.7 29 3.1 3.3 3.5 3.7 39 4.1 4.3 4.5 4.6 S 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 14 t6 16 3 32 3.5 17 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 So 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 12 24 16 2.6 3 3.2 3.4 16 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 21 13 2.5 17 3 32 3.4 31 3.6 4 42 4.4 4.6 to S.1 5.3. 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.6 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 11 2.3 2.5 2.7 2.9 11 3.3 3.5 3.6 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.6 5.9 ' 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 14 2.6 2.6 3 3.2 14 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 12 25 27 2.9 21 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 56 6 6.2 64 75% 1.3 15 1.7 1.0 21 23 U 2.7 3 3.2 14 3.6 3.6 4 4.2 4.4 4.6 4.6 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 60Y. 1.4 1.6 1.6 2 22 2.4 26 2.6 3 3.3 15 17 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 S.6 6 6.2 64 66 65%1.4 1.7 1.9 2.1 2.3 15 2.7 19 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.6 5 5.2 64 5.6 5.9 6.1 63 65 67 90%' 1.5 1.7 2 2.2 14 16 16 3 3.2 3.4 3.5 3.4 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 66 95Y. 1.6 1.6 2 22 15 17 2.9 3.1 3.3 3.5 17 32 4.1 4.3 4.6 4.6 5 6.2 S.4 5.6 5.6 6 6.2 6.4 6.7 69 100Y. 1.7 1A 21 2.3 25 16 3 3.2 3A 3.6 18 4 4.2 4.4 4.6 4.9 S.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.6 2 12 2.4 26 26 3 3.3 3.5 3.7 99 4.1 4.3 4.5 4.7 4.9 5.1 5.4 51 5.6 6 6.2 6.4 6.6 68 7 110% 1.9 11 2.3 25 27 29 11 3.3 3.6 3.6 4 42 4.4 4.6 4.6 5 5.2 5.4 5.7 5A 6.1 6:3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 c6 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 62 6.4 •6.e 6.6 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 13 15 Z8 3 3.2 3A 3.6 3.6 4 42 4A 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SC SCORE CARD - Measures X Point Scores 1. Ceiling Insulation �1 _? or ' - R -value 1381 U -value [0.030] = 2. Wall Insulation R-13 or = O R -value [ 11) U -value [0.098] 3. Raised Floor Insulation Eff. % Glass or X i ��+ = R -value [ 19] U -value [0.037] X 4. Slab Edge Insulation 0 210 or R -value [01 F2 factor [0.77] X S. Infiltration Standard /j 0 6. Glass Heat Loss V0 nt.+rdt V 1 Z. (o <� Type [double] U -value [0.65] % Total Glass [ 16] Sum 1.6 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Glass SC Eff. % Glass X �1 _? X /a X = U t� x = O % SC Eff. % Glass /Glass 1. TS X i ��+ = I r l RA X = 0 210 X = b /j X = O Q TYPE 1 MASS AREA 8 COND. FLOOR AREA interiorN�:s/CFA TYPE 2 MASS AREA = 8 Exterior Wall Mass ND . L R AREA SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72/6.61 HSPF [0.W5.151 �?- f X err SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.031 SCs � Type [SG) Credit [none] 0 O Point Total: 1 Sum 7.10 -3-