HomeMy WebLinkAbout043-730-001043-730-001ERMIT# 6
DRUCKER, Stan
10 Ranchita Way,
Conv Garage to Living
------ - - ----- — ®�.
KENNICOTT CONSTRUCTION CO. 1013.-69B.
VENTS- 207-70P 918-69P
Evap.Cooler- 22% 18
-7
-70E 80E
.7__7,3_CC0 3 _ _ 1 0
Lot 1, 10 Ranchita Way, Chico
( new single family) S /S- 7 a
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REFI ENTIAL
'-
I 043-730-001 PERMIT#96-159
DRUCKER, Stan
10 Ranchita Way, Chico
Conv Garage to Living Room/SF
3
JOB FINALED (Date)
Signature
V=OK ,
0 = Not OK
Not Applicable
=Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer, Location-Test-Fall-C/O-Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
4. Water, Location-Test-Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete
6. Carports; Windows -Doors
6. Gas; Location-Test-Wrap; / /'L'ft.
/ /Nat. or/ PlL t./ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size-Spacing-Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-Demand Valve-Connector
1. Setbacks -Easements
4. Electricity; MH Test-Crossovers-Breakers-Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test-Fall-Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test-Regulator-Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected-C/O to Grade-HD Approval
5. Elec.; Pool Lighting; 15 Volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs-Type-Installation Cert.
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frrng.; Sils-AnchorsStuds-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, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O = Not OK
Not = Not Ready RESIDENTIAL,(!
RESIDENTIAL,(;
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except r1's
16. Water Htr.: Vent -Access -Combustion Air -Battle
-----------------------------------------------------------------
---- ----
17. Water -Pi -pe. Test & Anchor -Nail - Protection
-------------------------------------------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
-- - -19. Shower Pan. Test_ First Floor -Tub Access
- ----------------------------
Test Tub -&-Shower.- Second Floor_Tub Access
-----------------
21. Gas Pipe: Size & Anchors
------ --------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
- - - - 22. Fixture & Transformer Clearance -Ins. Protection
- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
----- ----- 25. RomInstalled 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 Sizer 19a. Cu or AI-A.C. Wire Size , ga.
Cu or At
29. Range Circ ga. Cu or AI -Oven Circ. 1 / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------- ------ -------- ..
30. Service -Riser Conductors & Ground -Main Disconnect
31 Equip_ Clearances Panels. Motors_ Mech. Equip.
32 Clothes Closet Light -Shower Light -Spa Light
---- ------- - - --
33. Smoke Detector
--------------- - ------ ....... ...... - -- - ------ . _.. .......... . ..... ..
Date Card B-1 Date Card B-1
....................................... ....---------- ---- --- ... --- --- ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except O's
34. A.C. Ducts Insulation & Support
35 Vent Fan Exhaust above insulation
36 Conden<ate Drain & Overflow Size & Grade
37 Furnance-Vent: Access -Comb Air -Return Air Vent -115 ouuet
38 Attic Access & Platform ifFurnance in Attic
------ ------ --- --- --- -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
39 S Is. Proper Material & Anchors
....... ... ... ... ... ... ... ....... ... ... ... ..
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-
------ - - --- -.. _. ----------
...... .
41. Bear ng Walls over Girders & Floor Nailing
........... ... .............
42 Draft Stop ,n Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------- - ... ....... .. ............ .. .. .. .
44. Headers & Beam -Size & Bearing
>ingle & Duplex)
Date FRAMING (Continued)
- -- 45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
--------------------------- -- --
43. 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 -3' -Check Garage -3rd Story, 2 Exits
_________ 53. _Stairs: Width -Head room -Rise-Run-Landin Fire Protection
54plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-------
------------------------------------------
Date
---------------.----------------------Date Card B-1 Date Card B-1
.. --------------------------------------
Date 6Z B-1 Date Card B-1
Date FIN (Plans) OK except a's
Ext. Steps -Door & Sidelight Protection -Landings
.. _-------- -- --------------------
Smoke Detector
- - - ------------------------------ - -
•Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
-----------------------------
Bedroom
--------------- ----- -----Bedroom Exiting
5. F.I. & Bath Fixtures & Tub Access -Spa
.............. ...------------- P--------
_ Elec. Trim & Subpanel: Breaker Sizes & Labels
airs &Rails
replace or Stove: Clearances -Hearth
--
ec. utlets at Wood Panel: Int. & Ext.
- -
..... ....... . - ------------ -- -- ----
. ,t ixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... _.------------------------------------- -- --
ec. Outlets & Receptacles at Kit. Counter
.... ... - - ---------------
rage Fire Door: Swing -Landing -Closer -
C-' Duct in Garage -Damper
- `-------------------- - ------- -------
4. W�' Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
Garage: Above Floor -Meth. Protection
...... . ,6...Elec. & Mech. Equip. Listed for Location
---
------------------------------------------
6 E c. Receptacles in Garage: (G.F.I.)-Romex Protection
- ---
-------------- -----------------
nsulation -Foam -Looked in Attic ❑ Yes
uard Rails & Deck Construction -Post Caps
. .... .... .-------------------------------
,0.
--- -------------------- --
F Vents & Crawl Hole Door -Drainage & Wood -Earth
learance Looked under Floor- ❑ Yes- - -
F Mowing instld� Drive ❑ Yes ❑ No. Walks ❑ Yes ❑ No:
. PI r{ers ❑Yes ❑ No
..---------_-------------------eN------------------
t. ucco: Brown -Finish
....._..._.._...------------------ ---- ---------------
C. Unit: Disconnect. Electrical, Plumbing -
p Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to
• en ngs
8441���teeeeer Well: D sconnect. Electrical. Plumbing
rior Elec. Trim: G.F..(_Receptacle-Underground
--- --- --
V dation Throughout House
&- G e Protection. .- --
- - - -- --------
8 ree*.. .from Previous 'In'
nspections
ale
Test -Meters Tagged: Gas -Electric
-------------------------------------- ------------------------------------ ---
ater & Sewer Connected-CrO to Grade -HD Approval
rt. Energy Compliance Cert�hcate-Other Certificates
. . ...._ t
-------------------
Da Card B-1 (�1f Date ------------Card-B-1-- -- ----
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75411/PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER.
041-7
ZONING
BUILDIN ERMIT
-0-001
OWNER
STAN 7 ER
TELEPHONE
34 -0774
SQ. FT. OCC. BUILDING VALUATION
205 R 4100
OWNER'S MAILING ADDRESS
T
ICO
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 72.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
10 RANCHITA WAY CHICO
PERMITFEE $ 1.80
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF)p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition 4] Remodel 0 Utilities ❑ Installation ❑ Other ❑
Describe Work: "GARAGE CONVERSION TO LIVING ROOM
—
Mobile Home I S I GI W 1 @20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service 0 OV OR LESS
( 2000A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR s0.
OR ACDNS. ( 8 ACC. BLDS. ) 3.5Q FT. 7.71
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES) BAL @ 1.5
Ex. Occup. (oFIrED APPUS D.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 97.71
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Jill I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
orthwith omply with those ,visions
_ N_ Date _
Signature of Applicant - Yi caner ❑Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is 46.0
Occ
CONST. TYPE
TOTAL FEE $ 2115-51
-AZ. D. FEES I IMP I FLOOD
CD P HD S
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whic fees have been paid.
p
Date
BY %% p
PERMITEXPIRESON /� 1>/? —7
(Date)
Receipt No. -L0 qQ L
WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
•••-�-•ion;'Tv..xsur�r`.,�r.r-.+�;aq�'4^S.1-r.�'v'+.�,.+ryM.Y'�rev+-u+ry ..::i"�+'-nt""r"' .+. ..••-.•.-�^r��,cv�i7.^�' � .,;.,;vc o'� ^t��wwra �na+*fv`:wtwr /DIVISION
COUNTYOF BUTTj E - DEPARTMENTS _: E�E�LOPMENTSERVICES - BUILDRJ
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (9;16),,,18-7541
i r �
PERMIT APPLICATION DATA SHEE
OWNER ✓ t�i4 r�i� A. P. No. �3 - '73 - c)-&>/
Proposed Building Use T C o^/ N " I Building Inspector c-- Date
At time of permit application,, was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted . ....................................... .
�1 R
2. Plot plans, 3/4 sets, signed by preparer of plans: .......................... - -
3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... '
4. Engineered plans and calcs, 3/4.sets, with wet signature on plans. .......:'..... '
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and' manufacturer's installation instructions, 2 sets. ...........
10 Fees of $ ' . ...............
� 11. Impact fees as shown on attached schedule. . �'L qA r .... � , f
12. California Department of Forestry plan approval/fees......... .............
13. Flood elevation letter (100 year flood) y���a jjornia Engineer. .. •'
1 14. Sanitation and plot plan approval 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). . .
Pre -Inspection request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ........... ..............
23. ,Owner -Builder Verification: (Given to owner , Mail to owner ............ f
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. ..... 1
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 your issue the it, roces,$ as follows: Mail to owner. Mail to contractor.
Telephone � ' 977'fand hold for pickup at C t/ 1 L office. Deliver with inspector.
Other
Parcel Creation •/s �%
Acreage Applica 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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by 4Zphone -mail Cou er by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail C nter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Iv ,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
. - f 4 Plot PLn Atlachad /
Pl. Plan
.. �.. Seat to B.D. /
Owner Location a AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile {home. Other 00 v6l
Hold final for:
Final clearance O.K. for:
NOTE:
En ironmental Health Specialist
11-S94
Date
School District
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM
(One Form Per Building)"
Ctit C0
y!) 73 - 0ol
Property Location/Address
Subdivison
Residential Development
Commercial/Industrial
Building Department No.
Jurisdiction: 0 City County
,� L) A ) c WCA-,
R
' Chie Gt-V1C`I /�2 ///1/
�c--
Lot No.
0Sq. Footage o
No. of Living MHI Addition (Group R)
Units
0 Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Odpartment Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. Y
b!� 1bzkLol School District certifies that —Shd H on ) eyc K l°_
' (Applicant)
A&nchll4l, l// 3ys-o
(Street Address) (Phone Number)
cd C. 9-37ad-
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ �4
r,:presenting „20� square feet. AB 2926 $
FULL MITIGATION $
P -1s = fol
School District Repre ive Date
Paid by Check # Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by 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) %;.; '';,;. 'leeformmk, (, 1/94)amm
t .
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Attention Property Owner: lf
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: YE�) NO[ )
2. I HAVE(jJ HAVE NOT[ ) si an application for a building permit for the
proposed 4drk.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO.
S. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER: �� _
DATE: / i / `7
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER-
O.B:-1
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State 'of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildei"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
S;,nlc rel
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
Insulation Certificate
BUILDING OWNER:
BUILDING LOCATION: / U
Description of Installation
BUILDING PERMIT # : q to — /5q5 -
Brand
5q5
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value) 3
FILING
Batt or Blanket Type
Thickness (inches)
Loose Fill Type
Contractor's minimum installed weight/ft lb
Brand Name G '
Thermal Resistance (R -Value)
Brand Name
Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material - -
Thickness (inches)
RAISED FLOOR.
Material
Thickness (inches)
SLAB FLOOR
Material . - <—
Thickness (inc:res) 1'
Width (inches)
FOUNDATION WALL
Materia!
Thickness (inches)
Declaration
Brand Name ��-e/►.� C
Thermal Resistance (R -Value) H, —
Brand Name
Thermal Resistance (R -Value) .
Brand Name
Thermal Resistance (R-Vaiue)
Brand Name
Thermal Resistance (R -Value)
I hen'by certify that the above insulation was installed in the building at the above location in conformance with
the current B ' ding Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Califo . iris ve C de.
Genezai Contractor (Buuder) License Number
Signature andTitie
Suo-Conaaccorlinsulatcon installer)
Signature and Title
Dace
�
License Number
2✓ /
Date
THIS CERTIFICATE MUST BE PROVIDED TO 'nfE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JA,-iUARY 1993
,1
CERTIFICATE OF COMPLIANCE: RESIDENTIAL. Page 1 CF -1R
Project Title.......... The Drucker Addition Date........ 07/12/96
Project Address........ 10 Ranchita Way *******
Butte County *v4.50* _
Documentation Author... Marty Runnells ******* Building Permit
Energy Calculation Services
1907 Mangrove Avenue, Suite D Plan Check Date
Chico, CA 95926
916-894-8466 Field Check/ Date
Climate Zone........... 11
Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc.
MICROPAS4 v4.50 File -96180S Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
r
1
Component
Type
Wall
Roof
SlabEdge
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Stories..........
Floor Construction Type....
Glazing Percentage.........
Average Glazing U -value....
Orientation
Frame
Type
n/a
n/a
n/a
Window Front (W)
Type
S1abOnGrade
205 sf
Single Family Detached
Addition Alone
Front Facing 260 deg (W)
1
1
Slab On Grade
15.6 % of floor area
0.93 Btu/hr-sf-F
BUILDING SHELL INSULATION
Cavity Sheathing Insul Assembly
R -value R -value R -value U -value Location/Comments
R-11
R-30
R-0
Area U_
(sf) Value
32.0 0.930
Exposed
ace
R-n/a R-11 0.098 FRONT, LEFT, RIGHT
R-n/a R-30 0.031 TO ATTIC
R-n/a R-0 0.720 TO EXTERIOR
FENESTRATION
# of Interior Over-
Pan- Shading/ Exterior hang/ Framing
es Description Shading Fins Type
2 Drapes.Std ROLLDOWN BL Yes Metal
THERMAL MASS
Area Thickness
(sf) (in) Location/Comments
205 3.5 TYPICAL
HVAC SYSTEMS
Minimum Duct
Equipment Type Efficiency Location
Gas 0.780 AFUE Attic
Evaporative 11.00 SEER Attic
Duct Thermostat
R -value Type
R-4.2 Setback
R-4.2 Setback
COUNTY
BUILDING QSN;
A P
Y^ E
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 2
CF -1R
Project Title.......... The Drucker Addition
Date........
07/12/96
MICROPAS4 v4.50 File -96180S. Wth-CTZ11S92 Program -FORM CF -1R
User##-MP1333 User -Energy Calculation Servic Run -205 SF Addition
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
Water Heater to meet minimum CEC Standards -
SPECIAL FEATURES/REMARKS
COMPLIANCE STATEMENT
This.certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features/
Remarks section.
Name....
Company
Address
Phone..
License
Signed.
DESIGNER or OWNER
Name ....
Company.
Address.
Phone..
DOCUMENTATION AUTHOR
Marty Runnells
Energy Calculation Services =-
1907 Mangrove Avenue, Suite D
Chico, CA 95926
916-894-8466 s
ENFORCEMENT AGENCY'
Name....
Title...
Agency..
Phone...
Signed..
ate
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R
Project Title.......... The Drucker Addition Date........ 07/12/96
Project Address 10 Ranchita Wa *******
Butte County *v4.50*
Documentation Author... Marty Runnells ******* Building Permit
Energy Calculation Services
1907 Mangrove Avenue, Suite D Plan Check Date
Chico, CA 95926
916-894-8466 Ti -e -1-d Check/ Date-
Climate
ateClimate Zone.. .. ..... 11
Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp,.Inc.
MICROPAS4 v4.50 File -961805 Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
Lowrise residential buildings subject to the -Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent. compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the:
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce=
er ment -
*150(a): Minimum R-19 ceiling insulation.
.150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.30-o, water vapor transmission rate no greater than 2'.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.'
M
MANDATORY MEASURES
CHECKLIST: RESIDENTIAL
Page 2
MF -1R
Project Title.......... The Drucker Addition
Date........
07/12/96
MICROPAS4 v4.50 File -96180S Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(i): Setback thermostat on all applicable heating systems.
150(j): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup .solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or" greater) .
2. First 5 feet of pipes closest to water heater tank, non --
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
S. Piping insulated between heating source and indirect
hot water tank.
cls
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 781 thermal efficiency, Ion -off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.
�}
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.).
✓
LIGHTING MEASURES
Design-
er
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved.
Enforce-
ment
COMPUTER METHOD SUMMARY Page 1 C -2R
Ptoject Title.......... The Drucker Addition Date........ 07/12/96
P t Add 10 R 1, 44- WA- 4-
rojec ress........ anc ia ay _
Butte County *v4.50*
Documentation Author... Marty Runnells ******* Building Permit
Energy Calculation Services
1907 Mangrove Avenue, Suite D Plan Check Date
Chico, CA 95926
916-894-8466 Field Check/ Date
Climate Zone. .. ..... 11
Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by.Enercomp, Inc.
MICROPAS4 v4.50 File -96180S Wth-CTZ11S92 Program -FORM .0-2R
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
MICROPAS4
ENERGY USE
SUMMARY
Special
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating..........
9.68
13.19
---3.51
Space Cooling..........
27.29
23.07
4.22
Water Heating..........
73.14
73.14
0.00
Total
110.11
109.40
0.71
*** Building complies
with Computer Performance ***
GENERAL INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area .............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Glazing U -value....
Average Ceiling Height.....
205 sf
Single Family Detached
Addition Alone
Front Facing 260 deg (W)
1
1
ReducedYear
Slab On Grade
1
1645 cf
205 sf
205 sf
205 sf
15.6 % of floor area
0.93 Btu/hr-sf-F
8 ft
BUILDING ZONE INFORMATION
Floor
# of
.Vent
Special
Area
Volume Dwell Cond- Thermostat
Height
Vent Area
Zone Type (sf)
(cf) Units itioned Type
(ft)
(sf)
HOUSE
Residence 205
1645 1.00 Yes Setback
2.0
n/a
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title.......... The Drucker Addition Date........ 07/12/96
MICROPAS4 v4.50 File -96180S Wth-CTZ11S92 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
OPAQUE SURFACES
Area U- Insul Act Solar Form 3 Location/
Surface (sf) value R-val Azm Tilt Gains Reference Comments
HOUSE . - New
1
Wall.
2
Wall
3
Wall
4
Roof
Surface
HOUSE - New
5 SlabEdge
Surface
72
0.098
11
260
90
Yes
None
FRONT
40
0.098
11
350
90
Yes
None
LEFT
135
0.098
11
170
90
Yes
None
RIGHT
205
0.031
30
n/a
0
Yes
None
TO ATTIC
PERIMETER
LOSSES
.,_.
Length
F2
Insul
Solar
(ft)
Factor R-val
Gains
Location/Comments
35 0.720 R-0 No TO EXTERIOR
FENESTRATION SURFACES
# of Vent SC SC Interior
Area Pan- Frame Open U- Act Glass Int Shading/
(sf) es Type Type value Azm Tlt Only Shade Description
HOUSE - New
1 Window 32.0 2
Metal Slider 0.930 260 90 0.88 0.78 Drapes.Std
OVERHANGS AND SIDE FINS =-
Window— Overhang Left Fin Right Fin—
Area Left Rght
Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght
HOUSE - New
1 Window 32.0 4 n/a
Mass Type
HOUSE - New
1 S1abOnGrade
Surface
HOUSE - New
1 Window
1 2 n/a n/a n/a n/a n/a n/a n/a n/a
EXTERIOR SHADING -
Area Shading SC of
(sf) Type Ext Shade
32.0 ROLLDOWN BLIND 0.20
THERMAL MASS
Area Thick Heat Conduct- Surface
(sf) (in) Cap ivity R -value Location/Comments
205 3.5 28.0 0.98 R-2.0 TYPICAL -
COMPUTER METHOD SUMMARY.' Page 3 C -2R
Project Title.......... The Drucker Addition Date........ 07/12/96
MICROPAS4 v4.50 File -96180S Wth-CTZ11S92 Program -FORM C -2R =
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
System.Type
HVAC SYSTEMS
Minimum Duct Duct Duct
Efficiency Location R -value Efficiency
HOUSE
Gas 0.780 AFUE Attic R-4.2 0.830
Evaporative 11.00 SEER Attic R-4.2 0.810
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation_:
Tank Type Heater Type Distribution Type System Factor (gal) R -value
Water Heater to meet minimum CEC Standards
SPECIAL FEATURES/REMARKS
HVAC SIZING Page 1 HVAC
Project Title.......... The Drucker Addition Date........ 07/12/96
Project Address........ 10 Ranchita Way *******
Butte County *v4.50* =
Documentation Author... Marty Runnells ******* Building Permit
Energy Calculation Services
1907 Mangrove Avenue, Suite D Plan Check Date
Chico, CA 95926
916-894-8466 Field Check/ Date
Climate Zone..... ..... 11
Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc.
MICROPAS4 v4.50 File -96180S Wth-CTZ11S92 Program -HVAC SIZING
User#-MP1333 User -Energy Calculation Servic Run -205 SF Addition
GENERAL INFORMATION
Floor Area .................
Volume ...:.... ............
Front Orientation..........
Sizing Location............
Latitude ... ...... ........
Winter Outside Design......
Winter Inside Design........
Summer Outside Design......
Summer Inside Design.......
Summer Range ...............
Interior Shading Used......
Exterior Shading Used......
Overhang Shading Used......
Latent Load Fraction.......
Description
205 sf
1645 cf
Front Facing 260 deg
OROVILLE RS
39.5 degrees
30 F
70 F
104 F
78 F
37 F
Yes
Yes
Yes
0.20
HEATING AND COOLING LOAD SUMMARY
Heating Cooling
(Btuh) (Btuh)
Opaque Conduction and Solar......
2222
881
Glazing Conduction ...............
1190
774
Glazing Solar ....................
n/a
430
Infiltration .....................
936
384
Internal Gain ....................
n/a
1650
Ducts ............................
435
412
Sensible Load .................... 4783 4531
Latent Load ...................... n/a 906
Minimum Total Load 4783 5437
(W)
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other .relevant design factors such as air flow _
requirements, outdoor design temperatures, coil sizing, availability of
equipment,-oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
0
7 7 A 7 1
Tfii`s set of plans a speciftcatl ns MOST .M O W K e -U S te, v uv e k/'
kept on the job at ali ti bt
I and it is unlawful tc 1 — I o S C Q 1 W
make an changes or al erations on same with- ` C'' L� t
{out wfitten permission om the Department of �X—r 4 v
public Works, County I3utteb
r t�eS BUTTE COUNY V ]' tri w >n
1
r
h
.
7 7 A 7 1
Tfii`s set of plans a speciftcatl ns MOST .M O W K e -U S te, v uv e k/'
kept on the job at ali ti bt
I and it is unlawful tc 1 — I o S C Q 1 W
make an changes or al erations on same with- ` C'' L� t
{out wfitten permission om the Department of �X—r 4 v
public Works, County I3utteb
r t�eS BUTTE COUNY V ]' tri w >n
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