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047-320-048
l p 47-32-48 RICK PAYNE 344140��� 4165 Keefer Rd, Chico Permit#2387-89B,P,E,M(new Ingle family) J 047-320-048 FRIBANCE 94-1101B,PE 4165 KEEFER RD., CHICO CONT: ADONIS POOLS NEW PRI SWIMMING POOL 0q7- 3;L - a C;ln n RESIDENTIAL 047-320-048 94-1101B,P,E FRIBANCE, GEORGE & CONNIE 4165 KEEFER RD., CHICO CONT: ADONIS POOLS NEW PRI SWIlMING POOL S-0-_9� - . -- -- -_ JOB FINALED Slgnaturg V=OK • ) 1 O = Not OK ' - =NotRable MOBILE HOMES ' =Not Readyeady •Date/Initials MOBILE HOME. UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch •9. Sewer; Locatlon-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. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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 S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 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. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POO Plans OK except #'a . Setbacks cements 2: Soi mpaction-St re Stability 3. Pool Structure; el -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec closur nduit Entries -Terminals -Listed 7 ec.; Ing; Metal w/5' -Circulating Equip. -Heater 8. c.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboa rds-Ina. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test u -L - 11 V iff L(o KIV V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except N'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-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except N'a 22. Fixture & Transformer Clearance -Ina. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al i 29. Range Circ. / '/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except 8's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance.in Attic Date/Initials FRAMING (Plans) OK except M's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. 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 -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggere 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/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor L► Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg -Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection • 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Flnel: COUNTY OF BUTTE - DEPARTMENT. OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. V I APPLICATION AND PERMIT gqC)l ASSE RPARCELNUMBER 047-320-048 ZONING SR1 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONT RET 19,000 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ADONIS POOLS TELEPHONE 891-1187 CONTRACTOR'S MAILING ADDRESS PHEASANT12 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 198.00 ARCHITECT OR ENGINEER CAL BACHMAN LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4165 KEEFER ]ROAD, CHIC0 PERMIT FEE $ 241.00. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome O Other SWIMMING POOL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New yAddition ❑ Remodel O Utilities ❑ Installation 1:1Other O Describe Work: MASTER #91-508 PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUR. OR AODNS. ( a ACC. BLDS. ) 3.5C FTSO. . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) AxI am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C e m lice a is in full force d effe License No. assification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ I.0000 Ex. Occu FIXED APPLNS. OR Occup. (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELECTRICAL30.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. l have placed on file with the County of Butte Dept. of Development Services, A Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 50.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmentsMsIsr-"x a hich may in any way accrue against said consP oft permit. / p c Date'! ^.1< / ature of Applican - O Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 326.00 HAZ D. FEES IMP F100D '� co PARCELCount °^—� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. % By v� l/ Date PERMITEXPIRESON /Date! ReceiptNo. 1625155'-"Z' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `1h•ixA��3' . 7 iritjcy'�iiik'i�'f'"r .... .T^�ei�i*fl ilt^:s:t}c"r+'Y7sr r: COUNTY OF BUTTE - DEPARTMENT QFD '�LOPMENT S.I RVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN195965 - TELEPHONE (916) 538-7541 r ' PERMIT APPLICATION DATirSHEET Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent foi• 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 . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo, by California Engineer . ................. . 14. Sanitation and plot plan approval (cam 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: ^I....... - 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... . 19. Driveway permit (construction approval required prior to occupancy). ...P�4�,�o; req. 20. Pre -inspection for required.". : to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Ilk 22. Certificate of Workmans Compensation Insurance. .......' ................. 23. Owner -Builder Verification (Given to owner , Mail to owner �............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization. ...... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. `..... . 27. Letter of intent on building use . ......................................... . 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 you issue the permit, process as follows: Mail to * er. Mail to contracto elephon and hold for pickup at Deliver with inspector. Other Parcel Creation Acreage Applic nt Date G 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 _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter 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 0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F_If. USE ONLY Plot Plan Attached v_ Floor Plan Attached Scat to B.D. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance 0. K. for: Water Supply Clearance for bedroom mobile home. Other NOTE: Environmental Health Specialist Date A PERMIT NO. 2387-8AR, P , F , M PERMIT EXPIRES OWNER RICK PAYNF CONTR. owner ASSESSOR PARCEL 47-32-48 LOCATION 4165 Keefer Rd, Chico l o v ky Pass ed. U . e3A,ec,%„ t .% I-2.5-91-eerVerne!! , -ripe "A" Fw is "ed c,1x,je +he -OFFICCOF�Y " s AddressiJ� r I 42c/ AS , Meter By MDate ELECTRIC Meter By Date Temp. Power Pole Called PG&E Temp. Elea Service .� Called PG&E k \Temp. Gas Service I Called PG&E JOB FINALED (Date) " Q 5 , Signature _ OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements '" 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 (Ski 5. Electricity; Location-Clearances-Grnd.-/ / 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date rd -B1 Date Card -81 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line _ 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Carports; Windows -Doors _ 7. Elec:,4 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -Ell' Date Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector % . 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval l 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy ; 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -B1 Date Card -61 Date Card -B1 Date RA „�ofVot RESIDENTIAL and Duplex) - Not Applicable � = Not Ready - Date UNDERFLOOR (Plans) OK except #'s . Zoning -Setbacks; -Easements -Flood -Slope g., Main; Soils-Steel-Elec. Grnd:-/ r tg., Garage; Soils -Steel-/ rL/” Ftg. Dept y*tg., Porches & Decks; Soils -Steel-/ "temw , Main; Steel-Blockouts-Wrappe "twillwalls, Garage; Steel-Blockouts-Wrap 3/Slab; Steel -Wrapped 8. Piers- Ei ep4-wAi.Ftg.-Steel .W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -C 15. Insulation Card -B1 C_t" Date 0 1*2. Card-B1'3-7o*Date Card -131 M Date'.,i�o Card -81 Date Date PLUMBING (Pern)it)'OK except #'s 16. Water Ht. Vent -Access -Combustion Ai Bafflg�,, at ipe; Test & Anchors -Nail Protec on 1 .; Test-Fttngs & Anchors -Nail Protection 1 er Pan; Test, First Floor -Tub Access est Tub & Shower, 2nd Floor -Tub Access as Pipe: Size & Anchors Card -B �) Date - 0 Card -131 Date I Card -131 Date Card -131 Date Date ELE AL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 23. Eleq ceptacl S acin - ights & Switches at Doors ize 13axes & No. of Conductors -Stapled 2&-Ro—r pax Installed Close to Edge of Studs & C.J. R*115quip. Ground made up w/Mech. Fasteners -Bond Gas & Water pliance Circuts in Kitchen & Conductor Size/G.F.I. / / ga. Cu or AI-A.C. Wire Size /6/ga. Q.B�Range Circ. 4�- / ga. Cu or<WLOven Circ. / / ga. Cu or Al. I lated NeutralTF./c- Yes No 3 . Ser ' =Riser Conductors & Ground -Main Disconnect p. Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light Card-Bf_t'k^J]Date $-/640 Card -B1 Date Card -131 Date Card -B1 Date Date MEC ICAL (Permit) OK except #'s A. f cts Insulation & Support e an; Exhaust above insulation Oe'—Cooensate Drain & Overflow; Size & Grade ur a -Vent; Access -Comb. Air -Return Air Vent -115 outlet ttic Access & Platform if Furnace in Attic Card -139f Date 57-1,0Q6 Card -B1 Date Card -131 Date Card -131 Date Date FR G (Plans) OK exc j4rqws, Proper Material Walls Studs -Nailing, Spacing & Bracing—Plates-Sound 41 alls over Girders & Floor Nailing aft 'in Walls (ra pr f) 4 ops; Furred Cei gs-Stairs-Chases-Tub CA>geader & Beam -Size & Bearing Date FRMING (Continued) Ha ers-Po Ca nchors-Connectors Ing. Joi . ies-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ire ace Ties or Type A Flue -Fireplace Throat Clearance t is Access; Size & Romex Protection -Draft Stop -Iris. Baffles B rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing perty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _52-StMrs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood 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 6'gq,0 59. Insu lation-Wal is-Clg. 60. Infiltration-Walls-Wndws Card -B � ate '(0 9() Card -B1 Date Card -B1 IJY- Date A/ - Card -B1 Date Date FIN (Plans K except #'s V. Ext. ps-Door & Sidelight Prote ' 'n -Landings 62e5moke Detector 63. Furnace; Vents -Clears -Co . Air -Connector - In Garage; Above Floor- s-Mech: Protection 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures &'Tub Access -Spa 66. Elec. Trim & panel; Breaker Sizes -Labels 67. Stairs ails 68. F' place or Stove; Clearances-Heart lec. ritlets at Wood Pane Ext. 7-FAppliance; G - 'r Gap -Coo " Clearance 7 e tlets & Receptaclaeat Kit. me , araae Fire Door.: Sw -La a -CI r 7 , A.C. Duct ' arage-Damper 74. Wtr. FOr,, gents -Clears omb.•'Air-C ector-P.R.V.- In Gam; Above Floor-Mech. Prot on i tf Eleg,,"ech. Equip. Listed for Loptt& I7% le eceotacles in Garaae_ omex Protec. nsulation- Foam- Looked in Attic IyYes 7 u rd Rails & Deck Constructio st Caps 7j,,1711n. Vents & Crawl Hole Door -Drainage & Wood -Earth Wince Looked under Floo 80. Follo •ng instld.; Drive es ❑ No; Walks_. ❑ Yes 'B Wo; p,krMers >Yes o St ; Brown -Finish 8 nit; Disconnect, Plu ents Above Roof; Plbg.-ApplianceQClearance to Openings. 84. Water Il; Disconnect, Electrical, umbing ej�or-Elec. Trim; G.F eptacle-Underground entj!AAon throughout House s otection 8 rrectiop6 f npectio'na Al , wA— {.fear 89. Gas Taft -Meters Tagged; Gas -Electric /L7q-qv 90. Wates& Sewer Connected -C/O to Grade -HD Approval 9L.ZnergWGompnance certiticate-Dtner certmcates Card-814�jDate (A Js Card -131 Date Card-Blq-8-41 Date Ub Card -B1 Date Card -B1 Date Card -131 Date Comments at Final: COUNTY OF BUTTE h J DEPARTMENT OF PUBLIC -WORKS l 196 Memorial Way, Chico —,Phone: 891-2751 7 County Center Drive, Orovil�le — Phnne: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 . CORRECTION NOTICE �3' - OWNER U PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correc on of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. I COUNTY OF BUTTE ; ;• �� DEPARTMENT OF PUBLIC •WORKS 196 Memorial Way, Chico — P.,hone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Pro i 4A A, OWNER PERMIT NO. A routine inspectio dicates that the following violations of County Ordinance exist at the ab a address and should be corrected. Please notify this office when correc ' n of work is completed. If you have any question pertaining to this matter, o need additional explanation, please contact this office immediately. _ y .q t) Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviI Le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 nk CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correc ' n of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. Date - I U Inspector C� ' r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phope: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector/�✓ Date Owner: Perilift No.. C E N E R C Y' C,E R T I F I C A T I 0 N Keefer Roads Chico., CA_l--__.___---3/ LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF - llaterlal Brand Name _ Tl�lcklleee(l.i�clies)+__� '1'Icermal Resistance (R Value) F,ff RIOR WALL Hater ial fli,er�l�a��sl���� Brand Name Owel1S_S,SlTIl nU Thteknese(inches) 3 5/8 Thennat Reeletance(R Value) R1.... 3 CEILING Batt or Blanket Type �l1—.u��-UaLia Brand Name_�pls-(,OrL_1nc1 Thickness( Inches)_,___12"Thermal Reslstance(R Value) R38 Loose Fill Type--Nilx�r lass Brand Name—Owens-Corning Miulawm Thicknesl(Inches) 1611 Number of Bags 21 Wt. per beg. 35 16. Area covered(ft. )_ 1058 Thermal Reslstance(R Value) R38" FLOOR, ELEVATED Material _ _ Thlckneaa(Inches) FLOOR. SLAB Material Thickness(Inches) Width(lnches) _ FOUNDATION WALL Material Thiekness(lnches) Brand Name r 'Thermal Reslstance(R Value) Brand Name__ Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify. that the above Insnlatlon was lnetalled In the above building in conformance witli the State of California Energy Requirements. Loerke Insulal iuri Cu. 499150 FIRM NAME/OWNER _ STATE CONTRACTOR'S LICENSE NO. June 14, 1990 SIG 1'11R@ OF IN STALLAT..ION APPLICATOR DATE.ICATOR DATE. I hereby certify tlie above luaulatl.on and all requ.l.red Items as shown on the Building Department approved plane and attaclonente have been installed as required by the State of. Cal ifortula Energy Requirements. All equipment, devices and materials are of the qualil:y prescribed or are @pacifically approved by the Stale of California. � FIRM / ER (Please print) SI TU E F 4ENFRAL CONI'RACTORJOIJNFR STATE CONTRAC'TOR'S LICENSE NO. DATE THIS CER'TIFICNI'E PILIST BE ON FILE WITH THE BUILDING DEPAR,mEN1' PRIOR TO FINAL. INSPLCfION APPROVAL. AND A COPY SIIALL BE POSTED WITHIN TIIE B1111.DING . .lunuary 19810 r, 1' I, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1 PERMIT NO. c/r, 7 County Center Drive - Oroville; Califort'iia 95965 - Telephone: 916/538-7 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R ZONING BUILDING PERMIT OWNER v T-TLEPHON 5✓ �� S0. FT. OCC. BUILDING VALUATION OWNER'S ILIN A DRESS (:C) CO_NT R R' ME lu )61 TELEPHONE O CONTRACTOR'S MAILINIG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE Permit fee $� - PERMIT Filing Fee 10.00 �jPLUMBING ��� Each Trap 2.00 _T�/C�o Solar or heat pump water heater LOT NO. SUBDIVISION AME PARCEL MAP % off J ;*�Z_ 5) t'Z-_ Water piping 5.00 -J' Each qas water heater or vent 5.00 ---' USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5•.a:• Mobile Home S G I W IU.UUea TYPE OF WORK i Nevk Addition ❑ ppRemmodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: j Permit Fee S "� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 100v OR LESSL 00 AMP OR ESS 10.00 Main service EA. ADD'L 100 AMP Sd CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen-EX. sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST ( DWELLING SO S OR ACDNS.' l ACC. BLDG S ?S NEW CONSTR MUETI-OUTLET NON•RESIO .BRA CH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. 120050t Ex. Occup OUTLETS OR FIXTURES Occup. OUTLETS FIXED P(RESID,)REA.1 Temporary service Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. tx I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee L10.00 Heating W5,000 -6 Cooling — Hood 3.00 Ventilation A46<4 t/e!Z" 3"-cl � permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ialso agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C onsequence of the granting of this permit.A s X Date Z Z/'-�/ Signature of Applican - Owner Conrrocror ❑ Agent ❑ An OSHA permit is required for Covotions over 5' d lition or construct- ion of structure over 3 in height. / Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ C1 ;-U— --.I OCcuP. CONST. TPC ISC71;71PAM,7 _HoJ ss1�E V/ his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC B _ Y PER01.EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date` ! 2, i, -P r�•-'�^ �T Receipt No. WHITE-D.P.W.. YELLOW -A 370., PINK-INSPE GOLDlNROD-APPLICANT COUNTY OF BUTTE - DEPARTME,NT OSF.�-PUBLIC WORKS - BUILDIJG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7 tl1 PERMIT APPLICATION DATA SHEET t Permit No.�"% OWNER �- A. P. No. '� 7-. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. Z. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation r instructions g .......................................... . Fees of 1<9<$ 10. Chico Urban Area fees paid ........................................ V,'4!3. . Park fees paid................................p.................... School District fees aid ................. Sanitation approval from /' T��) Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16 Planning approval for (A) Use: (B) Parking: ......... 1a Improvements may be required. _ — "e. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-inspec. request to Building Inspector (Dgte) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 3. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. Whene� you issue the permit, process as follows: Mail to owner:--^--- M__4i_l tp contractor. Telephone 99r -S'933 and hold for pickup atm_ 2L O office. Deliver w/inspector. Other Appli Copy of plans sent Health Dept., Fire De**pt., Other Date The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: Date --2/ $ tlis�makce;,{Circle new item not checked above). 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—mall—counter by date Plans checked by Date Plans approved by �/ �( Date— Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 7 7 - owner Location. AP# Plan Approved for: Sewage Disposal ✓ Water Supply Hold final for: Final clearance O.K. for: Clearance for L/ . bedroom ipsbdAm home. Other Water Supply Water Supply •fit%. / _ _ Sa Date i:arian 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 m4lerials for construction of the proposed property improvement (yes or no) f 2. I ave have not) �a signed an application for a building permit for proposed work. P P 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 Owner Social Security Numb Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 1983.1 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTi',E`+'T OF PUBLIC WORKS 7 County Center Drive, C-roville, CA 95965 PHONE: 916-538-7541. Rick Payne 582 Rio Lindo Chico, CA 95926 With reference to the above subject: " Attached is: DATE September 11, 1989 RE: Items Needed for Permit Issuance A.P. # 47-32-48 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced 1 / We need the following information: Per application signed and completed where indicated with all copies returned. X Fees of $ 653.95 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: X 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd.-, Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1)LL OTHER_ We also need the certificate showing payment or exemption of Chico School District Fees as well as your driveway permit Should you have any questions concerning the above, please contact this office.: and ask for John Henry, (between the hours of 3:00 and 5:00 pm). JFG/a j Yours very truly, William Che.ff Director of Public Works .F. Glander Chief Building Inspector H Certificate of Compliance: Residential SHEET (Page 1 of 2) CF -1R Projeh LC ProjectAddress dl Bob Metzger - O.D.S. 8659688 or 342-9688 ButddingPennitN Doeumentadoo Author Tetepbooe C3 Point system 11 edced By/ Date Compdanee Method (Package, Pout Sysreut or Campoter) cums Zoae Enforcement Agency Use only GENERAL INFORMATION Total Conditioned Floor Area: fry Building Type: Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or mon stories) Existing -Plats -Addition Front Entry Orientation / South / Nest / All Orientations (circle one or more) Number of Dwelling Units: Floor Constriction Type: Raised Floor (circle one or both) Infiltration Control- fight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage. typical. GLAZING Glazing Orientation Front.... Front.- Left.. .... Left..... Rear..... Rear..... Right.... lY� Right.... ( ) Skylight....-. Skylight....... Area THERMAL MASS Type/Covering (slab/ekvosed„ tile. etc.) Shading Devices Glass Type Interior Exterior (smsle. double) (roller blind. etc.) (shadescre P1 Area Thicimess Overhang Framing Type bath. .X I Certificate of Compliance: Residential HVAC SYSTEMS SHEET Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner. heat pump) (SE. SEER.HSPF) (aeric, etc.) R -Value (Btuh) (Page 2 of 2) CFAR Manufacturer / Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model. # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Bob Metzger O.D.S. 7"It: Drafting Service Owner Address: 717 5th -St -or. 1215 Mangrove Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 Lic. #:_ NIA _ Documentation Author Name: Same as Designer Tide&iirm: Address: Telephone (signantre) (date) t=oms Revised March 1989 Name: TitiNFnm: Address: Telephone: (sigautz e) Enforcement Agency Name Agency: Telephone: (dam) (signature or stamp) (date) Point System Summary: Climate Zone BUILDING DATA 2 Conditioned Floor Area a Number of Stories Slab/Raised Floor_ Check all applicable Unit Type condition(s): [ Single Family Detached (SFD) [ ] Addition Alone Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition SHEET 17D P -2R G}� Area % lass North 6 , S East South West SC Skylight Total a. North SCORE CARD Measures Point Scores 1. Ceiling Insulation :2;1(0 or R -value U -value 2. Wall Insulation or R -value U -value 3. Raised Floor Insulation or R -value U -value 4. SIab Edge Insulation e— or R -value F2 factor S. Infiltration Standard 0. 6. Glass Heat Loss ALt, Type U -value % Taal GGWs Sum 1.6 7. Shading (Shade Open) Glass SC Eff. % Glass a. North x = 2 b. East x = C. South x = d. West x – e. Skylight x 8. Shading (Shade Closed) o Glass SC Eff. % Glass a. North x = Z_ b. East x= c. South x = t— d. West x =_ e. Skylight x 9. Interior Thermal Mass 2../z d 10. Exterior Wall Mass IateriorMass/CFA 11. Heating System Exterior W titans –<, Sum 7-10 Zonal Control? (Y / N) SE or HSPF Duct Efficiency Effective SE or 12. Cooling System , c x �O� _ HSPF —it 5 -1-� Zonal Control? ( Y / N) SEER/ Duct Efficiency Effective SEER 13. Water Heating Z:7 .(A , Type Gediz Point Total Form Revised March 1988 /Avlandatory Measures Checklist: Residential sHEET� MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON (Reference l o c. o n plans o r DESIGNER ENFORCEMENT Building Envelope Measures no t e s o n s h t s. * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill 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). `I Sects. E-12 Sects. §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N/A §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality' standards. Indicate type and form. E-12 §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathersuipped; all joints and penetrations caulked and sealed. E-14 §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. N / A §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, 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. ` HVAC and Plumbing System Measures Info . by.A/C contractor Ppl .r §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. E'-5 E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.. E-11 * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have damper controls. E-4 §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. E-10 §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. E-6&10 §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). E — 9 e §2 312(Exception I): Pipe insulation on steam steam condensate steacondensate return & recirculating piping. E — 9 d §2-5318(d): Swimming Pool Hearing 1. System has: a. On/off switch on heater. b: Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. N/A Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/wau or greater for general lighting in kitchens and bathrooms. E-7 �2-5314(c); Gas Fnd appliances equipped with intcmittent ipidon devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified E-19 by the CEC. Indicate make and model number. Forth Revised Decanter 1987 A Li ) e�, se a,l o cu r o u tA{�- �2 V e/, 4-o be cru v`� G� �c.e s, •-�o ci { -�- c. h � o -e -e or LravJ (5 �;ronti �-v ►tel � �-; a�� S�a�e, �-n �b�-��I �1� d 5 , r� t -e.. � l04-� In.a..�t e. �• d D� � , cv����.bl e� o� � v- -�-� F, P, bon M � h d (.±f:.J • c-�rt�, ,-5e.,�-1-t av�,a \ a�v- e.o. a In g i ►n c,t., ems, ®k�w�(� �o a) oo r CDl Soc1 �r'c..� `� c` boys �c, IBJ 4-z=> �u�n.�-, Iz - 3 i h��U l c�,�-� v,,� 5 •,p �' �-� � .�.r�o,,,� � � v � �ay.� . � pU , �r �-u� ♦ o eon, b p i to 4-- A1f, j VO O -4s G► lam, �, ,�f-,E..e, `igF7YCK�sY�%Y � � . � . h��la`���«,� ►�� � Ile -�-� h �.��-� ��� � .�, o t; t � c.• -v— �-trek-t�,.�w-�- . o� c�. I � 1 tr�,,,�� �, 0..•4 w en. +e e. � w P ' 15, G a u ( be ++ bo 4-4-o a -er Lel �o, �Irv\1 de, i vvsu t aA-<< ba.. ' ��s, c. �v V, oc.I�. ❑ l?► Use e - Le, au4-1,e.� gas(- � . O�� , a(� ► CA I 1. Ceiling Insulation 2. Wall Insulation Number of stories Single - R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value - 8 6 0.50 -176 -84 -54 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 2. Wall Insulation U -value 0.60 . Single-- Single - -120 0.40 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 Number of Stories 37 R -value 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 i 0.00 24 18 12 3. Raised Floor Insulation 13 26 Insulation in Floor -15 -8 -1 Number of stories 14 R -value One Two Three R-0. -17 - -8 -5 R-11 - -3 -2 -1 R-19 0 - 0.1 0 = R-30 3 - 1 1 U -value 0.60 . -144 - 0.50 -120 0.40 -95 0.30 -69 - 0.20 -43 0.10 -17 0.08 -11 0.06 -6 0.04. -1 0.02 4 0.00 10 -70 -58 -46 -34 -21 -8 3 -3 0 2 5 -46 -38 30 -22 -14 -5 -2 0 1 3 Controlled Ventilation Crawlspace -4 3 -1 Number of stories -1 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 4. Slab Edge Insulation -10 4 40 Number of Stories 37 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. Infiltration (Air Leakage) Specificelion Points . . Stm,dard 0 6. Glass Heat Loss Total -69 -64 na -42 U -value %Glass Percent East South .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 5 -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 " 1 11 -6 7 10 13 16 19 1 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 Percent Glass - (percent Stan x SC) Effective -69 -64 na -42 -59 %Glass North East South West Skylight 18- 5 1 - 4 - 1 na_ 16 - 4 2 5 1 na 14 4 2 5 1 nor 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 3-, 1 3 4 2 2 .7 6 1 3 4 2 3 4 1 2 41 2 3 4 0 2 2.0 1 3 3 0 1 2 1 3 2 1 0 -1 0 -1 1 -1L 0 5/ 3 2 0 -1 -2 -4 _-2. 0 nor = not allowed 2 5 7 9 IB. Shading (Shade Closed) Effmtive Peseatt Glass (percent Slaw x SCS Effective %Gress Nor11 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 4 1� 3 0 2 1 i`. _ 1. 0; 2 ria - not allowed East South W961 Sky*t -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na -23 -31 -29 -74 -20 -27 -25 -65 -17 -23 -21•. -56 -14 -19 -18 -47 -11 -15 -14 -38 -9 -11� -10 -30 -6 C-8 -7 -23 -4 -5" -4 -16 1 -21 -5 9 0 1. Cry -4, 3-, 4 3. 0 9. Interior Thermal Mass Interior Single- Stab Floor Raised Floor Wall Mass Family Stories Mass - Detached Stories . Famly . /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 ' -2 -1 1 2 2 0.9 -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 2.0 -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 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 . 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Point Scores Wall Family Family Multi Mass - Detached Attached _ . Famly . 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 2.00 10 11 13- 11. Heating System - -� 3 SE or ITSPF - - -1 (assumes duets In attic) - 0 Sum of 1-67 - - - 0 _ -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 8.5 17 15 13 11 9 '-7 ,..0.95 8.71 20 18 15 13 11 8 20 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 b :4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0411 0 0 0.60 5.50 5, 5 4 3 2 0.70 6.42 17 15 13 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System TYPE 1 MASS AREA __ g Point Scores COND. FLOOR 30 or SEER • . (assumes ducts In attic) R -value [38] U -value [0.030] Sum of 7-10 0.72.. x or = o• -25 or -24 to -14 to -4 b +6 to 16 or SEER less -15 •6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5. .4 -3 . Type double U -value [0.65] %Total Glass [16] §Um I Glass 9.0 al 3 3 2 -2 -1 9.5 0 0 0 0 0 0 110.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10. 9 7 6 4 3 `-12.0 15 13 11 9 7 5 ._ 13.0 20 17 14 12 9 6 35% 40% 45% Effective SEER 55% 60% 654. (SEER xduct efticlency) 80% 85% 90% Sum of 7-10 - 100% 105% 110% 115% 120% 125•. O% Effec6ve-25 or -24 to -1410 -41* +610 16 or SEER less -15 •5 � +5 +15 more 5.0 -30 -25 -21, -17 -13 -9 6.0 -12 -11• -9 -7 3 -4 i 6.6 -5 -4 4. 3 -2 -2 7.0 0 0 l0, 0 0 0 i 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 1.4 1.6 -�- 10 8 7 6 4 3 3.2 No Cooling System Installed 3.9 4.1 - Stories---. 4.5 4.7 4.9 5.1 5.3 5.6 - ° One `- -5 -'-4' -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached 3.6 3.8 4 Unit Size (sQ 4.5 Water 4.9 1199 12M 1700 2200 2700 Heater Credit or t. to to to or Type Type less 1699 2199 2699 more SG None 0 0 0.. 0 0 or Solar 12 8 6 5 4 ! 1111 HP HWR 8 5 4 3 3 24 WSB 5 3 3 2 2 3.9 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 1.2 Solar -1 -1 -1 0 0 2.7 HWR -18 -12 -9 -7 -6 4.2 WSB.. -25 -16 -12 -10 -8 5.6 POU ._ 1_8 -12 -9 _7 -6 IG None '-5 -3 -2 -2 -2 1 Solar 7 5 4 3 2 i POU 3_ 2 1 1 1 { IE None -28 -19 .14 -11 -9 1.8 Solar 8 5 4 3 3 3.3 POU -10 -6 -5 -4 -3 4.8 Multi -Family (individual 5.2 units) 5.6 58 6 6.2 Unit Size (s 75% Water 1.5 :899 700 1200 9700 2200 Heater Oredit - or b to b or Type TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP 3.3 3.S 3.7 3.9 4.1 4.3 4.5 WSB 9 4 3 2 2 6 POU 9 5 3 2 2 SE None •45 -23 -15 -11 -9 3.3 Solar 2 1 1 0 0 4.8 5 5.2 54 5.6 5.9 6.1 63 WSB 5 -13 -8 -6 -5 -P-QU. 2.4 _23 _z12 3 -5 IG None '8 -4 -3 -2 1 -2 4.9 Solar 6 3 2 1 1 6.4 POU 1' 0 - 0 0 0 IE None -30 _ 15 -10 -8 -6 3.7 Solar 18 9 6 4 4 5.2 POU .8 -4 -3 .2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4.. -Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss . 7. Shading (Shade Open) Measures . TYPE 1 MASS AREA __ g Point Scores COND. FLOOR 30 or InteriorNnss/CFA • . TYPE 2 MASS Interior Mass/CFA R -value [38] U -value [0.030] AREA 0.72.. x or = o• TPC 1 "SS, 1 ":1.111 Duct Efficiency [0.78] Effective SE or R -value [11] Or U -value [0.098] -- HSPF [0.5645.15] II x 0 1W R -value [ 1) or U -value [0.037] Duct Efficiency [0.74] _ 54Gar R -v a [0] - F2 factor [0.77] _:-- Type [SG] Credit [" none] Staandard - 0 Type double U -value [0.65] %Total Glass [16] §Um I Glass SC Eff. % Glass I TYPE 1 MASS (UINC a 4.2. te: exposed slab) ' le�eted .l.b) .--P-- _- 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 654. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125•. O% 0 0.2 04 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 110% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 25 2.7 2.9 3.1 3.3 3.5 3.1 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 .4.7 4.9 5.1 5.3 5.5 S.7 5.9 50% 0.9 1.1 1.3 1S 1.7 1.9 21 23 2.5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 S.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2A 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 809. - 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 65 67 W%" 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 66 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 1009. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 1 110Y. 1.9 2.1 2.3 2.5 2.7 29 S.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 16.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.S 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4.. -Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss . 7. Shading (Shade Open) Measures . TYPE 1 MASS AREA __ g Point Scores COND. FLOOR 30 or InteriorNnss/CFA • . TYPE 2 MASS AREA $ R -value [38] U -value [0.030] AREA 0.72.. x or = o• SE or HSPF Duct Efficiency [0.78] Effective SE or R -value [11] Or U -value [0.098] -- HSPF [0.5645.15] II x 0 1W R -value [ 1) or U -value [0.037] Duct Efficiency [0.74] _ 54Gar R -v a [0] - F2 factor [0.77] _:-- Type [SG] Credit [" none] Staandard - 0 Type double U -value [0.65] %Total Glass [16] §Um I Glass SC Eff. % Glass a. North x 3.77 b. East a x c. South x d. West x e. Skylight ®• x 8. Shading (Shade Closed) Glass SC Eff. % Glass a. North x O, VW = 3.23 b. East I x 0.4060 c. Southx t ip = 3.! d. West .•� x O� = O: e. Skylight Or x 04 = d: 9. Interior Thermal Mass 10. Exterior Wall. Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Total: Sum 7-10 TYPE 1 MASS AREA __ g COND. FLOOR AREA InteriorNnss/CFA • . TYPE 2 MASS AREA $ Exterior Wall Mass ND . L OR AREA 0.72.. x = o• SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5645.15] II x 0 1W = 1615 SEER 19.5] Duct Efficiency [0.74] Effective SEER [7.03] 54Gar Type [SG] Credit [" none] Point Total: Sum 7-10 Certificate of Compliance: Residential Climate Zone 11 I Mandatory Measures Checklist: Residential MF -1R RIC Project Title t "o ` /J1 /1� NOTE: Lowrise residential buildings subject to the Standards must contain these mcasrues regardless of the compliance approach used. Items marked with an utcnsk (1) may be superseded by more stringent compliance requirementslisted G e Build' P t N on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall Project Address � _A" be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. C recited By / Date Documentation Author Telephone Enforcement Agency Use Only DESCRJMON DESIGNER ENFORCEMENT Building Envelope Measures BUILDING DATA Glass Area $ ' §2-5352(a): Minimum ceiling insulation R-19 weighted average. North 1240.0 � §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. C ditioned Floor Area CQ/ Number of Stories East r a ' §2.5352(c): Minimum wall insulation in framed watts R. 11 weighted average (does not apply to exterior mass walls). 18 ised Floor Number of Units South i [ ] Single Family Detached (SFD) [ ] Addition Alone West .' . §2-5352(k): Slab edge insulation - easter absorption rate no greater than 0.3'b, water vapor 2 transmission rate no greater than 2.0 permlurcA. Single Family Attached (SFA) [ ]'Existing Building Skylight §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total a-5352(standaras. aper b type and roan. §2.5352((): Vapor barriers mandatory in Climate Ines 14 and 16 only. §2.5317: InfiltrationlExfiltration Controls a. Do BUILDING SHELL INSULATION ors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. Component Insulation Loeatilon/Comme:xts c. Doors and windows weatherstripped. all joints and penetrations caulked and seakd. TXR2 R -Value (attic, td garage, etc.) 62.5352(e): Special infiltration barrier installed to comply with §2.5351 mecuCEC quality standards. Wall .............. I'?S §2-5352(d): 2(d): Inst llatifacton of Fireplaces refireplaces have W�"•"'•"""' a Tight fitting, closeable metal or glass door Roof ............ — ® b. Outside air intake with damper and control c. Flue damper and control Roof ............. -' , 2. No continuous burning gas pilots allowed. Floor ............. _ (�% HVAC and Plumbing System Measures Floor .............-- 12-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. Slab Edge. - §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. G LA Z ING • §2-5316(a): Ducts eoratructed, installed and insulated per chapter 10.1976 UMC. Shading Devices r §2-5316(b): Exhaust systems have damper controls. Glazing Area Glass Type Interior Exterior Overhang Framing Type §2.5314eU n spaheating equipment has intermittent ignition devices. §2-5314;: HVAC AC equipment. water heaters, showerAcads and faucets certified by the CEC. Orientation (sf) (single, double) (roller blind, etc) (Shadescreen, etc) (yesino ) (metA>(WOOd) 42.5352(1): Water heater insulation blanker (R-12 or greater) or combined interior/exterior North( ) t y © r l insulation (R-16 or greater). fust 5 feu of pipes closest to tank insulated (R-3 or greater). North ( ) f/ • §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating -./r-'��- piping. East /( ) _ § . System 5. Swimming Pool Heating I East \ ) a On/orf switch on heater. South ( ) b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. South ( ) 2. 75 percent thermal efficiency. West 3. Pool cluck. ( ) 4. Time clock. West ( ) � 5. Directional water inlet. Skylight....... Lighting and Appliance Measures THERMAL MASS §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. Type/Covering §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. Area Thickness 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc) by the CEC. Indicate make and model number. - HVAC SYSTEMS Minimum Type (furnace, air Efficiency conditioner, heat Dumb) (SE. SEER.HS tv Duct Duct Output R -Value (Btuh) 317 X331( Manufacturer / Model # (or anoroved eaual) C-0ou Nib ---- S10 0 � Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # _System Type -(storage gas, etc.) Capacity (or approved equal) Special Feature(s) J Berl S 5o s. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of Compliance lists the Wilding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article l of the Califon -da 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 subsequem purchaser of the building. Designer Name: I TWOFum: Address: Telephone: t.ic. N: (signature) Documentation Author Name: Trtk/Fum: Address: Building Owner Name: T ak/F m: Address: Telephone (date) (signature) Enforcement y Name: Agency: Tekphonc (date) RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) p Permit #��b~�� # 4/7--37- A 7/85 OWNER p/c/C.- /91W/(/e7 Bldg. A. P. GENERAL s.�l 1. Zoning requirements: (sideyards and number of permitted living units). �2 Valuation. .F' Plans signed by designer. 4. Energy Design and Compliance. Existing violations on property. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. AT015-Y Flood hazard. �! Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). �✓ Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes,.ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door.size, and closer (Sec. 503(d)(3)). 1 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. Smoke detectors (Sec. 1210).. STRUCTURAL DETAILS Foundation plan complete enough:to construct building. ,x Floor construction details complete enough -.to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. PES �- Fireplace construction details and calcs if necessary. / Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. ,,Oo2° Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). ' Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (S c. 4706 h Proper roof pitch for roof covering -pt -err 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). >0457 Wood stoves, c'l'earances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design.'P05s106K--V Retaining.walls requiring design. Unusual shape, size or split level house requiring lateral design. �r/,4-rtvn/ Sh30 `�3 112,5 qG . SO o- 2,a �� Gad- / Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8 9 2 9 5 5.-6 FOR .RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent , to land or included within an area zoned 89-029556 Rec Fee 5.00 for agricultural purposes, and residents Total '�•5. 00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records , use of agricultural chemicals, including, County � QMMQNVIIEALTH TITLE CO. but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit . Candace J. Grubbs j of agricultural operations including, Recorder but not limited to cultivation, plowing, 8:OOam 8 -Aug -89 �� 1 J spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, 'described as follows: Lot 20, as shown on that certain map entitled, "WATSON SUBDIVISION UNIT N0. 2", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on July 27, 1981, in Book 80 of Maps, at pages(s) 92 and 93. Subject to Covenants, Conditions and Restrictions, recorded August 17, 1981, in Book 2649, Page 509, Official Records. Date: August 7, 1989 State of California SS County of Butte ) PROPE OWNERS: --- On this the 7th day of August 1 19_q_, before me, the undersigned Notary Public, personally appeared Richard J. Payne Personally known to me. F] Proved to me on the basis :luunululunulunuuuuuunnuuuuuu111111111'_ of satisfactory evidence. OFF I C I A L S E A Lto be the person(s) whose names) is KATHY BUTLER :subscribed to the within instrument and acknowledged that he NOTARYPUBLIC- CALIFORNIA :"� n° :executed the same for the purposes therein contained. IN WITNESS COUNTY OF BUTTE g4HEREOF, I hereunto set my hand and official seal. Comm. Exp. Feb. 1, 1992 = IIIIIIIIIIIItlllll IIIIIIIIII11111111111IIItllltllllltlllllll111111111110 Present A.P. No. 047-32-0-048 tary Public D OF DOCUMENT s�,.�, ✓1 ` a 0 Wam+, oQQ ?Q CJ14F BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form per Building) A.P. Number Building Department No. School District"' city Q county ED Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of representing'— square feet. School District Representative Date PAID BY CHECK NO. BANK NO z� PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) CP O� C1 �ho ENCROACHMENT PERMIT COUNTY OF BUTTE n DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 :-j �,� JT;F y y Phone: (916) 538-7681 �t APPLICATION 171-15' y/ c Permit No. ............................ _ I, WE, the undersigned, -hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with county ordinances and general la NAME .... ._......._SIGNATURE '�... ......... ... MAILING ADDRESS '����0 S� /-3 Cy oo ........_®...................................................•--......_...---._.......---._._._......._.......... r__.._.......:__._._._....... ................... _...... Phone %.�.. . Date .......... .. ............ _....... Location of work to be done e�/��� .Y1 s'..r ..---............................/.1.�..........._......... -_._..-�'�.. 3 ............................ TYPE OF WORK TO BE DONE 1. Curb ............... _.................. ..... Gutter .................................... Sidewalk ............................... _..... "Please check„ 2. Driveway List type) .......y• ...........r0,0 ....%� ........................................ ......_. ..... -..1..................................................................... 3. Underground Conduit �.... ......__.................................................................................................................................................... 4. Other ........................_................................................_....---•-----•---------....-•----.............._.............._._..............-•---....__.......---........---._....--- ..•_ PERMIT GRANTED In compliance with your above request, and subject to all terms, conditions, or special conditions written below or printed on the back of this form, permission is hereby granted. SPECIAL CONDITIONS.................................................................... - -„,, SIAL a �( r; OB ---Ally f=ii:'"ti f: t77 r;C^,j ............................................... .........................•-•--..........................--•--•--• SPL _"'� _� -.... .... This permit is null and void after ....... Date Issued ...L.l .../ �/. .v.../ ..................._. Surety .............. DIRI:CT011 OF PUBLIC WORKS / BY-... .............. ........ J ................................................... BUTTE COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH 196 MEMORIAL WAY SEWAGE DISPOSAL PERMIT 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95926 747 ELLIOTT ROAD OROVILLE, CALIFORNIA 95965 PARADISE, CALIFORNIA 95969 Phone: 538-7281 Phone: 891-2727 Phone: 872-6308 Date Issued / 1, 6.f5 EXPIRES ONE YEAR FROM DATE OF ISSUANCE Permit Issued to - '�,,,JL ILI/1-2.• Shy z i1' L, 'fo construct•a sewage disposal system for: Located at: ��L--,i /Lez 4,1 y 7 —1 SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Length: . . . . . . ft. Width: ft. Liquid depth: ft. Liquid capacity: ��w. . gals Leaching Field Total Length:t. Trench width:. . .) . inches 1'linimum No. of lines Rock under tile . . (z . . inches SI)ccial.conditions:—. jl—;&elll '441.1 1 )�L_ 14' 1/11 .-Additional leaching field will be required if experience shows it to be necessary. No part of the sl -stem max be located within 50 feet of the center line of any County Road. \OTF.: Satisfactory inspection by the Ilealth ,Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the - system is approved. �y Permit Fee S f enalty Fee 9 Tot I Fee f Building Sewer Fee S Issued By: Sanitarian Receipt No.. S li0 Z S31 -278R Ii COUNTY OF BUTTE - DEPARTi�ENT OF PUBLIC WORKS 7 County Center Drive, L,roville, CA 95965 -Rick Payne 582 Rio Lindo Chico, CA 95926 With reference to the above subject: 11 Attached is: PHONE: 916-538-7541. DATE_ September 11, 1989 RE: Items Needed for Permit Issuance A.P. # 47-32-48 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER � x/ We need the following information: ' / Permit application signed and completed where indicated with all copies returned. v X Fees of $ 653.95 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans.. Plot plans in Structural details in Complete plans and calcs in by.registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: X 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded -,copy of agricultural acknowledgement statement. �1 OTHER � �eedthe certificate showing payment or exemption of Chico School ^irl-r;rr Fc as well as your driveway permit Should you have any questions concerning the above, please contact this office.. and ask for John Henry, (between the hours of 3:00 and 5:00 pm). _ JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector 4 -Ealle couni L•AN0 OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: RONALD 0. McELROY October 31, 1990 Deputy Director Rick'Payne RE: Building Permit No. 2187 -RA , 582 Rio Lindo } Expiration Date '1 9/111 /on Chico, CA 95926 l (A.P. No. 47-32-48 ) Dear Mr. Payne: With reference to,the above subject, our records indicate that your Building Permit expires on the above date. .Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit,' the permit shall be.renewed for I/2 the original Building Permit'.Fee (plus a $10.00 "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 in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should.you have any questions concerning this matter, please contact the Chlro office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be ctmpleted and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application _ form. Thank you for your prompt attention. concerning this matter. Yours very truly, William Cheff Director of Public Works /J 'F.' Glander JFG:aj 46hief Building Inspector Attachments: Permit Application Owner -Builder Information _ Owner -Builder Verification cc: Building Inspector - Chico - 196 :memorial Way/891-2751 Paradise - 747 Elliott Rd./872-11307 K a e —'I.I _ BARRIERS FOR SWLMIING POOLS, SPAS, AND HOT TUBS Effective Date: 1 Feb. 1994 FENERAL These provisions apply to th'e design and construction of barriers for swimming pools located on the premises of single and two family dwellings. DEFIMTIONS , Aboveground/on-ground pool. See definition for swimming pool. Barrier is a fence, wall, building wall or combination thereof, which completely surrounds the swimming pool and obstructs access to the swimming pool. Grade is the underlying surface such as earth or a walking surface. Plot tub. See definition for swimming pool. In -ground pool. See definition for swimming pool. Spa, non portable. See definition for swimming pool. Spa, portable, is a nonpermanent structure intended for recreadonal bathing, in which all the controls, water -heating and water -circulating equipment arean integral part of the product and which is cord connected (not permanently electrically wired). Swimming pool is any structure intended for swimming or recreational bathing that contains water over 24 inches deep. This includes in -ground, aboveground and on -ground swimming pools, hot tubs and spas. Swimming pool, indoor, is a swimming pool which is totally contained within a residential structure and surrounded on all four sides by walls of said stnufure. Swimming pool, outdoor, is any swimming pool which is not an indoor pool. REQUIREMENTS Outdoor Swimming pool: An outdoor swimming pool, including an in -ground, aboveground or on -ground pool, hot tub or spa shall be provided with a barrier which shall comply with the following: 1. The top of the barrier shall be at least 48 inches above grade measured on the side of the barrier which faces away from the swimming pool. The maximum vertical clearance between grade and the bottom of the barrier shall be 2 inches measured on the side of the barrier which faces away from the swimming pool. (See figure "A") Where the top of the pool structure is above grade, such as in an aboveground pool, the barrier may be at ground level, such as the pool structure, or mounted on top of the pool structure. (See figure 'B'7 Where the barrier is mounted on top of the pool 1 structure, the maximum vertical clearance between the top of the pool structure and the bottom of the barrier shall be 4 inches. (See figure "C"). 2. Openings in the barrier shall not allow passage of a 44rich-diameter sphere. 3. Solid barriers which do not have openings, such as masonry or stone walls, shall not contain indentations or protrusions except for tooled masonry joints. 4. Where the barrier is composed of horizontal and vertical members and the distance between tops of the horizontal members is less than 45 inches, the horizontal members shall be located on the swimming pool side of the fence. Spacing between vertical members shall not exceed 1-3/4 inches in width. Where there are decorative cutouts within vertical members, spacing within the cutouts shall not exceed 1-3/4 inches in width. (See fig. "D'7. 5. Where the barrier is composed of horizontal and vertical members and the distance between the tops of horizontal members is 45 inches or more, spacing between vertical members shall not exceed 4 inches. Where there are decorative cutouts within vertical members, spacing within the cutouts shall not exceed 3/4 inches in width. (See figure '%") 6. Maximum mesh size for chain link fences shall be 1-1/4 inch square unless the fence is provided with slats fastened at the top or the bottom which reduce the opening to no more than 1-3/4 inches. The wire shall be not less than 9 gauge. 7. Where the barrier is composed of diagonal members, such as lattice fence, the maximum opening formed by the diagonal members shall be no more than 1-3/4 inches. S. Access gates shall comply with the requirements of Items 1 through 7 and shall be equipped to accommodate a locking device. Pedestrian -access gates shall open outward away from the pool and shall be self-closing and have a self -latching device. Gates other than pedestrian gates shall have a self -latching device. Where the release mechanism of the self -latching device is located less than 54 inches from the bottom of the gate, (1) the release mechanism shall be located on the pool side at least 3 inches below the top of the gate and (2) the gate and barrier shall have no opening greater than 1/2 inch within IS inches of the release mechanism. (See figure "F") 9. Where a wall of a dwelling serves as part of the barrier, doors with direct access to the pool through that wall shall be equipped with an alarm which produces an audible warning when the door and its screen, if present, are opened. The alarm shall sound continuously for a minimum of 30 seconds immediately atter the door is opened, and be capable of being heard throughout the house during normal household activities. The alarm shall automatically reset under all conditions. The alarm system shall be equipped with a manual means, such as a touchpad or switch, to temporarily deactivate the alarm for a single opening. Such deactivation shall last for no more than 15 seconds. The deactivating switch shall be located at least 54 inches above the threshold of the door. Other means of protection, such as self-closing doors with seif-latching devices approved by the building official, shall be acceptable so long as the degree of protection afforded is not less than the protection afforded by the alarm system described above. 10. Where an aboveground pool structure is used as a barrier or where the barrier is mounted on the top of the pool structure, and the means of access is a ladder or steps, then (1) the ladder or steps shall be capable of being secured, locked or removed to prevent access or (2) the ladder or steps shall be surrounded by a barrier which meets the requirements of 1 through 9. When the ladder or steps are secured, locked, or removed, any opening created shall not allow the passage of a 4 inch diameter sphere. Indoor Swimming pool. Doors with direct access to an indoor swimming pool shall comply with number 9 above. \poalfa &ftn For gates other than pedestrian access gates, where latch is less than Sr from bottom of gate. Install latch on pool side. 3" Min. f- o Figure IIF" No opening greater than 12 inch within 18 inches of release mechanism. 48" Min. Barrier ---» This side. 2" Max. "r Grade level t ?}'Vf;{ry{{;''•y'•••-i •`.yf.M'l{ 'r�• IN GROUND POOL: Figure A Barrier ir 4" Max. opening48" Min. 48" Min. 4i{{:;:•:V:?:.{i{:K:'.•:M'{}:ii{.y �:'}JQ}yy::iS;T'•.•�.•:v:,.;�"`;.;{:;'.'}.{}'•'.}.•;:�?}:�.;?:;::?}�:: {t,.r:.�• f. z ..•.; ::�i,.r�+.?{{i?i::i�yi:�i::� viii}:......::....:.{... ...2„{? ::{:Tm+F•:{yt�yyism:':v}v.:::...:..:.::::.::.::::::. Lj Grade level Grade level Figure "C” Figure "B" ABOVE GROUND POOL Horizontal Members Vertical Members If less than 45" between members, Maximum spacing= 13/4 install members on pool side. LCU 0.;.C,•':N{;:::W.,•: r',.C'?�^CSt}rf.•?CI::Q" i. :•:. ;j: ^:•:+..;:in,. is ;nhc :� >r..;.. 2%� ., •::f ?:: .:?•`. :r}i:• {±yti2 Figure "D" Horizontal Members Vertical Members If more than 45" between members, Maximum spacing = 4" members may be installed either side. Mote than 4" S .. rx..... .vv.. x Figure "E" For gates other than pedestrian access gates, where latch is less than Sr from bottom of gate. Install latch on pool side. 3" Min. f- o Figure IIF" No opening greater than 12 inch within 18 inches of release mechanism. a � # P1fdtlS, 1 This set of }glans and specifications MUST kept 00 th'e job at all times and it is unlawful to r-flake'ny changes or alterations on same with,. out written permission from the Department of Public WorksCounty of Butte. ALL AND EQUIPMEtV INOLUDIM OVERHANGS SHALLrt CLEAR OF ALL EASEMENMI A SET 0ACR OF rA Fr. FROM `SAE' SIDE AND r' lam ~ '#! i x7 7' �_. .rhe ~$ 'PROP` '3 L NF -8 M40FOR AP FT. EAVE OW-MHANG. C-n—All��f4���'�tf1sh�a ���f�f�r:�; wlfra �Ualify prt�scri ocl fPh + r f l a a l l it, t 1Jrti ;� ,� tfii list 3,r 1ta ra ,if1 lir s l o t jAivb 0 AK`1U � I rCOUftfy Fm 1. EXCAVATION AND RELATED SPECIFICATIQNSNK LlGASH JW Pool Size i3 x Equipment slab ___,- x Dirt will be brought to site at $-per t/I Depth to 7-4n' Elevation Rock will be brought to site at $_per t/I Perimeter Ft.�✓' %' _ Access width Remove from site, day of excavation only: Square Ft ____t',`` __ Excavation (Type) __ _ ❑ Concrete ❑ Asphalt ❑ Stumps Template No. Dirt on Job Site W Left ❑ Removed ❑ Shrubs ❑ Trees Therapy Spa size _ - Shallow end ramp ❑ Deep end ramp ❑ Retaining walls (type) Spa Depth - _ - _ __ Site access ❑ Wall ❑ Fence .ti -be: Footings I. a ��,. per Ft. Spa Perimeter __-____ ____ Removed by: Buyer ontractor ❑ Pool Capacity, Gals. Spa square Ft. __ - ____ Replaced by: B r" Contractor [I Filter rate _-q>` G.P.M. Spa shape -_ Grading beyo of and/or Spa site: Turn over HHirss Spa (Ty _Concrete -__Fiberglass -hrs ' Extra hrs at $ per hr. Raised bond beam ( ") �Ft. -_-Acrylic __Other Wafkeut_Ft. incl. $ p/hr additional Raised bond beam Ft. Miscellaneous.- __ __ -__ __ -- Raised bones Jae ( ") Ft. ---- - - _-- ---_ -- Risgfs,,- Ft at $ per Ft. Risers ❑ Flat ❑ Cant. ❑ Cant./Tile 2. EQUIPMENT Filter _57y_5 Sq Ft. W Maintenance kit (To incl. the following) a Light(s) #with Ft. cord 9 Backwash valve- ' 0 Brush lR Leaf skimmer P Test Kit ® 30OW ❑ Trans. ❑ 40OW ❑ 50OW 11 Pump horse power 42 -_ _ -® 16 Ft. pole ® Thermometer® Light niche(s) # ' w/ Ft. cord IN Separation tank-__ ❑ Chlorinator ___-- ❑ Color pak Heater _ _ BTU ❑ Diving/Jump Board Ft. ❑ Time Clock(s) Model # 2..;e Nat ❑ LPG ❑ Elec. ❑ Oil ❑ Solar ❑ Diving board panels ❑ G. F. L Indoor ❑ Outdoor ❑ Slide (type) _Color ❑ Booster pump # —H. P. ❑ Poo! cover --- ❑ Str. ❑ Cur. ❑ Left ❑ Right ❑ Prevent -a -Freeze ❑ stomatic pool cleaner.. ..... W Rope Anchors # ❑ Aim flow(s) # ❑ Vacuum ❑ - -_-_Ft. hose -Ft. of rope w/ floats ❑ Skimmer(s) # g Grab rails __ ❑ Main drain(s) #_ Grab rail panels - ❑ Spa Jets # ❑ Miscellaneous_ _ -_-_ Spa air ring ❑ Spa air blower & motor Model # ❑ 3. PLUMBING PVC COPPER [IFill line ____ -_Ft. of _ Drain heads at $_ ea. Spas: (Refer to No. 1) ...............,-j,. Slide ____ __.__-_--_Ft. of ___- Pool cleaner Ft. of--_ Return -----Ft. of -- .-of f_ ' Return _ --__-Ft. of -_; Solar Ft: of-- Suction _ Ft. of Suction __ _ _ __Ft. of__ Overflow Ft. of _- - Jet(s) #_ El Backwash _ _Ft. of------ Spa air Ting' Ft. of - Anti -Syphon valve______E1 Drain line _____-_Ft. of____.__--_ Fq-untaln ____.__.__.. __Ft. of___- ___.__ Valves # -❑ NOTE: Plan for proper placement of aim -flows and valves. Valves #__ __ .-____-__❑ Miscellaneous 4. STRUCTUR Steel Schedule`' _ Swimout_ "Length inside I@ Outside ❑ Fiberglass --_ ❑ Deep end ramp ❑ Shallow end ramp ❑ Recessed steps ❑ Special Eng. _❑ Miscellaneous_ ___ _____ _ _ _ _ ___ _ - ____.____-- Spas: (Refer to excavation) No. 1 ❑ - - -- --- - ------ --- - -- ---------- Raised bond beam -----Ft. ❑ Bonding - -- - --- - ----- - -- Soil Condition - - -❑ S. CONCRETE Equipment slab ---a- __ x _ -__- ❑ Swimout Ft. Inside ❑ Outside ❑ Rope anchors #__ __-_ _❑ Custom steps __.___-_-__._._____-❑ Recessed Steps - --_-❑ Spa (Refer to excavation #1) ❑ Miscellaneous ---- -_- -- --- -- 6. TILE AND/OR COPING/CANTILEVER Tile #. -✓^ or -- - . Coping # -- _ --Color -__ __-- Brick E]Type----Ft.-------_ _--. Size -.. i f'. Rock ❑ Type __-_ Ft__ __.-_ Spa (Refer to excavation No. 1) r ❑ Miscellaneous - r . _ 7. GAS LINE _ --- Builder ❑ Utility ❑ Owner ❑ Line (meter to heater)-_ -_-_ ft.-" re prL_--Ft. incl. add. at $--per ft. Line Size_-__ �Et.-•ir+er-adiYfdral of $ _per Ft. Deck flange ❑ Volcanic stone ❑ Miscellaneous 8. ELECTRICAL Builder ® Utility ❑ Owner ❑ Elec. run (Panel to equip.) Ft. G. F. L Time Clocks) ❑ Miscellaneous_-_____.___..__ __--.- _ ___ ____.._ Ft. incl. additional at $_ ____per Ft. Light switch loc.---- Spa Blower switch loc.------- 9. oc.- -___9. DECKING Builder ❑ Other ❑ Owner ❑ Cantilever Exp. joints: Felt ❑ Brick ❑ 1 d 1c _-Sq. J. Color___ _ _- Deck Dram(s) Ft. W/Cap laterals 11.114C Type /< 4- >�--- Extra at $ . _ __ ______Ft. Mastic Footings ___ Ft. at $--.----per Ft. Dividers Miscellaneous _____.._._ _-_ _-_---__. _- - Raised Bond Beams -❑ Risers __.-❑ 10. INTERIOR FINISH Std. d Color Gel CoaL_—____-_ Color _ Rope anchors # Main drain vortex ❑ Anti vortex ❑ 11. START UP Service`__-_ _ -__❑ Initial treatment only _ Install accessories ❑ Miscellaneous - __ -- __---- _ _ (For equipment refer to No. 2) Namo__ Address_ -- City. t_.� mow.- _-_. Home phoney Bus. phone ----------- Thomas Map Book Page _. Lot. No. _Tract # ___ Bok No._ --.-.Page-. Office- -- -- -- -__- - Salesman - -- -. _�fulanager --_-- ) may_✓_ /,✓ a Drawn b j Checked b -___-_- - 20-7-4-,)A Phone- f <L- -- Y ,.�C.' '° �✓' .� c� �. -@13UTTE COUNTY ' Office use only- - - - - -- -CheckeLOId-- -- --- _.__�---NG DEPARTMENT r PLAN APPROVAL .brri nr .G eS. Ei Signature ind s approv of o or spa a 2,S t locations plus all acce es lis ei OWNE _ N: OWNER: - --- - -- - -- - -- - DATE: --- --- --------- ---- -- - -AWARD WINNING POOLS" �donic� � Contractor s License No 266839 053 LEGEND NOTE Scale %s =1' NOTE: DIVING BOARD JIG TO BE INSTALLED ACCORDING TO MANUFACTT WNER ELECTRICAL LIGHT INSPILICTIONS AND BONDED TO POOL. FENCE POOL AREA AND INSTALL SELF CLOSING AND SELF METER NOTE: OWNIYR REQUIRED TO WATER DOWN POOL SITE AREA o.2- DAYS TCHING GATES PER COUNTY OR CITY ORDINANCE. GAS TO Er(„ AVATION. DO NOT WATER ACCESS. OWNETO R ®POITo ELEV.© NOTE: AN ELECTRICAL BONDING INSPECTION MUST BE APPROVED PRIO IVATION. METER NT POURING DECKS. HAVE RELOCATED ANY OVERHEAD ELECTRICAL ®SKIMMER FILTER NOTE' NO NRTENo tXCAAN BE REMOVED, RETURNED OR GRADED AFTER DARES PER COUNTY OR CITY ORDINANCE, LADDER PAD AFPROVED FOR SOWNERTION ONLY-RELOCW/�� NOTE. PUMP WIIULL RESULT N ADDITIONAL OST TOPMENT WN CONCRETE SHELL AT LEAST _-_,'S� TIMES DAILY NEAREST XTRA CONDUITTAATION IS TIME OFOINSTALLATION. TO PAY ELECTRICIAN (E DAYS NOTE: HOSE BIB NO URN ON POOL LIGHT WHEN POOL IS EMPTY. ❑j "J" BOX _ __ _ NO'� E� CONCRETE DECK MUST BE SEPARATED FROM POOL STRUCTURE I NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL HEATER CORDANCE WITH CONTRACTORS SPECIFICATIONS. RK INTERIOR FINISH. R Retained At ea , e s -AWARD WINNING POOLS" �donic� � Contractor s License No 266839 053 ',,� i __ ___ __ � __ __ __._ .� ��""" a ,`�,. _ `°b... £ �.� �. �,'.: H. �:,:i ,� � en�� � ,..: [. S .' t` a ,`�,. _ `°b... £ �.� �. �,'.: H. �:,:i ,� � en�� � WARNING Each of the following conditions, if applicable to your job site, t.,ill require special setbacks and/or design requirements. 1. Excavation and Fills: (1985 UBC, Section 2903(a)) Slopes for fills shall be not steeper than 2 horizontal to 1 vertical. Cut slopes shall be not steeper than 2 horizontal to 1 vertical unless soils investigation report by registered engineer justifies steeper cut slope, Fills '^ .support the foundations of any building or structure shall be in accordance with, accepted engineering practice. A report of satigfactory placement of fill., (compaction report) , will be required to be submitted to the building official prior to construction,. 2 Fotstings on .or Adjacent to 'Natural. or Manmade Slopes: (1985 UBC, Selction 2907(d)) The placement of buildings and structures on or adjacent -to slopes steeper than 3:1 shall be setback according to the. sketch below, unless an investigation report from a registered engineer demonstrates code intent is satisfied. :FOR SLOPES STEEPER THAN 3 TO 1 Top of slope I Hl3 � il1!'�ulla but r! not Face of exceed 40' Face or structure R/ ,sloe footing H _p but need not exceed 15, The above items are provided to call attention to special construction requirements for sloped building sites. Required setbacks due to sloped site conditions r^vy differ from zoning` requirements as stamped (or') noted on plans. If set—ek problems arise from these requirements, a registered engineer may be able to provide an alternate solution by designing for specific site conditions. Plans qnd details for alternate solutions (stamped and saigned by the engineer) shall be submitted for approval prior to construction. t b MIL VMWEU, R.iu rx OIL. 0.5�51l.J.. 13AT. ac CA, bAs aR FWD DrM. vmES CA" t vi.. .. I Ir .,1. --IV 014, m; usNG. AM ALAS IV 1b" Iwo =CIO 2 Y . b MIL VMWEU, R.iu rx OIL. 0.5�51l.J.. 13AT. ac CA, bAs aR FWD DrM. vmES CA" t vi.. .. I Ir .,1. --IV 014, m; usNG. AM ALAS IV 1b" Iwo =CIO 2 ,} h 1 !t A f d. tt T 91F 4�# V ��v / :,ilk{ h ,Y .. - - :- �' A!•Mt{hM`�' ::::4i:kKLk!{yfhlcMVR/,K, , . ,1 LL ppA4I (a i O j`j Y 16 t V I 1 , 1rt 4 t•f. � �vel 1 1 1t ��n ��„Ri � �+� ��,«„�.x ,..rte;-.c•�� - ,.. .., .. ... .. .r -., , - ,• , � ..l � K. I... dr � � ,�y ��,r1�. 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