Loading...
HomeMy WebLinkAbout047-430-030- , , 0 4'7 4 3 1 JOHN -'R. McKIM _ 1� { 4491 Garden Brook D`r,'•lot 12, r•a -' Estates, Chico' z , k Permit#1355-89B,P,E,M(new single family) f ;, 47-43-30• 3107-90B,P,& ' 1 ` 'MCKIM, John f 4491 Garden Brook Dr, Chico Contr: Adonis Pools (swimming pool%sf) 047-430-030:;•-.i `•"-99'0741�y RAY, Ronald•& Gayle t "4491 Garden Brook Drive,ChicoC�T- D LE Contr: Todd Tracy-o etached storage Irl { f . 1 1 • r 1 y. r , - 'f - rt. _: V V . `jtiw. � � o vy o ., ��:. ->. - NOTES j 3 RESIDE N` ML �047_-430-030 � 99-0741 1 PERMIT NO. _.RAY, Ronald & Gayle _ 4491 Garden P;rook Drive Chico j { Contr: uTodd Tracy Detached storage SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature -r -OU- Y.OF BUTTE BUILDING DIVISION DEPARTMENT OF• DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE OWNER ` PERMIT NO.. A routine inspection indicates that the following violations of butte county Ordinances exist at the S above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional -explanation, please conpeKhis office immediately. �--� 211 Date 2� `"` t .14 Inspector REV 10/92 /= OK 0 = Not OK . - = Not Applicable MOBILE HOMES =""Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. MISCELLANEOUS Date DECKS, COVE S ARPO TS GARAGE Plans) OK except #'s ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. E is -��-� Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date C 11'11ar B-1 Date rd B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except#'s / P Nat. or / /"L"ft./ /'LPG Setbacks -Easements 7. Well Clearance & Disconnect 3. 8. Utility Clearance Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Date j 8. 1 Card B-1 Date Card B-1 Date Health Department Approval Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Light Niche 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers;Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE S ARPO TS GARAGE Plans) OK except #'s ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. E is -��-� Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date C 11'11ar B-1 Date rd B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except#'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater j 8. 1 Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel -Blackouts -Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding- neer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test cco Mesh -Drip Screed -Fd. Vents-Underflr. Access' 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration- alts- mcl ws 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s t 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing - 'k ."_ Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding- neer I5 cco Mesh -Drip Screed -Fd. Vents-Underflr. Access' 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration- alts- mcl ws Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Irg. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit: Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper - 76. Wtr. Hir.; Vents -Clearance -Comb. Air Connector -P. Ft. V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. _ Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes J No/Walks J Yes J No/Planters ❑ Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: X COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r �� , • 7 County' Center Drive - Oroville, :California 95965 - Telephone (916) 538-7541 (Rev. 12/96'11) APPLICATION AND PERMIT 99-0741 PERMIT NO. ASSESSORPARCELNUMBER^t 7—`L� Q� - q VY ZONING SR BUILDING PERMIT OWNER RAY, RONALD & GAYLE TM.j== 7S5I6� SO. FT. OCC. BUILDING VALUATION 200 3'60000 OWNER'S MAIUNG AWQJ GARDEN BROOK DRIVE, CHICO 95973 CONTRACTOR'S NAM iM1l�i TELEPHONE ' CONTRACTOR'S MAILING ADDRESS 2711 BURNAP AVENUE, CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 3,600.00' ARCHITECT OR ENGINEER UCENSE No. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40 .95 BUILDING ADDRESS4491 GARDEN BROOK DRIVE, CHICO Ener Plan Checking Fee $ Energy 9 $ PERMIT FEE $ 123. S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D Describe Work: DETACHED STORAGE BUILDING NO POWE4 NO PLUMBING 10 X 20 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00. PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2..A OR Lss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with 9 (commencing h Section 7000) of Division 3 of the Business and Professions Code, and my licenseisuLfull force and effect.P License Class Lic. No. '�'� '� r� / �.g OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. `1 ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a ACC. BUDS. 3.5QFr. NEW CONST. MULTI -OUTLET NON-RESID. ANCH CIRCUITS @7.50 OWER APPARATUS d SINGLE OUTLET C1 R. j 20 Ex. Occup. OUTLET OR FIXTURES BAL p 11.0 Ex. Occup.oUTELErs AEuso)EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xyl (/ /1./,E-�G��11Date �,11 _ Signature of Applicant - ❑ Owner I Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ I f CONS TYPE TOTAL FEE $ 123.9 HAZ. D. FEES IM FLOOD _COF PAR D I UE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Data _ PERMIT EXPIRES ON 4/?L/24;00 Date Receipt No. Jo4JJ — �*& � � �+ +'3 "li�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 4 ,y t r Temp. Power Pole Z Called PG&E Temp. Mac. Service .4174 66 6F/ Called PG&E + Temp. Gas Service t Called PG&E Q JOB FINALED (Date) 0.1 Signature 1� • i+ PERMIT NO. 13 — O PERMIT EXPIRES v G y• C` OWNER JOHN R. McKI.1M CONTR. unknown }" ASSESSOR PARCEL 47-43-30 LOCATION 4491 Garden Brook Dr, lot 12. Carriage Estates, Chico � � �?•�yz.c, j/U� eel i /WC��� i 4 ,y t r Temp. Power Pole Z Called PG&E Temp. Mac. Service .4174 66 6F/ Called PG&E + Temp. Gas Service t Called PG&E Q JOB FINALED (Date) 0.1 Signature 1� LjKI 0. Nat CX - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1• niag-Setbacks;-Easements-Flood-Slope angers-Post,Caps-Anchors-Connectors 2 g_.MIAain; Soils -Steel -Elia -/ " Ftg. Depth. Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. g.,faarage; Soils -steel -//1%-f'- Ftg. Depth . Fireplace Ties or Type A Flue -Fireplace Throat Clearance g., Porches & Decks; Soils -Steel-/ /6/"Ftg. Depth Access; Size & Romex Protection -Draft Stop -Ins. Baffles i,sfe–mwans, Main; Steel-Blockouts-Wrapped 491&m. Windows or Exiting Doors -Sill Hgt. & Dimensions walls, Garage; Steel-Blockouts-Wrapped . Garage Fire Protection Framing 7. Slab; Steel -Wrapped r perty Line Firewall & Openings 8. Pi - ireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54eVlywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding.- ing Veneer 12. Electric; Underground_5 cco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 5 azing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date$',3/-$1 Card -B1 Date Card -131 Date Card -B1 Date Card -131 I) Dat -2 -11 Card -131 Date Card -131 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 1t�Water Ht. Vent -Access -Combustion Air -Baffle Date FIN (Pla OK exc #'s ter Pipe; Test & Anchors -Nail Protection . Ex eps-Do Sidelight Pr ection-Landings 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 6 mo elector 3 2®,70 ower Pan; �st Floor -Tub Access 6 rnace nts-Clearance-C -Connector- In ge; Above Floor- ct - Pno-renityn, edr Exiting 2 st Tub & S wer, 2nd Floor -Tub Access Gas Pipe; Size & Anchors .I. & h Fixtures & Tub A ss -Spa 6 & Su Brefier Card -B1 Date Card -B1 3 ZalbDate rim nel; - abels 67, tair Card -B1 Date Card -131 Date 6 re e r Stove; Cle annes-Hearth Date ELEJOTRICAL (Permit) OK except #'s le utlets at Wood Panel; Int. & Ext. 2 . FI ture & Transformer Clearance -Ins. Protection it. t. & A ce• Gr - 'r Gap- g Clearance a ut Rece tact at • ou ara ire Door; g- g-Clos 2 . EI . Receptacles Spacing -Lights & Switches at Doors 2 ize Boxes & No. of Conductors -Stapled 2"omex Installed Close to Edge of Studs & C.J. 7 . D in Garag amper 21iekuip. Ground made up w/Mach. Fasteners -Bond Gas & Water '.r.; Vents-Clearan - onnector-P.R.V.- In arage; Above Floo of c i*ePo 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 1b. c. & Mech. Equip. Listed for Local 2 ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cor Al 7 ec. eceptacles in Garage omex Protec. 29kAange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 7 s ion -Foam -Looked in Attic 7 u - ails & Deck Constructi ost s 30;.-Sg-rvice-Riser Conductors & Ground -Main Disconnect -. dn. Ve is & Crawl Hole Door -D ina Wood -Earth Cle nce Looked under Flo es 31dquip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light ollowing instld. riv es ❑ No; Walks es ❑ No; Planters gYle WINo Smoke Detector Card -Bt 179 Date Card -131 Date 81. St Br n -Finish r8t5,lik. C Disconnec. ec ., lumbing Card -B1 Date Card -131 Date ants Above Roof; PII c.-f�- fiance- -Clea to Op gs. Date ME HANICAL (Permit) OK except #'s 8 . ater l;, Discon ct, Electr' umbing 3 AC. Ducts Insulation & Support 8 . e ' Elec. Trim; G, .. eceptacle-Underground 3 . Vent Fan; Exhaust above insulation ' en on throughout House a&-Gendensate Drain & Overflow; Size & Grade 8 ass 6tect'on 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 8 orrectio from Previous Inpections ,3"ttic Access & Platform if Furnace in Attic 89. Gas T -Meters Tagged; Gas-Electri 3 ' 9 Wa Sewer Connected- o Grade -HD Approval mpliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date oofing Certificate Card -131 Dat [/'Z -?d Card -61 Date Date FRAA !NG (Plans) OK except #'s Card -B1 Date Z(/E%'v Card -B1 Date Card -B1 UB Date$ 3-970 Card -81 Date 39. Wills, Proper Material & Anchors 4 ails Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: 4 earing Walls over Girders & Floor Nailing _ raft Stop in Walls (rat proof) 4 Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 eader & Beam -Size & Bearing OK 0 = Not OIC r MOBILE HOMES MISCELLANEOUS = Not Readyiable 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 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing , 6. Gas; Location -Test -Wrap: / P L" ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance T Elec. - 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses _ 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date + 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line 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 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 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date - Card -81 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date, ` 9. Health Department Approval , 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone:''872-6307 CORRECTION NOTICE I 1355- g9 VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above dress and should be corrected. Please notify this office when correcti of work is completed. If you have any question pertaining to this matter, o eed,ad�ditional explanation, please contact this office immediately. is n _ /. _ 1 _ �1� l �•- _ � „ _ _ _ / Il l ll l Wn. MA "AAMISM-11 -- 0 Inspector Date `'-f — I 1.�2& _ COUNTY OF BUTTE p DEPARTMENT OF PUBLIC WORKS =1,i' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE .r OWNER PERMIT NO. `.i. A routine inspection indicates that the following violations of County Ordinance . exist at the above address and should be corrected. Please notify this, office f` when correction' of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. W p Ins ector �� Date z- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone:'872-6307 CORRECTION NOTICE OWNEF1 PERMIT NO. A .routine inspection indicates that the following violations of County Ordinance exist' at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter -need additional explanation,,please contact this office immediately. + Inc tiv 1 11 1' o Is Inspector Date COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS - `Y 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville —'Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT 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. Date9- —7 `�� Owner: _ Permit No. E —NE R' G Y.0 E R T I F I C A.T I O N 4491 Garden Brook Drive Chico Ca. i LOCATION A.P. Nod. DESCRIPTION OF INSULATION 1 ROOF Material Tit icknesa(incite a) Brand Name Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass batts Brand Name Owens-Corning Thickness(inches) 3 5/8" . Thermal Resistance(R Value) R_ 13 CEILING Batt or Blanket Type Fiberglass batty Brand Name Owns -Corning Thickness(inches) (12" Thermal Resistance(R Value)`R38--j Loose Fill Type Fiberglass Brand Name Owens-Corning Minimum Thicknee(Ircl►ee) tz;-kms:'--' —'Number- of Bags 41. Wt., per beg 35 lb. Area covered(ft. ) 2048 Thermal Resistance(R Value) R38 _ FLOOR, ELEVATED Material Thickness (incites) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Cil Resistance(R Value) Brand Name Thermal Resistance(R Value)_,_,1�'` I hereby certify -that the above insulation Was installed in the above building In conformance with the State of California Energy Requirements. Loerke Insulation Co. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. h P /V7-, SIG URE OF IN TALTATION APPLICATOR February 6, 1990 DATE I -hereby certify the above insulation and all required items as shown on.the, Building Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SIGNATURE OF 43ENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING . January 1984 r�Q a - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal6ornia 9965 - Telephone: 916/538-7541 c3D APPLICATION AND PERMIT PERMI �NO.� ASSE ^RC N BiR zoyl ,• BUILDING PERMI OWNE ` 1 TELEPH E SO. FT. 0 C. BUILDING TION TWNEE 'S MAI ADDRESS \ CO T ,A`C O NAM IUy rl TELEPHO E CO TRA TOR'S MAILING ADDRESS Fireplace ©© CONS UC 'ON LE R V UNKNOWN Total Valuation $ Filing Fee ,$ 000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI T OR ENGINEER LICENSE No. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS c' T Permit fees PLUMBING PERMIT Filing Fee 10.00 Each -Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI o ` SION NAME I^ r l (4 P, e- PARCEL MAP Water piping 5.00 6,0 Each qas water heater or v ' 5.00 UVE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other T' SPECIFY Gas piping system 1 - 5 outletsi 5.00 Building sewer 5.00 sQ Mobile Home S G W 0.00 ea TYPE OF WORK New Addition❑ Remodel❑ till ' s Installation❑ Other ❑ Describe work: c Permit Fee $4. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS- 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) contract-Mobile IJ 1, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o OR ADDNS. ( ACC. BLDGS '/20sgft A 20 NEW CONSTR. U NCH CIL T 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050C eAL030 FIXED APLNS. Ex. Occup. OUTTS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 5. 1 00 Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 HeatingQ (19100 l- Cooling g Hood 3.00 Ventilation pemttt Fee $ 1 Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit.il %�-- �5 •���/L- Date 5�3��a3 -T-�—, Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , ' -'3 CONST*TYPIJ Vt.� SCNDJ FLooT ARC! PD ND Z,1E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECT O P BLIC By PER IT EXPIRE PER the applicable provi- resolutions to do fees have been paid. WORKS Date A, Receipt No.K WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, 60LOlN ROD -APPLICANT ., .z. r.. _`.r.'tr., �_ •t...t ,.1...,-. . - - .. >rr`t-f-ii:�+...rst","r. .r _ - - _ � , COUNTY OF BUTTE - DEPARTMENT�O .PUJOLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER r A. P. No. 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 .............. -•7---Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ ........................... 1'0 -Chico Urban Area fees paid ....................................... . 41 _22 4$4. Parkf �s paid/ ..................................................... r f �-�� Sc OOl District fees paid ............... .S1,04 THSanitation approval from '- Health Department .. .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: ......... 7 Improvements may be required. 40� 8. Driveway permit (construction approval required prior to occupancy) ... 3 Pre-Inspec. rdques4 to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 1. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 2 Recorded copy of Agricultural Acknowledgment Statement ............ a Letter of ture authorization ... ................................. y 26. Whe ou issue the permit, process as follows: Mail owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A p p I icant,Q--222, -41 ' Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items 2. Additional items required: _ Contractor, deslgne owner as advised of above required data by pj�one_Jrlail counte by� date •i6- 9 Contractor, designe wne , was advised of above required data by_phone_mail_coun er by dal �•� Plans checked by'BlI Date S -r6.65 Plans approved by ��� Date5—P -WiSets of plans on hold in I✓ ile cabinet AP folder Copy—DPW i Pl an Approved for: Sewage Disposal Water Supply Hold final for: 1 Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom home. ®them r Dazs Sanitaria, TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location 7 --/ � - --" 19 AP # -Driveway -permit -has,- been -issued i -f or -the -above property-. si/ature date, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and .return this information at your earliest.opportunity to avoid unnecessary delay in processing and issuing your building -permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) rip.. 2. I.(have/have not) signed an application for a building permit for.the proposed work. ~ 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major -work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed.: Property Owner Social Security Security Num er Date -T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. OWNER RESIDENTIAL PLA'y". CHECKING GUIDE 7/8.5 (S.F., DUPLEX & MISC. ONLY) �Bldg. Permit # SAS -S +M Mc. k; A.P. # -+ -30 GENE RA L Zoning requirements: (sideyards Valuation. Plans signed by designer. / Energy Design and Compliance. €� Existing violations on property. and number of permitted living units). PLOT PLAN V0011 parcel size and dimensions. ;�.'®Setbacks, sideyards, easements, etc. �ther buildings or structures. �rading, fills, drainage. �lood hazard. pecial conditions on creation map or compliance document. s FLOOR PLAN 3� Complete to scale plan with dimensions. ello 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 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of �/ mechanical equipment.. Y Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. le Garage firewall, door size, and closer (Sec. 503(d)(3)). le, 1 --3'0" exterior exit door (Sec. 3304(e)). 1� Fireplace and wood stove. location. 1� Smoke detectors (Sec. 1210). STRUCTURAL DETAILS V. -Foundation plan complete enough.to construct building. �!� Floor construction details complete enough.to construct building. V.Sufficient levations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. ireplace construction details and calcs if necessary. data and detail's to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). 4� Brick or stone veneer (Chapter 30). IK Exterior plaster - weep screeds (Sec. 4706). �� l�Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Z�• B. Garage door or porch header sizes. �/ Adequate bracing. 1� Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1�Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1�Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). 14. Wood stoves, clearances, alcoves & 1 -hour shafts. 1Combustion air for fuel burning appliances. ZNoise requirements on duplexes. 1V Adobe soils - special foundation design. 1�/ Retaining walls requiring design. 1�! Unusual shape, size or split level house requiring lateral design. A FR 'Ark) 50014 ALL HEME&S 6FAN•S. ++E R A t AME CHEt10E 2. Tttig MA o �?REQiAc� �� M.vFi4c1vcz 2 aD $Te✓� 7/05 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 47-43-30 ZONING SR -1 BUILDING PERMIT OWNER John R. McKim TELEPHONE 345-924 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2665 Waverly Ct... Chico 95926 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADORNS ARCHITECT OR ENGINEER LICENSE NO. None Filing Fee $ 10.00 Permit Fee P i FPP Plan Checking Fee $ 2 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ 2-35.25 4491 nnrdpn Rrnnk Dr PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAME Carriage Estates PARCEL MAP 112-24 Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel[:]_ Utilities ❑ Installation❑ Other ® Describe work: 1st Renewal of B.P. #1355-89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service100 AMP ORSLLESS 10.00 r',. CONTRACTORS LICENSE LAW I declare under pen ty 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- 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 tfyis� reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING occuP.tr` OR ADONS. ACC. BLDGS. I 2h¢sgft NEW CONSYR ULT'- OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIS. Ex. OCCUp(OUTLETS OR FIXTURES eAlO 30LO 30 EXFIXED APPLNS. OR . OCCU p• OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare undes penalty of perjury (check one): ❑ ch 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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONSTTYPE TOTAL FEE 235.25 HAz I CUA PARK SCHL FLD PAR PO HO ISSUE This permit is nereby issued unser the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PIF9ts IT `CPIRi=S flat. c l/,Al /ol Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. r:n, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One. Form per Building) A.P. Number 4 � - Building Department No. School District' I C�� City D County Jurisdiction Property Owner , } on n v\ , f, /(,,-/ 1 i W 1 .''Project Location/Address L1Y % 6Az Jy_* 1 ACSA Subdivision Ca f,r i ono (I' tlS f (+O'S Lot Number Residential Development a Sq. Footage # of Living MHI Addition (Group R) ti Units Commercial/Industrial: a„Sq. Footage New Addition (Including Exterior Roofed Areas) W oe FA zq�-q Build°ing: Department Representative.. ' 'Date a (Floor Plans reviewed by School District Personnel) District .Id No. l h I C✓iQ_ (./Cry , - ,.Qi. School District certifies that (Applicant •Name)•' (Phone Number) (Street Address): Ile (City) (State) (Zip Code) r has complied with the requirements of Resolution NoP by the payment of $ // �% �, �j representing, ��S�J square feet. z -5 -ho /1P9 �Sbbool' District Repre"sent6tive /'Datfe ' v REMARKS: BANK NO . WO -7 9 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Return.to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT • FOR RESIDENTIAL DEVELOPMENT Secti.on 26-8.1 of. the Butte County. Code reduires 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 f99-017734 I Rec Fee 5. OO for agricultural purposes, and residents ' Cash 5.00 , of this property may be subject to incon- Recorded 1 veniences or discomfort arising from the Official Records 1 use of agricultural chemicals, including, but County of Butte PARTY SHOWN not limited to herbicides pesticides, and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing,. .1 : 17pm 15 -May -89 1 JJ i spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and 'zones odor. Butte CounLy has establ i shed Lural which have as a priority use for productive agricultural purposes, and within i.d sa zones and on adjacent property should or disconfor.m from normal, necessary farm be prepared to' accept such i nc•()nv(•n f c nrc operations. All. that. real property situate in the County of Butte, State of California, described follows:' ;is o7 �2 rrtac�e s s Date: 11.16 e?, v;s i "-) I PROPERTY OWNERS: State oft) On this the_1Ci_.J�'`day of 19 $CA, before me, County of 'fit}ka SS. the undersigned Notary Public, person lly appeared ) doh (1 IM�k.I � �e�etirM��rit.etiriri.eaeeewee.,s _i Personally known to me. Erproved to me on the basis KELLY J. REE80N t of satisfactory evi dertce. D tcP be the persons) whose name(s)YVI • NQTARYP��t tyFONNI� scIscribed to the within instrument and acknowledged that _ a MyC0MWWWt3 ggMMCh3,19 cuted the same for .the purposes therein contained. IN WI'I'Nf;tiS s �poemowMneaeeewatieee+ 66111ri_ REOF, 'I hereunto set my hand and official. seal.. Present A.P. No. N Lary P i c 11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7549 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSLSSORPARC&NUMM A 030 3 043- 4-30S ZONING ' BUILDING PERMIT O1NHlR SO. FT. OCC. BUILDING VALUATION OWNERS ^` 3 /`•J^ CONTRACTOR'S NAM! TMAPHON! ti 13q3 3 270. COMRAC R9 M11U AD al CONSTRUCTION LENDER LENDER'S MAILING ADORM Fireplace Total Valuation Sno 06 ARCHITECT OR ENGINEER uorNs! NO. Filing Fee S 20.00 Permit Fee S ARCWTECT OR ENOWEERS MALINO ADDRESS Plan Checking Fee S luanwo ADOREse Energy Plan Checking Fee S S PERMIT FEE S LOT NO. aueolvslON9NAY! PAROlL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XDuplex ❑ kbbilehome ❑ Other aPEcfr Each Trap 7.00 Solar or heat pump water tAater 23.00 Water piping 15.00 Each gas water heater vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UdGtles ❑ Installation ❑ Otherx �+ ,���-1 Describe Work: Gas piping system 1 - outlets 15.00 Buildin sewer 15.00 Mobile Home I S VG I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service = on LEESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain worker' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. My workers' compensation Insurance' carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that k I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50• deep and demolition or construction of structures over 3 stories In height Service aooA TO 10°°^ 48.00 NEW C ONSso OR ADONS.T as A 'cc mo 3.50FIr.. NON REBID. ' NULTLO @7,50 vovvEn APP TUS 6 SP/OLE O CIR. 00 Ex. Occup. °u urro ES ew0 x:50 OR ED(EO ESI&I EEA 5.00 Ex. Occup. Tem or Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood z 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -LD. �� AMn.000CDf PARCEL PD Ho ISSUE_ This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 0410 ReceiptNo. WHITE-O.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR QOLDENROO•APPLICANT • r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: V - 13 0 --0.3 0 Proposed Building UAd Building Inspector: Date: L/-/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I Date Received By ❑ 1. All items have been 112. Plot plans, 3/4 sets, signed by the preparer of plans. -------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of pl"ans. -- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -----------------------------------------------. ❑ 8. Hazardous Material Form. a914 anufactured Home data and installation instructions including Tie Down Specifications.------------------ Feesof $ �f'9 i3y. ------------------------------------------------------------------------------------- ❑ 11. `pact fees as shown on the attached -- schedule.-------------------------------------------------------- --- California Department--------ofForestry plan approval/f - _ 9,LL���� ❑ Xood elevation certificate. --------------------- ------------------------------------------------ Sanitation and plot plan approvalcgict) Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval lffrr the City of Biggs. If17. Planning approval for (A) Use: oho (B) Parking:. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------. ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------- -- ❑26. Letter of intent on building use.---------------------------------------------------------------------------- e- (Date) ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired peririip. ---I- 3---c� 41 029. 0433 A, ❑Grant Deed, C1M.H. Title, ❑ Check to H.C.D $ - _______________ ❑30. Other: When you issue the ermit, r ss as follows ❑ Mail to owner, a21 to contractor. ' ❑Telephone 3 `t3^ -3 (P and hold for pickup at= office. ❑ Deliver with inspector. Applicant: �) \ Date- - ( 3 - 61 01 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ ther: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Br Adin o co ter, by Date: Plans reviewed by: Date: Plans,approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VPlln.v (`.,.,., _ llo...,.-v... o..r ..F TI,...,.1,._.-.,.,._a c_--:___ n__�� ��_ _ ..• _ r Ip TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.M. USE ONLY Plot Plan Attached yri Floor Plan'Atta d ,/%✓8� Sent to B.D. r 47-434-03,0 Ow er Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public Private Well x Clearance for Wig. ' Other 5,�eo/ u,/o ,�/ti�nd�h�. , lo'XZ10 17 Hold final for: r Final clearance O.K. for: NOTE: Environmental Health Specialist 8/M Date CDF FIRE SAFE REQUIREMENTS 4ii-07LP1 ,�o.✓c� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [y] 1272.00 Maintenance of Defensible Space_. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apP•.rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access. to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [kj 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 8 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [v] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . 3- . r �'�-43-3D qq -v?Lf-I 4A" AP # PERMIT # NAME [� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround.. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from u17 property lines and/or the center of the road. ] 2. For parcels less than 1 acre', local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f_:ial inspection of a building permit. Page 2 of 3 �-7 -'�3 95-0?zu AP # PERMIT # Other Reauirements [X] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves —� NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following:- - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed.eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 4_6.>92 Date Signature Page 3 of 3 = North 0 xG R.14�rFks � Z a.G =Skylight 5/8" CDX Sheathing Plywood -30# felt l! Concrete Tile Roof r. 40X30 Window I 30 door 30 door S M ! Exterior Walls: b4K44ywoTd covered with 3 -Coat Stucco (( I 2�-�3'y'vDs /6 OC ALL W�ILLr I! I fI ! ( 20'7_j LL I ,p C?l f° P Akre A)+ � Southside Elevation y 'L• !� _ � - #Ael- s7-4,1 o s 4" Slab (/t//"TSI .i/NJprO,��l�a� $ u N Are- _p i'f/AI.S' iti i r -f ., 11 (,' Q . � Q, � Z 0 � � C `" Typical Footing View �O ii Lf 10'X20' Shed @ 4491 Garden Brook6rive, Chico, CA Scale: 1/4"=1 foot scale OOUWI • r FPI . ; NG EPARTMEN VT49(VED ��ti��r to-� -�c-c 2 3 zCp . � i• S� u�3e r; rovide approved flaahiDg at &l Westside Elevation s �► °�� OOLDING DEPAR Dr- APPROVED, 0 X COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12/96) ' APPLICATION AND PERMIT 99-0741 ASSESSORPARCEL NUMBER 047-430-030 ZONING SR 1 BUILDING PERMIT OWNER RAY, RONALD & GAYLE TF Z!5"3516 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AgDiiF�SS� GARDEN BROOK DRIVE, CHICO 9597,3}(. l 200 3,600.00 CONTRACTOR'S NAME TODD TRACY TELEPHONE ' TELEPHONE CONTRACTOR'S MAILING ADDRESS 2711 BURNAP AVENUE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total valuation $ 3,600.00' ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 4491 GARDEN BROOK DRIVE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 Lor No. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: DETACHED STORAGE BUILDING NO POWER, NO PLUI11BING 10 X 20 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service EOOV OR LESS 2o0A OR DESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. �'f �� 6_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46,00 NEW CONST. DWELLING %C OR ADDNS. ( a ACC. ,%s.UP. so 3.50FT; NEW CONST.MULTI.OUTLET NON-RESID. C CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. Occu . ourLEroRFocruREs 00 sA�@ .50 Ex. Occup. ouTLEEDrs RES D.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �j� _ Date _ Signature of Applicant -- ❑ Owner ctor ❑ Agin An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ cos TYP TOT XL FEE $ 1 3.9 HAZ. D. FEES MP _ FLOOD F pgRC D E This permit is hereby issued under the of the Butte Counode aResolutions Indic2fiabofoi� ich fees have By PERMIT EXPIRES ON I applicable provisions to do work paid. been aid. to IDate Receipt No. 258435 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT /47-43-30 3107-909 P;E MCKIM, John '' a 4491 Garden Brook. Dr, Chico v Contr: Adonis Pools (swimming pool/sf) Y � 7-45-y /a dog vor cer c. 9.4 J \�4 i, { n' �3 ` JOB FINALED (Date) — Signature d=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 R MISCELLANEOUS *.r .1 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements i. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel - 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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 Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date POOL ans) OK except #'s etbac asements compaction-Struct stability teffo'ol Structure; Ste onnections-Thickness Dead en -Lining 4. E ; Receptacles and i htin 'stances-GFI Elec.; P Lighting; 15 volts-GFI 6. E closures; Conduitntrie Terminals -Listed c.; Bonding; Metal w/5' -Circulating Equip. -Heater . Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboa rds-Ins. to Main in Conduit -Q-kieaUA,Oepartment Approval 1' mb.; Cir. TeskKater Supply Test Date ,moiX.(D Card B-1 U6 _ Date Card B-1 Date'7-/--I/ Card B-1 Date Card B-1 /o- 2-070 /,,4 Tei o,/C 1.0- lu V1 r'J = OK 'O = Not OK = Not Applicable RESIDENTIAL (S Not Ready bate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. 'Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14-.-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Pernit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test-=ittings & 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. 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 29. Range Circ..' / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (-ermit) OK except #'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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be mac jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #''s ! 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. 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 -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I le each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico!=Ph6ne:;891-27511 7 County Center Drive, Oroville YPhone: 538-7541 •11 747 Elliott Road, Paradise— Phone: 872-6307 V CORRECTION NOTICE C 1Ct r Y\ VNtzH PERMIT NO. F 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. • v R Inspector `� T COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 y 7 County. Center Drive, Oroville, CA - (916) 538-7541 ' ai 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Ali 1-f,M 310 -7 - OWNER PERMIT`NO. A routine inspection indicates° hat the'follawing violations of Butte County Ordinances exist .:' +' the above address and should be corrected. Please notify this office when correction W. work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. �� J/i ,�¢/a,•J .G bias �+ �%laP� (.� LJs� :.:k Jair,V1C'4n' 1D OF ��,� V- Ir "Ift4 j .. -.����� �• `/ . s 9 M 4 Date ! j <j Inspector REV 10/92 Y COUNTy!OF BUTTE v DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 1 7 County Center Drive, Orovi Ile — Phone: 538-7541 -" 747 Elliott Road, Paradise— Phone: 872-6307 ` CORRECTION NOTICE OWNER PERMIT NO. A routine 'inspection indicates that the following violations of County Ordinance rf+ 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. lov,vQ?Qqoor(5Ua To N Or^.ev— ve e- go* �Y rWS��t 4 C Eit Xl0 7 stip v�� l Date/ ���r Inspector may, .. • p. ' . x .. .Y. -P' . i it-� .�--�':r-"�-�-�.,-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovilJe California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT � 4 ASSESSOR PARCEL NUMBER + 47-43-30 ZONING SR -1 BUILDING PERMIT OWNER John McKim TELEPHONE 345-9247 SQ. FT. OCC.1 BUILDING V LUAT ON pnol 18,300-00 OWNER'S MAILING ADDRESS 4491 Garden Brook Dr. CONTRACTOR'S NAME Adonis Pools&Sas TELEPHONE 891-1197 CONTRACTOR'S MAILING ADDR SS 56—C Kovak Ct., CHico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 18 300.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 134.50 ARCHITECT OR ENGINEER C,ql Bachman LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 159.50 PLUMBING PERMIT Filing Fee 10.00 44QI Garden Brook Dr., CHico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE X❑ Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W LSF 10.00 e TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Swimmiag Pool _ Master #505-88 Permit Fee $15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Profession Cod a d m license Is In ful force and effect. License No10 /V § Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNST ( DDWEACCLLIN GOCCUP.&� S. 2'/z¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES ZO�SO¢ 9ALL FIXED APLNS. Ex.-Occup. OUTLETSPIRESID,IREA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 VVirin Misc. g Pool Electric 1 15.00 15.00 Permit Fee $25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of ,Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 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 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. I also agree to save, indemnify and keep harmless the County of Butte against ents, costs, ses which may in any way accrue all liabilities, juJV agai t n the of this ermit. �..s 9dThis Date J!egnarDre of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $19Q/n/ HA CUA PARK SCHL P Iss permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees D RE OR OF PUBLIC By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS ate Receipt No. 70794 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT ;OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLE, CAldFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA` SHEETAL/ I } t Permit No. /OWNER�M(. l( /m A. P. No. _ % _L� 3-70 Proposed Building Use �nn j uiIding:lnspector 0 Date 9`'S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: A DATE RECEIVED APPROVED 1. All items have been submitted . .....................ii... .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Ener Com Energy Design g Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3 4. School District fees paid ............. . Sanitation approval from k4 tc v Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW , 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... :: f 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. w Telephone and hold for pickup at office. Deliver w/inspector. 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---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_maII_countgr`by date s checked by _—1 Sets of plans on hold in yCopy—DPW Date PIMs approved File cabinet LAP folder Date TO Building Department FROM: Environmental Health SUBJECT:, Sanitation Clearance Owner Location Ap# Plan Approved for: Sewage Disposal Water Supply Hold final for:, Water Supply Final clearance O.C. for: Water Supply Clearance for bedtooin mobile home. Other NOTk -............. Sanitarian Date COUNTY OF BUTTE ;;DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Catifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT SSESSOR PARCEL NUMBER ZO BUILDING PERMIT OWNER / d A G PHONE —_ Z L SO. FT. OCC. BUILDING VALUATIONr OWNER'S MAILING AOORESS G G /- A- �Tn J^ 0 0 �C ✓ C CONT' `j{�• ELEP= (4, I Ospas CONTRA TOR'S MAILING AOOR ES 5(n K95 ZfO Firepkace CONSTRUCTION LENDER UNKNOWN Total Valuation S Filing Fee S 10.00 LENOER'S MAILING AODRESS Permit Fee $ 3 y s, o.. AR HITECTR ENGINEER L- lAC-RHAM LICENSE NO. Plan Checking Fee S Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADORESS Penalty $ BUILDING ADDRESS Permft fee $S �— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 9d Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,0015.00 Each qas water -heater or vent 5,00 USE OF STRUCTURE SF: Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobite Home S I G I W 10.00eal TYPE OF WORK New Addition ❑ Remodel ❑ Utilitie nstallation❑ Other ❑ Describe work' ��j-�$ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e°av oR LESS 100 AMP OR LESS 10.00 i Main service EA. AOD'L 100 AMP 2-50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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- sation, will do the work,and the structure isnot 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 OCCUP.S OR AOONS. ACC. SLOGS. ) I2 , �22sgft NEW 0N ZIONSTR. RANC.UTLET NO N.R ES10 BR 4NCH CIRC' ITS) 2.50eaj I /POWER APPARATUS e ISINGLE OUTLET CIR. ) / Ex. Occup( OR FIXTURES 2AL930 eA�930t Ex. Occup. OUTLETS PRESIO )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I Misc. Wiring r 15.00 1 rs -aff Permit Fee $75.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 3100.00 (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. ❑ 1shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions Of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee Heating Cooling Hood 3.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs. and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor Agent ❑work An OSHA permit is required For excavations over 5'0" deep and demolition or construct. ion of structures over 3 storiessn heigint. Mobile Home Installation Fee S Energy Inspection Fee S OCC CONSTTYPE S TOTAL FEE S HAz CUA PA PK SCHI FlO l PAR PD i .o IssuE Th;s permit 1s nerecy issued uncer sions or the Butte Ciounty Code and/or indicated above for •,vhlch fees DIRECTOR OF PUBLIC By OC=MIT !--7PlPLC rnaTo the aoPticaole provl- resoluticns to do have been paid, 'NORKS Date Receipt No. �b L/ _-_ Certificate of Compliance: Residential Climate Zone 11 F.Tr--7717 Documentation Author Telephone 135s-�9 Building Permit g Checked By / Date Fnforarnent Aaencv Use Only BUILDING DATA Glass Area % Glass � North ` Conditioned Floor Area 235 g Number of Stories East 7 la sed Floor Number of -Units South ! 1_— Single Family Detached (SFD) [ ] Addition Alone WestE 1 'a [ Single Family Attached (SFA) [ ] Existing Building Skylight C� O [ ] Muld-Family (MF) (]Existing -Plus .Addition Total 282 C1, 0 BUELDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to garage, typical. etc.) Wall.... ...... Wall ............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING , Glazing Area Orientation (SO North (✓�2 Efficiency ® East (✓��: � East South (✓� �� South ( ) West West ( ) Skylight....... 0_ THERMAL MASS Type/Covering Shading Devices Glass Type Interior Exterior Overhang Framing Type Area Thickness 4.2g HVAC SYSTEMS Minimum Duct Type (fumace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE,.SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) S 53454 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) Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these mcaaues regardless of the comet tartce approach used. hat ems marked with an asterisk (-) may be superseded by mostringent compliance requirements listed 4 on the Certificate of Compliance., Wben 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 arc shown elsewhere in the documents or on this checklist only. Y DESCRvnoN DESIGNER ENFORCEMENT Building Envelope. Measures ' §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). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0396, water vapor transmission rate no greater than 2.0 perm/itch. ( §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Eafiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. C. Doors and windows weatherwipped: all joints and penetrations caulked and teakd. 0 2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards §2.5352(d): Installation of Futplaccs 1. Masonry and factory -built fireplaces have: l a. Tight fitting, closeable meal or glass door r b. Outside au intake with damper and control c. Flue damper and contra 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations, 12.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ° §2.5316(a): Ducts corwructed, installed and insulated per Chapter 10, 1976 UMC. I §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -rued spare heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water homer insulation blanket (R-12 or greater) or•combined interiorkatericr insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return di recirculating 1 piping. �T 4 §2-5318(d): Swimming Pool Heating 1. System has: a Onloff 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. t Lighting and Appliance Measures ' §2.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. f §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified + by the CEC. Indicate make and model number. ' COMPLIANCE STATEM 24T " This certificate of compliance lists the budding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter2. Subchapter4. Article I 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. r Designer Building Owner Name- Name- Titk/Firm: Tttk/Fum: Address: Address: TekphOf1e: Telephone Lie. it: (signature) (date) Ist6n ) (date) 1 Documentation Author Enforcement Agency Name: Name: f Titk/Fum Agency: Address: Tckomc- _ 1 1. Ceiling Insulation -4 -3 -1 0.80 Number of stories 0.70 R -value One Two Three ' R-0 -103 -49 -02 R-19 -8 -4 .2 R-30 -2 -1 -1 R-38 0 0 0- U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 .6 O.C6 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 -3 -1 0.80 Single- Single - 0.70 2 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 less 50 -121 -53 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 . 0.00 24 18 12 -9 -2 6 13 3. Raised Floor Insulation -49 -15 -8 Insulation in Floor 14 25 Number of stories 0 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -34 -7 -2 4 - - 0.60 444 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -00 0.30 -69 -34 .22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 8 Number of stories 15 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 13 15 17 " Number of Stories 8 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 5. Infiltration (Air Leakage) 7. Shading (Shade Open) Effective Percent Glass (perecnt glass x SC) Effective %Glass North East South West -Skylight 18 Specification 1 4 Points na 16 Standard - 2 5 0 na 6. Glass Heat Loss 4 2 5 Total na 12 3 U -value 5 Percent na .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -01 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 " 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (perecnt glass x SC) Effective %Glass North East South West -Skylight 18 , 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 .1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 12 12 6.0 5 8 IB. Shading (Shade Closed) 13 13 6.5 6 Effective Peremt Glass 10 12 13 13 (Percent glass x SC) 9 Effective 13 14 7.5 6 10 11 13 %Glass North East South W961 Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not allowed 9. Interior Thermal Mass SC R -value [I I] Interior Slab Floor Raised Floor Mass Stories 1200 Stories 2200 /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 -4 -4 Exterior Single- . Single - 7.0 0 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 14 12 0.20 3 2 1 22 0.40 5 4 3 11.0 0.60 8 6 4 8 0.80 10 8 5 14 1.00 13 10 7 20 1.20 13 12 8 7 1.40 12 13 9 4 1.60 10 13 11 2 1.80 10 12 12 3 2.00 10 11 13 9 11. Heating System 3 2 2 SE SE or HSPF 45 -23 (assumes ducts In attic) -11 -9 Sum of 14 2 1 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 POU Effective SE or HSPF 0 (SE or HSPF x duct efficiency) 0 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 -0 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SC R -value [I I] Unit Size (sQ or Water SEER 1199 1200 1700 2200 2700 (assumes ducts In attic) to to to Sum of 7-10 _Type Type leas 1699 -25 or -24 to -14 to -4 b +6 to 16 or SEER less 15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 ' 7 5 13.0 20 17 14 12 9 6 -9 -7 Effective SEER IG None -5 (SEER xduet efnclency) -2 .2 -2 Sum of 7-10 Solar 7 5 Effective -25 or -24 to -14to -410 +6b 16 or SEER less -15 4 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Solar Zonal Control Adjustment 7 5 10 8 7 6 4 3 5 No Cooling System Installed 2 Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA TTVR 2 Puss 4 1. T.V1K•.. 71 (c.rpee.d .l.bP t TYPE 1 Iu55-(UIRC b 4.2. le: exposed slab) 0% 5% 10% 15% 20% 2S% 3D% 35% 40% 4S% 50% 55% 60% 66x 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125.1 _ 0% 0 0.2- 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 25 2.7 2.9 3.1 3.3 3.5 3.7 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 9.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.1 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 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 4091. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 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 5.5 5.7 5.9 5095 0.9 1.1 1.3 1.5 1.7 1.9 21 23 23 27 3 32 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 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 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 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 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 2.1 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.1 3 3.2 3.4 3.6 3.6 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 80% 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 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 6S 67 90y. 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.t 4.3 4.5 4.7 4.9 5.1 53 5,5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3 3 3.5 3.1 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 6.9 100% 1.7 1.9 21 2.3 2.5 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 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 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 69 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 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 rutnt System Summary: Climate Lone u SCORE CARD Measures 1. Ceiling Insulation P+3 6 or 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ('Y / N) 12. Cooling System Zonal Control?. (Y / N) 13. Water Heating . or SC R -value [I I] Unit Size (sQ or Water _(9 R -value 119) 1199 1200 1700 2200 2700 Heater Credit or to to to or _Type Type leas 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8. 5 4 3 3 SE None -37 -24 18 -15 12 X .192 = Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU -9 _ -12 -9 -7 -6 IG None -5 -3 -2 .2 -2 Solar 7 5 4 3 2 POU 3_ 2 1 1 1 IE None -28 19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 4 -3 Multi -Family (Individual units) nit Size (s Water 699 700 1200 1700 2or Heater Credit or b to to TYPO TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 43 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None 45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 .5 PQU _23 -12 8_ -6 -5 IG None -8 -4 -3 .2 ( .2 Solar 6 3 2 1 1 POU 1__ 0 0 0 0 IE None -30 15 -10 -8 -6 Solar 18 9 6' 4 4 POU -8 -4 -3 -2 -2 Interior Mass/CFA TTVR 2 Puss 4 1. T.V1K•.. 71 (c.rpee.d .l.bP t TYPE 1 Iu55-(UIRC b 4.2. le: exposed slab) 0% 5% 10% 15% 20% 2S% 3D% 35% 40% 4S% 50% 55% 60% 66x 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125.1 _ 0% 0 0.2- 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 25 2.7 2.9 3.1 3.3 3.5 3.7 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 9.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.1 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 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 4091. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 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 5.5 5.7 5.9 5095 0.9 1.1 1.3 1.5 1.7 1.9 21 23 23 27 3 32 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 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 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 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 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 2.1 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.1 3 3.2 3.4 3.6 3.6 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 80% 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 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 6S 67 90y. 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.t 4.3 4.5 4.7 4.9 5.1 53 5,5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3 3 3.5 3.1 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 6.9 100% 1.7 1.9 21 2.3 2.5 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 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 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 69 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 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 rutnt System Summary: Climate Lone u SCORE CARD Measures 1. Ceiling Insulation P+3 6 or 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ('Y / N) 12. Cooling System Zonal Control?. (Y / N) 13. Water Heating . or SC R -value [I I] U -value [0.098] or = I •%cT _(9 R -value 119) U -value [0.037] a or 4• .R -value [O]_ F2 factor [O 771 Standard x d Type [double] U -value 10.651 Point Scores O 0 % Total Glass [ 16] • Sum 1.6 % Glass SC Eff. % Glass 2.2 X .77 = I •%cT .3 x 1 1-54 4• X 1 5, Gct x d X _130 % Glass SC Eff. % Glass 2.7- X of ^53.3 x = 2,17 4.13- X = 3.16 O x TYPE 1 MASS AREA ly InteriorIV`iss/CFA = COND. FLOOR AREA 0 TYPE 2 MASS AREA = O g Exterior Mass ND. FLOOR AREA �Wall •7Z X •Cg3 = •51%i% SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72/ .61 HSPF [0.56/5.15] 8. X .192 = 7.29 SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.031 S cv- o Type ISGI Credit [none] - 0 0- + t _2- +4 Point Total:� Ae-w 01 9//L_� City Chioo County Butte State CA LenderlClienZip Code t Norwest Mortgage Address 1363 E. Lessen Ave Chico CA 95973 16.0' T C� tcd appXa°°" �s�CC�- .tons appC, t�`f er �5 raj'"" Cit: j -T 1N�%L�pIN� A�� O: GyS� . ATM N'1"1" S'T/'°'"' of A ti �(• �rR© .CI JEW of: TRU "�,�5�:�• 20� - 31, 1 10+ t / i cC��te �...........__. ._ _ .. . 60f"t" 4--o 0-4, 34.0' Freeform 16.0 � ' `v� �;r`�rnrs�s���i GunitPeo1E°"—or.s�ls ap Accordance Bei§r R 3en3,ri..ed Good Pray -ti yto� ca:1c� rescr:'>aai for the Sipeciti€� i� in t a�f a quality p cImi�d '= qs arm uti�'u�i., ''.:.rstbing $e Iy9S Na+ionctl E6ctricd Ift ss$ ' ' 21.5' Avf on A& pob o t au fk y and it is unlawfuf te make onv -: a=)r�e4 or alferei.dnt cn'smrne withemt Walk -In tfrittOn pannission trOM the De'Aarfmat Closet rA,v all is �.� Master Bath . 27.0' --- - - --- 50.0' — -- --- Covered Patio Master Bedroom Open Concrete 10.0' 4.0' 5.0' 4.0' 19.5' 19.5' 5.0' Nook Living Room Bedroom 23.0' Kitchen Bath Room 7.0' 4.5' Entrance Way 8.0' Laundry aCovered 6.0' Porch Bedroom 17.0' Dining Room _- _-- - --- 545';7.5' 10.0' 30.0' 12.0 57.5' 2 Car Garage 12.5' 22.0' RUM DING ®EPARTMEW APPROVED �i y I Ae-w 01 9//L_� City Chioo County Butte State CA LenderlClienZip Code t Norwest Mortgage Address 1363 E. Lessen Ave Chico CA 95973 16.0' T C� tcd appXa°°" �s�CC�- .tons appC, t�`f er �5 raj'"" Cit: j -T 1N�%L�pIN� A�� O: GyS� . ATM N'1"1" S'T/'°'"' of A ti �(• �rR© .CI JEW of: TRU "�,�5�:�• 20� - 31, 1 10+ t / i cC��te �...........__. ._ _ .. . 60f"t" 4--o 0-4, 34.0' Freeform 16.0 � ' `v� �;r`�rnrs�s���i GunitPeo1E°"—or.s�ls ap Accordance Bei§r R 3en3,ri..ed Good Pray -ti yto� ca:1c� rescr:'>aai for the Sipeciti€� i� in t a�f a quality p cImi�d '= qs arm uti�'u�i., ''.:.rstbing $e Iy9S Na+ionctl E6ctricd Ift ss$ ' ' 21.5' Avf on A& pob o t au fk y and it is unlawfuf te make onv -: a=)r�e4 or alferei.dnt cn'smrne withemt Walk -In tfrittOn pannission trOM the De'Aarfmat Closet rA,v all is �.� Master Bath . 27.0' --- - - --- 50.0' — -- --- Covered Patio Master Bedroom Open Concrete 10.0' 4.0' 5.0' 4.0' 19.5' 19.5' 5.0' Nook Living Room Bedroom 23.0' Kitchen Bath Room 7.0' 4.5' Entrance Way 8.0' Laundry aCovered 6.0' Porch Bedroom 17.0' Dining Room _- _-- - --- 545';7.5' 10.0' 30.0' 12.0 57.5' 2 Car Garage 12.5' 22.0' RUM DING ®EPARTMEW APPROVED RECEIVED APR 11 1999 BUTTE COUNTY BUILDING DIVISION 30 --- 030