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047-430-043
�1 0 0471 �-4 $,',-,'0 - 0 4 1, . I W LL' J"AkS-r MARK C : ONTR:., . %Bb o TA POOILS.1'`--,` "� 4554 `GARDEN BROOK' DR"-,,'dH I CO',-,,, �§,WlMtMING-j,POOL A 35,h:1'�,c0%n p,`,f 047!430-043.1 MSCELLANEOM, HVAC &aqge Out 'C' ""fKe ,.4554 GARDEN BROOKDR- &-SHAI,EEN'D—w' Jq%- 4s' 430-�043: -1918 pq7 MISCELLANEOUS sty''�',.,,�Re-Roof. REROOF S - -'� 4554 GARDEN. BROOK -DR J 40111 oq?- q3jo- m ml m �mw I A 0 �mm 0 0 �mm I I Z�M�M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4554 GARDEN BROOK DR Owner: Permit NO: B07-1918 APN: 047-430-043 HOFF CARL D & SHALEE, Issued Date: 09/11/2007 By TMP Permit type: MISCELLANEOUS 4554 GARDENBROOK DR Subtype: Re -Roof CHICO, CA 95973 Expiration Date: 09/10/2008 ' Description: REROOF 60 SQ SHAKE Occupancy: Zoning: SRI Contractor Applicant: Square Footage: AFFORDABLE J C ROOFING AFFORDABLE J C ROOFING Building Garage Remdl/Addn 288 PANAMA AVENUE 288 PANAMA AVENUE CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 680-9471 (530) 680-9471 FEE INFORMATION DBMSC Re -Roofing $344.00 Total Charged: $344.00 Fees Paid: $344.00 Balance Due: $0.00 Receipt No: B4569 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License AFFORDABLE J C ROOFING 868569 / C39 / 12/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in full for and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 09/11/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: &oFrfrac ores Signature Date -11, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). � I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by (� ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 286-00Exp. Date:01/06/2007 's ContractorLicense Lay.). (This section nee not a completed if the permit is or one hun re ollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/11/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisi s. 09/11/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building atur Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify, that I am the property owner or am authorized to act on the property owner's behalf. 09/11/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nartre of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 10 Contractor OR; DAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name; 1 O First Name L Mailing Address G1N�l cst� n.�Ic f7`l.. City C _ State Zip Phone Fax E-mail APPLICANT INFORMATION CONTRACTOR Name �D City Address Zip City CAV Fax State IJ Phone �p l Fax E-mail Lic. # Class g(FS— APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address. Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PERMIT NO. - t1IF BIN # PROJECT LOCATION API 0 4 - _ 9-30 - (D 43 Property Address GtA&D 6N "px ti CityCif Lcy CA: S WORKER'S COMPENSATION Policy Number c) q) e, Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood!tTy SRA res No Occ. pe Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4554 GARDEN BROOK DR Owner: Permit No: B06-2835 APN: 047-430-043 HOFF, CARL D & SHALEEN D Issued Date: 12/13/2006 By KCG Permit type: MISCELLANEOUS 4554 GARDENBROOK DR Subtype: HVAC Change Out CHICO, CA 95973 Expiration Date: 12/13/2007 Description: CHANGE OUT HVAC UNIT (530) 894-6454 Occupancy: Zoning: SRI Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR GALLAGHER'S HEATING & . Building Garage Remdl/Addn PO BOX 35 PO BOX 35 LOS MOLINOS, CA 96055 LOS MOLINOS, CA 96055 Other Porch/Patio Total (530)384-2444 (530)384-2444 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1182 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (cgfgftVncing with Section 000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) i in ful f rce and ct. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 12/13/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C n ctor's Si ure Date ❑ 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 WORKERS' COMPENSATION DECLARATION , OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 713-0013855 Eixp. Date:05/0112007 Contractor's License Law.). (This section nee not be completed if the permit is or once hd dollars ($100) or est s.) ❑IAM EXEMPT under Section B. & P.C. for this reason: 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 12/13/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 12/13/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupan 9 of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County tAen r boventioned property for inspection purposes. I hereby certify that I am the r v ulho o , onthepro a wn�f ehalf. 2/13/2006 e i ee N] Ptfnt CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for performance of the work for which this permit is issued. (3097 civ. code) JDathe 11Owner El Contractor OR DAgent for Ownerent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 FEE WILL BE REQUIRED AT TIME OFAPPLICATION [Bf- A Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE r office use only: OWNER INFORMATION Last Name hes H VA C First Na e r ` Address City a .br State Zip Phone Stater aZip�G Fax E-mail ?40 r `-F r APPLICANT SIGNATURE r office use only: CONTRACTOR Name hes H VA C Addres SRA City ' Stater aZip�G Zip PhonZS r`1 � ?40 r `-F r Fax E-mail Planner Lic. # -�.1, Class APPLICANT SIGNATURE r office use only: ARCHITECT/ENGINEER Name hes H VA C Address SRA City ' State Zip Phone � Fax E-mail Planner State License Number APPLICANT SIGNATURE r office use only: APPLICANT INFORMATION Name Cl hes H VA C Address SRA City ' State�� Zi qu Phone � Fax E-mail Planner APPLICANT SIGNATURE r office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: uvt:K runt SUBMITTAL REQUIREMENTS K:\FORMS\BUILDIN6. FORMS\BldgApplSubRgmts.doc Page 1 of 2 PROJECT LOCATIAN ON erw�_ Cross Street WORKER'S COMPENSATION Policy Number UO Carrier IIf hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance LENDING AGENCY Name Address Description or Scope of Sq FT- Living Garage Open Cov O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ' Amount: Bldg SRA Receipt #: J �$`2 Sheriff i1 tf I J SMTP Date: 42�- 18- 06 Total REV 8-12-05 1-�- N;c11e Aw V, NTIAL 047 43-0-043 92-0056 l� WILLIAMS, MARK & JULIE i CONTR: BONITA POOLS 4554 GARDEN BROOK DR, CHICO j SWIMMING POOL j JOB FINALE Signature J=OK O = Not OK Applic No Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance R Disconnect 8. Utility Clearance t 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 t MISCELLANEOUS Date DECKS. COVERS, CARPORTS, GARAGES, (Plans)OK except #'s _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Rocf; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date POO (Plans) OK except #'s Se a s -Easements ss Compaction -Structure Stability 1. ,,,, Jam. ool Structure; Steel -Connections -Thickness 1 ItlElec ; Receptacles and Lighting, Distances-GFI 6_1612P -Pool Lighting; 15 volts-GFI G lec.;Enclosures; Conduit Entries -Terminals -Listed Elec. nding; Metal w/5' -Circulating Equip. -Heater ec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval _ lu Dy ., Cir. Test -Water Supply Test 13DA/61 6r6w+ 3 -..a ✓ =;OK O_ ot OK N t Applicable Not Rudy RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except it's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------ ----- - ------------------ _ 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub &---Shower,-Second Floor -Tub Access ----------------------- ------------------- -- 21. Gas Pipe: & Anchors --------- ----------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except Ir'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/Mech. Fastners-Bond Gas & Water ------------ ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - --------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size r ! ga. -- Cu or AI -------- ------------- --------------------------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ -------------------------------- -------------- 30. Service -Riser Conductors -& -Ground-Main---Disconnect --------------------------------------- -- ____31 Equip Clearances Panels-Motors-Mech. Equip. --------- ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- -- - ------------- ----------------- - --- - -- -- 33. Smoke Detector ------------------------------- ---- ---------------------------------------------- Date Card B-1 Date Card B-1 --------------- ------------ --------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except rr'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 It'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 Rngle & Duplex) Date •Y FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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 3' -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 It's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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 A.C. Duct in Gara a -Dam er -- --------73.------------------------------ 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 7;. Insulation -Foam -Looked in Attic ❑ Yes ----------- ------------- -- 78. Guard Rails & Deck Construction -Post Caps - ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -------------------------------------- ------- 80. .-- ----------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ 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 - - - - - - -- - - - - - - --- --- --- -------------------- ------- a6. Ventilation Throughout House .. ------------------ 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: r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 .►� 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is compl ed. If you have any questions pertaining to this matter, or need additional explanation, please qbntact this office immediately. Date I Inspector UGiy Q , REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 a CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office . when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. No"5 b,, [1'(i �-ar re j A) b y j Ccti r �r N' 01 P "aX W i i Y u 3 r Date Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 47-43-043 = .ZONING R-1 BUILDING PERMIT OWNER Mark & Julie WilliamsEst. TELEPHONE ,SQA FT. OCC. BUILDING VALUATION 19 000.00 OWNER'S MAILING ADDRESS 4554 Gardenbrook Dr., Chico 95926 CONTRACTOR'S NAME Rnniin Pools; TELEPHONE -512 CONTRACTOR'S MAILING ADDRESS Rt. 3 Box 3445 Orland 95963 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$19,000.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $165.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS $ 40.00 BUILDING ADDRESS Permit fee $ 240.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Pool SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Swimming Pool Master #502-88 Permit Fee $22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury lur y (check one): PURI 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. ..�Qp. License .JO. Classification assification �'��.� ❑ 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 Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUPM OR ADDNS. 1 ACC. BLOGS. // 3.64 sq.ft. NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. EXOCCU P(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 001 15.00 Permit Fee $ 10.00— 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 agr a to save, indemnify and keep harmless the County of Butte against all liabili les, judgment costs, and expenses which may in any way accrue against id unty in asequence of the granting of this per it. X 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 CONST TYPE IO I_ TOTAL FEE $292.00 E HAz 11 FEES — IMP FLOOD CDf PARCEL PD I This permit is hereby issued under the sions of the Butte County Code and/or Work indicat above f hich fees D PUBLIC By PE I XPIRES Date / applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103407 WHITE-D.P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWN FSR COUNTY OF BUTTE - DEP RrIL1K-NT%1OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - Oct LCE_t LIFORNIA 95965 - TELEPHONE: 916/538-7541 *i .f PERMIT A$PLICATION DATA SHEET Proposed Building Use Building Inspector_ Permit No. iZ V T Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' 4 DATE RECEIVED APPROVED All items have been submitted. ............. a 2. Plot plans in duplicate/triplicate, signed bey preparer of plans........ 3. Complete plans in duplicate/triplicate', 'signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ......................... 12. Park fees paid ........................................ 3 Sch strict fees paid ............. . -_� ���4rSanitation approval from _ �_=% 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 (pate) 21. Contractor's license information (No., Name Style, Classification) ... r 22. Certificate of Workmans Compensation Insurance .................. .,. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at _office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date I Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be,,submitte:d 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---- inail_counter by ..daje Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date j- 14-32., Sets of plans on hold in File cabinet AP folder Copy—DPW `c?2__ TO Ruildina Department FAOM: Environmental Health SUBJECT: Sanitation Clearance V YS -Y? Location AP# owner Plan Approved for: Hold final for: Sewaqe Disposal - pinal clearance O.K.' for: clearance for bedroom mobile home.-- other P A NOTE Water SupplY Water SupPlY Water SupPlY - -------- Date sanitarian COUNTY OF BUTTE - DEPINRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroi:.I-le. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER — — ZONI G f BUILDING PERMIT OWNER /e- UL j i�L S TELEPHONE SQ. FT. OCC. BUILDING �/ LUATION OWNER'S MAILING ADDRESS �'� �o��r3n.va i �N O CO TRACTOR'S NAME TELEOC PFT/ l COTRACTOR'S M (LING ADDRESS 3 4 4 0 LAN 9,5-t3 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $�� Plan Checking Fee ao O o ARCHITECT OR ENGINEER'S MAILING ADDRESS BUqL ING S ADDRESS Energy Plan Checking Fee,$ P -T622 $ 4Z 0. O Permit tee PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 , 6 0 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other ):w L— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I GFT @ 15.00 TYPE OF WORK New Addition ❑ Remodel❑ Utilitieess❑ Installation❑ Other ❑ Describe work: Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 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) ❑ 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 Main service 200A TO 1000AI 37.50 NEW CONST. / DWELLING occuP.al) 3.6asq.ft. OR ADGNS. 1 ACC. BLDGS. NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e\ SINGLE OUTLET CIR. ! Ex. OCcup(OUTLETS OR FIXTURES20 @ 76t Ex. OCCup. OUTLETS PFIXED APLNS.IRESID IREA.)\\ I 3.00 11 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 C-- S, ,O Permit Fee — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 Feel 15.00 Heating Cooling rHood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. X 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 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $� ,Q HAz 1 0FEES I IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable.provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date over Receipt No / . / 0 1?�4f:7 whir[ -O. r. w.. YELLOW -ASAI r ssew Cour-�uaPreTno �... .....-...._..,..� .-...- 1-A ENTIAL 47-43=43 `_l 338-9n P,E,M. LUI & COLE 4554 Garden -Brook Dr, Chico Lot 25 4 (new single family) C o OFFtC i Address 1-A ENTIAL 47-43=43 `_l 338-9n P,E,M. LUI & COLE 4554 Garden -Brook Dr, Chico Lot 25 4 (new single family) C o OFFtC Address pate \ GAS Meter BY pate 1` Meter BY A e&tk o . a4 er.� �7- 3 C1-90 U A . cam: e -ate- {z k' j� 4¢l: Q JOB FINALE Signature 'dF OK' O=Not OK = Not Applicable = Not Ready -� ate UNDE&LOOR PPI s) OK.exceot #'s RjFtg. ain; Soils-Elec. ., Garage; S ils-Ste ,TFtg., Por s & Decks; 9.,.£i mwalls, Main; Steel RESIDENTIAL (Single & Duplex) , U rfU:QV_ Date FRAMING (Continued) )lope �5. Hangers -Post Caps -Anchors -Connectors 3. Depth fI Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. -/)ZC Ftg. Depth 47. Fire5jpce Ties or Type A Flue -Fireplace Throat clearance Vtg. Depth 4 is Access; Size & Romex Pr ion -Draft S s. Baffles 6. Eterrwalis, GarW, Steel- BlorQpMs-Wrapped 6a. H?A Downs and Special Anchors lab; Steel -Wrapped 8. Piers- 'replace Ftg.-Steel .V.; Fall -Fitting -T T63y C/O ewer 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 S-2R5''R6 Card B-1 ()Q " Date Card B-1 Date 'add 110 Card B-1 U (V Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Htr.; ent-Access-Combustion Air -Baffle 17. Wat ipe; Test & Anc ailR-61'e-qUarl 1 V.; Test -Fitt' & Anchor Protection 9. Shower Pan; Test, First Floor -Tub Access )t-40. Test Tub & Shower, Second Floor -Tub Access 24-115as Pipe; Size & Anchors Date Card B-1 L)G Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT AL Permit OK except #'s 2 . ixture Transformer Clearance -Ins. Protection 2ALLWrReceptacles Spacin ghts & Sw' at Doors 2 s & No. onductors-Stapled 2 . ex Installed Close to Edg uds & C.J. Equip. round made up w/Mech. Fastners-Bond Gael W ppli nce Circuts in Kitchen & C nductor Size/GFI 2 feed Wire Size � ( ga. Cu o AI- .C. Wire Size / / ga. Cu or nge Circ. / ga. Cu o AIvp Circ. / / ga. Cu or Al. Inca la a Aral s 0 No 311Y-S—er iser Conductors & Ground-Mg�2• Disconnect 3 quip. Clearances Pane is- Mot"rr--Ilech. Equip. 32. CI91beTCloset Light -Shower Light -Spa Light 33-0§moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s A.0 ucts Insulation & Support 3' en n; Exhaust above insulation on sate Drain & Overflow; Size & Grad rnanc ent; Access -Comb. Air -Re Air Vent -115 outlet 3 c Access & Platform if Furnance in Attic Date `5-z DCard B-1 Uj3 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN Plans OK except #'s 3 i s, P per Material &hors 4 alts Studs-Nai' Spacing & Br g -Plates -Sound 1. Beari alts ov Floor Nailing at Sto in Walls (rat proof) . F' ps; Furred Ceilings -Staff -Chases-Tub Cr- He Kers Beam -Size e q or 54ellrr_o ine Firewall & Openings xt. rs-One 3' -Check Garage -3rd Story, 2 Exits Width -Headroom -Rise -Run -Landing -Fire Protection 4. plywood on Roof Overhang -Attic nts-Rafter Outriggers 55. Siding -Nail' Veneer �3g56. Stuc esh-Drip Sqp4-Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts S 9U 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ Card B-1 (_)S Date'7-:5'41(> Card B-1 U Date: -3' Card B;IW Date Card B-1 Date FINAL ns OK except #'s xt. Ste or & Sideli rotection-Landings iln"a S e Detector urnace; Vents -Clearance -Comb. Air -Connector - In Vie; Above Floor-Ducts-Mech. Protection 6 . th Fixtures & Tul1/►8c -Spa/ 6 e rim-& Subpanel; er Sizes & La 60,oFir ce or Stove; ClearaAQPe'HeaRh 6 le utlets at Wood Panel; Ext it.FPpiiance: Grnd.-Air -Co learance 7 Out" is & Receptac it. C ter Gar a Fire Door; Swi a Clo 3 C. uct in Garage- per 7 tr. Htr.; Vents -Clea a -Comb. Air-Connector-P.R.V. In Garage; A loor-Mech. Protection 5. & Mech. Equip. Listed for Loca ' eceptacles in Garage; omex Prodction Insul n -Foam -Looked in Attic es uar ails & Deck Con ion-Pos CIn. V nts & Crawl Hole Door -Dr nage & Earth nce Looked under Flogrd-es ollowing instid.; rive❑ No; Walks es 0 No; Planters 11Y �a 81. Stucco o -Finish �o 8 . U�scon le al•_Pumbing 8 nts At>oV54ro-of: Plbq.-A iante-Fire -Clearance to ate ell; Disconnect, ferectric umbing 8 xt ' r Elec. Trim; G.F.I. Receptacle -Underground 8 en ' tion Throughout House 51;,.c5lass rotection rection from Previous Inspections 89. Gas Meters Tagged; Gas -Electric - 2A- f 9 C 9 r & Sewer Connected -C/O to Grade -HD Approval , nergv Compliance Certificate -Other Certificates Dateo-9s-0 -1- Card B-1 V Date Card B-1- Date/o-/54?() Date d -/5Q() Card B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) %I OK O = Not OK L 1' Not ApplReady ' Not Ready MOBILE J"IOMES 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: / P'L" ft. / P'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 #a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/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 M MISCELLANEOUS Date DECKS, COVERS, CARPORTS,. GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frma: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landing's Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 N e COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f• 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 ER A routine inspection indicates t o in vi tions -of County Ordinance exist at the above address and should be corrected. Please notify this office when correc ' of work is completed. If you have any question pertaining to this matter need additional explanation, please contact this office immediately. 4-M �' Cn (----r �u G^ 001\0'c,� Date �� �`� Inspector //���P,Q J'� ..�F�'` a-.-w.r'-v-w:L..w.-e•,..i°"„r+.-a.�-�.y{c •..ar"+vn.lY art.•�r'-'*'-v..--'4:ana...,�..a..LMriii. :..::+Y �:'S.;r;C.;..p COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 . ' 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise = Rhone: 872-6307 CORRECTION NOTICE 133 g- R`a 4 A MN. VNER I — PERMIT Ni 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 Z Date~-� (y Inspector f COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 �. 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Onk N 5R PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whenor tion of work is completed. If you have any question pertaining to this matte -; or need additional explanation, please contact this office immediately. Imo. Date �� _ ( L/ Inspectory ' Owner LOCATION CAD L-0 4 SS q Permit No. ENE'R(�l' CERT[FICATIO`N DESCRIPTION OF -INSULATION .ROOF MATERIAL BRAND NAME THICKNESS 'THERMAL RES. V9: P. NO: EXTERIOR WALL MATERIAL FIBERGLASS BRAND NAME. CERTAINTEED THICKNESS THERMAL RES.. / ? .: CEILING BATT OR BLANKET TYPE r86k*sUW BRAND, NAME CERTAINTEED THICKNESS THERMAL RES. sin LOOSE FILLTYPE INS.UL-SAFE I-IIBRAND NAME CERTAINTEED THICKNESS Z, s,N THERMAL RES. 3p FLOOR,ELEVATED - MATERIAL FIBERGLASS BRAND NAM -E -CERTAINTEED THICKNESS THERMAL RES.- FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNIDATION .WALL t MATERIAL. BRAND NAME THICKNESS THERMAL.RES. I HEREBY CERTIFY THAT THE ABOVE .INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NAME OWNER STATE CONTR. LICENSE NO. I hereby certify the above insulation and all. required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of Cal,ifornia.Energy Requirements. i,L :qui meet, devices and -materials are of the quality prescribed or specs, 1 ly approved by the. State of Calif. �.. Z8-q�5 'I- .� C0c� ,d60�G, ----_--- -= -- - - ------------------c3�1s5�z-------=-- FIRM NAME/,O;WNER (PLEAS�F,-"INT) STATE CONTRACTOR'S LICENSE NO. NERAL 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 47-43-43 ZONING R3 BUILDING PERMIT OWNER Lui & Cole Devel. Corp.- TELEPHONE SQ. FT. OCC. BUILDING VALUATION 3074 R 122 60 OWNER'S MAILING ADDRESS P.O. Box 7119 Chico 95927-7119 744 M 10,416 CONTRACTOR'S NAME Grego Cole TELEPHONE 893-0881 644 CON, 6,440 CONTRACTO 'S MAILING ADDRESS same Fireplace 1wood 1 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 139.816 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS N/A Permit Fee $ 533.00 ARCHITECT OR ENGINEER same LICENSE No. Plan Checking Fee $ 266.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS %45 Permit fee $ S1824. PLUMBING PERMIT Filing Fee 10.00 Each Trap 15 2.00 30.00 Chi ro Solar or heat pump water heater 20.00 LOT NO. 25 SUBDIVISION NAME Carriage Estates PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK Newpg Addition❑ Remodel❑ Utilities❑ Installation[] Other❑ Describe work: 4BR _ LA Permit Fee $ 65.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L too AMP 2.50 2,50 CONTRACTORS LICENSE LAW 1 deWIunder penalty of perjury (check one): 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 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING 01:1-3n. 8) OR ADDNS. ACC. BLDGS. 2+/z2sgft 95,45 NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES Zo®soe eAL930 Ex. QCCUp• OUTLETS FIXED APP(RESIO.)REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 127-95 111 Contractor - WORKMEN'S COMPENSATION INSURANCE I d nder penalty of perjury (check one): he 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. MECHANICAL PERMIT Filing Fee 10.00 , Heating 6.00 KNEXXX SPLIT 3T .00 Hood 3.00 Ventilation 3 3.001 9.00 permll Fee $ ' 00 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 up the above -men ioned property for inspection purposes. I also agree to ave, indemnif keep harmless the County of Butte against all liabilitie judgments nd expenses which may in any,way a true against County in on ce of the granting of this per Date - Signature a A licant - OW Conrracr Agent IT An OSHA a it is required for excavations over 5'0 deep and demolition or construct- ion of str res over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o c CONST vP V TOTAL FEE $ 1115.45 HAz cuA PARK S,CHL/ ✓ FLD P R�PDHD 1/ IF This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR PUB By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � ` 79 Dat _ z�w Receipt No. 64248//321.50 GG3Q¢ 7 e 7](� (�7j� �J WHITED. P. W.. TELL NC-Q.0NW INK-I..PrCTOR, 60L DEN... -APPLICANT BUTTE COUNTY SCHOOLS D %79 O6MENT FEE CERTIFICATION FORM (One,F,orm per Building). A. P. Number 417 - (-4 3 -L{ 3 Building' Department No. School District C 41C 0 Cityw y Count r\—fl Jurisdiction Property Owner /_ U I CD LI ��" (% /= �.. C 0l2 /0 Project Location/AddressA S S7 6AV D15N ,Rleboe oto. C NlGO CH Subdivision CAee) 14&,E F S T/4 7-g g, Lot Number C < S Residential Development:. F-1 a O 7 ,/ Sq.' Footage3O7 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) �\y2SS Building Dep 4F Representative Date k �t"yt (Floor Plans reviewed by School District Personnel) District Id No. _l School District certifies that, n(Applicant Name) (Phone Number) SLreet Aaaress 4(w (Fj ClGt_ 5/-5,11 -"(City) (State) (Zip Code) has` complied with the requirements -of Resolution No. _,qs l by the payment of $ /%,,-7/. T V—representing\307Vsquare .feet, School District Representative Date �k 0 r PAID BY CHECK NO.��' BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district 41 G(v 304- � 7g3.4T5 SCHOOL.FEE (8/88) N. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 60,1eil B1001 okner location AP # TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ((3 — Y-/ Owner Location AP# Plan Approved for: Sevaqe Disposal Lf� Water Supply Hold final for: Water Supply Final clearance O.K. for: . Clearance for bedroom mekq;lm home. Other NOTE * * * Water Supply —C/o t4te Sanitarian tri COUNTY OF BUTTE - DEPARTME�NT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 6ft/tLLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER LII 4 COLe 0EVIE 8 '(01te A. P. No. _ il7— Ll 3 `4 3 Proposed Building Use 12 40,4 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. Hazardous Material Form .......................................... 6.. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....� ., ��................................. . 0. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... *12. Park fees paid .......................................:........... C / C U School District fees paid .............. 1.4. Sanitation approval from Health Department CJ x 15. City of Chico plumbing permit ...................................:. 16. Plot plan and business license approval from City of p (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 ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail t owner. Mail to contractor. TelephongA!? ��S� and hold for pickup at office. Deliver w./inspector. Other AppI icane5 'Date f Copy of Haz-Mat form sent Health Dept. Fi a ept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issua ce: (C' c n w 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--inall_counter by Contractor, designer, owner, was advised of above required data by—phone—mall unI by date p� Plans checked by Date Plans approved by L� Date d Sets of plans on hold in File cabj,net AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orsyi(le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSO PARCEL NUMBER` ZONINQI BUILDING PERMIT ow , �� 11VTEL HO E Cs SQ. FT. 0 C. BUILDING VALUATION 36-7 00 _ OPER S M TNG ADD 55 G. zxGG Ca CfI. 27-- 1 0 CONTRACTOR'S NAME CoL� TELEPHONE - /) �y ,O v/ O' 47 O V M CO TRACTOR'S MAILING ADDRESS ^( 7(::: C0 , -7 - // FirepI ace oop ©© o CONSTRUCTI N LENDER UNKNOWN = Total Valuation I $ Filing Fee $ 10_� LENDER'S AILING ADDRESS Permit Fee $ 33�cr ARCHIT OR ENGINEER e 0 LICEN No. Plan Checking Fee $ .91 &16 Ener Plan Checking Energy g Fee $ p p ARCHITECT OR ENGINEER'S AILING ADD ESS tom)( l C Q 2, /9 Penalty $ BUILDING ADDRESS, 2S Permit fee $ ! PLUMBING PERMIT Filing Fee 16,00 CA. Each Trap 1 2.00 3,004 Solar or heat pump water heater 20.00 LOT 2 NO. SUBDI VISION NAME �ET��CS PARCEL MAP . Water piping 5.00 46,v C Each qas water heater or vent 5.00 USE OF STRUCTURE SX Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 O Building sewer 5.00 Mob le Home I S I G JW 0.00 ea TYPE OF WORK Newx Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ! Describe work: ��`,�� �.e�F�/%�>G� G `/,��� CU Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 O Main service EA. ADD'L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW I de lar 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.V,� Classification th ❑ , as the owner, or my employees with wages as eir sole compen- sation, will do the work,arid the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively. contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCU, OR ADONS. ACC, SLOGS. P a �2(CSgft NEW CONSTR U '_OUTLET NO ESID .BRA C CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES\\ 9A 090 Ex. QCCUp. FIXEDLETS PIRESID IKEA.) 2.00 emporary service 10.00 60,00 bile Home Facilities 15.00 Misc. �Yirin g 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 Heating & Lt '� Cooling A) Hood 3.00 0 Ventilation 3 pQ Permit Fee $ X00 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 ned property for inspection purposes. Butte to enter upon the above-ment'7nd I also agree to ave, indemnify nkeep harmless the County of Butte against all liabiliet judgments, Co s expenses which may in an way accrue against s ' ounty in c of the granting of this permi . %� Date v Signature of I-il — Owner , Contractory Agent An OSHA p mit 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 $ TOTAL PERMIT FEE $ )� OCCUP. CONST.TYPE sCNOOL PLOOD PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt N u / L WNITE-O.P.W.. YELLOW-ASeE SOK. PINK -INSPECTOR. GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) �t�' Bldg. Permit # OWNER ���� '� .WIC A.P. # 41% - GENERAL Zzoning requirements: (sideyards luation. Plans signed by designer. Energy Design and Compliance. Existing�wiolations on property. Items on data sheet. PLOT PLAN and number of permitted living units). Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. L-3'. Other buildings ov structures. 011 Grading, fills, drainage. Flood hazard. -Fl. Special conditions on creation map or compliance document. Lk""FAU & FAS road setback. �o A 5/89 FLOOR PLAN i� Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). U+k'�ylights (Chapter 34 & Seca 5207). Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). y! GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles'for maintenance of mechanical equipment. Lyf- Locations -.of water heater, eating and cooling equipment, other electrical or gas equipment, and plumbing ix ures. (1 arage firewall, door size, and closer (Sec. 503(d)(3)). l-lam/1 - 3'0" exterior exit door (Sec. 3304(e)). & Fireplace and wood stove location, -alcoves, and clearance. Smoke detectors (Seca 1210). STRUCTURAL DETAILS j /foundation plan.complete enougli t:o cons rct building. 9 Z. Floor construction details complete enough to construct building. levations and wall construction details complete enough to.construct Roof construction details complete enough to construct building. '5. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR /r.'—Stairway 'uardrail rick or .sa. building. details: landings, rise and run, head clearance, handrails (Sec. 3306). details (Sec. 1711 & 3306(j)). stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR,(CONT'D); Exterior plaster - weep screeds (Sec. 4706). �r Proper roof pitch for roof covering (Chapter 32). �Moof covering type - (fire hazard). fter ties or bearing ridge beam. Curage door or porch header sizes. .Adequate bracing. iving area over garage complete 1 -hour separation required on_garage side including supporting walls and posts, etc. -H-- T.oexits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). ak�combustion air for fuel burning appliances. 1,5 -,—Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. J.8-.'L�nusual shape, size, or split level house requiring lateral design. d-9� lashing at all exterior openings. �'ynaoG2 � - 41J/rpr4k 5/89 Certificate of Compliance: 'Residential.. Ciimate'Zone 11 Pro jest Tlde 77— BU ild• g I c mit # O Protect Address �J W� Cae&ed B y / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA boned Floor Area Number of Stories S1a %Raised Single FFloor Number of .Units # amily Detached (SED) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition '.i z BUILDING SHELL INSULATION Component Insulation Locannn/Comments Type R -Value (auric, to ettraee. tvDicel. et Wall .............. Wall ............. Roof ............. A Roof ............. Floor ............. Floor ............. ..tr- Slab Edge..... r GLAZING Glazing Area Orientation (sf) North ( ) North ( ) East ( ) East ( ) South ( ) p South ( ) West ( ) �— West ( ) Skylight....... THERMAL MASS Type/Covering (slab/exposed, tile, etc.) s Mandatory Measures Checklist: Residential ` ' MF -1R NOTE Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (*)may be superseded by more stringent compliance i equircments listed on the Certificate of Compliance. When this checklist is incorperaled 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. North East a South { West O Skylight l-iZ— Total Shading Devices Glass Type Interior Exterior Overhang Framing Type Area Thickness 01 - HVAC HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Bath) (or approved equal) �� 1 - 5. - - i2 s Maximum Furnace Heating Output: /0/D,�(q Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # 0 a SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) DESCRIPRON DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2-5352(b}. Loose fill insulation manufanuret's labeled R -value. ' 12.5352(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 03%. water vapor transmission rate no greater than 2.0 pitmi/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) Quality standards Indicate type and form. 52.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exftltradon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage, b. Doors and windows certified. e, Doors and windows weatherstripped: all joints and penetrations caulked and sealed 112.5352(e): Special infdtration barrier installed to comply with §2.5351 meets CFC quality standards. §2.5352(d): Installation of leucplacts 1. Masonry and factory -built fireplace have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous buming gas pilots allowed HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 12.5352(h) and 2-5315: Setback t)tertnostat on all applicable heating systema. • §2.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b} Exhaust systems have damper controls. §2-5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC.. §2.5352(1): Water heater insolation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or gmatu). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping - §2 -53 19(d): iping.§2-531R(d): Swimming Pool Heating 1. System has. a On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2- 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet Lighting and Appliance Measures i §2-53520): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator-freerers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. � ** t • � ..tr- / r COMPLIANCE STATEMENT This mrtificate of compliance lists dr. building featuret and performance specifications deeded to comply with Title 24, Chapter 2-53 and Title 20, 0aptcr2. Subchapter 4, Article 1 of the California Administrative code- This ci rtificater 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 purdlaser of the building. DesignerBuildNoma: ng Owner �a-le /Q� /fa�- Namc . - ./ TitkJFirm: Tit1dFum: � _ ��' Address: Address: O. RgyTckph,— 8 pna Telephone:Telephone:�an L,ic. — gl/ _ Cf� 1_ �i LGA_ (signature) Documentation Author Namc: 't ide/Fum Addttss: (date) (signature) Enforcement Agency Name: Acenry: Telephone (date) 1. Ceiling Insulation -14 -48 -69 Number of stories -144 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -5 0.08 -11 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 R-5 -4 -4 2. Wall Insulation R-11 -2 -2 Single- Single- .1 -2 Famiy 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 37 -9 3 0.80 -153 -114 -76 ,b 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 l 0.00 24 18 12 12 17 16 3. Raised Floor Insulation 0 4 elation In Floor 13 17 Number of stories 1 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 -14 -48 -69 - ---0.60. -144 -70 -46 0.50 -120 -58 38 0.40 95 46 30 0.30 -09 34 -22 0.20 -43 -21 .-14 0.10 -17 -8 -5 0.08 -11 3 -4 -0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -12 -3 Number of stories 12 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 25 -' -'-" - Numt>ar of Stories 0 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 37 -9 3 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): . Soecification . Points Starderd . - 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value 16 Percent -42 -59 .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 31 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 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 0.95 8.71 20 18 -15 13 11 8 1.9 Effective SE or HSPF 7. Shading (Shade Open) -14 -48 -69 -64 Effective Percent Gnus 16 -12 -42 -59 (percent glass x SC) na Effective -10 -35 -50 -46 %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 14 15 10. Exterior Wall Thermal Mass l6. Shading (Shade Closed) Effective Pesctat Glass . (percent Qtam x SC) Effective %Glau North East South West SkySpht 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 ..: - Interior Slab Floor Raised Floor Mass Stories Stories b. East /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 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 .7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 ; 7.0 6 9 11 13 13 14 7.5 6 10 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 5.0 Exterior Single- Single - -17 -13 Wall Family Family Multi -11. -9 Mass Detached Attached Family 0.00 0 0 0 3 0.20 3 2 1 0 0.40 5 4 3 0 0.60 8 6 4 5 0.80 10 8 5. , 1.00 13 10 7 ; 1.20 13 12 8 13 1.40 12 13 9 26 1.60 10 13 11... 8 1.80 10 12 12- 18 200 10 11 13 33 11. Heating System 20 15 10 SE or HSPF Zonal Control Adjustment 4.8 5 (assumes duets In able) , 10 8 7 Sum of 1.6 _ 3 0.9 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more f 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 7.33 8 - 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 -15 13 11 8 1.9 Effective SE or HSPF Single -Family Detached and Attached (SE or HSPF x duct efficiency) - Effective -2S or -24 to -1410 1 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 1 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 4 System Type 3 SE None Resistance 10 9 7 6 4 3 1 Other 6 5 4 3 2 2 g syst 12. Coolin �m -- - -- SEER Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation � or ' R -value [38) U -value [0.0301 2. Wall Insulation k (3 or R -value [I I) U -value (0.0981 3. Raised Floor Insulation 4 Slab Edge Insulation 5.. Infiltration 6. Glass Heat Loss or R -value [ 191 U -value 10.0371 or R -value [01 F2 factor 10.771 Standard Type [double) U -value [0.651 % Total Glass [ 161 7. Shading (Shade Open) % Glass SC ..Eff. % Glass a. North . Q' x • % 7 . 70 b. East x = c. South x = 3. S d. West x = p e. Skylight __-% D x = .72- 8. 728. Shading (Shade Closed) (&=met ducts In attic) SC Eff. % Glass a. North Stm of 7.10 ./,& = 3 • / b. East - -25 or ,24 b -t4 b -410 +6 b 16 or SEER lest -15 -6 +5 +15 more 8.0 -14 .12 -10 -8 3 -4 . 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 .4 -4 -3 -2 .2 9.0 -4 3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 120 15 13 11 9 7 5 13.0 20 17 .° 14 12 9 6 SK 55% Effective SEER 65iG 70% 75% 80% (SEER xduct of iclency) 90% 95% 100% 105% 110% 115% 120% 125- Sun of 7-10 0 0.2 Effective -25 or -24to -1410 -410 +6 b 16 or SEER less -15 5 +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 3 -4 ; 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 4.3' Zonal Control Adjustment 4.8 5 5.2 10 8 7 6 4 3 0.9 No Cooling System Installed I =-Stories 1.6 2 22 24 26 One -5 -4 -4 3 -2 -2 Two + 3 3. 2 2 2 1 5.3 . 5.6 58 40% 0.7 03 1.1 1.3 1.5 1.7 1.9 22 Single -Family Detached and Attached 26 2.8 a Unit Size (sf) 3.2 Water 3.5 1 199 '1200 1700 2200 2700 Heater Credit or - i b to to or Type Type less 1699 2199 2699 more SG None 0 r. 0 0 0 0 or Solar 12 " 8 6 5 4 = HP -HWR 8 5 4 3 3 5.5 WSB 5 3 3 2 2 1.1 POU • -8 5 4 3 3 SE None -37 -24 18 -15 -12 3.7 Solar -1 -1 -1 0 0 4.9 HWR -18 -12 -9 -7 -6 6.2. WSB.. -25 -16 -12 -10' -8 1.9 POU -18 _-12 -9 -7 -6 IG None -5 -3 -2 .2 -2 4.4 So!ar 7 5 4 3 2 5.6 POU 3 2 1 1 1 E None -28 -19 -14 -11 -9 2.6 Solar 8 5 4 3 3 3.8 POU -10 -6 -5 -4 4.9 5.1 Multi -Family (individual units) -_3 6.1 64 F Unit size (s f►700 1.4 Water 1.8 699 700 1200 1 2200 Heater Credit or b to b or Type Type Iris ;1199 1689 2149 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 ., 5 3 2 2 3.6 WSB 9 4 3 2' 2 4.8 POU 9 5 3 2 2 SE None 45 .--23 -15 -11 -9 1.8 Solar 2 .,' 1 1 0 0 3 HWR -23 -12 -8 3 .5. 4.3 WSB -25 -13 -8 -6 .5 5.6 P_QU_._23 -12 -a _6 -5 IG -None �-8 , -4 -3 .2 -2 ' 25 Solar ... 6 -.1 3 2 1 - 3.5 3.8 POU POU 1 0 0 0 0. E None : 30 . -15 -10 -'`-8 59 .3 -:7-.Solar '718 .:_ 9 6 4 4 - POU ..8 -4 :. -3 ..-2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation � or ' R -value [38) U -value [0.0301 2. Wall Insulation k (3 or R -value [I I) U -value (0.0981 3. Raised Floor Insulation 4 Slab Edge Insulation 5.. Infiltration 6. Glass Heat Loss or R -value [ 191 U -value 10.0371 or R -value [01 F2 factor 10.771 Standard Type [double) U -value [0.651 % Total Glass [ 161 7. Shading (Shade Open) % Glass SC ..Eff. % Glass a. North . Q' x • % 7 . 70 b. East x = c. South x = 3. S d. West x = p e. Skylight __-% D x = .72- 8. 728. Shading (Shade Closed) 0/i Glass SC Eff. % Glass a. North x ./,& = 3 • / b. East t x ' (f & = 5 c. South Interior Mass/CFA d. West D x G G = p e. Skylight_ x ?7 _ �7 9. Interior Thermal Mass TYPE 1 ►,+Ass AREA Intcriorlv`ats/CFA COND. FLOOR AREA 10. Exterior Wall plass TYPE 2 MASS AREA = % Exterior Wall Mats ND . FLOOR AREA 11. Heating System 7a x � 3 = Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 tt.t.a��r.'7t Ic•wa.a .1.01 [0.72/6.61 HSPF [0.56/5.151 12. Cooling System �'lR x 02 t TYPE 1 MASS (UIMC,a 4.2, Se: exposed slab) Effective S [7.03] .13. Water Heating _ .. Type [SGJ Credit [none] -. . 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% SK 55% 60% 65iG 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125- 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.1 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 27 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.5 SI 3.9 4.1 4.3' 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 24 26 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 . 5.6 58 40% 0.7 03 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 50% 0.9 1.1 1.3 1,5 1.7 1.9 21 23 25 21 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.8 6, 6.2. 60% 112 1.4 1.7 1.9 21 2.3 2.5 2.7 29 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 24 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.41.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1• 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 52 54 56 59 6.1 63 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.1 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100y. 1.7 13 21 2.3 25 28 3 3.2 3.4 3.6 8.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 110Y. 1.9 21 2.3 2.5 27 29 3.1 3.3 3636 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 22 24 2.6 2.8 3 32 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 23 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 73 125% 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation � or ' R -value [38) U -value [0.0301 2. Wall Insulation k (3 or R -value [I I) U -value (0.0981 3. Raised Floor Insulation 4 Slab Edge Insulation 5.. Infiltration 6. Glass Heat Loss or R -value [ 191 U -value 10.0371 or R -value [01 F2 factor 10.771 Standard Type [double) U -value [0.651 % Total Glass [ 161 7. Shading (Shade Open) % Glass SC ..Eff. % Glass a. North . Q' x • % 7 . 70 b. East x = c. South x = 3. S d. West x = p e. Skylight __-% D x = .72- 8. 728. Shading (Shade Closed) Point Scores --- 7` y 0 Sum 1.6 TpS Sum 7.10 Point Total: fin 0/i Glass SC Eff. % Glass a. North x ./,& = 3 • / b. East t x ' (f & = 5 c. South �tl.x d. West D x G G = p e. Skylight_ x ?7 _ �7 9. Interior Thermal Mass TYPE 1 ►,+Ass AREA Intcriorlv`ats/CFA COND. FLOOR AREA 10. Exterior Wall plass TYPE 2 MASS AREA = % Exterior Wall Mats ND . FLOOR AREA 11. Heating System 7a x � 3 = Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72/6.61 HSPF [0.56/5.151 12. Cooling System �'lR x 02 Zonal Control? ( Y / N) SEER [9.51 Duct ElTiciency [0.741 Effective S [7.03] .13. Water Heating _ .. Type [SGJ Credit [none] -. . Point Scores --- 7` y 0 Sum 1.6 TpS Sum 7.10 Point Total: fin ,�. ,,.: .nI.� i �..rr,, .,,fi .,�m, (;f. .,v .L. i...<.n,.,>,�• ��e,,<IM,...a. �.,_.� . ,:.,,t^.,�._.1. .,v.:,.1.. .� �,i., :..t.l�. '.. ,J�,l. .<a.a.,. F. wJI +I +.„,qx�,..!d,. ,,. 1„ �.n.,. .;.I. . .: 9 �.A , I R,. .Yr4., d �...Ie,r.,.i.l: �..f..,...,:. .. .,, P .-r qqI Y�....„ir....,.i,I,, ..4 .,,, t.. ,.,».. L. a. ..e ,,r , x z. - .. �ab.... . rr.w♦�'., .�....'. . ,. ...I .„,y:u...a.. , .i �...,�>,:...o :�.I ,. I I f.,,w.l',R,+, , I,.i....,.�.. ...I...V.,_., I.�, .1 u . ,stJ.l .. !c1.,., ,.. i... I.al..I u kAI, . 1 .u...x.�..I.l,.,l, a._r;:��. , ,.. .t .:...�w � If 4 .d ,/s.�:,h,,, rI7�,'S, �}rz,7it,.�., A • ,,,d.,f,.„i., f .. .7�. .Iyu.lI.!��:.:i 1r .^..",,ill. ' ...4'u�,.t . ,,,..,f,,^.x. ',I:,r•: U.e-.�l,7 ”1 3 w�f_..,�� a„�.b_:':� �a I r A.Y.. ,. �.�i.,fxi', a I ,. ,4 >�-a�• .s .I ,w s - s..nl rd�' ,. .•;CfI�.. ., . a i:s�. ..:x:1. I �Yxat L ,.�'I... „ � I I A �j! I I tir I -T�jrj i�- 11 111 i� 'r [I if 1 1 IT 1 i ]f I r 3 '1 7 �i I I ... . .... ... .. r ir, I r"It I ;i I' iv;., i 4l,, t it Ill '11i . i, , ( , I . tIf ii fit "J" k it i, A' i 1. 1 lit f if, pYIt e j - 11 It it it i k� d fI Wv to INtTVIitIFitItIttIfIVIttI IT' ItftittitItttfitFitfITItIffitINIiIIIifitfItIifitil IINtttItfttt. .. .... ... 1NitIII1IIiL RIN I1Rig tiittitliItfkilji JI if ,J Itttfi I, If I I I I IFtitiffII