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HomeMy WebLinkAbout047-480-00147-48- r 874 89B,P,E,M •I � -1k ' WAGGONER, Tom .C"O" �i uoof�;.n�, lot 500, Chico iti Contr: Bob Morton (new single family) (� q FINALED : _ _lI B.I. (/ 047-48-0-001 93 MURAY, KATHLEEN 16 JAC-O-LYN WAY, CHICO t� CONTR: JOHNSON ROOFING 1; h7 ` REROOF/SF 047-48-0-001 99-0084 B,E CRAIN, Donald 16 Jac -O -Lyn Way', Chico (new detached garage) -- 047- -001 00-032 P,E,M CRAIN, Don T t� 16 Jac -O -Lyn Way, ico 3.� Conv Garage to Living �'al 047-480-001 05-1783 SAN FLIPPO, DOMINIC `� I,.ERMIT RENEWAL 16 JAC-O-LYNN, CHICO i) `TE:= Ob Cont: CARL FREE POOLS 1•# n•57 -/7e3 POOL (MSTR 0 1 -502) } ;\PIKES ' �� ^G B07-2673 047-480-001 MISCELLANEOUS'ly Ag Exeml AG EXEMPT PERMIT FOR ORCHARD 16 JAC-O-LYN WAY SANFILIPPO, DOMINIC y 0 C -4A\ C-io C -N q 3 - 2:'Wl B A.LA N CE OF FEES SUEET DATE: J - PERMIT #: 47— ASSESSOR PARCEL #: OWNER'S NAME: ( Arrt FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ $ BASIN DRAINAGE BC RESIDENTIAL INTACT. 'County Wide Chico Urban _ $ El Medio North Chico Specific _ WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ OTHER --rte RECEIPT NUMB ER(S) 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.netldds PERMIT. NO. BP051783 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/20/2005 APN: 047-480-001-000 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. 2 License Class C- S 3 Licce�nse Number: 7� Site Address: 16 JAC-O-LYN WAY CHI : Date: _47/Contractor. C.,a�.2�/t-i-�/.2e�--� Map Index: Description: NEW POOL MASTER# 502-01 OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: SANFILIPPO DOMINICA & YVETTE V Business and Professions Code: Any -city or county which 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 16 JAC-O-LYN WAY signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973-9768 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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 (Sec. 7044, Business and Professions Applicant: CARE -FREE POOLS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 9 ALYSSOM WAY such work himself or herself or through his or her own employees, PO BOX 8689 provided that such improvements are not intended or offered for CHICO, CA 95927 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 342-4639 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: CARE -FREE POOLS not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 9 ALYSSOM WAY pursuant to the Contractors' State License Law.). PO BOX 8689 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 (530) 342-4639 Date: Owner: License M 380826 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 Architect: issued. "have Engineer: W-111 and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder: ]K� Total Square Ft: 0 S. F. Policy ft: 6 l,? •—D 3 Valuation: $0.00 Census Code: ElI 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' ]' compensation provisions of Section 3700 of the Labor Code, I shall �r)-7- forthwith comply with those provisions. Date: % r r Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Brrtte County Codo ?nrUpr I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated abofor which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)r By: Date: 1-20—OJ Name: s Address: PERMIT EXPIRES ON: Date Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Coun enter upon the above mentioned property for inspection pure o . 0 Print Name: ( ) [ ( Signature: 7/% /d Date: 0 Owner U-10ntractor 0 Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION �t hto9.1l7_ "PLEASE PRINT CLEARLY" OWNER Name Last Name irst Name Address ( , d ,, A Y City ( S e E-mail Zip Phone ff9 3 — Z3 I Fax Fax E-mail Page CONTRACTOR ' Name Address City State Zip 6F .-Phone3 `� ax E-mail Lic.#� L o CIPS63 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name City Address D 512 City State C* State Zip Phone E-mail Fax E-mail Page State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name City Address d Q X p City State C* Zp Phone 3 ^ fr2 Fax 3fa_ d YPc� E-mail APPLICANT SIGNATURE X For office use only: AP# G44,2_ qyo _ t?0 r Zoning City Flood Zone SRA Policy Number -a -3 No Occ. LENDIN13 AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. � n BIN # LOCATION AP# G44,2_ qyo _ t?0 r Property Address 16 - o - City Cross Street WORKER'S COMPENSATION Policy Number -a -3 Carrier If hiring anyo'nl other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDIN13 AGENCY -dam Address Descriptio or Scope of Work: Ct1 c-- u a , Sq. Footage ❑ Structure Built without Permits ❑ 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 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. OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: IV' Amount: Receipt#-. SRA Sheriff SMIP /f Other m/2— Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl , . ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) - • , ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. . ❑ 6., Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. - ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). n 13 Sadation_and site plan appmyaLfrom the_EmdronmeotaLHealth_DepadmenL Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning - review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).. ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan.approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION k. -\ KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7.27.04 �f .. r.- .�y.,ti-�..-�.ti.... ,,..,«.,.�.....��!%l.y..%::ti��.�_r.yT'h,vv..-'r-..: _�r'(..: ,•,r"r, Y n ...�.,�,,.+.:;.`.-.Y'•� -•�'e. t- L�,.� �..4..[�/��j.�\/A(�jJ�/ryk/•'''/]�j�_7�1, 1.... . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/CIA, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:�M1171�_ ASSESSOR PARCEL NUMBER fMo Proposed Building Use: 1) �( �CJ! Permit Technician: Date: / _ 7_tZ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. • 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C),Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent fog non-residential` buildirigs, ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without -required clearances. ❑ 14, Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in hico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... �.0 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ .. 21. City of Chico Plumbing permit ....................................................... I................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. O / 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: OK-_(B)Parking: (C) Parcel Check:..✓.... 0� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form.....................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ..............................:.. ❑ 33. Existing violations and/or expired permits....................:.................................... ❑ 34. Deed Restriction..........................................................::.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone _ - //0D��- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. `L Applicant: �3SDate: 7/G ;'. 1. Index permit application for the above items numbered: Plan Check Lefler 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above ata by, ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: --7 ans approved by: Date: Structural reviewed by: Date: Structural approved by: Date Note transfer by: Date: Yellow: Building Division ^, r E.H. USE ONLY • Plat Plan Anachod w Roar Plan Attached i Sant to 8.0. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal'" Water Supply: Public Private Well Clearance for -dwelling Other x! d �• ' Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 jAS01001NQ039: Main Assessor !' Asmt # ' � `r�VETTE Fee #1047-480-001 000 i Name SANFILIPPO DOMINICA & V Status ]ACTIVE-- Status Date Addr1 16 JAC-O-LYN WAY ' - - - - - Tax 000' NORMAL OWNERSHIP r- ''TRA 062.008 I Addr2 CHICO CA 95973-9768 Situs 116 JAC-O-LYN_ WAY CHICO _- _ - Base D 03i1112003 Addr4 ` -- Land 147,707,1 # �' Timber Preserve Structure 258,742; Comments 4748000100 CONVERTED 09!08!88 Fixtures 0' _. Etal Growing 0� Creating D oc#1 198282733398 " Date - - - Total L&I 406,449, Current Doc# 200380014862 Date 11!2003, Bonds - 03! Fix. RP Oi F Multi Situs Killing Doc# DatI Flag1 MH PP OS e Asmt Desc LOT 500 HAGENRIDGE SuplCnt 4 PP 0 _. - � r' FIag2 Zoning SR3 00 Dwell 1 4 r 910 MH Exempt 7,000 ` F, Asmt PP Pen Net 399,449 Acres/Sq Ftr3—.021`NIC 047 T �. Tax PP Pen RIC# F, Appeal Pending T/R DtF_ r Split Pending RIC Stat-� PHY OWN EXP' TAX HON ATT SIT , L , APRPC r- j�? Find `1 1. 999 2004 sa, 07 22 2004 12:58:25 PM col'?—IC i. �:f l• Public lorks t=Department of ''�� &''! o C o u n t y o f B u t t o b :,t .•,''n 4 - ® LAND DEVELOPMENT DIVISION . Michael Crump, Director Storm Water Management Program � ® 7 County Center Drive U q-� Oroville, CA 95965 A ' �5 (530) 538-7266 LIC WOF (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (s WPPP) Acknowledgement BLESS THA1�d � ,4CRE Project Description: QJ Project Location and/or Parcel Number: 014?_ qQ C Q d 1 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from, the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: i NOTES PERMIT NO. 0.ESIDENTIA .047-480-001 00-03293,P,E,M CRAIN, Don 16 Jac -O -Lyn Way, Chico Conv Garage to Living/SF ff SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB F'INALED (D Signature V=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. / P Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. 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 Card B-1 Date Card 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 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 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 nderfloor (Plans) OK except #'s 1 -Setbacks -Easements -Flood -Slope 2Aftg., Main; Soils-Elec. Z;_.; f� /" 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 (Single & Duplex) 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 2 size Boxes & No. of Conductors Stapled Date Card B-1 (/ Date Card B-1 Date Card B-1 Date Card B-1 Date/PLUMBING (Permit) OK except #'s 1 ater Htr.; Vent -Access -Combustion Air Baffle 1., ater Pipe; Test & Anchor -Nail Protection 1,47 O.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date q Date rd B-1 Date Card B-1 Card B-1 Date Card B-1 Date VIECTRICAL (Permit) OK except #'s 2j/f.Wture & Transformer Clearance -Ins. Protection 2 . Receptacles Spacing -Lights & Switches at Doors 2 size Boxes & No. of Conductors Stapled 2 mex Installed Close to Edge of Studs & C.J. 27"." Equip. Ground made up w/Mech Fasteners -Bond Gas & Water ,28­2-"pliance Circuits in Kitchen & Conductor Size GFI ?„�_XYnbl eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 71. ange Circle / / ga Cu or Al -Oven Circ. / / ga Cu or AI Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 73. Equi . Clearances Panels-Motors-Mech. Equip. 74. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date M HANICAL (Permit) OK except #'s 3 .C. Ducts Insulation & Support 36/Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date r Card B,1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s -4er-IM Proper Materials & Anchors 4YCnaTIs Studs -Nailing Spacing & Braces -Plates -Sound ng Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) 4 re Stops, Furred Ceilings -Stairs -Chasers -Tubs . Headers & Beams -Size & Bearing Date FRAMING (Continued) 46 Hangers -Post Caps -Anchors -Connectors ,47 ling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. =A8?Fireplace Ties or Type A Flue -Fireplace Throat Clearance -49: Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles bG-8brm. Windows or Exiting Doors -Sill Ht. & Dimensions ,5&!GMrage Fire Protection Framing -6P --Property Line Firewall & Openings 462 ---Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -i+-!STairs; Width -Headroom -Rise -Run -Landing -Fire Protection -9-9---Mywood on Roof Overhang -Attic Vents -Rafter Outriggers "ring -Nailing Veneer 6,K -stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caos 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes ] No/Walks :1 Yes 0 No/Planters ❑ Yes :1 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 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 90. Ext. Steps -Door & Sidelight Protection -Landings 91. 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 Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Slairs & Rails Date Fire ce or Stove, Clearance -Hearth 71. ec. Outlets at Wood Panel, Int. & 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. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caos 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes ] No/Walks :1 Yes 0 No/Planters ❑ Yes :1 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 17 Date Date Card B-1 Date Card B-1 Card B -1V Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY 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 OWN PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the 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 contact this office immediately. T Date Inspector REV 10/92 ENERGY INSTALLATION CERTIFICATE Building Owner 0"(G( CrQi`, Building Location /6foc - Building Permit # ©Q '1'0 _S 4 DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Q l7 Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2)�_� FLOOR, ELEVATED nn Material R / C1 Thickness(inches) l FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name . The --mal Resistance (R Value) Brand Name mWst-• Thermal Resistance(R Val Brand Name Thermal Resistance(R Value) Brand Name Number of Bags_2_5 Wt. per bag 140 lb. Thermal Resistance(R Value)_ Brand Name O-L,/Fh5 Zrh4, Thermal Resistance(R' Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, -is consistent with. approved building department--plans--and attachments and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen IRM NA►�/OWNER SIONXTURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. 3-1(2 n� DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and.conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. Q;1 R, BUILDING CONTRACTOR/OWNER (Please Print) ,.(FIRM NAME) In SITNATURE.OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) ;2 09 y 1 STATE CONTRACTOR'S LICENSE NO. 3-/0-0/ DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC 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. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7" County Center Drive • Oroville, California 95965 • Telephone (530) 538 -OB PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-480-001 1 ZONING BUILDING PERMIT DON CRAIN TELEPHONE 1898 - SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 16 JAC-0-TIN WAY, CHICO, CA 99998 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 1, 500 LENDERS MAILING ADDRESS Total Valuation Is - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ 180.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 16 JAC-O-LYN WAY, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 340.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21. 00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other kiX Describe Work: GARAGE CONVERSION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 56.00 ELECTRICAL PERMIT Filing Fee 20.00 a00OR LE Main Service A OR LESS 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: 13- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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: ❑ I 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the°O$ workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with those provisions. X Date �— %'® l� Sig at re of Applicant - EFlOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING Or -CUP. �,5Qso OR � AD & ACC. BFr: 28 •94 corsT. plpµRESIp, C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL g .50 Ex. Occup. oFlxuT a p) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 48.94 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation DUCT/EXTEND 3 4 PERMIT FET_ $ 33.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 ot_3 co9YPE TOTAL FEE $ 524.44 HA]Z7.D.. FEES I FL COF ARC HD This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have bee By Date PERMIT EXPIRES ON provisions to do work aid. � B� to Receipt No. 20 o L a6q] 1-f-4W517S3111 WHITE-D.D.S.-B.D. CANA Y -ASSESSOR I IPINK-INSPECTOR I GOLDENROD -APPLICANT M ...;p1:4-^f--:=A;c�,���.c....:�-.3ti'1�-+..--4Qar�,rua7+ti.��--�,�•r-,r+(�+''i,,�w..R�-.'lr�+�aE�t�lfi�'r'r"r"^�,;:jiti�i�"$xrra�,o•�.�+'td.+*.--�,n.:i�;+.lw.«rte-•.*r��. ,-�..r-...,-.. - "F BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 �f PERMIT APPLICATION DATA SHEET OWNER: 6 Or) r x A i �✓ ASSESSOR PARCEL NUMBER: Y %' 4/4? — C> ,c> / Proposed Building Use: 4 4AA-� g, (a,it/ , Building Inspector: 0 Date: 2- /7. 2 o o o At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. 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 Fonm. ------------------------------------------------------------------------------------------ ❑9. anufactured Home dap6nd installation instructions including Tie Down Specifications.------------------ Feesof $ �/ �� ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- . Sanitation and plot plan approvalCiy/l oHealth Department. ------------------------------------------- ' I/ 15. City of Chico prumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- El 22. Workers' Compensation carrier and policy number. --------------------- E.123. Owner-Budder -------------------- E.123.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). A. �t 1,',P24. Letter of signature authorization. ------------------------------------------ ''^=' `'1125 Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. --------------------------- El 27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: 1 r" �., Me-, 1M - � a 9 (Date) When you issue the(q( t, p occee s as follows ❑ Mail to owner, ❑Mail to contractor. dTelephone v / �� and hold for pickup at C /Y/ - office. ❑ Deliver 'th inspector. Applicant: Date: �Z —J7-620 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire D artment, 11 Air Pollution Dag- By: Copy of plans sent ❑ Health Department, ❑ Fire Departure ther: Date: By: 1. Index permit application for the above items numbered: o ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ one, ❑ 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, ❑ Building D' ision counter, by Date: Plans reviewed by: Date: Plans approved by: ''c�. Date: 64 —Od Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: von,,.,, r,..,.. r�o.....-....,,... ,.c r......,..----• r --' - - - , , .� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U E ONLY Not Plan Attachad Floor Plan Attached Sent to 6.0 -222 ! 69-1yAll. -6V1 Owner Location AP# t Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance ,dor dwelling. Other Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist Date 8/96 ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ►/��/�) 7'County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. L /(Rev. 12/96) APPLICATION AND PERMIT-o.:j- ASSESSOR PARCEL NUMBER Y7— 7/g ` 001 O1 ! ZONING LS� 3 BUILDINGPERMIT OWNER C qA inl TELEPHONE �396Q99�6 SO. Fr. OCC. BUILDING VALUATION S OWNERMADJNG ADDRESS 0 - CONTRACTOR'S NAME Ow��'2 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION (ENDER Fireplace �� O IU LENDER'S MUNG ADDRESS Total Valuation $ -770 ARCHMECT OR ENGINEER LICENSE NO. Fee $ 20..00 —Filing Permit Fee O $ o q. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee . UC) $ 7o_Zo BUILDING ADDRESS / `� �� .. O _ LV�l.// Energy Plan Checking Fee $ Z 1 090 $3 0 C,All L O PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 21 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 / Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAlA�/5e_ C. - c Gas piping system 1 - 5 outlets -' 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .DA OR LESS 23.00 �i v Main Service 200A TO IDOOA 46.00 q NEW CONST DWELLING OCCUP. 3.5¢fo Z / OR ADONS. ( 8 C.S. NEW CONS . MULTI -OUTLET NON•RESID. BRANCH IRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES e0 O 1.00 O .SO Ex. Occup. pUTL11XETS Ra,p) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation - c r f, S 5 PERMIT FEt $ 3 3 7 Mobile Home Installation Fee $ Energy Inspection/Fee 5:R _ $ 3 LcMr TOTAL F E$ y HAZ p. FEES IM FLOOD I !DF P EL I PO HD 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 (Date) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER '=-i✓ CKA ii PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ -- Additional Fees Due ........... -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... /2. SCHOOL DISTRICT FEES (paid at District Office) /U/b, / 1". -osq.ve, - 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # -7 % — 1/46_ C> C>) DATE 17-f"-2O'c>0 RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. QAPPLICANT ! li�ti� DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) 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 9r' NO O 2. I HAVE &'--HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (Srm) to.pmvic�,tbe..proposed construction:, NAME: ADDRESS: CITY:. . PHONE: CONT'RACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. f 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: ,O PROPERTYOWNER: SOCIAL SECURITY NUMBER: ! � DATE: 2 / % — 0 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propeity improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and- to have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. �If Y06,led to dd'Our own work, with the excepdon of various trades that you plan to subconftwc you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (includinimaterials and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner-Bui/der Inform arlon is required by Secdon 19 83 0 of the Cagornla HeaIth and Safety Code. OVER 'RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner: nZ6ji Building Permit Number: Plans Examiner: `::�'_� A. P. Number: -Od. GENERAL: Hing requirements — (number of permitted living units). lding permit valuation. . Pl signed by the designer. 4-'l—roper description of work on the application. E ' ing violations on the property. Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage fees). IFAU & FAS road setback. Building or utilities across lot lines (record form). LOOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). FS5k of natural light and 5% of ventilation (Uniform Building Code section 1203)" ress windows (Uniform Building Code section 310.4). ylights (Uniform Building Code section 2409 & 2603.7). azing in Hazardous locations (Uniform Building Code section 2406). equired room sizes and ceiling heights (Uniform Building Code section 310.6). FCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). Prohibited locations of gas heating equipment (Uniform Mechanical Code 304.5). rage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 etc* eption #3). 4r.—Wood stove location - Alcove clearance (UMC section 205 confined space & 223 unconfined space). Smoke detectors (Uniform Building Code section 310.9.1). 13 --Water closet clearances (Uniform Plumbing Code 408.5). ower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). December 1999 3.2 STRUCTURAL DETAILS: Uonventional construction — Unusually shaped buildings (Uniform Building Code section 2320.5.4). Standard bracing or engineered design (Uniform Building Code section 2320.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building (Uniform Building Code Table 18 -I -C). Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calculations if necessary. Garage door header size(s). Porch header size(s). Stud heights. Expansive soil — special foundation design required. Retaining walls requiring design. Special Inspection requirements. Header sizes. Frypsum wallboard nailing inspection required. SCELLANEOUS ITEMS: Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Roof covering type — (fire hazard). Foam insulation — protection. 36'halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). Attic access and ventilation (Uniform Building Code section 1505). Lornbustion air for fuel burning appliances — LPG requirements. Sound requirements. Energy design compliance and supporting documentation. Flashing at all exterior openings. CDF responsible area requirements. Building Permit requirements: 17.1. SRA. 17.2. Flood elevation certificate. 17.3. Fire Sprinklers required. 17.4. Special Inspection requirements. 17.5. Use Permit conditions. 17.6. Sub -Standard Housing letter. December 1999 3.3 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District c aD Building Department No. A.P. Number ��� Jurisdiction: City County Property Owner Property Location/Address Ts L — to " L of r7 Subdivision Lot No. ................................................................................................................... Residential Development Sq. Footage p �; No of Living Mobile Home ddition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)? I................................................................................................................... Commercial/Industrial Sq. Footage • : ,_. _ New,. t ., -7 ..Addition.. :"ts a s+ f -*`' fi; (Including Exterior Roofed Areas) Building Department Date (moor mans reviewea oy acnooi uistnct rersonnei) District Identification No. ow /,/S,/ ow6 n School District certifies that n, (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolutionn,No. 7 by payment of $ representing �p 3 square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # / Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 110/98idmm ' &x.06 DEPT CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Crain Addition Date..02/15/00 17:45:20 Project Address........ APN 047-480-G01-000 ******* Butte County *v5.10* aD -03 3 Documentation Author... Marty Runnells ******* Bui ding'Permit# Energy Calculation Services /_._5 1907 Mangrove Avenue, Suite E TI -an- Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 - Compliance Method...... MICR0PAS5 v5.10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 'Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition GENERAL INFORMATION Conditioned Floor Area..... 876 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 45 deg (NE) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 11.8 0 of floor area Average Glazing U -value.... 0.87 Btu/hr-sf-F Average Glazing SHGC....... 0.7 Average Ceiling Height..... 8 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -value Location/Comments Wall n/a R-13 R-n/a R-13 0.088 FRONT, FRONT -LEFT FRONT -RIGHT, BACK RIGHT Roof n/a R-30 R-n/a R-30 0.031 TO ATTIC Floor n/a R-19 R-n/a R-19 0.037 RAISED FLOOR FENESTRATION Over - HVAC SYSTEMS Minimum Duct Equipment Type Efficiency Location Gas 0.780 AFUE Attic ACSplit 10.00 SEER Attic Duct Tested Duct ACCA The mcstat R -value Leakage ManMITe R-4.2 13 R-4.21LJ01A � eth�ck. V i� 0 i P n r Area U- Interior Exterior hang/ Orientation (sf) Value SHGC Shading Shading Fins Window Front (NE) 38.0 0.870 0.700 Standard Standard Yes Window Right (N) 10.0 0.870 0.700 Standard Standard None Window Front (NE) 20.0 0.870 0.700 Standard Standard None Window Front (E) 10.0 0.870 0.700 Standard Standard None Window Back (SW) 25.0 0.870 0.700 Standard Standard Yes HVAC SYSTEMS Minimum Duct Equipment Type Efficiency Location Gas 0.780 AFUE Attic ACSplit 10.00 SEER Attic Duct Tested Duct ACCA The mcstat R -value Leakage ManMITe R-4.2 13 R-4.21LJ01A � eth�ck. V i� 0 i P n r CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... The Crain Addition Date..02/15/00 17:45:20 MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards I REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Don Crain Name.... Marty Runnells Company. Owner Company. Energy Calculation Services Address. 16 Jac -O -Lyn Way Address. 1907 Mangrove Avenue, Suite E Butte County, CA Chico, CA 95926 Phone... 530.898.9880 Phone... 530-894-8466 License. Signed.. l —)�OQOSigned.. ate ate) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. to MANDATORY MEASURES CHECKLIST: RESIDENTIAL Pagel MF -1R Project Title......... Project Address....... Documentation Author... Climate Zone...... Compliance -Method. The Crain Addition Date APN 047-480-001=`000 ******* Butte County *v5.10* Marty Runnells ******* Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 11 MICROPAS5 v5.10 for 1998 Standards .02/15/00 17:45:20 Building Permit Plan Check Date Field Check/ Date by Enercomp, Inc. MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. ✓ 150(i): Slab edge insulation - water absorption rate no greater than 0.30-., water vapor transmission rate no greater than 2.0 perm/inch. N A 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. ✓ '116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -value, certified solar heat gain coefficient, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ! #� 150(f): Special infiltration barrier installed to comply with ✓� Sec. 151 meets Commission quality standards. 7 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas -pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... The Crain Addition Date..02/15/00 17:45:20 MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. , 150(i): Setback thermostat on all -'applicable heating and/or cooling systems. 150 (j) : Pipe and Tank -insulation 1. Storage gas water heaters rated with an Energy Factor of less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12,or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, in- sulated, fastened, and sealed to comply with the ICBO 1997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL181B and other applicable specified tests for longevity given in Sec. 150(m). 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. µ1q 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances ✓ with pilot < 150 Btu/hr). MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title.......... The Crain Addition Date..02/15/00 17:45:20 MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition LIGHTING MEASURES 150(k)l: Luminaires for general lighting in kitchens shall have lamps with an efficacylof 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the'kitchen. 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire-with lamps with an efficacy of,40 lumens/watt or greater switched at the entrance to the room or one -of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Design- Enforce- er . °ment COMPUTER METHOD SUMMARY Page 1 C' -2R Project Title.......... The Crain Addition Date..02/15/00 17:45:20 P t -'`Add AMT 047 480 00 �ec ........ - - 1-00 roress0 Butte County *v5.10* Documentation Author... Marty Runnells ******* Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 Climate Zone 11 Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by'Ene.rcomp, Inc.- MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition MICROPAS5 ENERGY USE Building Permit Plan Check Date Field Check/ Date Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by'Ene.rcomp, Inc.- MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition MICROPAS5 ENERGY USE SUMMARY Leakage Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 13.76 15.43 -1.67 Space Cooling.......... 18.37 16.35 2.02 Water Heating.......... 23.54 23.54 0.00 Total 55.67 55.32 0.35 *** Building complies with Computer Performance *** Zone Type GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 876 sf Single Family Detached Addition Alone Front Facing 45 deg (NE) 1 1 ReducedYear Raised Floor 1 7011 cf 0 sf 11.8 % of floor area 0.87 Btu/hr-sf-F 0.7 8 ft BUILDING ZONE INFORMATION Floor # of Vent Area Volume Dwell Cond- Thermostat Height (sf) (cf) Units itioned Type (ft) Vent Air Area Leakage (sf) Credit ADDITION Residence 876 7011 1.00 Yes Setback 2.0 Standard No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.. ...... The Crain Addition Date..02_/15/00 17:45:20 MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments ADDITION - New 1 Wall 2 Wall 3 Wall 4 Wall 5 Wall 6 Roof 7 Floor Orientation ADDITION - New 193 0.088 13 45 90 Yes None 14 0.088 13� 0 90 Yes „None (N) 14 0.088 13 90 90 Yes None 282 0.088 13 225 90 Yes Nonel 184 0.088 13, 315 90 Yes None' 876 0.031 30 n/a 0 Yes None 876 0.037 19 n/a 0 No None Standard/0.68 6 FENESTRATION SURFACES FRONT FRONT -LEFT, FRONT -RIGHT' BACK RIGHT TO ATTIC RAISED FLOOR Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC 1 Window Front (NE) 30.0 0.870 0.700 45 90 Standard/0.76 Standard/0.68 2 Window Right (N) 10.0 0.870 0.700 0 90 Standard/0.76 Standard/0.68 3 Window Front (NE) 20.0 0.870 0.700 45 90 Standard/0.76 Standard/0.68 4 Window Front (E) 10.0 0.870 0.700 90 90 Standard/0.76 Standard/0.68 5 Window Front (NE) 8.0 0.870 0.700 45 90 Standard/0.76 Standard/0.68 6 Window Back (SW) 25.0 0.870 0.700 225 90 Standard/0.76. Standard/0.68 0.645 OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght ADDITION - New 1 Window 30.0 n/a 5 2 .5 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 8.0 n/a 4 2 .5 n/a n/a n/a n/a n/a n/a n/a n/a 6 Window 25.0 n/a 5 2 .5 n/a n/a n/a n/a n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Tested Duct ACCA Duct System Type Efficiency Location R -value Leakage Manual D Eff ADDITION Gas 0.780 AFUE Attic R-4.2 No No 0.737 ACSplit 10.00 SEER Attic R-4.2 No No 0.645 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... The Crain Addition Date. .02/15/0,0 17:45:20 MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -FORM C -2R. User#-MP1333 User -Energy Calculation Servic Run -876 SF Addit'i'on WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Water Heater to meet minimum CEC Standards REMARKS f HVAC SIZING Page 1 1 HVAC Project Title.......... The Crain Addition Date..02/15/00 17:45:-20 Project Address........ APN::047-480-001-000 ******* Butte County *v5.10* Documentation Author... Marty Runnells ******* Energy Calculation Services 1907 Mangrove Avenue, Suite E Chico, CA 95926 530-894-8466 Climate Zone 11 Compliance Method.:.... MICROPAS5 v5.10 for 1998 -Standards by Enercomp, Inc. MICROPAS5 v5.10 File-00054ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -876 SF Addition GENERAL INFORMATION Floor Area...' .............. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 876 sf ` 7011 cf Front Facing CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts............................ Sensible Load ................... Latent Load ..................... 45 deg (NE) Heating (Btuh) Cooling (Btuh) 5161 2534 3853 2151 n/a 3397 4433 1457 n/a 1200 1345 1074 14793 11812 n/a 2362 Minimum Total Load 14793 14175 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 00-0323 Expiration Date: 3-14-01 A.P. # 047-480-001 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the. category marked below: [XJ Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you ,not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. YArs very truly, C. Vierra, C.B.O. Building Inspection MCV:lt Attachments Chico Office - 411 Main. Street, Chico / 891-2751 V, 047 -48-0-00A 99-0084 B,E RESIDENTIAL . CRAIN, Donald x'16 Jac -O -Lyn Way, Chico (new detached garage) PERMIT NO -- - - - - - --- - PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E n JOB FINALED (Date) Signature V -OK 0 - Not OK -Not Applicable • - Not Ready MOBILE HOMES Date MOBILE HOME UTIUMES Fens) OK —1 0's I. Ior*V Regcir nwts-Seffmcks-Easmimi 2. Sols; Special MH SLpport Sketch & Sewer; Locadon 4. Water, Location Needed (Sketch 5. Elecukkf.lxa /Amp•Concmto 8. Gas; L=adorrTevAVngg / It'll. / /Nat or/ ILV APG 7. Wed Ckaranee 3 Diac«nea S. UtMly Clearance Date Card B-1 Oars Card B-1 Date Card B-1 Dab Card B-1 Date MOBILE HOME INSTALLATION IPtsm) OK axoect Va 1. Zor*V Rs*kwrerib-Sed adrs Easemanb 2. Foo&gx SmsSpaci>Q Marriage Line & Gas; MH 4. Ekctricily; MH S. Drain; MH Ted*atfiat Unract r 8. Water; MH Te*Ngulabr•Cameetor 7. Water and Sewer ComecUed-W b Gmde•HD Approval 8. Gas and Ebetri* Tapped 9. Tie Downr1p0imadadon Cert 10. EAts; Insp.Slceth 11. Cert of Oeaipancy 12. Permanent Foundation Only: L.barm Decal Date Card B-1 Dab Card B-1 _ Date Card B-1 Date Card B-1 . / � 6 u El� ` MISCELLANEOUS Date OEC VERS, CARPORTS, GARAGES Zoning RwMmmenb.Sedmdcs-Esswimm, -F 2. Footings; Sols-SF*-Depf►-SpacirVComecw"%d 3. Decks; Girders and/or tains Rais 4. Wood Awn.; Posts-Beams•RM.•Con>ecmn Shlhg.-Rtg.-BradW Dab Card B-1 Dab Card B-1 Dab Card B-1 Dale Card B-1 Dab POOLS (Plena) OK mept /'a 1. SetbadwEamnwnts 2. Soi* Cormadon4truetse SbbiW 3. Pool Structs; SbdCamecQon Uk mess Dead Mwglr ng 4. Elm; ReoWmks and LVft, Dslartoe GR S. Elec.; Pod Lip 4k a 15 Vdts-GR & Ekc-; Endomffm Conduit Er*k&Tvfnkmb Jdmd - 7. Ekc.; Bandnp; Metal w -Ckcu *y EcILOP -Heater B. Elm. Growxk a Egkip. vdS CiNa*g E4dP•41od fib• b Main in Conduit 9. Health DeputnerttAppmA 10. Pkxnb.: C•r. Testi bw Supply Test 11. Light Niche Dale Card B-1 Dale Card B-1 Date Card B-1 Data Card 5-1 OKtoK RESIDENTIAL .. Not Applicable Not Readyr :e UNDERFLOOR (Plans) OK except ift 1. Zoning-setbacks-Easments-FloodSlope 2. Ftg.. Main; Soils-Elec. Gmd. / /' Ftg. Depth 3. Fog. Garage; SodsSwef-Eiec. Gmd/ r Fig. Depth 4. Ftp. Porches b Decks; SodsSteel-/ f Ftg. Depth s. Sternwals, Main; Steel-Bbckouts-Wrapped 6. Stemwalls, Garage; SW6810 keutrWrapped 6a. Hold Downs and Special Anchors 7. Slab, SweWWmpped 8. Piers -Fireplace rig. -Steel 9. D.W.V.; Fatting -Test -2 Way C)OSewer Test 10. UF. Gas Pipe; Size Anchors -Yard Gas Piping: Sime Test 11. Water Pipe; Te*Anctwrs-RegulatorService Test 12. Electric Underground 13. Plenums 3 Ducts; Clearance•Mat Tial-Suppor Arm 14. Girders-SMs-ArldwBoltsJoisb-VentsCriPPks 15. Access 3 Ventilation 16. Insulation ate Card B-1 Dab Card 13-1 ate Card B-1 Dab Card B-1 PLUMBING pwmil OK ttitxspt re's 17. Water Hu; Vlentw4ccen4mbusfion Air Baine 18. Water Pipe; Test b Andmr4W Prdecfion 19. D.W.V4 Test Fdtiogs b AndwPW ProbcOm 20, Sharer Pan; Test. First Floor -lb Access 21. Test Tub & ShowK Second Floor -Tub Access 22. Gas Pipe; Sae &Ann ots Single & Duplex) Date Card B-1 Dab Card B-1 Date Card B-1 Dde Card B-1 sts ELECTRICAL fWTn1* OK u¢spt rias 23. Foam b Transformer Clearance-lns, Ptolxc6on 24. Elec. Receptacles Sparng-Ligf its b Swdkims at DO= 25. Size Boxes d No. of Cmkicito s Stapled 26. Ranee 6taled Close to Edge of studs 3 C.L 27. Equip. Ground made up wAlech Fastnem8ar d Gas b Water 28. 2 Appliance Cinets in Kitrlmert 3 Conductor Size GFI 29. Subfeed Wire Sam! /ga. Cu or AI A -C. Wire Size / / ga Cu or Al 30. Range Cm:- I 113a Cu a AFOven C-trc. I / ga Cu or Al Insulated Neutra) Q Yes Q No _ 31. Service -Riser Conduct= a Ground -Main Disiened 32. Equip. Clearances Pane"ob"ech. Epuip. 33. Clothes Closet lightStxww Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Pe(ma) OK except #'s 35. A.C. Cuc!s Insulation b Support 36. Vent Fan, Exhaust atwve insutadcn 37. Condensate Crain 3 Overflow, Size b Grade 38. Fur arce-Vent Access -Comb. Air-Rewm Air Vent 115 outlet 39. Attic Access 3 Padonn if Furnace in Attic Date Card 8-1 Dale Card B-1 Date Card 3-1 Date Card B-1 Date FRAMING (Plarts) OK except N s 40. Sits Proper Ma;erals 3 Anchors 41. Walls Studs-Nailirg Spacing 3 Braces -Plates -Sound 42. Bearing Walls over Girders b Fkwr Nailing 43. Draft Stop in Walls (rat p=j 44. Fire -Steps, Furred Ceilings -Stairs -Chasers -Tubs ;45. Headers S Seams -Size b Bearing Date FRAMING (Cordinued) _ 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-mff Brac.-Trus*Shting.-Rfng. 48. Fireplace Ties or 1j,pe A Fkre-Fireplace Throat clearance 49. Attic Access; Size 3 Rom= Protectlon-Oraft Stop4ns. Baffles 50. Bdrm. Windows or Exiting Doors -SM Hgt. a Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewal 3 Opertirtgs 53. Ext. Doors -One 3' -Check Garage 3rd Story. 2 Uts 54. Stairs; Widb-Headroom-Rise-Runt-landing Fire Protection S5. Plywood on Roof Overhang -Attic vents -Haller OuI ggers 56. Siding -Nailing Veneer ST Stucco Mesh -Drip Screed -Fd. Vents-Underfl: Axes 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: NaTng-Bolts 60. Brace Interior / E)derior Wall Panels 61. Insulation-Walls-Cetings 62- Infiltration-WaIII& inodows Date - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Data FINAL (Plans) OK 9=W !tit 63. Ext Steps -Door m Sidelight Protection -landings 64. Smoke Detector 6s. Furnace; Vents-Clearanc&Comb. AirConector- In Garage; Above Flow -Duets -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. b Bath Fodures & Tub Access,Spa 68. Elec. Trim 3 Subpanei, Breaker Sizes ii Labels 69. Stairs 3 Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int b Ext 72. Kit. Fat b Appliance; Ground. -Air GapCooking Clearance 73 Elec. Outlets b Recepticales at Kit Counter 74Garage Fire Door Swing4.andong-Closure 75 A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. b Mech. Equip. Listed for Location 78 Elec Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rads 3 Deck Construction -Post Caps 81. Fdn. VBents b Crawl Hole Door Drainage b Wood -Earth Clearance looked under Floor Q Yes 82. Following Instkd./Drive a Yes Q No/Walks Q Yes Q No/Planters Q Yes Q No 83. Swcco 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 Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water b Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Oate Card B-1 Comments at Final: COUNTY 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 n PERMIT NO. A routineinspectionindicates that the following violations of butte county Ordinances exist at the above-a((Mress 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, ~fiplease contact this office immediately. r (� S X (M Date,(— 11/ - -1 q Inspector. REV 10/92 �j'' R� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES �BU ING DIVISION 7 County Center Drive • Oroville, Californ a 95965 • °Telephone0) 5 754yy.., PER I (Rev. 12/96) APPLICAn6N AND PERMIT y__ �? '_ ASSESSOR PARCEL NUMBER 047— ZONING — BUILDING PERMIT OWNERTELEPHONE C)"1, C SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS fL— CONTRACTOR'S ME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER " Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 171.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 111-19 BUILDING ADDRESS 16 JAC-0—LYN WAY, Energy Pian Checking Fee $ $ PERMIT FEE $ 14 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT -nn Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Solar or heat um 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 ❑ Describe Work: NEW DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 200A OR LESS 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.POWER 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. Er", am exempt under Sec. Business and Professions Code for this reason O t./ n F t^ Main Service 200A TO lOooA 46.00 i+ NEW CONST. DWELLING OCCUP. OR ADONS. a ADW. Blas. SO 3.50,. 30.25 T. NOH•aESID. RANCHO CIRCUITS @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @'. 0 Ex. Occup. OUTLFIXETS PP REESID.OF.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ r1n .0 171 WORKERS' COMPENSATION DECLARATION I her y affirm under penalty of perjury one of the following declarations: 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 jperformance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section j 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.) �rtify 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply wit o visions. Date — �� Signa re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE TOTALFE 241.25 HA D. FEES I P FIAO CD PARC HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By �(J PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date s 0 Date ReceiptNo. 259011 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT x COUNTY, .OF -BUTTE DEPARTMENT OF DEVELOPMENT SERVICESDING DIVISION Q" - 7 COUNTY CENTER DRIVE - OROVILLE, CALIF9�965 TELEPHO (916), 8-7541 PERMIT APPLICATION DATA SH ET OWNER: C 2 \ ASSESSOR PARCEL ER: in • L% �? ---- 4elo '-- Proposed Building Use: Building Inspector: Date 1-13 9 9 on At time of permit applica , I was ad ed the following data must be submitted prior to permit processing "and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ngineered 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. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- - ❑ 10. Fees of $------------------------------------------------------------------------------------- act fees as shown on the attached schedule.---------------------------------------------------------- -afornia Department of Forestry plan approval/fees. -��� 1 �Y-- -- `-=`--------- —------- — . Flood elevation certificate. ------------------------------- --------------------------------------------------------- �/; M. Sanitation and plot plan approval � Health Department. ------------------------------------------- 025 aw 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- WT Planning approval for (A) Use: O K (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway construction approval prior to occupancy) ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 1127. Manufactured Home utility clearance. ------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑2 . ❑433 A, ❑Grant Deed, ❑ M.H.__T11ittl'le, ❑ Check to H.C.D $ .--------------- Other: e r_..�iJ�l------- When you issue the ermit process as follows ❑ Mail to owner, ❑ il to contractor. 1� T ;ho and hold for pickup ate I office. ❑ liv th inspector. Appli Date: �( Copy of Haz-Mat forrn sent ❑ Health Department, ❑ Fire Dep ent, 13D Air Pollution ate: By: Copy of plans sent ❑ Health Department, 11 Fire Department, ❑ e : Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List Vo 2. Additional items required: Contractor, designer, owner, was advised of the above required data by phone, ❑mai l, ❑ Building Division counter, by ate: 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, advised of the above required data by 11 phone, ❑ mail, ❑ Building 1 on counter, by Date: Plans reviewed by: G�� Date: � -_5 Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. .. f t f TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached 0 Floor Plan Attached WaS Sent to B.D. qq--000� C /ZI/IIi �l0 UQG —O'Ly!1 47•— 480 — 00 J Owner Location AP# Plan Approved for: Sewage Disposal � Water Supply: Public Private Well Clearance for Wig: Other Hold final for: Final clearance O.K. for: NOTE: /c✓c%// liz/�L Environmental Health Specialist Date CA L4 .f� A9 47Pi IS'/ 4 /0 0 -12�11 C- h //f 0, S :5- i j �o t'6(a 5���©�, 11 O:Ov''L�� NORTHERN CALIFORNIA FARM CREDIT The Farm Credit System (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California '95965 • Telephone (530) 538.754�� r PERMIT NO APPLICATION AND PERMIT j �� d5( Aai!liORIAAClL BUILDING PERMIT .1 ^ 01MNe" C1 '�11ON° �� SO. FT. OCC. BUILDING VALUATION - owmms miiafm 7 _ ,� w C ff /c 0- o o win OONTRAOTOR'aaQ ^�, I (' T[LagONa V 00NrRORACTv W W►q A00RW OONtTi x=mu9WV% tMUM MMUM AWF=8 EFir,fac,,,u,tion b Aa:HffWrORENMNM ucamm No. Filing Fee S 20.00 AACHffi TOR 84MMTi HALM ADDAM Permit Fee b Plan Checkin Fee b4115 °U1D�J0A0°R� MA Energy Plan CheckingFee i i PERMIT FEE _ i°T"°` sueayswrsrwre PAMV. MAP PLUMBING PERMIT ung Fee 20.00 Each Trap7.0 USEOFSTRUCTURE � Solar or heat pump water heater 3.00 SF I7 Duplex 13 Mioblehome O Other Water piping 15.00 Each gas water -heater ent 15.00 TYPE OF WORK Gas pVn-:s oudeta 15.00 New 13 Addition O Remodel O tJlt1fte D/^ ktstaMNon O Other 13 Building 15.00 �s't Mobile me I S I G W @20.00 Descrlbe Work: C� PERMIT FEE _ ELECTRICAL PERMIT Floe "Fee 20.00 Main Service 40=OOR 23.00 Main Service sm► To 1—A 48.00 NM CONST. oNeiNo OCCUR OR AOON9. a ACC. aiDd. 3.5�So NEW ' NON•A®10.T @7.50 vowsr APPARATu s Ct Ex. Occup. ounU OR FOn X= 20 SAL • �.so Ex. Occup. ov rs 0,6 FA Temporary Service 5.00 23.00 / Mobile Home Facilities Misc. Wiring 20.00 23.00 PERMIT FEE S - MECHANICAL PERMIT Feng Fee 20.00 Heating1 Cooling Hood Ventilation 8.50 I PERMIT FEI! S Mobile Home Installation Fee S _ Energy Inspection Fee b occ CONST. TYPE TOTAL FEES 1-111) ' NAZ 0. fE� WP 0 00F FAACiL Po NO SSUE 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 �---- Receipt No. PERMIT EXPIRES ON _a&z 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'uniecessary del$ji' in processing and issuing your building permit. No building permit will be issued until this, verification is received. :.;.., I personally plan to provide the major labor and materials for construction of the proposed, property improvement: YES O'� NO 13 2. I HAVE 0 HAVE NOT 13 signed an application for a building permit for the proposed work: ; J� 3. I have contracted with the following person (firm) to provide the proposed construction;: 1vAME• ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide p p portions of this work, but I have hired the following person to'coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ' 5. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: Eta-__ - SOCIAL SECURITY NUMBER: DATE:_ NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed "d returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of fecord on such a permit.. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you shduld. be aware of the following information for your benefit and protection: - ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you 1. subject to several obligations.including state and.federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" a n the reverse side of this form so that we can confirm that you.. are aware of these matters. The building permit will not be issued until the verification is returned. i rely, ��1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING oq7 qm --o©l --C)Oo OWNER: 1 0 1, P- ( Gf ! i' -e4 MAIL ADDRESS: 0 SITE ADDRESS: PROPOSED USE: E: (BUILDING PMT. # 7 PHONE: 0 / 9" 1 ?T -0 CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? 15. Will this building be heated or cooled? 16. Will this building have a water closetttoilet? 17. Will this building have a sink? 18. Will this building have a water heater? 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? '0kE Yes: No: �- Yes: No: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) Yes: No: �- Yes: GENERAL INFORMATION: _.. :..... .... ..__ 1. Is there a primary elfin on the property? Yes: �' No: 2. already built, der construction, or under notice of code violation? Is the strutpr Yes: �— No: 3. Will items uilding be offered for sale? Yes: No: 4. Will the public have access to this building? Yes: No: �- 5. Will any advertising, on or off site, be associated with the Use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: L-- 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach Ones? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: L- 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? 15. Will this building be heated or cooled? 16. Will this building have a water closetttoilet? 17. Will this building have a sink? 18. Will this building have a water heater? 19. What type of floor covering will the building have? 20. What type of wall covering will the building have? '0kE Yes: No: �- Yes: No: Yes: No: !1 Yes: No: �- Yes: No: �- ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromatlon is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE OWNER'S SIGNATURE DATE REVIEWED BY: DATE: J COMMENTS: J BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Date: February 5, 1999 Permit Applicant: Permit Number: Assessor Parcel #: Donald Crain 16 Jacolyn Way Chico, CA 95926 99-0084 047-480-001 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton -s-f;�s- • A.''d e un y LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Date: February 5, 1999 Permit Applicant: Permit Number: Assessor Parcel #: Donald Crain 16 Jacolyn Way Chico, CA 95926 99-0084 047-480-001 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton • Date: February 5, 1999 Permit Number: 99-0084 Assessor Parcel #: 047-480-001 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Your garage as drawn needs a lateral analysis of the garage door sides because you do not have adequate bracing in the corners. (Diagonal bracing is not adequate in Seismic Zone 3). Have an architect or engineer do this design and have him / her stamp and sign the plans. OR Provide plans which show minimum 2 feet 8 inches alternate braced wall panels in the corners. 2. Your 4 X 14 garage door headers are not adequate. Please have them sized for the loads of the common trusses and the point load from the carrier trusses. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4: 00 P.M., Monday through Friday. Linda Sexton Date: February 23, 1999 Permit Applicant: Donald Crain LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 16 Jac O Lyn Way Chico, CA 95926 Permit Number: 99-0084 Assessor Parcel #: 047-480-001 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton Date: February 23, 1999 Permit Applicant: Donald Crain 16 Jac 0Lyn Way Chico, CA 95926 Permit Number: 99-0084 Assessor Parcel #: 047-480-001 The above referenced building plans were received by this office Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide a flood elevation certificate. 2. Health Department clearance required. If you wish to discuss any requirements, you may contact me at (530) 538-754.1 between 1: 00 P.M. and 4: 00 P.M., Monday through Friday. Linda Sexton 17 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature '47-48-01 874-89B,P,E,M WAGGONER, Tom 3671 Keefer Rd, lot 500, Chico Contr: Bob Morton (new single family) 4 FINALED: PER L_ PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION N" Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature *=Not Readiyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements - - 2. Soils; Special MH Support -Sketch 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-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing . 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -61 Date 10. Roof; Shthg-Roofing Card -81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -61 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date Card -131 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 - Dead Men -Lining 8. Gas and Electricity Tagged 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. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -61 Date =VK 0 = Not OK, - ;Not Applicable = Not REady RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date F MING (Continued) Zoning -Setbacks; -Easements -Flood -Slope ngers-Post Caps -Anchors -Connectors t ., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4VCing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. g., Garage; Soils -Steel-/ /" Ftg. Depth . F' eplace Ties or Type A Flue -Fireplace Throat Clearance 4. F., orches & Decks; Soils -Steel-/ /"Ftg. Depth48r_Ati is Access; Size & Romex Protection -Draft Stop -Ins. Baffles . S walls, Main; Steel- Bloc kouts-Wrapped 44. Pdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Stemwalls, Garage; Steel- Bloc kouts-Wrapped ! _GtCrage Fire Protection Framing 7. Sla eel -Wrapped 61' P perty Line Firewall & Openings . fireplace Ftg.-Steel. Ext. Doors -One T -Check Garage -3rd story, 2 exits W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 5 . - room -Rise -Run -Landing -Fire Protection --3-Gas Pipe; Size -Anchors lywood on Roof Overhang -Attic Vents -Rafter Outriggers 1 afar Pipe; Test -Anchors -Regulator -Service Test . Siding -Nailing Veneer 12. Electric; Underground 13. PI ms &Ducts; Clearance-Material-Supprt-Ins. 6. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing.Area-Glass Protection -Skylights -Plastic 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58-6heaPW{atls;-Nailing-Bolts 15. Insulation 59/Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date S1%2^ Card -B1 Dates and -131 DateCard-B1 Date G Card -B1 Date Card -B1 f ate 5 L Card -B1 Date Date PVJMBING (Permit) OK except #'s . ater Ht. Vent -Access -Combustion Air -Baffle Date FINAL Plans OK except #'s at r Pipe; Test & Anchors -Nail Protection Steps -Door & Sidelight Protection -Landings Test-Fttngs & Anchors -Nail Protection OAMoke Detector /Shower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air-Connector- In rage; Above Floor-Ducts-Mech. Protection 20./Test Tub & Shower, 2nd Floor -Tub Access V. Gas Pipe; Size & Anchors 64,eWroom Exiting 6S/G.f>4 Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date (� Card -B1 Date 6 . s &Rails Card -B1 Date Card -B1 Date fireplace or Stove; Clearances -Hearth Date EL CTRICAL (Permit) OK except #'s utlets at Wood Panel; Int. & Ext. lure & Transformer Clearance -Ina. Protection 7fACCFixt. & Appliance; Grnd. -Air Gap -Cooking Clearance lec. Receptacles Spacing -Lights & Switches at Doors Ile-Elqp. Outlets & Receptacles at Kit. Counter ize Boxes & No. of Conductors -Stapled 7 . arage Fire Door; Swing -Landing -Closer o ex Installed Close to Edge of Studs & C.J. t in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- (nGarage; Above Floor-Mech. Protection quip. Ground made up w/Mech. Fasteners -Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/G.F.I. 7 F5Ib., Elec. &Mech. Equip. Listed for Location 216. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 7 ec. Receptacles in Garage; (G.F.I.)-FlornfiW Protec. ane ' : / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. su ated Neutral Yes No 7 ulation-Foam-Looked in Attic &Yes 7 uard Rails & Deck Construction -Post Caps rvice-Riser Conductors & Ground -Main Disconnect 7 n_. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked u r Floor 0 Yes 410quip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light wing instld.; orive -Q_Y a --o No; Walks o s O No; Pla er Ye O No 39. Smoke Detector t ; Broolilish Card -81 Date Card -81 Date .C.connect, Electrical, Plumbing Card -B1 Date Card -B1 Date 8j,,Vdnts Above Roof; Plbg.-Appliance-Firepl.-Clearance to O eorngs. Date M§4HANICAL (Permit) OK except #'s 8^a r Well; Disconnect, Electrical, Plumbing A.C. Ducts Insulation &Support nor Elec. Trim; G.F.I. Receptacle -Underground 8 tilation throughout House A Fan; Exhaust above insulation ondensate Drain & Overflow; Size & Grade 6 . erss pe—action urnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet V3rtions C from Previous Inpections 88'9 . Attic Access & Platform if Furnace in Attic 8belWs Test -Meters Tagged; Gas -Electric iliSr 90 er & Sewer Connected -C/0 to Grade -HD Approval Of Card -B1 Card -131 Sr Dat Card -B1 Date Date Card -B1 Date 94 . Energy Compliance Certificate -Other Certificates er i icate Card -B1 Date and -131 Date Card -B1 Date and -81 Date Date F MING (Plans) OK except #'s W,Oills, Proper Material & Anchors Card -81 Date Card -131 Date ails Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: 4 . Bearing Walls over Girders & Floor Nailing V. Dr ft Stop in Walls (rat proof) re Stops; Furred Ceilings -Stair - s -Tub.. 4LVHeader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) Owner: Permit No. ENERGY CERTIFICATION 16 Jac -O -Lyn, Chico, CA. 047-48-0-001 LOCATION A. P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass batts Brand Name - Thickness(inches)_ 3 5/8" Thermal Resistance(R Va ue) R13 CEILING Batt or Blanket., Type Fiberglass batts Brand Name Owen-C'orni nT. Thickness(inches) 10" Thermal Resistance(R Value)R-j0 Loose Fill Type Fiberglass Brand Name Owens-Corning Minimum Thicknes§(Inches) 14" Number of Bags 22 Wt. per bag 12.5 lb. ' Area covered(ft.-) 1100 Thermal. �iesistance( Va ne) R - FLOOR, ELEVATED Material Fiberglass batts Thickness(inches) 6 1/4" FLOOR, SLAB Material Thickness(inches) Width(inclies) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning Thermal Resistance(R Value)�� Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insualtion Co. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. SIGNA URE OF INS ALLA.TION APPLICATOR July 21, 1989 DATE I hereby certify the above insulation and all required items as shown on the .Rdilding Department approved plans and attachments 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. Robert R. Morton FIRM /OWNER lea�se�p�rint) SI NATURE OFIGENERAL CONTRACTOR OWNER 495430 STATE CONTRACTORS LICENSE NO. ' _ 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 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Was�a OWNER PERMIT NO. A routine IS ection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corr tion of work is completed. If you have any question pertaining -to this matter, need! additional explanation, please contactthisoffice immediately. R v TU F Inspector Wil✓ Date 6 - 6 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 0 w la �y 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. Inspector �,,,,�..�,y:N ci.r„c; �;•r.•�i5i-�;�r.,�"+�,,;``.4#'k�Fxt',N'+n'i%'�.+ti' '...vr.+K-.c•=+.�....:..t_ �� COUNTY OF BUTTE ' -"•,+ DEPARTMENT OF PUBLIC WORKS t 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE rq-F �' PERMIT NO OWNER .1f; A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office rt when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Z41 Inspector. Date C' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-754' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE -2y-'?9 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 /ccontaact,this office immediately. 5Ca- SC`/�i! aLl Ge, J� Inspector_ / Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, C%3liforniat95965 - Telephone: 916/538-7541 APPLICAVON "A6PERMIT E,RMIIT NO. 7 ASSESSOR PARCEL NUMBER ZONI G 4-/7 --- - oo. 3 BUILDING PERMIT OWNER TELEPHONE nn N -e- SQ. FT. OCC, BUILDING VALUATIO d O OWN R'S MX ILING A ESS C�Z3 &,'Al 4,41 i CONTRACTOR'S NAME - B e. o A✓ TELEPHONE 5[ 7-7 '�— do it J '7 2 n CONTRACTOR'S MAILING ADDRESS la/j 5 Sw'F 1(�_�i9i �.Stn'2 Fireplace /A,ri O 0 a CONSTRUCTION LWNDER UNKNOWN Total Valuation 1 $ yo at/ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ D o -o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2,03 ®--D Energy Plan Checking Fee $ p-0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ a1 p -p PERMIT Filing Fee 10.00 367PLUMBING //�`� Each Trap j 2.00 e-0 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME •t i / PARCEL MAP / V7 ID? Water piping 5.00 5, &--o Each qas water heater or vent 5.00 p -o U E OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 p -p Building sewer 5.00 ,pts Mobile Home S I G I W 0.00 ea TYPE OF WORKct Newff Addition[:] Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 f� rL. _�2 6 -,-A N r)wJ e 5 �a Permit Fee r $ S 7�-p Contractor ELECTRICAL PERMIT il' Fee 10.00 Main service 10006V OR L 0 AMP ORSLES 0 0.00 / D,(i"a 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 BUslnesS and Professions Code and my license is in fullorce and effect. 'u � `, j License No. �03 ® Classification �T�^ ❑ 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 OCCUP.y)'/2 QSq ft r p OR ADDNS. ACC. BLDGS. , NEW CONSTR. U '.OUTLET 2,50 ea . NON.RESID BRANCH CIRCTSPOWER APPARATUS e (SINGLE OUTLET CIR. 200501 EX. OCCUR OUTLETS OR FIXTURES eALA 30 FIXED APPLNS. OR EX. OCCUR. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 b .p -p Mobile Home Facilities 15.00 Misc. Wiring 15.00 (n IP s•o-D Perml Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 becomesubject 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 pv 0 o-0 O I + l Cg ooin Hood 3.00 B -p Ventilation 3 3®o gb-o 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. 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 again said County in consequence of the granting of this permit. X 2 _ ` l .N Date 3 '� o • F Signature of Applicant - Owner E Contractor ©- Agent ❑ An OSHA permit is required for excavations over 5'0" d§ d molition or construct- ion of structures over 3 stories height. �} Isyy Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 9t.5 lo occ. P, CON ST.TYPE JSCj;,JF-;TV PD NO 199.1"CE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PEROK EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - -' 0 jin Receipt No. 6, �0 `91�4 % WNITC-D.P.W.. YELLOW -ASSESSOR, PINK-IN9PCC TOR, 1OtC.-AQJ-,AP1PfV J OWNER'S NAME: PERMIT #: V V A. P. #: �z --7 - Ll F= �hen approved, process as follows: Mail to owner /,o (Address) Mail to contractor (Name and Address) 7 1,�Call'R�5 /7 7� and hold for pickup at CAtz- Z� office. Deliver with next inspection.' RECEIVED DATE .47-- 6 TIM T/S, REVISED PLAN CHECK FEES PAID: $15.00 $30.00 /, �Additional Fees Not Required :v,.v�r ,. i. �,. � .. .�`-. . 9!'3 i �`�'F=.:nn�':'F,C.S.`,r'1�.�•�'�sp',:+ ( �.,• ^ r. . '.� " �.,�.. 4.�r. �� a. � �c';i .. _-.t r: ^+T ; . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE - OROVIaE,'CA0F.ARNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �- Permit No. - ! OWNER Ud 17 41 o i d A A. P. No. Proposed Building Use 21261 Building Inspector of=/ -S 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 $ ........................... 10. Chico Urban Area fees paid ........................................ 1- Park fees paid ..................................................... ` 2. 4 ep School District fees paid ................ . 13. Sanitation approval from r, k e I7 Health Department .. . 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17 Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... ;F Pre-Inspec. r44estto 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 2 . Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ If f 3. Recorded copy of Agricultural Acknowledgment Statement 24. Letter of signature authorization .................................... . 25. 26. i When Ip u issue the permit, process as follows: Mail to owner. Mail to contractor. � Telephone S 1'77 2 and hold for pickup at cr,�office. Deliver w/inspector. Other Applicant_JEl(l�.��1`-#=<�/L Date •70, P - 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 No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_malljcounter by date '�`�''� �q Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW � �K ..V/c f TO: Building Department FROM: Encroachment Permit Section ^f'RE: Driveway Clearance et 7/ A- /?,;, — 0/ owner location AP # Driveway permit t9O 303— has been issued for the above property. s�/ature date TO Puildi na Department FROMi Environmental Health SUBJECT: Sanitation Clearance _..�. Omer ocation AP# Plan Approved for: Sewace Disposal ✓ Water Supply ?old final for: Water Supply Final clearance O.R. for: Suter Supply clearance mor .��_ bedroom home. Other. NOTE A J__ Sanitae ian Dat® After Recording Thomas Waggoner 23 Raintree Chico, Ca 95926 Returnto BUTTE COUNTY RECORDER SERIAL NO. S 9- I I S?(C) q RECORDED AT THEA OP MID VALLEY TITLE DATE R70Dr R TIME; APR 3 9 Return Lo I)PW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT tic( -Lion 26-8. 1 ol'the Bu1.Le County. Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent Lo .land or included within an area zoned for agr-ic:u.lLura.l purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agr. icu.lLural chemicals, incl-uding, I)LIL not .limited to herbicides, pesticides, and I'erL.i 1.-irers; and from the pursuit of agr.icu.l.tural operations including, buL not li.m.iLed to cultivation, plowing, spraying, pruning, and harvesting which occasi.onalAy generate dust, smoke, noise, and odor. Butte County has estab.l.ished ,c,;ricul . lural zones which have as a priority use for productive agr:icul.Lural purposes, ;111(1 re:: idelli:: w i L h i.n said zones rind on adjacent property should be prepared to accept Such i nrOnvc•ci i onrc• or disconl'orin Brum normal., necessary .farm operations. All Lhat. real property situate in the County of Butte, State of California, describcd ;IS follows: Assessors Parcel # 047-48-0-001-0 LOT 500, AS SHOWN ON THAT CERTAIN MAP ENTITILED, "HAGENRIDGE PARK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 13, 1980, IN BOOK 72 OF MAPS, AT PAGE(S) 67, 68, 69 and 70. I)ate: _,�_5.f -tiq 1,-RTY OWNERS: SLaLe of. Calif ) On this the 31st day of March , 1989 before Butte ) SS. the undersigned Notary Public, personally appeared (:uunLy of ) DIANA L. WAGGONER ElPersonally known to me. ® Proved to me on Lhe bosis of satisfactory evidence. ,.". ,,,,...",,,v.,"„,"",. to be the person(s) whose name(s) i G C:.FICIALSLAL .subscribed to the within instrument and acknowledged Lhal "executed the same for the purposes therein conLai noel . IN WITNI-tiff ' :`' t� i•al^ - C rllrc;;;c;1,1 WHEREOF, I hereunto set my hand and of fi.c.i.a' sea.l.. F.::P, .:w- It 1'192 " Present A.P. No. o ry Public LUCY A. PERSHALL Y ,;�,... P; L+JPpb' .r.��:. r'ir+t+M+'.v�.f.+'*m.:-.a udnAr .T a�•= $i.. .k �fwiY:t'Aypl�cv�,..�taE'T.N+•-r:. �. S�j. l[. i y. k fn14f ;�fi7 V+/t?. 1. wv' Vif�"i' "'. �. '+y .:.f••-• '.. � p' �y7"=C�a;U`r�'1'`r � 1 BUTTE COUNTY SCHOOLS DEVF�LOPMENT FEE CERTIFICATION FORM (One Foritl periBuilding) A.P. Number 7 -LIS -0o ( ; Building Department No. \ School District c p City Q County Qo-<u'ri�sdiction Property. Owner Th AA L4 la a a a Ale d- Grp 6 M or 4.6 .c) Project Location/Address,. SubdivisionA6.0.✓r;eja_._ 7a.r_l� Lot Number Residential Development: QS q. Footage# ofLiving MHIn (Group R) Units Commercial/Industrial: 011", aSq. Footage New Addition (Including Exterior Roofed Areas) Building DepdFtment Representative 3— 3d Date (Floor Plans reviewed by School District Personnel) District Id No. 8�� J o-7 School District certifies that (Applicant Name) (Phone Number) reet Acores v C_/ ; w c/-7 9s5� (City) (State) ?(Zip Code) 3 has complied with the requirements of Resolution No. by the payme t of $ 9 representingsquare feet. Stchoo'1 District Rep sent ive.,� _ r.D.a e-� BANK NO �� - 3�.6 PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE .(8/88) Certificate of Compliance: Residential W 4''Prolect'nue i SHEET Project Address Bob Metzger - O.D.S. 8659688 or 342-9688 -Documentation Author Telephone Point system 11 .Compliance Method (Package, Point Synem or Compares) Climate Zone AP+i-4-7 —48 -00/ (Page 1 of 2) CF -1R ,7, _ /Z - Date Binding Permit N melted By / Date Edom= at Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: Building Type: D4. Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Mull -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North Ease/ South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Sla Raised floor (carie one or both) ^ Infiltration Control-Standardight (circle one) (�v\ BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (anic. ro garage, typical, etc.) i -"'J GLAZING Glazing Orientation Front.... (�) Front... ( ) Left...... (,e2) Left...... ( ) Rear..... (�) Rear..... ( ) Right.... (� ) Right.... ( ) Skylight....... Skylight....... Area (sf) Shading Devices Glass Type Interior Exterior Overhang Framing Type (sinele, double) (roller blind. etc.) (shadesc een. etc.) (yesino) (metal/wood) 4-6 THERMAL MASS Type/Covering (slabic; sed, tile, etc.) Area Thickness (sf) (inches) r1 ill ( X1 1( bath- etc.) , , . +''lfj/•, !E� Sfnf,ur�i, Certificate of Compliance: Residential Project HVAC SYSTEMS Minimum Type (furnace. air Efficiency conditioner. heat pump) (SE. SEER.HS --�- - SHEET 11G, I (Page 2 of 2) CF -IR Date Duct Location Duct Output (attic, etc.) R -Value (Btuh) Maximum Furnace Heating Output: Btuh Manufacturer / Model # (or approved eauall HOT WATER SYS'T'EMS Tank Manufacturer/Model # System Tvpe (storage gas. etc.) Capacity (or aDproved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Bob Metzger O.D.S. Title/Firrn: _ Drafting Service Owner Address: 717 5th St. 1216 Mangrove Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 N a , (sign==) (date) Documentation Author Name: Same as Designer TitieJFUM Address: Telephone: (signamm) (date) �ortn Revised March 1988 Name: TidwFum: Address: Telephone: (signature) (date) Enforcement Agency Name: Agency: Telephone: (signaatre or scamp) (date) Mandatory Measures Checklist: Residential SHEET MF -1R NOTE: Lowrise residential buildings subject to the Standards must -contain these measures regardless of the compliance approach used. Items marked with an asterisk (*Ymay be superseded by more stringent compliancerequirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I ( Reference loc. on plans or DESIGNER I ENFORCEMENT Building Envelope Measures notes o n s t s. IV * §2-5352(a): Minimum ceiling insulation R-19 weighted average. Sects. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. E-12 * §2-5352(c): Minimum wall insulation in flamed walls R-11 weighted average (does not apply to exterior mass walls). Sects. §2-5352(k): Slab edge insulation -water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/inch. N/A §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. E-12 §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A §2-5317: Infiltration/Exfilttadon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. E-14 §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. N/A §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measur Info. by A/C contractor) or supplier §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. E-5 E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. E-11 * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have damper controls. E-4 §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. E-10 §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. E-6&10 §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest, to tank insulated (R-3 or greater). E — 9 e §2-5312(Fxception I): Pipe insulation on steam and steam condensate return & recirculating piping. E — 9d §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2.75 percent thermal efficiency. 3. Pool cover. 4. Tune clock. 5. Directional water inlet. N/A Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. I E-7 §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. Form Revised December 1987 E-10 E—'19 Point System Summary: Climate Zone SHEET 7D P -2R BUILDING DATA Conditioned Floor Area Vf� Number of stories Slab/Raised Floor Check all applicable Unit Type condition(s): [ ] Single Family Detached (SFD) [ ] Addition Alone Single Family Attached (SFA) [ ] Existing Building ] Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD 7. Shading (Shade Open) Glass Area Measures North_ 1. Ceiling Insulation L_ or 1 SO b. East South R -value U -value 2. Wall Insulation I a or Skylight d. West , '� xH R -value U -value 3. Raised Floor Insulation I_ or .— e. Skylight x R -value U -value 4. Slab Edge Insulation — or , R -value F2 factor S. Infiltration Standard 6. Glass Heat Loss jk -ki Exterior WallMass "�S p x Type U -value 7. Shading (Shade Open) Point Scores 0 % Total Glass Glass Area % Glass North_ a. North I r East 1 SO b. East South West 101 Skylight d. West , '� xH Total --7- e. Skylight Point Scores 0 % Total Glass 8. Shading (Shade Closed) +2 Sum 1-6 a. North % Glass SC Eff. % Rlass Eff. % Glass a. North �1L x _ t x b. East 1 ,G�_ x c. South o^ x d. West , '� xH d. West h, (e x e. Skylight ,, Z; x k Com+ 8. Shading (Shade Closed) +2 Sum 1-6 a. North % Glass x SC . (04V Eff. % Glass b. East x c. South �t , x d. West h, (e x 'V Com+ e. Skylight x 9. Interior Thermal Mass , 10. Exterior Wall Mass InteriorMass/CFA — 11. Heating System Exterior WallMass "�S p x Sum 7-10 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency Effective SE or 12. Cooling System I 1 x HSPF Zonal Control? ( Y / N) SEER Duct Efficiency Effective SEER 13. Water Heating G1 L , Type Credit Point Total. Form Revised March 1988 T 6 �al� a cl �(cx, s Gavle `1�.�� - 5 0-y- boa r d-�•e- v � Id.,` �v� L �-o be. 'r �St, C c��ec� , rs � � 02. A., I l POU-, e- ( e.r,(� 4-o. be 4.a u 1 t A=- GtG.G� 'tee �� -cry =,'5. r-� r -e_ p l a.c.. �.a.c e, d , GZ` by Ste. bl a` � �r Lcz F-, `R b<on. c ' -- � � Gl v�-� c rESS--t 1 a-vr e.ol. a r C� S i ►n c.(,,.e� o � a� cls c.. -t- a�cles- � , �?Uw� ettjiio.� 'f -co h I t, �•- �-U` n �' eon b G . lam, � , �J �i lQ.r7 Vy• 7 � ' �2, (ham J G�,�i c.�� i : �.� �� �� -4-� to },,� c_ .�� � �• � �c�, �� �-�;�-cr, � locxel�� (tn� (• J o �.a.� I�tcu." U 4�rK.. G�,l�aal ` R- Va l �t� '7 . �✓SSI � ��e� 1 '� ���.i� 9 ck. I Ir 1 I ��vv�� •C; ZA�TNn W l log :Frv,l ode, i K5 Q, l a�- tno-U Le -5 Gz c c`v ee, �P.�V'� VY�� �� `l �.1 ui l -%{,, Gt � 6-- C12Ar4- k\ Aq-e� �. � �� t '1 V Certificate of Compliance: Residential Af -A 4_7 -4-0 •-cx::,/ (Page 1 of 2) Bob Metzger - O.D.S. 8659688 or 342-9688 Building Peank Documentation Author Telephone Point system 11 me&cdBy/Dam Compliance Method (Package, Point System or Computer) Climate Zone Fafoteetnmt Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: tom► c ft2 Building Type: DL Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Phu -Addition Front Entry Orientation: North / South / West / All Orientations (circle one or mom) Number of Dwelling Units: I Floor Construction Type: Slab Raised Fl _ (circle one or both) Infil=don ControL- id ght (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments R -Value (attic, to garage. typical. etc. GLAZING Glazing Orientation Front.... (�) Front... ( ) Left...... (�) Left...... ( ) Rear..... () Rear..... ( ) Right.... ( ) Skylight....... Skylight....... Area (Sf)- ter-- THERMAL MASS Type/Covering (slablexmosed, tile, etc.) Shading Devices Glass Type Interior Exterior Overhang Framing Type (sinele. double) (roller blind. etc.) (shadest~een, etc.) (yes/no) (metal/wood) 4 Area Thickness /, Qdtchen. Certificate of Compliance: Residential SHEET (page 2 of 2) CFAR Project Title ---,J Date HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEERHSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (sto a gas, etc.) Capacity (or approved equal) Special Feature(s) 1/1.4., h0,4 v SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: Bob Metzger O.D.S. Tule/Fmn: _ Drafting Service Owner Address: 717 5th St . er- 1213 Mangrove Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 Lic. 4: NIA (�•� 1) Z-Z�7/7,zff�— (Signature) W (date) Documentation Author Name: Same as Designer TidelFum: Address: Telephone: (signs -re) i=ortn Revised March 1988 Building Owner Name: TitWFu= Address: Telephone: (signature) (date) Enforcement Agency Name: Agency: Telephone: (date) .(signature or stamp) (daw) Mandatory Measures Checklist: Residential SHEET WAR NOTE: Lowrise residential buildings subject to the Standaids must contain these measures regardless of the compliance approach used Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I (Reference loc.on plans or DESIGNER I ENFORCEMENT Building Envelope Measures no e s on s s. IV * §2-5352(a): Minimum ceiling insulation R-19 weighted average. Sects. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. E-12 * §2-5352(c): Minimum wall insulation in flamed walls R-11 weighted average (does not apply to exterior mass walls). Sects. §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N/A §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. E-12 §2-5352(f): Vapor banners mandatory in Climate Zones 14 and 16 only. N/A §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified C. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. E-14 §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. N/A §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measuresnf o . by A/C contract or supper � §2-5352(8) and 2-5303: Space conditioning equipment sizing. attach calculations. E-5 E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. E-11 * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have damper controls. E-4 §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. E-10 §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. E-6&10 §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest, to tank insulated (R-3 or greater). E — 9 e §2-5312(Fxception 1): Pipe insulation on steam and steam condensate return & recirculating piping. E — 9 d §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Tune clock. 5. Directional water inlet. N/A Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/wau or greater for general lighting in kitchens and bathrooms. E-7 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. E-10 .. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified E-19 by the CEC. Indicate make and model number. Form Revised December 1997 Point System Summary: Climate Zone I' SHEET P -2R BUILDING DATA Conditioned Floor Area DLJ Number of Stories Slab/Raised Floor Check all applicable Unit Type condition(s): [ ] Single Family Detached (SFD) [ ] Addition Alone ?Single Family Attached (SFA) [ ] Existing Building ] Multi -Family (MF) (] Existing -Plus -Addition North Glass = % Glass 1 r East -;► South SCORE CARD West (fDi ► !o Skylight r:;;, le x Total r�JJ 8. Shading (Shade Closed) a. North % Glass x SC , (p� Eff. % Glass = I ,2 -;► b. East c. South SCORE CARD d. West r:;;, le x Measures e. Skylight Point Scores 1. Ceiling Insulation or 9. Interior Thermal Mass R -value 10. Exterior Wall Mass U -value 2. Wall Insulation a or T^ + 2- Sum 7-10 Zonal Control? ( Y / N) R -value Duct Efficiency U -value 3. Raised Floor Insulation Iq or. �.., Zonal Control? (Y / N) SEER Duct Efficiency R -value U -value 13. Water Heating 11 t. el ,. 4. Slab Edge Insulation or Type Credit R -value F2 factor 5. Infiltration Standard 0 6. Glass Heat Loss ) �, ,Q U -d- 2 Type U -value % Total Glass Sum 1.6 7. Shading (Shade Open) % Glass SC Eff. % lass a. North x —' b. East ��_ x 4- c. South A, x — I -- d. d. West 5 , '� x ) _ ;- e. Skylight 12-1 x 21 d 8. Shading (Shade Closed) a. North % Glass x SC , (p� Eff. % Glass = I ,2 -;► b. East c. South x i� x d. West r:;;, le x e. Skylight x 9. Interior Thermal Mass 10. Exterior Wall Mass Interior Mass/CFA — 11. Heating System Exterior WallMass 1 S x T^ Sum 7-10 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency Effective SE or 12. Cooling System 4-) 10 x HSPF Zonal Control? (Y / N) SEER Duct Efficiency Effective SEER 13. Water Heating 11 t. el ,. Type Credit Point Total.. Form Revised March 1988 v�-K- . WeG��� 5 I �-c.es a �-ou ��- boa r5 o 4-O bet. i v`esu � c""re6 U' J rd. (� � �u/ nn Ad uc,� c-r��S-Se�.= f av�.c` \ a -v- e.� o 'r C� t � S i G� e. �. P, a.Y'�, Q L.`v C. G�.aM ctr � •{-; is i . L A5 PUw� 44[U ]-- Dov rc-p- t v,- -!-a LZ W c,SC4 iz� % P �'� I ►nSv �G�.�-��� ova G l rGU �Q.�i �� `��5��� � �c�5LD coo i� i � Q�.p' i G.��.G2Ci '�o (•�aL.�f �+ GG`�": �`v�,U C 1.:5 r.�.7v'h 1 ICL�� ih{• 7 � �� I �� (• � �� !�� rte. Up, I , 77 . '✓W1i 1 «G�- 5u `l.j �� �1.J �P..lr' 1 l -,A 0, P -e..-,- -;�,1 .^.(- Za t1 lleCl i r t p%e. a -�- C-. u l I� •�-w e�...t�, h � Use 0L)4-1, -. - g a s. Ao �� e.. P "- `l 4 \1 C. uJ t 4-�N ct l.-,, uAr RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # ff 7v— OWNER T6M GA4;-&OMA a - A.P. # L/7:•W&- 007 GENERAL zoning requirements: (sideyards and number of permitted living units). &----Valuation. &e -'-Plans signed by designer. E✓ orgy Design and Compliance. g/ Existing violations on property. PLOT PLAN Y complete parcel size and dimensions. :/9. ,Setbacks, sideyards, easements, etc. / Other buildings or structures. i� Grading, fills, drainage.. Mood hazard. Special conditions on creation map or compliance document. FLOOR PLAN 7/85 .Y Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). --4- Skylights (Chapter 34 & Sec. 5207). b/Human impact glass (Sec. 5406). � equired room sizes, ceiling heights (Sec. 1207). � G.F.C.I.-s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of /-i°echanical equipment. 9: Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. ]&&Garage firewall, door size, and closer (Sec. 503(d)(3)). 1.�- 3'0" exterior exit door (Sec. 3304(e)). L2ireplace and wood stove location. 1Q.. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough.to construct building. F�Floor construction details complete enough:to construct building. !3� levations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. fireplace construction details and calcs if necessary. 6 -'-Sufficient data and details to satisfy energy requirements (State Law) (Form 1). , MISCELLANEOUS ITEMS TO LOOK OUT FOR 1 -.---Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ,-3'- Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5-.- Exterior plaster - weep screeds (Sec. 4706). &.--,-Proper roof pitch for roof covering (Chapter 32). /i Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/05 ',. MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 6" --Garage door or porch header sizes. R Adequate bracing. 49— Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. -1-Y /.Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1:5 ttic access and ventilation (Sec. 3205). 1.�! derfloor access and ventilation (Sec. 2516). 14� Wood stoves, clearances, alcoves & 1 -hour shafts. 1�bustion air for fuel burning appliances. -it--Noise requirements on duplexes. be soils - special foundation design. iB�e.-aining walls requiring design. 1�! Unusual shape, size or split level house requiring lateral design. t 04/-4468-0-001 93-2612 B MURAY, KATHLEEN _O_ Y W 6JAC—O—LYN WAY, CHICO 16 T - JOHNSON R60 CONTR: JOHNSON -ROOFING 00 /S REROOF/SF cy— /0— ..�,r..�-,..._..,,,,�__� _ ___...-.•P'•-•-.._-.-,-•...rr+r•–•�s'�-T..Rsr7•+..'-x'-T.T. m.�.. ,-...... ».vr'^n.e,��r-,•. „• rOUNTY OF BUTTE - DEPARTMENT OF IDEVELQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Otoville, California 95965- Telephone (916) 538-7541 .� E� T NO. APPLICATION AND PERMIT4 3 G 67 / ASSESSOR PARCEL NUMBER 47-48- - 047-48-4-001 ZONING % IRR -14 BUILDING PERMIT OWNER OWNER KA'T'HLEEN MURRAY1 TELEPHONE' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 16 Jac -b -Lyn tAne, Jac -b - Chien sq. COMP CONTRACTOR'S NAME S TELEPHONE CONTFI CTO R'S MAILING ADDR SS all—onC 40 f Fireplace r CONSTRUCTION LENDER ' ( UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS T PERMIT FEE $ 74 nn PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ j Describe Work: Reroof/comp i PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2R LE SS 00A0 LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do /the work, and the structure is not intended or offered for sale. (Sec 7044) LI I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Cade forthis reason ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1 00 Ex. Occup. (OFIXED APPtNS. OR UTLETS (RESID.) EA. ) 5.0� Temporary Service 23.00 Mobile Home Facilities 2.00 Misc. Wiring t203�.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 con equence of the granting of this permit. ? X p1�r { 1 .l �jL�t' Date '? J Signature of Applicant -A Owner ❑ Contra or ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ %G (1(1 HAZ D. FEES IMP F100D CDF PARCEL PD HD 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. DIRECTOR OF PUBLIC WORKS D By �Ff/-i�/6"P Date ; // dl PERMIT EXPIRES ON v Date) Receipt No. ''YJ VJ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVROPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 /\, _ WT NO. APPLICATION AND PERMIT `7 rho J ASSESSOR PARCEL NUMBER 047-48- - - ZONING BUILDING PERMIT OWNER KATHLEEN TELEPHONE - SQ. FT. OCC. BUILDING VALUATION sq comp 2,700 OWNER'S MAILING ADDRESS 16 Jac-6_—Lyn T,,qnp, Chirn 95996 CONTRACTOR`p NAME TELEPHONE CONTRACTOR'S MAILING ADDR SS Q CONSTRUCTI N LENDER UNKNOWN Fireplace Total Valuation $ 91 nn Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16 Jnr—O—Lyn Way, PERMIT FEE $ Jnr—O—Chico74PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT N0. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 32( Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Reroof/COmp PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( 2ODA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUP. $O. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do /the work, and the structure is not intended or offered for sale. (Sec 7044) t� I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 Ex. Occup.OUTLETS (RESID OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and penses which may in any way accrue against said Count in con nce of the ting of this permit. Q n p X Date v T Z Signature of Applicant Owner ❑ Contra or ❑ Agent An OSHA permit is required for excavatio s over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP RLOOD CDF PARCEL PD HD 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. DIRECTOR OF PUBLIC WORKS A� By Date PERMIT EXPIRES ON 8 11 (Date Receipt %Y3 �6- ` WHITE-D.D..D. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �`'"^�.�I�,,,"~--tr^'v+r`ho'�',.-+'e.I.r`".,"'°.u"^l�r'•^^-n-.rT'+fl"^`.�.�'�`+�"4�i11."r�..�,�.,�,r/rt+,lyr�w'.r-rpaal.�A�i'�'�±`'�'�"7t,"�'�'n►tis-''E��1�(:.F�Y'l,ir+'i�.,...r ''t' -'7+. "COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION• , 7 COUNTY CENTER DRIVE - OROVILLE,'CALIFORNtA9 69,6t - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER Yl/? <% C fL�i✓ /v!�/�^►- i A. P. No. V2- yg 00 Proposed Building Use lie /loo F ��� Building Inspector e- Date 8 /0/5'.3 s At timeZ1. mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ........................................ 2. Plot plates, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, -3/4 -sets, signed by preparer of plans . ...................... .4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). :.. . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................ ................. 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ...................... ................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . Pre-Inspedion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .............. 26. Copy of recorded deed of parcel creation and 60'right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .....................:..........:.....: . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ti Certificate of Compliance: Residential SHEET (Page 1 of 2) CF -1R meg IVv— fT IJP L-ir, C,/V"z.0 Project Addres Bob Metzger - O.D.S. 8659688 or 342-9688 ButildngPetmitM Doetunentation Author Telephone Point system 11 ChedtedBy/Date CompUanee Method (Padnge. Point System or Computer) Climate Zone r=fo==cnt Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: ft2 Building Type: D'` Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation:/ East / South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Sla Raised Fioo �I cle one or both) Infiltration Control- Ight (circle one) BUILDING SHELL INSULATION Component Insulation Type R -Value Location/Comments (attic, to swage, etc.) Wall .............. Wall .............. Roof ...... .._...Roof..--..-... Floor............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Orientation Front_ ... ((y) Front.... ( ) Left...... ( S) Left...... ( ) Rear..... Rear..... ( ) Right.... Right.... ( ) SkylighL...... Skylight....... %0:lalcita Area (sf) .m Glass Type Interior (roller bli�m ILO rA- r �r Type/Covering Area Thickness Exterior Overhang Framing Type bath. etc.) .0 Certificate of Compliance: Residential SHEET �j (Page 2 of 2) CF -IR TlUe HVAC SYSTEMS Minimum Duct "Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) Maximum Furnace Heating Output: Btuh :4�-2t- 8� Date Manufacturer / Model # HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2. Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: Bob Metzger O.D.S. Titie/Furn: _ Drafting Service Owner Address: 717 5th St . Ar. 1215 Mangrove Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 Uc. 4: N A (sigsanae) (dam) . Documentation Author Name: Same as Designer Tide/Fum: Address: Telephone: (signan,m) Form Revised March 1988 (date) Building Owner Name: TuleiFimt: Address: Telephone: (sigia=) (date) Enforcement. Agency Name: Agency: Telephone: (signamm or stamp) (date) Mandatory Measures Checklist: Residential SHEET - MF -1R 'NOTE: Lowrise residential buildings subject to the S tandards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall . / be considered by all parties as binding minimum component performance specifications for the mandatory measures t whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION (Reference loc.on plans or Building Envelope Measures Lno t e s on s nt s. * §2-5352(a): Mutimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacuuer's labeled R -Value. Iri:*1JCet:lz1;a • Mti„I��r� 6-16 *§2-5352(c): Minimum wall insulation in flamed walls R-11 weighted average (does not apply to exterior mass walls). Sects. §2-5352(k): Slab edge insulation - water absorption tate no greater thaw 03%, water vapor transmission rate no greater than 2.0 perm/inch. N/A §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. I E-12 §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A §2-5317: Infiltratiott/Eafiltration Controls a. Doors and windows between conditioned and unconditioned spates designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and pene =ous caulked and sealed. E-14 §2�52�� Special infiltration barrier installed to comply with §2-5351 meets CEC quality N/A §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built firepLrces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control C. Flue damper and control 2. No continuous burning gas pilots allowed. I: HVAC and Plumbing System Measures nf o . by A/C contractor) Eor supplier I 2-5352($) and 2-5303: Space conditioning equipment siring: attach calculations. E-5 E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. E-11 * §2-5316(x): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have damper controls. E-4 §2-5314(c): Gas-fired space heating equipment has intezmitreat ignition devices. Form Revised December 1997 §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. —E-10 E-6&10 §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulamd (R-3 or greater). E — 9 e §2-5312(Exception 1): Pipe insulation on steam and steam condensate zeurn & recirculating piping. E — 9 d §2-5318(d): Swimming Pool Heating 1. System has - as:a..On/off a. On/offswitch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. rime clock. 5. Directional water inlet. N/A Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/wan or greater for general lighting in kitchens and bathrooms. E-7 §2-5314(c): Gas fired appliances equipped with in=%nitent ignition devices. E-10 . §2-5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. E —19 Form Revised December 1997 • Point System Summary: Climate Zone _L SHEET Project Title -*Aj Date BUILDING DATA Conditioned Floor Area IP5 Number of Stories Slab/Raised Floor Check all applicable Unit Type condition(s): [ J Single Family Detached (SFD) [ ] Addition Alone Single Family Attached (SFA) (I Existing Building ] MuIti-Family (MF) [ J Existing -Plus -Addition SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) 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 Form Revised March 1988 Measures or R-val U -value or R -value U -value 1 61_ or R -value U -value or Standard Type U -value Glass Arm % Glass North Q East 1 South West Skylight 7j Total (. Point Scores 0 n 90 Total Glass %v Glass SC Eff. % Glass JG X M _ X = V F-1 X — = (� % Glass SC Eff. % Glass X X _ _ 11 X =<L�— ;�7_ X = 2 l ,�1 Interior Mass/CFA Exterior Wall Mass Is'&?!o X SE or HSPF Duct Efficiency Effective SE or Q HSPF/n SEER/' Duct Efficiency Effective SEER 47 L e% t Type Credit Point Total. 4' 2.. Sum 1-6 Certificate of Compliance: Residential Climate Zone 11 Tom WA d-& 0N44, Profect.Title 3 & & xA&wit— R ®. Bu Project Address a/-+ I%—.0p Checked By/ Date Documentation Author Telephone Fnforarnent Agency Use Only BUILDING DATA Glass Area % Glass North =� S re Conditionpd Area y4,f Number of Stories / East =� Slab Fl sed . f Number of .Units South [ ] Single Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight fi_ [ ] Multi-Family(MF) [ ] Existing -Plus -Addition Total 3* 3 _ s. BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall.............. JQI�3 Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roller blind, etc.) (shadeacreen, etc) (yes/no) (metallwood) North nwdQL North ( ) East ( ).�_ s• East ( ) South (,) ! •• •. South West West ( ) Skylight....... —�, •• THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) LOcation/Descri2tion (kitchen. bath etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location conditioner, heat pump) (SE, SEERASPR (attic. etc. Duct R -Vale 54 - . 7S a t"u 647 107 !s y s k a.; 1, 50 7 Sa,* / Manufacturer / Model # Maximum Furnace Heating Output: (, Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) SDecial Feature(s) "A4& Cos SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) SVM 0 )9 1200 SEER 2200 2700 nee ducts In attic) to to &m of 7-10 ;s 1699 2199 a -14 to -4b +610 16 or -5 +5 +15 more -10 -8 -6 -4 -6 -5 -4 -3 -4 -3 -2 -2 -3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 14 12 9 6 frective SEER -8 9 -12 t x dud efficiency) -7 St,m of 7-10 -3 -2 to -14to l to +SID 16 or i -5 +5 +15 more i -21 -17 -13 -9 I -9. -7 -6 4 -4 -3 -2 -2 0 0 0 0 6 5 4 3 12 9 7 5 16 13 10 7 I 19 15 12 8 i 22 18 14 9 ) 24 20 15 10 Control Adjustment 2199 7 6 4 3 ling System Installed 0 1 4 -3 .2 -2 i 2 2 2 1 ly Detached and Attached Unit Size (sq 0 )9 1200 1700 2200 2700 r b to to or ;s 1699 2199 2699 more 0 0 0 0 8 6 5 4 5 4 3 3 3 3 2 2 5 4 3 3 7 -24 -18 -15 -12 -1 -1 0 0 3 -12 -9 -7 -6 5 -16 -12 -10 -8 9 -12 -9 -7 -6 -3 -2 -2 -2 5 4 3 2 _ 2 1 1 1 1 -19 -14 -11 -9 5 4 3 3 -6 -5 -4 -3 ,mity (Individual units) 56 Unit Size (si) 0.5 9 700 1200 1700 2200 ' b to to or s 1199 1699 2199 more 0 0 0 0 4 7 5 4 3 9 5 3 2 2 3 4 3 2 2 9 5 3 2 2 15 -23 -15 11 -9 2 1 1 0 0 23 -12 -8 -6 -5 25 -13 -8 -6 -5 )3 X12 •8 -6 -5 8 -4 3 .2 f -2 5 3 2 1 1 10 _ 0 0 0 i0 -15 -10 -8 -6 8 9 6 4 4 B -4 -3 -2 -2 Interior Mass/CFA TYPE 2 MSS 11.Y.utwc•..2 Ic.tpet.d .1bl �) t TYPE I MASS WIMC of e: exposed 4.2. Sed slab) - 01/. 5% 1011. 15% 201/. 2S% 301/. 35% 40% 45% 50% 55% 60% 6N 70% 75% 80% 85% 90% 95% 100% 105% 110% 115Y. 120-1.125- 0y. 20%125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 1011. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 52 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 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 56 58 407. 0.7 0.9 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 5.5 5.7 59 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.5 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 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.8 6 62 60% 1 1.2 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 5.2 5.4 5.6 S.9 61 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 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 7011. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 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 62 64 75% 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 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 80Y. 1.4 1.6 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 54 56 5.8 6 62 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 42 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 67 90% 1.5 1.7 2 2.2 2.4 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 67 69 100% 1.7 1.9 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.5 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 66 68 7 11011. 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 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.6 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 SC SCORE CARD a. North 5.4 x Measures b. East i. o Point Scores 1. Ceiling Insulation 38 or c. South -e-- 61� _ �..� R-value 1381 U -value [0.030] . B x 2. Wall Insulation /3 or�- e. Skylight x 77 = ..2 3 R-value [1 1] 9. Interior Thermal Mass U -value (0.098] TYPE 1 MASS 3. Raised Floor Insulation or InteriorN�ss/CFA COND. FLOOR AREA _L� R -value 1191 10. Exterior Wall Mass U -value [0.0371 TYPE 2 MASS 4. Slab Edge Insulation -Sum or Exterior Wall Mass ND . L OR AREA R -value [0] 11. Heating System F2 factor 10.77] x S. Infiltration Standard Zonal Control? ( Y / N) SE or HSPF 0 6. Glass Heat Loss Z)t)UWL 0 / 6'. q -9- HSPF [0.56/5.15] Type [double] 12. Cooling System U -value 10.651 % Total Glass (16) Sum 1-6 7. Shading (Shade Open) Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency 10.741 Effective SEER [7.031 % Glass 13. Water Heating SC Eff. % Glass a. North >�- x 77 = q.3( Credit [none] b. East /. x ?7 = /.3 1� - c. South 7, X 7 7 = �,�5 / d. West 8 x .77 e. Skylight 3 x.77 = 3 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 5.4 x b. East i. o X .toy _ l •1 4-- c. South X 61� _ �..� -/�-• d. West . B x & G -- , S3 -t- e. Skylight x 77 = ..2 3 9. Interior Thermal Mass TYPE 1 MASS AREA = InteriorN�ss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = e -Sum Exterior Wall Mass ND . L OR AREA 7.10 11. Heating System 7 x Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or (0.71/6.61 HSPF [0.56/5.15] 12. Cooling System 5.c) x S& = 7. -74/ --- 74/Zonal Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency 10.741 Effective SEER [7.031 13. Water Heating SG- >�- Type [SGJ Credit [none] Point Total: "�- 1. Ceiling Insulation Single- Single - -46 Number of stories Family 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 U -value -6 -3 0.50 -176 -84 -54 0.30 -102 -49 -02 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 10 0.00 24 2. Wall Insulation 3. Raised Floor Insulation Insulation In Floor Single- Single - -46 R -value Family Family Muiti- 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 -6 -3 -2 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 3. Raised Floor Insulation Insulation In Floor 0.60 -144 Number of stories -46 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 -11 -6 -4 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 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 Crawlspace Single- ,.3 - Number of stories U -value 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 Single- ,.3 - ­ Number of Stories U -value R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor less 50 0.90 -4 .3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 040 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total Single- ,.3 - Raised Floor U -value Family Percent (percent glass x SC) (percent glass x SC) .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 -00 -11 -4 2 8 15 22 -37 -9 -0 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 .17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Single- Slab Floor Raised Floor Effective Percent Glass Family Stories (percent glass x SC) (percent glass x SC) Stories Effective /CFA One Two Three %Glass North East South West Skylight 18 5 1 4 1 no 16 4 2 5 1 na 14 4 2 5 1 no 12 3 3 5 2 no 11 3 3 5 2 no 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 -1 -2 -1 a3. Shading (Shade Closed) Single- Slab Floor Raised Floor Effective Percent Glass Family Stories (percent glass x SC) Mass Stories Attached /CFA One Two Three %GcOve lass North Etat South West SWot 18 -14 -48 -69 -64 no 16 -12 -42 -59 -55 no 14 -10 -35 -50 -46 no 12 -8 -29 -40 -37 • no .11 -7 -26 -36 -33 no 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -07 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 3 7 8 10 11 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 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 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 i 11. Heating System SE or ASPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 Sum of 1-6 -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 Effective SE or HSPF (SE or HSPF x duct eMciency) Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 . +15 more 0.30 2.75 -73' -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8. -7 -5 4 0.56 5.13 . 0 0 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 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these masers mgardkm of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCUPr10N I DESIGNER I 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). 12.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm./inch. 62-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate lanes 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed tocomply with §2-5351 meeuCECquality standards. §2-5352(d): Installation of fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous buming gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sitting: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. 62.5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanker (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 a grtater). §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(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 12.5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §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. m COMPLIANCE STATEMFJYT This certificate of oompliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. 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. 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