The URL can be used to link to this page

Home My WebLink About047-520-011-7� 7Z� IL 47-52-11 VERNON TUTER SIS Roseanna Ct, 600'W Hicks Ln, Chico Permit#993-84P,E(ele ser for well & fut lot dev) 47-52-11 Permit#58-844, ultural Building _�r i c� Exemption) horse stable 47-52-11 3877-89B, E,M TUTER, Vern6n & Venita 11 Roseanna CtI, Chico I (new single fa I mily) I Is 50 PER r 47-52-11 3877-89B,P,E,M PER -TUTER, Vernon &-Venita 11 Roseanna Ct, Chico 6w� (new s.ingle family) �Cok ASSESSOR PARCEL oe 1 OCATION Temp. Power Pole Called PbkE Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E E Pa OB FINALED (Date) ........... Signature = OK 0 = Not OK - = Not Applicable * = Not Ready 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 N" 1. Zoning Req u i rem ents-Setbacks- Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Sewer: Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decki ng-Braci ng -Stairs- Rails 4. Water; Location -Test -Easement Needed (Sketc�_)_ 4. Wood AWn.; Posts- Beam s-Rf trs.-Con nec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.: Steps -Doors -Landings Date MOBILEHOME INSTALLATION.(Plans) OK except #'s 1. Zoning Req u i rements-Setbac ks- Easements Card -BI Date Card -B1 Date 2. Footings; Size-Spaci ng- Marriage Line Card -B1 Date Card -BI Date 3. Gas; MH Test- Demand -Valve-Con necto r 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks- Ease men ts 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 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-GF1 10. Cart. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Lisied- 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -BI Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B! Date Card -B1 Date Card -B1 Date N" UK 0 NO" Ox Not ApplicatTle RESIDENTIAL (Single and Duplex)'' Not Ready Date l2y_QAFL00A (Plans) OK except #'s _ * Uog;�k�69-Se�tbacks;-Easements-FlI -Slope ,e - S -Steel-Elec. ncl.-//,2L� Ftg. Depth t( Main; Soils Garage; Soils -Steel-/ P' Ftg-. Depth t Porches & Decks; Soils -Steel-/ P'Ftg_&e_pth 1�2mwtealls, Main; St�eel-Blockouts-Wrapped Its, S I_F alls, GaaQe.;Steel-Blockouts-Wrapped 11SW Steel-WraDDed tVP1V1!i4�Ftg.-SteeI P/D.W.V.; Fall -Fittings -Test -2 way C/0_ -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe: Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples . . 15. Insulation Car cl-IB1727�_Date)A-:� Card- B1 Ca,rd-Bi_�4 Date Card -Bi Date I I - Date PLUMBING (Permit) OK except #'s ,k�il& �Wr Hft vent -Access -Combustion Air -Baffle Pipe; Test & Anchors -Nail Protection 1".W.V.; Te-st-Fttngs & Anchors -Nail Protection 4Q_Sb6ower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access -2t.-fts Pipe; Size & Anchors Card -B1 Y71 Date Card -B1 Date Card -B1 Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 2YILoure & Transformer Clearance -ins. Protection 2S-*tIP .o. Receptacles Spacing -Lights & Switches at Doors 24-19ize Boxes & No. of Conductors -Stapled 2� �gRfe-x irstalled Close to Edge of Studs & C.J. _�?qAl �pGro`und made up w/Mech. Fasteners -Bond Gas & Water 2Ze2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / L11'/ ga. Cu ov%�I;Oven Circ. ga. Cu or Al. Insulated Neutral VW No -6!t�vice-Riser Conductors & Ground -Main Disconnect . Equip. Clearances Panels-Motors-Mech. Equip. �.es Closet Light -Shower Light -Spa Light 31..,Kmoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MEC)*ANICAL (Permit) OK except #'s 36"kC. Ducts Insulation & Support 4rvgnt -Fan:, Exhaust above insulation 3 � ndensate Drain & Overflow; Size & Grade- 3VFurnace-Vent; Access -Comb. Air -Return Air Vent -115 out -let 3&Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRA J*14G (Plans OK except #'s 3!rAs,.-ProPer. Material-& Anchors-....___ ........ . . ..... _ (] - kLW�Oft Studs -Nailing, Spacip-&-� i �ng lates-Sound "earing Walls over Girders-&-Fro-bor Nailing -�(-42. Draft Stop in Walls (rat proof) 49.�V e Stops; Furred Ceilings -Stairs -Chases -Tub 4ir Header & Beam -Size & Bearing (NOTE: An entry must uate, F �RA �G (Continued) 4&AHaagers-Post Caps -Anchors -Connectors 4"01'Joist-Rftr. Ties- Pu rlin-Roof Brac.-Truss-Sht 4 ir place Ties or Type A Flue -Fireplace Throat Clearance 4 tiC Access: Size & Romex Protection -Draft Stop -ins. B—af f les 4 Windows or Exiting Doors -Sill Hgt. & Dimensions �Q-Gar Rrp. Protection Framing Vrty Line Firewall & Openings X7DD �ck Garage -3rd story, 2 exits :��i-Width-Headroom-Rise-Run-Landing-Fire Protection 5t ood on Roof Overhang -Attic Vents -Rafter Outriggers' Wig -Nailing Veneer 5"ycco Mesh -Drip Screed -Fd. Vents-Underfir. Access 5"lazing Area -Glass Protection -Skylights -Plastic V?'! �alls; Nailing -Bolts n s3u I a t1i lo 60. Infiltration-Walls-Wndws Card -Bi Date J -- 4'4VCard-B1 Date Card-21��Datej,)O__cjD Card -91 Date Date FINAL (Plans) OK except #'s 61. W. Steps -Door & Sidelight Protection -Landings A2��Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - in Garage; Above Floor-Ducts-Mech. Protection dr-oom Exitino %e6 -F -I- & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 6?-,6+&tr9,-& Rails �� I renJace or Stove: Clearances-Hea h 17"V-14" 111 +3 69�'Sle,c Outlets at Wood Panel; Int. & Ext' — 1j/ 7P�-Xfit. FWt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71,)�;Erec.,Outlets & Receptacles at Kit. Counter Door: Swing -Landing -Closer 7j_V,(3-ar --Z3-A4�uct in Garage -Damper -__ZHtr.; Vents -Clearance -Comb. Air -Connector -P V In Garage: Above Floor-Mech. Protection lb_,�Elec. & Mech. Equip. Listed for Location '�Plc. Receptacles in Garage; (G.F.I.)-Romex Protec. Nnsulation-Foam-Looked in Attic 0 Yes Iat:4�artl Pails A Deck Construction -Post Caps 22-Edn-Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instId.; Drive - 0 Yes PKO; Walks 0 Yes �9140; Plaplefs 0 Yes '"o 8-, tucco; Brown -Finish q?,-Kd. Unit; Disconnect, Electrical, Plumbing 83,,Ve .1 s Above Roof; Plbg.-Appliance-Firepl.-Clearance to k eningc at-er Well; Disconnect, Electrical, S�.m abi o terior Elec. Trim; G.F.I. Recep'tacle:Un—d6irground oj,'ve Its "oo' en ' ng s ' at- e r We 11 5 te ri or El' entilation throughout House F?4��.Iass Protection 8&,dorrections from Previous Inpections est -Meters Tagged; Gas -Electric 9 ater & Sewer Connected -C/O to Grade -HD Approval n . rg y Com pli ergy ComDliance Certificate -Other Certificates 92. Roofing Certificate Gard-BAi� Date'.,-;'� jCard-B1 Date Gard-B:�7�bate :41M Card -B1 Date Card -B1 Date I I _.Ca.rdzB.1 -Date Comments at Final: made each time vnii vicit in�, 6t-� Owner Permit No.. ENERGY CERTIFICATION �os a�v�� 0$4. LOCATION DESCRIPTION OF INSULATION A. P. ROOF MATERIAL BRAND NAME THICKNESS THERMAL, REnT7WE (R VALUE) t? MATERIAL Fibergla:qs BRAND NAME Certainteed � THICKNESS :!!� I tv-- " THERMAL RESISTANCE (R VALUE) _,QEILING,_ BATT OR BLANKET TYP��'� RANCNAM-E 'Certainteed 43 THICKNESS.- L THERMAL RESISTANCE (R VALUE) ic - 3 C.) LOOSE FILL TYPE INSUL-bAYE iii BRAND NAME Certainteed THICKNESS 12'. , I - THERMAL-n=Mn-TFTAUM:� FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME, THICKNESS THERMAL CERTAINTEED RESISTANCE FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) I hereby certif y that the* above insulation was installed in the above building in conformance with the State of California Energy Requirements. SHASTA INSULATION #530,235 NAR/OWXER STATE CONTRACTOR"S LICENSE NO. IM �= I hereby certify the i sulation and all required items as shown on the Building 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. ---------- FIRM NAME/OWNER (PLEASE PRINT) -------- --- — -- ---- - - - - - - - - - - - - - - SIGNATURE OF GENERAL CONTRACTOR/OWNER STATE CONTRACTOR"s 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 OWN 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 5 P77 - r - I I 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 Date— -3-7-jo COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phone: 891-2751 7 County Center Drive, Oroville , Phone: 538-7541 747 El I iott Road, Paradise — Phone: 8.72-6307 - CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to thi S matter, or need additional explanation, please contact this office Immediately. 10414r4d?ff', "AQ to f' Inspector Date COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Oroville — Phone: 538-7541 747 E I I i ott Road, Parad i se — Phone: 872-6307 CORRECTION NOTICE -3 5`7 7—�?5, OWNE� 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 a __;eed additional explanation, please cont ct this office immediately. le q0Inspector Date ER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Phon;: 891-2751 7 County Center Drive. Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOfICE -e-*-- �3Y 7-7- 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 piatter,_,or need additional explanation, please contact this office immediately. V4 '05�� S- k"Ucki/51 —1k411— LAI 6L "'..9 V Inspector / t,4 —Date /27 -6-? 7 1 0 COUNTY OF BUTTE - DEPA RTMENT OF PUBLIC WORKS 7 County Center Drive - Orovifl il Calitopia 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER q7- 5tl, ZONSR, 7 BUILDING PERMIT 0 F ,1 I t0d t Vd fy 10-4 To 7 -1 C A r TELEP q91-1- r6,11y BUI DING VALUATION 0 OWNER'S MAILING ADDRESS kaye eqej�vn (f HIZO 5Z 5- M - 75 T'0 CONTRACTOR'SNAME c)alv 4-.A, , TELEPHONE P 0 Co .1 1111 -10 III, -LO CONTRACTOR'S MAILING ADDRESS Fireplace l000 LENDER C 0 NSXIbW UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ A I ECT OR ENG CH , ILNf E R Aori 0 t f 1 .10 "1 K, 1^S00, LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ IS 1TV'ECT OR ENGINEER'S MAILING ADV�S C ----S q1 C -0 Penalty $ BUILDING ADDRESS Permit fee $ 5-7 PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Crl Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME PARCEL MAP 171,1 Water piping 5.00 013 Each qas water heater or vent 5.00 USE OF STRUCTURE SFW Duple,Fl MobilehomeF� Other SPECIFY Gas piping system I - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10-00ed TYPE OF WORK New Addition Remode I [:J U t i I i t i e s [I I n s t a I I at i o nEl Other F] Describe work:, Sroo!e Z94 C7 " Z �4e I I L4.oV14 SigV& i A -67--�D 1 5 - Permit Fee $ - Contractor --- ELECTRICAL PERMIT FilingFee 10.00 GOOV OR LE SS tp too Main service 100 AMP 0 R 10.00 _�ZESS , I'. Main service EA. ADD -L 0 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business an Professions Code and my license is in full force and effect. ?1% n s e No. Classification ly/l, 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST ' (D W ELLING Oc4p.ed ) y 21A 0sq f t OR ADDNS. ACC.BLDGS. NEW CONST11- 111UL-TI-OUTLET _NO N.RES'.. BR ANCH CIRCU I TS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20050t 5AL@ 30q! FIXED APPLNS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring I ZILE Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate . f Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 Heating �- :g J -,10k or-, Cooling Hood 3.00 Venti lation. .9— Permit Fee -33 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 C6untyot ButtTto entetr upon the above-mentioned property for inspection purposes. I al_ agree le o save, ind and keep harmless the County of Butte against s Tis� i3ll liabilities, d t s and expenses which may in any way accrue Ju( gm - agailt said County qu of the granting of this pe it' X Datei / 7/ Signature of App Kant Owner Contractor E] Agent ft, CKAn OSHA permit is req ir for ex a tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in h I. Mobile Home Installation Fee $ Energy Inspection Fee CONST TYPE TOTAL FEE $ '71 HAZ I I 8UA PARK 'I SC V FLDA I v PAR - I �/[ �� i�� This permit is hereby issued under the ai :irovi� si�ns of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date zez PprMITiXPIRES Date— it — 7,=- 9 0 Receipt No. IyIial a <6 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .. U- VIV, 7 COUNTY CENTER DRIVE - OROVIEUE-CALIf 9RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICKTION DATAISHEET Permit No. OWNER "V F-4 A. P. No. 1/ 7 Proposed Building Us 4Lj Ifet Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .. ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed -by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting'documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8, Lngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation,)data,includ.in,.g manufacturer's installation instructions ....................... ............................... -10. Fees of $ ........................ 11. Chico Urban Area fee'svpaid .......... '/ , , . - , ............................ 12. Park fees paid ..... t�a ........... k ............................... _Aakj 3. 6 e f- L,_-2 Sch(�bl District fees paid ............. lilt 1P 4. Sanitation approval from 1- -0 - Health Department 1119 JJA-0 5. City of Chico plumbing�permit ........................................ 16. Plot plan and businessrlicense approval from City of (see City for other requirement,,�) 17. Planning approval for A) tUse-�)_ (B) Parking: . ...... 18. Improvements may'be reqUi% . Ted. Contact Land Development Section DPW ,0_46 16', -Driveway permit (constaldtionppproval required prior to occupancy 20. Pre -Inspection for it -1 required ... Pre-ins0ec. request to Building Inspector (Date) 21. Contractor's license ini�_`rlrat6n (No., Name Style, Classificati 0 n) ... —22. Certificate of Workmans Cot'npensation Insurance .................. f t 2 3. Owner -Builder Verific6tion (Given to ownerQ, Mail to owner 0) ..... 4W��4.. Recorded copy of Aghultural Acknowledgment Statement ......... I WL _25. Letter of signature a6thort,ation ................................... Z177. hen you issue-4the Nc ss as follows: —Mai I to owner. Mail to contractor. Teleph'one- RMLYand A:%bAd for pickup at _0/Ar--0Offi e. —Deliver w/inspector. 0 P;� _ I , . . f - Other # 1 1 1 Applicantdf , Ll in N il� Z *1� Copy of pl#P,& sent Healj� Dept., —Fire Dept., _'Othe'r —'Date The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: Date t issuance: (Circle new item not checked above). N - DC -4 date / t —Z e>_AESP Contractor, deslgner,(��as advised of above required data byZpho�ne---maii—cou6i'e'r�b,.—, Contractor, designer, owner, was advised of above required data by —phone —ma I I —2counter by— date Plans checked by Date Plans approved byj�cg_ Date Sets of plans on hold in _L::�_F_ile cabinet _I�AP folder Copy—DPW COUNTY OF BUTTE - Depai;tment,of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 'Attention Property'Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. I 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. I 1. 1 personally plan to provide the major labor and matirials for construction of the proposed property improvement (yes or no) M9111 2. 1 (have/have not) signed an application for a building permit for the proposed wok. t -I I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.' 1 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 Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19811 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. TO Buildina Department FROM:. Environmental Health SUBJECT: Sanitation Clearance 7 -,F2- — owner Location. AP# Plan Approved for: Sewaqe Disposal Water supply Hold final for: Final clearance O.K. for: Clearance for bedroom mg6gibe home. Other Water Supply Water Supply Date sanitarian 1.;�TR L' L0 I'M FN T Section 26--8.1. of the BuLt.c County Code rcquirc,,i thls acknowledgement- he recorded- prio t.o issuance of a build:irig permit. k The properLy described herein is adJacent --------------- it) I�ind of- included within an area zoned OFFICUL U" F01- purposes, and resi-dent-s PATRICIA A. LYNCH (.)I [his propert-y may he subject- Lo incon- NOTARY PUKJC_.QqIFOAfflA I NOTARY BOND nLED IN vViliclices or discomfort arising from Lhe BUTTE COUNTY use of agr-icu.ltur-al chemicals, Jncludi.ng, My CornififiW81on Expbw Sepwnbw 14. 1M hii I not limited I. -.o herbic.ides, pesuic-ides, :]MI Fert il i zcrs; and f rom Lhe PLI rsui t- ol, a g r i C 1.11 L Li ra uperat-Jons i i I c I I I d i n g , ' 1) 111 not IjmiLc--!d Lu CLIltivat-jon, plowing, �.;pr;iy i iig, pruni.ng, ;ind harvest,.i ng which m-cas i ona I Ly genei-z.0-c dLIsL , smoke, noi.se, and odor. but I.C' COLIIII Y hos c.st-ab] -i shcd ;i�,t i (-if I 1. iirri I z('.)ncs wh.i ch have Lis a priority use for product i ve �igr i (-if I L Lira I purposes, ;ind I-(-:; I (k,w i I If i 11 ,,,1 i d zoncs Lind oil adjacent- properLy Shou 1A he prcp�ired 1. () iiccepL such i iicmiv(-ii i t,m ()I- FrLm! iiormal, necessary t'arm operaLj()IIS. A I I 1 11,,,, 1 r(,;i I prol)CIrLy 'Sit Llilt'C i.11 Lhe COL1111-Y of but t(, St.dIC 01' C;11 il'Orlli:l, (IC.;( 1-11wil :r: I*o! 1()W-,: Da L (I St ;it (. of-a.1A01- n SS. Ir J/0 NOV 17 live t _n �r_L_o PROFF,RTY OWNFRS: /� Off thi.s the �w —day ol: the undersigned Notary Public, personolly appeared Personal-ly known to me. M'I)roved to ine off Lhe bn�-:i.; of* S;iLi.S1'�W.t0rY CvidOW-0. Lo be. i.�hc person(s) whose iiamo(��) y ._Mh:-�crihed to III,? withill inst.1-1111will ;111(1 wd (2X(2('LIL(.'d 1. h C' SM11C F01. I he p ui I(. �[-(,i I I c of I I; I i Iwd. I I" k� IT W11FIX)F"101", 1 111217CLInt-0 Sc -t III\; hillid ;111(1 offiCi;1I -sc-dI - IY(�.scw A.1'. No. 047 -5 -a -,o -oll-e Not;i r v I , 41) a EXHIBIT "A" DESCRIPTION: All that certain real property situate.in the County of Butte, State of California, described as follows: PARCEL 1: Parcel 2 , as shown on that certain Parcel Map entitled, "Being a portion of the S.W. 1/4 of Section 28, T.23N., R.U., M.D.B. & M.", said Parcel 'in- t -he Office of the Recorder of the County of Butte, State of California, on August 23, 1979, in Book 71 of Parcel Maps, at Page 100. PARCEL 11: A right of way for road and public utility purposes over a strip of -land 60 feet in width lying 30 feet on either side of the following described centerline: COMMENCING at the Northeast corner of Parcel One as shown on that certain Parcel Map filed on September 17, 1976, in Book 59 of Parcel Maps, at Page 56; thence South 030 061 29" West along the Easterly boundary line of said Parcel One a distance of 172.41 feet to the true point of beginning for the centerline to be described;' thence North 860 53 ' 31" West a distance of 114.17 feet to the beginning of a 295 foot radius curve to the left; thence along the arc of said curve through a central angle of 900 00 ' 00" an arc distance of 463.39 feet; thence leaving said curve South 030 06 ' 29" West 45d-,-.1B7i;-f;eeti-t4o-' a point in Parcel Four of said Parcel.,Ma�::,�p.d,,:thp., e,n,d. of said .;ceintt , . �. er-JA! e� it P48CEL III: d A -n-on-e-xc'lu-si,4e' e'd-demdnt for ing-r-eg"4, a"n.- e'gie--ss" :and' for pu'b'l'ic utilities over Roseanna Court., as shown on t��'Ccertain-Parcel Map entitled, "Being a portion of the S.W. 1/4 of Section 28, T.23N., R.IE., M.D.B. & M.", said Parcel :-Ma-p -was -fi-led in the Offi`de;'*-;�6t the Recorder of the County of Butte, State of California, on August 23, 1979, in Book 71 of Parcel Maps, at Page E-X,C!E- P.T. I N G,,.,, T H E R E F R 0 M 0eqcr.jbed---,abave., 7 �Aj W4 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Perm' # <E�-7 -7 OWNER A.P. # GENERAL -�—Zoning requirements: (sideyards and.number of permitted living units). Zo V Va aluation— Plans signed by designer. P1 Energy Design and Compliance. isting violations on property. It Items on data sheet. PLOT F P OT PLAN ,-�,---Complete parcel size and dimensions. ,,-?, Setbacks, sideyards, easements., etc. ,,f�ther buildings or structures. ��rading, fills, drainage. lood hazard. /16,,,,Special conditions on creation map or compliance document. /Z FAU & FAS road setback. FLOOR -PLAN Complete to scale plan with dimensi6ns. equired windows for' light and v4entilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). H H uman impact gla'ss (Sec. 5406). ,,K Requ .1red room sizes,.ceiling heights (Sec. 1207). FCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacleg for maintenance mechanical equipment. Locations of water heater, heating and cooling equipment; other.electrical or -as equipment, and plumbing fixtures. I arage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. I moke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enou * gh to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof ccnstruction details complete enough to construct building. Fireplace construction details and calcs if necessary. ITEMS TO LOOK OUT FOR Stairway details: landings, rise'and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 33*06(i)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN -CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Exterior plaster - ' weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). Rafter ties or bearing ridge beam. arage door or porch header sizes. dequate bracing. 0 Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances. oise requirements on duplexes. Adobe soils - special foundation design. etaining walls requiring design. usual shape, size, or split level house requiring lateral design. laahing at all exterior openings. WINA -jk39 (o - I,:;;- AV-\ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form -per Building) A.P. Number ZV27- Building Department No. C Scho-P1 $District Cqj 4 0 city = county f�_�- Jurisdiction. Prop�rty Owne'r es oc-4 o,,-, ori re Project,Location/Address X0St4'41V'q P, Subdivision -Lot Numb-er Residential Development: Sq. Footage,/Y/16 # of Living MHI Addition (Group R) Units Commercial/Industriai: Sq. Footage New Addition (Including Exterior Roofed Areas) ,ee%,.,,�Uilding Department Representative Defte (Floor Plans reviewed by School.D'istrict Personnel) District Id No. /V A 'P School Distr'lct certifies that 99 P�I)Q U Applicant Name) n "9 Street Address) City) tate Phone Number) C/P 45_�� Zip Code) has complied with the requirements of Resolution No. ell by the payment of $ 17 90? 96 'representing square feet. School District Representative Date 4 1 1 PAID BY CHECK NO. I REMARKS: BANK NO— PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, orother horticulutral products. This structureshall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSORPARCEL NO. ZON OWNIR PHONE NO. ( e- V, YN CD K- L n DEL r -e 413 /0 ADDRES .OWNER'S I I Aa.GeAnJIVA COce P --r CAL LP I-ObATION OF BUILDING "q A-boue— USE OF BUILDING Y, 'S SIZE OF STRUCTURE 'X. Q? 0 00 SQ. FT. —JO TYPE OF CONSTRUCTION: WOOD FRAME --X— STEEL— CONCRETE— OTHER (Specify) TYPE OF SIDING ROOFCOVERING LOOR TYPE a r -c' Lt V1 ESTIMATED COST OF CONSTRUCTION $ AG Buildings shal.1 comply with the building front, side, and rear yard requirements of the applicable County Ordinances as f rl S: 4' FRONT A_ _tSIDES L!57 REAR— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings lessthan'1000sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq.. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 4b feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before oc pancy. Date 1.,Pv Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. ez Director of Public Works By. D a t e 9 White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applirant Cap E C��- Address G A S Met y Me er Dat 74 OFFICE COPY Address glojr!�LA� GAS Mete Da�,_ ELE MeteX14�Da ell COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7' Count�'Center Drive - Oroville, Caliiornia 95965 - Telephone 916/534-4541 APPLICATION AD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR*S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER's MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permittee $ BUILDING ADDRESS PLUMBING PERMIT F! ling Fee 10.00 Each Trap 2.00 r 4 Solar Water Heater 20.00 Water piping 5.00 LOT NO SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[:] DuplexF-1 lvlobilehomej_� Other SPECIFY Building sewer 5.00 Mobile Home S I G I IN 1 1 110-00 e TYPE OF WORK New F-1 Addition [_1 R emode I EJ Utilities 0 Installation[] Other Describe work: Permit Fee $ contractor ELECTRICAL PERMIT FilingFee 10.00 main service 600V OR LE SS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELLING 0 ccup-e�) OR ADDNS. ACC.BLDGS. 121/4sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness and Professions Code and my license is in full force and effect. License No. Classification 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) 1, 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 CONSTR. TITU-LTI-OUT LET NON . RESID, %BRANCH CIRCUITS) 12.50 ea NEW_CONSTR. (POWER APPARATUS &) NON RESID. SINGLE OUTLET CIR. I 20@50t Ex. OCCUP(OUTLETS OR FIXTURES IBAL@30q FIXED APPLN5. OR Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00_ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I . .1 1 -_ 1 Fee $ - -Permit Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-InSure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood Ventilation —p ermit 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X .- - 1 / Date Signature of Applicant - Owner El Contractor E] Agent '. X An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. F IPARCELI PO No I -ISSUE T.his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiRECTO - R OF PUBLIC I I I By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. It you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Z! '4 Inspector Date..;—J-3—,v(/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK9 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the iollowing violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corre.5�Von of work is completed. If you have any question pertaining to this ter, need additional explanation, please contact this office Immediately. 'Pei F CF 7- 00) Z: z -o, Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way', Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. I , t you have any question pertaining to this matter, or need additional explanation, please contact this office immediateiv. P -r"-,, 01 eoW A2 F Inspector e Dat ` 0 TVA /16 AIAS 7-0 e,#4)t)6E 7-D 4)AotN9t "0 (Wb SaAeCc. it P. a. a;. 7-&A..b OtIM -rW WY-6A-lr tiT /,,O� j,U_ �TT ME.4_114' E Ul"t - TO lay, OF DATE I TIME I PHONE Telephoned Please Call Was In Returned Call El Will Call Again El Wants to See You F'J Information Note and Reply 1-1 Comment 0 Re-route Cj_ Signature 0 Investigate E) Return Ej Approval F-1 Contact Me File Forwarded Per Request MESSAGE 4 -1 a , A/ COUNTY OF BUTTE -, DEPARTMENT OF PUBLIC; WORKS 7 County Center Drive - Oroville,_Califorrlia 95965 - Telephone 916/534-4541 APPLICATION ANErPERMIT PERMIT JN.,1 913 SQ.FT. OCC. BUILDING VALU!!�T , LON '0-N / V ASSES'O PARCEL NUMBER ZON q7 -SZ- _S'k- I BUILDING PERMIT OWNER ELEPHOjE 4� A) SQ.FT. OCC. BUILDING VALU!!�T , LON V OWNER'S MAW) LING ADDRESS 116 -*/,- � 'd e141 If 0 CONTRACTOR'SNAME e au)wy, I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER WN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS X0565ANAlft PLUMBING PERMIT FilingFee 10.00 0 42- H/ 4,44" Each Trap 2.00 Solar Water Heater 20-00 61 -f e_&AP_AA5 Water piping 5.00 .5-fero LOT NO. SUBDIVISION NAME 21- 1 PARCEL MAP 17/--/ � Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1 DuplexF� MobilehomeFl Other SPECIFY Building sewer 5.00 Mobile Home S I G I W _T 0.00 ea I I TYPE OF WORK New R Addition [:1 R emode 1 [:1 Utilities [:1 Installation[— Other Describe work: 1-j'2Ze-�-,1916! _567-,7eb/ZeP,_ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /0, SIC> Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR AOCNS. ACC.BLDGS. 21/20sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 CONSTR. ( MULTI-.UTLET N.N.R.S,., BRANCH CIRCUITS) 2.50 ea NEW CONSTR. (POWER APPARATUS &'I NON-RESID. SINGLE OUTLET CIR. / 20050t Ex. Occup(OUTLETS OR FIXTURES _.BAL0300 OCCUP. FIXED APPLNS. OR Ex. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 15.00 AS-I&O PA15 I 1.1sed /s -&o Permit Fee $ .52, Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-InVure. I shal I not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating — Cooling od 3.00 Venti lation 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 pnter upon the above-mentioned property for inspection purposes. I als .0 a ee t o save, indemnity and keep harmless the County of Butte against all liabi ities, judg ents, co ts, a enses which may in any way accrue against id County s uen th ranting of this permyt. X old I D a t le _-�4 IWIP Signature of Applicant bwner A Contractor Agent Z -- / An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Co 7, OCCUP. GROUP I TYPE OF CONST. JP� C71 PC I No This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC B P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W-. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT ,Certificate of Compluiance: Residential Climate Zone Project Title 0Sr=ANRA CT--, Project Address �_yilding Permit # ik"i 4Lo C— 14, Checked By I Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Conditioned Floor Are'a, 104"02* Number'of Stories North East Glass Area % Glass 74 ?- —115 (A�aised Floor Number of Units South Single Family Detached (SFD) AdditionAlone West Single Family Attached (SFA) Existing Building Skylight Multi -Family (Mn Existing -Plus -Addition Total !2= 1 B UELDING SHELL INSULA710N Component Insulation LocafforVComm'era to T)M R -Value (am =81; etc.' �q, to GaIntge. tJL wau .............. g-1 I OEXr- WALI-S wall ........... Roof .......... -X19 Arrrtc- Roof ............. Floor ............. Floor ............ Slab Edge ..... C�p GLAZING Glazing- Area . GlassType North M --24 North East 15 East South 11-7 South West West Skylight ....... 0 THERMAL MASS Type/Covering (slab/exposed,-tile, etc.) c d-Wri V L 4— � I N Shading Devices Interior Exterior Overhang Framing Type Area - Thickness on RM4 ir hAumAky /67-,JTRY HVAC SYSTEMS Mirlimum Duct Type (fumaca,air ' Efficiency Location Duct Output Manufacturer / Model # conditioner. heat pump) (SZ SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Yt-A,-r A�s4P 6" `3 -A Maximum Furnace Heating Output —tu h— HOT WATER SYSTEMS Tank Manufacturer/Model # S stem Type (storage gas. etc.) Capacity (or approved equal) Special Feature(S) y; - SPECIAL FEATUREVREMARKS (Add extra sheets if necessaFy-)- Mandatory Measures Checklist: Residential MF-lR NaM- Lowrise residential buiklinp subject to the Standards must contain these measures regardless of the cpmpliance approach uscd. Itarns marked with an astertsk (*) may be superse4ed by more suingcnt cbmplianim requutments lisW 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 mir�urn component performance spocirrALions for the mandatory measures whether they arc shown elsewhere in the documents or on this chocUst only. DESCRWTION DESIGNER ENFORCEMENT Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted avenge. 62�5352(b)r. Loose rill insulation manufacturet's labeled R-Valuc. §2-5352(c): Minimum wall insulation in (raw" walls R-1 I weighted average (docs not apply to exterior mass walls). §2-5352ft Slab edge insulation - waw absorption rate no greater than 0.3%. water vapce uansmission rate no greater than 2.0 ptrtntinch. §2-5311: Insulation specified or installed mocts California Eibergy Commission (CEQ quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Uncs 14 and 16 only. §2.5317: InfiltmLion/ExriltrationControls a. Doors and windows beAween conditioned and unconditioned spaces desip" to limit air leakage. ,b. Doors and windows certified. ,c. Doors antl windows weatherstripped: all joints and penca-a6ons caulked antl scalrA 62-5352(c): Special infiltration barrier installed to comply with §2-5351 mccut CEC quality -12-5352(dy Installation of Fireplaces 1. Masonry and faczory-built FMIaces have: a. Tight Fitting. closeable metal or glass door b. Outside air intake with damper and contral c. Flut damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning cquipmcAL sizing: attach calculations. 02-5352(h) and 2-5315: Setback thermosm on all applicable heating system. J2 -5316(a): Ducts emwucted. installed and insulatet! per Chapter 10, 1976 UMC- §2-5316ft Exhaust systems have damprr controls. .0 62-3314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heatm, showerheads and faucets cenified by the CEC- 92-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16or greater); first 5 feet ofpipes closest to tank insulated (R-3 or greater). §2�5312(Exccption 1): Pipe insulation on stem and steam condensate return & recirculating pipmg- §2-5318(dy. 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 thcrmal efficiency.. 3. Pool cover. 4. Tune clock. 5. Directional water inlet. Lighting and Appliance Measures 62-5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens aj�d badvooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers. fretzers and fluorescent Lamp ballasts certified by the CEC Indicate make and model number. COMPUMCESTATEN[ENT Mus Certificate of compliance lists the building feattuts =0 performw= specifica' . tions needed to comply with Mile 24. Chapter 2-53 aW *ntle 20,C2mptcr2, SubchapW4. Article I of the California Administrative code. INS certi5cate has been signed by the hxtividual with overall design resp"Wbilify and the building owner, who shall retain a copy of it and hwMit the certificne to any subsequent purdiaser;fLbuildi ing.. Designer r Building 0 N Name: TwAffixm- Titic/Fu Addm= Address: T.ekph-c Lic. (signature) Documentation Author Name: T-1driFillm- Addm= (date) Tctcphonc: Enrorcement Agency Name: Atemy. Telephone: (clvc)'11� Z. 1. Ceiling Insulation 2. Wall Insulation -69 Number of stories na R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 FI -38 0 0 0 U -Value 1 R-1 9 8 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -69 -64 na Single- Single - East Percent Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-1 1 0 0 0 R-13 2 2 1 R-1 9 8 6 4 U-vaJue -14 -3 8 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. ftised Floor Insulation -15 -8 Insulation in Floor 7 14 25 Number of stories -14 R -value One Two Three R-0 -17 -8 -5 R-1 1 -3 .2 -1 R-1 9 0 0 0 R-30 3 1 1 U-VaJue -3 3 9 0.60 . -i44 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 A4 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 1 6 Number of stories 14 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-1 1 -2 -2 .2 R-1 9 -1 .2 .2 4. Slab Edge Insulation 19 11 -6 Number of -Sto6es 10 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 8 2 12 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 a 4 5. Inriltration (Air Leakage) Sipecificsition Points Slandard 0 6. Glass Heat Loss Total -69 -64 na -42 Ll -value East Percent West Skylight .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 k-29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -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 0.95 8.7120 18-15 13 11 8 9 Effective SE or HSPF 7..Shading (Shade Open) Effective Percent Clan (Pavent gtan X SC) Eff ective -69 -64 na -42 %Glass North East South West Skylight 18 5 1 4 1 na is 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 ' 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2- 0 -1 -2 -4 -2 0 na = not allowed 7.5 6 10 11 13 14 14 Shading (Shade Closed) EffectivePesc tClan (Peircent ghm X SO Effeclin % Glass; Norlh 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 .4 -1 3 0 2 1 1 1 0 2 na not allowed EW South West SkYW -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na -23 -31 -29 -74 -20 -27 -25 -65 -17 -23 -21.. -56 -14 -19 -18 -47 -11 -15 -14 -38 -9 -11 -10 -30 -6 -8 -7 -23 -4 -5 -4 -16 -1 -2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass SCORE CARD interior Slab Floor Raised Floor Mass Stories S10deS i 199 /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 Wu Exterior Single- Single - +15 mom Wall Family Family Multi -17 Mass Detached Attached Family 0.00 0 0 0 -6 0.20 3 2 1 4 -4 0.40 5 4 3 1 7.0 0.60 8 6 4 0 0.80 10 8 5 8 6 1.00 13 10 7 9.0 1.20 13 12 8 7 1.40 12 13 9 19 16 1.60 10 13 11-- 11.0 1.80 10 12 12 12 200 10 11 13 26 22 11. Heating System 14 9 13.0 SE or KSPF 29 24 20 15 (assumes ducts In stdc) or Zonal Control Adjustment Type Sum of 1-6. 1199 10 8 7 25 or -24 to -14 lo -4 to ;6 ti� 1-6 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 8.7120 18-15 13 11 8 9 Effective SE or HSPF 3 - (SE or HSPF x duct efficiency) 2 Fliective -25 or -24 t6 -1 � ID 4 tD +6 ID 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 1 7 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 2 System Type W% 1 POU- Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SCORE CARD UM Size (SO Water SEER i 199 1200 1700 22DO 2700 (ammes ducts in Isittic) or b 10 & m of 7-10 or Type Type less .25or -241D -1410 -410 +6tD 16or SEER Is" -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5. -4 -3 8.9 -5 -4 4 -3 -2 -2 9.0 -4 -3 -3 -2 0 -2 0 -1 0 9.5 10.0 0 4 0 0 3 3 2 2 1 10.5 7 6 5 4 3 , 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 _13..O 20 -17- 14 12 9- 6 -`12 -9 Effective SEER -6 4 4.2 (SEER x duct efficiency) -25 -16 -12 Sum of 7-10 -8 0.2 Effoctive-25or -24to -1410 -410 +610 16 or SEER Wu -15 .6 +5 +15 mom 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 4 -4 -3 -2 -2 1 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 , 22 19 16 13 10 7 11.0 26 - 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 or Zonal Control Adjustment Type less 1199 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior MasslCFA I Type 2 rASS SCORE CARD UM Size (SO Water Measures i 199 1200 1700 22DO 2700 Heater Credit or b 10 to or Type Type less 16N 2199 2699 more %ft- or SG None 0 0 0.. 0 0 or or Solar 12 8 6 5. 4 Standard HP HWR 8 5 4 3 3 5% 10% WSB 5 3 3 2 2 4i% 50% POU 8 69&. 4 3 3 85% SE None -37 -24 -18 -15 -12 0.6 0.8 Solar -1 -1 -1 0 0 2.3 2.5 HWR -18 -`12 -9 -7 -6 4 4.2 WSB.. -25 -16 -12 -10' -8 0.2 0.4 POU .-18 -12 -9 -7 -6 IG None -5 -3 .2 -2 -2 3.1 Solar 7 5- -4 3 2 4.6 POU 3, 5.2 1 1 E None -28 _19 -1� -11 -9 1.8 Solar 8 5 4 3 3 3.3 POU -10 -6 -5 -4 .3 4.6 Multi-Famlly (individual units) 5.4 56 3D% 0.5 W Size (s -0.9 1.1 Water 1.6 699 700 1200 1700 2200 Heater Credit or to to lo or Type Type less 1199 1%9 2199 mom SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.7 WSB 9 4 3 2 2 50% POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3.6 Solar 2 1 1 0 0 5.1 HWR *-23 -12 -8 -6 '-5 0.9 WSB -25 -13 -8 -6 -5 ---EQU_. -23 .-12 8.--6 3-2 -5 IG None -8 -4 -3 .2 1 -2 5.1 Solar 6 3 2 1 W% 1 POU- 1 - 0 0 0 2.3 E None -30 -15 -10 -8 -6 4 Solar 18 9 6 4 4 5.4 POU -8 -4 .3 -2 -2 Interior MasslCFA I Type 2 rASS SCORE CARD Measures 1. Ceiling Insulation Ko-�;e or - R -value 1381 U -value [0.0301 2. Wall Insulation P-- I V-- or R-valu.e [I I) U -value [0.098) 3. Raised Floor Insulation %ft- or ptd R -value [ 19] U -value [0.037) 4. Slab Edge Insulation or S TYPE 1,KASS (Ul?tC & 4.2, Je: exposcd Slab) S. Infiltration Standard 6.* Glass Heat Loss 0% 5% 10% 15% 20% 2S% 3D% 3S% 40% 4i% 50% i5% W% 69&. M n% 00% 85% 90% 95% 100% 105% 1110-411115% 120% 12S - 0y. 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 53 101/. 0.2 0.4 0.6 0.8 1 11.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 14 Z7 29 3.1 3.3 3.5 U 3.9 4.1 4.3 4.5 4.6 5 5.2 5.4 56 3D% 0.5 0.7 -0.9 1.1 1.4 1.6 1.8 2 Z2 2.4 U 2.8 3 32 3.5 3.7 3.9 4.1 43 4.5 4.7 4.9 5.1 5.3 5.6 So 40% 0.7 03 1.1 1.3 1.5 1.7 1.9 2.2 U U 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.2 5.1 5.3' 5.5 5.7 5.9 50% 0.9 11 1.3 1.5 1.7 1.9 11 23 23 2.7 3 32 U 3.6 &B 4 4.2 4.4 4.6 4.0 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 28 3 3-2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.0 6 6.2 W% 1 1.2 1.4 1.7 1.9 Zi 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2-4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 Z2 2.5 77 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 ZI 2.3 2.5 2.7 3 3.2 U 3.6 3.0 4 4.2 4.4 4.6 4.0 5.1 5.3 5.5 5.7 5.2 6.1 6.3 6.5 8W. 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 5.4 56 5.8 6 6.2 64 66 85% 11.4 1.7 1.9 2.1 2.3 Z5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 65 67 W%' 1.5 1.7 2 2.2 2.4 Z6 2 ' 3 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 11.6 1.0 2 22 2.5 2.7 5 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6A 6.7 6.9 IDDY. 1.7 1.9 Z11 2.3 2.5 Z8 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 Z2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 45 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 Go 7 MY. 1.9 2.1 2.3 2.5 ZY Z9 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 1 15% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 51 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.0 7 7.2 120% 2 2.3 2-5 2.7 Z9 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 56 6 6.2 G.S 6.7 6.9 7.1 7.3 125% 2.1 2.3 Z5 2.8 3 3.2 U 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation Ko-�;e or - R -value 1381 U -value [0.0301 2. Wall Insulation P-- I V-- or R-valu.e [I I) U -value [0.098) 3. Raised Floor Insulation %ft- or R -value [ 19] U -value [0.037) 4. Slab Edge Insulation or R -value (0] F2 factor [0.77) S. Infiltration Standard 6.* Glass Heat Loss Type [double] U -value [0.65] % Total Glass 1161 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East C. Soudr- 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 % Glass SC Eff. % Glass X -.,+,, C20, X .64- X X 0 X % G Lass SC Eff. % Glass x -1,4S X -72 16's X 14<6 3,19ES 1.1 X ZV- = 72- 0 x -77- = 0 -0 S4F TYPE 1 KASS AREA /_? Interior M. -t COND. FLOOR AREA TYIE I q1 ---TL Z_; 8 8 % ) A;E UUND. A Exte' WallMass A9 - X SEorHSPF Duct -Efficiency J0.781 Effective SE or [0;�6 HSPF 10.5615. 151 X SEER [9-51 Duct Efficiency 1 4) Effective SEER [7.031 56- 0 Type ISGI it [none] Point Scores .0 C 0 0 Sum 1-6 -0 Point Totak Sum 7-10 1-3 -t- -2- -a,4 mpAr?-,a,SEF. .08-19' Wmasti,& fiLloa atans I - Z'- 1.115 rqlavaq ca VT %xrJw 10 tag" ME "Rio= Mae PSE ID&TE "llo 9-k -�imt-Lrzl —4c -v vgtm- ow W2. Airra tow-crur-1. rms t&s� "Im AmIn XNU wcna& pfla. PSF DT&G CWZR42-r eqe!iAo�- C-m� cmvwtc;�& -� . a"" � I - 1 . 1 40&.CNS wcw3tK= Lolo-IV, wml� -efrr%� -w=nlW"WM OF 0:" A&d& qg�� CA, Sc CIL, -4 AL INE PSF xn-w, -�m LWAIC --L-VMD SWAIMM.Q 'Tln -�LD 311 PSF '-3/-A LEN- -4%"�L WJOOM -"4"S "41 3- W-WI3-U IN&M (11"96ME Mtm� Mnnra OgM v.frm 40CM ZfZLM �ca off"--bc t7 -- A 9)-'VV2- VIM AM%fM*Wt V"IVIS? V,6.1 ev as -.N.Lcmiae a." tv-%C%r. W.O. so* qq% Ac- PITCH Am M ATV's -V� r- mm lcm w a, f, in WXARVW vt"m ts i so OUR'. r3o-, f*� 1S.-- I GING IN Ito