Loading...
HomeMy WebLinkAbout055-300-092q� .55-30-92- E. W. MACKENZIE 4817 Peritz Rd, Paradise d- Contr: Wm Haxby Permit#2.05.7.-.8.6.B.;-P,E,.M(.nevy.ng-le family ; 055-300-092 00-0842 A Mackenzie, Vavian S. 4817 Pentz Road, ' Paradise y" contr: Art Stone water heater 055-300-092 04-3500 MACKENZIE; VAVIAN 4817 PENTZ RD, PARADISE -Cont: C&C ROOFING RE -ROOF 27SQ , ; -, INALE IZ-1 of s n r _,, � � x .._ � � -. _... .. -- V V i r^ .� � .L 1 NOTES RESIDENTIAL PERMIT N0. 055-300-092 04-35004, - MACKENZIE, VAVIAN 4817 PENTZ RD, PARADISE ++ Cont: C&C ROOFING I RE -ROOF 27SQ t t s .i JOB FINALED (Date) �� ,� ✓ Signature r-- 11 SPECIAL CONDITIONS 11 CHECKED BY SRA _ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS _ VERIFY _ USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER L4' ytv- �� � r-. - OK --� Not OK = Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 3. 6. Gas; Location -Test -Wrap;-/ P'. L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect Gas; MH Test -Demand -Valve 8. Utility Clearance 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Date . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Exits 2. Footings; Size -Spacing -Marriage Line 10. 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 8. Gas and Electricity Tagged Card B-1 Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking Electric 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Ext.; Steps -Doors -Landings 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Exits Card B-1 Date Card B-1 Date 10. License Decals 1. Setbacks -Easements 11. Verify #'s with Office Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Elec.; Receptacles and Lighting, Distance-GFI 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- Rftrs-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Water & Sewer Connected -C/O to Grade -HD Approval 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing op Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instid./Drive ❑ Yes O No/Walks ❑ Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect: Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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.nehdds PERMIT NO. BPO43500 LICENSED CONTRACTORS 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 Issued Date: 12/13/2004 APN: 055-300-092-000 the Business and Professions Code, and my license is in full force and License Class: 1, S Licenser Number: (.D 5 Site Address: 4817 PENTZ RD PAR 2 Date: (7 Gt Contractor: C � `� � Map Index: Description: RE -ROOF (27) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MACKENZIE VAVIAN S TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MACKENZIE VAVIAN S TRUSTEE signed statement that he or she is licensed pursuant to the provisions of 4817 PENTZ RD the Contractor's State License Law (Chapter 9 commencing with Secfion 7000) of Division 3 of the Business and Professions Code) or that he or PARADISE, CA 95969 she is exempt therefrom and the basis for the alleged exemption. Any (530) 872-1569 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).): ❑ 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 (Sec. 7044, Business and Professions Applicant: C & C ROOFING Code: The Contractors' State License Law does not apply to an CHRIS POTTHAST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 337 provided that such improvements are not intended or offered for PARADISE, CA 95967 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-873-0744 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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•• C & C ROOFING not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed CHRIS POTTHAST pursuant to the Contractors' State License Law.). PO BOX 337 ❑ 1 am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95967 530-873-0744 Date: Owner: License #: 650850 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I have 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 nu bar are: ( Carrier: S i" - Total Square Ft: 0 S. F. Policy #: [ b - w- Valuation: $0.00 Census Code: O I certify that in the performance of the work for which this permit is issued, 1 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 forthwith comply with those provisions. Date: 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 aft omey's fees. 4-1870 1105.^ ►�13•o�f- CONSTRUCTION LENDING AGENCY This permit.i ereby issued under the applicable provisions of the Butte County Code ?nrUor I hereby affirm that there is a construction lending agency for the Resolutions lobo work indicated ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 2-1 B •04 Name: By: Date: PER IT E) IRES ON: I ❑ ' f 3 ' OS Address: Date ❑ 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 construct' of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or t duly autho ' ed gent of the owner. 1 agree to comply with all county and state laws relating to buildi0g construction. I acknowledge itis unlawful to alter the substance of a official f or ocument of Butte County. I hereby authorize represe tat, ves of Butte Cou l ty o enter upon the above mentioned property for inspection purposes. Print Name:�� t 9 %~ Signature: Date: 0 Owner ractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPE_C'TION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION - Website: www.buttecounty.net/dds - "PLEASE PRINT CLEARLY" OWNER Last_N Ke y� i first Name Address City Stat�,�,� Zips, Phone (�17 f 5(Q Fax , E-mail CONTRACTOR Name C L _e Address �o c9 3 City cam. / ,S State 1i,9 G Phone �? 3 ��? Fax Sc"–. E-mail Lic. # CSw;U Classe--15 APtbLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name �C, Address (� 11� City ate Zip Phone Fax E-mail State License Number APtbLICANT SIGNATURE X For office use only: APPLICANT NAME Name �C, Address (� 11� City No State Zip Phone Book Fax E-mail Planner APtbLICANT SIGNATURE X For office use only: Zoning Prop rt dress 1. V Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPe +35- BIN F3SBIN # LOCATION AP# a S5 S ao • =>9 Prop rt dress 1. V i Cross Street WORKER'S COMPENSATION Policy Number g 0`( 1 ^ C) C Carrier �s —/ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address escri tion or Scope of Work: Cr 4D C, S 47 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. Received by: �� Amount'. Receipt #: 4-187 7 0 (Date: tom• 13 •04 - OVER FOR SUBMITTAL REQUIREMtN 15 II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 f S • — Bldg SRA Sheriff SMIP (COS.— Total REV 7-27-04 s , 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 paper! ❑ 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 faxes! ❑ 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 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. ❑ 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 055-300=092 00-0842 Mackenzie, Vavian S. 4817 Pentz Road, Paradise contra Art Stone water heater f1/2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DDIIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 754 T, (Rev. 12/96) APPLICATION AND PERMIT r�A+ySSESSOR11r�P}AyyyRiC�ELNUMByER ZONING BUILDING PERMIT OW NER % .���- WIE . V • / -,5 TELEPHONE 812_1302 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4817 P JIZ RD4 • PARADISE CA 95969 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS ^ / r� CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR END INEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4817 P19M RD PARADISE Energy Plan Checking Fee $ ... PFRMIT,FEE $ .5.. .. LAT NO. SUBDIVISIONS NAME ....i ,,Oi� PARCEL MAP PLUMBING PERMIT ` `Filing Fee 20.00 USEOFSTRUCTURE SFjb,"Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent _ 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ In/stallation,Q Other 13 Describe Work: FATM �/tJ A -7—a k x—rF , I -trt FlL GI- ,_it_. ,. P('.'�- . v-L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S •-' aua c {.+--- fs-- <• >7 ' ►f/; ,� t r ELECTRICAL PERMIT Fling Fee 20.00 _ ._�_ . �� Main Service zoos oa LEss 23.00 : LICENSED CONTRACTOR'S DECLARATION 1 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.FOWELL License Class -� Lic. No. i OWNER -BUILDER" DECLARATION I hereby affirm undef penalty of perjury that I am from the Contractors License Law for the foltowing,reason: 1 K ❑ I, as owner of the property, or my employees with wages as their sole compensation, will'do-t'he work, and the structure isnot intended or offered for sale. �© I, es owner ofxthe property, am exclusively contracting with licensed contractors to construct the project.. I II ❑- I am exempt -under --Sec. Businessrand Profession's Code for this, reason. Main Service TO 46. CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ACDNS. ( & ACC. BLAS. so SO 3.5QFT: T. NON-RESID. MULTI -OUTLET @7,50 APPARATUS 8 SINGLE OURET MR. Ex. OccupOUTLET OR RES 20 Q 1.00 BAL w NS Ex. Occup. oirTiErs E�sID.oEE. A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 _ ..r `PERMIT. FEE. $- - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 havefand 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 a Policf. Number (The abo-?e sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �. �occ ©. 1 certify that in the performance of the work for which this permit is issued, 1 shall, not employ any person in any manner so as -to -become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X - • '� _ � - < ' �Date, r Signature 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 L.5. 00 Cooling Hood 6.50 Ventilation PERMIT FEI_ $ 35.00 Mobile Home Installation Fee $ .Energy Inspection Fee $ CONST. TYPE TOTAL FEE.$35too HAz. D.'FEEs IMP I FLOOD I -11 %PARCEL' PD HD SSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - ByL PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. t Date 4) ate ReceiptNo. WHITE-D.D.S.-B.D. CANAAVASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 54 T No. (Rev. 12/96) APPLICATION AND PERMIT 05SS°M!dIr 0 ZONING BUILDING PERMIT OWNER �IACKENZIE \/)N ` / -, TELEPHONE 872-1302 SQ.FT OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4817 PENTZ RD PARADISE CA 95969 CONTRACTOR'S NAME TELEPHONE /y CONTRACTORS NG ADDRESS � � � CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4817 PENTZ RD PAWISE Energy Plan Checking Fee $ . �,•L� � $ PERMIT FEE $ LAT NO. SUBDrftIONS NAME.PARCEL MAP , PLUMBING PERMIT , Fling Fee 20.00 USEOFSTRUCTURE SF •)"Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation W Other ❑ Describe Work: DATER V f. Gas piping system 1- 5 outlets _. 15.00 Building sewer 15.00 —Mobile Home W @20.00 PERMIT FEE $ �t ELECTRICAL PERMIT Fling Fee 2 0. 00 R UES Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect.P 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. 41 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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �jn� i , Date DD Signature of Applicant -Ok Owner ❑ C tractor Ag t 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 OCCUR SO OR ADDNS. ( 6 ACC. BIDS. 3.5Q FT. NEW CONS MULTI.OUTLET NON-R... ON RE NS @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDCTUREs SAL @'.50 Ex. Occup. °irTEtt°rs(RR sID.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating 5.00 Cooling Hood 6.50 Ventilation PERMIT FEE S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $35.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON �. the applicable provisions Resolutions to do work been paid. D e ata Receipt No. WHITE-D.D.S.-B.D. CANAIWASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT` I PERMIT NO. 2057-86B-,P,E,M PERMIT EXPIRES 716 k/7 OWNER E.W. MACKENZIE ,CONTR. William Haxby ASSESSOR PARCEL 55-30-92 LOCATION 4817 Pentz Rd, Paradise ry Al Or - 40 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E t Temp. Gas Service Cal led PG&E J=OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location-Test-Fall-C/0-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. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line '2. Soils; Compaction -Structure Stability 3. Gas; MH Test-Demand-Valve-Corinector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch - 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date u v r V = 0 i'! , 0 = Not OK Not Applicable = Not Ready Date UNDER P s) OK except_— __,�.�qaing requirements -Set ks-Ess in; Siils- -Ele nd.- rage; Soils-Uee+Soils- -/��f" Ft Porches & Decks; Soils -Steel- / - alls, Garage; Steel-Blo s -W jP, W.V.: Fall -Fittings -Test way C/�,P/as Pipe; Size -Anchors c 8-1JF_(�6 10J�ater Pipe: Test -Anchors -Regulator-; 127K eu s�L�aeiscts; C d 12�% I um_s Ducts; Clearance -Material- -/S 13r j' rs-Sills-Anchor B 9 -Joists- E Card -BI Dat�J� Card -BI Card -BI ak_Dat!?45� Card -BI RESIDENTIAL (Single and Duplex) Date PLUVMG (Permit) OK-excp4A,#'s Smoke Detector Card -BI Card -BI Date FRAMING (Continued) s gs 'Z,/'' Ftg. Depth xt. Doors -One 3' -Check is Depth ELECT Permit OK except #'s 50 S ' ; Width-Headroo -Rise-Run-Landing-Fire Protection_ Fig. Depth Card B -I Card B -I fVOOPlywood on Roo verhang-Attie-Raft utriggers �-Sieb in -N g-V.e�ser� )ped-' tuc -Dr' ed-Fdr.. jrpats�Onderf ss_ — azing Area -Glass Protection -Skylights -Plastic ewer Test MECHA (Permit) OK except #'s 55� 9"ear-WatM; Nailing -Bolts viest/G'w0 Sn Card -BI Caid-Bi ..0 Dat/ ------------- - - - -- pport-Ins. 3 -Cripples Card -BI Dat i Card -BI Date Card -BI 6 Date _ 4 Card -BI Date Card -BI Dat Card -BI Date )at eC .- 8' (p Date FIN tans) OK except #'s )ate Epps -Door & Sidelight Protection -Landings Date PLUVMG (Permit) OK-excp4A,#'s Smoke Detector Card -BI Card -BI water. Ht.: 4nor- ss ombustio at Pipe; Test & Anchors -Nail Protection 1.: Test-Fttngs & Anchors -Nail Protection 1 �wer Pan: Test, First Floor - 1 hower, 2nd Floor -Tub Access as Pipe: Size -&-Anchors Q Date%7ZS�Card-BI Date Date// Card -BI Date Date ELECT Permit OK except #'s Card B -I Card B -I x & - /lec'� ptacles Spacing -Lights _& Switches at Doors oxes & No. of Conductors -Stapled _ 3 omex Installed Close to _e of Studs & C. Equip. Ground made /Mech. Fastener & Write 26._2 -Appliance Circuits in Kitchen & Conductor Size Wire Size / / ga. Auer Al -V-"Range Circ. /,6'/ ga. t6w-AI-Oven Circ. / / ga..Cu or At, Insulated Neutral Yeses 28. Service -Riser Conductors & 60d -:Main Disconnect _ Equip. Clearances. Panels-Motors-Mech. Equip.36. 151-H eq-G4esei- _ - ght — -- -- - Date/Q�� Card Bi Date -_ Dat Card -BI Date - — Date MECHA (Permit) OK except #'s Card -BI Caid-Bi TA. ucts. Insulation & Support 3Vent Fan: Exhaust above Insulation 3�ee rain & Overflow: Size _& Grade e- ent: Access -Comb. Air -Return Air Vent -115V outlet _ ic ccess & Platform if Furnace in Attic Date ® �Zy�b Card-BI Date l Date Card -BI Date — _ - - -- Card -B I. Card -BI „Card -BI Date FRAMING(Plans) OK except #'s 3 ill Proper Material & Anchors 3 Wal .Studs -Nailing, Spacing & Bracing -Plates -Sound 30. Bearing Walls over Girders & Floor Nailing 34- t Stop n Walls (rat proof) _ Fir Stops: Fer+Cd�;eiltngs_sterRS h s-444--' _ /ead &Beam -Size & Bearing an ers-Post Caps -Anchors -Connectors - ies- ur in - R rac. or Typ lue-F*«ep+ave-Tttraat VGar.geWFir'e cces e & Romex Pr�-Dr�-I s. sindows or Exiting Doors -Sill Hgt. & Dimensions Protection Framing - earance-Comb. Air-Connector- Ieve,ucts-Mech. Protection �Begtaom Exiting Bath Fixtures & Tub Access lec & Subpanel er Sizes-lgzbet5� ai ails irepla r woke; Clearq&.& ec sat Wood Panel; Int. & Ext. K & Appliance; Grnd.-Air Gap -Cool Outlets eceptacles at Kit. Counter arage 12 Door; Swing -4L_- it7g o Wtr. .; V - earance Cory Plb lec. & Mech. Equip. Listed for Location Ele�ceptacles in Garage;)-Ro tec. s on-Fp�Looked in Attic ❑ Yes uarSL�ails & Deck Construction -Post Caps �. Vents & Crawl Hole boor -Drainage & Wood -Earth Clearance Looked under Floor E� oll�ng instld.: Drive ❑ No: Walks ❑ YS' C ^� — P nters -EJ Yes Stucco; @re�a�Fi �sjy� �C. Unit; Disconnect-Clrn s-Brkf. & Cond. Size -115V Outlet ents A� bove Roof;}? .-Ap ce- .-Cleareneeto-@pngs. ing xt 'or Elec. Trim; G.F.I. Receptacle-bYm*rF=nd e on throughout House 91as�rotection C _ect!2as4ttim Prev i2ktl nspect ions a s et r gge EI '�jJ 4� plater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 4 Date 1C�f� Card -BI Date OatCard-BI Date Date r Card -BI Date Com tents at Final: (NOTE Anentrymust be made each time youvisit jobsite) Owner: _� G �� �' _ Permit No. ENERGY CERTIF ICAT ION / 2 Pentz Rd., Paradise 30 -f2' LOCATION 4. �� A.P. No. i DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fj Thickness(inches) 3 5/811 CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiberglass Minimum Thickness(Inches) 14" Area covered(ft.2) 1.360 FLOOR, ELEVATED Material Fiberglass Batts Thickness(inches) 6 3/4" FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Manville Thermal Resistance(R Value) R13 'Brand Name Thermal Resistance(R Value) -Brand Name " Owens-Corning Number of -Bags 1411, Wt. per bag 35 lb. Thermal Resistance(R Value) R30 Brand Name Manville Thermal Resistance(R Value) R19 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 Califoriiia Energy Requirements. LOERKE INSULATION CO., INC. FIRM NAME / OWNER #499150 STATE CONTRACTOR'S LICENSE NO. December 11, 1986 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation 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. STATE CONTRACTOR'S 1Z ��� 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 e 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE lie` fit/ 7,'I --7 ,20J-7- 096 BUILDING OR PROPERTY ADDRESS 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 math, or need additional explanation, please contact this office immediately. •0 2 0 i ca -Z Z�2 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 CORRECTIOgN 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. If you have any question pertaining to this matteror, need additional explanation, please contact/this office immediately. / / A /"') � �//� Inspector Date Zd - ' COUNTY OF BUTTE - DEPARIMEN•r'OF PUBLIC WORKS 7 County Center Drive - Oroville, Carifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. rl 77) ASSESSOR PARC NUMBED i � ZO IN BUILDING PERMIT OWN R�r ELEPHONE SQ. FT. OCC. BUILDING VALUATION t - OWNER'S MAIL( G ADORESS / la l % ` , t 5� CON RACTOR'S NAMTEL PH NE 11 Ji, I' Z; Al" - J_ D j •i CC/ C �lO CON AC OR'S M ILING ADDR S 16 At fax yew Ar"IfA 4�6,.f Fireplace CO STRU TION LENDER OS UNKNOWN Total Valuation $ v Filing Fee $ 10.00 LENDERMAILING ADDRESS Permit Fee $ v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ s ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 0, v PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 f£ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or ven 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 p v Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New Addition[] Remodel[] Utilities[] Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 G O Man service eOOV OR LESS i 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 decl re under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess* n d y license is in full kwce a effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 CONST. DWELLING ` OR ADDNS. ACC. BLD / 'h2sgft NEW CONSTR. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &I (SINGLE OUTLET CIR. Ex. OCcu 20 ® 50C P OUTLETS OR FIXTURESeALO 30 Ex. Occup. OUTLETS (-RESID IFIXED APPL.NS RE A.) 2.00 Temporary service /1/X2 10.00 Mobile Home Facilities 15.00 Misc. 4yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. NotKI shall not employ any person in any manner so as to become subject eo Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 10.00 Heating -dsfi— O file 14- 61e 4z% Cooling a �,� Hood 3.00 7,0 67 Ventilation 71Q V 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-m. bove mentio ed property for inspection purposes. I also agree t save, indemnify a Sep harmless the County of Butte against expenses which may in any way accrue all Iiabi/a� ju 61c again f he nting of this permit. �'eoo r re t Date / Signoof Applicant — Owner ❑ actor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 0 TOTAL PERMIT FEE $ d 7 OCCUP, �3 c_oNS `TYPc rV FLOG PARC PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERM( XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '' �_ 0 Receipt No �7 % �� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE,- DEPARTMENT OF~PUBLIC WORKS - BUILDING DIVISION - 17'COUNTY CENTER DRIVE - OROVILLE, CAuLIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No .c OWNER /_-. !�f %, �)�/ li G�l�i"iri� 1 r' A. P. No. Proposed Building Use i Permit Fee Based Upon: Complete Contract Price `'' DPW Valuation sOther (Explain) 7 Building Inspector%/� d///-�� Dater At time of permit application, I was advis d 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. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9- 'Letter of signature authorization. e . 0. Sanitation approval from .� . Health Dept. . . `2--2 I _y6 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (G.iven to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to X17.--Pre-Inspection for Required. Building Inspector (Dote) 7/�'� 8: Recorded copy of Agricultural Acknowledgment Statement. !/ 9 Other Drivewav oermiit P4 (const- antiroval. required _prior to occunancv ) When you-i,____7__ ou-is use the permit, process as follows:Mail to owner. Mail to contractor. Telephone '7Z—,Z ?t 9' and hold for pickup a,��/t/ office. Deliver w. /inspector. Other A Appl ica Date./ Copy of plans sent Health Dept., Fire Dept., Other i Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) �^ 1. Index permit for above items No.a 2. Additional items required: (Cont6tor, Designer, Owner) was advised of above required data �bby, —'Telephone Mail Other By Date- Plans atePlans checked by Date Plans approved by Date Other: AWXei1 4&04) Copy—DPW TO: Building Department FROM: Environmental:•Health SUBJECT: SANITATION .CLEARANCE OWNER Plans approved for: Hold final for: �JR(7-- LOCATION Sewage Disposal Final Clearance O.K. for: Clearance for 'bedroom home. Other Clearance for addition of Note** e .(Z - SANITARIAN s a -4,Z- AP # n Water Supply{��,;�7 Water Supply Water Supply �'Z /7 D TE TO: Building Department FROf1: Encroachment Permit Section RE: Driveway Clearance owner location Ap �� "T Driveway permit _ ff!5� 7 — � _ has been issued for the above property. date f Return to DPW AGRICULTURAL STATEMENT'OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86-2548 RECORDED IN OFFICIAL RECORDS OF BUTTE COUNTY.CALIFORNIA ATTIiEPEOUEST OF 1986 AUG - 7 AN 11: 0 2 The property described herein is adjacent to land or included ELEANOR M. BECk(ER within an area zoned for agricultural purposes, and residents of thisELE�iNORECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise,.and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, D,' necessary farm operations.- All that real property situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on Parcel Map of a portion of the South half of the North half of Section 31, Township 22 North, Range 4 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte, State of California, on April 30, 1982 in Book 88 of Parcels Maps, at pages 25 and.26. EXCEPTING THEREFROM 1/2 interest in all minerals. Date: July 24, 1986 E. W. Mackenzie PROPERTY OWNERS: State of California ) On this the 24th. day of July , 19_&L_, before SS. me, the undersigned Notary Public, personally appeared County of .Butte ) E. [J. Mackenzie and Vavian S --Mackenzie 0-FICIALSEAI. / I Personally known to me. 1.d Proved to me on the basis POLLY MACK of satisfactory evidence. ' D NOTARY PUBLIC -CALIFORNIA to be the person(s) whose name s Principal 011ice in BUTTE County p ) ) are subscribed to My Commission Expires May 27. 1989 the within instrument and acknowledged that rhPy executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. otary Public Present A.P.�No.s /� Azk- !/z j��rb �� CO Vavian S. Mac'lkenzie State of California ) On this the 24th. day of July , 19_&L_, before SS. me, the undersigned Notary Public, personally appeared County of .Butte ) E. [J. Mackenzie and Vavian S --Mackenzie 0-FICIALSEAI. / I Personally known to me. 1.d Proved to me on the basis POLLY MACK of satisfactory evidence. ' D NOTARY PUBLIC -CALIFORNIA to be the person(s) whose name s Principal 011ice in BUTTE County p ) ) are subscribed to My Commission Expires May 27. 1989 the within instrument and acknowledged that rhPy executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. otary Public Present A.P.�No.s /� Azk- !/z j��rb �� CO Table 3-3a. Ceiling Insulation Points ZONE 11 ( R -Value of Insulation I I I Points I I OWNER 'E- W 'f7G�L�/tl�1E POINTS I Orten- PERMIT NO. - ASSIGNED ACTUAL 1. SLAB - INSULATION ration 44 _ A VI 2. RAISED FLOOR - R-19 /G n �7• d� V 3. CEILING - R-30 QO 3.2 1 4. •„n ea WALL - R-19 `IW =j0 5. NORTH GLAZING - 2.4-3.6% to 16.4 2.2 I 6. EAST GLAZING - 2.5-3.6% 'L•OQ 4.22 �" L• 7. SOUTH GLAZING - 1.6-3.6% ?'L 4 I 0 -.19• 8. WEST GLAZING - 2.9-3.6% +1 1 +2 9. SKYLIGHT - 0-1.37 I 0 I 10. SHADING (Exclude Overhang) I I .37-.66 i 0 EAST - .66 &6 � -5 1 SOUTH - .19-.42 , 6(O --/ 0 ! WEST - .13-.36�� -1 I I .83 up I I 0 i .SKYLIGHT - .37-.57 -1 I t -2 11. HORIZONTAL SOUTH OVERHANG 2' r Z C� 12, MOVABLE INSULATION - NONE 19.6 I 13'. INFILTRATION (Standard=0)(Tight=+12) �yED tg 14. THERMAL MASS &?- SF -10 f Z 15: GAS FURNACE (SE) 71-76% I I 0 -.18 16. HEAT PUlfP (EER) 7.5-7.9% I +2 I +2 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% S• �� 1 ,0� 0 I WOOD STOVE I 0 I .43-.66 1 0 LP4 WATER -:SEATER -2'.i O I -3 ATTIC /OD % ' 1 0 +3 Table 3-3a. Ceiling Insulation Points I ( R -Value of Insulation I I I Points I I I 19 I I -430 I Orten- I I 38I 0 +2 I 1 49 I I Table 3-4a. Wall Insulation Points I R -Value of Insulation I Points I I I I I 11 I -7 I 1 19 I 0 I 30 i +3 Table 3-5. North-FacInS Glazing Pt �- --- T I Glazing Type 1 I Total I I Z of Sngl, Dbl, Trpl,I I Floor l U- I Q- l U- I I Ates i 0.66 1 0.42- 10.41 I 11.10 I 0 down ! O 1 +4 +4+4 I 0.1- 1.2 ! +4 ! +4 ! +4 1 I 1.3- 2.3 ! +1 I +2 I +2 I I 2.4- 3.6 I -2 I 0 1 +1 I I 3.7- 4.8 I -4 ! -2 I -1 I 1 4.9- 6.1 1 -7 1 -4 I -3 I 1 6.2- 7.3 1 -9 1 -6 I -5 I I 7.4- 8.2 I -12 1 -8 I -7 I ! 8.3- 9.7 I -14 I -10 I -8 I 9.8-10.8 I -17 ! -12 I -lo I 110.9-12.0 I -19 I -14 I -12 1 112.1-13.2 I -22 ! -16 I -13 1 113.3-14.5 I -24 I -18 'I -15 I 14.6-15.3 i -27 1 -20 i -17 OTHER AG7gv TOTAL POINTS = -Able 3-1. Slab Floor Points 17ncgla- I R -Value of Insvlstion I I tion i ! I Derth,-T---T 1 inches 1 0-2 1 3-4 ! 5-6 1 7+ 1 T T -T I 0- 11 1 -S t -5 I -5 I -5 I 112 - 15 I -5 I -3 I -2 I -1 I .I 16 - 19 I -5 I -2 I -1 1 0 1 I 20 + I -5 I -1 1 0 1 +1 I y-7/7/83 vl ,_Table Table 3 East-Fncfn Glazing Pts. J2 fi ( I Glazing Type ! Total I I Table 3-7. South-Facin GlazingPta Table 3-10. ShadlnR Coefficient Points T- 1 1 1 I Glazing Type I I Total I ! I Z of I Sngl, I Dbl, I Trpl, I Floor I (U - I (U - I (U - I I Area 11.10) 1 0.65) 1 0.41)1 I I oints I oints I ointsl o 1 +s 1+3 +3 1 up to 1.5 1 +2 1 +z I +2 I 1 1.6- 3.6 -13.6 16 I 0 1 1 ��2 -4 2 1 -2 1 1 5.3- 6.5 1 -6 1 -4 1 -3 1 1 6.6- 7.7 1 -9 1 -6 1 -5 1 1 7.8- 8.9 1 -11 1 -8 1 -7 1 1 9.0-10.0 1 -13 1 -10 •! -9 1 110.1-11.5 I -17 I -13 I -11 I 111.6-13.0 i -21 I =16 I -14 I 1 13.1-14.5 1 -25 i -19 I -16 I 14.6-16.0 i -28 i -22 i -!9 Table 3-8. West -Facing Glazin Pts. I I Glazing Type I I Total I Z of I Sngl, I Dbl, I Trp1.1 I Floor I (U - I (U - I (U - I I Area 1 1.10) 1 0.65) 1 0.41)1 I I pints Points I ointsl o +6 +6 +6 I up to 1.3 I +5 1 +6 I +6 I 1 1.4- 2.2 I +3 I +4 ! +5 I I 2.]- 2.8 I• 0 1 +21 +3 I I 2.9- 3.6 I -3 I 0 1 +1 1 I 3.7- 4.2 I -5 I -2 I 0 1 I 4.3- 5.0 1 -8 I -4 I -2 I 5.1- 5.6 I -10 I -6 1 -4 1 5.7- 6.2 i -13 I -8 i -6 I i 6.3- 6.9 I -15 1 -10 I -7 I I 7.0-'7.6 I -18 i -12 I -9 •I I 7.7- 8.2 I 20 14 1 -11 I 1 8.3- 8.8 _22 I _16 I -13 I 8.9- 9.5 25 8 I -15 I I 9.6-10.1 1 -27 I -20 ! -16 I 110.2-11.0 I -29 I -23 1 -17 I 111.1-11.8 I -35 ( -26 I -21 I 111.9-12.7 I -38 I -29 I -24' 1 112.8-13.5 I -42 I -32 1 -27 I 13.5-14.3 I -46 I -.35 I -29 I i 14.4-15.2 I -50 I -38 I -32 I I SC by I 1 -8 pot; I pints! 6.2 1 I Orten- I Z Floor Area 11.1 - 1.9 I -1 I -2 I I O ration 44 + s4 1 up to 1.3 1 I East I I 3.2 1 I up to 1.3 1 I 10-3.1 I to 16.4 2.2 I up -2 i I I I I 6.3 I I 2.4 I +1 I 0 -.19• I 0 1 +1 1 +2 -4 I I .20-.36 I 0 I 0 I -K I I .37-.66 i 0 I' 0 ! 0 -5 1 I .67-.82 I 0 I 0 ! -1 -1 I I .83 up I I 0 i I I -1 I t -2 I South 1 0 I V.2 6.4 18.0 -3 I 19.6 I I to Ilio. I' to I to I up j13.1 -10 I 17.9 19.5 I 5.1- I I 0 -.18 1 0 1 +1 I +2 I +2 I +3 I .19-.42 1 0 1 ,0� 0 I 0 I 0 I .43-.66 1 0 1 1 -2'.i -2 I -3 I .67'up 1 0 1 -2 I -4 I -4 I -6 t West I .1 11.6 1 3.2 (to 6.4 ! 8. I to I to I to • l u I 1.5 I I 3.1 I I 6.3 i I I 7.9 I I 0-.12 I 0 1 +1 I +3 1" �+6 i +7 .13-.36 I 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -i I -3 I -6 I 7 .58-.82 1 -1 I -3 I .-6 I -1^_ It15 .83 up I -2 I I -4 I I -8 t I I -16 I -70 I Skylight I .1 I .8 1 1 1.6 1 3.2 14.,) I to I to I to I to I to I� 1_s I�i 13r 9T2 0-•12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 -37-.57 I •O I -1 I -3 I -6 1 - .58-.82 I -1 1 -3 I -6 I -12 I -. .83 up I I -2 I I -4 ! -8 1 I I -16 I I -20 I I t I I Table 3-11. Horizontal South Overhane Points Table 3-9. Skylioht Points South Glazing I Length Out I Area, Z of Floor I I I' Glazing Type I I from Wall I i I Total I I I ft r I Z of Sngl. Dbl, Trpl, I 1 6.4 up I I Z -of I Sngl. Dbl, Trpl, I Floor l U- l U- I Q- I I I I I Table 3-2. Raised Floor Points I Floor I (U - 1 (11 - I (U - I i Area l 0.66- 10.42- 10.41 I 0 - 0.5 1 -2 1 ---4--7 T I Area 1 1.10) 1 0.65).1 0.41)1 1 11.10 10.65 I down I 1 0 6- 1 0 1 -z 1 - I I R -Value of I I i Insulation I Points . I I below 3 I -12 1 I 3-a I -8 I I 5-7 i -6 I I 8 - 12 1 -4' I I 13 - 18 I r2 I I 19+ I 0 I I�Ipo!n[s -13 1 -8 pot; I pints! 6.2 1 -19 I -14 I -12 1 7.8- 8.7 1 11.1 - 1.9 I -1 I -2 I I O 1 -8 1 44 + s4 1 up to 1.3 1 -1 I 0 I 0 I I 2.0 up I 0 I 0 I up to 1.3 1 +3 I +4 I +4 1 I 1.4- 2.2 I -3 I -2 i -1 I I I I I I 1.4- 2.4 I +1 I +2 1 +2 1 I 2.3- 2.8 I -6 I -4 I -3 1 Table 3-12. Movable Insulation I 2.5- 3.6 I -2I I 0 1 I 2.9- 3.6 1 -9 I -6 ( -5 1 Points 3.7- 4.6 -5 -2 1 -1 I I 3.7- 4.2 I -11 I -8 I -6 I I 4.7- 5.5 -8 - 1 -3 I I 4.3- 5.0 I -14 I -10 1 -8 ( 1 Moveable Insulation] ! I 5.7- 6.7 I -10 I -6 1 -5 i I 5.1- 5.6 ( -16 I -12 1 -10 I I Area, Z of Floor I Points I 1 6.8- 7.7 1 -13 1 -8 1 -7 1 i 5.7- 6.2 1 -19 I -14 I -12 1 7.8- 8.7 1 -15 1 -10 1 -8 1 I 6.3- 6.9 I -21 1 -16 I -13 i 8.8- 9.7 1 -1.7 1 -12 I -10 1 ! 7.0- 7.6 I -24 I -18 I -15 I 9.8-11.2 1 -21 I -15 1 -13 1 I 7.7- 8.2 1 -26 1 -20 1 -17 111.3-12.7 1 -25 I -18 •I -15 1 I 8.3- 8.8 1 -28 I -22 i -19 112.8-14.0 I -23 1 -21 1 -18 i I 8.9- 9.5 I -31 1 -24 I -21 14.1-15.3 -32 I -24 1 -20 I I 9.6-10.1 -33 I -26 -22 II 11 1 0- 5.5 I 0 I i 5.6 - 11.5 I +2 I I 11.6 - 17.5 ( +4 I I 17.6 - 23.5 ! +6 I 1 _23.6+ 1 +8 I Table 13. Enol=ration Control Fee.tvres Points r---- -- 1 Control Features i Points i T- I 1 I Standard 1 0 1 � I I { 0.9 air changes per hr I I I _ I I. 1 Tight I +12 I I I I 1 0.6 air changes per hr l I i I I Table 3-15. Gas Furnace Glthout Refr12eration Cool_r.e Points r- I I Seasonal Efficiency I Poiats 1 i (SE), I i I I 71 - 76 I 0 1 1 77 - 82 I +2 1 I 83 - 88 I 4d l 1 89 - 94 I +6 • I I 95 up I 1 +8 1 I 1 - 9.1 I +12 l Table 3-16. Heat Pumo ?otnts I Energy Efficleney I Points I Patio (EER) 1 I I 7.5 - .1.9 I +3 1 I S.0 - 8.3 I +6 I I 8.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 l I 9.2 - 9.4 I +13 I I 9.7 - 10.2 1 +18 I I 10,3 - 10.9 1 +21 1 10.9 - 11.5 I +24 I 1 11.6 - 12.3 I +27 I I 12.4 I - 13.2 l +30 I I 1 0.9 10-19 20-29 Table 3-17. Gas Furnace With Refriveration Cooling Points 1Refrigeracionl Gas Furnace I i Cooling I SE % I I171 -177-i83-189-195 I 1 761 821 881 941 I up I 9.0 - 8.3 1 01 +21 +41 +61 +8 I 1 8.4 - 8.7 1 +21 +11 +51 +9I+10 I 1 8.8 - 9.2 1 +41 +61 +E1+101+12 1 1 9.3 - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +311-101+121+141+16 I 1 10.4 - 10.9 I+]G1+L21+141+165+1S I 1 11.0 - 11.6 1+121+141+161+•181+20 1 I 1 1 I 1 1 7/7/83 � ZONE 11 TABLE 3-11 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ L G ARFA SgUARE FOOT _ AREA 1,000 _ 1,50 2,000 2,500 1 3,000 I 3,500 4,000 4,SGO 5,000 1 SO. ►T. I A B C D A C D A 8 C D A B C D A B C D A 8 L' D A 8 C D A 6 C G :+ 8 C- C ;0 2-, 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D 0 0 C 0 0 0 0 G 0 .03. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0I 0. 0 0 0 1 150 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2? 2 01 2 2 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 2I 2 . 2 I 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 ' 2 -! 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 1 2 0 1 2 2 2 2 2 2 2 2 2 1 2. 2 2 2 2 2 350 14 14 12 8 10 iG 8 6 6 6 6 4 6 6 6 2 6 4 4 2 1 4 4 2 4 4 2 2 I 4 4 2 1 C 2 2 1 2 400 14 74 12 8 ID 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 1 4 4 2 4 4 4 2 I 1 4 2 2 I 4 4 I 2 503 18 18 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 6 4 6 6 6 2 6 5 a 2 4 4 4 2 4 4 4 7i 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 1 6 5 4 2 I .6 6 4 2{ 700 24 24 20 14 18 16 14 10 14 14 12 0 10 10 10 6 10 10 6 6 8 8 6 4 8 6. 6 4 I A 6 6 41 6 6 R 7. 1 i 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 R 8 4 e 6 6 4 I 8 6 6 4I 6 6 6 500 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I s 8 'B 4 8 8 5 41 B 8 6 t i 1,000 30 30 25 18 P2 20 YO 14 10 18 16 10 11 14 12 8 12 17. 10 6 12 10 10 6 10 ID B 6 I 8 8 0 d 1 8 6 4 i I.;OU .32 32 28 2J I24 24 22 14 20 20 18 10 16 16 11 9 14 14 12 8 12 12 10 6 10 1J 10 6 1 1:1 10 8 [ j '•3 f f 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 I14 14 12 8 14 12 12 8 •12 12 10 6 10 10 B 61 1n In 8 6 i { ; 1,100 34 34 32 22 28 26 24 16 22 22 20 12 IB 19 lE 10 10 14 14 8 14 12 12 8 12 12 10 6 I12 :0 10 G� t0 :0 E 6 1 1,:00 I 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 11 14 12 8 14 1/ 12 8 { 12 12 ;G E; 10 10 13 5 ! 1.500 1 36 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 1G 14 8 14 14 12 a 117 12 to GI ;: 12 1C 6 i 2,000 3/ 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 i8 12 18 18 16 10 11C 16 is L1 14 la 72 5 I 2,500 I 34 34 30 22 I30 30 26 l8 26 26 24 16 24 24 22. 14 22 22 13 :2 I20 2G 18!: I ly lG 'u 3.100 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 122 22 20 1 :: :3 I2 ; 3,500 I 32 32 30 20 30 30 26 la �28 28 24 16 26 24 27 1, i 74 ;4 20 •14 ' 1,000 32 32 30 20 30 30 26 IS 79 29 24 it C. 26 22 if 4,500 132 32 28 20 130 30 26 1L i 2b 1,n 2= ;c 5,003 �. , 72 T7 21- ID j- ;J 76 '1- A) 1=A) 1. 3's' Concrete Slab: HC*8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 B) 1. Sk' Concrete Slab: HC -14.106; R-.458; F' cTor-7.1 wood stove C t. 8" Solid Filled Block: NC -20.63; R-1.93; Factor -6.1 4533 pOinCs'(n0 back up) 2. 8` Solid Filled Bloc: With Both sides Exposed To Conditioned Air, Casablanca fan + l.point NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: HC -10.164; R-.96�; Factor -6.1 D) 1" Thick Concrete/Tile: MC -2.55; R-.083; Factor�-3.7 Table 3-19. Zonally Controlled Electric Reslstance Space Heating Points I Points fol this measure will I Table 3-20. Solar Mater Heatin With Cas BackupPoints be completed after the CEC ) 1 has approved an Alternative 1 1 Component Package for Resistance I Dear. 1 Table 3-15. Active Solar Space Heating with Gas Points I Net Solar Fraettan i Points 1 1 (NSF), Z I I I I I I o-6 I o f 1 7 - 14 I +2 i 15 - 23 I +4 1 I 24 - 30 ( +6 I I 31 - 39 I +8 I 1 40 - 47 I : +10 i I 48 - 55 I +12 I 56 - 63 I +14 I I 64 - 71 i +18 I I 72 up I +20 I I: I Multifamily (per unitpoints) 1 Heating Pts. T System Type I i I Points I I Floor Area I Gas Only I I 0 i Net Solar Fraction (NSF), Z 1 0 I per unit, f Resistance Backup I i Heeling the Require- I menti in Part 2 1 I I 0 I I ft2. 1 I oray, -r0 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 000 and u 0' +l +2 +4 +5 +6 +7 +9 All others (pe building points) 800-8.99 0 +5 +10 +14 +19 +24 +29 � +34 900-999 0 +4 +9 +13 +17 +21 +26 +30 1,000••1,199 0 +4 .1-7 +11 +15 4.19 +22 +26 1,206-1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 1 +9 +12 +14 +16 2,000-1,999 0 +2 +3 +5 47 +8 +10 +11 3,000 ar.d uo -0 +! +3 +.1 +5 4.7_ +9 +10 1 Table 3-21. Other Water 1 Heating Pts. T System Type I i I Points I I I Gas Only I I 0 i I i seat Pump ( I 1 0 I I I Solar vith Electric f Resistance Backup I i Heeling the Require- I menti in Part 2 1 I I 0 I I Electric Resistance i 1 I oray, -r0 FORM i RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner 1-14C 1ZEA1F/E Climate Zone Permit No. 2057,96 Flood Area /37y Compliance path: Package ❑ A ❑ B. ❑ C M4int System ❑ Budget Other MIN R -VALUE DESCRIPTION INSTALLED ITEMS (1) INSULATION•OG'� .Q� Roof/Ceiling F4. Wall / • 00 /3, oo FG. BATF .00 ,e/1.��/� ❑_ Slab Floor Perimeter — /3//✓D / Lel Raised Floor / •oo (2) INFILTRATION: / (A) A vapor barrier is required in climate zones, 1, 14 & 16. —❑ L� (B) All manufactured windows and sliding'glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. Ci (C) A 1 1 swinging doors and windows leading.to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ -(D) Continuous infiltration barrier 0� (E) Electrical outlet plate gasket ❑ •(F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple ( � Total Bldg 230•tV /� •73 �/ ❑ - North lJ.00 �•p0 L� East 58.01] ¢. 22 ✓ South 50 • Cb .6 ✓ B__� West /Z?• 00 L K7✓ ❑ Skylights (B) Shading Shading Coefficient Description East • G6 0� South 4 (� West , (� ❑ Skylights (� (C) South Overhang Length of projection fi ft. Description EAT/ ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass (� Type JOR4,54 - Area 6?- Ft.2 HC=Z-_/LV R- ./3 MC = ?3 Location RkI716' 4 ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 . - FORM . ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A)."Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Q Other (describe) �1 (B) Cooling ' Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ` EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. Q� (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. Q/ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. - (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or } mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORK 1 •" (6) DOMESTIC WATER SYSTEM (A) Gas Only G -P 6o i Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) . (rated y -intercept) (rated slope) (solar.fraction) ft (backup heater type, brand and model number) (collector .area) (collector orientation) Location of Solar Panels Other (collector tilt) (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). [� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (.� (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumeas per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature �� °, elevation z�700 ', heating load 5/000 BTU elevation factor /.off x heating load = maximum outlet capacity gas furnace 49152 BTU Cooling: Summer design temperature 1? °, cooling load 91700 BTU MA (USE ONLY AS A SIZING GUIDE, COOLING Y BE JNADEQUATE) *2 Submit -T.1 i P..S-.Y. chart or other approved system (form #5) to document sizing of solar panes. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the C� 7/83 3