HomeMy WebLinkAbout056-140-003\ `
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BILL SHINN
hico
Permit #1154-87B,-P,E,M(new single fam)-
056-14- 103
93-3111 B, E
`
9611 COHASSET SHOP
RD -1 COHASSET|
X ' -
�
[ � |
*
V= OK
O = Not OK
= Not Readyable MOBILE HOMES
Date/Initials MOBILE NOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
8. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Net. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Teat-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
8. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS/moo
Date/Initial DECK ERS CARPOR GARAGES Plans OK except #'a
. o equirements-Setbacks-
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs -Connectors
8. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Windows -Doors
Si ls-Anchors-Studs-Rftm-Trusses
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
8. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-PaneIboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Pians) OK except k's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Fig., Main; Soils-Elec. Grnd. / P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd -/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor -Nati Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuta in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wells over Girders & Floor Nailing
42. Draft Stop in Wells (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nalling-Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Wells -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct In Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg.-Appliance-Fireplace: Clearence to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
A44 � kc -
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
•� 7 County Center Drive - Oroville, California S45965 - Telephone (916) 538-7541 PERMIT NO.
1 ✓ APPLICATION AND PERMIT !_3= :3! z
ASSESSOR PARCEL NUMBER 056-140-003
zONIN M 121--
BUILDING PERMIT
OWNER
William & Cheryl Shinn
TELEPHONE
345-7875
SQ. FT. OCC. BUILDING VALUATION
576 M 10 368.00
OWNER'S MAILING ADDRESS
9611 Cohasset Rd., Chico 95926
-zp
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ [,
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ %
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ lir
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $ Z72 .
9611 Cohasset Rd., Cohasset
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other Shop
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New CX Addition ElRemodel ❑ Utilities ❑ Installation 1:1Other ❑
Describe Work: New Shop
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ' BOOV OR LESS ) 23.00
200A OR LESS
Main Service ' 200A TO IOOOA ) 46.00
NEW OCCUP.
OR ADDNS.T ( D BEACCGBLDS. ) X 3.50 FT: 20.10
CONTRACTORS LICENSE LAW'
I declare under penalty of perjury (check one)
f� 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
& SINGLE OUTLET CIR.
@ 100
Ex. Occup. ( OUTLET OR FIXTURES ) B20L. .
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.1 EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgmen s, costs, and expenses which may in any way accrue against said
my in conseq e c f the ranting of this permit. n�
KAhDate—» - {—/
Signature of Applic Owner ❑ Contractor ❑ Agent
An OSHA permit i re uired for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in ght.
Mobile Home Installation Fee $
Energy Inspection Fee $
c
c `pals "T
�/
TOTAL FEE
HAZ. D. FEES
IMP y.00D C PARCEL'bUPD
HD ISSU
This permit is hereby issued under the applicable provisions
of the Butt County Code and/or Resolutions to do work
indicated ve for which fees ave been paid.
I CTO P BLIC WORKS
Date
PERMIT EXPIRES ON
(Date)
Receipt No.
WHITE-D.D.S.- .D. CANARY -A SESS PINK -INSPECTOR GOLDENROD -APPLICANT
V
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TYOF BUTTE - DEPARTMENTOFZE�PMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFO NIA 95965 - TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
/ /dam Ch / �iiMi✓�
OWNERA.
l l S P. No .
Proposed Building
Use A /fir Building Inspector e-" Date / 7
At time,of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted.........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3..
Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5..
Hazardous Material Form . ..............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . .......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilethome and ma ifacturer's installation . structions, 2 sets. ...........
ees of $ Co✓!*R�� , A ........................... 3 93
E� sy,mpa
12.
ct fees as shown on attached schedule . ............. .
California Department of Forestry plan approval/fees�.,I(i .O.` .
3
14.
Flood elevation letter (100 year flood) by California Engineer. .. ............ .
Sanitation and plot plan approval C Health Department . ............
15.
City of Chico plumbing permit . ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley. ...............
17.
Planning approval for (A) Use: (B) Parking:
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. .
20.
Pre -inspection for Fre..anspe..
ction req°—
required. . . to B.;,d;n9,nspe�to. (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ...........................
23.
Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................ �-
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: ail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage
Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutes Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior taper 't ' uance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer wne' as advised of above required data by _,,,.�one _ mail Counter by��ate
Contractor, designer, owner, wa dv' ed of above required data by _ phone _ mail Counter Date
Plans checked by Date �D•fo� Plans approved by ZDate
e of plans on hold in File cabinet AP folder i�—
Copy - Department of Public Works i- R:s
hJU-M.
Hia Him Atuidled
Vituit 111iin Alwelwd
selit to h;D;
To"IIUilditlOupartmont
FROM: Erivirommental Health
SUAJECT: Sanitation Clearalice
-
(-�z
- . %," / / I
111-�3 P 0 - n__
Owner Location AP#
!'!an Approved r6rs Sowiqgo Dlqpo-sal Water Supply; Public Private Well
Clearance for bedroom mobile- homc. Othor k' q2
Hold final for:
Final clearance O.K. tor:
NOTE:
Enviromiftal Heal t0 Peciallst
8/92
/ 'Y
Date
COUNTY OF BUTTE - Department of Public Works_
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION.
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will.be issued until this verification is received.
'11. I personally plan to. provide thelabor. and materials for construction of
the proposed property improvemen •es r no)
J 2. I(have have not) signed an application for a building permit.
for t;
e proposed work.
3. I have'contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone 'Contractors License No.
4: I plan to provide* portions of this work, .but I have hired the following person
to coordinate, supervise,. and provide the major work:
Name
Address City
Phone Contractors' U6.dnse Nd'.
5. I will provide some of the work -but I have contracted (hired) the following
persons to piovide .the work indicated:
Name Address Phone Type of Work
Signed:
Property OwnerOcr�.na°
Social Security Number -) -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
CDF FIRE SAFE~REQUIREMENTS
AP # PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this
permit. These requirements are minimums and will be superseded by
Butte County local regulations which equal or exceed these standards.
Field inspections will be made by the Butte County Building Department
for compliance.
O 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance must
be provided for by the land owner.
Driveway Standards
[ ] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway.be or<shoulders) shall provide unob-
structed aces:: :;conventional drive vehicles, includ-
ing sedans and. fite,:..appara .us weighing up to 40,000
pounds.
[ ] 1273.03 Grade. Not to exceed -.16 percent unless paved.
1273.04 Driveway Radius.
( ] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ ] 2. The.length of x—rt?--cal curves...in roadways exclusive
of gutters, dito�ies and.. drainage structures designed
to hold or divert water shall be not less than 100
feet.
[ ] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from center of the road.
[ ] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[ ] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page .1 of 3
'1
AP # PERMIT # NAME
i [ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart..
[ ] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ ] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[ ] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one -way -road -with a single traffic lane
provides entranc-e,'.,-a. 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from all property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�(J 1276.02 Disposal of* Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and ..{ice caused by site development and
construction, roi�-d,.and driveway construction and fuel
modification shall be completed prior to completion of
road construction or final inspection of a building
permit.
Page 2 of 3
IN
H
AP # PERMIT # 14AME
_Other Recruirements
[ ] If Building Setback is 15 to'30-Feet: J
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal doors on side toward property line. with insufficient
setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 100i of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
,i
� a
PERMIT NO.
v XYZ�ikn,eC['L, PERMIT. EXPIRES—
OWNER
XPIRES OWNER -Bill ghi'nn '.a.•�
gra
CONTR. QWners .!
• Ir ASSESSOR PARCEL 96-14-1
LOCATION N/S nary Avg; 300ft w of Cohasset Rd,
FI E OPY `
• Address- - — r
i .
GAS
. Meter By ate
ELECTRIC
• Meter By Date
OFFICE COPY
t
Address
C
OFFICE COPY
t
Address
=.4
GAS
Date
Meter By
ELECTRIC
•
TemI
Meter By
Date
Called'PG&E
11
Temp. Elec. Service
•1.
Called PG&E
r
I
Temp. Gas Service
4L
�
1•
K
Called PG&E _
j
JOB FINALED (Date) /
Signature
= OK • ,-ROL
0 = Not OK
= Not Applicable MOBILEMOMES MISCELLANEOUS
= Not Ready ,
v
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements _
2. Footings; Size -Depth -Spacing -Connectors..
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
_
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L" it./ /"LPG
7. Utility Clearance
_
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability ^
3. Gas; MH Test -Demand -Valve -Connector
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
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
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- Enc losures- Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
Card B-1
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
10. Plumb; Cir. Test -Water Supply Test
Date Card -BI Date
Date Card -BI Date
v :_ OK
0 = Not OK
Not Applicable
�: � Not,Ready RESIDENTIAL (Single and Duplex
Dale
UN RFLOOR Plans OK except Ws
Date
FRgNIING (Continued)
--
/_Zoning requirements -Setbacks -E sements
- �! Ft , Main; Soils -Steel- _ - /`�_/" Ftg. Depth
_ operty Line Firewall & Openings
xl. Doors -One X -Check Garage -3rd story, 2 exits
s- teal- / /" Fig. Depthlairs;
Width -Headroom -Rise -Run -Landing -Fire Protection
F g., Porches & Decks; Soils -Steel- / /" Fig. Depth —
� lywood on Roof Overhang -Attic Vents -Rafter Outriggers
__ lemwails, Main; Steel-Blockouts-Wrapped-Slab _
-
. Si ing-Nailing-Veneer
---
mwalls, Garage; Steel-Blockouls-Wrapped-Slab
rip Screed-Fdn Vents-Underflr. Access
- tars-FTrt3p1aC8 FZg.-Steel
- j Glazing Area -Glass Protec • n -Skylights -Plastic
_
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5W, Shear Walls; Nail' g -8o t
..•6r6 s Pipe; Size -Anchors
Water Pipe: Test -Anchors -Regulator -Service Test
_
-_ 11. Electric: Underground
- _
12. Plenums & Ducts; Clearance -Material -Support -Ins.
_
13. Girders -Sills -Anchor Boltszjol�ts Vents -Cripples
n
Card -BI - Date ) 8 Card -BI Date
Card -81
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINA ns) OK except N's
Card -81 Date Card -BI Date
Date
PL M NG (Permit) Ola—ceps Ws
56' t. Steps -Door & Sidelight Protection -Landings
5 Smoke Detector
Card -BI
Card -BI
14 ler Ht.: Vent cess -Combustion Air
ter Pip Anchors -Nail Protection
W.V.ttn_gs & Anchors -Nail Protection
ower Pan: Test, First Floor -Tub Access
tst Tub & Shower, 2nd Flow -Tub Access
1: Size & Anchors
1r.'z;'Fipe
Date4�4r Card -BI Date
Dale Card -BI Date
fie. a ; Vents -Clearance -Comb. Air -Connector -
In rage: Above Floor -Ducts -Meth. Protection
5 0o Exiting
6 I. & Bath Fixtures & Tub Access
c.
6 Trim & Subpanel; Breaker Sizes -Labels
6 St .rs 8 Rails -
6 it place or Stove: Clearances -Hearth
64""utlets at Wood Panel; Int. & Ext.
65• jY�ixt. &Appliance' Grnd -Air Gap -Cooking Cle Slice
6 Elec. Outlets &Receptacles at Kit. Counter
Date
EL CTRICAL Permit OK except p's
1'--G3T � Door; Swing -Landing -Closer -
_
ct in Garage -Damper
`
Card B -I
Card B -I
Fixture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes 8 No. of Conductors-Staplod�Y,
-o_mex Instatled_Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size /- / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
Range , ! ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulale eu Cl _Yes ;No _—.--_
Servic iser Conductors &_ Ground- Main Disconnect_ -_--g+-awn-Finish
Equip. Clearances: Panels-Motors_-Mech. Equip. _
Clothes Closet Light -Shower Light —
----- -- ---- -
-----
/p�
Dae Card -81 Date
Dale t�,j/ CS�-- ---
Card -BI
f Date
61,eWtor. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Drage: Above Floor -Meth. Protection
Plb., Elec. &Mech. Equip. Listed for Location
eptacles in Garage; (G.F.I.)-Romex Protec.
-Foam-Looked in Attic ❑Yes
---
7 Gu ails & Deck Construction -Post Caps
7�dn. Vents & Crawl Hole Door-Drai age & Wood -Earth Clearance
--L ed under Floor ❑ Ye
o owing Ins!ld.: Driy L^ es E] No: Walks � Yes o:
r-
Planters `;Yes No
& Cond. Size -115V Outlet
_T7.mDisconnect-Clrnces-Brkr.
7�V s Above Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs.
Well, Disconnect, Electrical, Plumbing _
8Ul error Elec. Trim: G.F.I. Receptacle -Underground
6tion throughout House
s Protection
Date
ME NICAL (Permit) OK except q's
_
Corrections from Previous Inspections
•8 Gas Test -Meters Tagged; Gas -Electric
-W.
Card -BI
Card -BI
A.C. Ducts. Insulation & Support_ - - --
epVent Fan: Exhaust above Insulation _-
ansate Drain & Overflow: Size & Grade
_ urnace-Vent. Access -Comb. Air -Return Air Vent -115V
cress 8 Platform if Furnace in Attic
- - -- - -
S� Date �z g / Card -BI Date
Date Card -BI Date - - -
.gyr y{gter & Sewer Connected -C/O to Grade -HD Approval
n, Energy Compliance Certificate -Other Certificates
--
Card -BI_
_
Card -BI
------
7 Date
Dale Card-BI
Date Card -81 Date -- -
Dale Card -BI Date
Date
F ING(Plans) OK except a's
Comments at Final:.
-.---- ---------'
-- - - - - - - - ---- ---- -
- - . . _._ -- -- -- - ----- --
-- - -
--'--__
. Ills; Proper Material & Anchors
Ills. Sluds-Nailing, Spacing & Bracing -Plates -Sound
.cruiny IWnlls over Girders & Floor Nailing
It Slop in Walls (rat proof) --
e Stops. Furred Ceilin s- aus-Chases
44 V"---'QC;kd.ei
K Bearn-Size & ngers-Post Caps-Anchors-ConneclmS
_ Ing. uist-Rlu. �LgBric.-To uss-Shtling. -Rhig.
f F eplaco 11es or laCe Throat_.—..
s-Pu661
Anrc Acres, Sizeon-Dr•III Slop -Ins. Balll_es----
liruni. WniJuas of - t Doors -Sill Hgl. & Dimensions-
-. tt • - ry Pi•71�i IiOn Frdm.n,l
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance
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
matt r, or need additional explanation, please contact this office Immediately.
Inspector �' f7 v Date 4
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
,VAI
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter„ or need additional explanation, please contact this office immediately.
Inspector' --�% _ Date
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
OWNER
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 '-7/7
11 i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7641
747 Elliott Road, Paradise— Phone: 872-6307
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 this
matter, or need additional explanation, please contact this office Immediately.
dam►... �-� S'i /l�onJ UN
/ J
Inspector Date % W.
W,WA) 6n N
ows
a tDL MW k4*f Zq"
•VMt FINS ACtESG..
frJ l���ow P.G.
Zx S
ftoVIDE 14-'r%C VEN71LA-TCOP
It 04CCC C 7 S PER SK 3ZA S v
1I
Prt 4A1z, 2 X 6 6 14" O.C,
Z g GE14K %TO(CC
0/4KPLYWOOD
1 X / O F J. & /64 O.G.
PLY WOOD
2 10 (2 I UW c
ovrCt UN Q
DEFLooLtvENT1L1kT%ow
SQuotc.'Co 1 59 -r -r, Per --
IS -0
ISo s 4 Ft
Z s�T�i
2x6 The kATE
2.x6 r. -,,/R j
9) /10" or-,
2x` MVO S1t,L
D
TY p, 16
'ForJr u�6
(4)
ORT%P4 5007-74- 54fff-- ri 0 v,&.6410
MME CAUWy
WILONG DEPARTMEIM
�A pnov f 1)
t'- Z/.--97
(VOTE:—All Materials & Workmanship Shall Be �
Accordance with Recognized Good Practices ane
of a quality prescribed for the.Specified use in the
IlWorm Building, Plumbing & Machanical Codes and
U National Electrical Code.
Owner: Permit No.
a
ENERGY CERT IF ICAT ION
Project: Cohassett Rd.
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches) 6 3/4"
CEILING
Batt or.Blanket Type
Thickness(inches)
Loose Fill Type Fiberglass
Minimum Th'ickneso(Inches) 112"
Area covered(ft. ) 640 sq. ft.
FLOOR, ELEVATED
Material
Thickness(inches)
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) R19
Brand Name
Thermal Resistance(R Value)
Brand Name Manville
Number of Bags 14 Wt.` per bag 40 lb.
Thermal Resistance(R Value) R30
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)_
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of Californ-ia Energy -Requirements.
Loerke Insulation Co. #499150
FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.
1-7-88
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.
FIRM NAME/OWNER (Please rint) STATE CONTRACTOR' LICENSE NO.
SIGNATURE OF QE.NERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE`MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 154,
APPLICATION AND PERMIT
ASSE$GO jt PA RJ EN=MFR
/[
Zr'T'IiL,N-G
-rAG
BUILDING PERMIT
OWNS I
9 / .� / /v
TELEPHONE
- -79
SQ. FT. OCC. BUILDING VALUATION
-
OW ER'S MAILING ADDB.E SS � // Gam-
O �e oS
CONTRACTO 'S/ �NlAME/'.�/S�
UV ,I e
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace`—
CONST CTION LE DER
UNKNOWN
Total Valuation $ b
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ --
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ $ �'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ pj
PERMIT
Filing Fee 10.00
ePLUMBING
Each Trap
j 2.00 7 -
Solar or heat pump water heater
Solar
20.00
LOT NO.
I
SUBDIVISION NAME
PARCEL MAP
I
Water piping
5.00 5
Each qas water heater or vent
5.00 S—
USE OF STRUCTURE
SF X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 —
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New UJ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
I I`
Permit Fee
$ -�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR1 OR LESS10.00
,1 —
Main service EA. ADD'L 100 AMP
2.50 17- 5-0
CONTRACTORS LICENSE LAW
I declare under penal y of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this eason
NEW CONST. DWELLING OCCUP.� ,
New eorNisrR(A h¢sgft it -7, $
U TI OUTLET
NON.R ESID BRANCH CIRC ITS 2.50 ea
APPARATUS e)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®50C
SALO 30
Ex. DCCUp. OUTLETS FIXED P(RESID )REAJ 2.00
Temporary service 10.00 /Q
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ Q,
-
ORKMEN'S COMPENSATION INSURANCE
I declare unde enaity of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
c� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Gv —
penult Fee
$
41
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
liabilities, judgments, costs, and expenses which may in any way accrue
ag 'nst said County�incons�eque of t_he granting of this permit.,!� /����
XDate 1 —
ignature of Applicant — Owner Contractor ❑ Agent 1-1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ U
TOTAL PERMIT FE $
occuP.
�?J
s
cox e
0- I
JFrJPA/RCJ,:J
ND IssuE
This permit is hereby issued under
Bions f the Butte County Code and/or
wor i dicated ove for which
DIR &OR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date M��
//" • �I'
eceipt No. /
/ ,1 3
FWNITC-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�T't L' " - . • _ a. _ ..."f. , •'gyp .? f .-i, `J`* I- q�. 1�•. .7 ..
01. COUNTY OF BUTTE - DEPARTMENT`'OF PUBLIC WORKS - BUILDING DIVISION
�•+' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET /
Permit No.
OWNER i / lI/ IIS A. P. No. S =3
Proposed Building Use 5F 3 9/ 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.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement,5'Aj�k-,,' (2)
®IEICUSD "Fee's Paid" Stamp on Floor Plan . . . . . X
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
OtLetter of signature authorization. . . . . . . . .
ti"Planning
Sanitation approval from G4' c rim Health Dept. 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 (Given to owner❑❑.),
Mail to owner
—15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
&17'��118. Recorded copy of Agricultural Acknowledgment Statement.
E44) � 9. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submittedpr' r to p r ssuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional -items required:
Contractor, designer o er was advised o'Pabove required data by phone --mai by date
Contractor, designe ,owner was advised of above required data by-g4LLphone—mal l—counter by dateZ%g
Plans checked byT�• Date QzPIans approved by - Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
— Hours: 10:00 a.m. - 3:00 p.m.
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
94
owner
Driveway permit / C 3 —
sign ure
Co ha.SSe 7zI_W
location.
54�'-/'Y-03
AP #
has been issued for the above property.
,yy
date
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
r owner Location' APO
S
Plan Approved . for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
Clearance for 3: bedroom mobile ome. Other
NOTE * * *
Sanitarrian
Water Supply
Water Supply
Water Supply
5-111-(5j
Date
ZONE 11
( : Floor Area
tation
I
I East
OWNER sglNy POINTS
J
Table 3-3a. Ceiling Insulation
Points
_
PERMIT N0. 1/Sl{-$'7 ASSIGNED
ACTUAL
R -Value of Insulation i
Points 1
1. SLAB - INSULATION
1 0 ( 0 I it
I
1 "0fi0-- I 0
I .67-.82
2. RAISED FLOOR - R-19 a 1 Cr
Q
I 19
I
-4
I
0
I 22
I
-2 1
3. CEILING - R-30
I .19-.42
30
I .43-.66
0
I .67 up
,I
1 0 1 -2 1 -4 ( -4 I -6
38
I
+2 I
I
' 4. WALL - R-19 -1q
Trpl,
I 49
I
+4
5. NORTH GLAZING - 2.44-3.6% t,(3
-+4-
+4-6.
.37-.57
1 0 1 -1 1 -3 I -6 1 4
.58-.82
6.EAST GLAZING - 2.5-3.6% Z'
Q
1 -2Y -8 1 -16 1 -20
I I I I 1
Skylight
I .1 I .8 1 1.6 1 3.2 1 4.0
7. SOUTH GLAZING - 1.6-3.67 r Q'�
'-
Table 3-4a. Wall Insulation Points
8. WEST GLAZING - 2.9-3.6% 2 c S
�
I R -value of Insulation I
Points
1 0 1 0 1 0 1 0 1 0
.37-.57
1 0 1 -1 I -3 I -6 I -'
.58-.82 ,i
-1 1 -3 1 -6 1 -12 1 -a
9. SKYLIGHT - 0-1.3% I
l -2 1 -4 1 -6 1 -16 1 -20
I I I I I
I 11
I
-7 I
10. SHADING (Exclude Overhang)
1 o I
1 19
I
0 I
EAST - .66 ��
Q
i 30
i
+3
SOUTH - .19-.42
-3 1
Table 3-12. Movable Insulation
1 2.9- 3.6
I -9
WEST - 13-.36 (.__
-5 (
Tarle 3-5. HTth-Faclns Glazing Pte
.SKYLIGHT - 37-•57 •S%
-'
I I Glazing Type
11. HORIZONTAL SOUTH OVERHANG 2'
-6 I
1 Total I
1 2 of Sngl.
Db1
i
Tl,
rp
12. MOVABLE INSULATION - NONE
1' -10 I
I Floor ( U -
1 Area 1 0.66
I U - 1 U - I
1 0.42- 10.41 I
I
1 5.1- 5.6
11.10
10.65
I dove I
13. INFILTRATION (Standard=0)(Tight=+12)I
Points
o +4
,
+4
-12 I
I I
I
1 6.3- 6.9
I -21
14. THERMAL MASS SF
-13 I
I 1.3- 2.3 I +1
I 2
j +2 I
15. GAS FURNACE (SE) 71-767.
1 -18 I
1 2.4- 3.6 I -2
I 3.7- 4.8 I -4
I 0
I -2
1 +1 I
I. -1 I
1 7.7- 8.2
I -26
4.9- 6.1 -7
1 I
I -4
'� I
-36.2-
16. SEAT PU10? (EER) 7.5-7.9%
1 8.3- 8.8
I 7.3 I -9
I -6
I -5 I
I 11.6 - 17.3 (
+4 I
I 7.4- 8.2 I -12
I -8
1 -7 1
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
I 17.6 - 23.5 I
1 8.3- 9.7 I -14
I -10
1 -8 I
WOOD STOVE ��J
�J
} J
( 9.8-10.8 I -17
I 10.9-12.0 I -19
I -12
I -14
1 -10 I
I -12
WATER 4HEATER
d
12.1-13.2 I -22
1 13.3-14.5 I -24
I -16
I -18
I -13
I -15 I
ATTIC 33 %
14.6-15.3 i -27
i -20
_
i -17
OTHER - Fi4 Al C(�_
TOTAL POINTS =
Table 3-6. East -Facing Glazing Pts.
Glazing
Type 1
Total I
I 2 0[ I Sngl. I Dbl, I Trpl,
?able 3-1. Slab Floor Points Table 3-2. Raised
Floor Points
( Floor I (U -
I (U -
I (U - I
Area 1 1.10)
1 0.65).1 0.41)1
I In�•ala- I R -Value of Insulstion I I R -Value of
I
I II1oints I olnts I ointsl
I tiun I I I Insulation
I Points
1 o •
•.4
+,�
I Depth, I
up to 1.3 1 +3
1 +4
I +4 I
I Inches 1 0-2 1 3-4 1 5-6 1' 7+ I 1
1 1.4- 2.4 I +1 .
1 +2
I +2 1
I 1 1 1 I 1 1 below 3
1 -12
I 1 2.5- 3.6 I -2
I 0
1 0 1
1 3- 4
1 -8
1 1 3.7- 4.6 I -5
I -2
I -1 I
1 0- 11 1 -5 1 -5 1 -5 I -5 I 1 5- 7
1 -6
I 1 4.7- 5.6 I -8
I -4
I -3 I
112 - 15 1 -5 1 -3 1 -2 I -1 1 i 8- 12
I -4'
I 1 5.7- 6.7 I -10
I -6
1 -5 1
1 16 - 19 1 -5 1 -2 1 -1 1 0 I I 13 - 18
I 72
1 1 6.8- 7.7 ( -13
I -8
1 -7
1 20 + 1 -5 I -1 1 0 1 +1 I i •19+
I 0
1 1 7.8. 8.7 ( -15
1 -10
1 -4 1
I 1 I I I I 1
I
( I 8.8- 9.7 I -17
1 -12
1 -10 1
I 9.8-11.2 I -21
1 •-15
1 -13 1
111.3-12.7 I -25
1 -18
•1 -15 1
7/7/83
112.8-14.0 I -28
1 -21
1 -18 1
114.1-13.3 1 -32
1 -24
1 -20 1
Table 3-7. South-FacinR GlazinX Pte Table 3 -LO. Shading Coefficient Points
T-
I • Glazing Type i I SC by
Total I
I 2 of I Sngl, I Dbl, Trpl,
I Floor I (V - I (U - I (U
IAre1+.10) 0.65) 1 0.4• )1
I IolnI onts intsl
o
o 3 +3I
1 up to 1.5 1 +2 1 +2 I +2 1
1 1.6- 3.6 1 -1 1 0 ( 0 1
1 3.7- 5.2 1 -4 1 -2 I -2 1
1 3.3- 6.5 1 -6 1 -4 I -3 1
1 6.6- 7.7 1 -9 1 -6 I =5 I
1 7.8- 8.9 1 -11 1 -8 1 -7 1
1 9.0-10.0 1 -13 1 -10 .I -9 1
110.1-11.5 1 -17 1 -13 1 -11 I
111.6-13.0 1 -21 1 =16 1 -14 1
i 13.1-14.5 1 -25 1 -19 1 -16 I.
114.6-16.0 1 -28 1 -22 1 -'.9 1
I /4Z1 I -28r I I
Table 3-8. West -Facing ClazinR Pts.
I I Glazing Type i
I Total I 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
II ofnts l oints I ointsl
C,
•i •6 +6
I up to 1.3 1 +5 1' +6 1 +6 1
1 1.4- 2.2 1 +3 1 +4 1 +5 1
1 2.7- 2.8 1 0 1 +2 1 +3 1
1 2.9- 3.6 1 -3 1 06-1 +1 1
1 3.7- 4.2 1 -5 1 -2 1 0 1
1 4.3- 5.0 1 -8 1 -4 1 -2 1
1 5.1- 5.6 1 -10 1 -6 1 -4
1 5.7- 6.2 1 -13 1 -8 1 -6
1 6.3- 6.9 1 -15 1 -10 1 -1 I
1 7.0- 7.6 1 -18 1 -12 1 -9 I
1 7.7- 8.2 1 -20 1 -14 1 -11 i
1 8.3- 8.8 1 -22 1 -16 1 -13 I
1 8.9- 9.5 1 -25 1 -18 1 -15 1
1 9.6-0.1 1 -27 1 -20 1 -16 I
1 10.2-11.0 1 -29 1 -23 1 -17 1
1 11.1-11.8 1 -35 1 -26 1 -21 1
1 11.9-12.7 1 -38 1 -29 1 -24' 1
1 12.8-13.5 I -42 -1 -32 1 -27 1
113.6-14.3 I -46 1 -35 1 -29 1
1 14.4-15.2 1 -50 1 -38 1 -32 1
I Orten-
( : Floor Area
tation
I
I East
I I 3.2 I
i 0-3.1 to6.4 up
I
I 3
I 0 -.19
1 0 1 +l I +2
I .20-.36
1 0 ( 0 I it
( .37-.66
1 "0fi0-- I 0
I .67-.82
I 0 I 0 I -I
.83 up
i 0 i -1 i -2
South
1 0 1 3.2 1 6.4 1 8:0 19.6
I
I to I to I to I to I up
13.1 1 6.3 17.9 19.5 I
I 0 -.18
1 0 1 +1 I +2 I +2 I +3
I .19-.42
1 0 1 0 1 0 1 0 1 0
I .43-.66
1 0 1 -1 I -2 1 e2 -3
I .67 up
,I
1 0 1 -2 1 -4 ( -4 I -6
West
1 .1 11.6 1 3.2 1 6.4 1 8.0
Sngl,
I to I to I to I to I up
Trpl,
1.5 i 3.1 i 6.3 i 7.9
0-.12
1 0 1 +1 I +3 1 +6 ( +7
.13-.36
1 0 1 0 1 0 1 0 1 0
.37-.57
1 0 1 -1 1 -3 I -6 1 4
.58-.82
1 -1 I 3 1 -6 1 -12 1 -15
.83 up
1 -2Y -8 1 -16 1 -20
I I I I 1
Skylight
I .1 I .8 1 1.6 1 3.2 1 4.0
I to I to I to l• to I to
1 1.10
I .7 1 1.5 13.1 1 3.9 15.2
0-.12
110+1 ( +3 I +6 I +7
.13-.36
1 0 1 0 1 0 1 0 1 0
.37-.57
1 0 1 -1 I -3 I -6 I -'
.58-.82 ,i
-1 1 -3 1 -6 1 -12 1 -a
.83 up
l -2 1 -4 1 -6 1 -16 1 -20
I I I I I
I
1
I I
I
Table 3-11. Horizontal
South
Overhane Points
Table 3-9.
Skylteht
Points
I South
Glazing
Length Out I Area,
I of Floor I
I Glazing Type
I
1 from Wall I
1
I Total
I
I
I ft T-
I of
Sngl,
I Dbl, I
Trpl,
1 1 0-6.3
1 6.4 up I
I Floor
I U-
I U- I
U- I
I I
I . I
I Area
10.66-
10.42- 10.41
1
0- 0.5 1 -2
1
1 1.10
i 0.65 I
down 1
1 0.6 - 1.0 1 -2
1 -3 I
1 1.1 - 1.9 I -1
I -2
up to 1.3
I -1
1 0 I
0 I
I 2.0 up I 0
1 o I
1 1.4- 2.2
I -3
1 --:-2 1
-1 I
I I
I I
1 2.3- 2.8
1 -6
1 -4 I
-3 1
Table 3-12. Movable Insulation
1 2.9- 3.6
I -9
1 -6 I
-5 (
Points
1 3.7- 4.2
1 -11
1 -8 I
-6 I
1 4.3- 5.0
1 -14
1' -10 I
-8 (
1 Moveable Insulatloo•1
I
1 5.1- 5.6
( -16
1 -12 I
-10 I
I Area, 2 of Floor I
Points
1 5.7- 6.2
1 -19
1 -14 I
-12 I
I I
I
1 6.3- 6.9
I -21
1 -16 I
-13 I
-�
1 7.0- 7.6
1 -24
1 -18 I
-15 I
I 0- 5.3 I
0 I
1 7.7- 8.2
I -26
1 -20 i
-17 I
I 5.6 - 11.5 I
+2 I
1 8.3- 8.8
I -28
1 -22 I
-19 I
I 11.6 - 17.3 (
+4 I
1 8.9- 9.3
I -31
1 -24 I
-21 I
I 17.6 - 23.5 I
+6 I
1 9.6-10.1
-33
1 -26 I.
=22 I
I `23.6+ I
+8 I
i
Table 3-13. I-WItiation Control
Features Points
I
I Control Features I Points I
T- I I
I Standard 1 0 I
I I
1 0.9 air changes per hr ( I
I I I
T-
I Tight I +12 I
I I I
I i1.6 air changes per hr I I
i I I
Table 3-15. Gas Fur:l4ce Without
Refrigeration Cool!r.e Points
I Seasonal Efficiency I
Points I
I (SE), Z I
I I
I
I
I 71 - 76 1
0 1
1 77 - 82 I
+2 I
I 83 - 88 1
+4 1
I 89 - 94 !
+6 I
I 95 up I
+8 I
Table 3-16.
Heat Pum o
Points
Energy Effic!eney
1 Ports i
I Patio
(EER)
1 I
I 7.5
- 7.9
1 +3 I
I 9.0
- 8.3
I +6 I
I 8.4
- 8.7
I +9 I
I 8.8
- 9.1-
I +12 I
I 9.2
- 9.6
I +I5 1
I 9.7
- 10.2
i +18 I
I 10.1
- 10.8
I +21 I
I 10.9
- 11.5
I +24 I
I 11.6
- 12.3
I +27 I
I 12.4
!
- 13.2
I +30 I
I I
Table 3-17. Gas Furnace With
Refrieeration Coollne Points
'Refviberacion1 Gas Furnace I
I Cooling I SE 11 1
171-177-i 83- 89- 95
I 1 761 821 881 941 up I
1 8.0 - 8.3 1 01 +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +51 +91+10 1
1 8.8 - 9.2 1 a41 +61 +EI+101+12 1
1 9.: - 9.7 1 +61 +81+101'121+14 1
I 9.8 - 10.3 1 +31+101+121+141+16 1
I !0.4 - 10.9 1+1GI+L21+141+16i+19 I
1 11.0 - 11.6 1+121+141+1614.181440 1
7/7/83
ZONE 11
TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS
MASS DUELLING AREA SQUARE FOOT
AREA 1,000 I 1,500 I 2,000 I 2,500 I 3,000 3,500 4,000 I 4.SGo _5,000
S0. PT. I A 8 C 0 A. 8 C 0 A B C D A 8 C D 1 A 8 C 0 1 A 8 C 0. A 6 C D I A 6 C D A
5n
2
2
2
2
2
2
2
0 1
2
2
2
0
1 0
0
0
0
0
0
0
0
a
0
0
01
0
0
0
0 0
D
0
01
0.
a
0
3
,Do.
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
O 2
2
0
OI
0
0
0
0 1
ISO
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
2
0
2
1
2
0 1
200
8
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
.2
2
2
.2
2
2
2
22
+7
2 2
2
2
I
2
-
2
+5
ZS3
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
2
i
300
12
12
10
6
8
B
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2 2
2
21'
2.
7
2
2
350
14
14
12
8
10
1G
8
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2 4
4
2
7
2
2
7
?
400
14
14
12
8
10
10
8
6
8
8
6
4
6
6
4
4
6
- 6
4
2
4
4
4
2
4
4
4
2 4
4
2
2
4
4
Z
2
500
603
103
18
22
124
18
20
24
16
18
20
10
12
14
12
14
18
12
14
16
10
12
11
6
8
10
10
12
14
10
12
14
8
10
12
6
6
8
R
10
10
8
10
10
6
8
10
4
6
6
6
8
10
6
8
10
6
6
6
4
4
6
6
8
8
6
G
6
6
6
6
2
4
4
6
6
8
6
6
6.
4
6
6
2 4
4 6
4 A
4
6
A
4
4
6
2
2
41
4
i 6
6
4
6
6
4
4
R
I
1
).
Z30
900
1,0.0
I,;OU
1,200
26
28
30
.12
34
24
28
90
31.
32
12
74
16
28
30
16
16
16
:0
22
70
22
?2
24
26
16
20
20
24
26
16
18
20
22
22
10
12
14
14
16
14
16
18
20
22
14
16
18
20
20
12
14
16
18
19
8
10
10
10
12
12
14
14
16
18
10
14
14
16
18
10
12
12
14
14
6
8
8
8
10
10
12
12
14
14
10
12
it
14
14
8
10
10
12
12
6
6
6
8
8
10
10
12
12
14
R
10
10
12
12
9
3
10•
10
12
4
6
6
6
8
I °
I 3
10
I10
flI
6
8
10
10
12
6
'a
8
10
10
4 8
4 8
6 6
6 13
E ` 10
6
8
8
10
10
6
6
O
6
8
4I
41
41
61
6
6
e
Ia
10
6
e
8
e
In
L
6
f
e
8
c i
i
•I
6
1,300
1,.00
34
34
34
34
32
32
22
24
28
28
26
28
24
26
16
18
22
24
22
24
20
20
12
11
18
19
20
lE
18
10
12
la
18
14
16
14
14
8
'10
14
14
12
14
12
12
6
8
112
14
12
14
10
12
6 12
8 11
10
12
10
:G
G�
EI
10
10
;0
13
f.
17
6 1
1.5P0 136
2,300 I
2,500
J,CO3
3,500
74
14
24
30
34
70
34
-
26
32
18
22
24
30
34
24
30
34
22
26
30
120
11
18
22
22
26
30
34
20
26
30
32
18
22
26
70
12
16
18
22
IB
22
26
30
32
18
22
26
30
32
1610
20
24
26
30
14 120
16
18
ZO
16
24
28
30
12
16
20
24
26
30
72
14
18
22.
24
26
30
8
12
14
16
ld
20
14
18
22
124
�2d
14
18
22
24
28
30
12
16
19
22
14
26
6 11
10 16
:2 20
14 22
16 16
18 + 18
1:
16
20
22
24
28
10
i4
18
20
i?
24
f.l
6I
I.
14�
14 !
IE 1
i7
14
19
:i
•4
?5
IZ
14
13
13
:4
ZS
1:
12
It
3:
10
2:
1
e I
g I
10
li i
14
IE
-4.030
1,500
S,003
110
32
32
28
20 130
32
30
17
26
1e
li' j
201
i8
IJ
,0
?=
.6
;f ;
1 '•
A) 1. 3y' Concrete Slab: NC -8.93; R-.29; Factor -7.3
2. 3 3/4' Thick Common Brick: IIC=1.125; R-.13; Factor -7.3
a) 1. SS'Concrete Slab: NC -14.106; R-.4iB; Factor•7.1
C 1. 8' Solid Filled Block: NC•20.67; A-1.93; Factor•6.1
2. 8' Solid
Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Nass Area: NC -10.164; R -.M '. Factor -6.1
0) 1' Thick Concrete/Tile: NC -2.55; R-.083; Factor -3.7
wood stove #33 points'(no back up)
ca.sablanca fan + l.point
Table 3-19. Zonally Controlled
Electric Resistance
Space Heating Points '
I Points for this measure v!1-1�1 Tx
able 3-20. Solar Hater HeetinWith Can Back -an Pointe ,
I be completed after the CSC I
I has approved an Alternative I
I component Package for Resistance 'I
I Beat. I
Table 3-19. Active Solar Space
Heatlnq vita Gas saints
Net Solar Fraction I Points
(NSF), Z I
1 0- 6
I 0 1
I 7 - 14
I +2 1
I 15 - 23
1 +4 I
I 24 - 30
I +6 I
I 31 - 39
I +8 I
I 40 - 47
1 : +10 I
I 48 - 55
I +12 I
I 56 - 63
1 +14 I
I 64 - 71
I +18 I
I 72 up
I +20 1
Nultifamil (per unitpoints)
I
0 I
I
I Beat Pump 1
i
I
0 1
1
( Solar with Electric I
I
I
I Resistance Backup I
Floor Area
I dentine the Require- i
I
Net Solar Fraction (NSF), Z
0
per unit,
ft 2.
I'
I
1 Only
-40 ;
0.9
W -ii
ZC-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
+l
+3
+4
+6
+7
+8
+10
2X00 and up
0
+1
+2
+4 1
+5
+6 1
+7
+9
All others (pe
800-899
buildlnp
0
points)
+5
+10
+14
+l9
+24
+29 +34
900-999
0
+4
+9
+13
+17
+il
+26 +30
1,000.1 ,199
0
+4
+7
+11
+15
4-19
+22 +26
1,206-1,499
0
+3
+6
+9
+12
+15
+18 +21
1,500-1,9990
+2
+5
+1
+9
+12
+14 +lc
2,1300-1,749
+2
+3
+5
+7
+8-
+10 +11
3,00.0 nr.d uo
-0
0
+1
+3
+1
+5
+7
+9 +10
Table 3-21. Other Vater Heatf
System Type I Points
1 I
,
I Cos Only 1
I
I
0 I
I
I Beat Pump 1
i
I
0 1
1
( Solar with Electric I
I
I
I Resistance Backup I
I
I dentine the Require- i
I
I Itents lu Part 2 1
0
I
I Electric Resistance I
I'
I
1 Only
-40 ;
Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �(;r;l:i 1 I t. UI`a i
FOR RESIDENTIAL DEVELOPMENT OF FiCif,1 RE(`,0"%GS_ B"(
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. 87x-14114
PARI -i' SrHOW«
,5131 APR 20 All, 10: 10
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this CA„U1;U-- i. &(bt
property may be subject to inconveniences or discomfort arising from CLERK-RECOfD'ER FEE_ s:
the use of agricultural chemicals, including, but not limited to herbicides, pesticides
and fertilizers; and from the pursuit of agricultural operations including, but not limite a,`,,
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,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
A part of Section 27, in Township 24 North, Range 2 East, M.D.B. & M.
described as follows:
Beginning in the center line of the County Road at the Southeast corner
of the parcel of land heretofore conveyed to V.C. Richards, et -al, by
deed from C.F. Bauer, of record in Book "123" of Deeds,,at Page 293,
records of Butte County, California, thence Southwesterly along the
centerline of said road, 208 feet; thence West and parallel with the
South Line of the parcel of land so conveyed to V.C. Richards 600•feet;
thence Northeasterly and parallel with the centerline of said road 208
feet to the South line of the parcel of land so conveyed to V.C. Richards,
et al; thence East along said South line, 600 feet to the -point of
beginning.
Date: April 16, 1987
State of California)
) SS.
County of . Butte )
ALL
L+ LIFORNIA
OU.ttw
Jon 2, 1940
PROPERTY OWNERS:
c
On this the 17th day of April , 1987 , before
me, the undersigned Notary Public, personally appeared
WILLIAM SHINN- and CHERYL SHINN
lt/_l`�XP1DA}1M1�PS�XtC
)CX/ Proved to me on the basis
of satisfactory evidence.
to be the persons) whose names) are subscribed to
the within instrument and acknowledged that They
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Z_ _i__1 e -p- 0- L - I � - a
L_ Notary Public
LUCY A. PERSHALL
Present A.P. No. 056-14-0-003-0
COUNTY OF BUTTE - Departme'nt of Public Works
7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your. building permit: No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �.
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address `City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the foilowing,person
to coordinate, supervise, and provide the major work:
Name a -
Address City
Phone Contractors License No.
5. I will provide some of the work.'but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number ,
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
w
. ROPER ASSOCIATES:
ENGINEERS SURVEYORS
1346 LONGFELLOW AVENUE, CHIC0j CALIFORNIA.
916 - 342 -2059
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ENGINEERS SURVEYORS
1346 LONGFELLOW AVENUE, CHICO, CALIFORNIA
.916- 342-2059
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION�SUMMARY FOR I
Owner�,, J l� cs/�7� �/ Climate Zone Permit No.
Floor Area
Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget 59Other
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling
® Wall
_ ❑ Slab Floor Perimeter
10 Raised Floor
(2) INFILTRATION:
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
® (B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
[]
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket '
❑
(F)
Air-to-air heat exchanger ,
(3) GLAZING:
(A)
Location
Area Glaz3'ng %Floor Area
Single Double Triple
go
Total Bldg.3.
North �2
East
South
49
West
42
Skylights
(B)
Shading
Shading
Coefficient Description
❑
East
❑
South
❑
West
Cl
Skylights
4N.
(C)
South Overhang
Length of projection > 2 ft. Description
❑
(D)
Moveable insulation: Area ft -Z
Description
(E)
Thermal mass
❑
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
R=
MC= Location
C7
Type - Area t
Ft.2 HC= R=
MC= Location
-
❑
Type - Area
Ft.Z HC= R=
MC= Location
7/83
= r
FORM 1 -
p (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 combusibn 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
p Central.Gas Furnace
0
(brand and model number)
Btu/hr
(heating capacity)
Heat Pump _
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
ACOP
o�0
SE
type (liquid or air) i Collector brand and
ft2
model number solar fraction ' collector area collector
orientation collector tilt rated y -intercept
rated slope
Other X/L
(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) -
0
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
ID
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
ip
(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.
(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
£ FORM 1
(6) DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 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) (collector, tilt)
❑ Location of Solar Panels
❑ Other
(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
41 (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens 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(g), and fill out.the
following:
Heating: Winter design temper,p tu'r.e .Z? °, elevation �Q ', heating load %/,1tL BTU
elevation factor x heatin load = maximum outlet capacity gas furnace
gUo BTU �137�,$dal%� AiIIA-
Cooling: Summer design temperature °, cooling load,3 AM BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
"SIQGNATT'UJPOF BU ING DESIGNER OR APPLICANT
3
7/83
FORM.
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner
Climate Zone Permit No.
Floor Area
- ...
Compliance
path:
Package ❑ A ❑ B ❑ C ❑'Point System []Budget ❑ Other
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1)
INSULATION•
❑
Roof/Ceiling
❑
Wall
❑
Slab Floor Perimeter
❑
Raised Floor
(2)'
INFILTRATION:
❑
(A) A vapor barrier is required in climate zones, 1,
14 & 16.
❑
(B) All manufactured windows and sliding,glass doors
shall meet the
1972 ANSI Air Infiltration Standards and shall be
certified and
labeled.
❑
(C) All swinging doors and windows leading to unconditioned
areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D) Continuous infiltration barrier
❑
(E) Electrical outlet plate gasket
Cl
(F) Air-to-air heat exchanger
(3)
GLAZING:
(A) Location A
Area Glazing %Floor Area Single Double
Triple
❑
Total Bldg
❑
North
❑
East
❑
South
❑
West
❑
Skylights
(B) Shading t
Shading
Coefficient Description
❑
East -
❑
South
❑
West
❑
Skylights -
❑
(C) South Overhang
Length of projection ft. Description
❑
(D) Moveable -insulation: Area ft, Description
(E) Thermal mass
❑
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
❑
Type - Area Ft.2 HC=
R=
MC= Location
❑
Type - Area Ft. HC=
R=
MC= Location
7/83
FORM 1
❑ (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.
X1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
1 '
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) 1' Collector brand and
ft2
model number
orientation
rated slope
❑ Other
*1
solar fraction collector area collector
'J
collector tilt sated y -intercept
(describe)
(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 I
(describe)
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat•pumps.
(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.
❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenam, 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 t
C;&
(6) DOMESTIC WATER SYSTEM
❑ (A) Gas Only
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
FORM 1
Gallons
(brand and model number)
Gallons
(tank size)
❑ *2 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) (collector tilt)
❑ Location of Solar Panels
❑ Other
(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 lumens 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(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNATURE OF B L NG DESIGNER OR APPLICANT
3
SU1dvN, WTl_1_l ISI"\
c.6 �� X55 c`I
ALL WRUMAM ANI)'MUPMW INCLUOM
OVERHANGS WALL Ot MEAA C* ALL PMEMOM.
A SET BACK OF,'
Is MC)M fM E 110t AND
:i
w
C3fl FROM IWM t
HA - Ph& AND
SS�Fr. FROM tM 1WA6 OMMAM MALL BE
CLEAR OF STRIUMPA Mb EWW~ W
FOR A2FT. FAVI
REVIEWED BY
'BUT TE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
E].-aoprovOd as submitted
(approved with conditions
per attached she'et-s
Pat®
cb
The,
wudled
reqwed
nW&W , b"
by C.D.F. =r
All
7-/ A/5
700 94 QtV%w and 30W be
-kfiPt M -the job at &U KM" and tt is unl&*M to
MWO MW duanew or awnucas M same Wnbout
W"tt4n PK=IM= ftvm the Dspwftmt of pWgW
worim comtr of BuKe.
KOM AR MAUrlab W WorkmamsbV ft&U B9 In
Aawedumm mm PAnognbed0ood Pftetkwa and
of& Presarnod ft.A" SpediftM use
In ft=M, F1*jbtng ar Moobanicat
Codes Mw NaMonal Meotrki,-1 4Dodo.-
4 F 4=-C H 4- 1 N 4:'S
APPR0Vi0!'..,,.
Butte County Environ,-yiihik,.--'.-' b''
I
I$UTT,P- COUNTY
BUILD14G DEPARTMENT
APPROVED
copy-
a
� � s
i
e
� � s
v3
c6a�55�Z
APPROVED _
r = - Butte+County Environment®I HKilth
' 73o/
3 1Z'X4,
X
AA
Le
/-w
13 0
G R �,c?
3a�. canicoe)-=Tt
1
. 9
1
hi�ovlde Yea z j all 81i4j�j 681"
6' O.G max. and with
1204
4f joints.
SUTTE COUNTY
3UILDINO DEPARTMENT
I
APP OVM
J
1S
;2 .YG
SOZIAQ
SPECIAL ROOF COVERING REQUIRED.
t3UTTE COUNTY
BUILDING DEPARTMENT
APPROVED
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