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Home My WebLink About056-440-048o Ale 1896 Vilas Rd, Forest Ranch Contr: Dan Harding Permit#2783*-89B,P,E,M(new single family B07-0729 056-440-048 ."^~~ELL,.`E""" -'Re-."of ' RGR00PW/C0K4p(36) |8g6V1LASRD. ^ � S{K0RGQJ.GEORGE STEVEN 6iCAR 4$ ,1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds - PROJECT INFORMATION Site Address: 1896 VILAS RD Owner: Permit No: B07-0729 APN: 056-440-048 SIKORSKI, GEORGE STEVEN Permit type: MISCELLANEOUS P O BOX 4544 Issued Date: 04/06/2007 By KEJ Subtype: Re -Roof CHICO, CA 95927 Expiration Date: 04/05/2008 Description: REROOF W/COMP (36) (530) 893-2025 Occupancy: Zoning: TM5 I Contractor Applicant: Square Footage: SCHUKEI GLENN EDWARD CONSTRUCT SCHUKEI GLENN EDWARD t Building Garage RemdUAddn 25 AMBER WAY 25 AMBER WAY CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530)343-6020 (530)343-6020 FEE INFORMATION DBMSC Re -Roofing $110.00 $110.00 Balance Due: $0.00 Receipt No: 112536 LICENSED CONTRACTOR'S DECLARATION I OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SCHUKEI GLENN EDWARD CC 606543 / B / 11/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �. X 04/06/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑ IH AVE 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. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: STATE COMP Policy Number: 713-0007341 Exp. Date:10/0112007 (This section nee not be completed if the permit is or one undred 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 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. X 04/06/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law down not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: I 04/06/2007 Owner's Signature Date I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property opmerpr ym aylhorijed to act p toe property owners bghalf., Owner 2tontractor OR. ElAgent for Owner DAgent for Contractor Lender's Address City State Zip FILE COPY e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name G' Jam, ( First e Mailing Address i /� 6''✓✓ V City /� lJ Statt n` -TT' , Zig&1Z q Phone Fax E-mail APPLICANT SIGNATURE X f2l -A6Q-k)�' PERMIT NO. oil_ oaa1 BIN # PROJECT LOCAT ON Property Address V t i Ed, City �► CO C ® [AS' 6`7— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name 6oil ' Address City ` L 6 Cityc ` C 8 State p 5� Phone baZ� Fax E-mail Lic. # Class APPLICANT SIGNATURE X f2l -A6Q-k)�' PERMIT NO. oil_ oaa1 BIN # PROJECT LOCAT ON Property Address V t i Ed, City �► CO C ® [AS' 6`7— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Ok-NbU% Address ' E City ` L 6 State Zip Phone d Z6 Fax E-mail State License Number APPLICANT SIGNATURE X f2l -A6Q-k)�' PERMIT NO. oil_ oaa1 BIN # PROJECT LOCAT ON Property Address V t i Ed, City �► CO C ® [AS' 6`7— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Ok-NbU% Address E City ` L 6 State (2A r �1� Zip Phone d Z6 Fax E-mail APPLICANT SIGNATURE X f2l -A6Q-k)�' PERMIT NO. oil_ oaa1 BIN # PROJECT LOCAT ON Property Address V t i Ed, City �► CO C ® [AS' 6`7— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER i rates K GENERAL oning requirements: (sideyards / aluation. 4 �: laps signed by designer. ergy Design and Compliance. /isting violations on property. Items on data sheet. Bldg. Permit # 2 '76_�> A.P. # O 6 -123 and number of permitted living units). PLOT PLAN omplete parcel size and dimensions. acks, sideyar:ds, easements, etc. ae. her buildings or structures. ading, fills, drainage. F! Flood hazard., 6. Special conditions on creation map or compliance document. 7. FAU & FAS road setback. 1 FLOOR PLAN :�..-j,',Vequired omplete to scale plan with dimensions. windows for light and ventilation (Sec. 1205). A! Required windows for second exit (Sec. f204). —� Skylights (Chapter 34 & Sec. 5207).' an impact glass (Sec.. 5406). "ired room sizes, ceiling heights (Sec. 1207). s in baths, garage, and exterior outlets (Article 210-8). 9 -"'Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater,' heating and cooling equipment, other electrical or _,,g� equipment, and plumbing fixtures. G ge firewall, door size, and closer (Sec. 503(d)(3)). l '0" exterior exit door (Sec. 3304(e)). 1�! eplace and wood stove location, alcoves, and clearance. 161 Smoke detectors ('Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. �oor construction details complete.enough to construct building. ovations and wall construction details complete enough to construct building. 4 -""Roof construction details complete enough to construct building. ,S:�Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: 'landings, rise and run, head clearance, handrails (Sec. 3306). ,aardrail details (Sec. 1711 & 3306(j)). /Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE by MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) - `.: .1 •,.; � oExterior plaster - weep screeds (Sec. 4706). mer roof pitch for roof covering (Chapter 32). 6/.Raof covering type - (fire hazard). 7/ fter ties or bearing ridge beam. ' 8 rage door or porch header sizes. 9th Adequate bracing. wing area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. w-rr"T exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). &:". Att*c access and ventilation (Sec. 3205). Urfloor access and ventilation (Sec. 2516). 1. Combustion air for fuel burning appliances. -15-r-Yoise requirements on duplexes. _1-( 1. obe soils - special foundation design. ening walls requiring design. 18!U al shape, size, or split level house requiring lateral design. 1 lashing at all exterior openings. iTE �L �4 u VV IMATc SES 1-i4 E_ �o PERMIT NO. 2783-89B,P,E,M o� PERMIT EXPIRES OWNER GEORGE SIKORSKI �atrrQ+v CONTR. ASSESSOR PARCEL 56-08-123 1 LOCATION 1 896 Vilas a Rd , .rte •d%- No`f /K4A A c 470-..vt a 4 t r 1' i -4-- ./, 3 ; JiLas -'P' f--- -t- t Temp. Power Pole s • Called PG&E r -L Temp. Elec. Service Called PG&E / U Temp. Gas Service / Called PG&E 6 - JOB FINALED (Date) Signature `- -- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center DrVA, Oroville — Phone:,SM-7541 747 Elliott Road, Paradise— Phonds: 872.-6307 CORRECTION NOTICE S, I` �•s !' ,. �7R�-moi- OWNER PERMIT NO. A routine inspection indicates that the following violations of Cour y 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. 411Z 4 0-1 11, d- < Inspector Date COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviI le — Phone: 538-7541 747 Elliott Road, Paradise.— Phone: 872-6307 CORRECTION NOTICE orskI OWNER 9793-87 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 C&�matter, or nee 1n�additional explanation, please cont(acLt this office immediately. . ' •fes Szo �O t' O ✓)Pni � �orr_vl, rt tYa •� / c., t �� / wS�l� n oS� p t er CD 15 111 ReJS Inspector——Date C lY` • Owner F-��• gs Vica4s LOCATION Permit No. ENERGY CERTIFICATION err-- _ (:!A . DESCRIPTION OF INSULATION .r. Nu. ROOF MATERIAL BRAND NAME THICKNESS THERMALVALUE) EXTERIOR WALL MATERIAL Fiberglass BRAND NAME Certainteed THICKNESS 4 N THERMAL RESISTANCE (R VALUE) CEILING BATT OR BLANKET TYPE_ gjWX L*1LS BRAND NAME Certainteed. THICKNESS /Z,## THERMAL RESISTANCE (R VALUE) ale LOOSE FILL TYPE IN - AFE-Ili BRAND NAME Certainteed THICKNESS / . " �� THERMAL RESISTANCE (R VALUE)ag FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED -,THICKNESS THERMAL RESISTANCE f Q FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) I hereby certify.that the above.insulation was installed in the above building in f conformance with the State of California Energy Requirements. SHASTA INSULATION_ #530235 FIRM NAME OWN STATE CONTRACTOR"S LICENSE NO. I eby certify the a At 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 NA /01+'N_ER (PLEASE PRRIINrT) SIGNATURE OF GENERAL CONTRAC /OWNER ------Y�_'202? ---------------------- STATE CONTRACTOR"s LICENSE NO. ------f1----------------=--- 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 `f •,,_W,.�o.-� I � .a �. 5 �" . \ r Ivo �—_ 6� %U r 123 7.35 t /3.43 AG 6�1 /^ 112 !/41.26 �' d �\� [� C' & 1 - p/1. .) Aiv . f'kANS FNGd �J C•�+' i' \.../ i IIPG t -- '1.1•: ,, 1z F 115� zrc _ :L, —,oAc 1 �, 43 l0 ac ,1G d ! 1.5i n -� L IIS 1339.81 ILL !�� ` S.ZAc (7i J .. ��. 12111(11) 22 ~1 3 Ac 4. `I-�``I •� lK_ ,�-r O to (J V111 y3/' �Y ` ti 7 _ - �. _ N 0 40 A1C. n to 20.47 15.4 Qc o t �> 20.52, r, 7k 56 15 56 PM 102.1 ` 97 .c i.71 4 k176-6 j �/c LItl18 1,33 ` IJS"0" 'j In IO I�20.49AC 135 44C. ; ' v 13.39.44/' � v. 3 v M 40.BOAC�• ycd 0.49A CIOl �pfvt9F1'�`621100'� 21 , 11 1339.33 ,'1339.33 , '2C2 !1 �. _ ---_ 26.5 AC 1320 !i8 ' 'i 45 / 1 r / ��6 !/ 11 11 \ (l �� ' . �5� A MANN D V 7 %OLTA RIDGE I ROAD o 13:nr1Ql60 AC IU I • ••I'"� f O - _ 705.x9 \-'2:..:�// • / II 1320 :SAC T� 1.=2:, IJ54.91 1391.45 �� PM " 2 \ — !24 rr i N v.• / 1lr d ,t, /I . W - 43.67AC. ° �� 4d.96AC. 34. I M 1325.33 337,3 t .•� �� I l,."r_ /�/ n�t\Il PARG£L , iN6%-I) /6/.3T6AGR �•1`?E1— a"� 45. __J 9 -f 3 5 L9.9;GA 1�1G� J 142.0CAI:. _ 'l•2 � 40.55AC. • `, :.sjy.sz(�PAHCEL,�JZ /0 , Assess r S ` aP 'i1 — F',4t1 `✓5-17 ° !10! `�. a tw PM y92`428 r o 'I..2G.UiAf'... o m FGS 96 2 i �H ✓ n�-�. 4'�: k s PARCEL BLOCK;�_:.,r PM 94 70 ,�`ounfy o Butte, Calif. citi PC7 ) O 1341.78 14%2.63 9 WARY , /957 0� r ! E/ 3 co N 4,va.C b � S� I = OK - '0 = Not OK MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Pians)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ' 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft:/ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card Date Card -B1 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. -81 Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -131 Date Card -81 Date UK, -0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL -(Single and Duplex) I Date UN RFLOOR (Plans) OK except #'s . Zoning -Setbacks; -Easements -Flo -Slope g., Main; Soils-Steel-Elec. G d.-/ " Ftg. De Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /"Ftg. De Vsternwalls, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel- Blockouts-Wrapped 4.-Y6; Steel -Wrapped Piisepfa�-Ptg.-Steel W.V. all -Fittings est- way C/0 -Sewer Test ipe; Size -Anchors x 1 ater Pipe; Test -Anchors -Regulator -Service Test tric; Underground El ms & Duc ; Clearanc Material-Supprt-Ins. 1 irders- ills -Anchor olts-Joists-Vents-Cripples 15. Insulation Card -61 /0 - Date!?!!%85, Card -81 /S Date/0- Card-131 W Date t,,- v--WCard-B1 Date Date NG (Permit) OK except #'s 1 or Ht. Vent -Access -Combustion Air -Baffle 1 r'Pipe; Test & Anchors -Nail Protection 1 V.; Test-Fttngs & Anchors -Nail Protection iv wer Pan; Test, First Floor -Tub Access 2VTest Tub & Shower, 2nd Floor -Tub Access (' as Pipe; Size Ancho Date ELE TRICAL (Permit) OK except #'s 2 ixtur & Transformer Clearance -Ins. Protection I Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2je'2 Ap liance Circuts in Kitchen & Conductor Size/G.F.I. 28 ubfeed Wire Size / Zga. Cu or I .C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 3 ervice-Riser Conductors & Ground -Main Disconnect 3 . quip. Clearances Panels-Motors-Mech. Equip. 32. C • thes Closet Light -Shower Light -Spa Light 3 moke Detector Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s ucts Insulation & Support Vent Fan; Exhaust above insulation a( 36. Condensate Drain & Overflow; Size & Grade X 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 86. A tic Access & Platform if Furnace in Attic Card -131 1'rl Date Card -61 Date Card -131 Date Card -131 Date Date FR ING (Plans) OK except #'s ills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 eader & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 4 In,p-Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47-*TirepJace Ties or Type A Flue -Fireplace Throat Clearance 4 tic . ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 Windows or Exiting Doors -Sill Hgt. & Dimensions 4Vdarage Fire Protection Framing R�epefty Line Firewall & Openings 5LZR. Doors -One 3' -Check Garage -3rd story, 2 exits Width -Headroom -Rise -Run -Landing -Fire Protection 5' . IMod on Roof Overhang -Attic Vents -Rafter Outriggers 5" iding-Nailing Veneer .5&.-3ta=o Mesh -Drip Screed -Fd. Vents-Underflr. Access 462blazing Area -Glass Protection -Skylights -Plastic Fear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Daterr .rdj Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date moke Detector 61, nace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 6 Date ELE TRICAL (Permit) OK except #'s 2 ixtur & Transformer Clearance -Ins. Protection I Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2je'2 Ap liance Circuts in Kitchen & Conductor Size/G.F.I. 28 ubfeed Wire Size / Zga. Cu or I .C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 3 ervice-Riser Conductors & Ground -Main Disconnect 3 . quip. Clearances Panels-Motors-Mech. Equip. 32. C • thes Closet Light -Shower Light -Spa Light 3 moke Detector Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s ucts Insulation & Support Vent Fan; Exhaust above insulation a( 36. Condensate Drain & Overflow; Size & Grade X 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 86. A tic Access & Platform if Furnace in Attic Card -131 1'rl Date Card -61 Date Card -131 Date Card -131 Date Date FR ING (Plans) OK except #'s ills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 eader & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 4 In,p-Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47-*TirepJace Ties or Type A Flue -Fireplace Throat Clearance 4 tic . ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 4 Windows or Exiting Doors -Sill Hgt. & Dimensions 4Vdarage Fire Protection Framing R�epefty Line Firewall & Openings 5LZR. Doors -One 3' -Check Garage -3rd story, 2 exits Width -Headroom -Rise -Run -Landing -Fire Protection 5' . IMod on Roof Overhang -Attic Vents -Rafter Outriggers 5" iding-Nailing Veneer .5&.-3ta=o Mesh -Drip Screed -Fd. Vents-Underflr. Access 462blazing Area -Glass Protection -Skylights -Plastic Fear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws 8 ter Well; Disconnect, Electrical, Plumbing 81. error Elec. Trim; G.F.I. Receptacle -Underground 8 e • ation throughout House 8VGjdss Protection ag . orrections from Previous Inpecti s ¢ eters Tagged lectric Lu, 9 ter & Sewer Connected -C/0 to Grade -Hb Approval 9 . Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -Bi Date 1-2 -=, Card -131 Date Card -131 Datej__j_. s Card -B1 Date Card -61 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) Card -131 Daterr .rdj Card -131 Date Card -B1 ryf Dater /i ,r:o Card -131 Date Date FIN Plans) OK except #'s xt. teps-Door & Sidelight Protection -Landings 6 moke Detector 61, nace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 6 ed.00m Exiting 66-1TEL_& Bath Fixtures & Tub Access -Spa 6 . lec. TriSA Subpanel; Breaker Sizes -Labels Rails 6 6 QA&it. it p ce or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter 7a -43!g -rage Fire Door; Swing -Landing -Closer -73---A-C- Duct in Garage -Damper 7f. r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 . Elec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage; (G.F.I.)-Rome `Protec. 7 su ion -Foam -Looked in Attic I33 -Yes rd Rails & Deck Construction -Post C ps j lents & Crawl Hole Door-Drin & Wood -Earth Clearance Looked under Floor es 0 ollowing instld.; Dr' e 01 ❑ No; Walks es ❑ No; Planters ❑ Yes ,47 No Brown -Finish 8 .C. ;Disconnect, Electrical, Plumbing 8 nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to 8 ter Well; Disconnect, Electrical, Plumbing 81. error Elec. Trim; G.F.I. Receptacle -Underground 8 e • ation throughout House 8VGjdss Protection ag . orrections from Previous Inpecti s ¢ eters Tagged lectric Lu, 9 ter & Sewer Connected -C/0 to Grade -Hb Approval 9 . Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -Bi Date 1-2 -=, Card -131 Date Card -131 Datej__j_. s Card -B1 Date Card -61 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) -y COUNTY OF BUTTE - PARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi .California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT�0. AV"1 ASSESSOR PARCEL NUMBER ops 123 ZON 1 S -' BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING 0.2 VALUA ON OWNER'S MAILING ADDRESS 77<� W,4SQ A0 • "Vr'N:►`L1x J 6 CONT ACTOR'S NAME T �3 LE HNE `�2 - O 6 77 C> 00 �� CONTRACTOR'S MAILING ADDRESS ,#09,Js G�,� Fireplace ��` J-0.,00— -0,00'-- CONSTRUCTION CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 39 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 9` Energy Plan Checking Fee $ 4`'— ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ `r"' PLUMBING PERMIT Filing Fee 10.00 - UPW eA, V1 4.V5 '0 ' Each Trap VL 2,00 I V-� *7 a io J,® C4e-*'—k Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 ' Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New &2' Addition ❑ RemooddAel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3[f'— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ate' Main service EA. ADD'L 100 AMP 2.50 7 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full for a and effect. License No. Lj 9:2q V1 Classification ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELL Ip� �P•a` OR ADDNS. ACC. BL�G�. I yzQsgft �- Y 63 NEW CONSTR. U TI.OUTLET NON.RESID .BRA C CIRC I S 2.50 ea (POWER APPARATUS e\ (SINGLE OUTLET CIR./ EX. OCcup(OUTLETS OR FIXTURES RALO 30 FIXED Ex. Occup. OUT ETS P(RESID )REA.) 1 2.00 Temporary service 10.00 1,0— Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cao Doff o� b Cooling /Z V -,D J 1I, i4 ,l Eye _ Hood 3.00 3 Ventilation -2°� permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot.— Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai Copnt in consequence o the gr ting of this permit. X Date g Signature of Applicant - Owner ❑ Co ctor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiess iin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONsT.TYPE g^ SENO L FLOOD P CE PD ND S9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By 41, ADIRE(.=R P ELIC PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS ,( 9 Date �-0�6 - 0 Receipt No. c WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f1 TO: Building Department tFROM: •Encroachment Permit Section RE: Driveway Clearance - owner po, location AP # Driveway permit o / c _ has been issued for the above property. n b signa re date TO Buildinv Department FROM: Environmental Health. SUBJECT: Sanitation Clearance A- P.1 P lot, Oven r Location AP# - J Plan Approved for: Sewaqe Disposal _ Water Supply Hold final for: Final clearance O.R. for: Clearance for _ bedroom a home. Other NOTE *** Water Supply Water Supply Sanitw-K6n, �j" Dake . P , 4 j. ,..-.r.�.f ¢••fY r+� +h F.*�t iry'4r'.1....+v.._;.,r .,.,n,h ^I -'_-•i ,.- .r. r;.vl. COUNTY OF BUTTE - DEPARTM' YI"'0� PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CEN—,";R,DRIVE a- OROVILLE, CJkLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER !;;xiDAS 1 404K" A. P. No. - �4 — O Proposed Building Use dell Building Inspector �% . Date q -2_ Q S 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 prdparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... zZ 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. ,ngineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ................ 11. Park fees paid ..................................................... N School District fees paid ................. J3. Sanitation approval from C_0�0 f.31 Health Department ... 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 4°�7. Improvements may be required. 0 1 awl Driveway permit (construction approval required prior to occupancy) . ° 19. Pre -inspection for required .. , , Pre-Inspen pedes to p q � Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification)....... 21. Certificate of Workmans Compensation Insurance ..... 22. Owner -Builder Verification (Given to owner o, Mail toowner o) ......... `23. Recorded copy of Agricultural Acknowledgment Statement ............ C .gam - 24. Letter of signature authorizati(2n ..... . r CAt4 EQ 26. W en you issue the permit /,'proc�s as follows: M I owner. Mail to contractor. Telephoned and hold for pickup at4NPWoffice. Other Applicant Deliver w/inspector. O'Date /�!J i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior o permit issuance 1. Index permit for above items No. 2. Additional items required: new item not checked above). r y t Contractor esigner, owner, was advised of above required data by—phone �nafl_counter by date Con ractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by 'Z—Sets of plans on hold in Copy—DPW Plans approved by File cabinet AP folder Date i s 89-32864 4 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.t of the Butte County Code requires th"cs acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences 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,. 89-032864 R e c Fee * 5.00 . Check 5..00 Recorded Official Records County of PAM 3HMN Butte - Candace J. Grubbs 1 Recorder 11:26am 30 -Aug -89 1 ,JJ.. 1. but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ.ished ogriuul Lural- zones which have as a priority use for productive agricultural. purposes, ;Ind residc•nir; within said zones and on adjacent property should be prepared to accept such i nc lnlvc n i c nrr or disconfor.m from normal, necessary farm operations. All. that real property situate in the County of Butte, State of. California, described :Is follows: )°ARCeL y �s .5'SOu.tN oN Thgr CeRr,�t.V p . 19RC•et. MAp ffWrit4e0 Il,0elW2 A. Pdg7'ion� af-Me NoRrN��tSo* yy /*At•ntoesr p c at � Yy o Scc7�to.v 3 T, .ZSI /il. M.O. 0. •H M . pA,eCe c. Ma i J OF rhe a,ecole J .SAicI p was 14ecaRveo IIVT1e oncIC e �F The C0uwllf op, ,eve S7*TP 13oo.,C' � of CAttFO 40 1�•/ Oar Tuve. 7G of MAPS., A1- p'41e (?7. Date State of. ) ) SS. County of _)• l u PROPERT OWNERS: V f =r AAo,L IQS l%::/ On this the _ day of IJ 19 �C/, before III(,, the undersigned Notary Public, pe onally appeared Carole Sikorski U Personally known to me. W Proved to me on the basis inneeeeeenneeeueeeeeenneeeeeeeneneomeunm of satisfactory ev=idence. o OFFICIAL SEAL o be the person(s) whose name(s) SHERMA C. ARCHER lubscribed to the within instrument and acknowledged that. ___ NOTARY PUBLIC - CALIFORNIA i -- --- �.. xecuted the same for the purposes therein contained. I.N WI'1'NR'tis oma. COUNTY OF BUTTE Comm. fxp. Oct. 23, 1990 HEREOF, I hereunto set my hand and official. seal. Present A.P. No.6,�-68'-/2.3 Notary Public END OF DOCUMENT r ,rva mu—ocj � r ' BUTTE COUNTY SCHOOLS DEVELOPMENT., FEE CERTIFICATION FORM �(One'Form per Building) A.P. Number �'6 Building Department No. C001V School District CH/ L 0 City D County �� Jurisdiction Property Owner ( �V ¢44' S !%n c i•e Project Location/Address V�O�'i`.• ��l Ls'�crJ C,UN.ri1Sl�%- Subdivision A1174- Lot Number Residential Development: 3�t a Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Bu Sq. Footage New Addition (Including Exterior Roofed Areas) ng Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 6Ma School District certifies that (Applicant Name) / -(Phone Number ) (Street Address) /) 11 . ZIA A (City) (State) (Zip Code) has complied with the requirements of Resolution No. _Y_//f4 by the payment of $ . 3�i2 representing % %y� square feet. School District Representative Date PAID BY CHECK NO. % REMARKS: , BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COU`TTY OF BUTTE - DEPARTr.E`iT OF PUBLIC WORKS 7 County Center Drive, uroville, CA 95965 PHONE: 916-538-7541. DATE_ _ ;e= temhpr h } 19RQ Dan Harding 2594 California Park Drive:_ RE: Building Permit #56-08-123 Apt. #135 Chico, CA 95926 A.P. # 56-08-123 With reference to the above subject: " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L_[ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to.Butte County Treasurer. Certificate of Workmen's Compensation Insurance or -check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section—( -D --PW) . sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1_JL OTHER 1. We need a site plan which matches the parcel man 2. Truss Details are required before plan check can he completed, Should you have any questions concerning the above, please contact this office and ask for Dan. _ JFG/a j Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE 916-538-7541 n -e9 i r.� ... DATE 1 ` CAS l 1=11 f� PR. Q� RE : �r 08-123 A. P. #— o6_ I z_Z� With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including. Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHEJ- WE LEE� 4 S',-rF- RAM 11241_Q±4 VVATC+IE� T%iE PA(ccEL MSA C__ Should you have any questions concerning the above, please contact of this office. Yours very truly, JFG/aj William Cheff Director of Public Works Glander Chief Building Inspector n Certificate of Compliance: Residential Climate Zone �1 ,4a Pro tett Address Documentation Author Telephone BUILDING DATA ConditionLeAj&or Area S1sed Fl lIQ Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) _78-4 Buat l ' it # •.� ?S y / Date , Enforcement ARencv Use Onlv BUILDING SHELL INSULATION Component Insulation Location/Comments TYDe R -Value (attic, to pampa tveical. Wall .............. Wall ............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Glazing Orientation Shading Devices Area Class Type Interior Exterior Overhang Framing Type North ( ) Dot ^d Glass Area % Glass East ( ) /53.92 ti North East ( ) Number of Stories East 'Sou th (. ) Number of -Units —T— South b- • [ ] Addition Alone West THERMAL MASS [ ] Existing Building Skylight -fiat- 4111— aExisting-Plus-Addition Existing-Plus-Addition Total loyt..7 BUILDING SHELL INSULATION Component Insulation Location/Comments TYDe R -Value (attic, to pampa tveical. Wall .............. Wall ............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Glazing Orientation Shading Devices Area Class Type Interior Exterior Overhang Framing Type North ( ) Dot ^d North ( ) East ( ) /53.92 ti I►/SJ,40t,. East ( ) South 'Sou th (. ) West West ( ) Skylight....... .4p, THERMAL MASS Type/Covering - - Area Thickness - - (slab/exposed, tile, etc.) (Sf) (inches) LOcation/DCScription (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Ile. 57.7 639.* �,_ •• 3 s7 Z Maximum Furnace Heating Output: 3o Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance ,t i, approach used. Items marked with an asterisk (') may be superseded by more stringent compliance rcquuemenu luted on the Certificate of Compliance. When this checklist is incorporated into the permit documenu, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measurer whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 permfuxh. §2-5311: Insulation specified or installed meets California Energy Commission (CEO quality standards. Indicate type and form. §2.5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathersuipped: all joints and penetrations caulked and sealed. §2-5352(e): Special infdtratioo barrier installed to comply with 12-5351 meets CEC quality standards. §2-5352(d): Installation of Futplams 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siting: attach alwlatiau §2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. ' §2-5316(a): Duets constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired span heating equipment las intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R.16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). - §2.5312(Exccption 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. Ort/off switch on heater. b. Weathaproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, rcfrigerator-freezers, frtezers and fluorescent Lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer r Building Owner Name: » Name: Tit1cJFirtn TitWFum Add�sx: 3S Address: Telephone:�y�—fi7.ZS- t.ic. N: (signature) Documentation Author Nana: TitldFUM Address: Tek -phone: (data) (signature) Enforcement Agency Name: Agency: Tekoxmc. (date) 1. Ceiling Insulation 2. Wall Insulation Single- Family R -value Detached R-0 -68 R-11 0 R-13 2 R-19 8 U -value 0.80 -153 0.50 -91 0.30 -47 0.10 0 0.08 4 0.06 9 0.04 14 0.02 19 0.00 24 Single - Family Attached -51 0 2 6 -114 -68 -36 0 3 7 11 14 18 Number of stories 3. Raised Floor Insulation R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 .2 -1 -1 R-38 0 0 0 U -value 0 0 0 0.50 -176 -84 -54 0.30 -102 •49 -32 0.10 -26 -13 .8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Single- Family R -value Detached R-0 -68 R-11 0 R-13 2 R-19 8 U -value 0.80 -153 0.50 -91 0.30 -47 0.10 0 0.08 4 0.06 9 0.04 14 0.02 19 0.00 24 Single - Family Attached -51 0 2 6 -114 -68 -36 0 3 7 11 14 18 Multi - Family -34 0 1 4 -76 -46 -24 0 2 5 7 10 12 3. Raised Floor Insulation -1 -1 0 Insulation in Floor 2 2 1 Number of stories 4 2 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -39 -24 -10 0.60. -144 -70 -46 0.50 •120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -8 Number of stories 7 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 .2 4. Slab Edge Insulation 15 22 -37 Number of Stories -3 R -value One Two Three R-0 0 0 0 R-5. 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points 7..Shading (Shade Open) Effective Percent Class (percent glass x SC) Effective Standard SC interior 0 Mass 6. Glass Heat Loss North East South Total Skylight 18 5 1 U -value 1 Percent 16 4 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Percent Class (percent glass x SC) Effective SC interior Slab Floor Raised Floor. Mass %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 16 or Wall Family Family Multi �!. Shading (Shade Closed) Detached Attached Family Effective Percent Class 0 0 0 (percent glass x SC) 3 2 Effective -12 0.40 5 4 3 -4 %Glees North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 738 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . net AMMUM 0 0 0 0 0 0 0.60 5.50 9. Interior Thermal Mass SC interior Slab Floor Raised Floor. Mass Stories Stories t i 99 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 12 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 1.3 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 7 Exterior Single- Single - +61D 16 or Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 -17 0.20 3 2 1 -12 0.40 5 4 3 -4 0.60 8 6 4 -3 0.80 10 8 5 0 1.00 13 10 7 0 1.20 13 12 8 5 1.40 12 13 9 16 1.60 10 13 11 5 1.80 10 12 12 Heater 2.00 10 • 11 13 26 11. Heating System 15 12 8 SE or HSPF 30 26 22 (assumes ducts In attic) 14 9 13.0 Sum of 1.6 29 24 20 15 25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 .5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5. 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 2 Efrective SE or HSPF -15 (SE or HSPF x duct efficiency) -9 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 , -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 1 System Type 0 0 0 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SC Unit Size (sQ a..3 Water SEER t i 99 12M 1700 2200 2700 (assumes ducts In attic) or to , to &m of 7-10 or .Type Type less -25 or -24to •14 to -4b +6to 16 or SEER less 15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -12 -9 Effective SEER -6 IG None (SEER x dud ef'ticlency) -3 -2 -2 Sum of 7-10 0.8 Solar 7 Effective -25 or -24 to -14 to 410 +61D 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 1200 1700 2200 Heater Credit or 110.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 or Zona: Control Adjustment ' 14 7 5 10 8 7 6 4 3 5 No Cooling System Installed 2 2 Stories WSB 9 4 3 2 One -5 -4 -4 -3 -2 -2 Two+ 3 3 •2 2 2 1 Single -Family Detached and Attached Interior MasslCFA I true 7 MSS SC Unit Size (sQ a..3 Water ,77 = t i 99 12M 1700 2200 2700 Heater Credit or to , to to or .Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 = p -- WSB 5 3 3 2 2 POU 8_ _ 5 _ 4 _ 3 3 SE None -37 -24 -18 -15 -12 w/ Solar -1 -1 -1 0 0 Effective SE or HWR -18 -12 -9 -7 -6 25% WSB -25 -16 -12 -10 -8 60Y. POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 0.8 Solar 7 5 4 3 2 2.3 POU 3_ 2 1 1 1 IE None -28 -19 _ -14 -11 -9 53 Solar 8 5 4 3 3 1.2 POU -10 -6 -5 -4 -3 2.7 Multi -Family (individual 3.1 units) 3.5 3.7 4 4.2 Unit Size (sQ 4.6 Water 5 699 700 1200 1700 2200 Heater Credit or b to to or Type Type 16x6 1199 1699 2199 more SG None 0 0 0 0 0 or Solar ' 14 7 5 4 3 HP HWR 9 5 3 2 2 2.6 WSB 9 4 3 2 2 4.1 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1.5 Solar 2 1 1 0 0 3 HWR -23 -12 -8 -6 -5 4.5 WSB =25 -13 -8 -6 -5 5.9 _ POU -23 -12 -8 -6 -5 IG None -8 -4 -3 -2 -2 3.4 Solar 6 3 2 1 1 4.6 POU 1 0 0 0 0 IE None -30 15 -10 -8 -6 2.2 Solar 18 9 6 4 4 3.7 POU -8 -4 .3 -2 -2 Interior MasslCFA I true 7 MSS SC Eff. % Glass a..3 X ,77 = I•��y ' X Sum 7-]0 X = - a.� X .7 _ OP. 0e % Glass u.7.un1C•..71 rpet.4 Ic..I.bl Eff. % Glass a. X - 4 TYPE I MASS (UIMC 4.2, ie: exposed slab) ."7 X 1.7& X = p -- TYPE 1 MASS AREA j $ InteriorM.iss/CFA GOND. FLOOR AREA TYPE 2 MASS AREA % Wall Mass ffUExterior NOQD . F=OR AREA w/ X SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.6] OY. 5% 1095 15% 20% 25% 30% 35% 40% 45% 50% 55% 60Y. 65x 70% 75%'80% 85% 90% 95% 100% 105% 110Y. 115% 120% 125` 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 toy. 0.2 0.4 0.6 0.8 1 1.2 1.4 - 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 WY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 11.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5' 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.6 6 6:2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 MY. 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95%1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Measures 150 or R -value (38] U -value [0.030] 9 or R -value [ I I) U -value [0.098] -� or R-value(191 U -value [0.037] Point Scores G7 4. Slab Edge Insulation . or R -value [0] F2 factor [0.771 5. Infiltration Standard 0 6. Glass Heat Loss D&.I (& rQ .. I to /3.,S fi3 + % Type [double] U -value [0.65] %Total Glass [16] Sum 1-6 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating % Glass SC Eff. % Glass a..3 X ,77 = I•��y �. )f X Sum 7-]0 X = a.� X .7 _ OP. 0e % Glass SC Eff. % Glass a. X X t9- x-- ."7 X 1.7& X = p -- TYPE 1 MASS AREA j $ InteriorM.iss/CFA GOND. FLOOR AREA TYPE 2 MASS AREA % Wall Mass ffUExterior NOQD . F=OR AREA w/ X SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.6] HSPF [0.5615.15] SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] &r Type [SG] Credit [none] . -/0 Sum 7-]0 rt � Point Total: ("