HomeMy WebLinkAbout059-084-01059-084-10
Jack Yates
EpNE corner of ManzanitaAve. & Gypsum,j
Stirling City
'it141-J8 arage)
I�E(newJpri
597084-10 505-91B,P.,E,M
YATES, Jack
716 Manzanita Ave, St' ling Cit
a ve, g Cit
- ling
(n6w sf)
519- 4-40
Permit#1163 91B
(open -deck Tsr)
059-084-010, PERMIT#95 �ES;'
8>
Y Doti S -17
AT
17220 Manzanita, Stirling City,
Cont: Aalgaaird Const.
R,epair. Auto Damage/Garage
4
RESIDENTIAL "
t- - -- 505-91B,.P,E,M -
4/-54-084-10
4 "
YATES, Jack
716 Manzanita Ave, Stirling City
/(new sf)
-
t
FGAS,
CE COPY
r
ELEDateJOB FINAL
Signature
i
J=OK
O = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date UNDE LOO (Plans)7K exce t #'s
oning-Setbacks-Easements-Flood-Slope
2. Ftg., Main; Soils-Elec. -a' Ftg. Depth
--9-,tg.,-Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
'-5e-Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Sla ;Steel -Wrapped
iec�ireplace Ftg.-Steel
.W.V.: Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
JA-0irders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Insulation
s
Date - ?/Card B-1 Date Card B-1
Date ^-Z.Z-%/,Card 13-1 Date Card B-1
Date PLUMBING Permit 0K except #'s
1 Water Htr ; V t -Access -Combustion Air -Baffle
1X-Wate ipe; Test & Anchor -Nail Protection
1A-D.yJ<, Test -Fittings & Anchor -Nail Protection
1.0!§howef'_Pan; Test; First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
2 . Gas Pipe; Size & Anchors
Date L/, P7. 11 Card B-1 �j Date -Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
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.
Equ' . Ground made up w/Mech. Fastners-Bond & Water
2-15Appliance Circuts in Kitchen'& Conductor Size/GFI
Subfeed Wireiz / a. Cr'u =A.C. Wire Size/ / ga.
Cu or Al V
29:' Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI.
CA�3Insulated Neutral 0 Yes 0 No
30: Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
3 lothes Closet Light -Shower Light -Spa Light
3 . Smoke Detector
Date ' Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
5 Ve an; Exhaust above insulation
3 Condensate Dr 'n & Overflow; Size & Grade
t3 . rnan -V t' ccess-Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date °l1
Card B-1 ({C� Date Card B-1
Date
Card B-1 Date Card B-1
Date FR
ING (Plans) OK except #'s
31.
Is, Proper Material & Anchors
4 .
alls Studs -'Nailing, Spacing & Bracing -Plates -Sound
41.
Bearing Walls over Girders & Floor Nailing
48:
raft Stop in Walls (rat proof)
3.'Fire Stops; Furred Ceilings -Stairs -Chases -Tub
4 Headers & Beam -Size & Bearing
Date - FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Cing. Gist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
eplace Ties or Type A Flue -Fire ace Throat clearance
' Attic Access; Size Romex- r ction- aft Stop -Ins. Baffles
49,i5d-rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-56,78arage-Fire Protection Framing
wl�roperty Line Firewall & Openings
Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5 . Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access
5z,e%iiing Area -Glass Protection -Skylights -Plastic.
58. hear Walls; Nailing -Bolts
Insulation -Walls -Ceilings /Q-J0X.i
60. Infiltration -Walls -Windows
Date Iq I Card B-1 Cts Date Card B-1
Date L . % Card -1 ' VVV Date Card B-1
Date FINA lans)'OK except #'s
(fJ6.j4xt. Steps -Door & Sidelight Protection -Landings
L-6R-'9moke Detector
i-Fnmace; Vents -Clearance -Comb. Air-Connector-
Inarage; Above Floor-Ducts-Mech. Protection
4.droom Exiting
Xe
g
G.F.I. & Bath Fixtures & Tub Access -Spa
L.- ETec. Trim & Subpanel; Breaker Sizes & Labels
Stairs & Rails
- a�!ace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
it.F' t. & Appliance; Grnd: Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
Gefege `'Fee Door; Swing -Landing -Closer
-_7A.G.-Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
L�5-FflK, Elec. & Mech. Equip. Listed for Location
ceptacles in Garage; (G. F.I.) -Rome x P ction
1?77. Insulation -Foam -Looked in Attic es
18�S,uard Rails .& Deck Construction -Post Caps
Vents & Crawl Hole Dooge &r -Drain W od-Earth
9 �4-Pdh ce Looked under Floor es
V 0. Following instld.; Drive 0 Yes o; Walks ❑ Yes
Planters ❑ Yes Q-Nir
o; Brown -Finish
C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
a er Well; Disconnect, Electrical, Plumbing
`85-FAterior Elec. Trim; G.F.I. Receptacle -Underground
tilation Throughout House
Glass Protection l
88. Cgryactions from Previous Inspections
w-'-8 9. s TeV-Meters Tagged; Gas -Electric -5
90. ater'& Sewer Connected -C/O to Grade -HD Approval J
Av
t4& nergy Compliance Certificate -Other Certificates
-
Date Card B-1 a Date Card B -1 -
Date/
-1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
v=Ok
O = Not OK
= Not Applicable
Not Ready MOBILE HOMES
' =
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /" L' ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. 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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, CraARAGES,,(Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures- Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
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 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.
G14�
Date // / InspectorC-
��`�� COUNTY OF BUTTE ��
•, \'^, DEPARTMENT OF PUBLIC WORKS � ;'
196 Memorial Way, Chico — Phone: 891-2751
7 County Genter Drive, Orovi Ile — Phone: 538-7541' .
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NC
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
whe correction of work is completed. If you have any question pertaining to this
ma e , or need additional explanation, please contact this office immediately.
A I 0AoJJV— / ���Rr7o.J ��^/ ►nl� /d r /moo✓3t
;;, Date I ` Inspector !�2
JA 70-
z OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
�4exist 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.
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
=ti
196 Memorial Way, Chico — Phone: 891-2751
ti 7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
r,
CORRECTION NOTICE
JA 70-
z OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
�4exist 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.
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COUNTY OF BUTTE 4
DEPARTMENT OF PUBLIC WORKS
196 Memorial Wdy, Chico — Phone: 891-2751��
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
azo 1, �s
OCNER IPERMIT NO.
*R
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 , o'r need additional explanation, please contact this office immediately.
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Date
Y:
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Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7'County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
PERMIT N0.
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.
Date. % Inspector
i �a ;
OOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS gPE IT NO.
7 County Center Drive - Oroyllle, California 95965 - Telephone: 916/538-7541
/
"APPLICATION AND PERMIT
ASSESSOR PARCEL NU B R
59-084'-10
ZONING
U
'
BUILDING PERMIT
OWNER
Jack R. Yates
TELEPHONE
873-:4040
SO. FT. OCC, BUILDING VALUATION
502 open 2,510
OWNER'S MAILING ADDRESS
P.O. Box 105, Stirling City 95978
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is 2,510
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 38.50
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee $ 19.25
Energy ecg
Ener Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
716 Manzanita, Stirling Cit
Permit fee $ 67.75
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
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
SFO 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
New40 Addition Remodel[:] Utilities ❑ Installation❑ Other ❑
Describe work: deck refer to RP #528-91
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 80ov OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 2.50
CONTRACTORS LICENSE LAW
❑ I am licensed under provisions of Chapt. 9, Div. 3 ' of the Business
and Professions Code and my license is in full force and effect.SINGLE
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 reason
NEW CONST. DWELLING OCCUP.ei
ADDNS. ACC. BLDGS. h¢sgft
-NEW CONSTR. MULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS 2
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®50e20@030
FIXED LISIS
Ex. Occup. OUTLETSP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirin 15.00
9
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): -
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you 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.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
g
Hood 3.00
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 County Ordinances and 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, judgments, costs, and expenses which may in any way accrue
against s oun in consequence of the granting of this permit.
�/L /p y'/
X Date
Signotu e f Applicant — Owner Contractor ElAgent ❑
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 $
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CONST TYPE -
TO AL EE $ 7.75
z. cu
PA sc
F
CDF
PA
PD
i H
Iss
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
�DP. EC RrOPUBLIC WORKS
BY(/ZDate C (�
PER IT EXPIRES ate P
Receipt No. �� t7
WNIT!-D. P. W., YELLOW-A98l930R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPA'RTMENT
PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER Dfil,VE+ tOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA -SHEET /-
t 4 Permit No.
OWNER G s°L I�r"t S- f A. P. No. `'d "O
Proposed Building Use VeGh ? Building Inspector —J Date—
At
ate At time of permit application, I 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 im'duplicate/triplicate, 'signed by preparer of plans ........ `
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature'on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .......................... .. ..... ..............
10. Fees of $ .......................
11. Chico Urban Area fees paid .........................................
12. Park fees paid ....................................................
School District fees paid ..............
-�� Sanitation approval from 064M _00/ -W- Health Department
15. City of Chico plumbing permit ..........:..........................
16. Plot plan and business license approval from City of
(see City for other requirements),\
17. Planning approval for (A) Use: �, (B) Parking: ......
` 4 18. Improvements may be required. Contact -Land Development Section DPW
.•,,., 19. Driveway Permit (construction aPProvae uired prior to occupancy)
"•Y '��s 20. Pre -Inspection for required Pre-Inspec.request to ,
21. Contractor's license information (No., Name Style, Classification) Inspectorloatei
22. Certificate of Workmans Compensation Insurance ...... ...........
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ............................. ..... .
26.
27.
When you issue the permit, process as follows
Telephone
Other
and hold for pickup at
i I to owner. —Mail to contractor.
office. Deliver w./inspector.
Applicant L_ '
Date
Copy of Haz-Mat form sent Health Dept.Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The followi,ng data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_lnall_counter by ..date
Contractor, designer, owner, was advised of above required data by_phone_mall_C,/unter by date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet �/ AP folder
Date
All 'that realTroperty: situate in the County of Butte, State of California, described as
follows:
Lot 9 in Block 14, as shown on that certain MAP OF
STIRLING CITY, the official Map of which was filed
in the office of the Recorder of the County of Butte,
State of California, August 3, 1903 in Book 4 of Maps, at
page 33.
Date: 2-26-91 PROPERTY OWNERS:
J&& R. Yates
State of ) On this the � 6 10� day of , 19before me, the
SS. undersigned Notary Fublic, personallf appeared
County of )
Personally known to me. El Proved to me on the basis
■■■■■■■■■■■■■■■eta■■■o■e■ ■ of satisfactory evidence.
e ROBBI BABCOCK :to be the person( �_L-whose name
r NOTARYPUBLIC-CALIFORNIA ■subscribed to the within instrument and acknowledged that
®� Butte County ■executed the same fcr the purposes therein contained. IN WITNE S
■ My Convnission Expires May 28,1994 :WHEREOF, 1 hereunto set my hand and official seal.
Present A.P.
Notary Public
END OF DOCUMENT
9 i -07402
'Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RtSIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte Countv. Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
9.1-007402
Rec Fee 5.00
Cash 5.00
The property described herein is adjacent
Recorded
to land or included within an area zoned
Official Records
for agricultural purposes, and residents
County of
of this property may be subject to incon-
Butte
"..
veniences or discomfort arising from the
Candace J. Grubbs
t_
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
Recorder
and fertilizers; and from the pursuit
2:22pm 26 -Feb -91
X i
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural 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 discomfort from normal, necessary farm operations.
All 'that realTroperty: situate in the County of Butte, State of California, described as
follows:
Lot 9 in Block 14, as shown on that certain MAP OF
STIRLING CITY, the official Map of which was filed
in the office of the Recorder of the County of Butte,
State of California, August 3, 1903 in Book 4 of Maps, at
page 33.
Date: 2-26-91 PROPERTY OWNERS:
J&& R. Yates
State of ) On this the � 6 10� day of , 19before me, the
SS. undersigned Notary Fublic, personallf appeared
County of )
Personally known to me. El Proved to me on the basis
■■■■■■■■■■■■■■■eta■■■o■e■ ■ of satisfactory evidence.
e ROBBI BABCOCK :to be the person( �_L-whose name
r NOTARYPUBLIC-CALIFORNIA ■subscribed to the within instrument and acknowledged that
®� Butte County ■executed the same fcr the purposes therein contained. IN WITNE S
■ My Convnission Expires May 28,1994 :WHEREOF, 1 hereunto set my hand and official seal.
Present A.P.
Notary Public
END OF DOCUMENT
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bR1-\L114G. .TYPI('AL RES11)k'W7X0 ���✓s ���u/%�p�C�C�
a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
COUNTY OF BUTTF_ - DEPAR.1'MENi OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
oqy - c APPLICATION AND PtRMIT
ASSESSOR PA L NUMBER ZONING
Y.
5( . BUILDING PERMIT
OWNER - - TELEPHONEJack R. SO. FT. OCC. BUILDING VALUATION
-4060
.• A
OWNER'S MAILING ADDRESS 1
P 0 Box 105. Iitirl i no ' Ci t•v ()1;A7A
l
CON T HAL; i OR•S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ Z s ( d
LENDER'S MAILING ADDRESS t
Filing Fee 10.00
Permit Fee $ 3.5�
ARCHITECT OR ENGINEER
LICENSE NO.
•i
Plan Checking Fee $ t Si Z
ARCHITECT OR ENGINEER'S MAILING ADDRESS
I t
Energy Plan Checking Fee $
_
Penalty $
j
f,
BUILDING ADDRESS
716 11anzanita, Stirling
Permit fee $
PLUMBING PERMIT FllingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
I
LOT NO,
SUBDIVISION NAME PARCEL MAP j
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 I S I G JW 1 1 110-00 ea
TYPE OF WORK
Newff Addition /❑� �Remodel[:) Ut/ii��li__t--ies ❑ Installation❑ Other ❑
Describe work: !„/��-/� ff'�2 !'o ey0 526” `Z!
B
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service i00 AMPOR01 OR 10.00
Main service EA. ADD -L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ .1 am licensed under provisions. of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N ,
DR ACDNS- ACC. BLDGS. 2/:¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR,
0@50t
Ex. Occup 2
OUTLETS OR FIXTURES eAL630
FIXED
Ex. OCCUp. OUTLETS (LNS R
RESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. lyirin 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Udof Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
g
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that 1 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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabiliti s judgments, costs, and expenses which may in any way accrue
against s Id Clunty in consequence of the granting of this permit.
X Date �S'
Signoturq�./Applicant — O,4..rET Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of strgctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
7 76—
TOTAL FEE $
HAz
I CUA
I PARK
SCHL
I FAD
CDF
I PAR
PD
I HD.
ISSUE
This permit Is hereby Issued unser the applicable provl-
sions of the Butte County. Code and/or resolutions to do
work Indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
I PERMIT FXPIRFS fete
Receipt No. 4�R✓/.3 �
._ . ,.. ... ... -------- ......._....-_,._ _ _... _.. __ __-.._..._
COUNTY OF BUTTE - Department of Public Works
7 County Center'Drive,-Oroville, CA 95965 Phone: 916-338-7541
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 mate -ials 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 following person
" to coordinate, supervise, and provide the major work:
Name
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
Date
C
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCPL NUMBER
59--084-10
ZONING
TT
BUILDING PERMIT
OWNER
Jack R. YaTes
T LEPHONE
SO. FT. OCC. BUILDING VALUATION
1207 R 48 280
OWNER'S MAILING ADDRESS
P046
COV 460
'S
CONTRACTORNAME
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 48,74
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 278.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 139.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 716 Manzanita, Stirling Cit34
Permit fee
$ 442.75
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping ,
5.00 9 -nn I
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF MK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK �
New 91 Addition ElRemodel ❑ Utilities ❑ Installation[ -Other ❑
Describe work: 3 bdrm
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR
Main service 100°o AMP ORSLESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$$
and Professions Code and my license is in full force and effect.
'License No. Classification.
Q 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)
•
El I, as the owner, am exclusively contracting with licensed contract -
0 rs.(Sec. 7044)
EJI am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (DWELLING oCCU1.11d)
OR ACDNS. ACC. BLDGS.
yzQsgft 30.17
NEW RESID*MULTI-OUTLETNCHCIRCU
NON•R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. Occup�OUTLETS OR FIXTURES
ALe 0
5AL030
EX. FIXED P
OCCUp. OUTLETS (RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Wiring
g
15.00
Permit Fee
$ 52.67
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
ar Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
2/I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee .10.00
Heating
6.00
forced air
Cooling
9 2 ton
6.00
Hood
3.00 3.00
Ventilation
7 6.00
permit Fee -
$ 31.00
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 ounty in consequence of the granting of this permit.
X Date N`y
Signatu e f Applicant Owner ❑ Contractor ❑ Agent ❑
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 $ ' 0-0
CON TTYP
TO L F E $
602.42
HAz.
.�..-
cuA PARK
��
sc
FL
CDF
PAR
PD
) HD
I sue.
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
�
` 7i
BY Date"'�
PER EXPIRES Date -3-7 -
Receipt No. 83873 - .�
WHITE-O.P. CL SESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
11:111 01111 11, IT i ad! 11!1
(iC�'hr'.fL�fT 'L
Af' COUNTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS -BUILDING DIVISIaN' !
�a 7 COUNTY CENTER DRIVE`- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541
PERMIT APPLICATION DATA SHEET /
Permit No.
OWNER G vY�S A. P. No. 5?— OFY /�
Proposed Building Use ti --2 Building Inspector Z 6�Date ?/
At time of permit application, I was advised the following data must be submitted prior.to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans'. .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. .Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings-,,.` ..............
8. Engineered truss details and layout in duplicate (required priorto.plan check) $
9. Mobilehome installation data including manufacturer's installation
instructions ......................':..............................
10. Fees of $ ' ........................
11. Chico Urban Area fees paid .......................................
12. Park ees aid ...............................................
3. � �`J chool istrict fees paid .............. Z —ZC-
14. Sanitation approval from 4Health Department
15. City of Chico plumbing permit ...........................:.........
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to ,
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................. .
3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
hoz=a+../�' • J - �
When you is, a the permit, process as follows: —Mai l to owner. Mail to contractor.
Telgp one�7"3^�_/dY�• and hold for pickup at AieA emZ_;ffice. Deliver w.
/inspector.
Other
Applicant r Date —Z, x,
Copy of Haz-Mat form sent Health Dept. Fir(, -Kept. Air Pollution Date
Copy of plans sent Health Dept.Fire Dept. Other Date By
The following data must be submitted prior to permit iss. (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone-_jnail—counter by�zz ._date
Contractor, designer; owner, was advised of above requir data by—phone —mal l—counter by date
Plans checked by Date Plans approved by___Date
Sets if plans on hold in File cabinet.. AP folder
9 3 2 5 VV / sd d
Cop'�ly"! d–
W
d43 — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller California 96985 - Telephone: 916/538.7541
APPLICATION AND PERMIT
PERMIT NO.
AGSIZSAO
-(�
"IN
BUILDING PERMIT
nnH
a 0- �l S
"
^_7DAle)
SO. T. OCC. BUILDING VALUATION
�F,
G_.V
O
W`
M DDR ,
via
Y4f/
6-O . ®10
CT nN M
O
vXC,r
TELEPHONE,
CONTRACTOR'S MAILING ADDRESS
Fireplace
C/O��TRUCTION LENDER
C o ne
UNKNOWN
Total Valuation $
Q, 6
`
LENDER'S MAILING ADDRESS
FilingFee
$ 10.00
Permit Fee
$ 2 1K. Sd
AR,FJITECT OR ENGINEER
p
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ ��
ARCHITECT
TECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
B 1IG ADORE
n �Q � • �Q �1 r ; �
Permit fee
$
PLUMBING PERMIT FlfingFee to.00
Each Trap
2.00 60
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 o o
Each qas water heater or vent
5.00 0
USE OF STRUCTURE
SF [�d Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 p
Building sewer
5.00 OQ
Mobile Home SG WE]J
0.00 ea'
TYPE OF WORK
New X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: r
Permit Fee
$ Y6. ®0.
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00 -�
Main service EA. ADO'L 100 AMP
2.50 D
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
FJ1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a`
OR ADONS. ( ACC. SLOGS. I
, /=¢sgft
NEW CONSTR ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS a
- (SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
120050C
03o
FIXED
EX. Occup. OUTLETS P(RESID )REA.)
1 2.00
Temporary service
1 10.00
Mobile Home Facilities
15.00Misc.
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 shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating .o dAD Qa
Cooling / a d
Hood 3,00 1 3 m m
Ventilation 2 d o O
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signoture of Applicant — Owner ❑ Contractor ❑ Agent ❑
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 $ (D dD
occ
CONST TYPE
/�'�
TOTAL FEE $
HA Z.
CUA PARK
SCHL
FLo
coF
PAR PO
; o. ISSUE
This permit is hereby issued unaer the applicaDle provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.$ 24
WHITE-O.F.W.. YELLOW-ASeE330R. PINK-INSP$CTOR. GOLD ENROO-APPLICANT
COUNTY OF -BUTTE - Department 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) v�o
2. I (have/have not)signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construct' n:
Name
Addreds 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 /1j
Addres' 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 0"/
Social Security Nu r
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.
RESIDENTIAL PLAN CHECKING GUIDE 12/90
(S F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A.P. # I'�
l.1,,S
GENERAL Plan Checker -
oning requirements: (sideyards and number of permitted living units).
Fxiuaticn.
ns signed by designer.
per description of work on application.
sting violations on property.
ms on data sheet. (W.C., fees, Health,
orded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
-Flood hazard.
Special conditions on creation map,
. ustible, and foundations).
FAU & FAS road setback.
Developer Fees, License law, etc).
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
-Skylights (Chapter 34 & Sec. 5207). '
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article -210-8).
Light fixtures, switches,.. receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
2Pireplace and wood stove location, alcoves, and clearance.
�-. •moke detectors (Sec. 1210).
E+—dumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
_Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
''Foundation plan complete enough to construct building.
r Floor construction details complete enough to construct building.
"Elevations and wall construction details complete enough to construct building.
-'Roof construction details complete enough to construct building.
"Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
9 -.—Stud heights. N.
3 ---Adobe soils - special foundation.design.
Retaining walls requiring design.
Special Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
uardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
terior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
oof covering type - (fire hazard).
Foam insulation - protection.
6" halls and stairways.
iving area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
- exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
. Att'c access and ventilation (Sec. 3205).
nderfloor access and ventilation (Sec. 2516).
. Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Y-S:®Energy design.
lashing at all exterior openings.
1 DF responsible area requirements.
w
74
77
l
5
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u
BUTTE COUNTY SCHOOLS' DEVELOPMENT FEE CERTIFICATION FORM
(One Form per�Building)
A.P. Number Building.Department No.
School District City D County ® Jurisdiction
Property Owner
Project Location/Address '7/4( ✓�,�,nIZ�^'/1'' s}-i,�,C�a� C�7'r
Subdivision Lot Number
Residential Development:
Sq. Footage / 1?0_�
# ofLiving MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Buildi-ng Dep,�aretme�'�" nt Representative Date
r
(Floor Plans reviewed by School District Personnel)
• District, -Id No. �V 6 G R r
All _d SchooloDi-strict certifies that
(A licant ame) l y/� ('Phone Number)
O �(/ 70'f
( Street Address)_ r''�
(City)'
) ,C I I(S tate)` ( Zip Code)
has complied with the requirements•of Resolution No.
by.the payment of $ 6 9,0 representing PC) squpre feet.
r 7�.� Aa lel
hool District Representative Dat '
PAID BY CHECK NO. / REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
059-084-010. PERMIT#95=2768'
'YATES, Doris
17220 Manzanit'a, Stirling City
Cont:'Aalgaard Const.
Repair Auto Damage/Garage
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Calif(fr-nia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT ~ 2
ASSESSOR PARCEL NUMBER 059-084--010
ZONING
BUILDIN PERMIT
OWNER DORIS YATES
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 17220 MANZUITA ST STIRLING CITY
CONTRACTOR'S NAME
AALGAARD CONST.
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIQ40WN
Total Valuation Is
LENDER'S MAILING ADDRESS
Fling Fee $
20,00
Permit Fee $
.54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
17220 MAN?.ANITA
PERMITFEE $
4
STIRLING CM, 95978 I
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT No.SUBDNISaN'S
NAME
PARCEL' MAP
Solar or heat pump water heater
23.00
USE OFSTRUCTURE f
SF ❑ Duplex ❑ Mobilehome ❑ Other Q e/i
ei - cIj a.a re. 4 -4-1
SPECIFY if
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TX`_:OFF WORK
New ❑ Addition ❑ Remodel ❑ �s,O Installation ❑ Other Y,
(� , p
7
Describe Work: �"4 �2 "A yl�f /i k ti_ U
r ri
�!
Mobile Home S G W
@20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service ( Zoon OR UEss )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class / /� . g Lic. No. r� �n /�/ �' L'
Tom'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR OR DNS. d ACC. S.
AD ( BID )
3.50 FT. SO.
NEW CONST. MULTI.OUTLET
NON -RES ID. ( BRANCH CIRCUITS )
97.50
APPARATUS )
( b SINGLE
LE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
64L so
Ex. Occup. OUTLFIXETS (RES D.)EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
GY I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compe sation insurance carrier and policy number are:
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Numberc :
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
f with comply with those provisions,
z
X� _ Date _(�
Signature of Applicant - ❑ Ovfner ErContractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories inheight.y
Mobile Home Installation Fee $ .. I
Energy Inspection -Fee $
Occ
CONST. TYPE
TOTAL FEE $ 74.00
HA2.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL
I PD I HUT;SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
% %-
8� Date
)�J/
PERMITEXPIRESON / /07 7�D
—� (Date)
7eight..
Receipt No. C� /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO
7 County Center Drive - Oroville, C&I fornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATIM'AND PERMIT
ASSESSOR PARCEL NUMBER 059-084-010
ZONING
BUILDIN PERMIT
OWNER DORIS YATES
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
17220 MANZANITA ST STIRLING CITY
CONTRACTOR'S NAME
AALGAARD -CONST.
TELEPHONE
CONTRACTORS MAKING ADDRESS
_
CONSTRUCTION LENDER / UNKNOWN
LENDER'S MAILING ADDRESS �„�-O
Fireplace
Total Valuation Is
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
17220 MANZANITA
PERMITFEE $
STIRLING CITY, 95973
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURRE %%
SF ❑ Duplex ❑ Mobilehome ❑ Other A9Lp6 Qrd
SPE;a I
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: c ` I it 'e- Q I.i
Mobile Home ISI GI W
@20.00
PERMITFEE
3
Contractor
ELECTRICAL PERMIT
Filina Fee 1 20:00
0V OR LESS
Main Service E0
( L..A OR LESS )
I 23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 4 Lic. No. ; /in 'J t/�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Coltractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
E3' 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' corTlpery�tion ins rance carrier and policy number are:
Carrier /�-`} .z
NEW CONST. DWELLING OCCUR.SO,
OR ADDNS. ( & ACC. BUDS. )
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS
s SINGLE ourLEr cIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
1.00
BAL Q
Ex. Occup. ouTLEEDTs RESD.)EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
—d—
PERMITFEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shaf with comply with those provisions.
X { _ Date Z )L) o�1
Signature of Applicant - ❑ Owner & Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
I
TOTAL FEE $ 74.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PD
This permit is hereby issued under the
the Butte County Code and/or
indicate above for which f s ave
y Q
PERMITEXPIRESON
I(Date)
JHDcompensation
applicable prof
Resolutions to d
been paid.
Date 1
Receipt No. 6.1 —7
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
6141-78B,E
PERMIT NO. ;
PERMIT EXPIRES
OWNER Jack Yates
CONTR. owner
59-084-10
LOCATION (A.P. )
NE corner of Manzanita Ave. & Gypsum,
Stirling City
�r
4 _
r
:i
Temp. Power Pole
Called PG&E
Temp. Elea. Serv. -Z—
Called PG&E
TempOrGas Serv. a
/FI
alled PG&E
LED —!
(Da e)
(S i g n�glfiure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING IBUILDING,(Cont'd) I PLUMBING
Setback 10
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
_
Sidingv
To out
Slab
Roof Sheathing /Z--/ —7
Water Piping
Piers
Roofing __ —LE CID
Sewer "
Garage �_
Fdn. Vents
Fixtures
Footin
Stemwall
d 7)t7
G.
Garage Vents
Insulation.
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for physically
handicapped
Conformance of ex.
structure
Final
Appliances
Gas Piping &Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final Z.
Footincis
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures 12 —Z— C -e -V
Bond Beam
F13tE SPRINKLERS
Motors
Mesh I M CHANICAL Grd. Fault Prot.
Scratch Heatino Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final /, _. %3••---�
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEH IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE % REMARKS OR CORRECTIONS
9
Cz, c/.E 6cl7 y7 zfes .a,7' 3
f0 rn! vvsk Cri`��
"S , /
k
� � -/ 'n-7 � �£-%•w S�r/ic � coic.r Ali l 2 � 7
b
�� .
_ NOTE: An entry ust be made on t�h'�pf�orm each time ou visit the job site.)
r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 _ _ _
Telephone: 534-4541 �/
APPLICATION AND PERMIT A-
BUILDING
OwnerC �/+�
SO. FT. OCC. BUILDING VALUATION
2 J.
Mailing Address ;;,)b,
�'
Telephone No.
Contractor A..Jsr&
Mailing Address
Fireplace
Total Valuation 3� 1010
Telephone No.
Permit Fee p
Building Address -e11 e4WA.1471ZIan
�J��
Checking Fee&/or Penalty
Permit Fee
p
(9 u�!'/i1 •
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
.57 f42lJA0G e,i %�-
Repair drainage or vent piping 1.50
A. P. No. <-5% _/4)
ening & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fes
C.
,io Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
�,� ��
Bl dg.�s Recd
Parcel A val
��
Plal4�proval
Lawn sprinkler system 2.00
NEW N ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
712-1,
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,4)0
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service 600V OR LESS
100 AMP OR Less 5.00
Main service EA. ADD•L too AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service// EA. AOD'L 100 AMP 1.00
NEW OR ADDNST % ACCLBL GSLING 0.0 P SI 2¢Sgft a P
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. BRANCH CIRCUIT
NON-RESID BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS a
NON - RES ID, SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES 50@250
BAL@t
Ex. OCCU FIXED APPLNS. OR
P. OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License.No. Classification
Misc. Wiring 6.25
!/ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1 certify that in the performance of the work for which this
permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
1$4515
authorize representatives of the County of butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Ignature of
Permit or Agent
L\�,WR
eceipt No. /dhite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have paid.
DIRECTOR 05 PUBLIC WORKS
BY at ��—Z-
7-
B ilding permit expires Date �,^—
OWNER'S NAME:
�- .4 r7 - S, RECEIVED
PERMIT NUMBER:
A. P. #: - �i _ / �' DATE
RESIDENTIAL F-1 NON
RESIDENTIAL RECEIVED BY TIME
---------------------------------------
REQUIRED PRIOR TO PERMIT ISSUANCE
FROM DATA SHEET
F] REQUESTED BY PLAN CHECKER
OTHER
---------------------------------------
REQUESTED BY CORRECTION NOTICE F-1 YES ❑ NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
--------CE-F-------------------------
WHEN APPROVED,
LLOWS:
Mail to
-17 4Q�
s)Mail
to(%eame
and Address)
�S
Call
r icku a
- office.
(
Deliver with next inspection.
Al
REVISED PLAN CHECK FEES PAID: ,,,11 /5
o2% t,
$15.00
$30.00 Additional Fees Not
Required
C6
Certificate of Compliance: Residential Climate Zone 16
Pro l art Title
b ULLIJIN i SHELL INSULATION
Component
Insulation Location/Comments
Type
R -Value (attic, to garage, typical etc.)
Wall ..............
K /T
Wall ..............
Roof .............
O
'Roof .............
Floor ........:....
Floor .............
Slab Edge.....
GLAZING.
Shading Devices
Glazing
Area Glass Type Interior • Exterior
Orientation Orientation
(sem (single, double) (roller blind. etc.) (shhdf-- r�rthh ote N
Overhang . Framing Type
North L -
Noah ( )
East ( ) -� I
East
Soudh
South ( )
West ( )
West ( )
Skylight ......... - L'2_ I
THERMAL MASS -
Type/Covering - Area - Thickness _
(slab/exposed, tile, etc.) (Sf) (inches) Location/DCseription (kitchen, bath etc) /
HVAC SYSTEMS Minimum
Type (furnace, air Efficiency Location Duct Output _ Manufacturer/ Model #
conditioner, heat elm) (SE, SEER.HSPl7 (attic, etc.) R -Value tuh or approved equal)
lyunL
-Z ate`
�, tlwl
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or aooroved eaual)
.� -- r, .
�V G �Ep PPR
Q�N o Y.
S 1 :tune s
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential . MF -1R
NOTE. Lowrie ruidential buildings subjoct to the Standard: must contain these mcasurts mp+rdkss of the compliers
1 approach used Items marked vitt an astrnsk (') may be superseded pry nor: stringent compliance roquucmutts listed
on the Ceuf+cate of Compliance. When this checklist is incorperated into the permu doeunw+u, the features rated shall
be considered by all panics as boding minimum component performance speaf •,iMa; for the mandatory measures
whether they art shown ehsewhesc in the documents or on this choeklist only.
DESCRIPTION DESIGNER ENMRCEMENT
Building Envelope Metsurts
• 12.5352(1): Minimum coling insulation R-19 weighted avenge
42.5352(b): Loose fill insulation rnantdacuurr*s labeled R.Value.
• 12.5352(c): Minimum wall iroutation in framed walls R-11 weighted average (does not apply to
catmor mau walls).
12.5352(k): Slab edge insdation - water absorptim rue no grr..-, than 0.3%, water vapor
transmission rate no V=w than 2A p mVuXh.
§2.5311: Insulation specified or installed meets California Energy Commision (CEC) quality
standards. Indicate type and form.
62.5352(fk vapor barriers mandatory in Climate Zprs 14 and 16 only.
1
12.5317: Infiltruion/EafdrationConttols
x Doors and windows between conditioned and unconditioned spaces designed to limit aie
Icakagc
b. Doors and windows ctrtific&
f e Doors and windows rbthersaipped: all joints and puteauions caulked and scaled
7 §2.5352(e): Special infiltration barrier installed to comply with 12.5351 moots C EC quality
standards. .
§2.5352(d)- Installation of Fccplaces
1. Masonry and factory -buil fireplaces have
I a. Tight fluting, eloscable metal or glass door
b. Outside air intake with damps and control
c Flue damper and control
2. No continuous burning gas pilots albwcd
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment suing: attach cskulations
12-5352(h) and 2.5315: Setback thermostat on all applicable heating systems-
' §2.5316(x): Ducts constructed. installed and insulated per C hapttr 10. 1976 UMC:.
i
12.5316(b): Exhaust systems have damps controls.
i
62.5314(c): Gas -rued space locating equipment has intermittent ignition devicm
§2-5314: HVAC equipment, water heaun, showerheads and faucas certified by the CEC,
I §2-53520 Waterhm= insulation bLvuka (R-12 or grtaur) or combined inttsior/txtexior
insulation (R-16 or gne;ucr): fust 5 tea of pipes closest to tank insulated (R-3 or greater). -
§2.5312(Eaception I) Pipe insulation on steam and steam condensate return & recirculating
piping
§2-5319(d)- Swimming Pool Heating
1. System has
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar. -
2. 75 percent thermal efficiency.
3. Pool cove.
4. Time clock. '
5. Directional water inlet_
Lighting and Appliance Measures
§2-53520): Lighting 25 lumens watt or
(1 8 8 - groaner for general lighting in kitchens and bathrooms.
t §2-5314(e): Gas feed appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, mfrigeator.frecasts, fmctcn and fluorescent (amp baRasu certified
by the CEC. Indicate make aril model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building featurtrs and performance specifications needed to comply with
TStle 24, Chapter 2-53 and TStle 20. Chapter 2• Subchapter 4, Article I of the California Administrative code- Ti
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
rctain a copy of it and tr istnit the certificate to any subsequent purchaser of the building.
Designer
Nartac -
Ti lc/Fww
Add==:
Tekpihonc
Uc. 0:
(signatttrt) ' (date)
Documentation Author
+ Name
T,tle/Ftrrre
Address:
Building Owner
Name -
Mak/F'um- 1
Addrrss:
Tckphonc -
i
(sigttitt�e) (date)
-tom
a.iaitJa-lt ttlCtr• ra6urt)
Name:
At --r.
Tekphone -
r.
_ 1. Ceiling Insulation
3. Raised Floor Insulation
-13 -6
Single-
Number of stories
-212
R -value
One
Two
Three
R-0
-120
-59
-40
R-19
-10
-5
-3
R-30
-2
-1
-1
R-38
0
0
0
U -value
1
0.04
9
0.50
-200
-99
-66
0.30
-118
-59
-39
0.10
-32
-16
-11
0.08
-23
-11
-8
0.06
-14
-7
-5
0.04
-5
-2
-2
0.02
5
2
2
0.00
14
7
4
2. Wall Insulation
3. Raised Floor Insulation
-13 -6
Single-
Single -
-212
Family
Family
Multi -
R -value Detached
Atlached
Family
R-0 -102
-77
-51
R-11 -11
-8
-5
R-13 -8
-6
-4
- R-19 0
0
0
U -value
3. Raised Floor Insulation
-13 -6
0.80
0.80
-212
-160
-107
0.50
-132
-100
-67
0.30
-74
-56
-07
0.10
-11
-8
-6
0.08
-5
-3
-2
0.06
2
1
1
0.04
9
6
4
0.02
15
11
8
0.00
22
16
11
F2 factor
0.90
3. Raised Floor Insulation
-13 -6
0.80
-14
Insulation in Floor
0.70
l
-6 -3
Number of stories
-4
-0 -1
R -value
One Two
Three
i
R-0
-24 -12
-8
less
R-11
-5 -2
-1
-63
R-19
0 0
0
40
R-30
4 2
1
-25
U -value
8
35
-117
0.60
-218 -103
�-67
-2
0.50
-180 -85
-55 '
-34
0.40
-142 -67
-44
15
0.30
-103 -49
-32
-19
0.20
-64 -31
-20
t
0.10
-24 -12
-8
ji
0.08
-17 -8
-5
-79
0.06
-9 -4
-3
7
0.04
-1 -1
0
-24
0.02
6 3
2
18
0.00
14 7
5
-11
Controlled Ventilation Crawispace
9
19
Number of stories
-65
-19
R -value
One Two
Three
19
R-0
-15 -10
-7 i
-7
R-5
-4 -5
-4
22
R-11
-1 -3
-2
4
R-19
0 -2
-2
-52
j4. Slab Edge Insulation
-3
5
13
Number of Stories
20
-47
R -value
One Two
Three
15
R-0
-13 -8
-4
-7
R-5
-1 -1
0
23
R-7
0 0
0
F2 factor
0.90
-19
-13 -6
0.80
-14
-9 -5
0.70
-9
-6 -3
0.60
-4
-0 -1
0.50
0
0 0
0.40
5
3 2
5. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
-34
Slab Floor
Raised Floor
Mass
U -value
Stories
Percent
West
Stories
.51 to
.41 to
.31 to 0.30 0
Glass
Single
Double
.60
.50 "
.40
less
50
-190
-85
-63
-41
-20
1
40
-141
-59
-42
-25
-8
8
35
-117
-46
-31
-17
-2
12
30
-93
-34
-21
-9
3
15
29
-88
-31
-19
-7
5
16
28
-84
-29
-17
-0
6
17
27
-79
-26
-15
-4
7
17
26
-75
-24
-13
-3
8
18
25
-70
-22
-11
-1
9
19
24
-65
-19
-9
1
10
19
23
-61
-17
-7
2
11
20
22
-56
-14
-5
4
12
21
21
-52
-12
-3
5
13
22
20
-47
-9
-1
7
15
22
19
-43
-7
1
8
16
23
18
-39
-5
3
10
17
24
Interior Thermal Mass
arterior
-34
Slab Floor
Raised Floor
Mass
%Glass North
Stories
South
West
Stories
-30
/CFA
One
Two
Three
One
Two
Three
0.0
-10
-6
-4
-2
-1
-1
0.1
-9
-5
-3
-1
0
0
0.3
-8
-4
-2
0
1
1
0.5
-7
-0
-1
1
2
2
0.7
-6
-2
-1
2
2
3
0.9
-5
-1
0
2
3
4
1.1
-5
-1
1
3
4
4
1.3
-4
0
2
4
5
5
1.5
-3
1
3
5
6
6
2.0
-1
3
4
6
7
8
2.5
0
4
6
8
9
9
3.0
1
5
7
9
10
10
f 3.5
2
6
8
10
11
12
4.0
3
7
9
11
12
13
4.5
4
8
10
12
13
14
5.0
5
9
11
13
14
14
5.5
6
10
12
14
15
15
6.0
7
11
12
15
16
16
6.5
7
11
13
15
16
16
7.0
8
12
13
16
17
17
7.5
8
12
14
16
17
17
8.0
8
12
14
16
17
18
8.5
•9
13
14
17
18
18
17
-34
-2 4 11
18
24
%Glass North
East
South
West
16
-30
0 6 - 13
19
25
na
16 9
6
11
15
-25
2 8 14
20
26
4
na
12 6
6
14
13
-21
-17
5 10 16
7 12 17
21
22
26
27
10. Exterior
Wall Thermal Mass
12
-12
9 14 19
23
28
Exterior
Single-
Single -
7
11
-8
12 16 20
24
28
Wall
Family
Family
Multi
10
-4
14 18 21
25
29
Mass
Detached
Attached
Family
9
8
0
4
16 19 23
18 21 24
26
27
30
30
0.00
0
0
0
3 0
0
0
0
5
0.20
2
2
1
4
1 -1
-4
-6
-3
0.40
5
4
2
-6
0
na = not allowed
0
1
0.60
7
6
4
1
2
3
-
-3
0.80
10
8
5
7. Shading
0
(Shade Open)
Single -Family Detached and Attached
11
1.00
13
10
6
1199 1200 1700 2200
2700,
Heater
Credit or to to to
or
1.20
16
12
8
None 0 0 0 0
Effective Percent Glass
or
Solar 12 8 6 5
1.40
1.60
19
22
14
16
9
11
22
WSB 17 12 9 7
(percent glass x SC)
29
POU 9 6 4 3
1.80
22
19
12
Effective
Slab Edge Insulation
(assumes ducts in attic)
SEER
Sum of 1-6
%Glass North
East
South
West
Skylight
18 10
6
12
4
na
16 9
6
11
4
na
14 7
6
10
4
na
12 6
6
9
4
na
11 5
5
8
4
na
10 4
5
8
4
4
9 4
4
7
4
5
8 3
4
6
4
5
7 2
3
5
3
5
6 2
3
4
3
6
5 1
2
3
2
6
4 1
1
2
1
6
3 0
0
0
0
5
2 -1
-2
-3
-2
4
1 -1
-4
-6
-3
3
0 -2
-6
-11
-6
0
na = not allowed
0
1
1
2
8. Shading (Shade Closed)
Efrective Percent Glass
(percent glass x SC)
Effective
Slab Edge Insulation
(assumes ducts in attic)
SEER
Sum of 1-6
Glass Heat Loss
%Glass
North
East
South
West
Skylight
18
-9
-32
-46
-45
na
16
-8
-27
-39
-38
na
14
-6
-23
-32
-31
na
12
-5
-18
-25
-24
na
11
-5
-16
-22
-21
na
10
-4
-14
-19
-18
-63
9
-4
-13
-16
-15
-54
8
•3
-10
-14
-13
-46
7
-3
-8
-11
-11
-38
6
-2
-6
-8
-8
-30
5
-1
-4
-5
-6
-23
4
-1
-2
-3
-3
-17
3
0
-1
-1
-1
-11
2
0
1
1
2
-7
1
1
2
3
4
-3
0
1
4
4
6
0
na = not allowed
2.00 22 21 14
.1. Heating System
SE or HSPF
Slab Edge Insulation
(assumes ducts in attic)
SEER
Sum of 1-6
Glass Heat Loss
-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
Sum of 7-10
0.75. 6.88 4 4 3 3 3 2
-25 or -24 to -14 to -4 to +610 16
0.80 7.33 11 10 9 8 7 6
SEER
0.85 7.79 16 15 13 12 10 9
8.0
0.90 8.25 21 19 17 15 13 11
0
0.95 8.71 26 24 21 19 16 14
Effective SE or HSPF
0
(SE or HSPF x duct efficiency)
0 0 0 0 0
Effective -25 or -24 to -14 to -4 to +6 to
16 or
SE HSPF less -15 -5 +5 +15
more
0.30 2.75 -94 -85 -76 -68 -59
-50
na 3.41 -57 -52 -46 -41 -36
-31
0.40 3.67 -43 -39 -35 -01 -27
-23
0.50 4.58 -13 -12 -11 -10 -8
-7
0.56 5.13 0 0 0 0 0
0
0.60 5.50 7 6 6 5 4
4
0.70 6.42 21 19 17 15 13
11
0.80 7.33 32 29 26 23 20
17
0.90 8.25 40 37 33 29 25
22
1.00 9.17 47 43 38 34 30
25
Zonal Control Adjustment
10%
System Type
20%
Resistance 10 9 7 6 5
3
Other 6 5 4 4 3
2
12. Cooling 1;yctem
Slab Edge Insulation
S.
SEER
6.
Glass Heat Loss
(assumes ducts in attic)
7.
Sum of 7-10
-25 or -24 to -14 to -4 to +610 16
or
SEER
less -15 -5 +5 +15 more
8.0
-6 -5 -3 -2 -1
0
8.5
-2 -2 -1 -1 0
0
8.9
0 0 0 0 0
0
9.0
1 0 0 0 0
0
9.5
3 3 2 1 1
0
10.0
6 4 3 2 1
0
10.5
8 6 5 3 2
0
11.0
10 8 6 4 2
0
12.0
13 10 8 5 3
0
13.0
16 13 9 6 3
0
Effective SEER
S%
10%
(SEER x dud efficiency)
20%
2S%
Sum of 7-10
35%
Effective -25
or -24 to -14 to -4 to +6 to 16
or
SEER
less -15 -5 +5 +15 more
5.0
-16 -13 -10 -6 -3
0
6.0
-5 -4 -3 -2 -1
0
6.6
0 0 0 0 0
0
7.0
3 2 2. ;1 1
0
8.0
9 7 5 :'4 2
0
9.0
13 11 8 5. 3
0
10.0
17 14 10 7 3
0
11.0
20 16 12 8 4
0
12.0
23 18 14 9 5
0
13.0
25 20 15 10 5
0
42
Zonal Control Adjustment
4.6
4.6
10 8 6 4 2 p
0
_
No Cooling System Installed
0.4
Stories.
0.6
1
One
0 0 0 0 0
0
Two+
5 4_3 _ 2 1 _.�0
23
13. Water Heating
27
Single -Family Detached and Attached
11
I- --
Unit Size (sq
17
Water
1199 1200 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 9 6 4 3
3
22
WSB 17 12 9 7
6
29
POU 9 6 4 3
3
SE
None -09 -26 -19 -15
-13
4.1
Solar -2 -1 -1 -1
-1
4.6
HWR -18 -12 -9 -7
-6
5.4
WSB 2 2 1 1
1
0.5
POU -18 -12 -9 -7
-6
n
None -2 -1 -1 -1
-1
1.6
Solar 10 7 5 4
3
24
POU 7 5 3 3
.2
IE
None -28 -19 -14 -11
-9
17
Solar 10 7 5 4
3
41
POU -7 -5 -3 -3
-2
i
Muiti-Family (individual units)
5.3
j
Unit Size (sl)
40%
Water 699 700 1200 1700
2200
Heater Credit or to to to
or
Type
Type less 1199 1699 2199
more
SG
None 0 0 0 0
0
or
Solar 14 7 5 3
3
HP
HWR 10 5 3 3
2
4
WSB 29 14 10 7
'6 ,
4.7
POU 10 5 3 3
2;
SE
None -46 -23 -15 , f-12 -,-g -
5.7
Solar 2 1 1 0
r 0.'
HWR -23 -11 -8 -6
-5
WSB 22 11 7 5
1.9
21
POU -23 -11 -8 ' 6
y4
51
. n
None -2 -1 -1 0
0
14
Solar 11 6 4 3
2
4
POU 8 4 3 2
2
IE
None -28 -14 -9 -7
-6
5.3
Solar 22 11 7 6
4
5.9
POU -4 -2 -1 -1
-1
Interior MasslCFA
IT" 2 s"S
��•�-��'�'�•��
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7.
t Type t KAS3 (ulr,e a 4.2, las exposed slab)
a. North
-
b. East -
c. South
d. West
e. Skylight
8.
Shading (Shade Closed)
0%
S%
10%
15%
20%
2S%
30%
35%
40% 4S%
SM
55%
60%
Eft
70%
75%
e0%
65%
90%
95%
100% l05% 110%
115% 120%
125`,
0%
0
0.2
0.4
06
0.6
1.1
1.3
1.5
1.7
1.9
ti
23
2S
2.7
29
32
14
3.6
3.6
4
42
44
4.6
4.6
5
53
107E
a2
0.4
0.6
0.6
1
1.I
1.4
1.6
1.9
2t
23
25
27
2.9
11
33
3.5
17
4
4.2
4.4
46
4.6
S
52
54
20%
0.3
0.5
0.6
1
12
1.4
1.6
1.6
2
22
24
27
29
3.1
13
15
11
3.9
4.1
4.3
4.5
4.6
5
52
5.4
56
30%
0.5
01
09
1.1
1.4
1.6
1.6
2
22
24
26
IS-
3
3.2
3.5
17
3.2
4.1
41
4.5
4.7
4.9
5.1
5.3
5.6
5 6
40%
0.1
0.9
1.1
1-1
1.5
1.7
1.9
22
24
26
26
3
3.2
3.4
16
if
4
4.3
4.5
4.7
4.9
5.1
53
5-S
5.7
59
1.7
1.9
21
23
23
27
3
32
14
16
1!
4
42
4.4
4.6
4,6
5.1
5.3
5.5
5.7
5.9
'6.1
50%0.9
1.1
1.3
1.5
55%
0.9
1.1
1.4
1.6
1.6
2
22
24
2.6
26
7
32
35
3.7
19
4.1
41
4.S
4.7
4.9
5.1
53
S6
56
6
62
60%
1
12
1.4
1.7
1.9
21
23
25
2.7
29
11
3.3
35
3.6
4
4.2
4.4
4.5
4.6 '
S
5.2
5.4
5.6
5.9
6.1
63
65%
1.1•
1.3
1.5
1.7
1.9
22
24
26
26
3
12
14
36
3.6
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
64
70%
1.2
t.4
1.6
1.6
2
22
25
27
2.9
11
13
1S
3.7
3.9
4.1
4.3
4.6
4.6
5
52
5.4
5.6
56
1
62
64
75%
1.3
13
1.7
1.9
21
23
25
27
3
12
14
16
3.6
4
4.2
4.4
4.6
4.6
5.1
5.3
S.5
5.7
5.9
6.1
6.3
63
80%
1.4
1.5
1.9
2
22
24
26
2.6
3
13
1.S
17
3.9
4.1
4.3
4.5
4.7
4.9
5.1
54
5.6
56
6
62
64
66
15%
1.4
1.7
1.9
2.1
23
25
2.7
29
3.1
33
3.5
16
4
42
4.4
4.6
4.6
5
52
54
56
59
6.1
63
6S
6 7
90%
1.S
1.7
2
2.2
24
26
2.6
3
32
3.4
3.6
3.6
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
62
64
66
66
95%
1.5
1.6
2
22
25
27
2.9
11
33
3.5
17
3.9
4.1
4.3
4.6
4.6
S
5.2
5.4
5.5
5.6
6
6.2
6.4
6.7
69
100%
1.7
19
21
2.3
25
26
3
3.2
3A
16
16
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6,1
6.1
6.5
6.1
7
105%
1.6
2
12
2.4
26
26
3
3.3
3.S
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
6.4
66
so
7
110%
1.9
21
2.3
2.5
27
29
11
13
3.6
36
4
4.2
4.4
4.5
4.6
5
5.I
5.4
5.7
5.9
6.1
5.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
26
3
3.2
11
3.6
3.6
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.5
6.6
7
7.2
120%
2
23
25
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.6
S
5.2
5.4
5.5
58
6
6.2
6.5
6.7
6.9
7.1
7.3
12s%
21
21
25
2.6
3
3.2
3A
16
3.6
4
4.2
4A
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
Q3
6.5
' 6.7
7
7.2
7.4
Point System Summary: Climate Zone 16
SCORE CARD
Measures
1. Ceiling Insulation or
R-valu (381 U -value (0.030] _
2. Wall Insulation �� or
R-va1ue[191 U-value[0.0661
3. Raised Floor Insulation or
RR -value [[ 191 U -value (0.0371
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7.
Shading (Shade Open)
a. North
-
b. East -
c. South
d. West
e. Skylight
8.
Shading (Shade Closed)
Point Scores
or
R -value [71 F2 factor [0.511
Standard p
_-----�'� a .. '.:"U -value 96 Total � um 1;6
Type (doubl 1 .... [ 651 1 ...
% Glass SC. _ Eff. %3GIass _ 02
X = 3
r0 X = 0
/5 X = O
% Glas� SC Eff. % lass
a. North 4 X =�
b. East x = -J�
c. South ' X = 33-
d. West � X = -
e. Skylight x
9. Interior Thermal Mass TYPE 1 MASS -AREA 0
InteriorW .. CFA - COND. FLOOR AREA
10. Exterior Wall Mass TYPE 2 MASS AREAso
e
ti Exterior Wall Mass ND. FLOOR AREA
IL Heating System X _ _
7' Zonal Control? ( Y / N) SE - HSP Duct Efficiency (0.78] Effective SE o
J 2 I , (0.-M6.6] HSPF 10.5615.151
12. Cooling System ° 9 x = 7"
�o `Zonal -Control? ( Y / N) SEER (8.01 Duct Efficiency [0.741 Effective SEER (6.591 ,
13. Water Heating
Type Credit (none]
/0
. Sum 7 0
DnJ«1'r'n��1•
%«t<' \
\\Of%c \
To
4 V^
I 1 1
I
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