HomeMy WebLinkAbout060-100-038-- _ -
060-10-0-0,38 �.. 93-3249':BPEM
MINTON,• DAVE _
21418,•SKYWAY,. BUTTE MEADOWS `
NEW SF:v`
06.0 100-038
MINTON,.•DAVE - PEPIT#94-2398
®� 21418 SKY*SAY `-BUTTE -.MEADOWSNFW PRI DET GARAGE
W_100-038` $ r �* ,. 1
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MINTON, D ,=
AVID st f'
21418 SKYWAY, CHICO SALE
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R,. IDEN'TIAL
060-10-0-038
MINTON, DAVE
21418 SKYWAY, BUTTE MEADOWS
NEW SF
, � h
0
Insulation Certificate
Number and Sueet City
Counry Subdivision lot Number
Description of Installation
ROOF
Material
Thickness (inches)
CEILING
Brand Name
Thermal Resistance (R -Value)
Batt or Blanket Type FIBERGLASS Brand Name CERTAINTEED
Thickness (inches) / Thermal Resistance (R -Value) 3�
Loose Fill Type INSULSAFE III Brand Name CERTAINTEED
Contractor's minimum installed weighdit lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material Brand Name
Thickness (inches) Z Thermal Resistance (R -Value)
RAISED FLOOR
Material FIBERGLASS Brand Name CERTAINTEED
Thickness (inches) 6 X-cl 'Thermal Resistance (R -Value) 45
SLAB FLOOR
v
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Width (inches)
FOUNDATION WALL
Material FIBERGLASS
Thickness (inches)
Declaration
Brand Name CERTAINTEED
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the .
California Administrative Code.
General Contractor (Builder)
Beau[ Number
Signature and Tette Due
SHASTA INSULATION 272941
ub Co r ( ation'lnstaUer) Ukccan a
Siptanae and TitleME
Dam
V=OK s
O=Not OK
-=Not Applicable
Not Ready MOBILE HOMES
' =
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch . ;
3. Sewer; Location-Teat-Fall-C/O Concrete
4. Water; Location-Teat-Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete
6. Gas; Location-Teat-Wrap: / P'Uft.
/ /"Net. or/ /:'L" ft./ - P'LPG - t
7. Well Clearance & Disconnect
8. Utility Clearance
- v
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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
S. 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
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel r
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails V
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
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/Initials POOLS (Plans) OK except #'a
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;A 5 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-Ponelboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
t
�
� r
t
V=OK
O = Not OK
- = Not Applicable
= Not Ready
Date/initials
RESIDENTIAL (Single & Duplex)
/f% / 2tX- ., Maw; Soils-Elec. Grnd.-/ P' Fta. Depth
4. Ftg.,,Porches & Decks; Soils -Steel-/ /Ftg. Depth
%,Sremwalls, Main; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers-Firepfg'ce Fta.-Steel i
Fell-Fitting-Tdst-May C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Teat
1,4 (p 12. Electric; Underground
13. Pienuma cts; Clearance -Materia Support -Ins.
14. ra-Sills-Anchor Bolts -Jos s -Vents -Cripples
15. Access.& -Ventilation
Date/Initials PLUMBING Permit OK except q'
Water Htr.,QAj;$Ag,9ess mbustion Air)Baffle
17. Water Pipe; T Ancho et ro ec o
D.W.V.; T ' Ancho actio
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
C/03
Date/initials ELE CAL (Permit) OK except #'a
Fixtu Transformer Clear a -Ina. Protection
2 ec. Receptacles Sp mg -Lights & S 1tc Doors
Size xes & No. of Conduct -stapled
2 . omex Installed Close to Edge Studs & C.J.
6. Equip. and made up v tech. Fastne nd Gas &_w
2faiGppliance Circuta in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
2 Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
�a - y v
Date/Initials MECHANICAL (Permit) OK except M's
34. A.C. Ducts Insulation & Support
nt ;an; Exhaust above insulation
36.
Qf>urnance( I Access -Comb. Air -Return Air Vent -115 outlet
a -oq8
Date/Initials FRAMI ens) OKexcept Vs
361fils, Proper kmferiai & Anchor
40. W t s -Nailing, Spac r g -Plates -Sound
4 earing Walls over Gi rs & Floor Nailing
& p IpMialls (ret proof)
43. Fir Furred Ceilings -Stairs e
Date/Initials RAMIN ntinued)
45. gars -Post ps-Anchors-Connectors
4 . Ing. Joist-Rftr. ties -Puri In= c ruse hthn Rfng.
7 apiece Ties or Type ue-Fireplace Thr earance
48. Attic cess; Size & Romex Prote n -Draft S p -Ina. ffles
4T.Ardrm. Windows or Exiting D --Sill Hg DI cions
50
*eogiiile'rty Line Firdwall & Open s
52_,ERT Doors -One 3' -Check Garage -3rd Story, 2 Exits
1Ste Width-Headroom-Rise-Run-Landing-Flre Protection
54. plywWW on Roof !hang -Attic Vents -Rafter Outriggers
5 ding -Nails eneer
56. Stuc esh-Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
5 ear Walls; Nailing -Bolts
/'t 59. Insulation -Walls -Ceilings
3 / . Infiltration -Wells -Windows
112 _C28 -9y va
Date/Initials FINAL •Plana OK except N's
E t -Steps -Door & Sidelight Protection -Landings
Smoke -Detector
S6Urnacei Vents -Clearance -Comb. Air-Connector-
�arage; Above Floor -Ducts -Mach. Protection
Bedroom Exitina
X65. G..L,I<& Bath Fixtures & Tub Access -Spa
I �f+B�Elec�rim & Subpanel; Breaker Sizes & Labels
L_158!Fire lace or Stove; Clearances -Hearth
Ele Gflets at Wood Panel; Int. & Ext.
. Kit. ' . & Appliance; Grnd.-Air Gap -Cooking Clearance
at Kit. Counter
/73,fK-C. Duct in Garage -Damper
74. tr'fitr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
n Garage; Above Floor -Mach. Protection
75_.PIb'Elec. & Mach. Equip. Listed for Location
✓76. Pec -Receptacles in Garage; (G.F.I.)-Romex Protection
_-7f. Insulation -Foam -Looked in Attic ❑ Yes
_,78: Guao-Rails & Deck Construction -Post Caps
9�Fdn. Vent & Crawl Hole Door-Drainagge & Wood -Earth
Clearay Looked under Floor O Yes
80-Followingjnstid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
lk2,, C. Unit; Disconnect, Electrical, Plumbing
83. Vqnt ove Roof; Plbg: Appliance -Fireplace. -Clearance to
84._1 later Well; Disconnect, Electrical, Plumbing
X85. Ex ands Elec. Trim; G.F.I. Receptacle -Underground
Ventilation'Throughout House
87flas's Protection
�8. Correctfon_s-ffrom Previous Inspections
8J,454Tebf-Mstars Tagged; Gas -Electric
_:�90.'`FWater & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final: s.
/
1 COUNTY OF BUTTE -DEPARTMENT OF DEViAOPMENT SERVICES -BUILDING DIVISION 11V
7 CountyCer�t'er Drive - Oroville, California, 95965 - Telephone (916) 538-754193 - PER 0.
APPLICATION AND PERMIT `jam-/
ASSESSOR PARCEL NUMBER - -
¢s v� -nn-ie-v,T
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 1440 LAZY TRAIL DR CHICO 95928
473 coy 6149.00
CONTRACTOR'S NAME OWNER
TELEPHONE
84 OMN
5198-00
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
437 00
ARCHITECT OR ENGINEER
LicENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
93-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 21418 SKYWAY
PERMIT FEE $
BUTTM MEADOWS
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 56 00
Solar or heat pump water heater
23.00
Water piping
15.00 15
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF] Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00 171
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
n
New X Addition ❑ Remodel 1:1Utilities C)Installation ❑ Other ❑
Describe Work: 2 BDRM
PERMIT FEE $
136.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 2..vORLESS
200A OR LESS )
23.00 3.00
Main Service ( 200A To 1000A )
46.00
NEW LIN
OR AODNS.T. ( D BEACCGBLDSUP )
3.5C s. TI'; 30.24
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
X(cense No. Classification
as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BALO.@ I.50
Ex. Occu FIXED APPLNS. OR
p (OUTLETS IflES1D.1 EA. )
5.00
Temporary Service
23.00 23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
96.24
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating WALL F. 1
15.00
Cooling
Hood
6.50 6.50
Ventilation
PERMIT FEE $
41.50
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judg ants, costs, and expenses which may in any way accrue against said
C in co s Ce -of -t ranting of this permit.
X Date q f o Y
Signature of ApplicantOwner ❑ Contractor ❑ Agent
An OSHA permit is req fired for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height. c -
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
R3
CONST. TYPE
VN
TOTAL FEE $ 1085-79
HAZ.
D. FEES
'-
IMP
FLOOD
CDF
PARCEL PD
HD E
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
PERMIT EXPIRES ON l
I tel
provisions,
to do work
paid.
913
7 ''
<
(�BY
Receipt No. J 148815 0,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP41TOR GOLDENROD -APPLICANT
,
Insulation Certificate
,
...
Number and SuecC
City
County,
subdivision Lot Numbs
Description of Installation
ROOF
Matcrial
Brand Name .
Thickness (inches)
i
Tbernzal Resistance (R -Value)
CEILING
FIBERGLASS
Batt or Blanket Type
Brand Name CERTAINTEED
j Thickness (inches) /
'Thermal Resistance (R -Value)
Loose Fill Type INSULSAFE III
Brand Name CERTAINTEED
. Contractor's minimum installed weight/ft' lb
Mutimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance.(R-Value)
{
{
EXTERIOR WALL
Material
Brand Name _CERTATNTpEN_
Thickness (inches) 2
Thenal Resistance (R -Value)
RAISED FLOOR
Material ' FIBERGLASS
-
Brand Name . CERTAINTEED
Thickness (inches) 6 Ly
Thermal Resistance (R -Value)
! SLAB FLOOR..
r -
! Mateiial
Brand Name ,
' Thickness (inches)
Thermal Resistance (R -Value)
Width (inches)
FOUNDATION WALL
,
Mbterkd FIBERGLASS
Brand Name CERTAINTEED
Thickness (inches)
Thermal Resistance (R -Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for
new residential buildings contained in Title 24 of the
i California Administrative Code.
General Contractor (Builder)
License'Number
sipsadire utdTitle
Date
SHASTA INSULATION
272941
ub Co r ( aiiob instiller)
Licaue Number
. Stptatiae acid Titk
Date
r
Ktv i uroc
J COUNTY OF BUTTE '
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWrR�1 PERMIT NO. rV
.� C�� � h
A ro � inspection in icates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. I. any questions pertaining to this matter, or need additional explanation, .
please c nfact this office immediately.
A
r
TO: Building Department
FROM: Environmental Health.
SUBJECT: Sanitation Clearance
�,d AL-L,L 1/ m JA.. ) G'11 p R
Owner Location
Plan Approved for: Sewage Disposal. Water Supply: Public
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health /pDe--C!!,,,alsLt"
8/92
rH.us:mLY
Plot rim, Attach.d
Fluor Han At=hcd
Sent to R.U. //9:=� 7� �� v
AP//
Private Well
'Date
jOjUaUUUOJlnu3 ,4uncO a,4nfl
�w AAA IT
J2
$001 Nt=4- n
Ay
c7 1 DO
fv
i
rY' b' hal VINNOJIIVO `OOINO
smopvr - �$ 0661 A AD N
N1lV3N?V1N3WN081AN3
TO'-� "Bu"Ilding Department
FROM: Encroachment Permit Sect�o-,-n,
RE: Driveway Clearance
COUNTY or: BUTTE
BUILDING DEPT
SEP 2 9 199j
14
owner locatidn AP #
Driveway permit /Vv has been issued for the above property.
si ature date
F.H. USI: ONLY
„..x
Floor Vkm AII.ibcd
Sail lu IS. U.11 -w3
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
S bola-3je
Owner Location AP# .
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
Date
r
T-�'-�c�.a.�� .;. mai �''q�.�%%j�A�1�^� �+*-(�'+'�n`+`r"L^m��+-••1tt',r'^+�..- . , ,.
;. .
COUNTYOF BUTTE - DEPARTMENTOF DEVE40PMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �/�OJL j�/�/T� A. P. No. Cb.
-
Proposed Building Use Building Inspector CIZ Date ja f
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings. L
8. Engineered truss details and layout in duplicate (required prior to plan check). ....,!!
Mobilehome data and manufacturer's -installation -instructions; 2 sets. .......... .
Feesof $......................................... _ s
Impact fees as shown on attached schedule. ..... SGT J2
2. California Department of Forestry plan approval/fees.��---.... .
13. Flood elevation letter (100 year flood) by California Engineer. ................. .
14. Sanitation and plot plan approval C' H/L o Health Department . ........... .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: .........
il 8. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). .
20. Pre -inspection for 1,,nspedi°n request
p required. . to Building Inspector
21. Contractor's license information. (No., Name Style, Classification). ...........
22. Certificate of Workmans Compensation Insurance.
23 Owner -Builder Verification (Given to owner , Mail to owner ).............
4. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. etter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use. ..�.� f.r,.,,J ... : -7-1
�c-
28. 1 1�obi ehf o- me utility clearance. ���� ��1� f
29. Documentation of legal access . .....................: .
OtL ✓ 30. Documentation of 50% subdivision developed or (A) Road improvements completed i
and (B) Parcel meets zoning area and frontage requirements./o/z//p )r"
31. Existing violations/expired permits . ......................................
32. Plan check list. ....................................................
33.
-34.
When Y9u issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 9 9f- 4g Fb g *7 and hold for pickup at ell office. Deliver with inspector.
Other
Parcel Creation 13
Acreage Applicant 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 following data must be submitted prior to permit issuance: (Cir mneka ec Wde).,�W
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail _C"r er by _ Date
Plans checked by Date ��'Plans approved by Date
Sets of plans on hold in File cabinet AP folder �j4-&p
- Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965.- TELEPHONE (916) 538-7541
OWNER -7`��
PROPOSED BUILDING USE.
1. SCHOOL DISTRICT FEES /1111y�
(paid at District Office) .........................
2-. SHERIFF FEES
(paid at Building Department)
Residential...... t x 3,&-a _$ , >
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES -
(paid at District Office) ......:..................
A.P. # C-0 - /
DATE cT Z S S 3
REC. # .DATE REC
5. DRAINAGE DISTRICT FEES
(Contact Land*Development Division)..............
6. SRA FIRE INSPECTION AND PLAN CHECK $$1.00...... r-
(paid at Building Department)
7. OTHER
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
PPLICANT DATE q -3y -q3
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)
2. I (have/have not) CL 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.
!+: 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 Contractois*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
S'gned:
Property Owne
Social Security Number
Date Q 30
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.
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1
Return to DPW AGRICULTURAL STATiEMENT OF ACr40W1EDGc ,dT
FOR. RESIDENTIAL DEVELOP..MF-NT
Section 26-8.1 of the Butte County Coue
requires this acknowledgement be recorded
prior to issuance of a building permit.
The
property described herein is adjacent
to
land or included within an area zoned
93-044684,
for
agricultural purposes, and residents
I
of
this property may be subject to incon-
Recorded I
veniences or discomfort arising from the
Official Records 1
use
of agricultural chemicals, including,
County of I
but
not limited to herbicides, pesticides,
Butte I
and
fertilizers;- and from the pursuit
Candace J. Grubbs I
of
agricultural operations including,
Recorder I
but
not limited to cultivationlowin
8:15am 12 -Oct -93 I
93-44684
Rec Fee
Check
5.00
5.00
PUBL XX 1
MJ
p Of
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 real property. situate in the County of Butte, State of California, described a=
follows:
PARCEL 1: LOT 9; AS SHOWN -ON THAT CERTAIN MAP ENTITLED "BUTTE MEADOWS SUBDIVISION
NO. 2" WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OFCALIFORNIA, ON SEPTEMBER 17, 1926 IN BOOK 10 OFMAPS,AT PAGE 13.
PARCEL 11: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, SHOWN AS LOT "A" AS
SHOWN ON THAT CERTAIN MAP ENTITLED,`"BUTTE MEADOWS SUBDIVISION NO. 2" WHICH MAP
WAS RECORDED -IN THE OFFICE OF THE RECORDER OF THE; COUNTY OF BUTTE, STATE OF ^"
CALIFORNIA, ON SEPTEMBER 17, 1926 IN BOOK 10 OF"iMAPS, AT PAGE 13.
Date:
State of )
SS.
County of �)
ER S•
xv
On this the �( day of 000�04LV 19 E-3, before me, the
undersigned Notary Public, personally appeared
unuwuulyyyy�w���
OFFICIAL SEAL �Personally known to me . 7 Proved to me on the basis
LUCYA. RgHq� of satisfactory evidence.
X NOTARY PUBLIC- CALIFORNIA to be the persons ) whose names )
counlTYOFBUTTE W subscribed to the within instrument and acknowledged that
BxPiros � reft 8. IMM
MY Commisslpn
mmmm�mRwaelmnn executed the same for the purposes therein contained. IN WITNESS
Wi=OF, I hereunto set my hand and official seal.
Present A.P. No. 6 -o -to- 3g'
Notary Public
ENE) OF DOCUMENT
N
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
OWNER
GENERAL
oning requirements: (sideyards and number
2" Valuation.
r�lans signed by designer.
6 Proper description of work on application.
Existing violations on property.
8/91
Bldg. Permit #
A.P. #
Plan Checker -� ���
of permitted living units).
6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
-�-- Recorded notice of violation.
PLAN
Complete parcel size and dimensions.
� Setbacks, sideyards, easements, etc.
Other buildings or structures.
9 Grading, fills, drainage.
jFlood hazard.
Special conditions on creation map,
,,,--ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
R,
LOOR PLAN
�omplete 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
Light fixtures, switches, receptacles, and exterior receptacles
tenance of mechanical equipment.
Locations of water heater, heating and cooling -equipment, other
or gas equipment.
5 -.-Garage firewall, door size, and closer (Sec. 503(d)(3)).
T- 1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
for main -
electrical
Standard bracing or engineered design (Table 25V)
,Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
replace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
L(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
. Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convering (Chapter 32).
tF
oof covering type - (fire hazard).
oam insulation - protection.
6" halls and stairways.
iving area over garage —complete 1 -hour separation required on garage side
ncluding supporting walls and posts, etc.
wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716)..
ttic access and ventilation (Sec. 3205).
nderfloor access and ventilation (Sec. 2516).
ombustion air for fuel burning -appliances - L.P.G. requirements.
oise requirements -on duplexes.
_'5 --Energy design.
. Flashing at all exterior openings.
. CDF responsible area requirements.
" i�etu_ n to DPW AGRICULTURA: STAB: _NfF.L T OF AC.ZN`iOWI Z. _ `iT
FOR RI IDENTIA.L DEVELOP' -E -NT
Sec --ion 26-8.1 of the Butte County Code
requires this 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,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent nroperty should be
or discomfort from normal, necessary farm operations.
BUTTE COUNTY RECORDER
SERIAL 1\10. "- ifS%Py!
RECORDED AT THE REQUES OF
MID VALLEY TITLE COMPANY
?SATE RECORDED OCT 12 1993
TIME: g: ISlq &I
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenient=_
:ill that real property situate in the County of Butte, State of California, described az
follows:
PARCEL 1: LOT 9, AS SHOWN -ON THAT CERTAIN MAP ENTITLED "BUTTE MEADOWS SUBDIVISION
NO. 2" WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OFCALIFORNIA, ON SEPTEMBER 17, 1926 IN BOOK 10 OFMAPS,AT PAGE 13.
PARCEL 11: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, SHOWN AS LOT "A" AS
SHOWN ON THAT CERTAIN MAP ENTITLED,^"BUTTE MEADOWS SUBDIVISION NO. 2" WHICH MAP
WAS RECORDED -IN THE OFFICE OF THE RECORDER OF THE; COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON SEPTEMBER 17, 1926 IN BOOK 10 OF':MAPS, AT PAGE 13.
Date:
State of - _"1J )
SS.
County of V&_tb. )
COUNTY OF BUTTE
BUILDING DEPT
ocj 12 19
On this the
undersigned
�I `day of 19 �3,
Notary Public, personally appeared
before me, the
mwunuluully+yy����V
OFFICIAL SEAPersonally known to me. Q Proved to me on the basis
�'� LUCYA. RSHALL > of satisfactory evidence.
NOTARY PUBLIC _ CALIFORNIA t0 be the person(s) whose names )
COUNTY OF
al a,� pps E
My Commlubn Expires MerW subscribed to the within instrument and acknowledged that
l g,
€ executed the same for the purposes therein contained. IN WITNESS
Wf=vOF, I hereunto set my hand and official seal.
Present A.P. NoCLLV - CU 391 4
'� otary Public
I
�a E�►
�I `day of 19 �3,
Notary Public, personally appeared
before me, the
mwunuluully+yy����V
OFFICIAL SEAPersonally known to me. Q Proved to me on the basis
�'� LUCYA. RSHALL > of satisfactory evidence.
NOTARY PUBLIC _ CALIFORNIA t0 be the person(s) whose names )
COUNTY OF
al a,� pps E
My Commlubn Expires MerW subscribed to the within instrument and acknowledged that
l g,
€ executed the same for the purposes therein contained. IN WITNESS
Wf=vOF, I hereunto set my hand and official seal.
Present A.P. NoCLLV - CU 391 4
'� otary Public
PARCEL CHECK LIST AND REQUIREMENTS
Owner cj%i✓�y
Telephone No.
DIs-,9897
Permit No. �s — �Z 9
A. P. No. cc) — /b
Date /D Y—S
1. Parce creation Map Book /!� Page 45
r�Legal Parcel
Creation date
60' R/W
Certificate of Compliance
Other
2. y Parcel created by subdivision map prior to July 1, 1949 (17—
►/ Parcel size is less than 5 acres
Parcel exempt from items 3, 4, and 5 and improvement requirements
3. Minimum Parcel Size (must meet zone or)
Parcel meets frontage and area requirements of zone
Parcel does not meet frontage and area requirements of zone or
Parcel is merged pursuant to Section 20-180.2
Parcel has vested right to develop
4. Legal Access
Parcel fronts on publicly maintained road
(Road Name)
Parcel does not front on public maintained road
/ (Road Name)
(/ Documentation on legal access required
(must be by Title Co. or licensed engineer or surveyor)
Documentation on legal access submitted and accepted.
Copy of form sent to Land Development for improvement requiremen
�lia�te)
by 140 .
Copy of form sent to Building Department
Road Improvements not Required
Road Improvements Completed and Approved for Building Permit Issuance
Date By
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District A,4,< ol-i a Building Department No. ` c
41
A.P. Number � °�! m.'.Jurisdiction City 0/County
Property Owner �.�1%/� All tr O'J
Property Location/Address IT e`e-
Subdivison
/.3,-Xre. P.rrc�� --N f L Lot No.�''
Residential. Development 0 0 Sq. Footage
No. of Livirg MHI Addition (Group R)
Units
Commercial/Industrial
Building
0
New
resentative
0 Sq. Footage
Addition (Including Exterior
Roofed Areas)
Date ,
(Floor Plans re%iewed by School District Personnel)
_e` -
istri Odentification Nk <
School District certifies that
(Ap licant)
U hz
c'(Street Address A (Phone Number)
(city)
4.has complied with the requirements of Resolution No.
representing square -eet.
District Representative
(State)
Paid by Check Number 27Remarks:
Bank Number
Paid by Cash
�s
p� +3
(Zip Code)
by payment of $
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Enviconmental Quality Act (CEQA), this project may be subject to
White (applicant), Yellow (building department), Pink (school district)
COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS
County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE
A. P. #
With reference to the above subject:
L
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:.
1469 Humboldt Road, Chico. -
7 County Center -Dr..; Oroville
__..
Skyway & Elliott Rd., Paradise:.
-Planning approval from Butte County Planning -Department -7 -County Center Dr-ive, - -
Oroville, for
Completed Owner -Builder -Verification form.
Recorded copy of deed showing
Recorded.c.op.y.of.agr.icu.ltural_ac.knowledgement statement _
_ as
e
Should you have any questions concerning the above, please contact
of this office. - - - -
JFG/aj
Yours very truly,
J m Che f
Director o ublic Woks
�
Glander
i -- `
NOTES. `
RESIDENTIAL
'~PERMIT
NO. ,
060-100-038 . 05-2090
MINTON; DAVID
21418 SKYWAY, CHICO
' - t
CONT: OWNER
ELEC SER_V'REPAIR
•
SPECIAL CONDITIONS
- . CHECKED
BY.
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS'REQ.
SPECIAL INSPECTION ITEMS _
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER .
e
s'
OFFICE COPY
Address
GAS
Meter By Date
Ij
ELECTRIC2
Meter By - Date
'JOB�FINALED (Date)'
-.
Signature
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BPO52090
24 HOUR INSPECTION #: ) 6 8-7636 ( ROVI 41E) (530) 891-2834 (CHICO)
OFF
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 08/05/2005 APN: 060-100-038-000
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.
Site Address: 21418 SKYWAY CHI
License Class: License Number:
Map Index:
Date: Contractor:
OWNER -BUILDER DECLARATION
Description: ELECTRICAL SERVICE REPAIR
I hereby affirm under penally of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MINTON, DAVID
permit to construct, alter, improve, demolish, or repair any structure, prior
21418 SKYWAY
to its issuance, also requires the applicant for such permit to file a
that he or she is licensed pursuant to the provisions of
BUTTE MEADOWS, CA
signed statement
the Contractor's State License Law (Chapter 9 commencing with Section
92942
7000) of Division 3 of the Business and Professions Code) or that he or
Any
530 895-$89�
she is exempt therefrom and the basis for the alleged exemption.
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: MINTON, DAVID
Code: The Contractors' State License Law does not apply to an
21418 SKYWAY
owner of property who builds or improves thereon, and who does
BUTTE MEADOWS, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
92942
sale. If however, the building or improvements are sold within one
(530) 895-8897
year of completion, the owner -builder will have the burden of
proving 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 Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of t as' Code
�esndProfessions
Date: v �' Owne
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Total Square Ft: 0 S.F.
Carrier:
Valuation: $0.00
Policy #:
Census Code: "
❑ 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
, y�
IV1`�J
556
forthwith comply with those provisions.
Date:
Applicant: -
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand. -dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor"
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
Resolutions to do work indicated bove for which fees have been paid.
I hereby affirm that there is a construction lending agency for the
( y
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:Q-'
By. Date: Tl �- 0 J
r
5-
PERMIT EXPIRES ON: '\ O E�
Address:
Date
,y
T
❑ I hereby certify that the use of this facility shall comply with Sections
25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby that I have read this application, that the above information
is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
certify
all county and slate laws relating to building construction. I acknowledge it
is unlawful to alter the substance of a fficial for document of Butte County. I hereby
authorize representatives of Butte Counn�t/y� to epter upon the above mentioned property for inspection p oses.
Print Name: V �� ' " ` rU
Signature:
Date:y/J/ 45
Owner ❑ Contractor
❑ Agent for Owner ❑ Agent for Contractor
R C_ Buildina'Permit 01-16.04 pg 1
= OK _
= Not OK
NtAadyaEle 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)
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ftJ P LPG
7. Well Clearance 8 Disconnect
8. 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-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. •Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
= Not AppGrable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Efec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -fns.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date Cana B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet tight -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. AC. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Aft -Return Air Vent 115 Outlet
40. Attic Access & Platform 6 Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
52. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Dud in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83. Following InstldJNve 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.neVdds
**PLEASE PRINT CLEARLY**
OWNER
Last Name vVeV w o�
First Name
SL
Address
City ,L WS S ate
C6
I ZipwUO
Phone Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E mail
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT NAME
Name
�—
Address
City
State
Zip
Phone
Fax
E-mail
For office use only:
Zoning
Property Address �I ! ,I g
I y
Flood Zone
Cross Street � 1
SRA Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BIN #
LOCATION
AP# r
Ott
Property Address �I ! ,I g
I y
pty
Cross Street � 1
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:
'✓I VL (I t GC 6�10 bulre ttJV�
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: K.G
Receipt #: `1 )qqv
Amount: It C5 coo 00 Bldg
Date: 5�e
Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new. application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT.SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP052090
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 08/05/2005 APN: 060-100-038-000
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.
Site Address: 21418 SKYWAY CHI
License Class : License Number:
Map Index:
Date: Contractor:
Description: ELECTRICAL SERVICE REPAIR
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MINTON, DAVID
permit to construct, alter, improve, demolish, or repair any structure, prior
21418 SKYWAY
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
BUTTE MEADOWS, CA
the Contractor's State License Law (Chapter 9 commencing with Section
'3
92942
7000) of Divisionof the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
(530) 895-8897
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: MINTON, DAVID
Code: The Contractors' State License Law does not apply to an
21418 SKYWAY
owner of property who builds or improves thereon, and who does
BUTTE MEADOWS, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
92942
sale. If however, the building or improvements are sold within one
(530 ) 895-8897
year of completion, the owner -builder will have the burden of
proving 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 Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 oft s' es nd Professions Code
Date: g S Owne :
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: .0 S.F.
Valuation: $0.00
Policy #:
Census Code:
❑ 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.
556
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
- - - _--
code, interest, and attorney's fees.
1
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)17n
In
By: / V l 1
Name:
^/Date:
PERMIT EXPIRES ON: 5-o
Address:
�n
Date
Y ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
F
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official for document of Butte County. I hereby
authorize representatives ofButte County to enter upon the above mentioned property for inspection p oses.
YVl
Print Name: V%►C� . vVo� Signature:
Date:
Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
V= OK
O = Not OK
Not Applicable
Not Ready MOBILE HOMES
' =
Date/Initials MOBILE NOME UTILITIES (Plana) 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 -Teat -Easement Needed (Sketch)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" U ft.
/ /"Net. or/ /" L"ft./ P'LPG
7., Well Clearence`8 Disconnect _
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Teat -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
MISCELLANEOUS
Date/Initi - DECKS, COVERS CARPORTS GARAGES Plana OK except #'a
^i Zoning Requirements -Setbacks -Easements
".`Footings; Soils -Size -Depth -Spacing -Connectors -Steel
. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg: Rfg -Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
lectric
Fr ; Sils-Anchors-Studs-Rftrs-Trusses
Siding; Nailing -Veneer -Stucco -Mesh
LAa.-Roof; Shthg-Roofing '
11. t.; Steps -Doors -Landings
cc
7 i
Date/Initials POOLS (Plans) OK except #'a
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-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=C•K
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2.Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd -/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5.Stemwalls, Mein; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Dare/Initials PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nasi Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'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.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Puri In' -roof Brsc-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Ceilinas
60. Infiltration -Wells -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Alr Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
80. Following Instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg.-Appliance-Fireplace.Clearance to
Openings
84. Water Well;'Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
1 •
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 41 PERMIT NO
APPLICATION AND PERMIT ' �- � 39 r
ASSESSOR PARCEL NUMBER 060-100-038
U ZONING
BUILDING PERMIT
OWNER DAVE MINTON
TELEPHONE
895-8897
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1440 LAZY TRAIT, DR CHIM, 95926
616 M 11 088.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 11,088.00
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
135.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
87.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
SK)5ATAY
PERMIT FEE $91418
2
BUTTE MEADOWS
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
/15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome O Other TWT('�ARf;$
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
NewJU Addition ❑ Remodel 1:1Utilities ❑ Installation ❑ Other ❑
Describework: DET GARAGE TO REPLACE OLD STORAGE BLDG.
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( '00V OR LESS )
200.Ofl LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( & ACC. BLDS. )
3.50 gFT.O,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I , as the owner, or my employees with wages as their sole compensation, will do
Xthe work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
FIXEDAPPLNS.OR
Ex. Occup. (OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
41.55
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, I ants, costs, and expenses which may in any way accrue against said
unty in c e nce granting of this permit.
Date RI
ature o nt Q—Owner ❑ Contractor 1:1 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
TOTAL FEES 84.30
HqZ- D. FEES IMP
RLV
V/
CD
Pq L H ISS
This permit is hereby issued under the applicable
of the Butte County Code an r Resolutions
indicate ve for which f s ave been
BV
PERMIT EXPIRES ON
Mato
provisions
to do work
paid.
ate
Receipt No. 167384
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
^'�H-..•��+Mrtb:�r ' +,: FtF•�t.'^"'�IT{'�a'�r�"•.i-.iii'7p:;t•''...'.'[,�j•�r.rw•a't!'rhr�n-cti..p-
e`y`e"' .. �r►V`.y,�,,,,;�rw:,,,rs..r *, ,� o i41u+.�'' �#:� 4++txri-.;:err.,�,ro..,i.,t.TS:.•-��r-•.a-�,
R
COUNT.Y.OF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES - BU G DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEP NE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER 1 Aw. Rlaw �No.
O
Proposed uildin Use �� l)i�i OiT Building Inspector ate _
At time of permit application, I was advised the following.,data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans'. ......................... .
3. Coirlplete plans, 3/4 sets, signed by preparer of plans. ...:... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans.!............ .
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation. ...�...............
7 -Statement of Intent for Non -Heated and A/C Buildings .........................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
. ` 10. Fees of $ . .................... .............. .
�11."Impact fees as shown on attached schedule. . .
12. California Department of Forestry plan approvefees.. i/'' k ...
13. Flood elevation letter (100 year flood b California Engineer . ................. .
15Sanitation and plot plan approval GAO Health Department . ...........wL .
5. ity of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: e........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). 'Pre -Inspection r6qust
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance. ..... •....................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ...........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ....................... v..............
32. Plan check list . .....................................................
33.
34.
Wheryyou issue the permit,- recess as follows: Ma' t owner. Mail to contractor.
Telephone and hold for pickup at icsp office. Deliver with inspector.
Other %t_A
Parcel Creation
Acreage
Date g'i)S
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 following 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: K
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail oun by _ Date
Plans checked by Date Plans approved by DatLA"ff
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
r ' + �.•
� - �i
TO: BuiIlding
FROM; Envi foil niam tal Health
SUBJECT: Sanitation Cloffflnce-
Owner
Loud
ILII HNII UNIA
Phil Him Alladled
Imif 111:11, Alwdw!�—
— - -% --% -t--
AP#
Plan Approved for: Sewiwe DI9110S,11 Water Supply: Public Private Well
Clearance for bedroom moblic homC, 00,01
P A— . /) j -
Hold final for:
Final clearance O.K. for:
—
NOTE:
4ent7Health
8/92
r-jq-
Date
COUNTY OF BUTTE
Department of eve(ogment Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
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. sonally plan to provide the major labor and materials for construction of the proposed property improvement
(yes o no) Q -S
2. (have ave not) ,v 9�- 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 Contractor's 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 Contractor's 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:
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 permitted to issue the
permit.
W%
a
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse residential builotnas subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the leatures
noted shall be considered by all Danies as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
§I50(a): Minimum R-19 ceilino insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
• 5150(c): Minimum R-13 wall insulation to framed walls (does not anDiy to extenor mass walls).
§I50(d;: Minimum R-13 raised floor insulation in named floors: minimum R-8 in concrete rased floors.
§150(1): Slap ecoe insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 2.0 pernViricn.
6118: Insulation sveeifieo or installed meets California Energy Commission ouaJity standards.
Indicate type and form.
§116-117: Fenestration Procucts. Exterior Doors and Infiltrallon/Exfiliration Controls
a. Doors ano winoows oetween condwoned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products nave lapel witn certified U -value. and infiltration certification.
c. Exterior doors ano windows weatnerstnpped: all joints ano penetrations caulked and seated.
§150(g): Vapor banners mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration darner installed to comply with §151 meets Commission duality standards.
§150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Loos
1. Masonry and factory-ouilt fireplaces nave:
a. Closeable metal or afass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC eouipment, water heaters, snowerneaos and faucets certified by the Commission.
§150(1): Setback thermostat on all applicable heating systems.
§150(j): Pipe and T anK Insulation
1. inoirect hot water tanKs (e.g., unfired storage tanKs or badcuo solar not water tanks) have insulation
blanKet (R-12 or oreater) or combined intenovexienor insulation (R-16 or oreater).
2. First 5 feet of pipes closest to water neater tank• non-recirculatino systems, insulated (R-4 or oreater).
3. All buried or exposed piping insulated in recirculating sections of not water system.
4. Cooling system poring Detow 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
§150(m): Ducts and Fans
1. Ducts constructed. insta led and seated to compiy with UMC Sections 1002 and 1004: duos insulated
to a minimum installed value of R-4.2 or ducts encioseo entirely within conditioned space.
2. Exhaust tan systems nave backdrah or automatic campers
3. Gravity ventuatinc systems servino conditioneo space have eitner automatic or readily accessible.
manually operated campers..
§114: 'Pool and Spa Heauno Systems and Equipment
1. System is certifies with 78% thermal efficiency, on-off switch, weatherproof operating tnstrudbors.
no electric resistance neauno ano no pilot light
.2 System is instaileo with:
a. At least 36' pipe oetween tiller and heater for future solar heating.
b. Cover for outcoor Dools or out000r spa.
3. Pool system nas c rectionai inlets ano a circulation Dumo time switch.
§115: Gas-fired centra turnace. pool neater. spa neater or housenoid cooitino appliance nave no
continuously ounno pilot light. (Exception: Non -electrical cooking appliance with pilot c 150 Btu/hr.)
Lighting Measures
6150(k): 40 lumens -watt or greater for general liehtino in kitchens and rooms with water closets: and
recessed cetiino fixtures iC iinsuiauon coven approved.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features arid performance specxFicabons needed to mmpfy with Title 24, Pans 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
n
orietations, any shading teature that is varied is indicated in the Special Features/Remarks section
Designer or Owner (per Sualneaa a Professions code)
Name:
Tide/Firm:
Address:
Telephone:
UC. r.
(signature)
Enforcement Agency
Name:
Title:
Agency:
Teteonone:
(nate)
Documentation Author.
Name:
Tide/Finn:
Adtiess:
Telephone:
(signature)
(date)
'f -
Certificate of Compliance: Residential { Climate Zone 16
proJectTltle /�,/)/f/��/ I •
project Addrem /
Author
BUILDING DATA
Conditto Area
Slab 's Fl
�ngle Family Detached (SFD)
(] Single Family Attached (SFA)
(] Multi -Family (MF)
hone
Number of Stories
Number of Units J
[ ] Addition Alone?'
[) Existing Building
[ ] Existing -Plus -Addition
B UELDING SHELL INSULIATTON - }
4 Component Insulation Q Locadon/Ebmme:tts
Tyoe R -Value i (awe, to ¢tt(ra¢e. mAze , em)
A
(signerurwstamp) (oatel I
1
Building Permit M
,4_5
Che&ed By / Date
Enforcement Agency Use Only
Fenestration
Area 0110
North
C7
2 3
East
Wall ..............
Floor .............',
South
West
�_
5� ,
O
Skylight
d
40
Interior Exterior Overhang Framing Type
Total
AA/. _f
Northt-
Roof .............
Roof .......... —
WaU..............
Wall ..............
Floor .............',
Floor .............
Slab Edge....:
FENESTRATION
Shading Devices
-Eenestration Area Type
Interior Exterior Overhang Framing Type
Orientation S (single, double)
Uer blind, etc.) (shadescreen, etc.) es/no) (meuWwood)
Northt-
Nortil ( )
East ( )
East ( )
( )
S-DuthSOULh
-
—
( )
West
West ( )
West ( )
Skylight....... ---
THERMAL MASS
Type/Covering Area
Thickness
(slab/exposed. tile, etc.) (sf)
(inches) LOcation/Dcscr7Dtion (kitchen• bath, etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duca Heat Pump
conditioner, hest pump) AFW$SEER•HSPF) (attic- etc.) R -Value Thermostat Type (sRlit or pkg)
f MR- 0' f AAA
V
IIOT NATER SYSTEMS .rte A PPRO V D R Value
System Type (storage gas. etc.) CaDacity Number Energy Factor Ext. Tank Tns _ 11i -i st-r; h„ri on
SPECIAL FEATURES/REMARKS
SCORECARD
Measures Climate Zone 16
1. Ceiling insulation {R w or
R -value I U -value [0.028]
2. Wall Insulation � or
R e [21 ] U -value 10.059]
3. Raised Floor Insulation - N or
R -value 11 ) U -value (0.037)
4. Slab Edge Insulation or
R -value [7] F2 tactor 10.5)
5• Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Y]
6. *:Fenestration Heat Loss
Type U -value 10.601 Total % Fenes. 1161
7. Fenestration Heat Gain
% Fenestration SCShade open Eff. % Fenes. Shade Eff. Ratio
Northg2- -3� x _
East .-zi*- C ..,,� x
South 1,5, X
West -S// - x =
Skylight ' x = _�
Overhangs? ( Y / N )
8. interior Thermal Mass or
% Exp. Slab 1201 Int. Mass/CFA
Point Scores
0.
9. Exterior Wall Mass
Number of stones
-65
R -value .
One
Two
Ext Wall Mass
R-0
-114
-74
10. Heating System
R-19
x =
-5
-3
R-30
AFUE or HSPF
Duct Etfic. 11 story:
Effective AFUE
Zonal Control
0
[78°/6 or 6.81
. 0.83; 2+ story: 0.881
or HSPF
Adjustment 10]
11. Cooling System
R -value
x
Single -
R-0
-26 -17
SEER 110.0)
Duct Effic. 11 story:
Effective SEER
Zonal Control
R-19
0 0
0.81; 2+ story: 0.871
R-30
Adjustment [0)
12. Water Heating
4
-3
-2
1
'System 1
-11
-9
-4
-1
Heater Type
Energy Factor
Ext Ins. R -value
Auxiliary Input
Distribution
ISG501
10.531
.
[12]
[None]
[STD]
System 2
0
2
4
-8
Heater Type [None]
Energy Factor
Ext Ins. R -value
Aukiliary Input
Distribution
2
2
2
3
Point Total.
2
3
4
1
Point Goal:
:. Ceiling Insulation
R-0
Number of stones
-65
R -value .
One
Two
Three
R-0
-114
-74
-42
R-19
-8
-5
-3
R-30
-2
-1
-1
R-38
0
0
0
'. Wall Insulation
Number of stories
-4
R -value
Single-
Single -
R-0
-26 -17
Family
Family
Mulfti-
R-0
-109 -87
-65
R-11
-13 -10
-8
R-13
-10 -8
-6
R-15
•7 -6
-4
R-19
-p ; . t, t -2
-1
R-21-
/ 0 0
0
3. Raised Floor Insulation
0
0
Insulation in Floor
3
4
Number of stories
-4
R -value
One Two
Three
R-0
-26 -17
-10
R-11
-5 -3
-2
R-19
0 0
0
R-30
3 2
1.
4. Slab Edge Insulation
6. Fenestration Heat Loss
Sum 1.6
�V1�
4e
7. Fenestration Heat Gain (based on Shade Effectiveness Ratio)
Eft
%
Fen-
estra-
tion
.87
or
more
Number of Stones
.51
or
less
R -value
One
Two
Thi
R-0
-12
-7
-4
R-5
-1
-1
0
R-7
0
0
0
6. Fenestration Heat Loss
Sum 1.6
�V1�
4e
7. Fenestration Heat Gain (based on Shade Effectiveness Ratio)
Eft
%
Fen-
estra-
tion
.87
or
more
North
.67 .52
to to
.86 .66
.51
or
less
.87
or
more
East
.67 .52
to to
.86 .66
.51
or
less
.87
or
more
South
.67
to
.86
.52
to
.66
.51
or
less
.87
or
more
West '
.67 .52
to to
.86 .66
.51
or
less
Skylight
.67 .66
or or
more less
18%
2
3
3
4
0
1
3
4
-5
-4
0
3
-14
-11
-5
-2
-40 -23
16%
2
2
3
4
1
2
3
4
-3
-2
1
4
-11
-9
-4
-1
-34 -19
14%
2
2
3
3
1
2
3
4
-1
0
2
4
-8
-6
-2
0
-27 -15
129.
2
2
2
3
2
2
3
4
1
2
3
5
-6
-4
-1
1
-21 -11
11%122222341245-5-302-18-10
-45
-41
-37
-32
-28
-24
-20
-15
-11..
-7
30%
-99,-
-73 65 f;583;50
to
-15
-36
-32
10%
1
1
2
2
2
2
3
3
1
2
4
5
-4
-3
0
2
-16 -8
9%
1
1
2
2
2
2
3
3
2
2
4
4
-3
-2
0
2
-13 -7
8%
1
1
1
2
2
2
2
3
2
3
4
4
-2
-1
1
2
-11 -6
7%
1
1
1
1
1
2
2
2
2
2
3
4
-2
-1
1
2.
-9 -5
6%
1
1
1
1
1
1
1
2
1
2
2
3
-1
-1
1
2
-7 -4
5%
0
0
1
1
1
1
1
1
1
1
1
2
-1
-1
1
1
-5 -3
4%
0
0
0
0
0
0
0
1
0
0
1
1
-1
0
1
1
-4 -2
3%
0
0
0
0
0
0-
0
0
-1
-1
0
0
0
0
0
L
-2 -1
2%
0-
0
0
0
-1
-1
-1
-1
-2
-2
-2
-1
0
0
0
1
-1 0
1%
-1
-1
-1
-1
-2
-2
-2
-2
-4
4
-4
-4
-1
-1
0
0
-1 0
0%
-1
-1
-1.
-1
-3
-3
-3
-3
-6
-6
-6
-6
-1
-1
•1
-1
0 0
5. Infiltration (Duct Air Leakage)
Ducts in Unconditioned Space 0
No Ducts in Unconditioned Spate 6
8. Interior Thermal Mass
Exterior
Method A
(Slab -on -grade
Construction Only)
U -value
One
Family
Two
Three
Exoosed
Story
-24 to
Total
1.31
1,21 1.11 1.01
.91'
.81
.76
..71
.66
.61
.56
.51
.46
.41
.36
.35
Percent
or
to to -to
to
to
to
to
to
to
to
to
to
to
to
or
Fenestration more
130 1.20 1.10
1.00
.90
.80 ' .75
.70
.65
.60
.55
.50
.45
.40
less
iso%
";180--137 -124112 f-100
`'-139)w105 1'-875
-87
-75
'a
-63
-57
-50
-44
'-38
-32
-26
-20
40%
2
x-95
7.6
-65
.55
.50
-45
-41
.36
.31
-26
.21
.16
.11
35%
a -119T -M -80 71 -63 -
-54
-45
-41
-37
-32
-28
-24
-20
-15
-11..
-7
30%
-99,-
-73 65 f;583;50
to
-15
-36
-32
-28
-24
-21
-17
-13
-10
-6
-2
28%
-90
-66 -59 -52
-45
-39
-32
-28
-25
-21
-18
-14
-11
-7
-4
0
269.
-82
-60 -53 -47
-41
-34
-28
-24
-21
-18
-15
-12
-8
.5
.2.
1
,2496 1
J -74''*
-S'114 47 X41
';36
-30
-24
.21
-18
-15
.12
-9
-6
.3
0
3
-`22%
.66
-47 t -41 -36 -31
-25
.20
-17
.14
-12
-9
'-6
-3
-1
2
5
209.
-58
-41 -36 -31
-26
-21
-16
-13
-11
-8
-6
-3
-1
1
4
6
189.
-50
-34 -30 -25
-21
-16
-12-
-10-
--7
-5 -
-3
-1 -
-r t -
- 4
6
8
16%
-41
-28 -24 -20
-16
-12
-8
-6
-4
-2
0
2
a
6
8
10
14%
-33
-21 -18 -14
-11
•7
-4
.2
0
1
3
5
6
8
10
12
121/6
-25
-15 -12 -9
-6
-3
0
1
3
4
6
7
9
10
12
13
1096
-17
-8 -6 -3
-1
1
4
5
6
8
9
10
11
13
14
15
896
-9
.2 0 2
4
6
8
9
10
11
12
13
14
15
16
17
8. Interior Thermal Mass
Exterior
Method A
(Slab -on -grade
Construction Only)
Percent
One
Family
Two
Three
Exoosed
Story
-24 to
Stories
Stories
0
0
-3
3
-2
2
-1
10
5
-2
0.60
-1
7
-1
20
11
0
6
0
13
0
30
= 1:20-
1
- 12
1
1.40
0
40
10
3
19
2
12
1
50
16
c
200
3
17
1
60
1
5
1
3
7.4
2
70
6
6
5
4
3
2
80
7.6
7
10
5
8
3
90
95%
6
8.0
5
14
3
100
8
9
100%
6
8.5
3
17
15
Method
B
8
16 or
Int
Effective AFUE or HSPF
Slab Floor
-15
Raised Floor
Mass
X15
Stories
One Story House
5 3
Stories
- Sum of 1-6
/CFA
One
Two
Three
One
Two
Three
0.0
-11
-8
-6
-1
-1
0
0.1
-10
•7
-5
0
0
0
0.3
-9
-6
-4
1
1
1
0.5
-8
.-5
-3
2
2
2
1.0
-5
-3
-1
5
5
5
1.5
-3
. 0
1
6
6
7
2.0
-2
2
3
8
8
8
2.5
1
3
4
9
9
9
3.0
3
5 '
5
10
10
10
4.0
3
5
6
12
12
12
5.0
3
5
7
13
12
13
6.0
4
6
8
14
13
13
1 7.0
4
6
8
14
13
14
8.0
5
7
9
15
14
14
'9. Exterior Wall Thermal Mass
Exterior
Single-
Single-
Mufti
Wall
Family
Family
Family
Mass
Detached
Atmcned
-24 to
0.00
0
0
0
0.20
3
2
2
0.40
6
5
4
0.60
8
7
5
0.80
11
9
6
1.00
13
10
8
= 1:20-
15
- 12
-9
1.40
16
13
10
1.60
19
16
12
1.80
21
16
12
200
22
17
13
10. Heating System
Houses With Ducts (R4.2)
House Size (It2)
SEER
Subtotal
less
Houses With Ducts (R•8.2)
Water Heating
than
Sold
Pckg
-25 or
-24 to
.14 to .4 to
Sum
of 1-6
AC
AC
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
1
HSPF HSPF less
.15
.5
+5
+15
more
78%
6.8
6.6
0
0
0
0
0
0
80%
7.0
6.8
2
2
2
1
1
1
85%
7.4
7.2
7
6
5
5
4
3
90%
7.8
7.6
12
10
9
8
6
5
95%
8.3
8.0
16
14
12
10
8
7
100%
8.7
8.5
19
17
15
12
10
8
16 or
AC
Effective AFUE or HSPF
less
-15
-5
(AFUE or HSPF x duct efficiency)
X15
Effective
One Story House
5 3
- Sum of 1-6
IE
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP,
or
to
to
to
to
or
-6
HSPF HSPF
less -.15
.1
-5
+5
+15 more
One Story House
0
0
0
0
0
0
33%
2.9
2.8
-93
0
-74
-65
.56
.46
40916
3.5
3.4
-59
-
-47
-41
-35
-29
50%
4.4
4.2
-28
0
-22
-19
-17
•14
60%
5.2
'5.1
-7
0
-5
-5
-4
-3
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
9
8
7
6
5
4
80%
7.0
6.8
20
18.{
16
14
12
10
909/6
7.8
7.6
29
26
23
20
17
14
1009/6
8.7
8.5
36
32
29
25
21
18
Two or
Three
Story
House
0
0
7.0
6.8
-9
33%
Z.9
2.8
-102
-91
-80
.70
.59
.48
4096
3.5
3.4
-68
-60
-53
46.
-39
-32
50%
4.4
4.2
-35
-31
-28
-24
-20
-17
W11.
5.2
5.1
-14
-12
-11
-9
-8
-6
690/6
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
2
2
1
1
1
1
80%
7.0
6.8
13
12
11
9
8
6
901/6
7.8
7.6
22
20
'18
15
-13
11
100%
8.7
8.5
30
26
23
20
17
14
Zonal Control
Adiustmem
System
Type
Resistance
7
6
5
4
3
2
Otner
4
4
3
2
2
1
11. Cooling System
House Size Adjustment
Houses With Ducts (R4.2)
House Size (It2)
SEER
Subtotal
less
Sum of 7-9
Water Heating
than
Sold
Pckg
-25 or
-24 to
.14 to .4 to
+6 to
16 or
AC
AC
less
-15
.5
+5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
3
2
1
1
0
0
12.0
11.6
6
4
3
1
0
. 0
13.0
126
8
6
4
1
0
0
14.0
13.6
10
8
5
2
0
0
15.0
14.6
12
9
5
2
0
0
0.58
Effective
SEER
-5
-1
4
(SEER x duct efficiency)
7
10 8
Eff SEER
3
7
Sum of
7-9
0.87
-20
Sclrt
Pckg
-25 or
-24 to
-14 to -4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
X15
more
One Story House
5 3
IE
5.0
4.9
-23
-16
-10
-4
0
0
6.0
5.8
-13
-9
.6
.2
0
0
7.0
6.e
-6
-4
.3
.1
0
0
8.0
7.8
0
0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
4
3
2
1
0
0
10.0
9.7
7
5
3
1
0
0
11.0
10.7
10
7
4
2
0
0
120
11.6
12
9
5
2
0
0
13.0
12.6
14
10
6.
2
0
0
14.0
13.6
15
11
7
3
0
0
15.0
14.6
17
12
8
3
0
0
Two or
Three
Story House
5.0
4.9
-27
-19
-12
-5
0
0
6.0
5.8
-16
-12
-7
-3
0
0
7.0
6.8
-9
-6
-4
-2
0
0
8.0
7.8
-3
-2
.1
-1
0
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
1
1
1
0
0
0
10.0
9.7
5
3
2
1
0
0
11.0
10.7
8
6
3
1
0
0
12.0
11.6
10
7
4
2
0
0
13.0
12.6
12
9
5
2
0
0
14.0
13.6
14
10
6
2
0
0
15.0
14.6
15
11
7
3
0
0
House Size Adjustment
0.68
House Size (It2)
9
Subtotal
less
1000
Water Heating
than
to
Point Score
1000
1499
-30
-17
-5
-25
-14
-4
-20
-11
-3
15
-9
-3
-10
-6
-2
.5
-3
-1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
1 25
14
4
House Size Adjustment
0.68
House Sae (112)
9
Subtotal
1500
2000
Water Hearing
to
or
Point Score
1999 more
-30
0
3
•25
0
2
-20
0
2
-15
0
1
-10
0
1
.5
0
0
0
0
0
5
0
0
10
0
-1
15
0
-1
20
0
-2
25
0
-2
All
Zonal Control Adj•w=ent
7 5 3. 1 0
12. Water Heating.
0.68
6
9
7
4
1
One Water Heater -- No Autdliary Credits
Adjustment for No Tank Insulation
SE All
0.87
-22
-14
-19
Distribution
System2
-22
- _ Number of Water Heaters
0.93
-16
-7
Recite Svstems
Water
Climates
Energy
STD
HWR Pipe
No
Timer
Demd
Hearer Type'
Zones
Factor
POU Insul
Ctrl
0.93
-21
SG50
All
0.53
0
3 1
-9
-5
0
-20
-14
0.63
5
8 6
-4
0
5
2.20
-13
0.73
8
11 9
0
4
8
SG75
Al
0.48
-2
1 -1
-12
-7
-2
0.58
3
6 5
-5
-1
4
0.68
7
10 8
-1
3
7
SE
All
0.87
-20
-12 -17 .
-41
-32
-19
0.93
-17
-9 -13
38
-28
-16
IG'
All
0.80
2
5 3
IE
All
0.93
-21
-12
HP
1.6
1.80
-11
-6 -9
-25
-19
- 11
2.20
-5
-1 -3
-15
-10
-4
2.60_
0
3 1
-9
-5
0
Two "Water Heaters •• No AuxWar7 Credits
SG50
All
0.53
-7
-4 -6
-17
-12
-7
0.63
1
5 3
4
-4
1
0.73
6
10 8
-2
2
7
SG75
All
0.48
-12
-9 -11
-22
-17
-12
058
-1
3 0
-11
-6
-1
Water Heating (continued)
0.68
6
9
7
4
1
6
Adjustment for No Tank Insulation
SE All
0.87
-22
-14
-19
-46
-35
-22
- _ Number of Water Heaters
0.93
-16
-7
-12
-39
-28
-15
-
Wafer Heater Type One Two
IG - al _
o.e0
-1 -
_ -3
SG50 -2 .5
IE All
0.93
-21
-12
SG75 -3 -6
HP 16
1.80
-20
-14
-18
-35
-28
19
SE .5 -9
2.20
-13
.9
-11
.25
-19
-12
HP -2 -4
260
-8
-4
.6
•17
-13
-7
0
0 I�
permit. .'I 1,1l'i'Th6!�el, re0ruitement is I,are aria '''WI -L
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_
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