HomeMy WebLinkAbout060-110-076:60'11—, 7.6 18 P E
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GOMES,;! Fran e/0
7542;.Abne dite w '
(tra_vel't'r
ELEC • ,
GAS
COMPACTION TEST REQ__ I =y
SUPPORT STRUCT, REQ •
60-1'1-76 ;? •` -2423-
91E c '+
cGOMES, Frank &-Judith
7542 Abner, ,Ln , Butte•Meadows
'(well electric) PM
"41 . x92'-99 y ,r�,{ .
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7542 Butte Meadows ,
Abner
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060 `10 j6" 92.2578B tie
T1. GOMES,; Franke y_;�;
7542 Abner 'LN, ,Butte :Meadow hr
t .- t
ontr Steve Lane
vj}':. add .po ch/'sf 00- 10
060-11-0-076.
CLARK, JUDY,: -i
7542 AB - BUT@�OADOWS"
CONT: CLEMENT, KEN ' ^ O 0 ,
16 X 22 GARAGE $Ila-P'I
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RESIDENTIAL
PERMIT N0 060-11-0-076 00-1088
CLARK, JUDY _ - . _ _ _ ......__ _
< ; 7542 ABNER, BUTTE MEADOWS
CONT: CLEMENT, KEN
i' 16 X 22 GARAGE i
SPECIAL CONDITIONS
CHECKED
BY
*SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION.ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED
Signature
V = OK
0 = Not OK
= Not Applicable MOBILE -HOMES
= Not Ready,
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ /' Nat.,or / r /"L"ft./ /'LPG
7. Well Clearance & 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 -Connector
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
12. Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPOR SQARAGES tans) OK except #'s
oni -Requirements-Setbacks-Easements
ootings; Soils -Size -Depth -Spacing -Con ctors-St
3.
Decks; Girders a�nd/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
lectric
rmg.; -Anchors-Studs-Rttrs-Trusses
ing_ N g -Veneer -Stucco -Mesh
1
oof; Shthg-Rooting
11.
Ext.; Ste s -Doors -Landings
1
raced Wall Panels
DatC.70
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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- Enclosure s- Pane lboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
- =t Mble
• = itict ReRer
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rffr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Fig., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall 8 Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steef-Wrapped'
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mach Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor ❑ Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instid./Drive 0 Yes ] NoMalks 0 Yes Q No/Planters ❑ Yes ] No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearina
>ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall 8 Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instid./Drive 0 Yes ] NoMalks 0 Yes Q No/Planters ❑ Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
1 St
COUNTY OF BUTTE
* BUILDING DIVISION ,
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
COUNTY OF BUTTE - DEPARTMENT OF DEVEL9PMENT SERVICES - BUILDING DIVISION
t 7 County tenter Drive • Oroville, California 95965 • Telephone (530) 538-7541 ^ f ENO.
(Rev. 12/96) APPLICATION AND PERMIT ��
ASSESSOR PARCEL NUMBER
060-11-0-076
ZONING
BUILDING PERMIT
OWNER
JUDY CLARK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
P.O. BOX 268 PRINCETON CA 95970
352 6
336
CONTfy�TipR'$-�Ay{y,• ENT
1111 LL''11VV II��LLLL''11�"11LL''11VV
TELEPHONE
91-1488
CONI TORS MAILING ADDRESS
187 EAST AVE, CHICO, CA 95926
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
7542 ABNER B
Energy Plan Checking Fee $
$
PERMIT FEE $
1 6R 90
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GARAGE 16 X 22
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Feel 20.00
vLE
Main Service ZDDA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class Lic. No. �(� �_
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 AGC. BUDS.
SO
3.50H.
NEW CONST. MULTI -OUTLET
=RE IDT
@7.50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR pDCTUREs
s„ @':50
LNS
Ex. Occup. ouri�rsPREES,6.) EOR,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Coolin
Hood
6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/ of one hundred dollars ($100) or less.)
Q I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
laws of California, and agree that if I should become subject to the—
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X zX16ff Date
Signa ure of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTA FEE $ 200.80
�IHA:Z-
DEESIMP FLOOD
cop
p L
ppcompensation
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By!� ate ((�
PERMIT EXPIRES ON 1. b
afe
Receipt No. 294528 $200.80
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF DEVEL.flPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAIIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: C L- /4 ASSESSOR PARCEL ER: n zoo
Proposed Building Use' Building Inspector: Date:, — / d C=)
At time of permit application, I was 4dvised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted.
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------- ==--------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ ----------------- ---------------t---------
11. pact fees as shown on the attached schedule. -----------t - --�
California Department of Forestry plan approvaUfees.a---•
❑V3,,loud elevation certificate.---------------`'----------------------------
anitation and plot plan approva �flrHealth Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking: _
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
❑ 20. Pre -inspection for required Request to,Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). --------------------------- --
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
(Date)
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑ 5 ecorded copy of Agricultural Acknowled ent Statement. -- ------------------------------
-----------------------------
-- ----------------
------------ - ---
6. Letter of intent on building use. ---- - - - -- ----- �-- =SS ---- -r
❑ 27. Manufactured Home utility clearance. ---------------------------------------------------------- --------------
028. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
E130.
--------------
❑30. Other: -------
Wh you issu�he I itt process follows ❑Mail to owner, ❑M ilio contractor.
Telephone ``����// `��`` �� ��-I( C� and hold for pickup at CW C-0 office. ❑ Deliver with inspector.
Appli. •7--WDate: I -A;— - / 7
Copy of Haz-Mat form.sent ❑ Health Department, ❑ Fire De t, Air Po uti Date: By:
Copy of plans sent ❑ Health Department, 11Fire Department, Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ 13uilding Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildiiing�j ivision counter, by Dat
Plans reviewed by: Date: Plans approved by:Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division. ,,.-..-
1
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
��
Piot Plan Attached
Floor Plan Arts ed
Sent to S.D. l /
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well
Clearance for dvvgMTT . Other
Hold final for:
Final clearance O.K. for:
NOTE: -
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
PMT. 4
OWNER: ,! l// f PHONE:
MAIL ADDRESS: �T �. zg e A— J
l /Z) C( to
SITE ADDRESS: /s-17vZ /'�bA)elk2 X/ ltlf-
zla I-Ve 11ne"-11) o to s 1. (",z -
PROPOSED USE:
PLEASE AMMM QUEETWIta I -M PLEASE WLAM YM M�1 P" M Ti! WACE FRONDED ON TME REVME OP Tip !POKY?. MLMU
PRECEDE EACH CO�fT MH RELATED QUBSTIM! n
GENERAL INFORMATION:
1. Is there a primary dwelling on the propwtyi' C 4,b/%v
2. Is the structure already built, under construction, or under notice of code vkbdon?
3. Will items produced in this budding be offered for sale?
4. Will the public have access to this building?
5. Will any advertising, on or off site, be associated with the use. of this building?
6. Will this budding be occupied at any time as a sleeping quarters?
7. Will this budding be occupied at any time as an eating area?
8. Will this budding be occupied at any time as a cooking area?
9. Will this budding be occupied at any time as a living area?
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or 10' of leach lines?
11. Is any portion of the proposed structure located closer than 20' to your front property fne?
12. Do you plan to add a driveway or modify &Asting access to a county maintained road?
13. Will the proposed structure encroach within any recorded easement?
CONSTRUCTION FEATURES:
Yes. No:
Yes: �` No:
Yes: No:
Yes:
No: ✓
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No: f
Yes:
No:
Yes:
No:
Yes:
No: J
Yes:
No:
14.
Will this budding have insulated floor, waft, or ceiling?
Yes:
No:
15.
Will this building be heated or cooled?
Yes:
No:
16.
Will this building have a water closet toilet?
Yes:
No:
17.
Will this building have a sink?
Yes:
No:
18.
Will this building have a water heater?
Yes:
No: ✓
19.
,t
What type of floor covering will the budding have? e%�'jQ�►%/
�UG�Le
20.
What type of wall covering will the building have? To t4)fi¢,��
Cc9dC'%�//UC
ADOMONAL INFORMATION:
I ombp eftm under F oft of pwjwy tw stove ritonweon is aw wW Darted Ill Il na dwl wri u+rip.. b uw u". or olwsow of um, of this Dul l o wW
roquks tom ws psmitlnp sulhorM�►. urwsrswid tAsw Estate, Oisolosu�s isws nq�is dlsdosun d INs iiorrratlon r or.wMn oft sd far ssk.
o
01�7 sbNrmM DATE OWNER'S SKi 111 DATE
POR DWARTMBRAL UN
REVIEWED BY: DATE:
COMMENTS:
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175
P too A/ill
...... ....
161 Id
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i,
APPROVED
Butte Cwvnt , __--
Environmental Health
rbna
Doi
Environmental Health
'1
MAY 2 5.2000
Chico, CA
/CD
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APPROVE®
Butte etlEnvlna 9alth
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Environmental Health
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MAY 5 2000
_ C.hic®, CA
E0515 -CLEMENT / GOMEZ - A-1 COMN)
TOP CHORD 2x6 DF -L SS
BOT CHORD 2x4 DF -L #1
o,1. WEBS 2x4 DF -L Standard
:Lt Wedge 2x6 OF -L $2::Rt Wedge 2x6 DF -L #2:
a: PLATES DESIGNED FOR GREEN LUMBER PER NDS -47 TABLE 7.3.3.
._I UNBALANCED LOAD CHECKED PER UBC 1997 SECTION 1641.2.
Lc-)
rn
o OVERHANG DESIGNED FOR 1.25X LIVE LOAD SHOWN BELOW. W5X4
0
:2--
C=) C=
ca -
9=3
Cs]
AG
Csa
W
THIS DWG PREPARED FROM COMPUTER INPUT (LOADS & DIMENSIONS) SUBMITTED BY TRUSS MFR.
ROOF OVERHANG SUPPORTS 2.00 PSF SOFFIT LOAD.
IN LIEU OF RIGID SHEATHING USE PURLINS TO BRACE BC @ 96.00" OC
DEFLECTION MEETS L/240.00 LIVE AND L/180.00 TOTAL LOAD.
10 PSF BC LIVE LOAD PER UBC.
W
G L-2-6- L -2 -6 -O -J
700-0 _1.6 0-0_Ov.e.r :2 Supports
R-3021 W-3.5'
R-3021 W-3.5"
0
PLT TY . PI -95 R Design Criteria: TPI STD CA - 1 - F Scale —.25" Ft.
~( •YARNING'• TRUSS[$ REQUIRE EXTREME CARE IN FABRICATION. HANDLING. SHIPPING. INSTALLIRB AND —`�
o IAACIII. REP ER TO NIB -91 (bARDLISG INSTALLING ARO BRACING). PUBLISHED BY TPI (TRUSS PLATE tJ`�W, y TC LL 122.0 PSF REF R427--91699
O INSTITUTE. SDS D'OMO/RIO DR.. SUITE EOO. NAO [SOI, NI 57)19). FOR SAFETY PRACTICES PRIOR 70
O �` fERPoI"11G THESE FUNCTIONS. UNLESS OTHERWISE INDICATED. TOP CHORD SHALL NATE PROPERLY ATTACHED TC DL 10.0 PSF DATE 05/16/00
Cli :TROCTUTAL PANELS. BOTTOM CHORD SMALL HAVE A PROPERLY ATTACHED RIGID CEILING.
IMPORTANT-- FURNISH A COPY OF THIS DESIGN TO THE INS74LLATION CONTRACTOR. ALPINE ENGINEERED BC OL 7.0 PSI DRW CAUSR427 00137001
CA7 PRODUCTS. INC. SHALL NOT BE RESPONSIBLE FOR ANY DEVIATION FROM THIS DESIGN; RUT FAILURE T 6
--+ BHILD THE TRUSSES IN CONFORMANCE WITH TPI; OR FABRICATING, HANDLING. SHIPPTRG. INSTALLING AB
BgACIVR OF TRUSSES. THIS DESIGN CONFORMS WITO APPLICABLE PROVISIONS OF RDS (NATIONAL DESI 8C LL 0.0 PSF CA -ENG A E B / GWH
A L P I SSECIF [CATION PUBLISNEO BT THE AMERICAN FOREST AND PAPER ASSOCIATION) AND TPI. ALPINE
C :•dw CQj)BECTORf ARE HOE OF FOGA ASTM ASSS U40 GALV. STEEL, EICEPT AS NOTED. APPLY CORRECTORS TO t may 16 200 It TOT. LD. 139.0 PSI SEAN - 13305
s ACE OT TRUSS. AND UNLESS OTNERNISE IOCATEO OR THIS DESIGN, POSITION CONNECTORS PER �p
DAAN AC 160 A -I. THE SEAL ON IHIf DRAWING INDICATE5 ACCEPTANCE Of PROFESSIONAL ENGINEERING �/` CNII OUR. FAC. 1.15 FROM ED
A5., g� RESPONSIBILITY SOLELY FOR TIE TRUSS COMPONENT DESICI SHOWN. THE SUITABILITY AND USE OF THE& ��''
ryr �►CA95�8 �I>!c COMPONENTJTPI
R ANY
SECTIDICULAR 69ILPIOG 15 THE RESPONSIBILITY OF THE BUILDING DESIGNER. PER F SPACING 24.0" -
CDF FIRE SAFE REQUIREMENTS
76
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections- will be made. by the Butte County. Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner..
Driveway Standards
[�} 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app.-,rtezant structures which supple-
ment the roadway bed cr shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,00.0
pounds.
[, 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
�] 1. No roadway shall have*a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical.curves in roadways exclusive
1 of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
( 1273.05 Turnarounds. If .required, will have a minimum turning
radius of 40 feet from the center of the road.
1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
Y feet long with a minimum 25 foot taper on each end.
[�(y 1270.10 Width. All driveways shall provide a minimum 10 foot
1 traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of -1
.r
AP # PERMIT # NAME
] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
l- 2. The gates must be located at least 30 feet from the
l roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
.1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels 1 acre arid larger shall provide a mini-
mum 30 foot setback for buildings and.accessory
buildings from 411 property. lines and/or the center
of the road.
[�(J 2. For parcels -less than 1 acre, local jurisdiction
\ .shall provide for the same practical effect.. See
Other Requirements below.
[ 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction �r f_:ral inspection of a building
permit.
Page 2 of 3
AP #
6v -(600f
PERMIT #
Other Requirements
[ ] if Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
AMEN
(�] If Building Setback is -Less Than 15 Feet:
Choose any.3 of the following:
P -Metal or no doors on.side toward property line with insuffi-
cient setback
Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
d'Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
2-S
Date Signature
Page 3 of 3
Itis 1�� Q2 -2-578
S 'E)ENTIAL
60-11-76 tic�UiS iDE{, ;9 992 BPEM e-
GOMES, Frank & Judy
7542 Abner Lel,, Butte Meadows
new sf I
1 '
AI.
x44 X I z X Z
'%�-9Z �,.�, -7-a3-9i
cLoo .c Ua
A o •
.1
F
Y
� t
u
Y
JOB FINALE
Signature
Owner s7-, 6 Permit No.
ee ,[,,,/ ENERGY CERTIFICATION qz-qq?
d /�";0 4a427�_ �4 4�.
LOCATION A.P. NO.
ROOFDESCRIPTION OF INSULATION
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS ,� �/ THERMAL RES. /
CEILING
BATT OR BLANKET TYPE-.FiberglasBRAND NAME CERTAINTEED
THICKNESS % `t THERMAL RES.y
LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR,ELEVATED
MATERIAL FIBERGLASS
THICKNESS ,t
FLOOR, SLAB
MATERIAL
THICKNESS
WIDTH
FOUNDATION WALL
MATERIAL
THICKNESS
BRAND NAME CERTAINTEED
THERMAL RES.
BRAND NAME
THERMAL RES.
BRAND NAME
THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
HAWKINS INDUSTRIES INC. # 62.2184
FIN OW 9. E .TE CONTR. LICENSE NO.
I her y cert 'y he above insulation and all required items as shown
on the Building Depart. approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved byy/ the State of Calif. /�
------------------------------
FIRM N M OWNW(PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.
A RE OF -GENERAL CONTRACTOR OWNER DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval and a copy shall be posted within .the building.
$ _ ....__._._.
JANUARY 1984
• ,,,•�",','.,,, COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville —Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO -;,-
A routine inspection indicates that the following violations of County Ordinance.
exist at the above address and should be corrected. Please notify this office
r
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
_]Slil.ri'�11 ,oc�
.;A n z� . I + . ., 0. n . _ — _0.
9 ' P. _W
r
VII` 1
v
1
Date ��` �� Inspector l�
COUNTY OF BUTTE !
DEPARTMENT OF PUBLIC WORKS
r 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
ERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date �� c.1?3 9a- Inspector V
o p - ab\e
NoFta
PPv
ea
7. Slab; Steei�WrE
8. Piers -Fireplace
"• 4
ESIDENTIAL (Single'&•Duplex)
ass encs -F d -Slope
Elegy • ?L/" Ftg. Depth
; s -Ste I lec. Grnd.-J L, Ftg. Di
7257S.. I.- Steel-/ /Ftg. Depth
nSel-BlockoutseWrapped
,de; Steel-Blockouts-Wrapped
nd Special Anchors
pped
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 ucts; Clearance- terial- pport-
14. Gird Sills -Anchor Bo -Joists nts-Cr les
15. Access & Ventilation
16. Insulation
Datel.2:3 Card B-1 (/je Date $ `]•M Card B-1
DatqCard B-1 L4 Date Card B-1
Date PLUMB;NG (Permil),OK except s's
--- - 1 �ate-r Htr.;^^ ess-CmbuIstion Air -Baffle (,v
--- 1r!vVater Pipe: Test & A�
or -
Pipe: Protection
- --- 1 Test -Fittings i -Anchor -Nail Protection
-- - - 1111.Shower Pan: Test. First Floor -Tub Access
----- -- -----------------------
_ _ 2 est Tub & Shower, Second Floor -Tub Access
-----------------
21. Gas Pipe: Size & Anchors
------------------- --------------------------------------------------
DateB'j_�'(�--Card B_1 UQj--- Date ------ ---Card B ------
Date Card B-1 Date Card B-1
Date ELECJ,RICAL (Permit) OK except ft's
2 �. Fi�xture & Transformer Clearance -Ins. Protection /
Receptacles Spacing_Lightt.6_Switchesl-Lig oors
------------------------- ---/ ---------------
2 ze B-
oxes &No. of Conductef�- tapled
---------- ----------------=------------- -- -- -- ----
&5!-Vb x Installed Close to E e of Studs &
-------- --
-----------------------------------------------------
' ��quip-. Ground made up w/Mech. Fastners-l;@R@I &
2io H pliance Circuts in Kitchen & Conductor Size/GFI
-------------------------------------------'
28. �^ T. Cu or AI-A.C. Wire Size / ga. -
Cu Al
-------------- - -- - ------------------------------------
2 ange Circ 9$i ga.®or At -Oven Circ. / / ga. Cu or Al.
sulated Neutral , O Yes GL- o
Ser ice -Riser Condudbrs & Ground -Main Disconnect
----- - -
�Equ p Clearances Panels-Motors-Mech. Equip.
3
CI es Closet Light -Shower Light -Spa Light
---------------- --- - --------------------------------------
3 Smoke Detector
----------'
-- - ---------------------------------------------------------
Date-- ,--- -Card B_1 Va Date --------Card B 1-----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
------------- 3 A.C.-Ducts Insulation & Support
--------------------------------------------------------
3 tt Fan:
36.
Exhaust abov nsulation
- -
----- -- c^^'' ^ n
7. Furnance-Vent. Access -Comb Air -Return Air Vent -115 outlet
- -
--
------------- -----------------------------------------------
3-
-----------------------------------------------------
---------------------------------------------------------------------------------------
..-------------------------------------------------------------------------------
Date Sj 11••yy Card 13-1 Date Card B_1
Date Card B-1 Date Card B-1
Date FRAM013 (Plans) OK exceptg's
3�ils. Proper Material & Anchors
4'• --------- - -------
ates-- ----------
4 alts Studs -Nailing. Spacing & Br g -Plates -Sound
-- -- -- - -- ---------------------------------------------------
s 4Ping Walls over Girders & Floor Bailing
--------------------------- ---------------------
4 raft Stop in Walls (rat proof) -
• - --- ----- ------ - -- ------
---------------------
4 Fire Stops urr Citing S irs Chase
-
------------ ----------------- ------ ---------------
4 eaders & Beam -Size & Bearing -
Date FRAMING (Continued)
4 an er ost Ca_ hors -Connectors
-- 46. Cing. Joist -R ies-Purlin-ro Brac-Truss-Sht g.-R*qt -
47. Fireplace Ties or Type ue-Fireplace Throat clearance
-- 43.. omex rotection-gwft Stop-In�srBaffles
-- drm. Windows or ExDoors-Sit gt. & Dj ensions
50.
-------- 51. _- penmgs
xt
/ S2. E'[)-oor One 3' -Check Gara e -3r Story, 2 Exits
3. St Width -Headroom -Ree' -R andin -Fire Vroteciion
---------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------ -
_ _ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
-Ib&7.- lazing rea-Glass ection- kylights-Plastic
t 58. Shear Walls; Nailing -Bolts
Q 9. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
---------- -
-------------------
_Dat ,Z% QZ Card B_1-UgQ Date rd B-1
Dat 31.92 Card B-1 Z Date Card B-1
Date FINA ans) OK except ti's
- _-_-------
Ext. eps-Door &.Sidelight Protection- Land i
Detector
6 Air-Conneclor-
- Mech. Protection
----------------------------
. edroom Exiting--
-------------- 65,.-f T-& Bath Fixtures & Tub A- - s -Spa
Trim & Subpanel; Br r Sizes & Labels
67 airs & Rai
----------- -------------
6 pla
ece or Stove: ClearanceTrge --
--------------- - -- - -------
69-_,EtEr
----------------------69--H2rC- Outlets at Wood Panel:.? Ext.
- 70--*n'Fixt & Appliance; Grnd.-Air Qay-Cooking Clpa aTrcice
71 .E a Outlets & Receptacles at Kit. �r
------------- - oser
7 r
-- ----- -------
--------------------------- -
. Htr.: Vents -Clearance -Comb.
Air-Connec
-tor--
P.
In rage: Above Floor-Mech. Protection
7.�Elec&Mech. Equip. Listed for c_---_ _-
7 . .
---
fulecuun-
Insul tion-Foam-Looked>in�q��i�_ es
�Rails &Deck Bonstruction-Posh
?f Fdn. Vents & Crawl Hole Door -Drainage & WWo9d-Earth
learance Looked under Flo 'Yes
16---F-. llowing instld. Drive Yes 1:1 No: Walks Yes o;
Planters 0 Yes No
dt3!Dents Abf; PI -Fire ce.-Clearance to
ove Roo
B+yWa ear Well: Disconnect, Electrical, Plumbing
8 let. Trim: G.iiI7 receptacle -Underground
__.-_-... _..8 _.- ___ --_--
e on Throughout House
-- - -a--- - ------ -- - _
-- -------------- ----- --
Glass lection
___ 8_ Corrections from Previous Inspections ----
89�. �Gas• -T•-est-Meters Tagged; Gas -Electric
90IWater & Sewer Connected -C/O to Grade -HD Approval
9L.En1L5-rgy Compliance Certificate -Other Certificates
Date-�tO-Q3-Card B_1 -g- -- Date -- ,Card B-1
Date Card B-1 Date Card B-1
---- -- ------------------------------- --
Date Card B-1 Date Card B-1
Comments at Final:
V=OK `
O = Not OK
Not =
Not Readyable 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. Wood Awn.; Posts-Beams-R1trs.-Connectors
4. Water; Location -Test -Easement Needed (Sketch)
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
5. Alum. Awn.; Columns -Connect- ,-Splice-Dec-,.
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows-Doorscl`osures
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1 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 Conhector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card •B-1
MISNNAt4e0
Date DECKS, COVERS, CARPph�� US
1. Zoning Requirements-Setbacks-Ebs
2. Footings; Soils-Size-Depth-Spacin g Con
3. Decks; Griders and/or Joists -Decking -gracing -Stairs '
4. Wood Awn.; Posts-Beams-R1trs.-Connectors
-Rai
Shthg.-Rfg.-Bracing
;
5. Alum. Awn.; Columns -Connect- ,-Splice-Dec-,.
6. Carports; Windows-Doorscl`osures
7. Electric
-
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 'Date 'Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements •
2. Soils; Compaction -Structure Stability t t
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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date r Card B-1 Date Card B-1 I
—n'a+i"y. .-1—r-,..."1"y .... 0, .-....i"atlar.:w:+: r.,,,,,; a . ;J,'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
t, ray iY\IW G - -( L --
OWNER PERMIT NO.
t4
A routine inspection indicates 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. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�L..'Zawl�
Date f —'0� � Inspector
REV 11/91
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
• __ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER
60-11-76
ZONING
U
BUILDING PERMIT
OWNER
FRANK & JUDY GOMES
TELEPHONE
$Q• FT. OCC. BUILDING VAL
ATIO
1142 R 61,668 ,�•
OWNER'S MAILING ADDRESS
P.O. BOX 268 PRINCETON 95970
581 0 4,067
CONTRACTOR'S NAME
STEVEN LANE
TELEPHONE
891-5110
CONTRACTOR'S MAILING ADDRESS
3330 ABNER LANE BUTTE MEADOWS
Fireplace 1 ttAtt 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 67,235
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 453.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 226.75
Energy Plan Checking Fee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
S � e �. e
Permit fee $ 715.2.5
PLUMBING PERMIT Filing Fee 115.00
Each Trap g 1 5.001140.00
Solar or heat pump water heater 20.00
LOT NO.
26
SUBDIVISION NAME
DAVIS TRACT
PARCEL MAP
9-11
Water piping 7.00 7.00
Each qas water heater or vent 7.00 7.0
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New P Addition❑ Remodel E] Utilities❑ Installation❑ Other❑
Describe work: ONE BDRW
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service ZOOA OR LESS 18.50
Main service 20CATO IOOOA)
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed rider provisions of Chapt. 9, Div. 3 of the Business
and Profess s Co a d my license is in I force and effect.
License .Jo. Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ADONS. ACC. BLDGS. /
NEW CONSTR ULT' -OUTLET
NON•R ESID BRANCH CIRC ITS @ 5.00
(POWER APPARATUS hl
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 764
INIS
Ex. Occup. OUTLETS IFIXED RESID.)REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
9 '15.00
Permit Fee $ 5
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating WALL FURN 9,00
Cooling
g
Hood 6.50 6..50
Ventilation
permit Fee $ 30.50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to buildin onstruction, and hereby authorize representatives of the Countyot
Butte to nt r upon the above-mentioned property for inspection purposes.
I also r to save, indemnify and keep harmless the County of Butte against
all Iia I es, ju0nents, costs, and expenses which may in an way accrue
agains Cou yin consequence of the granting of this per iPOI
Datent e
Signatu❑ Contraatar sre of Applicant — Owner TA
Q�
An OSHA permit is re uired for excav Ions ove nd T II�Ion r Z
ion OF structures over 3q stories in height Yom/ ��
'Y
Mobile Home Installation Fee S
Ener Inspection Fee $
Energy P 40,00
o
co PE
✓
TAL FEE $ 929.70
Az
DF
I
F O
CDF
P EL
P D ' SU
This permit is hereby issued under the applicable provi-
sionsAR,ff the Butte County Code and/or resolutions to do
wor%`id�catab for which fees have been paid.
�0 R OF PUBLIC WORKS
Date G //-9L
E MIT EXPIRES Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -I PECTOR, GOLDENROD -APPLICANT
_ I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS07 PARCEL. NUMBER
ZONING
BUILDING PERMIT
OWNER ��� ` /n1��
`7J/`/J�
TELEPH E
SO. FT. OC . BUILDING VALUATION
OWNE MA LI G ADDR
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
333 3 CD
Fireplace Jyj
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is fi3
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Feed 73 $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ �Q
Penalty $
BUILDING Ao7�s 2— �(/
Permit fee �j $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00 o
®
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
�At �V
PARCEL MAP
[
Water piping 7.00
Each qas water heater or vent
1�,{, USE OF STRUCTURE
SF.t'�I Duplex❑ Mobilehome❑ Other
��/ ��� SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00 Q
Mobile Home S I G I W 615.00
TYPE OF WORK
Ne�k Addition 11 Re odel Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee $ o
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
R LESS
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License 'Jo. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A1 37.50
NEW CONST. ( DWELLING
OCCUP.t\
OR ADONS. ACC.SLOGS.
3.6Q sqft.declare
NEW CONSTR. ULTI.OUTLET ^ 5 00
NON.RESIO. BRANCH CIRCUITS)
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETSOR FIXTURES 20 V 76d
A
FIXE❑
Ex. Occup. OU LETS APPIRESID,ILNSREA.) j 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ -
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating e
' Cooling
g
Hood 6.50
Ventilation
permit Fee $
Contractor O S
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of B tte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
$ignatu re of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. UDIRECTOR
Receipt No. dor
Mobile Home Installation Fee S
Energy Inspection Fee S ZIA 1 .
OCC
CONST TYPE
�� ��
t,Az DFEES P FL D
CDF
�+
PARC
PO HD SsUE
This permit is here issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date
PARCEL CHECK LIST AND REQUIREMENTS
OwnerPermit No.
A. P. No. 1e,y
Telephone No. ^ ���� 0 Date
1. Parcel creation Map Book Page
Legal Parcel ���✓� % v�-c
Creation date
60' R/W
Certificate of Compliance
Other
(Specify)
0
2. -z�� Parcel created by subdivision map prior to July 1, 1949 17-23
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) Z-OV,ti6-
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)
>G Documentation on legal access required
(must be by Title Co. or licensed engineer or surveyor)
. Copy o
by
Documentation on legal access submitted and accepted.
sent to Land Development for improvement requirements 6 -Q
(Date)
Copy of Yorm sent to
ding Department
Road Improvements not Required
Road Improvements Completed and Approved for Building Permit Issuance
Date By
7/26/91
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. /
OWNERfAv FAV Z� "1 i i 557. 0% f &,
Proposed Building -Use "� Building Inspector Date�5�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..
Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
'nstructions ... _
0_ Fees of $ �Zgo ...................... -
11. Chico Urban Area fees paid .......................................
1�4
P -k fees paid ....... _
—� �� School District fees paid .............. 5 Z
Sanitation approval from Health Department - •2
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
lanning approval for (A) Use: (B) Parking:
provements may be required. Contact Land Development Section DPW
- 9. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractors license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23... caner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
4. Recorded copy of Agricultural Acknowledgment Statement.. /...... <
—�� 25. Letter of sianature authorization . _ _ _ _ . _ _ _.� __ / ,
When you issu
and hold for pickup at
Mail to contractor
ce. Deliver w/inspector1
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 pr
1. Index permit for above items No.
2. Additional items required:
iss)/ay(j;, LCirf le new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone----Mall
Contractor, designer, owner, was advised of above required data by_phone_m4
Plans checked by 1ZDate 4"'20'72 Plans approved byXI
_Sets of plans on hold in
Copy—DPW
File cabinet AP folder
by ..date
by date
Date q1 v
Z,
lze rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL, DEVELOPMENT
1A Section 26-8.1 of the Butte County Code
requires Lhis acknowledgement be recorded
priorto issuance of a building permit.
The proper-t:v described herein is adjacent 92-017441'1 Ree Fee 5.00
to land or included within an area zoned I Check 5.00
for agr.i.cul.Lur.al purposes, and res:i.dents Recorded
of this property may be suh..ject to incon- Official Records
ven:i.e.nces or discomfort arising from the County of
use of agricultural chemicals, -including, Butte
buL not .I imi_Led to herbicides, pesticides, Candace J. Grubbs
and ferL:i'l.izers; and from the pursuit Recorder
of agr.i.cu.l Lural operations including, 8n00am 23 -Apr -92 I MVTC JJ 1
but not: li.m:i.I:cd to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has esttab.I.:i.shed <agric.u.l-
�-t:Ur.al zones which .have as a priority use for productive agricultural, purposes, "and r.es.i.dew s
within said zones and on adjacent property should be prepared to accept such incunvc'n•i.en'cc
or discomfort from normal, necessary farm operations. _
Al..l. Lha,L real property situate in the CounL•y of Butte, State of California, (Icscri_bed Lis
follows:
PARCEL ONE; -
LOT 25, AS SHOWN ON THAT .CERTAIN MJIAP ENTITLED, "REVISED OFFICIAL MAP OF � THE- FIRST �
;SUBDIVISION OF THE DAVIS TRACT; BEING A PART. OF THE NORTHEASTQUARTER OF SECTION. 29,
TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 3, 1922 IN BOOK 9 OF
MAPS, AT PAGE 11.
PARCEL TWO;
A NON' EXCLUSIVE EASEMENT FOR WELL, SEPTIC TANK AND LEACH LINE PURPOSES 10 FEET IN
WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOT 26 OF THE DAVIS TRACT.
Date-
State
ate:State of CAL-Ir-orz" On .this the �day of 4#VL. 19_9=--, before nye.,
SS. the undersigned Notary Public, personally appeared
County of COWCA
F.V.APJ X G 0 Marl Aura .-rub 17* .4. 60Ai"
Personally known • L`o me. ,Proved to me on the h is i s
OFFICIAL SEAL of satisfactory evidence.
HANNES D. MACE [HEREOF,
be the person(s) whose name(s) AIRF
NOTARY PUBLIC• CALIFORNIAbscribed to the within instrument and acknowledged that/
PRINCIPAL OFFICE IN
COLUSA COUNTY ecuted the same .for the purposes therein contained. TN W1: 'NFSS
My Commission Expires September 3,1994 I hereunto set my hand and official seal..
Present A.P. No. �` (% " �` — / Notar Public:
END OF DOCUMENT
I
ylt j N"N .
7N I Jlli�
Ljk 0 b :j -" 14 tf
fit
TO
Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
r.., 1--r 26
Owner Location
Plan Approved 'for: Sewace Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for:
Clearance for 2— bedroom mdb*%-e home. Other
NOTE
Water Supply
Date
Sanitarian
� !
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Ali
Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
''";i• FOR RESIDENTTAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires Lhis acknowledgement be recorded
prior to issuance of a building permit.
Che pr.operLy described herein is adjacent
to Land or included within an area zoned
BUTTE COUNTY RECORDER
I -or agricultural. purposes, and residents
SERIALNIO. �%- 1741V1
t,f this pro�lx,rLy mriy be snh.jecL to incon-
RECORDED AT THE REQUEST OF
ven.i.onces or d i.scomfurt arising from the
MID VALLEY TITLE COMPANY
use of agricult.ura.l chemicals, -including,
DATE RECORDED: APR 2 3 1992
buL not Limited to herbicides, pesticides,
TIME:W,ODfen
rind ferLi I.irers; and from the pursuit
of agr.i.cuILural operalJons inc.l.uding,
but not. lim:iLed to cultivation, plowing,
spraying, priin:ing, and harvesting which
occasionally generate dust, smoke, noise, and odor.
Butte County has established agricu.l-
Lural zones which have as a priority use for productive agricultural purposes, ,ind residew s
within sa i.d zones and on adjacent property should be
prepared to accept such i nc-unvCn'i enre.!
or discomfort from normal, necessary farm operations.
A1.1 that real property situate in Lhe County of Butte, State of California, cic:.cri.be.d as
PARCEL ONE; — ---- - -- -- - --
LOT 25, AS
SHOYM ON THAT CERTAIN MAP ENTITLED, -REVISED OFFICIAL MAP OF'THE- FIRST
SUBDIVISION OF THE DAVIS TRACT, BEING A PART. OF THE NORTHEAST OUARTER OF SECTION 29,
TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.°, WHICH MAP WAS RECORDED IN THE OFFICE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 3, 1922 IN BOOK 9 OF
MAPS, AT PAGE 11.
PARCEL TWO;
A NON EXCLUSIVE EASEMENT FOR WELL, SEPTIC TANK AND LEACH LINE PURPOSES 10 FEET IN
WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOT 26 OF THE DAVIS TRACT.
Da Le: PROPERTY OWNERS:
State oi: C'awr-orLVq On this the l`Frl day of AORJL. 19q=--, hofore me,
j SS. the undersigned Notary Public, personally appeared
hounLy of
CNK. 60Mcg �4ucb v u,4 r te/ A . 60Ag-1
Personally known to me. [Proved to me on Lhe b.is i s
OFFICIAL SEAL of satisfactory ev.idr.nce.
HANNES D. MACE o be the person(s) whose name(s) 412E
NOTARYPUBLIC-CALIFORNIA ubscribed to the within instrument and acknowledged Lha[
PRINCIPAL OFFICE xecuted the same for the purposes therein contained. LN W.l 'NESS
COLULUSA COUNTY NTT
My Commission Expires September 3, 1994 HEREOF, I hereunto set my hand and official seal.
Present A.P. No. Nutar� Public:
v >' �. ,. ..,.f ar.iy n.'^'+";�'+fT4:+.YF'tr'•'�„+'.jt% .;� _�f"zY'-,
)op
-.•i _ '.,' _ 3'.W" 5� t
` ►, ,ti . v �..a }i "i 7..'. ..t,.t4:*�max= •;i ••s:'''r r74 ^►: /':A%. t 1'r .r
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
-� ( One • Form `per Building) -'' * .., .
A.P. NumberBuil
dipg Department No.
#
School District -City; n� County Jurisd'ltion
Property OwnerkAT4, 4--�r ,. 0,q
Project Location Address,
Subdivision . F'
AV
Residential Development: ;r ;'`', s r
.' '# of Lfiiving"',�MHI;: Addition (Group R`)�'
`
Units,,,
,c ,y
Commercial/Industrial: 'Sq. Footage
New Addition (-Including Exterior
;Roofed Areas)
r / C7
Building 9 partment,Representative Date ,
(Floor Plans reviewed by School District Personnel) '
6W
14
District Id No.
School District certifies that
-lb--1 Ai i f,r g%/- -S//
(App icaf4t' ame) �r(Phone Number)
-(Street Address)
01h/ c0
(City) (State) ;(Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ M4 3(::::) representing 114a square feet.
School District Representative Da•e
PAID BY CHECK NO. /,
BANK NO %D
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88) 1t
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 92 - �
OWNER ��� A.P. # fid- ( I - 754== -
Plan
Plan Checker.
GENERAL t!,
2o-ning requirements: (sideyards and number of permitted living units).
2!,,Valuation.
�P a� signed by designer.
Proper description of work on application.
5•r�isting violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
-1-Re-corded notice of violation.
of
PLOT PLAN Lp T 9F?�r��l�
1. Complete parcel size and dimensions.
2. Setbacks, sideyards, easements, etc.
3-0t_Fer buildings or structures.
wading, fills, drainage.
Y! Flood hazard.
6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. FAU & FAS road setback.
8. Building or utilities across lot lines (Record form).
FLOOR PLAN
1. omplete to scale plan with dimensions. i F
wired windows for light and ventilation (Sec. 1205).
K Required windows for second exit (Sec. 1204).
g is (Chapter 34 & Sec. 5207).
k5qPuiredproom
act glass (Sec. 5406). sizes, ceiling heights (Sec. 1207).
7. is in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main -
t ce of mechanical equipment.
9 Locations of water heater, heating and cooling equipment, other electrical
or -gas equipment.
�F*
��a f'-ewall, door size, and closer (Sec. 503(d)(3)).
f - 0"exit door (sec. 3304 (f).
1 place and wood stove location, alcoves, and clearance.
1 SP ke detectors (Sec. 1210).
1 Plumbing fixtures, water closet clearances and shower size.
STRUCT L DETAILS
1. Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split evel house requiring lateral design.
I -`--Clerestory requiring balloon framing and/or engineering.
t
e sory building requiring engineered calculations and plans.
tion plan complete enough to construct building.
construction details complete enough to construct building.
Eions and wall construction details complete enough to construct building
8�.- ioof.construction details complete enough to construct building.
lace construction details and talcs if necessary.
Iter ties or bearing ridge beam.
1 garage door or porch header sizes.
l _ Stud heights.
1 Adobe soils - special foundation design.
14. Retaining walls requiring design.
15. ecial Inspection required.
COMsS e,9,
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR, +
1. Stairway details: landings, rise and run, head clearance, handrails
ec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
8+ick or stone veneer (Chapter 30).
erior plaster - weep screeds (Sec. 4706).
5. Pr�oper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
insulation - protection.
8�6" halls and stairways.
n area over garage - c6mplete 1 -hour separation'required on garage side
•
including supporting walls and posts, etc.
its on three-story dwellings (sec. 3303 & see Mezannines - 1716).
1 . A I access and ventilation (Sec. 3205).
lY. U erfloor access and ventilation (Sec. 2516).
1� tion air for fuel burning appliances -
L.P.G. requirements.
equirements on duplexes.
nergy design.
bashing at all exterior openings.
I DF responsible area requirements.
_9.9 2 iar, e�rEp eo�-ne -rte ®F -Age W — hYE'
-r o jr-51
�D �'+'f � U %£R /lvv i ,✓ L i �'v � � /,1',. LDo �,�• � �f�9� , S �v��
)l q �o r.Arl Tf
I
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title.......... The Gomes Residence Date........ 11/17/92
Project Address........
Butte Meadows
Documentation Author... Marty Runnells
Company ................ Energy Calculation Svcs.
Telephone .............. (916) 894-8466
Compliance Method..... by Enercomp, Inc.
Climate Zone...... _ 11
Building Permit
Plan Check Date
Field Check Date
MICROPXS3 v3.11 File -92269 Wth-CTZ11 Program -FORM CF -1R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
GENERAL INFORMATION
Conditioned Floor Area..... 1142 sf v
Building Type.... : ......... Single Family Detached
Building Front Orientation. Front Facing 0 deg (N)
Number of Dwelling Units... 1
Number of Stories.......... 2 ✓�
Floor Construction Type....- Raised Floor (Package E)
Infiltration Control....... Standard
BUILDING SHELL INSULATION
Component Insul
Type R -value ocation/Comments
Wall R=19 00,
FRONT, LEFT, BACK, RIGHT
Door R-0 LEFT
Roof R-30 A ;TIC, VAULT
Floor R-19 uoo.MISED FLOOR
GLAZING
Glazing Area # of Interior Exterior , N Framing
Orientation (sf) Panes Shading Shading Overhang Type
Window Front (N) 48.0 --"2 drapes 50% BUG SCREEN None Metal
Window Front (N) 51.0 /2 drapes None None Metal
Window Left (E) 10.0 --2 drapes None Yes Metal
Window Left (E) 14.0 — 2 drapes 50% BUG SCREEN Yes Metal
Window Left (E) 10.0 ---2 drapes 50% BUG SCREEN None Metal
Window Back (S) 54.,3..- 2 drapes 50% BUG SCREEN None Metal
Window Right (W) 40.0 -- 2 drapes 50% BUG SCREEN Yes Metal
Window Right (W) 7.0 .-2 drapes None Yes Metal
THERMAL MASS
Type
InteriorHorz
InteriorHorz
InteriorVert
Area Thickness
(sf) (in)
56 4.0
10 1.0
48 1.0
Hard Surfaced/
Exposed Location/Comments
Yes Stove Surround
Yes Shower
Yes Shower
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 2
CF -1R
Project Title.......... The Gomes Residence
Date........
11/17/92
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM CF -1R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
ASSUMED HVAC SYSTEMS
Assumed Duct Duct
Assumed System Efficiency 'Location R -value
HeatPump 6.6 HSPF None R-0
AirCond 10.00 SEER None R-0
ACTUAL HVAC SYSTEMS vv
Actual . Output Manufacturer and Model #
Actual System Efficiency (Btuh) (or approved equal)
Heating
Cooling 0.
Cooling Coil
CEC Maximum output for Gas Central Furnaces:
WATER HEATING SYSTEMS
System e
St age, Electric
Tank R-12 or
# of Vol Greater Manufacturer and Model #
Heat (gal) Blanket (or approved equal)
1 40.5 Yes
SPECIAL FEATURES/REMARKS
Btuh
Energy
Credits
Recovery
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title.......... The Gomes Residence Date........ 11/17/92
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM CF -1R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title 24, Chapter 2-53 and Title 20,
Chapter 2, Subchapter 4, Article 1 of the California Administrative code.
This certificate has been signed by the individual with overall design
responsibility and the building owner, who shall retain a copy of it and
transmit the certificate to any subsequent purchaser of the building. When
this certificate of compliance is submitted for a single building plan to
be built in multiple orientations, all building conservation features
which vary are indicated in the Special Features/Remarks section.
DESIGNER
OWNER
Name....
Name.... Frank & Judy Gomes
Company.
Company.
Address.
Address.
Phone...
Phone...
License.
Signed.
Signed
date
date
DOCUMENTATION AUTHOR
ENFORCEMENT AGENCY
Name....
Marty Runnells
Name....
Company.
Energy Calculation Svcs.
Title...
Address.
1907 Mangrove Ave. Ste D
Agency..
Chico, CA 95926
Phone...
(916) 894-8466
Phone...
Signed
2 �� / % ?i
Signed
a
ate
r
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R
Project Title.......... The Gomes Residence Date........ 11/17/92
Project Address........
Butte Meadows
Documentation Author... Marty Runnells
Company ................ Energy Calculation Svcs.
Telephone .............. (916) 894-8466
z
Compliance Method...... MICROPAS3 by Enercomp, Inc.
Climate Zone........... 11
Building.Permit
Plan Check Date
Field Check Date
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM MF -1R
User#-MP1333 User -Energy Calculation"Svcs. Run -1142 S.F. Res - Submittal
Lowrise residential buildings 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 features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
* 2-5352(a): Minimum ceiling insulation R-19 weighted average. ✓
2-5352(b): Loose fill insulation manufacturers labeled R -Value.
* 2-5352(.c): Minimum wall insulation in framed walls R-11
weighted average (does not apply to exterior mass walls). ✓
2-5352(k): Slab edge insulation - water absorption rate no
greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
�—
2-5311: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
✓
2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16.
AIA
2-5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped; all joints and
✓
penetrations caulked and sealed.
2-5352(e): Special infiltration barrier installed to
comply with Sec. 2-5351 meets CEC quality standards.
r�
2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control f
2. No continuous burning gas pilots allowed.
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R
Project Title.......... The Gomes Residence Date........ 11/17/92
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM MF -1R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
HVAC AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
2-5352(8) and 2-5303: Space conditioning equipment sizing:
attach calculations.
2-5352(h) and 2-5315: Setback thermostat on all applicable
WA
heating systems.
* 2-5316(a): Ducts constructed, installed and insulated per
Chapter 10, 1976 UMC.
CA
2-5316(b): Exhaust'systems have damper controls.
2-5314(c): Gas-fired .space heating equipment has
intermittent ignition devices.
A
2-5314: HVAC equipment, water heaters, showerheads and
V/
faucets certified by the CEC.
2-5352(1): Water heater insulation blanket (R-12 or greater) for
storage and backup tanks for solar water heating systems (first
5 feet of pipes closest to tank insulated to R-3 or greater).
2-5312(Exception I): Pipe insulation on steam and steam
condensate return and recirculating piping.
NIA
2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet. Il! A
LIGHTING AND APPLIANCE MEASURES
Design- Enforce-
er 'ment
2-5352(j): Lighting - 25 lumens/watt or greater for ✓
general lighting in kitchens and bathrooms.
2-5314(c): Gas fired appliances equipped with
intermittent ignition devices. a%
2-5314(a): Refrigerators, refrigerator -freezers,
freezers. and fluorescent lamp ballasts certified by the CEC.
.COMPUTER METHOD SUMMARY Page 1 C -2R
..,Project Title.......... The Gomes Residence Date........ 11/17/92
Project Address........
Building Permit
Plan Check Date
Field Check Date
Butte Meadows
Documentation Author... Marty Runnells
Company ................ Energy Calculation Svcs.
Telephone ............. .(916) 894-8466
Compliance Method...... MICROPAS3 by Enercomp, Inc.
Climate Zone........... 11
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
MICROPAS3
ENERGY USE.SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design.
Margin
Space Heating..........
33.41
26.47
6.94
Space Cooling..........
21.39
20.33
1.06
Water Heating..........
17.86
25.85
-7.99
Total
72.66
72.65
0.01
***Building complies
with Computer Performance ***
GENERAL INFORMATION
Conditioned Floor Area..... 1142 sf
Building Type.. ..... ... Single Family Detached
Building Front Orientation. Front Facing 0 deg (N)
Number -of Dwelling Units... 1
Number of Building Stories.' 2
Weather Data Type.......... ReducedYear
Floor Construction Type.... Raised Floor
Number of Building Zones... 1
Conditioned Volume......... 11731 cf
Footprint Area ............. 900 sf
Slab -On -Grade Area......... 0 sf
Glazing Percentage......... 20.5 % of FA
Average Ceiling Height..... 10.3 ft
BUILDING ZONE INFORMATION
Floor
Cond- Area Volume
Zone Type itioned (sf) (cf)
HOUSE
Residence Yes 1142 11731
(Package E)
# of
Dwell Thermostat
Units Type
1.00 NoSetback
Vent Special
Height. Vent Area
(ft) (sf)
8.0 n/a
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title.......... The Gomes Residence Date.. ..... 11/17/92
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
Surface
HOUSE
1 Wall
2 Wall
3 Door
4 Wall
5 Wall
6 Roof
7 Roof
8 Roof
9 Floor
Surface
HOUSE
1 Window
2 Window
3 Window
4 Window
5 Window
6 Window
7 Window
8 Window
9 Window
10 Window
11 Window
12 Window
Surface
HOUSE
3 Window
4 Window
5 Window
10 Window
11 Window
12 Window
OPAQUE SURFACES
Area U- Insul Act Solar
(sf) value R-val Azmth Tilt Gains
Location/ Form 3
Comments, Reference
253 0.065 R-19 0 90 Yes FRONT None
294 0.065 R-19 90 90 Yes LEFT None
20 0.330 R-0 90 90 Yes LEFT None
298 0.065 R-19 180 90 Yes BACK None
585 0.065 R-19 270 90 Yes RIGHT None
132 0.033 R-30 0 0 Yes ATTIC None
341 0.033 R-30 90 45 Yes VAULT None
421 0.033 R-30 270 45 Yes VAULT None
900 0.037 R-19 0 0 No RAISED FLOOR None
GLAZING SURFACES
SC Interior SC
Area # of Frame Open U- Act Glass Shade Gls+
(sf) Panes Type Type value Azmth Tilt Only Type Shade
48.0 2 Metal Slider 0.65 0 90 0.77 drapes 0.66
51.0 2 Metal Fixed 0.65 0 90 0.77 drapes 0.66
5.0 2 Metal Fixed 0.65 90 90 0.77 drapes 0.66
5.0 2 Metal Fixed 0.65 90 90 0.77 drapes 0.66
14.0 2 Metal Slider 0.65 90 90 0.77 drapes 0.66
10.0 2 Metal Slider 0.65 90 90 0.77 drapes 0.66
22.3 2 Metal Slider 0.65 180 90 0.77 drapes 0.66
16.0 2 Metal Slider 0.65 180 90 0.77 drapes 0.66
16.0 2 Metal Slider 0.65 180 90 0.77 drapes 0.66
16.0 2 Metal Slider 0.65 270 90 0.77 drapes 0.66
7.0 2 Metal Fixed 0.65 270 90 0.77 drapes 0.66
24.0 2 Metal Slider 0.65 270 90 0.77 drapes 0.66
OVERHANGS AND SIDE FINS
Window- -Overhang Left Fin Right Fin -
Area Left Rght
(sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght
5.0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a
5.0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a
14.0 3.5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a
16.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a
7.0 3.5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a
24.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a
COMPUTER METHOD SUMMARY Page 3 C -2R
..Project Title.......... The Gomes Residence Date........ 11/17/92
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
Mass Type
HOUSE
1 InteriorHorz
2 InteriorHorz
3 InteriorVert
EXTERIOR SHADING
Area Shading SC of
Surface (sf) Type Ext Shade
HOUSE
1
Window
48.0
50%
BUG
SCREEN
5
Window
14.0
50%
BUG
SCREEN
6
Window
10.0
50%
BUG
SCREEN
7
Window
22.3
50%
BUG
SCREEN
8
Window
16.0
50%
BUG
SCREEN
9
Window
16.0
50%
BUG
SCREEN
10
Window
16.0
50%
BUG
SCREEN
12
Window
24.0
50%
BUG
SCREEN
THERMAL MASS
Area Thick Heat Conduct- Surface
(sf)
(in)
Cap ivity
R -value
56
4.0
21.0 0.59
R-0.0
10
1.0
24.0 0.67
R-0.0
48
1.0
24.0 0.67
R-0.0
HVAC SYSTEMS
System Type
HOUSE
HeatPump
AirCond
0.84
0.84
0.84
0.84
0.84
0.84
0.84
0.84
Location/Comments
Stove Surround
Shower
Shower
Minimum Duct Duct Duct
Efficiency Location R -value Efficiency
6.6 HSPF None R-0 1.000
10.00 SEER None R-0 1.000
WATER HEATING SYSTEMS
Capa- R-12 or
System # of city Greater Effic- Standby Input
Type Heat (gal) Blanket iency Loss Rating
Storage
Electric 1 40.5 Yes 0.99 RE .9% 4.5 kW
SPECIAL FEATURES/REMARKS
Pilot
Size
(Btuh) Credits
n/a• Recovery
I " 11
WATER HEATING Page 1 DHW
Project Title.......... The Gomes Residence Date........ 11/17/92
Project Address........
Building Permit
Plan Check Date
Field Check Date
Butte Meadows
Documentation Author... Marty Runnells
Company ................ Energy Calculation Svcs.
Telephone .............. (916)894-8466
Compliance Method...... MICROPAS3 by Enercomp, Inc.
Climate Zone........... 11
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -WATER HEATING
User##-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
WORKSHEET ONE: STORAGE GAS OR STORAGE ELECTRIC
A. EQUIPMENT DATA
1. Water heater type.......
2. Manufacturer.......... .
3. Model number............
4. Ignition device..... ..
5. Tank volume... ........
6. Recovery efficiency.....
7. 'Standby loss............
B. Rated Input.. .
9. Number of Heaters.......
10.Insulation Jacket.......
Storage, Electric
n a
40'.5 gal
.99 percent x 0.01
.009 percent/hour x 0.01
15358.5 Btu/hr
1
Yes
B. OPERATING DATA
1. Climate Zone.. ....
2. Water heating budget....
3. Tank set temp...........
4. Water main temp.... ...
5. Daily hot water load....
6. Ambient air temp........
7. Adj. Standby Losses.....
8. No. dwelling units......
9. Pump power ..............
1O.Pumping energy..........
11
20400 kBtu/yr/unit
140 F
65 F
50 gal
62.8 F
.0072
1
0 Watts (0 Watts controller)
0 Watt-hr/yr (24 hr per day)
C. WATER HEATING
ENERGY CREDITS
1.
Credit Name .............
Recovery
2.
Annual savings..........
3060 kBtu/yr/unit
D. ANNUAL WATER
HEATING ENERGY
1.
Recovery load...........
11292
kBtu/yr
2.
Recovery energy.........
8315
kBtu/yr
3.
Standby loss energy.....
1526
kBtu/yr
4.
Pumping energy..........'
0
kBtu/.yr source
5.
Total energy............
29525
kBtu/yr/unit source
6.
Comparison.. ...........
-9125
kBtu/yr/unit source
7.
Points.... .. .........
-16
8.
Water Heating Energy Use
25.85
kBtu/yr/sf
(D5 x B8) / 1142 sf
HVAC SIZING Page 1 HVAC
Project Title.......... The Gomes Residence Date........ 11/17/92
Project Address........
Butte Meadows
Documentation Author... Marty Runnells
Company ................ Energy Calculation Svcs.
Telephone............ (916) 894-8466
Compliance Method...... MICROPAS3 by Enercomp, Inc.
Climate Zone........... 11
Building Permit
Plan Check Date
Field Check Date
MICROPAS3 v3.11 File -92269 Wth-CTZ11 Program -HVAC SIZING
User#-MP1333 User -Energy Calculation Svcs. Run -1142 S.F. Res - Submittal
GENERAL INFORMATION
FloorArea .................
Volume.. ............
Front Orientation..........
Sizing Location............
Latitude... ..... ..
Winter Outside Design....
...
Winter Inside Design.......
Summer Outside Design......
Summer Inside Design.......
SummerRange ...............
Shading Used... ........
Latent Load Fraction.......
Description
1142 sf
11731 cf
Front Facing 0 deg (N)
CHICO EXP STA
39.7 degrees
27 F
70 F
102 F
78 F
37 F
Yes
0.20
HEATING AND COOLING LOAD SUMMARY
Opaque Conduction and Solar......
Glazing Conduction ...............
Glazing Solar ....................
Infiltration .....................
Internal Gain ....................
Ducts............................
Sensible Load ....................
Latent Load. .....................
Heating Cooling
(Btuh) (Btuh)
6980
3518
6549
3655
n/a
5569
7418
2438
n/a
1875
0
0
20947 17054
n/a 3411
Total Load 20947 20465
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors such as air flow
requirements,- outdoor design temperatures, coil sizing, availability of
equipment, oversizing safety margin, etc., must also be considered. It is
the HVAC designer's responsibility to,consider all factors when selecting
the HVAC equipment.
CEC Maximum output,applicable for gas central furnaces only
F4✓Jrl1f co-17ieSs
COUNTYOF BnTTF,
SUI
WING t
60 I I �Nov 18 199Z
RNTIAL
• 060-1.1-0-076
92-2578B
GOMES, Frank
7542 Abner LaneButte Meadows
,
( add porch/SteveLane)
JOB FINALE
Signature
qac,
V=OK
O = Not OK
Not
=NotReadyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils: Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L -ft.
/ /"Nat. or/ /"L"ft./ /'LPG
7. Well Clearance & 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 -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.;'Posts- Bea ms- 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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.: Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UNDERFLOOR (Plans) OK except ft
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-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 -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
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 It's
16. Water Htr.: Vent -Access -Combustion Air-Bafiie
------------------- ---------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
---------------- ------ ------------------
----- --19. Shower Pan: Test. First Floor -Tub Access ---- -
--------
20. Test -Tub & Shower. -- Second Floor -Tub Access
------------------ ------------------
21. Gas Pipe: Size & Anchors
Date Card B71 Date Card B-1
--------------------- --------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ir'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 SizerGFI
---------------------------------------------------------
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
-
Cu or AI
- - ----------------------------------
29.
------------------------
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-Mech. Equip.
--------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
-- -- ---- - ----------------------------------------------------------------
Date Card B_1 Date Card B-1
---------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except 4's
34. A.C. Ducts Insulation & Support
------------------------------------------------ 7 ----------------------------------
35.
------------ --------------------------------------------------------------------
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 Card B-1 Date Card B-1
-------------------------------------------------------------- ----------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except n's
39. Sils. Proper Material & Anchors
-------- -------------------------------------------------------------
40. Walls 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 FRAMING (Continued)
_ 45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs Width -Headroom -Rise -Run -Landing -Fire Protection
- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
------------------ ---
__ 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. 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
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------------------- --
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. Protection
----------- - ----
64. Bedroom Exiting
------------------------------ -----
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-----------------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
------------- - --------------
67. Stairs & Rails _
68. Fireplace or -Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
--------------
71. Elec. Outlets & Receptacles at Kit. Counter
72. Gara a Fire Door: Swing -Landing-Closer
-
---------------------------------
----------------- -
73.-A.C. Duct in Garage -Damper----------------------------- -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
t In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
------------------------------------------ - -
78. Guard Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
- - ---- --- - - - -----Planters 0 -Yes --- ------ ❑ No------ ---
81. Stucco_Brown_Finish--_ -
___ _82. A.C. Unit: Disconnect. Electrical, Plumbing
-------------
83. Vents Above Roof: Plbg.-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.
- --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
- ------------------------------------- ----- ----
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:
MT 7 4Y
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Brive - OrovIIIe, California 95965 - Telephone: 916.`538-7541
APPLICATION AND PERMIT
PERMIT NO.
z �6
ASSESSOR PARCEL NUMBER
060-110-076
ZONING
U
_.
BUILDING PERMIT
OWNER
Fr'ank & Jud Gomes
TELEPHONE
439-7250
.S f]. FT. OCC. BUILDING VALUATION
16.00
OWNER'S MAILING ADDRESS
P.O. Box 268 Princeton 95970
f
CONTRACTOR'S NAME
Steven Lane Constr.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
330 A Hwy 32 Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $416.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 50.00
PLUMBING PERMIT
Filing Fee 15.00
7947 Abner Lane, Butte Meadows
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New U Addition jx] Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: Add Porch
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 20CATO 1000A)
37.50
CONTRACTORS LICENSE LAW
I declare u r penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio ode and y license is in full orce and effect.
License ;Jo. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.tk\
OR ADONS. ACC. BLOGS. //
3.6asq.ft.
NEW CONSTR ULTI.OUTLET
NON -REST BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CTR.
Ex. Occup(ouTLETS OR FIXTURES
20 @ 76d
FIXED APLNS.❑
Ex. DCCUp. OUTLETS (RESID )REA.1
j .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under p ty of perjury (check one):
❑ Th ermit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomes ubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.,
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and sta a that the above information
is correct. I e to comply to all County Ordina ces and State Laws relating
to building n truction, and hereby authorize rep esentatives of the Countyot
Butte to en r pon the ove-mentioned property or inspection purposes.
I also agr e o ve ' demnify and keep harmles the County of Butte against
all liabili ' s nts, costs, and expenses hich may in any way accrue
against i ty In consequence of the granti of this permit.
X Date
Signature of Applicant — Owner El Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
$
Occ
CONST TYPE
TOTAL FEE $ o
HAz 0FEES IMP FLOOD COF
This permit is hereby issued under the
sions of the Butte County Code and/or
work ind a ve r which fees
I C OF PUBLIC
BY
P R T EXPI � S Date
PARCEL PD Ho ISSUE I
applicable provi-
resolutions to do
have been paid.
Datedi
WORKS
9 A�
Receipt No. 117616
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - *4OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-754
l PERMIT APPLICATION DATA SHEET
OWNER (vl P. NoD��
Proposed Building Use UZ (4 Building Inspec 4'Date
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 4ets, signed by preparer of plans . ...........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with'wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12 Xalifornia Department of Forestry plan approval/fees. ........................
Flood elevation letter (100 year flood) by Ca ifornia Engineer ...................
14. Sanitation and plot plan approv L.Health Department. ....... y
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . • •aye osPe'... �. .
lest
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 . ......................................
32. Plan check list . .....................................................
33.
34.
When y issue the permit, process as follows: MaUto ow er. Mail to contractor.
Telephon and hold for pickup at / office. Deliver inspector.
Other
Parcel Creation
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: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above require data by _ phone _ mail Counter by _ Date
Plans checked by Date t&L Plans approved by _D_j_ Date - >j qZ
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OrovIlle, California 96865 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
A 96ts8 `O 7
"
BUILDING PERMIT
" 11�gft
N l�
MON r,
SO. FT. OCC. BUILDING VALUATION
OWN211..JNG
�;;�= y_ /4VT '�Sf7V
CONT CTOR'S TELEPHONE
CON'TRACTOR'S MAILING ADDRESS
/`7`&/,,/ C� �G �
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADD Ess l .�
Permit fee
�;V
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF/k Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New 11 Addition �Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: jp `/C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA1
37.50
CONTRACTORS LICENSE LAW
penalty p I y (check one):
I declare under enact of perjury )
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ACDNS. ACC. BLDGS. /
3.66sq.ft.
NON CONSTR BRANCH
NO N•RESI BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
( SINGLE OUTLET CI R.
Ex. Occup(OUTLETS OR FIXTURES
A20 @ 76d
FIXED
Ex. Occup. OUTLETS (RESID 1LNS.REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the CountyOt
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date �Z
Signature of Applicant — Owner El Contractor ❑ Agent ❑
An 0 5H permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ r0
HAz
I DFEES I
IMP
I FLOOD
I CDP
I PARCEL
I PD
I HD
IssUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WNITC•D.P.W.. 7'ELL0W-ASSLSSOR. PINK•INSPC[TOR. Gnt nPNPnn-APPLICANT
TO '.' Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ownerIz
rac�� —Aw 4y,
" LO,
60,-11-76
AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply.
Clearance for bedroom mobile home. Other � S C� � ar.ak
NOTE
. 7� Date
Sanitarian
/l oPoek n C'owsTn
• Y I
s rs1M1. ;.wC., S'di,7i; S. ,� ±Clltr 0i4S2iC t •i' i -. i
I^��-•__cam I i F � I � _ } -j --- I _.�_ ..... _ . ... _'—_�__._I=��__.' _._I�
-T
--------- -
{_ -, ,' r j_. .Y',•.I_
pG
�.lpL_.-_
yy
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15Kt 71 4 9-0
-
e2JEii�',f 1E__ ONTa.
I 2X� P•A Ff�- ---
j-_ - ---„- -.I _.. i•, - - i' as SF�tNG�E-/►iO4LD -� _.._.i _.
t__ I � I• � I I 1 �. _ � i �
- — I- 1-- -- i - ._ P --i VCO I i - I @ f � •" o. �. • .. _ � �?��-,-•.-'--- ' i -'- - i
4 .?m rY
BUTTE COt
BUILDING, D
lit
APP
rpy Poo
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fir' '.e )_4r,l_�`• a .) • 1 O rr
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I. I Tr,
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l
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v. �a vV�Nt7vvlS. �4''.�+ (a��S►,P
IL
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INCA r.. \
(� .
Location of sMxtutss
` t sh
eipmerrt a11 be as
a s
slz Y p , u
N. . & rtoar of ail easements.
,Sepr�((, 1 s��� rK��-
K
i . 1 tIQ "-�.r�11 l�J t�►r� Is E,l k^Jt�skm r�Ship Shall an r;
r r "ta:r7l s41G:` lR'i!`S' 'd �7t, 0dPfAttiCz4it
J..r�raZrlii «
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r
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i
lowc•ri lrGs
F , tJELL. T1" COUNTY
,1
ir171iIvG•
{BUIL INN DEPARTMENT. r
APPROVED
----------------
IL
IL
�f
1
y r _'
♦ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive'- Oroville, California 95965 - Telephone: 916/538-7541 2423-91
APPLICATION AND °PERMIT
-ASSESSOR PARCEL NUMBER
60-11-76
ZONING •,
U
BUILDING PERMIT
OWNER
Frank & Judith Gomes
TELEPHONE
439-2485
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 Box 268 Princeton CA 95970
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $
10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
7542 Abner Ln Butte Afeadows
Permit fee $
PLUMBING PERMIT Filing Fee
10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other M Well Electric
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home I S G W 10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [Ax Installation ❑ Other ❑
' C Elec sery for well
Describe work: r. _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Q
Main service EA. ADD'L 100 AMP 2.50
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8i
OR ADDNS. ACC. BLDGS. , /z2sgft
NEW CONSTR. ULT' -OUTLET
NON-RESIO BRANCH CIRCUITS) 2.50 ea
/POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050t
eALO So
FIXED APPLN S. OR
Ex. Occup. OUTLETS IRESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee $
37.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
is, I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee
10.00
Heating
Cooling
g
Hood 3.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County i consequence of the granting of this permit.
/�
X� iel `�'• C4C�t c Date 1- 17 - 91
Signature I Applicant — Owner X Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
7.
37.50
HAz
CUA
PARK
SCHL
FLD
cDF
PAR
Po
i
ISSUE
This permit is hereby issued unser the applicable
sions of the Butte County. Code and/or resolutions
work indicated above for which fees have been
DIRECTO OF PUBLIC WORKS
By. Date 7-199.-
PE Md EXPIRES Date ` —,4 7
provi-
to do
paid.
`i /
._
Receipt No. 94579
WHITE-O.P.W., YELLOW-A3DE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Pho-ne:'598-J541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
23
JNER PERMIT NO.
A routine inspection iidicates that the following violations of County Ordinance
exist at the above acdress and should be corrected. Please notify this office .4,
when correction of wo-k is completed. If you have any question pertaining to this. r.
m�.6
ed additional explanation, please contact this office immediately.
Date—'�� Inspector �d�Z'� "Y F
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
+ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
2423-91
ASSESSOR PARCEL NUMBER
60-11-76
ZONING
U
BUILDING PERMIT
OWNER
Frank & Judith Gomes
TELEPHONE
439-2485
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
P 0 Box 268 Princeton CA 95970
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
7542 Abner Ln Butte Meadows
Permit tee
$
PLUMBING PERMIT FiIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other XXX Well Electric
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑
Describe work: Elec sery for well
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 0 00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ai
OR ADDNS.- ACG. BLDGS.
, /z¢sgft
NEW CONSTR U TI -OUTLET
_NO ESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
0
0050ti
-ALO
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.1 EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00 5.00
Permit Fee
$ 37.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains id County i copse uence of the granting of this permit.
7_ �, _ 91
X Date
Signotu of Applicant - Owner CQ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 37.50
E
HALcuA•
PARK
SCHL
FLD
PAR
PD
I HD•
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County.Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTO OF PUBLIC WORKS
BY Date 1 2-10/
PE EXPIRES Date i
Receipt No. 94s 9
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
r
... ,. _ .off . '. .._f ... .r'.rvv .r... 4j1.. ,.. .1 .:x...54 f •' r - _ ... r . ,.
p�. COUNTY OF, BUTTE-VE_PARTMENT-OF PUBLIC WORKS - BUILDING DIVISION
I Y �'!•� V � nh
_ 7 COUNTY CEN E RJIVE (5R&,V T4E, ALIFORNIA 95965 -TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET,
1
• �•...6�t„;�.�c � � }� Permit No.
OWNER / o.
Proposed Building Use ��` l.(^�` Building Inspect Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
` s 4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid ................................. N.......
12. Park fees paid ....................................................
13• School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required . Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Giverl-to owner o, Mail to owner o) . , . ,
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Le ter f signature authorizatio
(� 26. dMA
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent �' Health Dept. Fire Dept. Other Date By
The following data rior to permit issuance: (Circle nexu..i�sheeke�abov�e,
1. Index permit for a ve items No.
2. Additional items requl
Contractor, designer, owner, was advised of above required data by_phone---- inail_counter by .date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter`py date
Plans checked by
Copy—DPW
Sets of plans on hold in
Date Plans approved by
File cabinet AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California'95965 - Telephone: 916:"538-7541
APPLICATION AND PERMIT
PERMIT NO.
VIE
ASSESS R ARCEL gUMBER '
-- '—
ZONING
BUILDING PERMIT
O WNEFL^/t
TELEPHONE
FT. � OCC. BUILDING VALUATION
ILISO.
OWN R' AI I N G A ES,S.,��/)//� P /[`/_•/�//7/j1) 7
CONT AC OR•9_NA E
TELEPHONE
CONTRACTOR'S MM/AILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee,
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER 7
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESSn n ,
//��'/ /!/�/
Permit fee
$
_
v
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE G
—L— L-Ei `lff
SF❑ Duplex❑ Mobilehome❑ Other W �0
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 j
Mobile Home S G W
ea
TYPE OF WORK
New C] ��Addition ❑ Remodelu Utilitie nstallation❑ Other❑
DescribeCJX o i
110-00
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP 1 OR LESS
10
10.00 I lo, o Q
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service EA. AOD'L too AMP
2,50
NEW CONST. DWELLING OCCVP.&
OR 40DNS. ACG. BLDGS. )
,�
Vi waft!
NEW CONSTR. ULTI.OUTLT
NO N.R ESID RANCH CIRCEITS
(2.D0 eai
(POWER APPARATUS e
\SINGLE OUTLET CIR. )
Ex. OCCU OUTLETS OR FIXTURES
p
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.1 EA.)
•209!Ot!
eAL�3otl
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 op
Permit Fee
$ , S
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XThis
Signature of Applicant — Owner L Contractor G Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
.on of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee S
OCC
I CONSTTVPE
TOTAL FEES cj®
u AHK ! ,CHL FLO COF
PAR
permit is hereby issued uraer
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
•.NST{.p, R. W-. TCLLUw- 31SE33OR. PIN-45PCCTOR. 1;0L0ENR100-wP1L.CANr
COUNTY OF BUTTE r 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) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Nu ber G y-
Date f - /D - 9/
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.
r
t.
a
77-
w.
2'hij_rte -Inane-e- ; & :- o
y r---
fI.,..
t
' TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
Clearance for Z- bedroom home.
NOTE * * *
Other
Water Supply
Water Supply
Water Supply
2-8
-• —�=� � .
Sanitarian Date
§ 24.37
tents:
use hange in the
ermits have b nd•
of this chapter been
ver, that he �.
mit has started
and in all such
ntil completion
- -• � .uaoli•
se permit is
3t as other.
,rged under
overnment
ecord hav-
�quired for
pitted use
a requmv-
planning
!alth De-
lisposaL .i
p. No. 9.89
24-38
ZONING
§ 24-38
Side yard setbacks on nonconforming lots may be reduced by
i�-e-foot increments until at least a seventy-five (75) foot wide
building envelope is achieved. No side yard setback requirement
:s to be reduced below ten (10) feet. Such modification of side yard
setbacks is to be approved in each and every case by the planning
director or deputy after finding that the subject property is a
legally created nonconforming lot.
24-37.11. Effective Merger by Construction: For the purposes of
this chapter, the effect of Iocating a permanent building or struc-
ture on a property line between two (2) or more parcels under the
same ownership shall be to merge the parcels involved into one
1) unit. Such parcels so merged shall not be treated as separate
ownership units unless the building or structure is made to con-
form to the standards and requirements of the zone in which it is
located. This section shall not apply to condominiums, zero lot
line or other developments which specifically permit construction
.o be located on, over or adjacent to property lines. (Ord. No.
1750, § 1, 8-31-76; Ord. No. 1997, § 3, 1-23-79; Ord. No. 2426, §§
1-12, 8-21-84; Ord. No. 2487, § 1, 9-17-85; Ord. No. 2492, § 1,
10-1-85; Ord. No. 2767, § 1, 7-18-89)
Sec. 24-38. Camping limitations and prohibitions.
a) No person shall RLace or
P.2Lk or allow the placing or parking
of any trailer coach, recreation vehicle, tent trailer or tent
otherwise o_ ccy or allow the occupancy of an
in sec. 24-21.31) for the purpose of camping s parcel (as defined
�24-21.95) on public or private property within thencou ty fored in oa
)eriod in excess of nine (9) da s in any one (1) calendar year,
scept in an out oor recreational facility, campground, recreation
%-ehicle par, or hunting/fishing
�- kcamp, lawfully established and
maintained pursuant to this chapter.
+b) No person or persons shall place or park on any parcel (as
defined in section 24-21:31), at the same time, more than a com-
bined total of two (2) trailer coaches, recreation vehicles, tent
sailers, or tents, for the purpose of camping (as defined in section
14-21.95), except in an outdoor recreational facility, campground,
recreation vehicle park, or hunting/fishing camp, lawfully estab-
lished and maintained pursuant to this chapter.
240.25 Supp. No. 1-91
§ 24-39 BUTTE COUNTY CODE
§ 2a•a3
(c) No more than two (2) families, as defined in
21.14, shall occu section ?q.
Py any parcel (as defined in section 24-21.31), at
the same time, for the purpose of camping (as defined in
24-21.95), except in an outdoor recreational facilit section
recreation vehicle park, or hunting/fishing camp,3, Cain °und
lished and maintained pursuant to this chapter. (Ord
estab-
3, 12-11-90) P (Ord. No. 2884 1
Secs. 24.39-24-41. Reserved.
Sec. 24-42. Use permit violations.
(a) It shall be unlawful to establish, continue or maintain any
use for which a use permit is required pursuant to the provisions
of this chapter unless and until a use permit therefor is obtained
and in effect.
(b) It shall be unlawful to violate any of the terms or condi.
tions of a use permit. (Ord. No. 2708, § 1, 10-4-88)
Sec. 24-43. Use permits—[plannin
decide applications.] g commission to hear and
The planning commission shall hear and decide all applications
for use permits required by this chapter.
In approving a use permit, the planning commission may in-
clude such conditions as the commission deems reasonable -and
necessary under the circumstances to preserve the integrity and
character of the zone and to secure the general purposes of this
chapter and the general plan. Such conditions may include, but
are not limited to, time limitations and development plan ap-
proval, street dedication, and street and drainage improvements.
Nothing in this section shall be construed to limit the discretion
of the authority of the planning commission to require conditions.
Conditions imposed upon issuance of a use permit must be rea-
sonably related to the use of the property for which the permit is
requested. (Ord. No. 1750, § 1, 8.31-76; Ord. No. 1997, § 4,1.23-79)
240.26 Supp. No. 1.91
eoutd, : qui
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Frank & Judith Gomes
ADDRESS: P.O. Box 268
CITY & STATE: Yrinceton, CA y5y/O IMPORTANT:
July 24 1991 SEE INSTRUCTIONS
DATE OF CLAIM: , ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. Permit #1874-91 MHU,
AP#60-11-76, Receipt #93985, dated 6/10/91.
Total Permit Fees Paid ------------------------------------$82,50
Retain Plumb' ________________
j
I
Retain Electrical Permit Filing Fee-------------- 10.00
Total Permit Fees Paid------------------------------------ 20.00
TOTAL REFUND DUE ------------------------------------------ $62.50
i
f
A
TOTAL
$62 �5Q
i
I, the undersigned, declare under penalty of perjury that the services or articles claimed——a—v— been performed or delivered, and that this
claim is true and correct as stated.
Dated this f �.................. day of + .1.% (,•' . , 19 �l et Lilt, RC�w {.�.4 .� . Calif. ...... C LY �.1. �1................. :......
f..... ..............k
Signature of Claimant
I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- 1
livered and that there is a Budget Appropriation ❑ or Specific Board
/�Approval
'l0 (Check one) �forhe
Dated this.....24th................... day of .....J..1AIy............. 19...7.�at �x:9X�11�Cellf. I
:...................................ry........ent Head or Authorized D u
Dept. Exp.
Code .....440 -QO2 .................. Code ......... 421f.)5QQ ................... PAYABLE FROM ...J✓D-...P.er.mit.s................................................ FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY i
DEPT. & SUB.
PROJ. SUB. OBJ.
CLAIM NO. INV. NO.
INV. DATE ENCUMB. GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
/ 7 County Center Drive - Oroville, California 9965 - Telephone: 916/538-7541 1874-91
4PPLICATI.ON=AND PERMIT
ASSESSOR PARCEL NUMBER
60-11-76
ZONING
U
BUILDING PERMIT
OWNER
Frank Gomes
TELEPHONE
439-2485
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 Box 268 Princeton 95970
CONTRACTOR'S NAME
Owner
CONTRACTOR'S MAILING ADDRESS !�
`� �-•)�
CONSTRUCTION LENDER /
!'
LENDER'S MAILING ADDRESS w
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADORE -
BUILDING ADDRESSPermit
Ab
Fireplace
Total Valuation $
Filing Fee $
Permit Fee $
Plan Checking Fee $ 15.00
Energy Plan Checking Fee $
Penalty $
fee $ 15.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
Lt,
SUBDIVISION NAME
flv- j
PARCEL MAP
F l
Water piping *
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other travel trailer
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home �1 G JW
10-00 ea 20 .00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities a Installation❑ Other ❑
Describe work: travel trailer utilities _
Permit Fee
$ 30.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10000 AMP ORV OR SLESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification.
r I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y)
OR ACDNS. ACG. BLDGS.
yzQsgft
NEW MULTI-OUTLET
NON•RESID. BRANH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occu p OUTLETS OR FIXTURES
zAL@eL030
FIXED APLNS
Ex. Occup. OUTLETS IPRESID,IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
15.00
Permit Fee
$ 37.50
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai aid County in onsequence of the granting of this permit.
X Date �— 0
Sig tura of Applicant —' Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
E' .50
TOTAL FEE '$ 82.50
Z.
CUA-
PARK
SCHL
FLD
PAR
PD
I HD
is permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 93985
WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
,..*,; ..
COUNTY OF BUTTE - DEPARTMENT "OF `PUBLIC WORKS - BUILDING DIVISION v
7 COUNTY CENTER WIyE•--06iOVt*z&LIFyORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION_ DATA SHEET
�UMP_S Permit No. /
OWNER - P. No.
Proposed Building Use ( rJ r /�� tBuildingAtispector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/orNUance: x
DATE RECEIVED APPROVED
1. All items have been submitted. ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form .............. . ....... .
6. Energy Design Compliance and supporting documentation .........
% 7. Statement of Intent for Non -Heated and AC Buildings
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions...............:.......................................
10. Fees of $
11. Chico Urban Area fees paid ........................................
12. Park fees paid ....................................................
13• Scho I District fees paid ..............
✓ 14. Sanitation approval from C�frc� Health Department V9/
15. City of Chico plumbing permit ..................................... e
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) ��_ / G
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No.,'Name Style, Classifications ...
22. Certificate of Workmans Compensation. Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _
— 24. Recorded copy of Agricultural Acknowledgment Statement ......... _
r
25. Lqtter of signature authorization
2.r: a Li ✓J� tom. r f— �7�✓�–c%� .� ... � .........
D." .- ( �
27. j
When you issue the permit, process as follows: Mail to owner.'Mail to contractor.
Telephone and hold for pickup at—offfjce. Deliver w/inspector.
Other
Applican GEc�� + �` Date G`00 71
Copy of !-laz-Mat form sent Health Dept. Fire Dept. Air Pollution
Copy of plans sent Health Dept. Fire Dept. • Other_? D,�tq
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle .eitem
D&
BY
Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date
Plans checked by Date Plans approved by Date t
Copy—DPW
Sets of plans on hold in
File cabinet AP folder
TO: Building Department
FROM: Encroachment Permit Section. j
RE: Driveway Clearance
owner location AP #
CA
Driveway permit has been issued for the above proqe!rtY.
date
si ature
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
Date
Sanitarian
PARCEL CHECK LIST AND REQUIREMENTS
LM
Parcel not fronting publicly maintained road
1. Parcel Frontage
Frontage improvements not required ..
��Froncage improvements are required
_Frontage improvement plans approved and improvements must be
installed prior to building occupied
2. Parcel access to publicly maintained road
Access improvements not required
Access improvements are required
✓ Access plans approved and access improvements required prior to
building occupied
Copy of form sent to Land Development Z— b -6 a e y
Copy of form sent to Building Department approvedd-for permit issuance subject
to= itemsmarkedin 4 abovef=1other
Specify
Date By
i
OwneellaM� r Permit No. If 711—
y—A.P.
A.P. No. e, o—1 /- 7 6
Telephone No.G{ 3 V.—_ Date
I.
Parcel creation Map Book Page (/
I --
Legal
Parcel
Creation date
60' R/W
Certificate of Compliance
Other
2.
arc el created by subdivisionecimapnprlo— to July X7;9
Parcel size is less than 5 acres
Parcel exempt from items 3 & 4 below
3.
Legal Access
_.._•^
Parcel fronts on publicly maintained road j
z"
_
_...._ ..... .
Parcel does not front on public maintained -road -
Documentation
on legal access submitted '
be
must by Title Co. or licensed engineer or surveyor)...
Road Improvement Standards(
� �.oa �ti� ✓�2
/�j� `�..
A. .Parcel fronts aublicl
P y maintained road _
Frontage Improvements not required .
Frontage Improvements are required,
=a..
:.
Frontage Improvement plans approved and improvements must be installed
prior to building
occupied
LM
Parcel not fronting publicly maintained road
1. Parcel Frontage
Frontage improvements not required ..
��Froncage improvements are required
_Frontage improvement plans approved and improvements must be
installed prior to building occupied
2. Parcel access to publicly maintained road
Access improvements not required
Access improvements are required
✓ Access plans approved and access improvements required prior to
building occupied
Copy of form sent to Land Development Z— b -6 a e y
Copy of form sent to Building Department approvedd-for permit issuance subject
to= itemsmarkedin 4 abovef=1other
Specify
Date By
i
1,.
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT '•
Section 26-8.1 of the Butte
requires this acknowledgement
prior to issuance of a building
FOR-RF,SIDENTIAL DEVELOPMENT
CGunty erode
be recorded
permit. �—
9 1 -23260
The property described herein is adjacent 91-48360 1 Rea F'eeJ _ 51100, .I
to land or. included within an area zoned ( Cash' 5: 00 ,.
for agricultural purposes, and residents
Recorded I f�
of this property may be subject to incon- O#ficial` "Records 1
veniences or discomfort arising from the County of
use of agricultural chemicals, including, Butte 1 I
but not limited to herbicides, pesticides, Candace J. Grubbs 1
and , fertilizers; and from the pursuit Recorder
of agricultural fl operations including, 12:57pm 11 -Jun -91 1 ___ _�—_XX� 1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or.discomfort from normal, necessary farm operations.
All Shat_ real','property.' situate in the County of Butte,"State of California; described- as
follows: �.
PARCEL ONE;
LOT 26, A%S, SHOWN, ON THAT CERTAIN MAP ENTITLED, "REVISED; OFFICIAL MAP OF THE FIRST-
SUBDIVISION
IRSTSUBDIVISION OF THE DAVIS TRACT, BEING A PART OF THE NORTHEAST QUARTER OF SECTION 29,
TOWNSHIP 26 NORTH, RANGE'4'EAST;.M.D.M: WHICH'MAP,WAS'RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 3, 1922 IN BOOK 9 OF
MAPS, AT PAGE 11.
PARCEL TWO;
A NON EXCLUSIVE EASEMENT FOR WELL, SEPTIC .TANK AND .LEACH LINE PURPOSES ,10 FEET IN
WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOT 26 OF THE DAVIS TRACT.
Date: 6-10-71 t T PROPERTY OWNERS:
State of CA ) On this the 10 day of JUNE 19_g�_, before me, the
SS. undersigned Notary Public, personally appeared
County of BUTTE )
JUDITH A. GOMES**********************************
• • • • • • • • • O • • • • • • • • •
• OFFICIAL SEAL
° ANGELA 0. MASTELOTTO
• NOTARY PUBLIC -CALIFORNIA °
• "�' Principal Office In BUTTE Coun •
• Mycommiseion
• Expires SEPT. 14,
0
#.*
Personally known to me. U Proved 'to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) TS
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. ��� N
c�•tar P �c" y ub
END OF DOCUMENT
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CALIF. DEPT. of FORESTRY
❑approved as submitted -
-1 roved �vitbl conditions \
•ppaitached sr;� et.
ate
Signature s
�' INCLUDING -
ES AND EQUIPMEN NTS.
SEMS
ALL STRUCTUR OF ALL EA
L S-fv GS S!-IALL BE CLEAR FROM E
s O CK OF M ER�r `f LINES. A�+iQ
A SET BA PROP
PROi�% TI 1E REAR SBAI,L: B�
JID•TNF_ ROAD CENTEPaL�NT
PRO ARID EQUlP�ti Excel
OF STRUCTURES
' cii�
FORA 2 FT. EAVE OVERIiANG•
,,�►�� /)
40
"• I
e /
Y c
75 Z1 ,
..+• 4111111r3Uca 1/%J1 L.�.1 A. 1;1
SpM:;fA= on Points
Standard 0
6. Glass Heat Loss
TOW U -value
pereant .51 b .41 to .31 b 0.30 or
Glass Single Oauble .60 SO .40 lass
50 •121 -53 39 -24 -t0 A
40 -90 37 -26 •i4 J 8
35 -75 -29 .19 •9 1 10
M -61 -21 -13 -A 4 12
29 -S8 -20 •12 3 5 12
28 -55 -18 -10 •2 5 13
27 •52 -17 -9 .2 6 13
25 -t9 -i5 -1 7 14
25 -t6 -id •7 0 7 14
24 -43 -t2 -5 1 8 14
23 . -t0 •tI -t 2 8 15
22 -37 -9 3 3 9 15
21 44 •2 d 10 15
20 31 0 S 10 i6
19 -29 -t 6 11 16
_2 - 12 16
17 -23 .1 3 8 17
16 -ZO 0 d 9 13 \t T
15 -i0 1 6 10 1' 1 �
14 -14 3 7 10 14 18
13 -12 d 8 11 1518
12 -9 6 9 12 15 . 19
11 4 7 10 13 16 19
10 3 9 11 14 17 19
9 •1 10 13 15 17 20
8 2 12 14 16 18 20
7..Shading (Shade Open)
Efrective Percent Ciera
ONTCmt etas x SC)
ESecm
Numoer at scenes
na
Fl -value
One Two
Three
R'-0
-107 -49
32
R•19
a -8 1
•2
R30
.2 -1
.1
R38
0 0
0
U -value
4._.,,x.2.
5
0.eo
-176
14
• 0.20
-102 -49
J2
0.10
-26 .13
-8
0.C8
.18 .9
-6
Us
•11 .5
•4
O.C4
-t .2
•1
0.02
4 2
1
OXO
11 5
3
7- Wall Insulation
1
9
2
Single- Singte-
5
2
Famtry Family
Multi -
R -value
Do -=ed Attaced
Famiy
R-0
-68 •St
34
R -i 1
0 0
0
R-:3
2 2
1
__._. R-19.._ _.._...8
.__.- -- 6. _...---. d
d
2
3
- - __
..
-
am
;1 _- 38
-Is
OLIO
-+' 36
-24
0.10
0 0
0
0.08
d 1
2
t
2
1
0.04
14
7
0.02
3
10
O.CO
.s 3
12
-t
•1
---3. Raised Floor Insulation
2
a
Insulation in ,-rl~
_
�
Number of s=des
"
R•vmue
one Two
Three
R-0
-.17 -6
•S
R-11
-3 2
-i
. - . R-19
0 0
0
R-30
3 1 _..�_•.1..
14
- - U -value
10
11 13
-•---0.60.
14
8.5 7
0.50
.120 -52
38
0.40
-95 _t6
vro
0.::0
-69 .14
•22
020
_L'i -21
•14
0.10
-17 -8
-S
0.08
0
2
0
1
Us
0" -3
-2
0.C4
-t a
0
0.02
d 2
1
QXG
10 5
3
Controlied VentlMon Cmwispace
8
Number of sa vies
23 19
R -value
One Two
Three
R-0
•t 1 .7
-S
R-5
1 .4
3
_ - R -i t
-2 -2
•Z
R -i 9
.4 •2
-2
4. Slab Edge Insulation
13
- -'
Number of Stones
1.80
R -value
One Two
Three
' R-0
0 0
0
R•5
8 5
2
R-7
8 6
3
F2'a=
2
SE or
0.90
_i 3
•i
0.80
.
•23
0.70
2 2
1
0.60
6 d
2
0.50
9 fi
3
0.:0
12 8
4
..+• 4111111r3Uca 1/%J1 L.�.1 A. 1;1
SpM:;fA= on Points
Standard 0
6. Glass Heat Loss
TOW U -value
pereant .51 b .41 to .31 b 0.30 or
Glass Single Oauble .60 SO .40 lass
50 •121 -53 39 -24 -t0 A
40 -90 37 -26 •i4 J 8
35 -75 -29 .19 •9 1 10
M -61 -21 -13 -A 4 12
29 -S8 -20 •12 3 5 12
28 -55 -18 -10 •2 5 13
27 •52 -17 -9 .2 6 13
25 -t9 -i5 -1 7 14
25 -t6 -id •7 0 7 14
24 -43 -t2 -5 1 8 14
23 . -t0 •tI -t 2 8 15
22 -37 -9 3 3 9 15
21 44 •2 d 10 15
20 31 0 S 10 i6
19 -29 -t 6 11 16
_2 - 12 16
17 -23 .1 3 8 17
16 -ZO 0 d 9 13 \t T
15 -i0 1 6 10 1' 1 �
14 -14 3 7 10 14 18
13 -12 d 8 11 1518
12 -9 6 9 12 15 . 19
11 4 7 10 13 16 19
10 3 9 11 14 17 19
9 •1 10 13 15 17 20
8 2 12 14 16 18 20
7..Shading (Shade Open)
Efrective Percent Ciera
ONTCmt etas x SC)
ESecm
3d
na
•59
55
m
Glass
None
East
South
: West
Skylight
18
5
1
4
1
na
16
4._.,,x.2.
5
_. 1
int
14
4
2
5
1
na
12
3
3
5
2
_
na
11
3
3
5
Z
.na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
1
2
7
1
3
d
2
2
8
1
3
d
2
3
S
_ 1
2
d
2
3
4
O
2
3
1
3
3
0
t
2
1
3
2
0
0
1
0
3
1
-t
-t
•1
-t
2
a
-1
-2
�
•2
0
raw not allowed
9
10 12
13
13
8. Shading (Shade Closed)
F1rem.. Pts+tmt Gim
(P-9 ef- X SC)
Effective
%Gass Nom Est
18 -14 -t8
16 •12 -t2
14 -t0 35
12 a •29
11 -7 -26
10 y •23
8 •5 •17
7 1 -ter
6 3 •it
4 •? o
3 0 -t
2 1 i
no a rat arc -ad
Saudi Wast ayfi*
-9
3d
na
•59
55
m
•50
-16
rta
-ter
-37
ra
a
33
na
31
.29
-74
-27
_zS
-65
•Z3
-21
•56
-.9
718
.47
;5
IA
38
it
•:0
•to
3
.7
M
S
1
.16
Z
1
-9
1
1
.4
s
3
0
- -...,. -
1 nermai 1r1.Ly
27�
East
Intanor
S:aD Floor
Raced Floor
• west
Mau
Sbnes
Type
Sones
(ysomet duds
,CFA One
Two %as One
Two
Three
0.0 -d
S
.4 .2
-i
.1
0.1 -8
-S
3 .1
0
0
(13 -7
.t
-2 0
1
1
U -6
3
-i 1
1
2
0.7 -5
•2
-1 1
2
2
0.9 5
•i
0 2
3
3
3
.2
1 3
A
4
1.3 -3
0
2 3
4
5
1.5 3
1
2 d
5
5
2.0 -1
2
4 5
6
7
2.5 0
3
5 7
7
8
10 1
4
6 8
8
9
3.5 2
5
7 9
9
10
4.0 3
6
8 9
10
10
4.5 3
7
8 10
11
11
5.0 4
7
9 11
12'
12
SS S
8
9 11
12
12
6.0 5
8
10 12
13
13
U 6
9
10 12
13
13
7.0 6
9
11 13
13
14
7S 6
10
11 13
14
14
SA 7
10
11 13
14
14
8.5 7
10
12 13
14
15
1100. Exterior Wall Thermal Mass
-2
Wad
7.0
0
0 0
0
Fima-Y
UM _',,Uewwd
Faintly
Atraciled
Mufti
F.4
0.00
afro
0
3�
0
2
0
1
3
0.40
5
4
3
7
0.60
8
ZZ
4
13
0.20
10
8
5
23 19
1.00
13
10
7
M
1.220
13
12
8'
13.0
1.40
12
13
9
1.60
10
13
11..
,
1.80
10
12
12
3
2.00 _
10
11
- 13
-15
IL Heating System
.9
5.2
Sala
H IA
2
SE or
SSPF "
0
0
(avumet duds In AMC)
.
•23
`
Sum of 1.6
.4 ��
-15WS8`�`
-2501`44Z
-14 tc 1 t0
+6 to
16 or
SE HSPF
less -i5
•5 +S
+15
mas
0.72 6.60
0 0
0 a
0
0
0.75 Glia
3 3
3 2
2
1
0.80 7.M-
8 7
6 5
d
3
0.85 7.73
13 11
10 8
7
5
0.90 8.25
17 15
13 11
9
7
095 8.71
20 18
15 13
11
8
5
ERecd,re SE or HSPF
s
CSE or HS?F x duct eltldene7)
FOU
ENedve -25 or -24 to •14
It: -4 to +6 b 16 or
SE HSPF l6ss -i5
4 w5
+is more
0 3o US
-73 34
-56 -47
38
-M
na 141
-t9 -J9
-34 -29
-24
.18
0.40 167
-34 -M
-26 •22
-t 8
-14
0.50 4.58
-10 A
-8 -7
•5
-A
US SJ 3
0 0
0 0
0
0
0.60 5.:0
5 5
4 3
3
2
0.70 6.42
17 15
13 11
9
7
0.80 7.33
2S 22
19 X16
13
10
0.90 8.25
32 28
24 2.0
17
13
1.00 9.17
37 32
Z8 24
19
15
Zonal Control Adjustment
27
System Type
11
13
3.3
18
Resismnce
10 9
7 6
d
3
Omer
6 5
4 3
2
2
1 L-�Vtlg �ySL:m
:109 1200\t 7001 2200
I
27�
East
C.
or•
SEER
• west
to
err
Type
Type
(ysomet duds
to attic)
2199`�,Zfi99
Ste of 7-10
None
0
1 0
0.
.aa .24b ►14b
-Ab
+.6b
Isar
SUR.1�
6
.15 1 -6
+5
+IS
mom
8.0
.i4
.12 -10
3
-6
.4
8.5
.9
' .7 -6
-S
-t
-3
8.9
S
4 .4
3
.2
•2
9.0
.4
J J
-2
.2
.1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
Z
1
103
7
6 5
a
3
2
11.0
10
9 .7
6
4
3
12.0
t5
13 11
9
7
5
130
None
17 j 14
12
9
6
•2
a2
Enedve SEER
7
S
d
(SEER xsact efndeDc7)
2
1.7
POU
.%il d 7-10
2
1
1
Edec:"-25
ar' -24 to -t4 b
-4 b .
+6 b
16 or
SEER
ion
-15 4
+5
+15
mom
5.0
30
•25 -21
-17
-13
•9
6.0
-12
.11 9
-7
-6
.4
6.6
.5
..4 -4
3
-2
.2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
i6
14 12
9
7
5
10.0
ZZ
19 16
13
10
7
11.0
Z6
23 19
15
12
8
12.0
M
26 22
18
i4
9
13.0
M
29 24
20
15
10
2
Zonai Cann -W Adjustment
Z5
POU
10
1 8 7
6
4
3
SE
No
Cooling- System Instwied
.23
• -.Stories
One •5 1 � 3 -2 d
Two + 3 3 Z 2 Z 1
Singie-A64 Detached and AlUched
1'it size ,AA
Water
Heater U -ser
:109 1200\t 7001 2200
I
27�
East
C.
or•
t b
• west
to
err
Type
Type
less
!1699
2199`�,Zfi99
SG
None
0
1 0
0.
a
or
Sofar
12 ' 1 d
6
5
4-
- HP
HVIR
8
5
4
3
3 '�
wsa
5
3
3
2
,
2
IQ%
POU
8
5
4
3
3
SE
None
37
-24
48
•15
-12
'
Solar
-t
.1
.1
0
0
HWR
-i8
-t2
A
.7
4
WS3
•25
-i6
..2
-i0
d
PO�[t
•t8
--;2
.-9
-7
-6
iG
None
-5
•3
-2
-2
•2
a2
Solar
7
S
d
3
2
1.7
POU
3
2
1
1
1
IE
None
•28
•19
-14
-11
•9
Satan
8
• 5
d
3
3
0.8
POU
-t0
' 4
.5
.4
Z
2.3
Mu111-F'-04 (individual
units)
to
11
.23
15
It uric Sun (sf t
a
Water
Heater
Czedt
699
700
1200
1700
2200
Type
Type
or
less
b
1199
to
169D
b
2199
err
morn
SG
None
0
0
0
0
1 1
or
Solar
14
7
5
4
'� 3
HP
H 8
- 9
5
3
2
Z
a9
1.1
9
4
3
2
2
Z5
POU
9
5
3
2f'•"t3
12
SE
None
y5
.23
-15
{tt
.9
5.2
Sala
H IA
2
1
t
0
0
1.7
1J
•23
.12
-a
.4 ��
-15WS8`�`
12
-PQU
25
•23
i3
r2
8
d
0
-6
5
S
K;
None
Solar
..a
4
.3
•2
•2
a9
LI
6
3
2
1
t
Z3
PCU
1
3
12
14
3i
F.
None
:J3
-i 5
:0
dafar
a
53
9
5
s
s
FOU
a
•3
_
•2
Point System Summary: Climate Zone 11
SCORE CARD
Measures •
1. Ceiling insulation or
R-vaioe (381 U -value (0.0301
2. Wall Insulation or
=vuue: ja1. U -value (0.0481
3. Raised Floor tion
R-vaiae(191 'ue (a:-
4. �Sla dge ation ar
tot FZ factor [o.
5. Inf ation $xndard
6 GIass Heat Lass
7. Shading (Shade )
,.. `ro Glass SC
*/
Oritl" X
X =
C. SOurh
West X =
. e. Skyii ght X
S. Shading`(Shade Closed) ,
a.
Noun
b.
East
C.
South
d.
• west
C.
S411ght
r,.'lhermal Mass
Interior Mass/CFA
�-
11. r•.�c-'.J,
t -PC 1
M63
(e I)qc b 4.2.
to,
•aooa�d •1 01
9
0%
5%
IQ%
%!m
.1M
25't
30%
35%
4%.
AST.
50%
55%
M%
652
70X
75%
s3%
am
M%
2S%
lem 1057
1107.
1157
tx
07
0
a2
0.4
0.6
0.8
1.1
11
is
1.7
1.9
11
V
Z5
21
Zf
12
14
16
18
4
42
44
107
tit
a4
as
0.8
1
1.2
1.4
1.6
1.1
Z
2.3
ZS
Z7
to
11
.23
15
17
a
42
44
48
.4.8
Z.8.
.4.8
5
20%
a3
06
as
1
t.2
1.4
fa
1.6
2
Z2
Z4
Z7
Z9
1 1
13
35
11
19
4.1
43
4.5
4.6
S
5
S2
30%
05
dJ
a9
1.1
1.4
1.6
1.s - 2
22
Z4
Z5
Zi
3
32
33
17
12
a1
43
4.5
41
a 9
5.1
32
5.2
40l
7
a
of
1.1
13
1.5
1.7
1J
22
Z4
Z6
21
3
12
.14 •
16
1t
4 .
a3
4.3
4.7
49
5.1
5.3
5.3
$ 6
5M
a9
LI
1.3
1S
1J
i1
21
Z3
25'
21
3
12
14
3i
18 '
4
42
4.4
4.s
It
U
53
5.7
5.3
5.5
5.7
19
S5%
0.9
1.1
1.4
1.6
1.8
2
Z2
24
Zs
Z8
3
12
15
17
19
at
43
4.5
4.7
4.9
S1
53
56
60%
1
12
1.4
1.7
1.9
Z1
Z3
Z$
27
Z9
11
13
3.3
18
4
42
4A
4.6
4.8
5
12
.
5.4
S.6
5.8
6
65%
1.1
U
1.5
1.7
1.9
Z2
Z4
Z$
Zs
3
12
14
36
11
4
43
4S
47
4.9
it
331
5
5.7
3.9
61
70 7
1.2
1.4
1.6
1.8
2
22
Z5
Z7
Zf
it
13
15
17
12
at
43
as
a8
5
12
14
5.6
s6
5.9
61
75%
13
13
tJ
IJ
21
23
Z5
Z7
3
U
14
16
Is
4
42
4L4
46
it
1.1
13
IS
17
6
62
5.9
LI
13
601:
1.4
1.5
1.8
2
22
24
Z6
26
3
i3
15
17
19
a1
43
4S
4.7
4.9
S.1
5.4
-54
5.8
6
13T.
1.4
1.7
1J
Z1
23
ZS
Z7
19
11
13
23
1s
4
4.2
4.4
/s
4.6
S
S2
54
S6
S9
62
64
907."
1.5
V
2
Z2
Z4
2s
26
3
22
14
16
12
ll
43
4.3
47
of
it
53
17
5.9
tt
63
65
257.
1.5
is
2
Z2
25
V
2
11
33
15
11
79
a1
4.3
4.6
4.t5
S1
5.4
.55
16
is
6
92
64
64
100T.
iJ
tJ
2.1
12
z5
2.3
3
22
3A
3J
1t
4
42
4L4
46
4.9
11
53
SS
Sl
12
t2
6.4
6.7
6.1
43
6S
6.7
105%
1.6
2
12
2.4
Zs
Z6
3
13
13
17
19
4.1
4.3
43
a7
49
11
14
So
i3
6
t2
t4
1107
1.9
Zt
Z3
Z5
2:1
Z9
11
13
16
18
4
41
ad
46
4t
S
u
14
S.7
59
61
t3
6.5
84
so
115%
2
U
Z4
26
zs
3
12
14
18
18
4.1
4.3
4-5
4.7
4.9
it
13
53
5.7
St
6.2
6.4
is
6.7
69
120%
2
Z3
ZS
Z7
7-9
11
13
15
17
19
4.1
a4
4.6
4.6
S
51
SA
16
So
6
t2
tS
t7
6.6
6.9
7
7.1
125%
21
23
Z5
2t
3
12
2A
16
1t
4
42
a4
is
4,2
S.1
13
U
SJ
5J
V
t3
6S
t7
7
7.2
Point System Summary: Climate Zone 11
SCORE CARD
Measures •
1. Ceiling insulation or
R-vaioe (381 U -value (0.0301
2. Wall Insulation or
=vuue: ja1. U -value (0.0481
3. Raised Floor tion
R-vaiae(191 'ue (a:-
4. �Sla dge ation ar
tot FZ factor [o.
5. Inf ation $xndard
6 GIass Heat Lass
7. Shading (Shade )
,.. `ro Glass SC
*/
Oritl" X
X =
C. SOurh
West X =
. e. Skyii ght X
S. Shading`(Shade Closed) ,
a.
Noun
b.
East
C.
South
d.
• west
C.
S411ght
r,.'lhermal Mass
` I1.�Heating System
t z !'Zonal Canc>,1?
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
mo Glass . SC
S Tonal Gun
Eff. mo Glass
Eff. mo Glass
Point Scores
Sum :
X -
X
_ X/ ---_
TYPE 1 MASS AREA S
Inlrnorl�uarCFA COND. FLOOR AREA '
TYPE 2 4ASS AREA '
Eztenar Wait �1sss .,No. c L OR AREA Sum
X -
SE or HSPF Duce EM7- ry (0.181 Effeeuve SF or
10.72t6A HSPF l0-SW/3.151
X =
Seca (931 Duce Eifteleary (0.741 Fif=uvaSEER [7.031
Type iSG Crzdit(nonej
Pnrrrr Tntal:
V-.-
'' 7542 �11t3NEc� LN ,
project Addrva
cion AuLhae
BU LDING DATA . L -I
Conditioned Floor Area
Slab/Faised Floor r>
Single Family Detached (SFD)
(] Single Family Attached (SFA)
[ ] Multi -Family (IF)
m
Number of Stories 2
Number of Units
( ] Addition Alone
[ ] Existing Building
[ l Existing-Plus•Addidon
9,e- 99g,
Building p=mts 0
peaked ay 1. Data `.
Emlormnent Agency ty t]ae Only
B UU.DLNG SHELL INSULATION
Component Insulation L-0= ion/C--MM=ts
Tvve R -Value (attic, :a garage, mixL est,)
.• -,brMT -'idT'ALall
-
W
aall..........- �� +-
Roof...........»
Root' ............-
Poor ............. �`�
Foo r .............
Slab Edge-.
GLAZI G Shading Devic=e
GizZirg Area
Glass Arra
North
9.514?-
5!0East
E=
61,117
South
5 -
West.
D 13 L a
Skylight
Aftl,
Total,
B UU.DLNG SHELL INSULATION
Component Insulation L-0= ion/C--MM=ts
Tvve R -Value (attic, :a garage, mixL est,)
.• -,brMT -'idT'ALall
-
W
aall..........- �� +-
Roof...........»
Root' ............-
Poor ............. �`�
Foo r .............
Slab Edge-.
GLAZI G Shading Devic=e
GizZirg Area
Glass TWpe
Interior Euerior Overhang
F.•aming Type
Orientation (S2)
(single. double)
(roller blind, eta.) (shaedeiereen, e:r,) (yesMo)
(me ll/wood)
No r-uh () �1.-
D 13 L a
Aftl,
Noris',
East
East ( )
Sou:.' ( )
Sot ,-h ( )
West ( )
West ( )
Skylight....... -
r --
�----�
THERMAL MASS
Type/Coveting
Arca
Thiciaiess
(slab/ezvosed. tile. etc)
(sf)
Onc.hes) LOCadon/DCSCr]odon Wtehem bath. etc.)
HVAC SYSTEMS . Ivitrimum Duct
Type (furnace, air Efficiency Location Dues Output Manufacturer I Model #
conditioner. heal( uuml)) (SE SEER.HSPF) (attic, etc.) R -Value (Btuh) (or aooroved eyual)
kK = 1 l-77--
`
-Ct IvoNE
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Taut- Manufactuter/Modcl # DEpAMENY
S_ vstem Tvve (storage gas, etc.) Capacity (or acomved equal)
<Z; SO M SX .
SPE CIAL FEATURESIREMARKS (Add extra sheets if necessary)
tY {:117 U.ltVt r �.t C.Liul Cj -Z.�1UC:IL1.11 1.,e.
NCM- ta..r= redatoal b1u(dwo tubs= no Vic Standards mus chitin Woe mostaea reptrdh= at the Comda oc
spp.o=b load Ilnns mar:aa .nm an alcrua (•) M Iy be a+ocr5cow by �C ^tat comaarKzraourvots ismd
on U•c Crrts(sose of Cornp,LvmZ Whm )nal.=... U u ueoroar'arrd NO use patmtt docurnorta. I=ra (issue weed me&
be comwacred " all orua = buWant mare m component po(aratvrm spmafeurata (Or Ula oardatory ssastre
-mater Urey arc WXY-M ct3Tnrae to UK doCamaru or an Was Critical= only.
oESCILIMOP4 I DES1010t I IN MRCXMorr I
aurldint En -elope Mcmures .
•
12.5312(a): M -um Calms neulauon 2-19-alr4al avenge.
12.5352(bt Loose fill irmouot mamdamuv•s taaelad R -value.
. ;2.5352(cI Mimunura . al( intatlaban sir framed tralb R-11 tnetgnted awake (does abs apply O
curator mass •ru(s1.
;2.5152(k): SLab adgc 4uu(aron - .rico abwretwt rasa rico Vesta Wan O.3S. sue vapor
trartsnsssson rase m pose tnat 2.0 przrWuKa.
;2.5311* lraWauao s*=Cwd or installed masa Cali(amia Fausnr Cammtmon (CQ atdity
standards. (ndrcase type and (onn.
12.57521rt vaoor bate=s nardatury in CUnum Iares 14 and 16 arty.
;2.5317: (nfrlpaucrvfsratraooncaraols
a. Doors and .wdo.n oo.o= eonatumcd and unco dirioned soaves desivwd to (taut air
loaago.
b. Doors and -noovt eaufsed.
r- Doors am .rusoo-% wuwrzatpp= ad joints and pawmatlens caulked and sated.
12-5352(c)* Speaa/ efdaarron mrrru wtallyd torarnp►y �ritb 42-5]3l aracu CFC aua(isr
12.53=dk 1nmlLation o(Fi eotarrs
1. Masoer. and Caaory-bull N=Lac= hate
aT1gm rating. Closable mco
l or Stan door
b. OULU= av tnasc VAUS damo= aro control
e Flue dsmroS and Canna
2. No conn -ma ounung Va pooes a(brpd.
HVAC and Plumbing System Meadre
i2.5357W and 2-3301: Space co dirionmt Cgroprrat sizing: atacb oloulaoorts
;2.5352(b) and 2.5313. Setaaex usasrrosm on alt aoo(iob(e bcasint systems
•_12-5316(a)- Duets cowtiuctco insa(1ed and inadasod pa Chanter l0. 1976 UMC.
;2-5316(b): '_"-.-• systabs nave damp=Com n:ls
;2.531d -(c): Gas -ism space noting eduiom erA nes in a used ignkiom devices
12-531A: HVAC easnpmum water Acatcrs. sno.vnod: and fauces mcGed by Wes CSC.
;2.5352(ik Was= nose insuLauon Menkes (;L-12 a' pcarcr) a combncd inserionestcrior
insulation (R.16 or pea=r first 5 lm at pipes crmea to unit irmrlared (R-1 or posv).
12.5312(Fsccoum (k Pipe irtsularion an sicca and stoat cowenate raurn A tweireulatint
prpsny
;2.5319(dk S+imauog Pool He ing
1 1. Systern tea=
a. Onio(( swarth on Aad r.
' b. Wearnoprad( ir6atr wrt plate on bane.
c Plumtom to askm for sour.
175 percent tmrmal drmsey.
3. Pont ewer.
a. i me csocz
5. oussuona( -a= intra
t Utntint and Applonee hlemures -
ir i2.5352(x 4gnung - 25 barwarvran or Vcmer for gentcral Gttaint in kiwimns and bat(rtrbme
;2.531.(e): Gas fired app6aaea egtappcd with inwraiaau ignition wvrcL
12.5314(ak Re(rigoasdrs rdritmtor-(rea=rs. (=e=rrs ad Ouoreson lunp baLLam eatiCwd
by vee CrC lnawaw make and mood dumber.
C0b0LIANCE STATEIW0DIT
•I1zis O=tficte of compliance lila ter_ building faatt = and performance specifications needed to comply with
Title 24.Ompter 2-53 and Title 20. C�=vtr 2. Subch:t; s 4. Article 1 of the California Administrative code. This
cif icate has bt-.;:a signed by the indivi&W with tsv=-Z deign respensibilicy and the building owner. who shalt
= ain a copy of it and transmit the cenifc= to slay subsequent pludtaser of
Designer Building O �/I�td.�j�
Nairne: t NAM=
rawsl. T
Addrm= Address:
Tekphone Tek*wn
lit. ,:
(sitstanrm) (dace) (sitnatlae) - - (date)
Docurnentadon Author Enforcement Agency
Name: Name
T ,Lk,Ftmm Ac-
jr-Add==- T.(.-
(;ertiticate of Compliance: ResidentialClimate Zone 16
Project Tlue
Project Address
Butldina Permit a
Checked By/ Data
Documentation Author
Tekphorm
Edorcernau Agency Use Only
•
BUILDING DATA
Glass Area
95 Glass
North
Conditioned Floor Area
Number of Stories
East
Slab/Raised Floor
Number of Units
South
[ ] Single Family Detached (SFD)
[ ] Addition Alone
West
(J Single Family Attached (SFA)
[ ] Existing Building
Skylight
[ ] Multi -Family (NM
[ ] Existing -Plus -Addition
Total
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to
garage, typical etc.)
Wall ..............
,
Wall ..............
Roof .............
Roof ............:
-
Floor .............
,
Floor .............
Slab Edge.....
GLAZING.�
- -.
Shading Devices
-I
Glazing Area Glass Type
Interior • Exterior Overhang
Framing Type
Orientation . (sf) (single, double) (roller blind. etc.) (shadesernen, etc.) (yeshw)
(rnetaWood)
North ( )
North ( )
_
East ( )
4
East - ( ) ..
Sour"i ( )
Sou th ( )
_ West ( .)
West ( )
Skylight..:.,.._
I
I
THERMAL -MASS
Type/Covering Area —
Thickness -
(slab/exposed kite etc.) (Sf)
(inches) Location/Description
(kitchen, bath etc.)
HVAC -SYSTEMS Minimum
Duct
Type (furnace, air Efficiency Location Duct Output
Manufacturer / Model #
_
conditioner, helu pump) (SE, SEER•HSPF) (attic, etc.) R -Value (Btuh)
(or approved equal)
''Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
0
Mandatory Measures Checklist: Residential MF -1R
NOTE: Low.ri.se residential buildings subjoct to the Sanduds must Contain the= messtuta tcgsrdkn of the eompiiasoe
appro+ch used. Items marked wilt an asteruk (')maybe superseded by more suintent complian= requirements listed
On the CcJuficate of CompluwKr— When this checklist is irrorperated into the permit docametts- the features noted shall
be considered by all panics as binding minimum component perforruncs rpcc (cations for the mandatory measure,
whether they ask shown elsewhere,in the documents or on this chocklist only. --
DESCRIPTION DESIGNER ENFORCEMENT
i
Building En elope Measores
• 12-5352(x): Minimum ceiling insulation R-19 weighted average.
42.5352(br Loose fail insulation mararfacuuu's labeled R -value-
• 12.5352(c)r Minimum wall insulation in framed walla R-11 weighted average (does not apply Inc
camnor mass walls).
§2.5352 ft Slab odic insulation- wwa absorption rate no greater than 0.3%. wata vapor
transmission rata: no pcwu than 2.0 pumfutch.
42-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
luagdardt Indicate type and form.
�4z-s]s2(fr Vapor barriers mandatory in Climate Loners 14 and 16 only.
§2-5317: lnaltrasias/Ea filoation c f�
a_ Doors and windows between conditioned and unconditioned spaces deigned to Limit air -
leakage.
b. Doors and windows eenircd.
c Doors and windows-mthersvipped: all joints and penetrations caulked and scaled
§2.5352(c): Special infiltration, barrier installed to comply with 12-5351 macts CEC quality
1 aundard.s.
j
12.5352(dr lnsta)lation of l7ircplaas
f( 1- Masonry and factory-bui4 fireplaces have
a. Tight fauing, closcabLe metal 6r glass door
b. Outside au intake with damper and control
C. Flue damper and control
2 No continuous burning gas pilots allowed.
HVAC and Plumbing System Measure
§2.5352(gj and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems-
" §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
I §2.5716(bY- Exhaust systems have damper controls.
62.5314(c)- Cas -rued spas. heating equipment has intermittent ignition devices.
I 42.5314: HVAC equipment water heaters• showerhcads and faucets certified by the CEC
1, §2-5352(7 Water heater insulation btankct (R-12 or greater) or combined interW/eaterior
t insulation (R-16 or grrata)-. fust 5 feet of pipes closest to tank insulated (R-3 or greater). -
i§2-5312(Fxception Ir Pipe insulation on stcam and steam condensate return At recirculating piping
§2-5318(d): Swimming Pool Heating
l 1. System has:
X On/off switch on heater.
b. Weatherproof instruction plate on heater.
o- C Plumbed to allow for solar.
yL 2.75 percent thermal efficiency. —
3. Pool cover.
4. Time clock.
5_ Dimctiorul water inlet
Lighting and Appliance Measures
a 42.5352 -):'Li hdr 25lumcnywwtor
V g g • greater for general lighting in kitchens and bathrooms.
§2-5314(e): Gas rued appliances equipped with intermittent ignition devices- ;
12-5314(1): Refrigerators- refrigerator-freczers, freaxm and fluorescent lamp ballasu"cutified
by the CEC. Indicate make and model number. .
COMPLIANCE STATEMENT
This ocrtificate of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article 1 of the California Administrative code. M
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Name
Tuk/Ftna
Addren:
Tekpi`wrsc
t Lic. 0:
(sirnanrrc) -
Documentation Author
Nurse:
Tttk/Fum: _
Addrr_ss:
Btvlding Owner
Name -
Tttk/F'W
Tekphon c:
(date) (signattac)
Enforcement Agency
Name:
A,&—r.
Tckot ortc
(date)
t
1. Ceiling Insulation
U -value
0.50
-200
Number of stories
-66
R -value
One
Two
Three
R-0
-120
-59
-40
R-19
-10
-5
3
R-30
-2
-1
-1
R-38
0
0
0
U -value
0.50
-200
-99
-66
0.30
-118
-59
-39
0.10
-32
-16
-11
0.08
-23
-11
-8
0.06
-14
-7
-5
0.04
-5
-2
-2
0.02
5
2
2
0.00
14
7
4
2. Wall Insulation
-19
-13 -6
Insulation
Single-
Single -
0.70
-9
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-102
-77
-51
R-11
-11
-8
-5
R-13
-8
-6
-4
R-19
0
0
0
U -value
A
-2
0.60
0.80
-212
-160
-107
0.50
-132
-100
37
0.30
-74
-56
-37
0.10
-11
-8
-6
0.08
-5
-3
-2
0.06
2
1
1
0.04
9
6
4
0.02
15
11
8
0.00
22
16
11
3. Raised Floor Insulation
-19
-13 -6
Insulation
in Floor
9 •5
0.70
-9
Number of stories
0.60
R -value
One
Two
Three
R-0
-24
-12
-8
R-11
-5
-2
-1
R-19
0
0
0
R-30
4
2
1
U -value
-8
A
-2
0.60
-218
-103
'67
0.50
-180
-85
-55 '
0.40
-142
-67
-44
0.30
-103
-49
-32
0.20
-64
-31
-20
0.10
-24
-12
-8
0.08
-17
-8
-5
0.06
-9
-4
-3
0.04
-1
-1
0
0.02
6
3
2
0.00
14
7
5
Controlled Ventilation Crawispace
2.0
-1
Number of stories
4
R -value
One
Two
Three
R-0
-15
-10
-7
R-5
-4
-5
-4
R-11
-1
-3
-2
R-19
0
-2
-2
4. Slab Edge Insulation
10
11
12
Number of Stories
3
R -value
One
Two
Three
R-0
.13
-8
-4
R-5
-1
-1
0
R-7
0
0
0
F2 factor
0.90
-19
-13 -6
0.80
•14
9 •5
0.70
-9
-6 -3
0.60
-4
3 -1
0.50
0
0 0
0.40
5
3 2
5. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
•, '
Interior Thermal Mass
arterior
Single-
Slab Floor
Raised Floor
Mass
U -value
Stories
Percent
Mass
Stories
.51 to
/CFA
One
Two
Two
Three,07_1
Three
0.0
-10
-6
-4'-1
50
-190
-1
0.1
--9-
-5
-3
40
0
0
0.3
-8
A
-2
0
1
1
0.5
-7
3
-1
1
2
2
0.7
-6
-2
-1
2
2
3
0.9
-5
-1
0
2
3
4
1.1
-5
-1
1
3
4
4
1.3
-4
0
2
4
5
5
1.5
-3
1
3
5
6
6
2.0
-1
3
4
6
7
8
2.5
0
4
6
8
9
9
3.0
1
5
7
9
10
10
i 3.5
2
6
8
10
11
12
4.0
3
7
9
11
12
13
4.5
4
8
10
12
13
14
5.0
5
9
11
13
14
14
5.5
6
10
12
14
15
15
6.0
7
11
12
15
16
16
6.5
7
11
13
15
16
16
7.0
8
12
13
16
17
17
7.5
8
12
14
16
17
17
8.0
8
12
14
16
17
18
8.5
9
13
14
17
18
18
Total
Single-
Single -
-25
Wall
U -value
Family
Percent
Mass
Detached
.51 to
.41 to
.31 to 0.30 0
Glass
Single
Double
.60
.50
.40
less
50
-190
-85
-63
-41
-20
1
40
-141
-59
-42
-25
-8
8
35
-117
-46
-31
-17
-2
12
30
-93
34
-21
.9
3
15
29
.88
31
-19
-7
5
16
28
-84
-29
-17
-6
6
17
27
-79
-26
-15
-4
7
17
26
-75
-24
-13
-3
8
18
25
-70
-22
-11
-1
9
19
24
-65
-19
-9
1
10
19
23
-61
-17
-7
2
11
20
22
.56
0.75. 6.88 4 3 3 3 2
-5
4
12
21
21
-52
_A4.-
-12
-3
5
13
22
20
-47
-9
-1
7
15
22
19
-43
-7
1
8
16
23
0
_ -
No Cooling System Installed -
1
Stories
_4
0.95 8.71 26 24 21 19 16 14
17
-34
-2
4
1t
18
24
16
-30
0
6
13
19
25
15
-25
2
8
14
20
26
14
-21
5
10
16
21
26
-13
-17
7
12
17
22
27
12
-12
9
14
19
23
28
11
-8
12
16
20
24
28
10
-4
14
18
21
25
29
9
0
16
19
23
26
30
8
4
18
21
24
27
30
7. Shading (Shade Open)
Effective Percent Glass
(percent glass x SC)
0. Exterior Wall Thermal Mass
Exterior
Single-
Single -
-25
Wall
Family
Family
Multi
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
2
2
1
0.40
5
4
2
0.60
7
6
4
0.80
10
8
5
1.00
13
10
6
1.20
16
12
8
1.40
19
14
9
1.60
22
16
11
1.80
22
19
12
Effective
-5
-18
-25
-24
na
2.00 22 2t 14
-5
%Glass
North
East
South
West
Skylight
-14
-19
18
10
6
12
4
na
-15
-54
16
14
9
7
6
6
11
10
4
4
na
11. Heating System
-3
12
6
6
9
4
na
na
3
.8
11
5
5
8
4
na
SE or HSPF
-23
10
4
5
8
4
4
(assumes ducts in attic)
0
9
4
4
7
4
5
1
1
8
3
4
6
4
5
Sum,of 1-6
-3
7
-2-'- 3
5
3
5
-25 or -24 to/14 to -4 to +6 to 16 or
6
2
3
4
3
6
SE HSPF less -5 +5 +15 more
5
1
2
/3
2
6
0.72 6.60 0 0 0 0 0
9-)
3 2 2 1.
3
0
0
LW
�
5
0.75. 6.88 4 3 3 3 2
13 11 8 5,
2
1
2
3
2
q
0.80 7.33 11 10 9 8 7 6
20 16 12 8
1
-1
-4
-6
-3
3
0.85 7.79 16 15 13 12 10 9
25 20 15 10
0
-2
-6
-11
-6
-
0.90 8.25 21 19 17 15 13 11
2
0
_ -
No Cooling System Installed -
1
Stories
_4
0.95 8.71 26 24 21 19 16 14
1.9
na = not allowed
0 r' 0 0
2
0
0
Two+
Effective SE or HSPF
33
;-0 c.
13. Water Heating
4
4.2
Single
-_Family Detached and Attached
(SE or HSPFx duct efficiency)
5
Unit Size (sQ
54
Water
1199 1200 1700
2200
2700
Effective -25 or -24 to -14 to -4 to +6 to
16 or
to
or
Type
Type legis 1699 2199
2699
more
SE HSPF less -15 5 +5 +15
more
8. Shading (Shade
Closed)
or
Solar 12 8 6
5
4
HP
HWR 9 6 4
3
3
52
0.30 2.75 -94 .85 -76 -68 -59
-50
6
Effective Percent Glass
POU ) 6 4
na 3.41 .57 .52 -46 -41 -36
0.40 3.67 -43 -39 -35 -31 -27
31
-23
SE
(percent
glass x SC)
-13
22
0.50 4.58 -13 -12 -11 -10 -8
-7
-1
3
HWR -18 -12 -9
-7
-6
39
0.56 5.13 0 0 0 0
0
Effective
4.7
POU -1.8 -12 -9
-7
-6
1G.
0.60 5.50 7 6 6 5 4
4
%Glass
North
East
South
West
Skylight
0.70 6.42 21 1 17 15 13
it
18
-9
-32
-46
-45
na
0.80 7.33 32 26 23 20
17
16
-8
-27
39
-38
na
0.90 8.25 40 33 29 25
22
14
-6
-23
-32
-31
na
1.00 9.17 47 43 38 34 30
25
12
-5
-18
-25
-24
na
11
-5
-16
-22
-21
na
10
-4
-14
-19
-18
-63
9
-4
-13
-16
-15
-54
8
-3
-10
-14
-13
-46
7
-3
-8
-11
-11
-38
6
/
3
.8
-8
-30
5
-1
-4
-5
-6
-23
4
-1
_22-�/
0
i -3
-17
3
0
-1
'
y11
3
0
2
0
1
1
4
-7
1
1
2
3
4
-3
0
1
4
4
6
0
na = not
allowed
-16 -13 -10 -6
-3
0
6.0
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 5
Other 6 5 4 4 3
3
2
1~2. Cooling System
.Infiltration
6.
Glass Heat Loss
SEER
O
7.
Shading (Shade Open)
(assumes ducts in attic)
a. North
-
b. East -
Sum of 7-10
c. South
-25 or -24 to -14 to -4 to +6 to
16 or
SEER
less -15 -5 +5
+15 more
8.0
-6 -5 -3 -2
-1
0
8.5
-2 .2 -1 -1
0
0
8.9
0 0 0 0
0
0
9.0
1 0 0 0
0
0
9.5
3 3 2 1
1
0
10.0
6 4 3 2
1
0
10.5
8 6 5 3
2
0
11.0
10 8 6 4
2
0
12.0
13 10 8 5
3
0
13.0
16 13 9 6.
3
0
ElTective SEER
(SEER x duct efficiency)
Sum of 7-10
Effective -25
or -24 to -14 to -41o,
+610
16 or
SEER
less -1'. -5 +5
+15
more
5.0
-16 -13 -10 -6
-3
0
6.0
-5 4 .3 -2
-1
0
6.6
0 0 0 0
0
0
7.0
3 2 2 1.
1
0
8.0
9 7 5 4
2
0
9.0
13 11 8 5,
3
0
10.0
17 14 10 7
3
0
11.0
20 16 12 8
4
0
12.0
23 18 14 9
5
0
13.0
25 20 15 10
5
0
4.6
Zonal Control Adjustment
5
53
10 8 6 4
2
0
_ -
No Cooling System Installed -
1
Stories
1.6
1.9
One
0 r' 0 0
2
0
0
Two+
5 �: _ 3
33
;-0 c.
13. Water Heating
4
4.2
Single
-_Family Detached and Attached
-
5
Unit Size (sQ
54
Water
1199 1200 1700
2200
2700
Heater
Credit cr to to
to
or
Type
Type legis 1699 2199
2699
more
SG
None 0 0 0
0
0
or
Solar 12 8 6
5
4
HP
HWR 9 6 4
3
3
52
WSB 17 12 9
7
6
0.5
POU ) 6 4
3
3
SE
None 19, -26 -19
-15
-13
22
Solar -2 -1 -1
-1
-1
3
HWR -18 -12 -9
-7
-6
39
WSB 2 2 1
1
1
4.7
POU -1.8 -12 -9
-7
-6
1G.
None -2 -1 -1
1
1
0.9
Solar 0 7 5
4
3
1.7
POU 7 5 3
3
2
IE
None -28 -19 -14
-11
-9
3.4
Solar 10 7 5
4
3
4.3
POU -7 -5 -3
3
-2
i
Multi -Family (individual
units)
5.7
59
-6.1
Unit Size
(sQ
1.1
Water 699 700 1200
1700
2200
Heater Credit or to to
to
or
Type
Type less 1199, 1699
2199
more
SG
None 0 0 0
0
0
or
Solar 14 7 5
3
3
HP
HWR 10 5 3
3
2
5.9
WSB 29 14 10
7
6
1.1
POU 10 5 3
3
2
SE
None -46 -23 -15
-12
-9
26
Solar 2 1 1
0
0
3.7
HWR .23 -11 -8
-6
-5
4.5
WSB 22 11 7
5
4
53
POU -23 -11 -8
-6
-5
n
None -2 -1 -1
0
0
1.4
Solar 11 6 4
3
2
23
POU 8 4 3
2
2
IE
None -28 -14 -9
-7
-6
4
Solar 22 11 7
6
4
4.6
POU -4 -2 -1
-1
-1
Interior MasslCFA
TV" 2 VASS
.Infiltration
6.
Glass Heat Loss
R-valuvalA [19--1 U -value [0.0661
/ q,� Or
O
7.
Shading (Shade Open)
a. North
-
b. East -
c. South
d. West
e. Skylight
8.
Shading (Shade Closed)
U.1.•n C...I
a Type 1 PASS
(VINC
• 4.2.
tot •:posed
slab)
0%
5%
10%
15%
20%
25%
30%
35%
40% 45%
507E
55%
60%
Est
70%
7S%
110%
65%
90%
95%
107% 105% 11076 115% 120% 125`,
0%
0
0.2
0.4.
66
0.6
1.1
1.3
1.5
1.7
1.9:.21
23
25
2.7
29
32
14
3.6
3.6
4
4.2
44
4.6
4.6
5
53
1075
0.2
0.4
0.6
0.6
1
1.2
1.4
1.6
1.9
21
23
25
21
2.9
11
33
3.5
3.7
4
4.2
4.4
45
4.6
5
52
54
20%
0.3
0.6
0.6
1
12
1.4
1.5
1.6
••2
22
24
27
29
3.1
13
15
17
3.9
4.1
4.3
4.5
4.6
5
52
5.4
56
30%
0.5
til
o 9
1.1
1.4
1.6
1.6
2
22
24
26
26
3
3.2
3.S
17
39
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5 6
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
22
24
26
26
3
3.2
3.4
16
16
4
4.3
4.5
4.7
4.9
5.1
53
SS
5.7
59
-6.1
50%
0.9
1.1
1.3
13
1.1
1.9
21
23
2S
27
3
32
14
16
111
4
42
4.4
4.6
4.6
11
5.3
5.5
5.7
5.9
SS%
0.9
1.1
1.4
1.6
1.6
2
22
24
2.5
26
3
32
3S
3.7
19
4.1
4.3
4.5
4.7
4.9
S.1
53
56
S6
6
62
60%
1
12
1.4
1.7
1.9
21
23
25
27
29
11,
3.3
35
3.6
4
4.2
4.4
4.6
4.6
- S
S.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.S
1.7
1.9
22
24
26
26
3
12
14
36
3.9
4
4.3
4.S
4.7
4.9
5.1
5.3
55
5.7
5.9
'6
6.1
64
70%
1.2
1.4
1.6
1.6
2
22
25
27
2.9
11
13
3.5
3.7
3.9
4.1
4.3
4.6
4.6
5
52
5.4
5.6
56
62
64
75%
11
13
1.7
1.9
21
23
25
27
3
3.2
14
15
16
4
4.2
4.4
4.6
4.6
5.1
5.3
5.5
S.7
5.9
6.1
6.3
63
1.4
1.6
1.9
2
22
24
26
2.6
3
3.3
1S
17
3.9
4.1
4.3
4.S
4.7
4.9
5.1
54
5.5
56
6
62
64
66
60%
1.7
1.9
2.1
23
25
2.7
29
3.1
33
3.5
16
4
42
4.4
4.6
4.6
S
52
50
56
S9
6.1
63
65
67
65%
90%
1.4
1.5
1.7
2
2.2
24
26
26
3
3.2
3.4
3.6
3.4
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
62
64
66
66
95%
1.5
1.6
2
22
25
27
2.9
3.1
33
3.5
11
19
4.1
4.3
4.5
4.6
S
5.2
5.4
5.5
5.6
6
6.2
6.4
6.7
69
t00%
1.7
19
21
23
25
26
3
32
3A
16
16
4
4.2
4.4
4.6
4.9
5.1
5.3
53
5.7
S.9
6.1
6.3
6.5
6.7
7
105%
1.6
2
22
2.4
26
26
3
3.3
3.S
3.7
3.9
4.1
4.3
43
4.7
4.9
5.1
5.4
5.6
S.9
5
6.2
6.4
66
6 6
7
1107:
1.9
21
2.3
2.5
27
29
11
13
3.6
3.6
4
4.2
4.4
4.5
4.6
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
22
2.4
2.6
26
3
3.2
14
3.5
3.6
4.1
4.3
4.5
4.7
4.9
5.1
S.3
5.5
5.7
5.9
6.2
6.4
6.6
6.6
7
7.2
120%
2
2.3
25
2.7
29
3.1
3.3
3.5
3.7
12-4-1-4.4
4.6
4.6
S
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
21
23
25
2.6
3
12 3AA 4.2
4;1-41
5.1
5.3
53
5.7
5.9
6.1
6.3
65
' 6.7
7
7.2
/!
Point System Sum'ma�y: Climate Zone 16
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S.
.Infiltration
6.
Glass Heat Loss
R-valuvalA [19--1 U -value [0.0661
/ q,� Or
O
7.
Shading (Shade Open)
a. North
-
b. East -
c. South
d. West
e. Skylight
8.
Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
�Vieas7ucres -
or
Point Scores.
R -value (38] 1.1 -value (0.030] _...
or-
O
R-valuvalA [19--1 U -value [0.0661
/ q,� Or
O
R-value[191 U -value [0.037]
Or
R. -value (7] F2 factor [0.51]
Standard _ `z7.'.. �._ ._. p
Type (double] U -value (0.65] 90 Total Glass J 16 _ Sum 1-6
% Glass- SC . _ Eff. % Glass
.7 r X
X
4, x = 3,'L 5
X '-
%G Sc Eff. % Glass r
j�•� X .r1 _ �s •� f �.
,4- x =
1 X
.� X = 7i'-7
O XJ = -SL-
TYPE 1 MASS AREA
interior �sslCFA
COND. FLOOR AREA
TYPE 2 MASS AREA
Exterior W Mass L OR AREA 10
11. Heating System W0>0 3? _
Zonal Control? (Y / N) ( X66, F te'en`y [0.78] '-Effective SEor
0 HSPF [0.56/5.15]
12. Cooling System i. oot::x =
Zonal Control? ( Y / N) SEER [8.91 Duct Efficiency [0.74] Effective SEER 16.591
13. Water Heating $CS• �I
Type [SGI 'Credit [none]